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<![CDATA[2D-MOTION ANALYSIS: KNEE JOINT ANGULATION OF TRANSTIBIAL AMPUTEE PATIENT WHO USE SACH FOOT AT CLINIC LABORATORY OF PROSTHETICS AND ORTHOTICS DEPARTMENT IN POLYTECHNIC OF HEALTH MINISTRY OF HEALTH JAKARTA 1 ]]>
<![CDATA[Kinanti Restiana Putri]]>;
<![CDATA[Olle Hjelmström]]>;
<![CDATA[Tri Riana Lestari]]>;
<![CDATA[Atikah Adyas]]>
<![CDATA[ Journal of Prosthetics Orthotics and Science Technology Vol. 1 No. 2 (2022): JPOST: JOURNAL OF PROSTHETICS ORTHOTICS AND SCIENCE TECHNOLOGY ]]>
Publisher : <![CDATA[POLITEKNIK KESEHATAN KEMENKES JAKARTA I ]]>
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DOI: 10.36082/jpost.v1i2.869
<![CDATA[The neutral foot position of the prosthetic SACH foot has a higher heel surface from the front of the foot (metatarsal line) with 1cm heel height. The prosthesis will be aligned to match the shoes that patient will use. When the patient is using shoes, the prosthetic SACH foot will be placed in a neutral position and will be supported by the shoe. When the patient does not use the shoe, the prosthesis will tilt backward especially when the foot is mid-stance and will force the pressure of the knee toward the extension of the knee joint which can cause damage to the knee joint structure. Therefore, knee joints will be measured at the time of the patient's use and not wearing shoes during mid-stance. Objective: To find out if there are significant differences in knee joint degree during mid-stance when using and not using shoes with 1cm heel height. Methods Quantitative comparative by observation of 2-dimensional motion in transtibial amputation patients using shoes and not using shoes with cross-sectional study design. Result : The degree of knee joints generated during mid-stance by patients with transtibial amputation when using shoes was 10.8o of flexion (p = 0.004) while at the time of not using the resulting knee boots was 4.5o of flexion (p = 0,000), normal degree of knee joint during mid- stance is 10o-20o of flexion. The results of paired t-test showed that there were significant differences in knee joint degree from standard degree, but when using the shoe showed a result of 0.8o larger than the lowest normal range while when not using shoes the resulting degree of 6.3o is smaller than lowest normal range.]]>
<![CDATA[PATIENT SATISFACTION WITH PROVISION OF REHABILITATION SERVICES AT PAKISTAN INSTITUTE OF PROSTHETIC AND ORTHOTIC SCIENCES (PIPOS) PESHAWAR ]]>
<![CDATA[Zia Rehman]]>;
<![CDATA[Muhammad Salim]]>;
<![CDATA[Shazia Asif]]>
<![CDATA[ Journal of Prosthetics Orthotics and Science Technology Vol. 1 No. 2 (2022): JPOST: JOURNAL OF PROSTHETICS ORTHOTICS AND SCIENCE TECHNOLOGY ]]>
Publisher : <![CDATA[POLITEKNIK KESEHATAN KEMENKES JAKARTA I ]]>
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DOI: 10.36082/jpost.v1i2.871
<![CDATA[Patient satisfaction with the services provided in a prosthetics and orthotics (P&O) facility has rarely been studied. This study aimed to analyze patient satisfaction regarding the services provided by seven prosthetic & orthotic (P&O) facilities at PIPOS Rehabilitation Services Program (PRSP) Peshawar. One hundred fifty patients from P&O facilities who were fitted with a prosthesis, an orthosis, or another device, were asked to rate the overall services provided and whether they were satisfied with the device provided and its delivery time by answering the questions according to their experience, provided in the questionnaire. In total, 72% of the consumers were satisfied with the service provided and with the delivery time, and 28% were not satisfied because of much time consumption. The overall consumer rating of the service provided by P&O facilities is high and mainly depends on the delivery time. The outcomes on the Patient Satisfaction Questionnaire were moderate. In the future, it is essential to study patient satisfaction more extensively to improve the quality of P&O services in daily practice. Additionally, specific questionnaires need to be developed to measure all prosthetic and orthotic care aspects to improve the services.]]>
<![CDATA[The Effect of Prosthesis Socket Variations on Gait Deviation in Patients with Transfemoral Short Stumps: A Case Study ]]>
<![CDATA[Ana Silmia]]>;
<![CDATA[Olle Hjelmström]]>;
<![CDATA[Agusni Karma]]>;
<![CDATA[Ns. Widada]]>
<![CDATA[ Journal of Prosthetics Orthotics and Science Technology Vol. 1 No. 2 (2022): JPOST: JOURNAL OF PROSTHETICS ORTHOTICS AND SCIENCE TECHNOLOGY ]]>
Publisher : <![CDATA[POLITEKNIK KESEHATAN KEMENKES JAKARTA I ]]>
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DOI: 10.36082/jpost.v1i2.872
<![CDATA[Background: The most common problem in patient transfemoral short stump is lack of stability during walking and creates gait deviation. One of the things that can increase the stability is which socket that used. Socket is the most important part of prosthesis for increasing stability for the patient itself. Because of that really important to decide which socket that has gait deviation close to normal especially for patient transfemoral short stump. Objectives: To know which socket that has gait deviation especially for lateral trunk bending and abducted gait those close to normal gait for patient transfemoral short stump with using quadrilateral socket and IC socket. Methods: This research is using case study method. Sample of this research is patient transfemoral short stump, male, 54 years old. Patient asked for use quadrilateral socket and IC socket 2 days each. Observation of gait deviation is using recorder. Degree of lateral trunk bending and distance of abducted gait were measured by recording in 2nd meter until 6th meter. This research has done in Clinic ortothotics prosthetics Poltekkes Kemenkes Jakarta I. Results: Result of the research shows that socket that have gait deviation less than ideal normal espsecially degree of lateral trunk bending and distance of abducted gait is IC socket compare to quadrilateral socket. Degree of lateral trunk bending while using ic socket got 10,07° but for quadrilateral socket got 12,57° with ideal normal is 11,32°. Distance of abducted gait for IC sockets is 25,8 cm but quadrilateral is 29 cm with distance ideal normal is 27,4 cm. Conclusion: This research shows that there is any effect of difference sockets toward gait deviation especially lateral trunk bending and abducted gait for patient transfemoral short stump. From this research get results socket that better for patient transfemoral short stump is IC socket.]]>
<![CDATA[COMPARISON FOR THE USED OF RIGID MEDIAL ARCH SUPPORT AND FLEXIBLE MEDIAL ARCH SUPPORT ON FLAT FEET PATIENTS’ WALKING SPEED ]]>
<![CDATA[Dwi Setyawan]]>;
<![CDATA[Annisa Eka Septiani]]>;
<![CDATA[Ketut Intan Yunika Sari]]>
<![CDATA[ Journal of Prosthetics Orthotics and Science Technology Vol. 2 No. 1 (2023): JPOST: JOURNAL OF PROSTHETICS ORTHOTICS AND SCIENCE TECHNOLOGY ]]>
Publisher : <![CDATA[POLITEKNIK KESEHATAN KEMENKES JAKARTA I ]]>
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DOI: 10.36082/jpost.v2i1.957
<![CDATA[Background: Flat foot patients requires more muscle activity when walking due to lack of medial longitudinal arch arches and results in increased pressure on the second area of metatarsal during the stance phase, causing the gait cycle in flat foot patients to be longer than for children who have normal foot. The speed of walking of flat foot patients can be faster using flexible medial arch support compared to when using rigid medial arch support. Purpose: to determine difference in walking speed using rigid medial arch support and flexible medial arch support in patients with flat foot. Methods: 30 subjects according to inclusion and exclusion criteria. Subject divided into two groups and given treatment using rigid medial arch support and flexible medial arch support the calculating walking speed using 10 Meter Walk Test. Quasi Experiment with Post Test Only Design. Material used (1) rigid medial arch support, (2) flexible medial arch support, (3) midline, (4) stopwatch, (5) HVS paper, (6) liquid color, (7) cone, (8) stationary, (9) measuring form. Results: The average walking speed using rigid medial arch support at the fast walking speed is 1.6800 m/s and the comfortable walking speed is 1.2627 m/s. The average walking speed using flexible medial arch support at the fast walking speed is 1.8140 m/s and the comfortable walking speed is 1.6467 m/s. The results of Shapiro Wilk data (N=15: 15) showed normally distributed data. Therefore, using the parametric test (Independent Sample T-test) obtained p < 0.05. Conclusion: Based on statistical tests, it was found that there was a significant difference in walking speed using rigid medial arch support and flexible medial arch support in patients with flat foot. Based on field data, it was found that comfortable walking speed of rigid medial arch support was faster than the flexible medial arch support by 30.4%.]]>
<![CDATA[COMPARING THE EFFECT OF LEAF SPRING AND SWEDISH AFO IN PATIENT WITH DROP FOOT DEFORMITY (PERONEAL NERVE INJURY) ]]>
<![CDATA[Muhammad Kamran Khan]]>;
<![CDATA[Uzma Bibi]]>;
<![CDATA[Wisal Shah]]>
<![CDATA[ Journal of Prosthetics Orthotics and Science Technology Vol. 2 No. 1 (2023): JPOST: JOURNAL OF PROSTHETICS ORTHOTICS AND SCIENCE TECHNOLOGY ]]>
Publisher : <![CDATA[POLITEKNIK KESEHATAN KEMENKES JAKARTA I ]]>
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DOI: 10.36082/jpost.v2i1.961
<![CDATA[Background: Injection-molded polypropylene splint in Swedish AFO provides static dorsiflexion assistance and lateral stability for the entire foot-ankle area. It prevents foot drop while walking. Purpose: Comparing the effect of leaf spring and Swedish AFO in patient with drop foot deformity (Peroneal nerve injury). Objectives: To determine better controlling of planter flexion during Initial contact and Mid Swing of the Gait. Methodology: Four (4) participants with Drop Foot (Peroneal nerve injury) were selected through simple random sampling and they were allowed to walk at their self-selected speed with Swedish AFO and with PLS AFO in order to compare their controlling of Planter Flexion at Initial Contact and at Mid Swing under experimental design. The study is conducted at Pakistan Institute of Prosthetic and Orthotic Sciences Peshawar. Paired sample “t” test is used to compare the result. Results: By observing both the AFO’s i.e. Swedish AFO and Posterior Leaf Spring AFO at Initial Contact Phase of the Gait the deviation’s results for Swedish AFO’s are 3.82, 4.40, 11.22 and 9.18 degrees and deviations results for Posterior Leaf Spring AFO’s are 2.32, 3.34, 8.71 and 8.53 degrees. Statistical results implied that the impact of Leaf Spring AFO is bigger than Leaf spring AFO. Conclusion: Posterior leaf Spring AFO is more effective design for Persons with Drop foot (Peroneal nerve injury) as compare to Swedish AFO.]]>
<![CDATA[COMPARISON THE POSTERIOR SHELL AND POSTERIOR LEAF SPRING SOCKET DESIGN FOR SYME’S AMPUTEE IN TERMS OF NORMAL GAIT KINEMATICS: A CASE STUDY ]]>
<![CDATA[Wisal Shah]]>;
<![CDATA[Bibi Uzma]]>;
<![CDATA[Muhammad Kamran Khan]]>
<![CDATA[ Journal of Prosthetics Orthotics and Science Technology Vol. 2 No. 1 (2023): JPOST: JOURNAL OF PROSTHETICS ORTHOTICS AND SCIENCE TECHNOLOGY ]]>
Publisher : <![CDATA[POLITEKNIK KESEHATAN KEMENKES JAKARTA I ]]>
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DOI: 10.36082/jpost.v2i1.975
<![CDATA[Background: Syme’s amputee patient commonly walks on the distal end of the stump. Two types of sockets are commonly prescribed to these patients; Syme socket with either complete posterior shell or leaf spring design. The purpose of this kinematic study was to compare the effectiveness of both these socket designs in terms of different gait variables. Methods: The study design was a case study, therefore, only a single syme’s amputee was selected for data collection. Both posterior shell and posterior leaf spring sockets were made for the study participant. The study participant was given the opportunity to use each socket for 15 days before data collection in 2D gait analysis lab. The data was compared with normal gait values, so the socket which had gait parameter values was closer to the normal gait kinematic values. That was considered as the most effective socket. Results: The results of this study showed that the posterior leaf spring socket design has closer to normal Stance phase (62%) as compared to complete posterior shell design (65%). Similarly, the values of swing phase were 38% for leaf spring design and 35% for posterior shell design which clearly indicate that the posterior leaf spring socket design is more effective than posterior shell socket design.]]>
<![CDATA[THE EFFECT OF USING TLSO (THORACAL LUMBAR SACRAL ORTHOSIS) ON ALIGNMENT KYPHOSIS IN THE ELDERLY ]]>
<![CDATA[Cica Ningsih]]>;
<![CDATA[Muhammad Fathi]]>
<![CDATA[ Journal of Prosthetics Orthotics and Science Technology Vol. 2 No. 1 (2023): JPOST: JOURNAL OF PROSTHETICS ORTHOTICS AND SCIENCE TECHNOLOGY ]]>
Publisher : <![CDATA[POLITEKNIK KESEHATAN KEMENKES JAKARTA I ]]>
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DOI: 10.36082/jpost.v2i1.984
<![CDATA[Introduction: The alterations that occur in the vertebrae are Kyphosis, Lordosis, and Scoliosis. Kyphosis affects the majority of the elderly. Kyphosis is a type of deformity wherein the human spine becomes bent. The most frequent alterations in the vertebrae are atilted head forward (cervical kyphosis), an increase in the thoracic kyphosis curve, a flattened lumbar curve (lumbar kyphosis), and a reduction in the width of the intervertebral discus, resulting in a lower height. The focus of this research was to study the effects of TLSO on vertebral alignment postures in older people with kyphosis. Method: This research is a quasi-experimental research with one group pre and posttest design techniques. This research was conducted from March to October 2021 at the PosyanduLansia Sawahan, Ngemplak, Boyolali. Elderly who meet the requirements for this research subject include up to 30 elderly people. Each study subject will receive the TLSO intervention and then assess their spinal alignment before and after treatment.Paired Samples T-test was used to analyze the data in this study. Result: The application of TLSO had a statistically significant effect on alignment before and after the intervention (t = 35.98, mean difference = 8.34, and p value = 0.000). Conclusion: The use of TLSO has an impact on reducing spinal curvature so it is good for maintaining body posture according to normal alignment.]]>
<![CDATA[RELATIONSHIP BETWEEN BACKPACK USE AND POSTURAL DISORDERS (SCOLIOSIS) IN ELEMENTARY SCHOOL STUDENT ]]>
<![CDATA[Shabrina Illiyin]]>;
<![CDATA[Agusni Karma]]>;
<![CDATA[Triyani]]>;
<![CDATA[Rizan Yunihanawati]]>
<![CDATA[ Journal of Prosthetics Orthotics and Science Technology Vol. 2 No. 1 (2023): JPOST: JOURNAL OF PROSTHETICS ORTHOTICS AND SCIENCE TECHNOLOGY ]]>
Publisher : <![CDATA[POLITEKNIK KESEHATAN KEMENKES JAKARTA I ]]>
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DOI: 10.36082/jpost.v2i1.985
<![CDATA[Background. The use of backpacks that are not suitable both in terms of design, weight of the load, and how to use it can have a negative impact on students due to increased pressure on the spinal structure of adolescents during their growth period. Early detection (scoliosis screening) must be carried out to determine the long-term effects of using the wrong backpack so that treatment can be carried out as soon as possible to avoid the occurrence of more severe musculoskeletal disorders. Aim. Analyzing the relationship between the use of non-ergonomic backpacks on spinal abnormalities (scoliosis) in students Cilandak Barat 08 Elementary School South Jakarta. Method. Analytical quantitative research, by conducting a cross-sectional study simultaneously on individuals of a population at a time. Result. This research found there was no significant relationship between backpack characteristics and the incidence of scoliosis (p-value 1.000) and OR 1.261. It was found that on average the respondents experienced musculoskeletal complaints due to the use of backpacks with non-ergonomic characteristics about 64.8% and scoliosis prevalence about 20.5%. Conclusion. There is no relationship between the characteristics of the backpack with the incidence of scoliosis. The use of a non-ergonomic backpack can still be used by considering the recommended aspects while using it.]]>
<![CDATA[EFFECT OF METATARSAL PAD USE ON SPATIOTEMPORAL GAIT PARAMETERS ON FOREFOOT PAIN ]]>
<![CDATA[Adisti Noer Sevina]]>;
<![CDATA[Triyani]]>;
<![CDATA[Suci Anatasia]]>;
<![CDATA[Rizan Yuni Hanawati]]>
<![CDATA[ Journal of Prosthetics Orthotics and Science Technology Vol. 2 No. 1 (2023): JPOST: JOURNAL OF PROSTHETICS ORTHOTICS AND SCIENCE TECHNOLOGY ]]>
Publisher : <![CDATA[POLITEKNIK KESEHATAN KEMENKES JAKARTA I ]]>
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DOI: 10.36082/jpost.v2i1.996
<![CDATA[Background: Wearing high heels above 2 – 2.5 cm can have an influence on increasing the risk of pain in the palm of the front brother. The pain of the front of the palm can be given a metatarsal pad. Orthotic filling can affect the spatiotemporal gait of a person's parameters. Purpose: Knowing the effect of the use of metatarsal pads on spatiotemporal gait parameters of a person who has pain in the soles of the front feet with the height of heels. Method: The research method and design uses a one-sample pre-test post-test type. A total of 30 participants aged 18 –20 years used a metatarsal pad for 2 weeks. The measurements taken are velocity, step length, stride length, and stance phase duration. Result: There is a change in the degree of pain before and after using the metatarsal pad. A total of 10 people felt less pain, 9 people felt more pain, and 11 people felt the same pain. However, the relationship between the degree of pain of the soles of the feet before and after using the metatarsal pad is insignificant. Changes also occur in the mean of each spatiotemporal variable gait parameter before and after using the metatarsal pad. The average velocity (0.718 km/h) is faster, the step length (14 mm) and stride length (3 mm) are shorter and the stance phase duration (0.314 seconds) is faster than before use. However, the entire variable result is insignificant (p-value>0.05). Velocity (p= 0.477), step length (p= 0.758) and stride length (p= 0.489), as well as accelerating the stance (p= 0.295). Conclusion: The use of a metatarsal pad reduces the degree of pain of a person with front foot pain. However, there is no connection between the degree of pain of the soles of the feet before and after using the metatarsal pad. In other aspect, there is a change in the spatiotemporal gait parameter in the use of metatarsal pads. This study shows the influence of the use of metatarsal pads on spatiotemporal gait parameters on velocity and stance phase duration. However, not at step length and stride length.]]>
<![CDATA[THE EFFECT OF USING A KNEE DECKER TO REDUCE KNEE PAIN IN FARMERS ]]>
<![CDATA[Dody Suprayogi]]>;
<![CDATA[Muhammad Fathi]]>;
<![CDATA[Nurul Kotimah]]>
<![CDATA[ Journal of Prosthetics Orthotics and Science Technology Vol. 2 No. 1 (2023): JPOST: JOURNAL OF PROSTHETICS ORTHOTICS AND SCIENCE TECHNOLOGY ]]>
Publisher : <![CDATA[POLITEKNIK KESEHATAN KEMENKES JAKARTA I ]]>
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DOI: 10.36082/jpost.v2i1.1004
<![CDATA[Background: Farmers are people who carry out activities in the agricultural sector, both garden farming, fields, rice fields, fisheries, and others on land with the aim of obtaining economic benefits. Farmers have a prevalence of knee pain symptoms that lead to reduced mobility and ability to work. Knee pain occurs due to heavy and continuous pressure such as standing, squatting, lifting crops, and hoeing. In this case to treat knee pain using a tool in the form of a knee lifter to determine the ability to reduce knee pain. Objective: To determine the effect of using a knee decker on reducing the degree of knee pain in farmers in Mojopuro Village, Sragen Regency. Methods and Subjects: This research was conducted from March to April in Mojopuro Village, Sragen Regency using a quantitative research method using a quasi-experimental one group pre-test and post-test design. The sampling technique used is purposive sampling. The subjects used were all farmers who experienced knee pain. Results : A statistical analysis with a p value 0.000 less than 0.05 revealed that using a knee decker had a substantial impact on lowering the severity of knee pain in farmers by 43% from a sample of 25 people who had knee pain Conclusion: There is an effect of using a knee decker to reduce the degree of knee pain in farmers, so that increasing mobility and ability to work.]]>
