scholarly journals MANIPULASI TOPURAK (TOTOK, PUKUL, GERAK) UNTUK PENYEMBUHAN NYERI DAN KETEGANGAN OTOT LEHER

MEDIKORA ◽  
2019 ◽  
Vol 17 (2) ◽  
pp. 113-119
Author(s):  
Ela Yuliana ◽  
B.M. Wara Kushartanti

Nyeri dan ketegangan otot leher merupakan keluhan muskuloskeletal umum yang sering dirasakan setiap orang (prevalensi 30%-50%). Topurak (Totok, Pukul, Gerak) merupakan salah satu terapi manipulasi. Tujuan penelitian ini adalah untuk menguji efektivitas manipulasi Topurak untuk penyembuhan nyeri dan ketegangan otot leher pasien Klinik Olahraga Terapi dan Rehabilitasi FIK UNY. Rancangan Pre-experimental dengan One Group Pretest-Posttest Design. Teknik pengambilan sampel menggunakan quota sampling yang dihitung dengan rumus Slovin didapatkan quota sebesar 15 orang. Data yang dikumpulkan adalah ROM, skala nyeri, dan skala fungsi baik sebelum maupun sesudah perlakukan. Paired Samples t Test digunakan untuk menganalisis data ROM dan uji Wilcoxon untuk data skala nyeri maupun skala fungsi. Hasil penelitian menunjukkan adanya peningkatan ROM pada gerakan fleksi, ekstensi, left lateral flexion, right lateral flexion, left rotation, dan right rotation. Didapatkan juga adanya penurunan skala nyeri serta peningkatan skala fungsi leher setelah manipulasi Topurak (p<0,05). Berdasarkan hasil tersebut, maka dapat disimpulkan bahwa manipulasi Topurak efektif untuk penyembuhan nyeri dan ketegangan otot leher. TOPURAK MANIPULATION (TOUCH, PUNCH, MOTION) FOR HEALING OF PAIN AND NECK MUSCLE TENSIONAbstractNeck pain and muscle tension is a common musculoskeletal complaint that is often felt by everyone (prevalence of 30% -50%). Topurak (Touch, Pukul, Motion) is a manipulation therapy. and neck muscle tension of FIK UNY Sports and Therapy Sports and Rehabilitation Clinic patients. Pre-experimental design with One Group Pretest-Posttest Design. The sampling technique uses quota sampling which is calculated by Slovin formula obtained quota of 15 people. Data collected were ROM, pain scale, and function scale both before and after treatment. Paired Samples t Test is used to analyze ROM data and Wilcoxon test for pain scale and function scale data. The results showed an increase in ROM in flexion, extension, left lateral flexion, right lateral flexion, left rotation, and right rotation. There was also a decrease in pain scale and an increase in the scale of neck function after Topurak manipulation (p <0.05). Based on these results, it can be concluded that Topurak manipulation is effective for healing neck pain and muscle tension.

2018 ◽  
Vol 3 (1) ◽  
Author(s):  
Triwik Sri Mulati ◽  
Dewi Susilowati

Abstract: Perineal Laceration Level, Perineal Pain, Post Partum Mother. Some post partum mothers experienced the perineal laceration because of natural perineal laceration (rupture) or perineal episiotomy. Both of them would be able to cause perineal laceration from mild up to severe level. The level of perineal laceration would influence to perineal pain scale felt by post partum mother. The purpose of this research was to prove the influence of the perineal laceration level to the perineal pain scale on post partum mother. This research was analitical design. The data was analyzed using Paired-samples T-test. The respondents were 59 post partum mothers from Klaten District who experienced perineal laceration but without complication. The result showed the majority of perineal laceration level was 2ᵑᵈ level (89.8%) and the majority of perineal pain scale was mild pain (66.1%). Based on Paired-samples T-test account, the p value was 0.06, p > 0.05 so that it could be concluded that there was no influence of perineal laceration level to the perineal pain scale on post partum moher.


2020 ◽  
Vol 9 (2) ◽  
pp. 173-182
Author(s):  
Adi Sucipto ◽  
Fajarina Lathu Asmarani ◽  
Nurrohmah Nurrohmah

Background: Eye fatigue is often referred to as eye strain or asthenopia. Eye fatigue can be caused by work that requires high focus such as sewing. One of the symptoms of eye fatigue is eye pain. The World Health Organization (WHO) records that the incidence of asthenopia (tired eyes) in the world is an average of 75% per year. The purpose of this study is to determine the effect of a combination therapy between eye exercise and giving kencur (aromatic ginger/Kaempferia galanga) on the pain level of eye fatigue. Methods: This is a quasi-experimental research design with pretest and posttest nonequivalent control group. The research samples were selected using a Non-Probability Sampling technique with a consecutive sampling method. The number of samples selected was 36, they were divided into the experiment group and the control group. Therapy is given once. Bivariate analysis was performed using Wilcoxon test, paired t-test and independent t-test. The research instrument used was the NRS pain scale. Results: The experiment group’s pre-posttest pain scales were 5.06 and 2.78. The control group’s pre-posttest pain scales were 4.50 and 4.00. The bivariate test results of the pre-posttest pain scale of the experiment group and the control group showed p values = 0.000 and 0.001. The results of the bivariate test on the posttest between the experimental group and the control group showed p value = 0.028. Conclusion: Combination of eye exercise and giving kencur has been scientifically proven to reduce eye fatigue better than just eye exercise.


2017 ◽  
Vol 2 (1) ◽  
Author(s):  
Endah Dwi Maharsi ◽  
Hartono Hartono

Abstract: Hemodynamic, Hemodyalisis. According to calculation of Pernefri on 2013, there are about 19.621 chronic renal failure patients which they need routine hemodialysis, over of 53% of patients is under 54 years old. Recently, hemodialysis treatment get rapidly developing, but there are many health problem on patients when they get hemodialysis treatment. Patients often get some complication such as hemodynamic problem. The purpose of this research is to 1) to discribe the characteristics of the gender, age 2) to discribe the hemodynamic (sistole, diastole, MAP, RR, HR) of pre and post hemodialysis 3) to analize the hemodynamic changes pre and post hempdyalisis treatment. This type of research is quasy experiment with one group pretest – posttest design. The results of the research is there are hemodynamic changes in patients done hemodyalisis at the hemodialysis unit in Dr. Moewardi Hospital of Surakarta. This is proven by testing paired samples t-test (systole, MAP, HR) which obtained the value of p < 0,05 and wilcoxon test (diastole, RR) which obtained the value of p < 0,05. According to the test of paired samples t-test and Wilcoxon test if p < 0,05, then the provision of therapy hemodialysis influential to changes in blood pressure. Conclusion. There is hemodynamic changes in patient done hemodyalisis at the hemodialysis unit dr.Moewardi Hospital.


2019 ◽  
Vol 33 (1) ◽  
pp. 15-26
Author(s):  
Bakhrudin All Habsy

Self regulation is a process of self-regulation to set a mind and feeling to achieve a goal to be achieved. Self regulation determines student success, because students who have self-regulation can plan, evaluate, and control themselves. This study aims to determine the effectiveness of cognitive behavior group counseling can improve self-regulation of junior high school students. This study, using an experimental design with the Nonequivalent Control Group Design design. The data normality test results show that the control group is not normally distributed where the Sig.Asymp is smaller than 0.05. Whereas for the experimental group is normally distributed, where Sig.Asymp is greater than 0.05. Then it is obtained a hypothesis test that is appropriate for the control group using Wilcoxon test and for the experimental group using paired samples t test. Wilcoxon test results showed Sig.Asymp (2-tailed) of 0.080> 0.05, meaning that without giving counseling the Cognitive behavior group in the control group was not effective in improving student self-regulation, while for the paired samples t test test results showed Sig.Asymp ( 2-tailed) of 0.003 <0.05 means that the counseling behavior of Cognitive behavior groups in the experimental group is effective in enhancing student self-regulation. The research was carried out starting from April 2018 to January 2019, which took place at SMP Islam Mbah Bolong Jombang. Based on the results of the research, researcher gives suggestions for: 1) Teachers of Counseling Guidance, can be used as a reference that Cognitive behavior group counseling services can improve student self-regulation,  2) For further research: can apply Cognitive behavior counseling and can use different techniques in group counseling services so that they will gain a broader insight


2021 ◽  
Vol 5 (1) ◽  
pp. 40-47
Author(s):  
Maya Cobalt

Background: One of the disorders experienced by gout arthritis sufferers is pain in the joints. Joint pain in patients with gouty arthritis occurs due to deposits of monosodiumuric crystals that accumulate in the joints as a result of high levels of gout arthritis in the blood. One of the interventions that can be given to reduce the pain scale in sufferers of gouty arthritis is the administration of warm cinnamon compresses. The essential oil in cinnamon bark contains eugenol, where eugenol has a very hot and spicy taste so it can open the skin's pores. So that pain can be reduced with the warm cinnamon compress. Purpose: The effect of the warm cinnamon compress aims to determine the benefits of the warm cinnamon compress to reduce the pain scale in sufferers of gout arthritis. Methods: This study used a quasi-experimental method with a pre and post control group approach. The sample in this study amounted to 50 respondents, the sample was taken by stratified random. Results: The results of the Wilcoxon test showed that the p value in the control group was 0.850 and the intervention group obtained a p value of 0.000. The results of the Paired T-test showed that the p value in the control group was 0.594 and the intervention group obtained a p value of 0.000. Independent T-test results obtained p value 0.000 <0.05, meaning that there is an effect of warm cinnamon compresses on reducing pain in patients with gout arthritis before and after giving warm cinnamon compresses between the intervention group and the control group. Conclusion: The warm cinnamon compress has an effect on reducing the pain scale in people with gouty arthritis. Keywords: gout arthritis, pain, cinnamon warm compress


2021 ◽  
Author(s):  
Hasan Aldinc ◽  
Serpil Yaylaci ◽  
Cem Gun ◽  
Cigdem Ozkaya Senuren ◽  
Feray Guven ◽  
...  

Abstract The self-video feedback method may have the potential to provide a low-cost alternative to physician-driven simulation-based training. This study aimed to assess the utility of video feedback by comparing the improvement in procedural performance when trainees received self-video feedback (trainees review their performance alone) and expert-assısted video feedback (trainees review their performance while an emergency physician provides additional feedback). This study was performed at a university simulation center with 89 final-year medical students and used a cricothyroidotomy simulation model. Following the educational presentation and the best practice video, trainees were randomized into two groups (self video-feedback and expert assisted video-feedback). They performed the cricothyroidotomy before and after the feedback, The procedures were recorded and scored. Scoring were made using a pre-defıned checklist. Mann Whitney U test and Wilcoxon test were used to analyze non-normally distributed data. For the analysis of normally distributed data, Student t-test and Paired Samples t-test were used. Results demonstrated significant improvement in cricothyroidotomy performance with both types of video feedback. The improvement was significantly greater in the expert-assisted video feedback group. We think that simulation-based training is effective with self video feedback.


2021 ◽  
Vol 11 (2) ◽  
pp. 131
Author(s):  
Eny Pemilu Kusparlina

The problem of nutritional status is very complex, requiring treatment involving a health nutritionist. The nutritional status of children is one of the important things to prepare a quality generation. Health education in the form of training is expected to be able to change the collaborative competences of health workers across professions. This study aims to analyze the effect of training on knowledge of health workers about malnutrition and cross-professional collaboration. The researcher used a mix-methods approach with triangulation techniques using a questionnaire for the qualitative stage by conducting content analysis, while in the quantitative stage the researcher used a pre-experimental design with a "one group pre and post test" design, then the data were analyzed using the Wilcoxon test and paired samples-t test. The results of the content analysis informed that the training had gone well and was able to increase the participants' knowledge. The statistical test results showed that the mean knowledge of nutrition before training was 4.50, while after training was 4.467. The results of the Wilcoxon test showed that the p value = 0.586 (> 0.05), so it can be interpreted that there is no difference in knowledge about nutrition between before and after training. Meanwhile, the average knowledge about collaboration before training was 8.75 and after training was 10.67. The results of the paired samples t-test showed a value of p = 0.008 (0,05), sehingga dapat diinterpretasikan bahwa tidak ada perbedaan pengetahuan tentang gizi antara sebelum dengan setelah pelatihan. Sedangkan rerata pengetahuan tentang kolaborasi sebelum pelatihan adalah 8,75 dan setelah pelatihan adalah 10,67. Hasil Wilcoxon test menunjukkan nilai p = 0,008 (


2020 ◽  
Vol 5 (2) ◽  
pp. 49-55
Author(s):  
Hafiko Andresni ◽  
Zahtamal Zahtamal ◽  
Winda Septiani ◽  
Mitra Mitra ◽  
Lita Lita

ABSTRACT Toilet training is an effort to train children to be able to control and urinate (BAK) and defecate (BAB). Toilet training is one of the main tasks of children at toddler age. Toilet training is one of the main tasks of children in toddler age which is very important to be done to create independence in children in controlling BAK and BAB and children know the parts of the body and their functions. Data in 2012 shows that ± 60% of parents do not teach toilet training to children from an early age. The aim of the study was to find out the effectiveness of toilet training education on maternal behavior and toilet skills in toddler age training (18-36 months). The study was conducted in July-August 2018. This type of quantitative research used the design of the Quasy pretest and posttest experiment with non-equivalent control group design. Samples were 36 mothers and 36 children with purposive sampling technique. Data analysis used Paired t test, Wilcoxon test, Man-Whitney test an Independent t test. The results showed that toilet training education through lecture methods, modules and maze games was more effective than toilet training education through lecture and leaflet methods on children's knowledge and abilities. Conversely, for the role of mothers in supervision there is no significant difference in effectiveness. Health education is recommended in health promotion programs to increase maternal knowledge, the role of mothers and the ability of toilet training children independently. Keywords: Toilet training, Lecture method, Module, Maze game, Leaflet, Knowledge, Role of mother, Children's ability.


2018 ◽  
Vol 29 (04) ◽  
pp. 273-278
Author(s):  
Haihong Liu ◽  
Yuanhu Liu ◽  
Ying Li ◽  
Xin Jin ◽  
Jing Li ◽  
...  

AbstractWide dynamic range compression (WDRC) has been widely used in hearing aid technology. However, several reports indicate that WDRC may improve audibility at the expense of speech intelligibility. As such, a modified amplification compression scheme, named adaptive compression, was developed. However, the effect of compression strategies on speech perception in pediatric hearing aid users has not been clearly reported.The purpose of the present study was to investigate the effect of adaptive compression and fast-acting WDRC processing strategies on sentence recognition in noise with Mandarin, pediatric hearing aid users.This study was set up using a double-blind, within-subject, repeated-measures design.Twenty-six children who spoke Mandarin Chinese as their primary language and had bilateral sensorineural hearing loss participated in the study.Sentence recognition in noise was evaluated in behind-the-ear technology with both adaptive compression processing and fast-acting WDRC processing and was selected randomly for each child. Percent correct sentence recognition in noise with fast-acting WDRC and adaptive compression was collected from each participant. Correlation analysis was performed to examine the effect of gender, age at assessment, and hearing threshold of the better ear on signal-to-noise ratio, and a paired-samples t test was employed to compare the performance of the adaptive compression strategy and fast-acting WDRC processing.The mean percentage correct of sentence recognition in noise with behind-the-ear technology with fast-acting WDRC and adaptive compression processing were 62.24% and 68.71%, respectively. The paired-samples t test showed that the performance of the adaptive compression strategy was significantly better than the fast-acting WDRC processing (t = 3.190, p = 0.004).Compared with the fast-acting WDRC, adaptive compression provided better sentence recognition in noise for Mandarin pediatric hearing aid users.


2017 ◽  
Vol 13 (1) ◽  
pp. 19
Author(s):  
Mikha Gorbyanto Nuari ◽  
Astuti Yuli Setyani

Capital market in Indonesia today is experiencing rapid development, the growth contribute to the high investment that can be seen from the number of shares traded by investors. Financial statements are one of many source which investor used as a source of consideration to make investment decision. The purpose of this study was to examine whether there is a difference between the volume of stock trading before the publication of financial statements and after the publication of financial statements in 20 days event window. The research sample is a group companies that included in the index stock LQ 45 in 2016. Hypothesis testing using a paired sample t-test. The results of this test showed no significant difference between the volume of trade before publication of the financial statements and after the publication of the financial statements.Key terms: financial statements, volume of stock trading, capital market, investmentPasar modal di Indonesia dewasa ini mengalami perkembangan yang pesat, hal tersebut berdampak pada tingginya investasi dilihat dari jumlah saham yang ditransaksikan oleh investor. Laporan keuangan merupakan salah satu sumber informasi bagi investor sebagai bahan pertimbangan dalam melakukan keputusan investasi. Tujuan dari penelitian ini adalah untuk menguji apakah ada perbedaan antara volume perdagangan saham sebelum publikasi laporan keuangan dengan sesudah publikasi laporan keuangan pada event window 20 hari. Sampel penelitian merupakan perusahaan yang masuk dalam kelompok indeks saham LQ 45 pada tahun 2016. Pengujian hipotesis dilakukan dengan menggunakan uji paired samples t-test. Hasil dari pengujian ini menunjukkan tidak adaperbedaan yang signifikan antara volume perdagangan sebelum publikasi laporan keuangan dengan sesudah publikasi laporan keuangan.Kata Kunci: laporan keuangan, volume perdagangan saham, pasar modal, investasi.


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