scholarly journals TEKNIK PENGULURAN OTOT–OTOT LEHER UNTUK MENINGKATKAN FUNGSIONAL LEHER PADA PENDERITA NYERI TENGKUK NON-SPESIFIK

2017 ◽  
Vol 1 (1) ◽  
Author(s):  
Bambang Trisnowiyanto

<p>ABSTRAK<br />Nyeri tengkuk merupakan masalah yang umum dijumpai yaitu 3,5% kasus per 1.000 orang. Kondisi ini dialami dua dari tiga orang selama masa hidupnya, nyeri tengkuk akan mengakibatkan terganggunya aktivitas fungsional sehari-hari. Tujuan penelitian ini ialah untuk mengetahui pengaruh pemberian teknik penguluran otot-otot leher terhadap peningkatan fungsional leher pada penderita nyeri tengkuk non spesifik. Rancangan penelitian yang digunakan ialah one group pre-test and post-test design. Subjek penelitian sebanyak 23 orang yang terdiri dari 10 orang laki-laki dan 13 orang perempuan dengan rentang usia lebih dari 20 tahun. Subjek dipilih dengan kriteria inklusi dan eksklusi. Subjek mendapat perlakuan berupa latihan penguluran sebanyak 6 kali seminggu atau setiap hari berturut-turut selama 1 minggu. Program latihan penguluran diberikan selama 20-30 menit setiap sesi latihan.Hasil uji analisis data dengan non parametrik Wilcoxon test, diperoleh p=0.000 (p&lt;0.05). Nilai kemampuan fungsional dengan neck pain and disability visual analogue scale (NPAD). Terdapat pengaruh latihan penguluran otot-otot leher terhadap peningkatan fungsional leher pada penderita nyeri tengkuk non spesifik.<br />Kata kunci : latihan penguluran, fungsional leher<br />ABSTRACT<br />Neck pain is a common problem of 3.5% of cases per 1,000 people. This condition is experienced by two out of three people during life. Neck pain will result in disruption of daily functional activities. The purpose of this study is to determine the effect of the provision of stretching of the neck muscles to the functional improvement of the neck in patients with non specific nape pain.This research design is one group pre-test and post-test design. Research subjects were 23 people consisting of 10 men and 13 women with age range more than 20 years. Subject chosen by inclusion and exclusion criteria. The subject received treatment in the form of stretching exercises 6 times a week or every day for 1 week in a stretching exercise program is given for 20-30 minutes each training session. Results of data analysis test with non parametric Wilcoxon test, obtained p = 0.000 (p &lt;0.05). The value of functional ability with neck pain and disability visual analogue scale (NPAD).There is an effect of neck muscle stretching exercises on the functional improvement of the neck in patients with non specific nape pain.<br />Keyword: stretching exercises, functional neck</p>

2021 ◽  
Vol 1 ◽  
pp. 2113-2119
Author(s):  
Wildan Sholakhul Huda ◽  
A Abdurrachman

AbstractNeck pain or neck pain is a musculoskeletal complaint such as pain in the neck and stiffness that is often experienced by the community. Around 16.6% of the adult population in Indonesia complains of neck pain every year. To reduce pain in patients with neck pain, interventions can be given, one of which is Muscle Energy Technique (MET). This study aims to determine the description of pain reduction in patients with neck pain after accepting the Muscle Energy Technique (MET). Writing this article uses a literature review system using PICO. This article was obtained from searching the Microsoft Academic and Scilit online database with predetermined inclusion and exclusion criteria. The measuring instrument used in the literature review is the Visual Analogue Scale (VAS). The results of the literature review analysis of these 5 articles found that the results of pain reduction from the results of the pre-test were 6.13 and post-test were 2.37. So there is a decrease in pain after accepting the Muscle Energy Technique (MET). Muscle Energy Technique (MET) has an effect on reducing pain in Neck Pain cases. It is hoped that this research should be able to increase knowledge about the management of pain reduction in cases of neck pain after accepting the Muscle Energy Technique (MET).Keywords : Neck pain; muscle energy technique (MET); visual analogue scale (VAS). AbstrakNeck pain atau nyeri leher merupakan keluhan muskuloskeletal seperti terasa sakit dibagian leher dan kaku yang sering dialami oleh masyarakat. Sekitar 16,6% setiap tahunnya populasi orang dewasa di Indonesia mengeluhkan rasa nyeri pada leher. Untuk menurunkan nyeri pada penderita Neck pain dapat diberikan intervensi salah satunya adalah Muscle Energy Technique (MET). Penelitian ini bertujuan untuk mengetahui gambaran penurunan nyeri pada penderita Neck pain setelah dilakukan Muscle Energy Technique (MET). Penulisan Artikel ini menggunakan sistem literature review dengan menggunakan PICO. Artikel ini didapatkan dari penelusuran data base online Microsoft Academic dan Scilit dengan kriteria insklusi dan eksklusi yang telah ditentukan. Alat ukur yang digunakan dalam literature review adalah Visual Analogue Scale (VAS). Hasil analisis literature review dari ke 5 artikel ini didapatkan bahwa hasil penurunan nyeri dari hasil pre test 6,13 dan post test 2,37. Jadi ada penurunan nyeri setelah dilakukan Muscle Energy Technique (MET). Muscle Energy Technique (MET) berpengaruh terhadap penurunan nyeri pada kasus Neck pain. Diharapkan Penelitian ini hendaknya dapat meningkatkan pengetahuan terhadap penanganan penurunan nyeri pada kasus Neck pain setelah dilakukan Muscle Energy Technique (MET).Kata Kunci: Neck pain; muscle energy technique (MET);visual analogue scale (VAS).


2019 ◽  
Vol 6 (3) ◽  
pp. 636
Author(s):  
Fajarina Lathu Asmarani ◽  
Luh Gede Rinika Sancita Dewi

Myalgia atau nyeri otot disebabkan karena beban kerja, beban tambahan dan kemampuan kerja serta refleks spasme otot. 40,5% pekerja mengalami masalah di muskuloskeletal. Myalgia yang tidak teratasi dapat menyebabkan keterbatasan gerak, ketidakmampuan bekerja dan ketakutan / kecemasan untuk bergerak.  Penatalaksanaan myalgia dapat dilakukan dengan terapi farmakologi dan non farmakologi. Salah satu terapi non farmakologi yang direkomendasikan adalah terapi bekam karena dapat mengeluarkan mediator inflamasi, prostaglandin, sitokin dan substansi P. Tujuan penelitian ini untuk membuktikan secara ilmiah pengaruh bekam terhadap penurunan skala nyeri pada pasien dengan keluhan myalgia. Jenis penelitian ini adalah quasi experiment dengan desain penelitian pre test and post test without control. Sampel adalah pasien yang akan melakukan terapi bekam sebanyak 20 dengan metode consecutive sampling. Responden diberikan kering sebanyak 5 menit dan dilanjutkan bekam basah selama 5 menit. Skala nyeri menggunakan Visual Analogue Scale (VAS) sebelum dan sesudah diberikan terapi bekam basah. Analisa data Wilcoxon Test. Skala nyeri sebelum diberikan terapi sebesar 5,00000 dan sesudah terapi 1,0000 dengan hasil nilai p-value 0,000 < 0,05. Bekam terbukti menurunkan skala nyeri pada pasien dengan keluhan myalgia dan diharpkan perawat melakukan terapi bekam basah sebagai bagian dari intervensi nyeri


Author(s):  
I Rezaei ◽  
M Razeghi ◽  
S Ebrahimi ◽  
S Kayedi ◽  
A Rezaeian Zadeh

Background: Despite the potential benefits of virtual reality technology in physical rehabilitation, only a few studies have evaluated the efficacy of this type of treatment in patients with neck pain.Objective: The aim of this study was to compare the effects of virtual reality training (VRT) versus conventional proprioceptive training (CPT) in patients with neck pain.Methods: Forty four participants with nonspecific chronic neck pain were randomly assigned to VRT or CPT in this assessor-blinded clinical trial. A novel videogame called Cervigame® was designed for VRT. It comprises of 50 stages divided into unidirectional and two-directional stages ordered from easy to hard. CPT consisted of eye-follow, gaze stability, eye-head coordination and position and movement sense training. Both groups completed 8 training sessions over 4 weeks. Visual analogue scale score, neck disability index and Y-balance test results were recorded at baseline, immediately after and 5 weeks post-intervention. Mixed repeated measure ANOVA was used to analyze differences between mean values for each variable at an alpha level of 0.05.Results: There were significant improvements in all variables in both groups immediately after and 5 weeks after the intervention. Greater improvements were observed in the visual analogue scale and neck disability index scores in VRT group, and the results for all directions in Y-balance test were similar in both groups. No side effects were reported.Conclusion: Improvements in neck pain and disability were greater in VRT than CPT group. Cervigame® is a potentially practical tool for rehabilitation in patients with neck pain.


2021 ◽  
Vol 10 (1) ◽  
pp. 80-87
Author(s):  
Ari Indra Susanti ◽  
Aminarista Aminarista ◽  
Neneng Martini ◽  
Nur Rahmah ◽  
Sri Astuti

Background: Lactating mothers were successful in giving exclusive breastfeeding as much as 42% based on SDKI (Survei Demografi Kesehatan Indonesia) in 2012. This is depend on the support of husbands and families as well as health workers. Thus, the husband or family should remind and motivate mothers as well as monitor the breastfeeding activity every day for 6 months using breastfeeding calendar.Objectives: This study aimed to determine the increase in knowledge and attitudes of mothers in providing exclusive breastfeeding after the exclusive breastfeeding calendar training.Materials and Methods: The research design used a quasi-experimental one group pre-test post-test design. This research was conducted on mothers who had babies (age 0-12 months) in Pasawahan Village and Pasawahan Kidul Village, Pasawahan District, Purwakarta Regency in April to November 2018, with 96 respondents. The sampling technique was conducted by purposive sampling. Data were collected by giving questionnaires to respondents, before and after the breastfeeding calendar training were given. The Wilcoxon test was used for the analysis of the data in this study.Results: The results showed that there were differences in the knowledge of mothers before and after training on breastfeeding calendar (p <0,000) and there were differences in the attitudes of mothers before and after the training on breastfeeding calendar (p <0,000).Conclusions: There was an increase in knowledge and changes in the attitude of mothers towards exclusive breastfeeding after being given the breastfeeding Calendar training. Therefore, suggestions for health workers, especially midwives and nutrition workers, can use the breastfeeding calendar as an educational medium to increase husband and family support in exclusive breastfeeding.


2017 ◽  
Vol 40 (1) ◽  
pp. 1
Author(s):  
Fatkhurohman Fatkhurohman ◽  
Yanesti Nuravianda Lestari ◽  
Dian Titis Torina

The high food waste in a hospital showed the quality of food service was not optimal. The Holistic Hospital of Purwakarta that used small, medium, and lage portion standards in its food service faced some problems regarding high  food  waste. This study aimed to find out the effect of meal’s portion standard changes on the food waste in  Holistic Hospital patients. Pre-experimental study using one group pre-post test design was done on 29 patients using convenient sampling technique.The changing of meal’s portion was done for rice from medium portion (150 g) to small (0.5 or 0.25 portion). Measurement of food waste used weighing method. Data analysis used Wilcoxon test continued with Kendall-Tau correlation test. The results showed that 65.5 percent of patients were aged around 42-68 years old receiving positive diet and 34.5 percent were non-positive diets. At the beginning of diet, the food waste of rice of all patients was high (27.4-64.9% waste of rice) and it was significantly decreased after small portion was given, even though there were still 27.6 percent of patients with > 20 percent waste of rice. There was a significant influence between the change in diet portion of patients toward food  waste of rice (r=0.804; p<0.05). It was concluded that the changes in diet portion of patients were able to reduce the food  waste.ABSTRAK  Tingginya sisa makanan pasien di Rumah Sakit menunjukkan kualitas penyelenggaraan makanan yang belum optimal. Rumah Sakit Holistic Purwakarta yang menggunakan standar porsi small, medium, dan large dalam penyelenggaraan makanan masih mengalami kendala berupa tingginya sisa makanan pasien. Penelitian ini bertujuan untuk mengetahui pengaruh perubahan standar porsi terhadap sisa makanan pasien di Rumah Sakit Holistic Purwakarta. Penelitian pre-eksperimen dengan one group pre-post test design ini dilakukan pada 29 orang pasien dengan teknik convenient sampling. Perubahan porsi makanan dilakukan pada nasi putih dari porsi medium (150 g) menjadi small (0,5 porsi atau 0,25 porsi). Pengukuran sisa makanan menggunakan metode penimbangan. Analisis data menggunakan uji Chi-Square dan uji Wilcoxon yang dilanjutkan uji korelasi Kendall-Tau. Hasil penelitian menunjukkan bahwa sebanyak 65,5 persen pasien berusia 42-68 tahun menerima diet positif dan 34,5 persen menerima diet non-positif. Sisa porsi nasi di awal pemberian diet pada seluruh pasien masih tinggi (27,4-64,9% sisa nasi) dan menurun secara signifikan setelah porsi nasi diberikan dalam porsi small (p<0,05) meskipun masih terdapat 27,6 persen pasien dengan sisa nasi > 20 persen. Terdapat pengaruh yang signifikan antara perubahan porsi diet pasien terhadap sisa nasi (r=0,804; p<0,05). Dapat disimpulkan bahwa perubahan porsi nasi pada diet pasien mampu menurunkan sisa makanan. Kata kunci: standar porsi, sisa makanan


Author(s):  
I Rezaei ◽  
M Razeghi ◽  
S Ebrahimi ◽  
S Kayedi ◽  
A Rezaeian Zadeh

Background: Despite the potential benefits of virtual reality technology in physical rehabilitation, only a few studies have evaluated the efficacy of this type of treatment in patients with neck pain.Objective: The aim of this study was to compare the effects of virtual reality training (VRT) versus conventional proprioceptive training (CPT) in patients with neck pain.Methods: Forty four participants with nonspecific chronic neck pain were randomly assigned to VRT or CPT in this assessor-blinded clinical trial. A novel videogame called Cervigame® was designed for VRT. It comprises of 50 stages divided into unidirectional and two-directional stages ordered from easy to hard. CPT consisted of eye-follow, gaze stability, eye-head coordination and position and movement sense training. Both groups completed 8 training sessions over 4 weeks. Visual analogue scale score, neck disability index and Y-balance test results were recorded at baseline, immediately after and 5 weeks post-intervention. Mixed repeated measure ANOVA was used to analyze differences between mean values for each variable at an alpha level of 0.05.Results: There were significant improvements in all variables in both groups immediately after and 5 weeks after the intervention. Greater improvements were observed in the visual analogue scale and neck disability index scores in VRT group, and the results for all directions in Y-balance test were similar in both groups. No side effects were reported.Conclusion: Improvements in neck pain and disability were greater in VRT than CPT group. Cervigame® is a potentially practical tool for rehabilitation in patients with neck pain.


2018 ◽  
Vol 46 (05) ◽  
pp. 297-302
Author(s):  
Christoph Klinger ◽  
Natalie Gedon ◽  
Laura Udraite ◽  
Katja Hiltenkamp ◽  
Ralf Mueller ◽  
...  

Zusammenfassung Gegenstand und Ziel: Essbare Insekten (wie Mehlwürmer, Heuschrecken und Grillen) enthalten hohe Mengen an Energie, Protein, essenziellen Fettsäuren sowie Mengen- und Spurenelementen und stellen eine qualitativ hochwertige Nahrungsquelle dar. Sie sind als neuartige Proteinquellen für Futtermittelallergiker interessant und können auch in ökologischer und ethischer Hinsicht sinnvoll sein. Ziel dieser Fallserie war, die Wirkung eines neuen kommerziell erhältlichen Insektenprotein-basierten Trockenfutters auf die Symptomatik dieser Hunde mittels Canine Atopic Dermatitis Lesion Index (CADLI), Pruritus Visual Analogue Scale (PVAS) und Fellqualitätsscore zu evaluieren. Material und Methoden: In diese Studie wurden 20 Hunde mit atopischer Dermatitis aufgrund einer diagnostizierten Futtermittelunverträglichkeit eingeschlossen. Die Hunde erhielten 2 Wochen lang ausschließlich dieses Futter. Ergebnisse: Die Studie beendeten 15 der 20 Hunde. Bei 12 dieser Tiere wurde eine Verbesserung der Läsionen festgestellt, zwei entwickelten eine geringgradige Verschlechterung der Hautveränderungen und ein Patient präsentierte sich klinisch unverändert. Der Juckreiz verringerte sich bei acht Patienten, blieb bei vier Hunden unverändert und verstärkte sich bei drei Tieren (in zwei Fällen geringgradig um durchschnittlich 1,5 Juckreizscore-Punkte, bei einem Patienten dramatisch um 8 Juckreizscore-Punkte). Die bei 14 Hunden beurteilte Fellqualität verbesserte sich bei sechs Tieren und änderte sich nicht bei acht Hunden. Signifikante Unterschiede ergaben sich hinsichtlich der Verbesserung des Scores für die Hautläsionen (Wilcoxon- Test, p = 0,007) und der Fellqualität (Wilcoxon-Test, p = 0,01), nicht aber für den Juckreiz-Score (p = 0,53). Die Palatabilität des Futters war sehr gut. Außer bei einem Patienten galt dies auch für die Verträglichkeit. Schlussfolgerung und klinische Relevanz: Basierend auf diesen Ergebnissen ist das verwendete Insekten-basierte Trockenfutter eine interessante Fütterungsalternative bei Hunden mit Futtermittelunverträglichkeit.


EDUTECH ◽  
2015 ◽  
Vol 14 (2) ◽  
pp. 184
Author(s):  
Nia Sutisna

Abstract. Children with intellectual challenges are those who experience barriers to intelligence, such as low academic skills, low personal and vocational abilities and have impaired speech. Further, those children have to deal with fine motor skills and hand-eye coordination which are essentially needed in speaking and performing various daily activities such as writing. The problem that is often faced by children with intellectual challenges is difficulty in beginning writing at the stage of imitating or copying text. Another problem found in children with intellectual challenges is related to communication barrier or developing oral language skills in accordance with society norms so that they are able to catch the feeling and the idea of the people they speak to and play active role in the society. To achieve the goals, there needs to be sufficient speaking practice or speech education using picture story video media with supporting activities. Therefore, this research aimed to find out the effect of using picture story video media in improving the speaking skills of children with intellectual challenges. This research used experimental method with One Group Pre Post Test design and Wilcoxon test. The subjects are four children with intellectual challenges at Grade IV SPLB-C YPLB Cipaganti.Keywords: video media, children with intellectual challenges, speaking skillsAbstrak. Anak tunagrahita adalah mereka yang mengalami hambatan dalam inteligensi, seperti rendahnya kemampuan akademik, kemampuan personal, kemampuan vokasional, dan mengalami gangguan berbicara. Selain itu, anak tunagrahita ringan mengalami motorik halus dan koordinasi mata tangan sangat diperlukan untuk berbicara dan melakukan berbagai aktivitas yang terkait dengan kehidupan sehari-hari seperti untuk menulis. Adapun masalah yang sering dihadapi anak tunagrahita dalam kemampuan menulis permulaan yaitu pada tahapan meniru atau menyalin tulisan.Masalah yang ditemukan pada anak tunagrahita yaitu berkaitan dengan hambatan berkomunikasi atau mengembangkan kemampuan bahasa lisan/berbicara sesuai dengan norma lingkungan dan dapat menangkap perasan dan gagasan lawan bicara serta berperan aktif dalam lingkungan. Untuk merealisasikan usaha tersebut perlu adanya latihan berbicara atau speech education yaitu melalui media video cerita yang memadai dan bentuk kegiatan yang menunjang. berdasarkan latar belakang masalah tersebut timbullah sebuah rumusan masalah dalam penelitian ini, yaitu: “Adakah pengaruh penggunaan media cerita bergambar terhadap peningkatan kemampuan berbicara Anak Tunagrahita Ringan?” Dalam menjawab permasalahan penelitian tersebut, peneliti menggunakan metode eksperimen dengan bentuk One Group Pre test Post test Design uji Wilcoxon. Adapun subjek dalam penelitian ini adalah empat orang siswa tunagrahita kelas IV SPLB-C YPLB CipagantiKata kunci: media video, tunagrahita, kemampuan berbicara


2020 ◽  
Vol 3 (1) ◽  
pp. 8
Author(s):  
Oktavia Bryan Trianita ◽  
Wiwn Renny Rahmawati ◽  
Susi Tentrem Talib

Latar Belakang : Rasa nyeri pada persalinan disebabkan oleh kombinasi peregangan segmen bawah rahim (selanjutnya serviks) dan iskemia (hipoksia) otot-otot rahim. Reaksi terhadap nyeri merupakan respons yang sifatnya sangat individual. Reaksi ini tergantung pada kepribadian, kondisi emosional serta tingkat pemahaman pasien, latar belakang kultural, keluarga serta pendidikannya, dan pengalaman sebelumnya. Penanganan secara non-farmakologis yaitu pijat dan relaksasi nafas dalam.Tujuan : Mengetahui perbedaan pijat counterpressure dan relaksasi nafas dalam terhadap adaptasi nyeri ibu bersalin.Metode Penelitian : Penelitian ini menggunakan rancangan quasi-eksperiment dengan desain metode penelitian 2 group pre and post-test design, yang mana penelitian ini melibatkan 2 kelompok 1 (kelompok pijat counterpressure) dan kelompok 2 (kelompok relaksasi nafas dalam). Teknik sampling yang digunakan adalah accidental sampling.Hasil : Hasil analisis penerapan pada kelompok pijat counterpressure terhadap penurunan nyeri ibu bersalin dengan uji Wilcoxon didapatkan hasil p = 0,001 (p < 0,05) dan pada kelompok relaksasi nafas dalam dengan uji Wilcoxon didapatkan hasil p = 0,083 (p > 0,005). Sehingga pada kelompok pijat counterpressure (p < 0,05) Ha diterima yang mengartikan bahwa ada perbedaan yang bermakna pada perlakuan pijat counterpressure dan relaksasi nafas dalam.Kesimpulan : pijat counterpressure lebih efektif dalam adaptasi nyeri ibu bersalin. Background: pain in labor is caused by a combination of stretching of the lower uterine segment (hereinafter the cervix) and ischemia (hypoxia) muscles of the uterus. Reaction to pain is a response that is very individual. This reaction depends on the personality, emotional state and the level of patient understanding, cultural background, family and education, and previous experience. Handling of non-pharmacological namely relaxation massage and deep breathing.Objective: To determine differences in massage counterpressure relaxation and deep breathing against maternal adaptation pain.Methods: This study used adesign quasi-experimental with the design of research method 2 group pre and post-test design,which this study involved two groups 1  massage (counterpressure group)and group 2 (deep breathing relaxation group). The sampling technique used was accidental sampling.Results: Analysis of the application of the massage group counterpressure against maternal pain reduction with the Wilcoxon test showed p = 0.001 (p <0.05) and the deep breathing relaxation group with the Wilcoxon test showed p = 0.083 (p> 0.005). So that the massage group counterpressure (p <0.05) Ha accepted which means that there are significant differences in treatment counterpressure massage and relaxation massage deep breath.Conclusion: counterpressure be more effective in pain adaptation birth mothers.


2021 ◽  
Vol 9 (E) ◽  
pp. 1544-1548
Author(s):  
Maryati Dewi ◽  
Gina Hanifah ◽  
Asep Iwan Purnawan ◽  
Witri Priawanti Putri ◽  
Gurid Pramintarto Eko Mulyo

BACKGROUND: Athletes’ achievements require the support of sports science and technology. One of the supporting sciences is sports nutrition services by fulfilling athlete nutrition through foodservice and nutrition education in nutrition counseling or nutrition counseling according to the needs and conditions of athletes. AIM: This study aims to determine the effect of nutrition education on nutritional knowledge and macronutrient intake in Muay Thai athletes in Cimahi city. METHODS: This type of research is a Quasi experiment by applying a one group pre- and post-test design: Nutrition education using leaflets. The sample is Muay Thai athletes in Cimahi city who are actively practicing at the Empire Muaythai Camp as many as ten people. Data were collected by filling in the respondent’s characteristics, knowledge of nutrition, and intake of macronutrients. RESULTS: Based on the Wilcoxon test, it was found that there was an effect of providing nutrition education using leaflets on nutritional knowledge (p = 0.005) and protein intake (p = 0.047). CONCLUSION: It is recommended that regular and periodic nutrition education be given to athletes and coaches as well as collaborate with nutritionists regarding nutritional fulfillment for athletes to increase macronutrient intake so that the performance of Muay Thai athletes in Cimahi city is optimal.


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