scholarly journals Manipulasi Organ Golgi Tendon Untuk Mengurangi Tingkat Spastisitas Otot-Otot Penggerak Lengan Pasca Stroke Infark

2016 ◽  
Vol 1 (1) ◽  
Author(s):  
Muhammad Mudatsir Syatibi ◽  
Suhardi Suhardi

Abstract: Manipulation, GTO, Spasticity. Stroke is a syndrome which is attacked rapidly and happening more than 24 hours and causing cerebral function problem. Stroke make someone get daily activity problem because of the spasticity. One of treatment to decrease the spasticity is Golgi Tendon Organ (GTO) manipulation which can reduce muscle’s tones that higher than normal. The aim of the study: is to knowing the effect of GTO manipulation in decreasing arm muscle spasticity for non haemorhagic stroke. Method: is two groups pre and post test design. Location and time research: is in Physical Therapy Unit of Dr. Moewardi Hospital Surakarta. Research Subject: are all of stroke patients in Dr. Moewardi Hospital who turned into inclusion and exclusion criteria, n=15 subject in I group and n= 14 subjects in II group. Analyze: Hipotesis test with non parametric test are Wilcoxon test dan Mann Whitnet test. Conclusion: (1) GTO manipulation can decrease arm muscle spasticity for right non haemorhagic stroke (p=0,000), (2) GTO manipulation can decrease arm muscle spasticity for left non haemorhagic stroke (p=0,001), and (3) no different effect of GTO manipulation to decrease arm muscle spasticity for non haemorhagic stroke between right and left side (p=0,353).

2018 ◽  
Vol 6 (3) ◽  
pp. 9
Author(s):  
I Gusti Ayu Rea Vera Wijaya ◽  
A.A Nyoman Trisna Narta Dewi ◽  
Susy Purnawati

ABSTRACT               Abdominal muscle strength decreasing could happen in women who has been giving birth. Zumba exercise is a modification of aerobic exercise with latin music and dance that could be used for muscle strengthening exercise. The purpose of the experiment is for knowing the effect of zumba exercise to increase the abdominal muscles strength in women who has been giving birth. The research is a pre-experimental with a pre-test and post-test one group design. The research has been done in North Sanglah Village with total of 18 samples that was chosen by the Curl Up test score and inclusion and exclusion criteria. Data analyzed using Saphiro Wilk test and  Wilcoxon Test. The results shown there are significant increasing of abdominal muscles strength after given the zumba exercise, p=0,000 (p<0,05). Zumba exercise could increase the abdominal muscles strength in samples with a 26,7% increasing percentage.   Keywords: zumba exercise, abdominal mucles strength decreasing.


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


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


2014 ◽  
Vol 2 (1) ◽  
Author(s):  
Fitra M. P. Bonde ◽  
Maya Moningka

Abstract: Painful menstruation or dysmenorrhea in addition to a problem most also be a reason for the decreased activity of women during menstruation , for example, no school . Handling this problem by means of nonpharmacologic need to be developed , for example with a hot compress . The purpose of the study to determine the effect of a hot compress to decrease the degree of menstrual pain in high school and vocational Yadika Kopandakan II . This type of research is experimental design One group pre and post test . Samples were obtained based on the inclusion and exclusion criteria were 30 . The data obtained through observation sheet Bourbonais a pain scale . Data were analyzed using SPSS (Statistical Product and Service Solution Program ) and the Wilcoxon test . The p-value indicates that there is a significant association between hot compress with a decrease in the degree of menstrual pain ( p = 0.00 ) . Based on these results it can be concluded that a hot compress effect on the degree of reduction in menstrual pain in high school and vocational Yadika Kopandakan II . Keywords : Compress Heat , menstrual pain.    Abstrak: Nyeri haid atau Dismenore selain merupakan masalah terbanyak  juga menjadi alasan terjadinya penurunan aktivitas wanita saat menstruasi, misalnya tidak masuk sekolah. Penanganan masalah ini dengan cara nonfarmakologis perlu di kembangkan misalnya dengan kompres panas. Tujuan penelitian untuk mengetahui  pengaruh  kompres  panas  terhadap penurunan  derajat  nyeri  haid  pada siswi  SMA dan SMK  Yadika Kopandakan II. Jenis  penelitian  yang  digunakan  yaitu  eksperimental dengan  desain  One group pre  &  post  test. Sampel  didapatkan  berdasarkan kriteria inklusi dan eksklusi yang berjumlah 30 orang. Data diperoleh melalui lembar observasi berupa skala nyeri Bourbonais.Data dianalisis menggunakan SPSS (Statistical Program Product and Service Solution) dan Uji Wilcoxon. Nilai p menunjukkan  bahwa ada hubungan yang bermakna antara kompres panas dengan penurunan derajat nyeri haid (p=0,00). Berdasarkan  hasil penelitian ini dapat disimpulkan bahwa kompres panas berpengaruh terhadap penurunan derajat nyeri haid pada siswi SMA dan SMK Yadika Kopandakan II. Kata kunci:Kompres Panas ,Nyeri haid.


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.


Author(s):  
Mariana Ikun RD Pareira ◽  
Naomi Habi Atal

Autonomy is important to be taught early because makes it will easier for children to carry out further education. Autonomy also leads children to have high self-esteem and intrinsic motivation. The most prominent problem in children at TK Tunas Harapan Emaus Liliba Kupang is autonomy.  Autonomy can be promoted in various ways, one of them which is story telling. The purpose of this study is to find out whether there is an increase in autonomy of children ages 4-5 years after story telling. The research method used in this research is experimental method with quantitative approach. The research design used is a non-equivalent research design or also called "one group pre test and post test design" which is a research design used by giving before and after the activitiies test in a single group research sample. The results of this study indicate that by the Wilcoxon test showed a significant increase in autonomy of children ages 4-5 years (p&lt;0.05)


2021 ◽  
Vol 8 (02) ◽  
pp. 65-77
Author(s):  
Brigitte David ◽  
Henny Pongantung ◽  
Dewi Wowor ◽  
Fransiskus Dotulong

ABSTRAK Shoulder pain merupakan komplikasi yang banyak ditemukan dan dapat mengganggu proses kemandirian pasien pasca stroke. Tujuan penelitian ini untuk mengetahui pengaruh manajemen bahu terhadap shoulder pain pada pasien sesudah stroke. Jenis penelitian ini adalah pre- eksperiment design dengan rancangan onegroup pre- test- post test design. Metode sampling yang digunakan yaitu Non-probability sampling dengan pendekatan consecutive sampling dengan jumlah sampel 40 responden yang dilakukan intervensi manajemen bahu selama empat bulan dengan latihan lima kali seminggu. Pengumpulan data menggunakan lembar observasi dan instrumen yang digunakan yaitu VAS (Visual Analog Scale). Uji statistik yang digunakan adalah uji T berpasangan dan diperoleh nilai p=0,000 dengan tingkat kemaknaan α=0,05. Hasil penelitian ini menunjukkan ada pengaruh manajemen bahu terhadap shoulder pain pada pasien sesudah stroke. Kata kunci : Manajemen bahu, Shoulder pain, stroke ABSTRACT Shoulder pain is common complication and interfere with the after stroke patients. The aim of this study was to determine the effect of shoulder management on shoulder pain for after stroke patients. This type of research was pre-experiments design with the design one of group pre-test-post test design. The sampling method used  a Non-probability  sampling with a consecutive sampling approach with a sample of 40 respondents who were given a shoulder management for four month with doing exercise once a day. The data collection used observation sheets and for the instruments used VAS ( Visual analog scale) The statistical test used paired T test and the value p=0.000 which obtained significance level with α=0.05 . The study result  showed that there was an effect of shoulder management on shoulder pain after-stroke patients Keywords : Shoulder pain, Shoulder management,  stroke


Author(s):  
Siti Novy Romlah ◽  
Firdayani Fadillah ◽  
Sri Haryanto ◽  
Junaida Rahmi ◽  
Shella Juniar

ABSTRACT Background : Dysmenorrhea stiffness in the lower abdomen that occurs before or during menstruation, usually dysminorrhea occurs in 2-3 days. The purpose of this study was to determine the effect of giving tamarind turmeric as a dysmenorrhea therapy to reduce pain in young women at M.T Nurul Ikhwan. The design of this study used the Quasy Experiment method with the One group pre-post test design. The total sample size of 23 respondents was obtained by purposive sampling method. The analysis used to determine the effect of giving tamarind turmeric drink on reducing the level of menstrual pain (dysmenorrhea) using the Wilcoxon test. Sign Rank Test. The results of bivariate known Asymp.Sig. (2-tailed) is worth 0.000. Because the value of 0.000 is less than <0.05, it can be concluded that "Ha is accepted". This means that there is a difference in dysmenorrhea pain for the pre test and post test. So it can be concluded that there is an effect of giving tamarind turmeric to reduce desminore pain in adolescents at M.T Nurul Ikhwan. The conclusion of this study is that there is a difference between the pretest and posttest in the changes in dysmenorrhea pain in adolescent girls. Based on this study, it is recommended for adolescents to drink 100cc / day of tamarind turmeric during menstruation as an alternative to reduce dysmenorrhea pain.ABSTRAK menjelang atau selama menstruasi, biasanya disminore terjadi pada 2-3 hari. Tujuan Penelitian: untuk mengetahui pengaruh pemberian minuman kunyit asam sebagai terapi dismenore terhadap penurunan nyeri pada remaja putri di M.T Nurul Ikhwan. Metodologi: Desain penelitian ini menggunakan metode Quasy Eksperimen dengan rancangan One grup pre-post test design Jumlah sampel sebanyak 23 reponden didapatkan dengan metode purposive sampling.. Analisis yang digunakan untuk mengetahui adanya pengaruh pemberian minuman kunyit asam terhadap penurunan tingkat nyeri menstruasi (dysmenorrhea) menggunakan Uji Wilcoxon Sign Rank Test. Hasil penelitian: Hasil analisa bivariat diketahui Asymp.Sig. (2-tailed) bernilai 0,000. Karena nilai 0,000 lebih kecil dari <0,05, maka dapat disimpulkan “Ha diterima”. Artinya ada perbedaan nyeri dismenore untuk pre test dan post test. Kesimpulan: Sehingga dapat disimpulkan bahwa ada pengaruh pemberian kunyit asam untuk mengurangi nyeri desminore pada remaja di M.T Nurul Ikhwan. Kesimpulan Penelitian ini adalah ada perbedaan antara pretest dan post test dalam perubahan nyeri dismenore pada remaja putri. Berdasarkan penelitian ini disarankan kepada remaja untuk meminum kunyit asam 100cc/ hari saat menstruasi sebagai salah satu alternatif penurunan nyeri dismenore.


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