Effect of Ultrasound and Calf Stretching in relieving Gastrocnemius Tightness in subjects with Plantar Fascitis

2021 ◽  
pp. 3025-3028
Author(s):  
Sowmya M V ◽  
Nandhini S ◽  
Manigandan V
Keyword(s):  
Functional Ability ◽  
Combined Therapy ◽  
Statistical Significance ◽  
Mean Value ◽  
P Value ◽  
Functional Activities ◽  
Post Test ◽  
Foot Function ◽  
The Difference ◽  
Gastrocnemius Tightness

Objective: To evaluate the efficacy of ultrasound and calf stretching in subjects with gastrocnemius tightness in plantar fascitis to reduce pain and improve functional ability. Method: 30 patients with plantar fascitis selected from Saveetha college of physiotherapy and rehabilitation center (SPARC) based on inclusion and exclusion criteria. The patients were treated with ultrasound therapy and calf stretching. The pre and post test values of pain and functional ability was be calculated using Silfverskiold test and Foot Function Index as an outcome measure. Results: The mean value and standard errors were calculated for different variables and the difference in mean value was tested for statistical significance using paired t test. P value of <0.0001 was considered as statistically significant. Conclusion: From the statistical analysis and graphical interpretation the final derived results concluded that combined therapy of ultrasound and calf stretching is found to be effective in relieving gastrocnemius tightness in patient suffering with plantar fascitis and it can be used to improve the functional activities.

scholarly journals A Counseling on Complementary Food to Mothers of Infants Aged 6--24 Months at A Community Clinic in Sukmajaya

2019 ◽  
Vol 3 (1) ◽  
pp. 11-20
Author(s):  
Avliya Quratul Marjan ◽  
A’immatul Fauziyah ◽  
M. Ikhsan Amar
Keyword(s):  
Breast Milk ◽  
Mean Value ◽  
Complementary Food ◽  
Average Score ◽  
P Value ◽  
Before And After ◽  
Post Test ◽  
Service Activity ◽  
Nutritional Needs ◽  
The Difference

MPASI, complementary food to breast milk, is food or drink containing nutrients, given to babies or infants aged 6-24 months, and given in stages according to the age and digestive capacity of the babies or infants to meet their nutritional needs other than breast milk. The objective of the activity was to improve the mothers’ knowledge of correct and good complementary food for their under-five-year-old infants in Sukmajaya, Depok 2018 and to determine the differences of these mothers’ knowledge about how to process and use ingredients for the complementary food before and after counseling. The method of this community service activity was through pre- and post-test designs. The results showed that the average score of mothers; knowledge before the counseling was 73.00 and after the counseling 79.43. The difference in the mean value between the first and second measurements was 6.43 and the results of the statistical test show the value of P value <0.05. Therefore, it can be concluded that there were significant differences between the pre-test (before counseling) and post-test (after counseling) scores. Based on the results of data processing and analysis, it was found that 66.66% of respondents experienced improving knowledge of complementary food, although the number was still below the target of 70%.

scholarly journals Pemanfaatan Media Pembelajaran Berbasis Internet pada Konsep Sistem Peredaran Darah Terhadap Hasil Belajar Kognitif Siswa pada SMA Negeri 1 Woyla

2017 ◽  
Vol 4 (1) ◽  
pp. 1
Author(s):  
Taufik Hidayat ◽  
Hafnati Rahmatan ◽  
Khairil Khairil
Keyword(s):  
Circulatory System ◽  
Mean Value ◽  
P Value ◽  
Learning Method ◽  
Text Book ◽  
School Year ◽  
Significant Difference ◽  
Post Test ◽  
Blood Circulatory System ◽  
The Difference

Internet based – learning media is one of the learning sources that can be used to replace the text book. This research was aimed to find out the difference of learning result of students who utilized internet based – learning media as the sources of learning compare to the students who used conventional learning method on the topic of blood circulatory system. An experimental research had been conducted at SMAN 1 Woyla in the school year of 2014/2015. The population of this research was 60 students, which were 30 students of XII IPA 1 and 30 students of XII IPA 2 class. The entire population was chosen as the samples of the research which were 30 students for experimental class and 30 students for control class. The data were collected by using pre-test and post-test. The data were analyzed by using independent sample t-tes or Mann Whitney test. The results showed that: (1) the N-Gain mean value of experimental class was 60 which was categorized as medium and for the control was 20 which was categorized as low, (2) the learning result was significantly different between the students who used internet based – learning media and the students who were taught conventionally on the topic of blood circulatory system with P value of 0,000 < 0,05. It can be summarized that there was a significant difference of learning result of students who used internet based – learning media with the students who used conventional learning method especially on the topic of blood circulatory system.

scholarly journals Aplikasi pemberian teknik distraksi terhadap skala nyeri anak selama prosedur medis

2021 ◽  
Vol 15 (1) ◽  
pp. 140-146
Author(s):  
Setiawati Setiawati ◽  
Linawati Novikasari
Keyword(s):  
Young Children ◽  
Venous Blood ◽  
Pain Scale ◽  
Mean Value ◽  
P Value ◽  
Medical Procedure ◽  
Medical Procedures ◽  
Purposive Sampling ◽  
Post Test ◽  
The Difference

A comparison of distractors for  controlling pain and discomfort in young children during medical procedures Background: The problem that often occurs in the pediatric ward is when going to take medical procedures, there are several procedures that will cause a pain and discomfort in young children. During the performance, a nurse needs a full concentration and a calm environment. Meanwhile, a young children need a distraction for controlling pain and discomfort during medical procedures. Procedure need to apply to make easily and smoothly until end of the performance.Purpose:  A comparison of distractors for  controlling pain and discomfort in young children during medical proceduresMethod: A quantitative study and a purposive sampling experimental design (pre-test and post-test). The population and sample taken 60 participants by a purposive sampling divided into two groups intervention, 30 participants by video cartoons and 30 participants with storytelling. A medical procedure when taking a venous blood sample. The measuring instrument used the face, legs, activity, cry and consolability (FLACC) pain scale with the lowest score of 0 and the highest score of 10. Statistical test using the T test.Results: Finding that there was a significant effect on young children by distraction technique with cartoon video media and storytelling media when taking venous blood samples. Both groups obtained p-value 0.000, indicating that both distraction techniques are effective to use. While the difference in the mean value (pre test-post test) on video cartoon media is 0.97 and storytelling media with a mean value of 1.50. It means that storytelling media is more effective than video cartoon media.Conclusion: Both distraction techniques, such as videos, cartoon media and storytelling media, have a significant level of effectiveness and storytelling media is more effective than cartoon video media, that could as an alternative as a permanent procedure in the pediatric ward.Keywords: Distractors; Controlling pain; Discomfort; Young children; Medical proceduresPendahuluan:  Masalah yang sering terjadi diruang anak yaitu pada saat akan melakukan tindakan medis, dimana ada beberapa prosedur yang akan membuat rasa sakit dan ketidaknyamanan pada anak. Selama tindakan tersebut, seorang perawat akan mengerjakannya dengan penuh konsentrasi dan perlu ketenangan. Sedangkan pada anak tersebut dibutuhkan tindakan distraksi supaya tindakan medis dapat dilakukan dengan mudah dan lancar.Tujuan: Untuk melihat efektivitas pemberian teknik distraksi terhadap skala nyeri anak selama prosedur medis di rumah sakitMetode: Penelitian kuantitatif dengan desain eksperimen semu (pre-test dan post-test) dan pemilihan sampelnya menggunakan purposive sampling. Populasi dan sampel sebanyak 60 partisipan yang dibagi dalam dua grop perlakuan yaitu 30 partisipan dengan media video cartoon dan 30 partisipan dengan media storytelling. Prosedur medis yang dilakukan pada saat pengambilan sampel darah vena. Alat ukur yang dipakai untuk mengujkur skala nyeri menggunakan skala nyeri face, legs, activity, cry and consolability (FLACC) dengan skor terendah 0 dan tertinggi skor 10. Uji statistik menggunakan uji T.Hasil: Didapatkan adanya pengaruh yang signifikan pada anak jika dilakukan perlakukan distraksi dengan media video kartun dan media storytelling saat pengambilan sampel darah vena. Kedua kelompok didapatkan p-value 0.000 menunjukkan bahwa kedua intervensi efektif untuk digunakan. Sedangkan perbedaan nilai mean (pre test-post test) pada media video cartoon 0.97 dan media storytelling dengan nilai mean 1.50. artinya media storytelling lebih efektif dibandingkan media video cartoon.Simpulan: Intervensi menonton video kartun dan storytelling mempunyai tingkat efektivitas yang sukup signifikan dan media storytelling lebih efektif dibandingkan media video cartoon, sehingga dapat jadikan alternatif sebagai prosedur tetap diruangan anak.

scholarly journals Manfaat Rendaman Air Hangat dan Garam dalam Menurunkan Derajat Edema Kaki Ibu Hamil Trimester III

2020 ◽  
Vol 7 (2) ◽  
pp. 76
Author(s):  
Sawitry Sawitry ◽  
Fitria Hikmatul Ulya ◽  
Elisabet Jemsi Adepatiloy
Keyword(s):  
Pregnant Women ◽  
Quantitative Research ◽  
Mean Value ◽  
Lower Limbs ◽  
Wilcoxon Test ◽  
Warm Water ◽  
Third Trimester ◽  
Post Test ◽  
The Difference ◽  
Leg Edema

ABSTRAK Edema kaki terjadi hampir 80% dari semua kehamilan dan dapat menimbulkan ketidaknyamanan selama kehamilan seperti nyeri, merasa berat, kram pada malam hari, penebalan kulit, dan pigmentasi. Salah satu intervensi non farmakologis untuk mengurangi edema adalah rendaman air hangat dan garam yang merupakan intervensi untuk menghilangkan edema pada ekstremitas bawah  selama kehamilan. Menganalisis  pengaruh rendaman air hangat dan garam  terhadap edema kaki ibu hamil trimester III. Penelitian kuantitatif dengan metode quasy eksperimental one group pre test post test desaign. Sampel penelitian sebanyak 16 ibu hamil Trimester III dengan teknik accidental sampling. Analisis data menggunakan uji Wilcoxon. Terjadi penurunan tingkat edema kaki pada ibu hamil dengan selisih nilai tengah edema kaki sebelum 4,00 dan setelah perlakuan sebesar 0,00  .Uji Wilcoxon menunjukkan ρ value 0,000. Ada pengaruh rendaman air hangat dan garam  terhadap edema kaki ibu hamil trimester III. Kata Kunci : rendaman air hangat dan garam; edema; tungkai bawah ; ibu hamil.  THE EFFECT OF WARM WATER AND SALT IMMERSION IN DECLINING LEG EDEMA OF THIRD TRIMESTER PREGNANT WOMEN  ABSTRACT Edema of the legs occurs in almost 80% of all pregnancies and can cause discomfort during pregnancy such as pain, feeling heavy, cramps at night, skin thickening, and pigmentation. One of the non-pharmacological interventions to reduce edema is soaking in warm water and salt which is an intervention to relieve edema in the lower extremities during pregnancy. This study was to determine the effect of warm water and salt immersion in declining leg edema of third trimester pregnant women. This quantitative research used quasy experimental method one group pre test post test desaign. The total samples were 16 respondents with purposive sampling and random sampling techniques. Data analysis used the Wilcoxon test. The difference in the mean value of leg edema before 4.00 and after treatment was 0.00. The Wilcoxon test showed ρ value of 0.000. There is an effect of warm water and salt immersion on leg edema of third trimester pregnant women.   Keywords: warm water and salt soaking; edema; lower limbs; pregnant mother

scholarly journals Efektivitas Akupresur dan Minuman Jahe terhadap Pengurangan Intensitas Nyeri Haid/Dismenore Pada Remaja Putri

2021 ◽  
Vol 21 (1) ◽  
pp. 215
Author(s):  
Indah Dewi Sari ◽  
Utary Dwi Listiarini
Keyword(s):  
Young Women ◽  
Learning Activities ◽  
Wilcoxon Test ◽  
P Value ◽  
Menstrual Pain ◽  
Normality Test ◽  
Before And After ◽  
Post Test ◽  
Quasi Experimental ◽  
The Difference

Half of the women in Indonesia experience menstrual pain / dysmenorrhoea, 54.89%, experience various disorders including abdominal pain, cramps and back pain. The purpose of this study was to determine the effectiveness of acupressure, ginger drink and the difference in giving acupressure and ginger drink to reducing the intensity of menstrual pain / dysmenorrhea in young women at SMK Swasta PAB 5 Klambir Lima 2020. The design of this study used a quasi-experimental pre and post test with a sample of 30 students who were divided into two groups. Each group was given acupressure and ginger drink in the morning and evening during menstruation from day one to day two. Respondents were assessed for pain before and after the intervention was given. The results of the Shapiro-Wilk normality test contained Sig data (p <0.05). The Wilcoxon test has a p-value of 0.002 (p <0.05), which means that acupressure is effective in reducing the intensity of menstrual pain / dysmenorrhea, there is a p-value of 0.001 (p <0.05) which means that ginger is effective against reducing pain intensity. menstruation / dysmenorrhea, there is a p-value of 0.034 (p <0.05), which means that there is a difference in the effectiveness of acupressure and ginger drink in reducing the intensity of menstrual pain / dysmenorrhea. There is an effectiveness of giving acupressure, ginger drink, and there is a difference in giving acupressure and ginger drink on the intensity of menstrual pain / dysmenorrhea on young women. It is hoped that the school will provide ginger drinks and acupressure measures to young women who experience menstrual pain / dysmenorrhea so that they can participate in learning activities at school.

scholarly journals Efektivitas Exercise Intradialisis Menggunakan Barbell dan Range of Motion (ROM) terhadap Adekuasi Hemodialisa pada Pasien Penyakit Ginjal Kronik

2019 ◽  
Vol 2 (2) ◽  
pp. 189-200
Author(s):  
Yestiani Norita Joni ◽  
Busjra M Nur ◽  
Fitrian Rayasari
Keyword(s):  
Chronic Kidney Disease ◽  
Standard Deviation ◽  
Range Of Motion ◽  
Intervention Group ◽  
Control Design ◽  
P Value ◽  
Significant Difference ◽  
Post Test ◽  
The Difference ◽  
Keywords Hemodialysis

The purpose of this study is to know the effectiveness of intradialysis exercise using barbells and Range of Motion (ROM) on the adequacy of hemodialysis in patients with chronic kidney disease in the hemodialysis room of RSIJ Sukapura in 2018. The design of this study uses a design with non-probability pre and post test two groups without control design . The result of the difference in the effectiveness of the adequacy values between the two intervention groups after the intervention was given was the barbell intervention obtained 1,33 with a standard deviation of 0.485, an error standard of 0.114. Whereas in the ROM intervention group 1.67 the standard deviation was 0.485, the standard error was 0.114 and the p-value was 0.047 (> 0.05). Conclusion, there was no significant difference in the value of hemodialysis adequacy between the barbellROM intervention groups after the intervention.   Keywords: Hemodialysis Adequacy, Barbell, Exercise Effectiveness, Intradialysis, Range Of Motion (ROM)

scholarly journals The Difference Of Pain Labour Level With Counter Pressure And Abdominal Lifting On Primigravida In Active Phase of First Stage Labor

2018 ◽  
Vol 3 (2) ◽  
pp. 45
Author(s):  
Tuti Oktriani ◽  
Ermawati Ermawati ◽  
Hafni Bachtiar
Keyword(s):  
Pain Relief ◽  
Active Phase ◽  
Pharmacologic Therapy ◽  
P Value ◽  
Gate Control Theory ◽  
Counter Pressure ◽  
Post Test ◽  
Gate Control ◽  
The Difference ◽  
Pharmacological Method

Nowadays many methods are offered to reduce pain in labor, both pharmacological (using drugs) and non pharmacological methods. If possible the choice of non-pharmacologic therapy for the management of pain in pregnancy and labor should be considered before using analgesic drugs. One of an effective non-pharmacological method to reduce pain is with massage. The basis of this theory is the gate control theory proposed by Melzak and Wall (Lliadou, 2009).This study aimed to analyze diference of pain relief on active phase of labour with Counter Pressure and abdominal Lifting. This was an experimental with pre test and post test design. The samples were 42 women on their active phase of labor, 21 women for counter Pressure technic and 21 women for Abdominal Lifting technic. Counter Pressure technic decreased pain of labor with a P-value 0.015 (p<0.05) and abdominal lifting technic significantly decreased pain of labour with a P-value 0.001. Abdominal lifting technic (P 0,001) more effective than counter pressure technic (P 0,015) for pain relief in active phase of labour.

Clinical Trial Assessment of Intermittent and Continuous Infusion Dose of N-Acetylcysteine on Redox Status of the Body in Patients with Sepsis Admitted to the ICU

2019 ◽  
Vol 35 (12) ◽  
pp. 1383-1388 ◽  
Author(s):  
Arash Peivandi Yazdi ◽  
Majid Razavi ◽  
Shahrzad Sheikh ◽  
Nadia Boroumand ◽  
Maryam Salehi ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Continuous Infusion ◽  
Statistical Significance ◽  
Redox Status ◽  
Group Iv ◽  
P Value ◽  
Antioxidative Effect ◽  
Infusion Group ◽  
Acetyl Cysteine ◽  
The Difference

Purpose: Conflicting results exist regarding the efficacy of N-acetyl cysteine (NAC) in sepsis treatment. A pivotal factor affecting the therapeutic potency of NAC in sepsis is timing and dosing of its infusion. We aimed to assess the effect of NAC on redox status of patients with sepsis and to compare its efficacy in intermittent and continuous infusion with the objective of developing the infusion regimen and optimizing the timing. Materials and Methods: A prospective, randomized clinical trial was designed to compare the antioxidative effect of NAC in intermittent infusion group (IV: 25 mg/kg bolus and then 25 mg/kg/8 hours 3 times) and continuous infusion group (IV: 25 mg/kg bolus and then 75 mg/kg over 24 hours) in 60 critically ill patients with sepsis (20 patients in each group). Blood samples were collected immediately before and after intervention for total antioxidant capacity (TAC) and malondialdehyde (MDA) assessment. Results: N-acetyl cysteine considerably increased TAC levels in both intermittent (0.68 ± 0.60; P value = .036) and continuous (0.69 ± 0.64; P value = .015) infusion groups when compared to placebo (0.61 ± 0.10); however, the difference in TAC levels between the intermittent and the continuous infusion did not reach statistical significance ( P value = .942). Likewise, NAC treatment decreased MDA levels in both intermittent (19.45 ± 4.18; P value = 0.001) and continuous (22.47 ± 6.68; P value = .002) infusion groups when compared to placebo (31.76 ± 11.06), while the difference in MDA levels between the intermittent and the continuous infusion did not reach statistical significance ( P value = .481). Conclusion: Our data confirmed the antioxidative effect of NAC treatment in patients with sepsis, with no significant difference in intermittent and continuous infusion.

Pie Crust Technique of the Deep Medial Collateral Ligament in Knee Arthroscopy: Ultrasound and Anatomic Study

2018 ◽  
Vol 32 (08) ◽  
pp. 764-769
Author(s):  
Guillem Claret-Garcia ◽  
Jordi Montañana-Burillo ◽  
Eduard Tornero-Dacasa ◽  
Manel Llusá-Pérez ◽  
Dragos Popescu ◽  
...  
Keyword(s):  
Medial Collateral Ligament ◽  
Statistical Significance ◽  
Mean Value ◽  
Saphenous Nerve ◽  
Medial Compartment ◽  
P Value ◽  
Collateral Ligament ◽  
Anatomical Dissection ◽  
Ultrasound Measurements ◽  
The Mean

AbstractThis article determines compartment opening of the medial articular space of the knee after pie crust (PC) technique of the medial collateral ligament (MCL) by ultrasound measurements and anatomic dissection. This is a cadaveric study of 12 specimens. Four anatomic references were marked on the skin. Distances between the femur and tibia in the internal compartment at 30 degrees of flexion were obtained with ultrasound measurements in four situations: with and without applying valgus force both prior and after the PC technique. Ultrasound measurements of the medial articular compartment were made twice and mean value was calculated. An anatomical dissection was performed and distances between the puncture marks and the infrapatellar branch of the saphenous nerve was measured. Lilliefors test of normality was applied and variables were expressed as mean and standard deviation (SD). Qualitative variables were expressed by absolute frequencies and percentages. Statistical significance was a two-tailed p-value of < 0.05. Prior to the PC technique, mean (SD) distance between the femur and tibia in the medial compartment were 14.2 (4.0) mm in basal conditions and 17.1 (3.7) mm when applying valgus force (p = 0.003). PC technique increased the mean (SD) distance by 1.9 (1.9) mm under basal conditions (p < 0.01) and 2.9 (1.6) mm when applying valgus force (p < 0.01). The infrapatellar branches of the saphenous nerve were not damaged and the mean (SD) distance between the punctures and the nerve was 9.0 (3.3) mm. The PC is a reproducible, safe, and measurable surgical technique that opens controllably the medial compartment. PC as described avoided damage to the nerve branches.

scholarly journals Foot Strengthening Exercise on Postural Balance and Functional Ability of Foot on Children 6-10 Years Old with Flexible Flatfoot

2020 ◽  
Vol 2 (3) ◽  
pp. 99-107
Author(s):  
Zahra Sativani ◽  
Riza Pahlawi
Keyword(s):  
Functional Ability ◽  
Postural Balance ◽  
Control Group ◽  
P Value ◽  
Strengthening Exercise ◽  
Flexible Flatfoot ◽  
Significant Difference ◽  
Post Test ◽  
The Right ◽  
And Control

The activities of children more involve the foot. One of the common problems in the foot is flexible flatfoot. A disturbance in the process of the formation of the arch foot could result in a deformation of the foot and increases the risk of an injury due to postural balance change. Normally, the arch of the foot formed the first five years for the age range of 2-6 years. The right choices of the intrinsic muscle exercises of the foot can prevent deformation and improve postural balance. This study aimed to discuss the effectiveness of foot strengthening exercise to improving postural balance and functional ability of foot on a flexible flatfoot 6-10 years old. This study was pre-experimental research with two groups of pre-post test design. The subjects of this research were 30 students that had been divided into two groups, case, and control. Each group consists of 15 students selected used purposive sampling method based on the criteria of inclusion that had been set. There was a significant difference after foot strengthening exercise between the case and control group, p-value = 0,000. The foot strengthening exercise could improve the postural balance and functional ability of the foot on a flexible flatfoot 6-10 years old.

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