Penurunan Skala Nyeri Sendi Setelah diberikan Senam Yoga pada Lansia

ABSTRACT : DECREASE IN JOINT PAIN SCALE AFTER BEING GIVEN YOGA EXERCISE TO THE ELDERLY Background: The problem of joint pain in the elderly (elderly) is quite high with increasing age, including those who experience joint pain problems due to physical changes.Purpose: This study aims to identify the effect of yoga on joint pain in the elderly. Research Methods: This type of research is a case study design research, which is a form of research (inquiry) or case studies and interventions about a problem that has a specificity (particularity).Results: The results of this study were that there was a change in the pain scale in the elderly with joint pain after being given yoga exercise therapy, before being given therapy the pain scale value was 4 currently, after yoga exercise therapy the scale value became 3 light based on these results indicating that there was a significant decrease.Conclusion: The conclusion of this study is that the application of yoga exercise therapy intervention has an effect on changes in pain scale, as evidenced by data on the characteristics of joint pain sufferers, namely age, gender and activities such as factors that rarely exercise and do not repeat therapy. pain scale in patients with joint pain. Keywords : Ederly; joint pain; yoga exercise INTISARI: PENURUNAN SKALA NYERI SENDI SETELAH DIBERIKAN SENAM YOGA PADA LANSIA Latar Belakang : Masalah nyeri sendi pada lanjut usia (lansia) cukup tinggi dengan bertambahnya usia lansia termasuk golongan yang mengalami masalah nyeri sendi akibat perubahan fisik.Tujuan : Penelitian ini bertujuan untuk teridentifikasi adanya pengaruh yoga dengan nyeri sendi pada lansia.Metode Penelitian : Jenis penelitian ini adalah penelitian case study design yaitu suatu bentuk penelitian (inquiry) atau studi kasus dan intervensi tentang suatu masalah yang memiliki sifat kekhususan (particularity).Hasil: Hasil penelitian pada 4 responden yang dilakukan mengalami perubahan skala nyeri pada lansia nyeri sendi setelah diberikan therapy senam yoga, sebelum diberikan terapi nilai skala nyeri 4 sedang, setelah dilakukan terapi senam yoga nilai skala menjadi 3 ringan berdasarkan hasil tersebut menunjukkan bahwa terjadi penurunan yang signifikan.Kesimpulan : Kesimpulan dari penelitian ini penerapan intervensi therapy senam yoga berpengaruh terhadap perubahan skala nyeri, dibuktikan dengan data karakteristik penderita nyeri sendi yaitu usia, jenis kelamin dan aktivitas seperti faktor jarang berolahraga dan tidak terapi berulang, hal ini menunjukkan semakin sering melakukan terapi senam yoga dapat mempengaruhi penilaian skala nyeri pada penderita nyeri sendi. Kata Kunci : Lansia; Nyeri Sendi; Senam Yoga

Effectiveness of Helmet Therapy in Infants with Positional Skull Deformity: A Literature Review

Background: Positional skull deformity usually manifests during first six months of life due to various factors like premature births or multiple births, improper positioning of infant’s head as the head of an infant is softer than the older children’s head, thus leading to either positional brachycephaly or positional plagiocephaly. Early helmet therapy intervention may improve the shape of the skull by reducing the risk of secondary cosmetic and nervous system complications. Aim: To study the effectiveness of helmet therapy in infants with positional skull deformity. Methods: The data source for this literature review is done by studying and reviewing articles through various data like Pub Med, Google Scholar, science direct, Elsevier and medicine Cochrane library. Conclusion: Helmet therapy is contemplated to be effective in the treatment of mild-moderate-severe positional skull deformity than repositioning therapy by improving the structure of the misshaped skull, as well as the use of helmet therapy is reviewed not to hinder the head circumference growth in infants.

Occupational therapy interventions in pulmonary rehabilitation – an update in the COVID-19 ERA

Background. As symptoms of COVID-19 infection are varying in severity and type, the long-term disability is yet to be established due to a short time-window since the pandemic started. Most survivors will have persistent pulmonary symptoms even after the infection, which raises the awareness of the importance of pulmonary rehabilitation in these patients, as they are mostly young, with severely diminished quality of life as they are unable to perform their basic activities of daily living as before. Occupational therapy is a form of rehabilitation treatment aimed at maximizing functionality and independence in performing activities of daily living, improvement of the patient’s autonomy and prevention of further functional decline. Objective. The purpose of the current work is to review the most important occupational therapy interventions applicable during a pulmonary rehabilitation program for chronic pulmonary pathologies, that can also be applied in COVID-19 survivors with persistent respiratory symptoms. Discussion. The main objectives of occupational therapy in pulmonary rehabilitation are training using breathing techniques at rest and during task performance, upper limbs training to increase exercise tolerance, programming and simplifying daily activities, informing patients of the importance of asking for help, planning the day/week, organizing the environment, educating the patient. All these objectives can be achieved in a simple way and at low-cost. Conclusions. Occupational therapy intervention during comprehensive pulmonary rehabilitation must be promoted to specifically evaluate and solve problems related to respiratory disability. Occupational tasks should be related to symptoms occurring during specific activities. Standardized protocols and definition of outcomes during occupational therapy intervention are lacking. Keywords: occupational therapy, pulmonary rehabilitation, COVID-19, activities of daily living, quality of life,

Development and Initial feasibility of an Online Cognitive Behavioral Group Intervention for COVID-19 Related Distress

Objective: The COVID-19 pandemic has resulted in an increase in adverse psychological outcomes world-wide. This paper discusses the development of a manualised online group Cognitive Behavioral Therapy intervention in a secondary care setting targeting the maintenance factors of COVID-19 related distress. Method: This paper details (i) the development of the intervention using the six steps in quality intervention development (6SQuID; Wight, Wimbush, Jepson & Doi, 2016) methodology (ii) a mixed-method feasibility study exploring a manualised online group Cognitive Behavioral Therapy intervention targeting the maintenance factors of COVID-19 related distress.Results: Using the 6SQuID methodology, a theoretical coherent, novel intervention, which did not replicate existing treatment designs, was developed. In relation to feasibility, engagement with this remote group program was poor. There were low levels of engagement in online data-gathering, making it difficult to ascertain indicators of effectiveness. In relation to acceptability, retention rates of participants were high. Participants described a high level of treatment appropriateness and positive post-intervention change.Conclusion: A theoretically coherent manualised treatment was developed. It did not meet initial assessments of feasibility, though it did meet qualitative and quantitative measures of acceptability.

Early Occupational Therapy Intervention in the Hospital Discharge after Stroke

Stroke is the leading cause of acquired disability in adults which is a cerebrovascular disease of great impact in health and social terms, not only due to its prevalence and incidence but also because of its significant consequences in terms of patient dependence and its consequent impact on the patient and family lives. The general objective of this study is to determine whether an early occupational therapy intervention at hospital discharge after suffering a stroke has a positive effect on the functional independence of the patient three months after discharge—the patient’s level of independence being the main focus of this research. Data will be collected on readmissions to hospitals, mortality, returns to work and returns to driving, as well as an economic health analysis. This is a prospective, randomized, controlled clinical trial. The sample size will be made up of 60 patients who suffered a stroke and were discharged from the neurology unit of a second-level hospital in west Malaga (Spain), who were then referred to the rehabilitation service by the joint decision of the neurology and rehabilitation department. The patients and caregivers assigned to the experimental group were included in an early occupational therapy intervention program and compared with a control group that receives usual care.

Methods and Rationale for Using GPS-Derived Objective Technologies to Examine Community Mobility in Older Adults

Objective measures of community mobility are advantageous for capturing life-space activity. In contrast to subjective, self-reported approaches, GPS-derived objective measures leverage passive, real-time data collection techniques to mitigate recall bias and minimize participant burden. We present methods to quantify community mobility among a sample of 164 community-dwelling older adults (Mean age=77.3±6.5) from a physical therapy intervention aimed at improving walking ability. We characterized community mobility using activity space metrics (e.g., standard deviation ellipse (SDE) area), timing (e.g., time outside home), and shape (e.g., SDE compactness). We will discuss challenges and solutions to generating these metrics as well as their associations with physical and cognitive performance. Time outside of home and SDE area, but not SDE compactness, were correlated with better performance on the 6-Minute Walking Test and Trail-Making Test (Part B) (ρ=.20-.23, p’s<.05). These findings will aid in understanding which community mobility measures are associated with functional capacity.