Application Of Mirror Therapy On Upper Extremity Motor Recovery In Post-Stroke Patients

Background: Stroke is a health problem for both developed and developing countries, including Indonesia. Paralysis in stroke is mainly due to damage to the internal capsule. This damage requires neuroplasticity involving a number of parts of the brain to restore. One therapy that is beneficial for neuroplasticity is Mirror Therapy (MT). MT is a rehabilitation tool that aims to restore some of the pathological conditions in which the body representation is affected, including post-stroke motor impairment. Methods: This research is a quantitative pre-experimental design with the type one group pretest-postest. The research subjects were 15 post-stroke patients in residency of Semarang. Research data were collected in August-September 2020. Sample selection with purposive sampling technique who conform inclusion criteria. The Fulg-Meyer Upper Extremity Assessment (FMA-UE) as an aoutcame measure that be avowed valid and reliabel. Data analysis using Paired Sample T-Test because of normally distributed. Results: Statistically the results represent a significant difference in the UE motor ability of post-stroke patients between baseline and after mirror therapy intervention, with a mean difference (5,14) and p value = 0.000 (ρ < 0,05). Application of MT effect on upper extremity motor recovery in post-stroke patients. Conclusions: MT program is an effective intervention for UE motor recovery and motor function improvement in post- stroke patients. MT program can be used as a standardized of hand rehabilitation intervention in hospital, clinics and homes.

The Exploration Of Coping Skills In Bonjok Lor Village In Leisure Activities In The Pandemic Covid-19

Background: The COVID-19 pandemic caused social disturbances that have an impact on physical activity in the elderly, especially in doing leisure time, so that appropriate coping skills are needed to overcome various disorders in recreational activities so that the elderly do not have an impact on psychological disorders. The purpose of this study was to analyze recreational activities carried out as well as strategies for the elderly's coping skills in carrying out recreational activities during the COVID-19 pandemic. Methods: This research is qualitative research with a phenomenological perspective. Methods of in-depth interviews and documentation. Data were obtained through in-depth interviews with 8 elderly informants in Bonjok Lor Village, Bonorowo District, Kebumen Regency who have met the criteria (able to communicate well; elderly who are not actively working/retired; helping research informants). The data analysis technique used method triangulation and theoretical triangulation. Results: There was a change in the leisure of the elderly between before and before the COVID-19 pandemic. This triggers a change in the goals of the elderly in doing recreational activities. On the other hand, the COVID-19 pandemic poses various problems for the elderly, such as psychological problems, health problems, disturbances in carrying out activities, and compliance with health protocols. Appropriate coping skills strategies are needed, such as; task-oriented coping, emotion-oriented coping, avoidance-oriented coping with the aim that the elderly can still carry out recreational activities during the COVID-19 pandemic. Conclusion: Changes in recreational activities and the goals of the elderly in doing recreation during the COVID-19 pandemic trigger various problems, therefore skills are needed to overcome the right strategies so that the elderly can benefit from doing recreational activities during the COVID-19 pandemic.

Student’s Perception On Implementation Of Evidence Based Practice In Clinical Practice

Background: Evidence Based Practice (EBP) is an important component in clinical practice of a Speech Therapist. Students can develop critical thinking pattern using credible literature. The sustainable implementation of EBP can improve practical quality of Speech Therapist, particularly in clinical decision making. EBP use in speech therapy clinical setting has been unknown in Indonesia. This research aims to identify the implementation of EBP by speech therapy students in clinical setting. Methods: The respondents employed in this study consisted of 35 students. The research was conducted using survey method. Survey was distributed online using Google form application. Sample comprised last-year students of Speech and Language Therapy Applied Bachelor Study Program. The students were those who have undertaken clinical practice in hospital, clinical, or other healthcare service facilities. Analysis was conducted descriptively with correlational analysis technique. Results: Descriptive analysis shows that students’ perceptions are varying. Inter-variable cororelation was analyzed using correlation test. The result of analysis shows coefficient of correlation (r) > 0.2, meaning that there is a correlation between case experience, EBP level knowledge, knowledge on EBP, speech therapist’s attitude and role, and EBP implementation Conclusion: Survey informs that scientific literacy culture is still weak. This study found the correlation between experience, knowledge, attitude, and EBP implementation. In-depth investigation is required on the different data appearing.

Patterns Of Relationships Between Verbal Memory, Language, And Verbal Intelligence In Preschoolers

Background: This study aims to identify whether language can be the mediator of the relation between verbal memory and verbal intelligence Methods: The participants that involved in this study are 51 preschool-age children in Pekanbaru, consisting of males (n=24) and females (n=27), ages four to six years. Cluster sampling technique was used to collect the sample. The abilities of verbal memory, language and verbal intelligence were assessed towards each participant individually. Wechsler Preschool and Primary Scale of Intelligence, Test of Auditory Processing Skill 3 and Developmental Profile 3 were assigned as the instrument of the test conducted in this study. Data analysis in this study uses mediator analysis. Results: This study found a positive correlation between verbal memory and verbal intelligence (r = 0.53; p<.05), language and verbal intelligence (r = 0.71; p<.05), language and verbal memory (r = 0.64; p<.05). Conclusion: According to the result of the analysis, it is evident that language can be the mediator of the relation between verbal memory and verbal intelligence.

Deep Cervical Muscle Exercise Versus Soft Tissue Mobilization In Non-Specific Neck Pain

Background: Neck pain is a common health problem in the working population. When studied by the International Classification of Functioning, Disability and Health (ICF), the problems that arise in non-specific neck pain include: neck pain, limited joint motion, and decreased functional ability in carrying out daily activities. The aim of this study was to compare the effectiveness of combination ultrasound therapy (UST) and deep cervical muscle exercise (DCME) versus combination ultrasound therapy (UST) and soft tissue mobilization (STM) on non-specific neck pain. Methods: This research was experimental with a randomized pre-test and post-test control group design, in which the study participants were divided into two groups randomly. The study participants were 20 people who were divided into the control group (n = 10) who were given the combined intervention of UST and DCME while the treatment group (n = 10) were given the combined intervention of UST and STM. Therapeutic evaluation measurement tools include: pain scale in the form of numeric rating scale and neck disability in the form of neck disability index. The research was carried out in the independent physiotherapy practice in Denpasar and Badung. The intervention was given 3 times in 3 weeks. Results: The results showed a decrease in neck pain and disability in each intervention group (p <0.05). However, there were no significant differences when compared between groups. Conclusion: Based on these results, it can be concluded that the combination of UST and DCME has the same results as the combination of UST and STM in reducing neck pain and disability in non-specific neck pain.

Individual Factors Influence Incidence Of Low Back Pain In Batik Craftsman

Background: The incidence of low back pain in Indonesia is still relatively high with an injury prevalence of 6.5%. One of the contributor of the high incidence rate is caused by occupational factors such as works that are repetitive in nature, that imposes forced power, and static work. One of the job that poses this risk is batik craftsmen. It is estimated that there are 15.000 batik craftsmen who are actively working in Central Java Province. The aim of study was to determine association between individual factors and incidence of low back pain in batik craftsman. Methods: This study is a quantitative study with cross-sectional design, conducted in February 2021 in Central Sokaraja Village. Sample collection was carried out with total sampling method with a total sample of 60 respondents. Data analysis technique used in this study was Chi square test Results: The result of Chi square test showed that there is a significant association between work period and low back pain (p=0.001), there is a significant association between sitting duration and low back pain (p=0.028), there is a significant association between work load and low back pain (p=0.002), there is no significant association between gender and low back pain (p=0.081), there is no significant association between age and low back pain (p=0.632), and there is no significant association between body mass index and low back pain (p=0.807). From multivariate analysis, it was found that there is a significant association between work period and low back pain (p=0.026). Conclusion: There is a significant association between work period, sitting duration, and work load with low back pain, while there is no significant association between age, gender and body mass index (BMI) with low back pain.

Relationship Of Pragmatic Abilities And Social Interaction With Intensity Of Using Gadgets In Kindergarten Children In Surakarta

Background: The occurrence of serious problems in children's mental development, that children will become aggressive, lack of social interaction and deteriorating of communication skills, is affected by the introduction of gadgets too early and the intensity of uncontrolled use of gadgets by parents. Aim of this study is to determine the relationship between pragmatic ability and social interaction with the intensity of using gadgets in kindergarten children in Surakarta. Methods: This research was conducted in the kindergarden TK ABA Thoyibah Surakarta, TK Sri Juwita Hanum Surakarta dan TK Negeri Pembina city of Surakarta in april until august 2020. Sample conduct using total sampling technique. Amount of sample is 115 students of kindergarden. The relationship of the variables studied, both pragmatic ability and social interaction with the intensity of using gadgets, is an Odds Ratio (OR), which is exponential from b, the statistical significance of the Odds Ratio is tested with mannova. Results: The results of the analysis of the pragmatic ability variable showed that Exp B: 2,916, p: 0,420. The results of the social interaction variable analysis showed that Exp B: 2,977, p: 0.011. Conclusion: Pragmatic ability and social intensity are jointly related to the intensity of using gadgest in kindergarten students in Surakarta, with the results of the analysis of the variable pragmatic ability Exp B: 2,916, p: 0,420 and the results of the analysis of social interaction variables Exp B: 2,977, p: 0.011.

Gymnastics Improve Quality Of Life

ABSTRACT Background: The increase in the number of elderly people needs to be balanced with increased expectations and quality of life. One of the causes of the low quality of life of the elderly is influenced by a lack of physical activity. Efforts that can be made to improve the quality of life of the elderly are by doing physical activity or exercising regularly. This study aims to determine the effect of physical activity on the quality of life of the elderly. Methods: This type of research is quantitative, pre-experimental with one group pretest-posttest design, using purposive sampling technique. The research instrument was the WHOQOL-BREF questionnaire. The research subjects were 30 people. Data analysis used the Wilcoxon test. Results: As many as 80% of the subjects were in the age range 66-74 years, 26 subjects were women (53.3%), the latest education was dominated by Bachelor 43.4%. As many as 76.7% are retired civil servants, 70% still have a partner, 26.7% live with a partner and children, and 66.7% are healthy elderly without a history of disease. The results show a positive value and an increase in the mean in each domain. The asymptotic significance values of the pre-post Wilcoxon ranking test on the domain of physical and environmental conditions were 0.000 and 0.003 on psychological conditions and social relationships. Conclusion: The provision of physical activity interventions in the form of flexible exercise for the elderly has a significant impact on improving the quality of life of the elderly.

Differences Between Effectiveness Of Inmas Acupuncture And Local Points In Back And Shoulder Pain

Background: Shoulder pain and low back pain usually arise because of overuse or excessive use. Acupuncture can relax back muscles, waist and shoulders through cutaneosomatic reflex; and increase the release of endorphins so that it can reduce inflammation in back, waist, and shoulders so that it can help relieve pain and restore the function of back, waist, and shoulders. This study aims to determine differences betwen effectiveness of INMAS and local points acupuncture on pain and quality of life in workers with back and shoulder pain. Methods: This study is quantitative quasi experimental design with control group with pre and post test, conducted in July-September 2020 at Verta Medika Acupuncture, Klaten. The population was all patients with shoulder and back pain who underwent acupuncture therapy and the sample was determined by inclusion and exclusion criteria and divided into two groups using simple random sampling. Each group consisted of 15 patients. Data analysis focused on pain scale (NRS) and quality of life (WHO-QoL). Results: INMAS technique was better at reducing pain scale (ρ = 0.001), quality of physical health (ρ = 0.083), quality of psychological health (ρ = 0,000), quality of social (ρ = 0,000), and quality of environmental health (ρ = 0.045). Conclusion: INMAS technique is more effective than local points acupuncture for reducing pain levels and it improves the quality of life. Research using larger population and sample is needed to increase validity and reliability of the study.

An overview of the quality of life of Knee osteoarthritis patients at the Surakarta Orthopedic Hospital

ABSTRACT Background: Osteoarthritis is a chronic degenerative disease of the joints. Functional limitations experienced by people with knee osteoarthritis are related to changes in quality of life. Knee Osteoarthritis needs to be assessed as a whole which includes several domains of quality of life, namely the domains of pain, stiffness and physical function. This study was conducted to determine the correlation between pain intensity and quality of life in patients with knee osteoarthritis. Methods: a quantitative study using an analytic observational method with a cross-sectional approach. Population of 70 patients, a sample of 33 patients. The research was conducted in October 2020 at the Orthopedic Hospital in Surakarta City, Central Java, Indonesia. Data were collected by direct interviews to assess pain intensity based on the Numeric Rating Scale (NRS) and assess quality of life based on the Western Ontario McMaster Universities Osteoarthritis Index (WOMAC) questionnaire. Normality test using Sapiro Wilk because the data is normaly distributed. Hipotesis test using Pearson correlation. Results: Age range of patients with knee osteoarthritis mostly occurred at the age of 56-60 years, women had a greater frequency of experiencing knee osteoarthritis with a frequency of 78.8%, the most incidence of knee osteoarthritis was experienced by patients with normal BMI, namely 54.5%, The results of the Pearson correlation test showed a significance value of Sig. (2-tailed) is 0.000149 <0.05, which means that there is a significant correlation between the variables between pain and quality of life. Has a positive relationship and strong relationship strength (r = 0.613). Conclusion: There is a significant correlation between pain intensity and quality of life in patients with osteoarthritis