Jurnal Keterapian Fisik

Cost of Illness: Stroke Patients with Medical Rehabilitation

Mahar Santoso — 2024-05-20

Background: Cerebrovascular disease (ICD 10: I60–I69), is a medical condition that leads to limitations such as limited mobility and cognitive impairment. It is the most fatal disease in Indonesia. Medical rehabilitation has been clinically proven to be an effective strategy to minimize disability in stroke patients.

Methods: This research is a quantitative study with a cross-sectional design. The data source was obtained from BPJS Kesehatan sample data for 2022. The sample units for this study were all patients with a diagnosis of cerebrovascular disease. This study examined 3,528 patients, representative of a larger population of 339,707 patients.

Results: In 2022, healthcare costs for stroke patients in Indonesia, covered by BPJS Kesehatan, varied widely from Rp 1,937,400 to Rp 207,675,700, averaging Rp 8,487,531 per person. BPJS Kesehatan's total spending on stroke treatment and rehab in 2022 was Rp 2,883,269,825,972. The productive age group constitutes the majority of stroke cases, comprising 68.9% of the total, with males representing the predominant gender at 54.5%. The biggest group benefiting from this were those receiving Beneficiary Contribution Assistance (PBI), making up 46.5% of all National Health Insurance participants.

Conclusion: This study indicates that providing medical rehabilitation during the golden period yields greater efficiency compared to its absence. This recommendation extends beyond cost-saving measures, emphasizing a strategic investment in national welfare through the enhancement of individuals' quality of life. Therefore, policymakers, BPJS Kesehatan, hospitals, and healthcare professionals are encouraged to factor this insight into their decision-making processes.

Effect of Using Custom Foot Orthosis on Musculoskeletal Disorders Security Bank

Muhammad Syaifuddin — 2024-06-11

Backgrounds: Musculoskeletal disorders are one aspect that can hinder productivity and work activity. According to the Riskesdas from 2018, non-ergonomic working postures are to blame for 8.3% of back pain, 36% of upper limb pain, and 63.3% of lower limb pain. Prevention and treatment of musculoskeletal disorders can be Standing on a softer surface can produce smooth muscle movements, reduce muscle tension, increase blood flow, reduce discomfort and fatigue, and help prevent and treat musculoskeletal disorders. For optimal weight distribution, an insole can serve as a supporting mat between the floor and the feet.

Methods: This research is quantitative with one group pretest posttest pre-experimental designs. The NBM questionnaire was completed during the pre-intervention and post-intervention tests with a custom foot orthosis for observations. This study used 30 security personnel as samples.

Results: The results of the Wilcoxon test, wearing a custom foot orthosis affected musculoskeletal disorders, with a significance level of 0.000 (p < 0.05). The value of reducing pain was 17.47 on average.

Conclusion: When working in a standing position for too long, using a custom foot orthosis can help distribute weight more evenly and reduce pain from musculoskeletal disorders.

The Effect Of Picture Memory Training On Children's Language Skills

Arif Siswanto — 2024-07-08

Background: Information on how students' academic performance is also determined by their language profile is limited. The use of picture memory exercises has never been provided by teachers in schools. This study aims to determine the effect of picture memory training on improving children's language skills.

Methods: This study used an experimental design by giving treatment to children over a period of time and then measuring their language proficiency profile. The intervention was conducted using the picture-memory approach. The study design involved a single-group intervention with assessments conducted before and after the intervention. The target of the intervention is children with language impairment.

Results: From the results of the Wilcoxon test, it was found that receptive language skills, especially receptive vocabulary, showed a p-value of 0.002. These results indicate that the picture memory intervention is able to improve receptive vocabulary skills. For expressive vocabulary, a p-value of 0.034 was found. The result also showed that the picture memory intervention was able to improve expressive vocabulary. Picture memory intervention resulted in changes in receptive vocabulary with an r-value of 0.44. Picture memory intervention resulted in changes in expressive vocabulary with an r-value of 0.29.

Conclusion: The results of the analysis showed a difference in impact where the receptive vocabulary component was the component that changed more than the expressive vocabulary. However, the provision of a picture memory training intervention can be said to be able to improve language skills in general.

The Effect of Auditory Perception Training on Speech Ability and Hearing Impairment in Children

Sudarman Sudarman — 2024-07-11

Background: Hearing is one of the five senses that plays an important role in early childhood development. With hearing, a child can learn to speak, socialize, and increase their intellectual development. Hearing impairment is a problem that can occur at any age and makes it difficult for someone to communicate verbally. Apart from this, hearing impairment can also result in delays in speech and language skills in children, which are also associated with difficulties in reading, writing, paying attention, and social interaction.

Methods: The subjects of this research were children with hearing impairments. An experimental research design was used to determine the effect of certain treatments, with a one-group pre- and post-test design and a sample size of 30 people. bivariate test analysis with different tests to determine the effect of auditory perception training on improving the speaking ability of hearing-impaired children in Surakarta using the paired test technique.

Results: The results of the analysis using the Wilcoxon rank test showed a statistical significance value of 0.000 (p ≤ 0.05), so there was a significant influence between auditory perception training and speaking ability in children with hearing impairment.

Conclusion: The results of the study showed that the speaking ability of deaf children improved after auditory perception training was carried out. There is a significant effect of auditory perception training on the speaking ability of deaf children (p-value 0.000 < 0.05).

A Comparative Analysis of Foot Orthosis Manufacturing Results Using the Gips Roll Casting and Custom 3D Scan Method

Atika Febri Anggriani — 2024-08-22

Background: A musculoskeletal disorder that is often found is flatfoot. In handling various problems that occur in the foot, intervention can be given by using custom foot orthoses. The method often used in the process of making custom foot orthoses is the casting method. In recent years, advanced technology has continued to emerge and has really helped many manufacturers make foot orthoses with 3D scan tools and 3D printers. The aim of this research is to analyse the results of making foot orthoses using the cast roll casting method and a custom 3D scan.

Methods: The method used is experimental research with purposive sampling. The inclusion criteria were subjects with flat feet, and the exclusion criteria were subjects with deformities other than flat feet. The population was 38 people, and the respondent was 8. To determine the accuracy of measurements using statistical analysis with the Mann-Whitney test. Then the results of the two casting methods were fabricated and compared with measurements, as well as the efficiency of the foot orthosis manufacturing process using each method.

Results: The p value was 0.967 in the measurements with plaster roll media and 1.000 in the measurements with 3D scan media based on the respondent's original foot.

Conclusion: There is no significant difference between the two methods. So the 3D scan method can also be used as a method for developing custom foot orthosis fabrication processes to improve the development of science and technology in the field of prosthetic orthotics.

The The Effectiveness of Myofascial Release Technique and Self Exercise in Reducing Pain & Disability in Elderly with Myofascial Pain Syndrome

Putu Ayu Sita Saraswati — 2024-09-02

Background: Neck pain is a major public health problem, especially for the elderly. One cause of neck pain is myofascial pain syndrome. Myofascial pain syndrome is characterized by the presence of trigger points that arise from the junction bands of muscle fibers. Three studies found that the prevalence of neck pain in the elderly was between 8.8% and 11.6%. Chronic neck pain causes increased muscle tone, decreased joint range of motion, functional impairment and activities of daily living, and decreased quality of life in the elderly. This study aimed to compare the effectiveness of combining myofascial release technique and ultrasound with self-exercise and ultrasound in reducing pain and neck disability for the elderly.

Methods: This experimental study used a randomized pre- and post-test control group design. The variables in this study were pain and neck disability. The participants were 24 people who were divided into Group 1 with myofascial release technique (n = 12) and Group 2 with self-exercise (n = 12). The intervention was given 3 times per week for 4 weeks.

Results: The results showed that neck disability significantly decreased before and after the intervention in both groups (p<0.001). There was also a significant difference between the two groups.

Conclusion: Myofascial release technique and self-exercise are effective in reducing neck pain and disability in the elderly with myofascial pain syndrome. However, the combination of ultrasound and myofascial release technique is more effective than ultrasound and self-exercise in reducing neck pain and disability in the elderly with myofascial pain syndrome.

Correlation of Fitness Levels with Physical Activity in Elderly Patients in Yogyakarta, Indonesia

Ummy A'isyah Nurhayati — 2024-09-09

Background: Fitness is closely linked to aerobic capacity, which depends on the availability of oxygen to meet the needs of the blood and facilitate the burning process to provide energy to maximise the performance of the body's organs. Under certain conditions, such as disabilities, reduced function, or certain diseases that prevent physical activity, especially in the elderly, the aerobic process may not function optimally. This study investigates the correlation between fitness level and physical activity in elderly patients at the Muhammadiyah Community Welfare Development Hospital (RS PKU) in Bantul, Yogyakarta.

Methods: The research design is cross-sectional, using purposive sampling. To assess fitness and physical activity levels, the six-minute walk test (6MWT) and the Global Physical Activity Questionnaire (GPAQ) were used in the study. Thirty-six (36) responded to the questionnaires and participated in the study. The analysis of the data was performed using the Spearman rank correlation test.

Results: The Pearson correlation test showed that there was a significant correlation (r = 0.657** and p-value = 0.000) between fitness level and physical activity.

Conclusion: There is a strong correlation between fitness level and physical activity in elderly patients at PKU Muhammadiyah Bantul.

The Effectiveness Of Facial Massage On Reducing Sleep Disorders (Insomnia) In The Elderly In Tohudan Village, Karanganyar

Aulia Sri Ramadanti — 2024-09-25

Background: Insomnia is a disorder in which sufferers experience difficulty initiating and maintaining sleep so that they cannot adequately maintain their sleep needs, both in quality and quantity. In this study, physiotherapy efforts to reduce insomnia used facial massage intervention as measured by the insomnia severity index (ISI).

Objective: To determine the effect of facial massage on reducing the scale of sleep disorders (insomnia) in pre-elderly people in Tohudan village, Karanganyar regency.

Methods: The method used in this research is quasi-experimental, with the design used being one group pre-test and post-test. From the population of 200 elderly in Senden, Tohudan village, and 72 elderly came to Posyandu Lansia, 19 people who met the inclusion criteria using a purposive sampling method would be given treatment in the form of facial massage for 3 consecutive days. Pre- and post-test measurements were carried out by filling out the ISI scale questionnaire.

Results: The pre- and post-test differences were carried out using the paired t-test and obtained a p-value of 0.000 (p<0.05). So the alternative hypothesis (Ha) in this study is accepted.

Conclusion: Giving facial massages reduces insomnia in elderly people in Tohudan Village.