Jurnal Keterapian Fisik

Cost of Illness: Stroke Patients with Medical Rehabilitation

Mahar Santoso, Wiku BB Adisasmito, Syarif Rahman Hasibuan — Mon, 20 May 2024 00:00:00 +0700

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, Chici Martinie Hartatik — Tue, 11 Jun 2024 00:00:00 +0700

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, Hafidz Triantoro Aji Pratomo — Mon, 08 Jul 2024 00:00:00 +0700

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, Roy Romey Daulas Mangunsong — Thu, 11 Jul 2024 00:00:00 +0700

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).