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Neurodevelopmental Treatment dan Oral Stimulation pada Anak Cerebral Palsy: Case Report Khadijah, Siti; Hidayati, Atik; Ningrum, Ajeng Marshela Tiara; Lathifani, Nabila Rizka; Hanifah, Zahrani Bakhita; Syinta, Ahmada Norma
Physiotherapy Health Science (PhysioHS) Vol. 6 No. 2 (2023): Physiotherapy & Health Science (PhysioHS) - Edisi Desember 2023
Publisher : University of Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/physiohs.v6i2.30310

Abstract

Cerebral Palsy (CP) merupakan gangguan yang disertai dengan gangguan sensasi, kognisi, dan kejang. Faktor resiko sekarang yang diketahui termasuk kehamilan multipel, jenis kelamin, infeksi virus, prematuritas dan berat lahir rendah serta determinan genetik. Dalam penanganan anak CP ini fisioterapi sangat berperan yaitu mengasah motorik dari anak CP yang beraneka ragam permasalahannya. Pengukuran dilakukan dengan cara palpasi tonus otot, kekuatan otot dengan XOTR Scale, reflek primitive dengan blanko reflek, kemampuan motoric kasar dengan GMFM (Gross Motor Function Measurement). Intervensi diberikan pada kasus CP dengan menggunakan neurodevelopmental treatment (NDT) dan oral stimulation. Pemberian Selama 2 kali terapi belum memberikan pengaruh yang signifikan terhadap tonus otot dengan palpasi otot pada T1 dan T2 dengan hasil hypotonus. Kekuatan otot dengan XOTR pada T1 dan T2 dengan hasil Trace pada knee dan ankle. Reflek primitive dengan menggunakan blanko reflek pada T1 dan T2 dengan hasil negative reflek sucking dan rooting. Kemampuan motorik kasar dengan GMFM pada T1 dan T2 dengan hasil 21,4%
Hubungan antara refleks primitif terhadap kemampuan motorik kasar pada anak cerebral palsy spastik Naufal, Adnan Faris; Wibowo, Olga Syahfitri; Hidayati, Atik; Nabilah, Hana Laila; Almadani, Zahra; Arwida, Neriya
Journal Physical Therapy UNISA Vol. 3 No. 1 (2023): April
Publisher : Universitas 'Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jitu.3008

Abstract

Refleks primitif dalam perkembangan normal sudah ada sejak mulainya perkembangan janin. Salah satu strategi awal anak untuk mengembangkan kemampuan motorik kasar ialah melalui reflek primitif. Cerebral Palsy (CP) adalah kondisi dimana terjadinya gangguan neurologis yang disebabkan oleh kerusakan otak non-progresif dan permanen, dapat menyebabkan gangguan gerakan, postural, sensasi, persepsi, kognitif, serta fungsi motorik. Anak dengan CP akan mengalami kesulitan dalam perkembangan kemampuan motorik kasar dikarenakan keterbatasan tersebut. Penelitian ini bertujuan untuk memastikan apakah kemampuan motorik kasar anak CP spastik secara signifikan dipengaruhi oleh reflek primitif. Dengan desain cross sectional, penelitian ini merupakan penelitian korelasional. Teknik pengambilan sampel menggunakan teknik total sampling. Populasi di dalam penelitian ini adalah anak-anak penderita CP spastik. Sampel penelitian terdiri dari 14 anak yang memenuhi kriteria inklusi dan eksklusi. Kemampuan motorik kasar dinilai menggunakan skala Gross Motor Function Measure (GMFM) dan refleks primitif menggunakan skala nilai reflek primitif. Hasil Penelitian didapatkan terdapat hubungan yang signifikan antara 9 refleks primitif dengan kemampuan motorik kasar seperti ATNR (ρ=0,001), STNR (ρ=0,021), Moro (ρ=0,004), Graps (ρ=0,001), Optical Righting (ρ=0,001), Head Righting (ρ=0,001), Head righting acting to body (ρ=0,004), Body Righting (ρ=0,004), Body righting acting to body (ρ=0,004).
THE EFFECT OF INFRARED AND MUSCLE ENERGY TECHNIQUE ON INCREASING JOINT RANGE OF MOTION IN PATIENT WITH POST OPEN REDUCTION INTERNAL FIXATION 1/3 DISTAL HUMERUS PATIENTS: A RESEARCH ARTIKEL Hidayati, Atik; Santoso, Totok Budi
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (577.463 KB)

Abstract

Introduction: Fractures occur in individuals of all ages. However, the type and location of the body varies greatly depending on different factors, mainly related to the quality of the individual bone and the nature of the trauma. The population over 50 years of age in Sweden is expected to increase by 18% between 2010 and 2025, and it is estimated that the number of faults will increase by 26% during this time. The highest incidence of fractures recorded in the data are fractures of the clavicle, tibia, and fractures of the humerus. Case presentation: Immobilization after a fracture of the distal humerus will cause limited mobility of the elbow joint due to stiffness. A 10-year-old boy named An.AN was diagnosed with joint stiffness and postoperative pain . Implementation and results: The provision of infrared and muscle energy techniques in the case of joint stiffness of the distal 1/3 of the distal humerus is very necessary to reduce pain both at rest, motion, and pressure as well as to increase the range of motion of the joint and improve the limited functional ability of the elbow. Discussion: This study was conducted for 4 weeks and was carried out 2 times a week to receive infrared intervention and muscle energy technique. Infrared is given for 15 minutes in the elbow area and muscle energy technique with post isometric relaxation to reduce pain and increase the range of motion of the elbow joint. This study is expected to provide many advantages for this case. Conclusion: the provision of infrared and muscle energy techniques that are carried out twice a week for 4 weeks can be given to patients with postoperative joint stiffness to increase joint range of motion and improve function.
Effectivity of Squat to Stand Training in Improving Lower Extremity Muscle Power on Children with Down Syndrome Syaahidah, Habiibatusy; Widodo, Agus; Hidayati, Atik
Academic Physiotherapy Conference Proceeding 2022: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Abstract

Background: Squat to stand training is one of the core muscle and lower extremity muscle strengthening exercises that aim to improve lower extremity muscle power to prepare foot muscle in the standing process.Objective: This study aims to find the effectiveness of squat-to-stand training on a down syndrome patient aged 19 months.Method: This study is single-subject research on a Down Syndrome patient aged 19 months old with walking delay, hypotonia on both legs, unable to stand independently, and muscle weakness on both lower extremities. The subject had received squat-to-stand training for four weeks, twice a week, and a follow-up at each end of the session.Result: there is an improvement in XOTR assessment, where the baseline result was T that interpreted as the presence of muscle contraction with minimum movement, and after four weeks of intervention, there is an improvement in the muscle tone and movement compared with the baseline though have not met the X value yet, with normal muscle power interpretation.Conclusion: squat-to-stand training is practical but does not significantly improve lower extremity muscle power in Down Syndrome patients.
SENYAWA INSEKTISIDA DARI TANAMAN Hidayati, Atik
Jurnal Ilmiah Farmasi Vol. 1 No. 1 (2004)
Publisher : Universitas Islam Indonesia

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Abstract

ABSTRACTThe importance of insecticides in agricultural and economic aspects is undoubted. But thenegative impacts that arise lead to the discovery of new ones. A high number of insecticidal agentsare synthesized by plant species. They are of interest in that chemical modification of the naturalproduct can open the way to novel, synthetic insecticides.Key words: insecticides, Spodoptera litura