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KOMBINASI NEURO DEVELOPMENTAL TREATMENT DAN SENSORY INTEGRATION LEBIH BAIK DARIPADA HANYA NEURO DEVELOPMENTAL TREATMENT UNTUK MENINGKATKAN KESEIMBANGAN BERDIRI ANAK DOWN SYNDROME Dhofirul Fadhil Dzil Ikrom Al Hazmi; Ketut Tirtayasa; Muhammad Irfan
Sport and Fitness Journal Volume 2, No.1, 2014
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

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One of health problem in child with special need is existed at birth (congenital), such as Down Syndrome. Child with down syndrome often get balance disturbance in stand which causes he cannot keep the body posture from the disturbance. This condition may causes the problem with his further motor development. There is neuro developmental treatment and sensory integration method in physiotherapy. The study aims to compare the combination of neuro developmental treatment and sensory integration with neuro developmental treatment in child with down syndrome who get balance disturbance in stand. The study is an experimental research using randomized pre and post-test group design. The samples were 18 children with down syndrome which got balance disorder in stand. The study spent two months. There were two groups. The group one was treated using neuro developmental treatment and group two was used neuro developmental treatment and sensory integration. The Measuring instrument used sixteen balance test which was included pre (0-session) and post (6-session) test for each subject. The descriptive data for both of groups are age: 2-4 years old children with down syndrome, sex: male and female, height: 70-85 cm and weight: 8-13 kg. The pre-test data of group one does not show normal distribution, but the post-test data shows normal distribution. Both of pre-test and post-test data of group two show normal distribution. According to compatibility test to both of groups, the hypothesis test used post-test data. The variable of sixteen balance test that used independent sample t-test both of groups which p value= 0,034. This study has two conclusions. First conclusion is got from the percentage of static sixteen balance test variable which shows p value < 0,05. The value illustrates that the using the combination of neuro developmental treatment and sensory integration is better than just using neuro developmental treatment to improve the balance of stand.

METODE KONVENSIONAL, KINESIOTAPING, DAN MOTOR RELEARNING PROGRAMME BERBEDA EFEKTIVITAS DALAM MENINGKATKAN POLA JALAN PASIEN POST STROKE DI KLINIK ONTOSENO MALANG Dimas Sondang Irawan; Nyoman Adiputra; Muhammad Irfan
Sport and Fitness Journal Volume 2, No.1, 2014
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

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Stroke patient would have impaired activities of daily living. One-sided weakness of extremities, poor body control, and gait instability. Rehabilitation in stroke patient, effective and can improve the function of the impaired limb. Exercise can provide the functional activity of learning and apply the basic premise that the capacity of the brain is able to reorganize and adaptable so with targeted exercises it can be improved. This study aimed to compare the efficiacy of conventional methods, applications kinesiotaping, and MRP method in improving the gait pattern of stroke patients. The study has pre and post test with control group design using 3 groups. There are 10 people in each group. The first group was given conventional intervention methods, group II given Kinesiotaping application, and the third group was given the intervention using the MRP with duration of exercise 3 times a week with a time of 60 minutes for 4 weeks. Data in the form of pre-test and post-test patterns of stroke patients analized by using Wisconsin Gait Scale. Samples were 30 divided into 3 groups. In the conventional group had a mean age of 62.3 years with a number of men 5 men and 5 women. At Kinesiotaping group had a mean age of 65.1 years with a number 6 men and 4 women. While the MRP group had a mean age of 62.6 years with a number 6 men and 4 women. Results of hypothesis testing using Anova showed a significant difference between the (average of the WGS scores after intevention of the three groups, with value of p<0,05. The comparison on each method showed that the Kinesiotaping application and MRP have significant difference, but the Kinesiotaping application showed no significally difference with MRP. The conclusions in this study that the conventional methods, Kinesiotaping application and MRP has different efficacy on improfing gait pattern of stroke patient.

SENAM TAI CHI LEBIH EFEKTIF MENINGKATKAN FLEKSIBILITAS DAN KESEIMBANGAN DARIPADA SENAM BUGAR LANSIA PADA LANSIA DI KOTA DENPASAR Komang Tri Adi Suparwati; I Made Muliarta; Muhammad Irfan
Sport and Fitness Journal Volume 5, No. 1, 2017
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

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Kondisi lansia merupakan kondisi dimana terdapat penurunan fungsi baik secara anatomis maupun fisiologis. Penurunan kemampuan muskuloskeletal serta perubahan postur dan ditambah menurunnya kemampuan sistem panca indera, vestibular serta somatosensoris dapat mengganggu fleksibilitas dan keseimbangan pada lansia sehingga resiko jatuh lebih besar. Upaya untuk mengurangi resiko jatuh yaitu latihan fisik. Dewasa ini banyak jenis latihan fisik yang dilakukan oleh lansia seperti jalan santai, bersepeda, yoga dan renang. Namun sering kali didapatkan hasil yang tidak sesuai dengan kondisi tubuh. Penelitian ini dilakukan pada April 2016 sampai Mei 2016 yang bertujuan untuk mengetahui efektivitas antara Senam Tai Chi dengan Senam Bugar Lansia terhadap fleksibilitas dan keseimbangan pada lansia. Penelitian ini menggunakan metode quasi eksperimental dengan rancangan penelitian yang digunakan adalah pre test and post test two group design, berlangsung selama 5 minggu dengan frekuensi 3 kali seminggu. Sampel penelitian ini berasal dari Asosiasi Tai Chi Nasional Indonesia (ATNI) dengan jumlah lansia 40 orang dimana dibagi menjadi 2 kelompok masing-masing 20 lansia. Kelompok I diberikan program Senam Tai Chi dan Kelompok II yang diberikan program Senam Bugar Lansia. Pengukuran fleksibilitas menggunakan chair sit and reach test dan keseimbangan menggunakan four square step test yang diukur sebelum maupun sesudah program latihan pada masing-masing subjek. Hasil penelitian pada Kelompok I setelah perlakuan diperoleh rerata fleksibilitas sebesar 3,98 ± 1,81 cm dan keseimbangan sebesar 10,95 ± 2,96 detik dengan nilai p=0,000. Sedangkan hasil penelitian Kelompok II setelah diperoleh rerata fleksibilitas sebesar 0,83 ± 2,87 cm dan keseimbangan sebesar 14,10 ± 2,20 detik dengan nilai p=0,000. Beda rerata fleksibilitas dan keseimbangan antara ke dua kelompok menggunakan uji Independent t-test diperoleh nilai p=0,000 yang artinya berbeda secara signifikan dengan nilai rerata fleksibilitas 3,15 cm dan keseimbangan -3,15 detik sehingga ditemukan peningkatan. Dari penelitian ini dapat disimpulkan Senam Tai Chi dan Senam Bugar Lansia sama-sama efektif meningkatkan fleksibilitas dan keseimbangan pada lansia di Kota Denpasar, namun Senam Tai Chi lebih efektif terhadap peningkatkan fleksibilitas dan keseimbangan pada lansia di Kota Denpasar.

PELATIHAN KOMBINASI CORE STABILITY EXERCISE DAN ANKLE STRATEGY EXERCISE TIDAK LEBIH MENINGKATKAN KESEIMBANGAN STATIS PADA MAHASISWA S1 FISIOTERAPI STIKES ‘AISYIYAH YOGYAKARTA Sri Yuliana; I Putu Gede Adiatmika; Muhammad Irfan; Dhofirul Fadhil Dzil Ikrom Al Hazmi
Sport and Fitness Journal Volume 2, No.2, 2014
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

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Motor development in humans will continue to evolve from the womb to adult hood. Daily activities undertaken will increasingly severe and complex in each phase of development. The balance is a major componentin maintaining the posture of the human body to be able to straight and maintain body position. Musculoskeletal system plays an important role in maintaining the balance of the human body. Physical activity can lead to lack optimal anstatic equilibrium. The study wasaimed at Training Combination of Core Stability Exercise and Ankle Strategy Exercisedid not Increas of Core Stability Exercise For Static Balance on Students S1 Physiotherapy Stikes'Aisyiyah Yogyakarta.This study is an experimental study with Randomized Pre and Post Test Control Group Design. Samples in this study were 16 students Stikes'Aisyiyah Yogyakarta which will face semester4 of physical fitness lab and research time for 6 weeks. Divided in to two groups, group-1(core stability exercise) and group-2 (combination of corestability exercises and ankle strategy). Measurement instrument used is functional reach test are measured before treatment(0-session) and after treatment (18-session) on each subject. The result savailable in this study descriptive data samplein both groups; age20-22years, male gender and female, height 149-170 cm and weigh37-78kg. The results test stated static balance data group-1 p = 0,000 and group-2 p =0,025. Data before and after treatment 1 group-normal distribution. Then the data before and after the treatment group-2 normal distribution. Based on the compatibility test both variables in both groups, the test of hypothesis using data afte rtreatment. Variable static balance in the two groups using hypothesis independent sampel t-test p value=0,626. The conclusions available p values??>0,05. This value explained Training Combination of Core Stability Exercise and Ankle Strategy Exercise did not Increas Static Balance Of Core Stability Exercise On Students S1 Physiotherapy Stikes'Aisyiyah Yogyakarta.

PERBANDINGAN KOMBINASI BERGANTIAN SENAM LANSIA DAN LATIHAN CORE STABILITY DENGAN HANYA SENAM LANSIA TERHADAP PENINGKATAN KESEIMBANGAN STATIS LANSIA Arif Pristianto; Nyoman Adiputra; Muhammad Irfan
Sport and Fitness Journal Volume 4, No. 1, 2016
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

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Memasuki usia lansia muncul permasalahan yang disebabkan penurunankemampuan serta kebugaran fisik. Degenerasi struktural pada sistemneuromuskuloskeletal dan sistem indera menyebabkan menurunnya keseimbangan statisdan dinamis. Keseimbangan statis merupakan komponen penting dalam menjaga posisitubuh agar postur tetap tegak serta sebagai awalan dalam memulai gerakan. Kurangnyaaktivitas fisik pada lansia menyebabkan penurunan keseimbangan statis. Penelitian inibertujuan untuk mengetahui perbandingan antara kombinasi bergantian senam lansiadan latihan core stability dengan hanya senam lansia terhadap keseimbangan statislansia. Penelitian eksperimental dilakukan dengan pre and post test with control groupdesign selama 8 minggu dengan frekuensi 3 kali perminggu. Total sampel sebanyak 26orang yang dibagi menjadi 2 kelompok. Kelompok kontrol diberi program latihan hanyasenam lansia sedangkan kelompok perlakukan diberi program kombinasi bergantiansenam lansia dan latihan core stability. Pengukuran keseimbangan statis menggunakanfunctional reach test yang diukur sebelum dan sesudah program latihan pada masingmasingsubjek. Hasil penelitian pada kedua kelompok didapatkan data usia subjek 61-72 tahun, jenis kelamin pria dan wanita, berat badan 48-67 kg, dan tinggi badan 151-167 cm. Hasil uji masing-masing pengaruh didapatkan data keseimbangan statiskelompok kontrol p<0,05 dan kelompok perlakuan p<0,05. Berdasarkan ujikomparabilitas data setelah program latihan antara kedua kelompok menggunakanindependent t-test didapatkan nilai p>0,05. Simpulan yang didapatkan adalah programlatihan hanya senam lansia dan kombinasi bergantian senam lansia dengan latihan corestability sama-sama dapat meningkatkan keseimbangan statis lansia. Tidak adaperbedaan signifikan antara program latihan kombinasi bergantian senam lansia danlatihan core stability dengan hanya senam lansia terhadap peningkatan keseimbanganstatis lansia.

DYNAMIC NEUROMUSCULAR STABILIZATION LEBIH MENINGKATKAN KESEIMBANGAN DINAMIS DARIPADA BALANCE EXERCISE PADA SISWA USIA 9-10 TAHUN DI SEKOLAH DASAR NEGERI 11 SUMERTA DENPASAR Santi Bery Hastuti; J. Alex Pangkahila; Muhammad Irfan; I Dewa Ayu Inten Dwi Primayanti; I Putu Adiartha Griadhi; Moh Ali Imron
Sport and Fitness Journal Volume 6, No.1, Januari 2018
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

Kemajuan teknologi mengakibatkan terjadinya perubahan pada permainan yang dilakukan anak-anak. Mereka lebih banyak menghabiskan waktu bermainnya dengan permainan elektronik daripada bermain dengan melakukan aktivitas fisik. Kurangnya aktivitas fisik dapat mengakibatkan perkembangan keseimbangan menjadi kurang optimal, sehingga meningkatkan resiko terjadinya cedera pada anak-anak. Perkembangan keseimbangan selain dipengaruhi oleh kematangan sistem saraf juga dipengaruhi oleh pengalaman dengan latihan pada tugas dan lingkungan yang spesifik. Penulis melakukan penelitian dengan membandingkan latihan Dynamic Neuromuscular Stabilization dengan Balance Exercise dalam meningkatkan keseimbangan dinamis pada anak-anak. Penelitian bersifat eksperimental dengan rancangan pre test and post test group design. Sampel 28 siswa SD berusia 9-10 tahun dan nilai keseimbangan dinamis <80, terbagi secara acak menjadi 2 kelompok. Kelompok I mendapatkan perlakuan Dynamic Neuromuscular Stabilization, Kelompok II mendapatkan perlakuan Balance Exercise. Latihan dilakukan 3x seminggu selama 4 minggu. Alat ukur keseimbangan dinamis dengan Y-Balance Test. Hasil penelitian menunjukkan bahwa (1) Terdapat peningkatan nilai keseimbangan dinamis pada Kelompok I dengan nilai rerata sebelum 77,52 ± 1,67 dan sesudah 88,85 ± 3,39 dengan nilai p<0,05, (2) Terdapat peningkatan nilai keseimbangan dinamis pada Kelompok II dengan nilai rerata sebelum 77,81 ± 2,03 dan sesudah 86,73 ± 1,69 dengan nilai p<0,05, (3) Terdapat perbedaan yang signifikan pada Kelompok I dan Kelompok II dalam peningkatan nilai keseimbangan dinamis dengan nilai p<0,05. Dapat disimpulkan bahwa pemberian Dynamic Neuromuscular Stabilization lebih baik daripada Balance Exercise dalam meningkatkan keseimbangan dinamis pada siswa usia 9-10 tahun di Sekolah Dasar Negeri 11 Sumerta DenpasarKata kunci: dynamic neuromuscular stabilization, balance exercise, keseimbangan dinamis

KOMBINASI ULTRASOUND DAN TRAKSI BAHU KE ARAH KAUDAL TERBUKTI SAMA EFEKTIFNYA DENGAN KOMBINASI ULTRASOUND DAN LATIHAN CODMAN PENDULUM DALAM MENURUNKAN NYERI DAN MENINGKATKAN KEMAMPUAN AKTIFITAS FUNGSIONALSENDI BAHU PADA PENDERITA SINDROMA IMPINGEMENT SUBAK Dwi Setiyawati; Nyoman Adiputra; Muhammad Irfan
Sport and Fitness Journal Volume 1, No.2, 2013
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

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Subacromial impingement syndrome is pain caused the emphasis of the supraspinatus muscle tendon between the acromion and the humeral tuberosity. Pain in subacromial impingement syndrome cause reduction of shoulder functional activity. Handling the problem of impingement syndrome, many modalities are heating, electrical stimulation, manual therapy and exercise therapy. This study aimed to compare result between the combination of ultrasound therapy and traction shoulder toward caudal (group 1) and combination of ultrasound therapy and Codman pendular exercise (group 2). The duration of treatment was given 3 times a week for 2 weeks long. Sampling of this research was 32 people each group of 16 people. This research was true experimental study using pre test and post test design with measurement SPADI (Shoulder Pain and Disability Index) Result of hypothesis testing using independent t-test is found p > 0.05 showed no significant differences between group 1 and group 2. Conclusions in this research that combining of ultrasound therapy and traction shoulder to caudal are proven equally effective with ultrasound therapy and codman pendular exercise to reduce pain and improve functional shoulder joint activity in patient with impingement subacromial syndrome. There for the further study it is recommended a multicentre study using three combination therapy (Ultrasound, traction and pendular exercise) for reducing pain and improving functional shoulder joint activity with impingement subacromial syndrome

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