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"Skripsi terapan ini meneliti tentang pengaruh penambahan intervensi myofascial release technique pada muscle energy technique terhadap peningkatan kualitas fungsional penderita tension type headache. Metode penelitian ini yaitu penelitian kuantitatif dengan desain kuasi eksperimental. Partisipan dalam penelitian ini sebanyak 34 orang pekerja kantoran berusia 20 – 45 tahun yang memiliki keluhan tension type headadche. Partisipan lalu dibagi ke dalam dua kelompok dimana kelompok intervensi mendapat myofascial release technique dan muscle energy technique, sedangkan kelompok kontrol mendapat muscle energy technique. Periode intervensi berlangsung sebanyak 12 sesi dengan pemberian pre test sebelum sesi pertama dan pemberian post test setelah sesi kedua belas dengan parameter Headadche Impact Test – 6. Setelah periode intervensi, dilakukan analisis data untuk menilai pengaruh intervensi dan didapatkan bahwa adanya peningkatan kualitas fungsional pada kelompok intervensi (p<0,001) dan pada kelompok kontrol (p<0,001). Uji perbandingan dilakukan untuk melihat efek intervensi antara kedua kelompok dan didapatkan adanya perbedaan signifikan antara kelompok intervensi dan kelompok kontrol (p<0,001). Berdasarkan hasil analisis, kelompok intervensi memiliki perubahan yang lebih signifikan dengan rata-rata nilai perubahan parameter sebanyak 3,94 poin daripada kelompok kontrol dengan rata-rata nilai perubahan parameter sebanyak 1,47 poin. Hasil penelitian ini dapat menyatakan bahwa intervensi myofascial release technique yang dikombinasikan dengan muscle energy technique dapat direkomendasikan sebagai Teknik terapi untuk menangani kasus tension type headadche.

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This applied study examines the effect of adding myofascial release technique intervention to muscle energy technique on improving the functional quality of tension type headache sufferers. This research method is quantitative research with a quasi-experimental design. Participants in this study were 34 office workers aged 20-45 years who had complaints of tension type headache. Participants were then divided into two groups where the intervention group received myofascial release technique and muscle energy technique, while the control group received muscle energy technique. The intervention period lasted 12 sessions with a pre-test before the first session and a post-test after the twelfth session with the Headache Impact Test - 6 parameter. After the intervention period, data analysis was carried out to assess the effect of the intervention and it was found that there was an increase in functional quality in the intervention group (p <0.001) and in the control group (p <0.001). A comparison test was carried out to see the effect of the intervention between the two groups and there was a significant difference between the intervention group and the control group (p <0.001). Based on the results of the analysis, the intervention group had a more significant change with an average parameter change value of 3.94 points than the control group with an average parameter change value of 1.47 points. The results of this study can state that the intervention of myofascial release technique combined with muscle energy technique can be recommended as a therapeutic technique to treat cases of tension type headache."

"Latar Belakang: Subacromial Impingement Syndrome (SAIS) merupakan salah satu penyebab utama nyeri bahu yang secara signifikan mempengaruhi aktivitas sehari-hari dan kualitas hidup penderitanya. Tatalaksana konservatif meliputi kontrol nyeri dan latihan terapeutik yang bertujuan memperbaiki kemampuan fungsional bahu. Penggunaan Virtual Reality (VR) dalam rehabiltasi muncul sebagai pendekatan inovatif yang menjanjikan dan dapat digunakan sebagai alternatif untuk melakukan latihan fungsional. Namun, efektivitas latihan berbasis VR pada SAIS belum pernah diteliti di Indonesia.Objektif: Penelitian ini bertujuan untuk mengevaluasi efektivitas latihan penguatan otot berbasis VR yang dikombinasikan dengan peregangan terhadap fungsi bahu pada pasien dengan SAIS.Metode: Penelitian menggunakan desain one-group pre-post test dengan durasi intervensi 8 minggu, dua kali seminggu. Evaluasi dilakukan menggunakan Shoulder Pain and Disability Index (SPADI) untuk mengukur tingkat nyeri dan fungsi, serta pengukuran Acromial Humeral Distance (AHD) menggunakan USG untuk menilai perubahan struktural.Hasil: Penelitian menunjukkan perbaikan signifikan skor SPADI pada domain nyeri (p=0.001), domain disabilitas (p=0.001), dan skor total (p= 0.000) setelah 8 minggu latihan.  Namun, tidak ditemukan perubahan signifikan pada pengukuran AHD dalam posisi bahu netral, abduksi 600 dan 900(p>0,05). Tidak ada efek samping serius yang dilaporkan selama penelitian.Kesimpulan: Rehabilitasi berbasis VR terbukti efektif menurunkan nyeri dan meningkatkan fungsi bahu pada pasien SAIS, meskipun tidak menghasilkan perubahan struktural yang signifikan. Teknologi VR dapat menjadi alat terapeutik yang menjanjikan dalam rehabilitasi SAIS.

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Background: Subacromial Impingement Syndrome (SAIS) is one of the primary causes of shoulder pain that significantly affects patients' daily activities and quality of life. Conservative management includes pain control and therapeutic exercises aimed at improving shoulder functional capacity. The use of Virtual Reality (VR) in rehabilitation has emerged as a promising innovative approach and can be utilized as an alternative for functional exercises. However, the effectiveness of VR-based exercises for SAIS has not been studied in Indonesia.

This study aimed to evaluate the effectiveness of VR-based muscle strengthening exercises combined with stretching on shoulder function in patients with SAIS.

Methods: The study employed a one-group pre-post test design with an intervention duration of 8 weeks, conducted twice weekly. Evaluation was performed using the Shoulder Pain and Disability Index (SPADI) to measure pain levels and function, as well as Acromial Humeral Distance (AHD) measurements using ultrasound to assess structural changes.

Results: The study showed significant improvements in SPADI scores in the pain domain (p=0.001), disability domain (p=0.001), and total score (p=0.000) after 8 weeks of exercise. However, no significant changes were found in AHD measurements in neutral shoulder position, abduction at 60° and 90° (p>0.05). No serious adverse effects were reported during the study.

Conclusion: VR-based rehabilitation proved effective in reducing pain and improving shoulder function in SAIS patients, although it did not result in significant structural changes. VR technology may serve as a promising therapeutic tool in SAIS rehabilitation."

"Keterlambatan motorik kasar pada anak Cerebral Palsy menghambat kemandirian dalam aktivitas sehari-hari akibat disfungsi motorik. NDT adalah terapi yang fokus pada sistem saraf pusat dan neuromuskular untuk meningkatkan fungsi motorik. Meskipun terapi ini banyak diterapkan, penelitian mengenai efektivitas NDT terhadap motorik kasar dan aktivitas sehari-hari anak CP tipe diplegi di Indonesia masih terbatas. Penelitian ini menggunakan desain pre-eksperimental dengan rancangan pretest dan posttest, melibatkan 20 anak CP spastik diplegia yang memenuhi kriteria inklusi dan eksklusi. Alat ukur yang digunakan adalah GMFM-88 untuk evaluasi motorik kasar dan Modified WeeFIM untuk evaluasi aktivitas sehari-hari. Intervensi dilakukan dua kali seminggu selama 8 minggu. Uji Wilcoxon Signed Ranks menunjukkan peningkatan signifikan pada kemampuan motorik kasar di semua dimensi GMFM-88 (p < 0,05). Uji Paired T-test menunjukkan peningkatan signifikan pada aktivitas harian berdasarkan skor Modified WeeFIM (rata-rata peningkatan 13,6; p < 0,001). Korelasi Pearson menemukan hubungan positif signifikan, yaitu 0,702 dan nilai signifikansi di bawah 0,001 berdasarkan skor GMFM dengan skor Modified WeeFIM. Terdapat peningkatan signifikan pada kemampuan motorik kasar dan aktivitas harian setelah pemberian NDT pada anak-anak CP Spastik Diplegia

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Delayed gross motor skills in children with Cerebral Palsy hinder independence in daily activities due to motor dysfunction. NDT is a therapy that focuses on the central nervous system and neuromuscular system to improve motor function. Although this therapy is widely applied, research on the effectiveness of NDT on gross motor skills and daily activities in children with diplegic CP in Indonesia is still limited. This study uses a pre-experimental design with a pretest and posttest arrangement, involving 20 children with spastic diplegic CP who meet the inclusion and exclusion criteria. The measurement tools used were GMFM-88 for gross motor evaluation and Modified WeeFIM for daily activity evaluation. The intervention was conducted twice a week for 8 weeks. The Wilcoxon Signed Ranks test showed a significant improvement in gross motor skills across all dimensions of the GMFM-88 (p<0.05). The paired t-test showed a significant improvement in daily activities based on the modified WeeFIM score (average improvement of 13.6; p<0,001). Pearson correlation found a significant positive association of 0.702 and a significance value below 0.001 based on the GMFM score with the Modified WeeFIM. There was a significant improvement in gross motor skills and daily activities after the administration of NDT in children with spastic diplegia CP."

"Penelitian ini menganalisis efektivitas Dual Task Training untuk mengetahui pengaruh terhadap tingkat risiko jatuh pada pasien stroke melalui pendekatan kuantitatif dengan bentuk penelitian quasi eksperimen nonequivalent control group design yaitu membandingkan kelompok eksperimen dan kelompok kontrol. Subjek penelitian terdiri dari dua kelompok, yaitu kelompok kontrol dan kelompok eksperimen, masing-masing terdiri dari delapan responden pasien post-stroke berusia 45-72 tahun. Kelompok eksperimen diberikan intervensi Dual Task Training dengan frekuensi tiga kali seminggu selama tiga minggu, sementara kelompok kontrol tidak menerima intervensi serupa. Evaluasi dilakukan menggunakan instrumen Berg Balance Scale (BBS) sebelum dan sesudah intervensi. Hasil analisis menunjukkan peningkatan signifikan skor BBS pada kelompok eksperimen, yang mengindikasikan penurunan risiko jatuh, dengan nilai p<0,001 (p<0,05). Sebaliknya, pada kelompok kontrol tidak ditemukan perbedaan signifikan dengan nilai p=0,712 (p>0,05). Berdasarkan temuan ini, Dual Task Training terbukti efektif dan dapat direkomendasikan sebagai salah satu metode rehabilitasi untuk meningkatkan keseimbangan dan menurunkan risiko jatuh pada pasien pasca stroke.

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This study examines the effectiveness of Dual Task Training to determine the effect on the risk level of falls in stroke patients through a quantitative approach in the form of a quasi-experimental nonequivalent control group design, namely comparing the experimental group and the control group. The study consisted of two groups, each comprising eight post-stroke patients aged 45-72 years. The experimental group received Dual Task Training interventions three times a week for three weeks, while the control group did not receive the intervention. Evaluations were conducted before and after the intervention using the Berg Balance Scale (BBS). The data analysis showed a significant improvement in BBS scores in the experimental group, indicating a reduced risk of falling, with a p-value of <0,001 (p<0.05). In contrast, no significant change was found in the control group, with a p-value of 0,712 (p>0,05). Based on these findings, Dual Task Training is proven to be effective and can be recommended as a rehabilitation method to improve balance and reduce the risk of falls in post-stroke patients."

"In pediatrics, occupational therapy practitioners are concerned most with positively impacting the extent to children and their families are able to successfully and meaningfully go about their daily lives, whether it be playing, learning, working, caring for oneself or others, or socializing. Clinical decisions made throughout the evaluation process ultimately shape what and how occupational therapy practitioners deliver interventions, perhaps making the evaluation process the most important and interesting part of the service delivery process. It is the context where we first come know and appreciate our clients, their specific situations, and discover what it is that we, as occupational therapy practitioners can do to be of most help"

"Contents: The adaptive system : plasticity and recovery -- Training motor control, increasing strength and fitness, and promoting skill -- Acquisition -- Measurement -- Standing up and sitting down -- Walking -- Reaching and manipulation -- Balance -- Upper motor neuron lesions -- Cerebellar ataxia / written with Phu Hoang -- Somatosensory and perceptual-cognitive impairments -- Stroke / written with Julie Bernhardt -- Traumatic brain injury / written with Anne Moseley and Leanne Hassett -- Parkinson?s disease / written with Colleen Canning -- Multiple sclerosis / written with Phu Hoang."