Efektifitas Pemberian Terapi Ultrasound Dan Transcutaneus Electrical Nerve Stimulation Dengan Ultrasound Dan Mobilisasi Saraf Terhadap Pengurangan Nyeri Pada Pasien Carpal Tunnel Syndrome

Carpal Tunnel Syndrome (CTS) merupakan suatu kumpulan gejala akibat kompresi pada nervus medianus di dalam terowongan karpal pada pergelangan tangan, tepatnya di bawah fleksor retinakulum. Gejala yang dikeluhkan adalah nyeri yang digambarkan seperti terbakar dan kesemutan (tingling) di daerah yang dipersarafi nervus medianus, yaitu ibu jari, jari telunjuk dan jari tengah sisi palmar. CTS mengakibatkan jaringan di pergelangan tangan meradang, hal ini dapat mempengaruhi saraf di pergelangan tangan dan menyebabkan nyeri. Pemberian terapi untuk pasien CTS yang dipilih yaitu US dan TENS dengan US dan mobilisasi saraf. Penelitian ini bertujuan untuk mengetahui keefektifan antara pemberian terapi US dan TENS dengan US dan mobilisasi saraf terhadap pengurangan nyeri pada pasien CTS. Penelitian ini menggunakan metode quasi exsperimental design, double blind dengan pendekatan pre test and post test two groups design. Jumlah sampel pada penelitian ini 10, cara pengambilan sampel menggunakan metode purposive sampling. Dari 3 metode purposive sampling, yang dipakai dalam penelitian ini yaitu judgment sampling. Teknik judgment sampling dilakukan ketika seorang peneliti memilih anggota-anggota sampel untuk menyesuaikan diri dengan beberapa kriteria. Data yang diperoleh tidak berdistribusi normal, uji statistik menggunakan uji Wilcoxon untuk hipotesis 1 dan 2. Uji Mann Whitney untuk hipotesis 3. Pada hipotesis 1 dan 2 diperoleh nilai p: 0,042 atau nilai p < 0,05 sehingga Ha diterima yang berarti ada pengaruh pemberian terapi US dan TENS maupun US dan Mobilisasi saraf terhadap pengurangan nyeri CTS. Pada hipotesis 3, diperoleh nilai p : 0,015 atau nilai p < 0.05 sehingga Ha diterima yang berarti ada perbedaan signifikan pemberian US dan TENS dengan US dan Mobilisasi Saraf terhadap pengurangan nyeri CTS. Semoga penelitian ini dapat berlanjut dan dapat berguna bagi peneliti, tenaga medis ataupun masyarakat umum

Efek Snoezelen (Multi Sensory Environment) Terhadap Penurunan Tingkat Spastisitas Pada Anak Cerebral Palsy Spastik Diplegi (Studi Kasus)

Latar Belakang: Cerebral Palsy merupakan sekumpulan gangguan motorik yang diakibatkan dari kerusakan otak yang terjadi sebelum, selama dan sesudah kelahiran (Miller dan Bachrach, 1998). Kerusakan tersebut mempengaruhi sistem motorik. Dari sekian banyak permasalhan yang ada, salah satunya adanya adalah spastik diplegi, dimana ditemukan adanya peningkatan tonus otot yang berpengaruh terhadap kontrol gerak, gangguan postur, keseimbangan dan koordinasi gerak. Fisioterapi yang berperan secara umum untuk memperbaiki postur, mobilitas sendi, kontrol gerak, sehingga anak dapat mandiri dan melaksanakan aktifitas fungsionalnya sehari-hari. Metode snoezelen yang mempunyai efek rileksasi, diharap mampu memberi bantuan lebih saat proses terapi latihan dengan gerakan pasif yang bertujuan untuk menurunkan tingkat spastisitas. TujuanPenelitian: Mengetahui pengaruh terapi snoezelen terhadap penurunan tingkat spastisitas terhadap anak cerebral palsy spastik diplegi. Metode Penelitian:Penelitian ini dilakukan dengan metode studi kasus dengan bentuk desain A-B-A-B. A adalah fase pengukuran dan B adalah fase tindakan terapi. Subyek penelitian selama 1 minggu pertama akan diukur spastisitasnya dengan skala asworth. Minggu ke dua subyek akan diberi perlakuan snoezelen setelah diukur spastisitasnya dengan skala asworth. Minggu ke tiga subyek akan diukur spastisitasnya tanpa diberikan tindakan terapi. Minggu ke 4 subyek akan diberi perlakuan snoezelen dan setelah itu diukur spastisitasnya dengan skala asworth. Hasil Penelitian: Diperoleh hasil penurunan tingkat spastisitas pada anak cerbral palsy spastik diplegi dengan pemberian terapi snoezelen. Yang telah diukur dengan menggunakan skala asworth. Kesimpulan: Terapi snoezelen yang memberikan efek rileksasi dapat digunakan pada anak cerbral palsy spastik diplegi. Yang berguna untuk penurunan tingkat spastisitas

The role of teamwork and communication in the emergency department: A systematic review

Abstract The aim of this study was to develop a systematic review using international research to describe the role of teamwork and communication in the emergency department, and its relevance to physiotherapy practice in the emergency department. Searches were conducted of CINAHL, Academic Search Premier, Scopus, Cochrane, PEDro, Medline, Embase, Amed and PubMed. Selection criteria included full-text English language research papers related to teamwork and/or communication based directly in the emergency department, involvement of any profession in the emergency department, publication in peer-reviewed journals, and related to adult emergency services. Studies were appraised using a validated critical appraisal tool. Fourteen eligible studies, all of mid-range quality, were identified. They demonstrated high levels of staff satisfaction with teamwork training interventions and positive staff attitudes towards the importance of teamwork and communication. There is moderate evidence that the introduction of multidisciplinary teams to the ED may be successful in reducing access block, and physiotherapists may play a role in this. The need for teamwork and communication in the ED is paramount, and their roles are closely linked, with the common significant purposes of improving patient safety, reducing clinical errors, and reducing waiting times

Personal non-commercial use only

ABSTRACT. Objective. Although there is evidence for a beneficial effect of dietary antioxidants on knee joint health, the data are sparse for the hip. Our aim was to examine the relationship between dietary antioxidants and early hip structural abnormalities in community-based adults. Methods. Conclusion. Higher carotenoids intake and vegetable consumption were associated with reduced risk of hip cartilage defects and BML, and higher Vitamin E intake was associated with reduced risk of hip cartilage defects. These findings suggest a beneficial effect of dietary antioxidants on hip joint health. Although our findings need to be confirmed in other longitudinal studies, they suggest that the modification of dietary antioxidant intake may be a strategy for the prevention of hip OA

Personal non-commercial use only

ABSTRACT. Objective. Although there is evidence for a beneficial effect of dietary antioxidants on knee joint health, the data are sparse for the hip. Our aim was to examine the relationship between dietary antioxidants and early hip structural abnormalities in community-based adults. Methods. Conclusion. Higher carotenoids intake and vegetable consumption were associated with reduced risk of hip cartilage defects and BML, and higher Vitamin E intake was associated with reduced risk of hip cartilage defects. These findings suggest a beneficial effect of dietary antioxidants on hip joint health. Although our findings need to be confirmed in other longitudinal studies, they suggest that the modification of dietary antioxidant intake may be a strategy for the prevention of hip OA

Home First! Identification of Hospitalized Patients for Home-Based Models of Care

OBJECTIVES: To determine the proportion of hospitalized inpatients suitable for an acute and subacute home-based inpatient bed substitutive service, to examine the ability of treating teams to identify suitable patients for this service, and to examine potential barriers toward inpatients receiving home-based care. DESIGN: Prospective point prevalence study over 2 days in April 2019; analysis of responses to survey questionnaires regarding the suitability for home-based care among inpatients with multiday admissions to acute and subacute wards in the Royal Melbourne Hospital (RMH), an Australian metropolitan tertiary referral center. SETTING AND PARTICIPANTS: Ward treating teams, clinicians affiliated with the home-based service called RMH@Home, and inpatients who were subsequently identified as being suitable for home-based care. MEASUREMENTS: Point prevalence and characteristics of inpatients suitable for a home-based bed substitutive service; identified by either treating teams or RMH@Home clinicians; and barriers to the provision of home-based care among ward inpatients. RESULTS: Survey responses were received for 620 of 635 inpatients [median age 69 years (interquartile range 53-81), 53% male], of which 69 (11.1%) were identified as being suitable for home-based inpatient bed substitution care. Treating team clinicians identified 26 patients, clinicians affiliated with RMH@Home identified a further 43 suitable patients. The most commonly reported barrier (38.1%) toward receiving home-based care was functional disability impeding ability to live at home. CONCLUSIONS AND IMPLICATIONS: A substantial proportion of hospitalized older patients could use home-based inpatient bed substitutive services. Clinicians experienced in home-based care are more skilled than ward-based clinicians in identifying suitable patients for this care model