PENATALAKSANAAN TERAPI LATIHAN PADA

PENATALAKSANAAN TERAPI LATIHAN PADA KONDISI
PARAPLEGI FRANKLE A ETCAUSA POST OPERASI BURST FRAKTUR VERTEBRA THORACAL X-XI DENGAN PEMASANGAN INTERNAL FIKSASI PEDICLE SCREW
DI RSO Dr. SOEHARSO SURAKARTA


SLAMET BASUKI
(0530004311)


ABSTRAK


Cedera pada tulang belakang dapat menyebabkan fraktur yang berakibat terjadinya cedera medula spinalis (spinal cord injury). Fraktur merupakan kondisi dimana kontinuitas tulang hilang. Paraplegia adalah kehilangan fungsi motorik dan sensorik kedua ekstremitas bawah. Problematik yang muncul yaitu penurunan kekuatan otot kedua ekstremitas atas dan kedua ekstremitas bawah, ketidak mampuan BAB, BAK, disfungsi sexual serta gangguan sensoris kedua ekstremitas bawah, nyeri pada punggung, penurunan aktifitas fungsional serta komplikasi tirah baring seperti decubitus, pneumonia, atrofi, deep vena trombosit, osteoporosis, emboli, dan infeksi. Pemeriksaan fisioterapi meliputi pemeriksaan nyeri dengan Verbal Descriptor Scale (VDS), pemeriksaan kekuatan otot dengan Manual Muscle Testing (MMT), pemeriksaan antopometri dengan midline, pemeriksan sensorik dengan dermatom test dan pemeriksaan aktifitas fungsional sehari-hari dengan indeks barthel. Penatalaksanaan fisioterapi menggunakan modalitas berupa Terapi Latihan yang meliputi Breathing Exercise, Passive Exercise, Aktif Resissted, Change Position, Stimulasi BAB, Stimulasi BAK, Stimulasi Ereksi, Transfer dan Ambulasi.
Hasil : Setelah enam kali terapi di dapatkan penurunan nyeri diam, tekan, dan gerak, peningkatan kekuatan otot ke dua ekstremitas atas, sensoris dan motorik ke dua ekstremitas bawah tetap, belum didapati atropi ke dua ekstremitas bawah. Evaluasi kemampuan aktivitas fungsional menggunakan indeks barthel dan didapatkan adanya peningkatan aktivitas fungsional.
Simpulan : Intervensi fisioterapi dengan modalitas Terapi Latihan dapat membantu mengurangi permasalahan yang timbul pada kondisi Paraplegi.

Kata Kunci : Spinal Cord Injury, Paraplegi, Terapi Latihan.

Hasil (Inggris) 1:

EXERCISE THERAPY IN TREATMENT OF CONDITIONS PARAPLEGI ETCAUSA A POST OPERATION FRANKLE BURST FRACTURE OF THE VERTEBRA THORACAL X-XI BY MOUNTING INTERNAL FIXATION OF PEDICLE SCREWIn R.S.O. Dr. SOEHARSO SURAKARTASLAMET BASUKI(0530004311)ABSTRACTInjury to the spine can cause a fracture which resulted in the occurrence of injuries of the medulla spinalis (spinal cord injury). Fracture is a condition where bone continuity lost. Paraplegia is a loss of function of sensory and motor both lower extremities. Problematic that pops up that is a decrease in muscle strength both upper limb and both lower extremities, the inability of the CHAPTER, sexual dysfunction, TUBS and sensory disorders of both lower extremities, pain in the back, decreased functional activity as well as the complications of tirah baring as decubitus, pneumonia, atrophy, deep veins, osteoporosis, platelet emboli, and infections. Physiotherapy examination includes inspection of the pain with a Verbal Descriptor Scale (VDS), examination of muscle strength with Manual Muscle Testing (MMT), an examination of antopometri with midline, pemeriksan with sensory dermatomes test and examination activity functional everyday with index barthel. Physiotherapy treatment using Therapeutic Exercises in the form of modality that includes Passive Exercise, Breathing Exercise, Active Resissted, Change Position, the stimulation of the CHAPTER, the stimulation of Erection Stimulation, TUBS, Transfer and Ambulasi.Results: after six-time therapy in get a decrease in pain, the press, and motion, increased muscle strength to two upper limb, sensory and motor to the two lower extremity remains, yet found the atrophy of lower extremities. Evaluation of the ability of a functional activity using indexes barthel and obtained an increase in functional activity.Summary: a physiotherapy Intervention with Therapeutic modalities of exercise can help reduce the problems arising on the conditions of Paraplegi.Keywords: Spinal Cord Injury, Paraplegi, Therapeutic Exercises.

Hasil (Inggris) 2:

EXERCISE THERAPY MANAGEMENT IN CONDITIONS
PARAPLEGI Frankle A BURST OF OPERATIONS POST ETCAUSA SPINE FRACTURE thoracic X-XI pedicle fixation WITH INTERNAL SCREW FITTING
IN RSO Dr. Soeharso SURAKARTA SLAMET BASUKI (0530004311) ABSTRACT Injury to the spinal cord can cause fractures that result in spinal cord injury (spinal cord injury). Fracture is a condition where bone continuity is lost. Paraplegia is the loss of sensory and motor function of both lower extremities. Appears problematic that decreased muscle strength both upper extremities and both lower extremities, inability BAB, bladder, sexual dysfunction and sensory disturbances both lower extremities, back pain, decreased functional activity and bedrest complications such as decubitus, pneumonia, atrophy, deep vein platelets, osteoporosis, embolism, and infection. Physiotherapy examination includes examining pain with Verbal Descriptor Scale (VDS), examination of muscle strength with Manual Muscle Testing (MMT), examination antopometri the midline, with the sensory examination dermatomes functional test and inspection of day-to-day activities with the Barthel index. Management of physiotherapy using modalities such as exercise therapy that includes Breathing Exercise, Exercise Passive, Active Resissted, Change Position, Stimulation BAB, BAK Stimulation, Stimulation Erection, transfer and ambulation. Results: After six times in get pain relief therapy silent, press, and motion , increase muscle strength to the two upper extremities, sensory and motor fixed to the two lower extremities, yet found atrophy of the lower extremities to two. Evaluation of the ability of functional activities using the Barthel index and obtained an increase in functional activity. Conclusion: Intervention by modality therapy physiotherapy exercises can help reduce the problems that arise in Paraplegi conditions. Keywords: Spinal Cord Injury, Paraplegi, Therapeutic Exercise.