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Transcript of TERAPI LATIHAN ASSISTED ACTIVE MOVEMENT DALAM …repository.upnvj.ac.id/5016/11/AWAL.pdf · Fraktur...
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TERAPI LATIHAN ASSISTED ACTIVE MOVEMENT DALAM
MENINGKATKAN LINGKUP GERAK SENDI ELBOW PADA
KONDISI POST OPERASI ORIF FRAKTUR 1/3 DISTAL HUMERI
KARYA TULIS ILMIAH AKHIR
FENDY WIDIATMOKO
1210702028
UNIVERSITAS PEMBANGUNAN NASIONAL “VETERAN’’ JAKARTA
FAKULTAS ILMU-ILMU KESEHATAN
PROGRAM STUDI FISIOTERAPI
2015
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TERAPI LATIHAN ASSISTED ACTIVE MOVEMENT DALAM
MENINGKATKAN LINGKUP GERAK SENDI ELBOW PADA
KONDISI POST OPERASI ORIF FRAKTUR 1/3 DISTAL HUMERI
KARYA TULIS ILMIAH AKHIR
Diajukan Sebagai Salah Satu Syarat Untuk Memperoleh Gelar
Diploma III Fisioterapi
FENDY WIDIATMOKO
1210702028
UNIVERSITAS PEMBANGUNAN NASIONAL “VETERAN’’ JAKARTA
FAKULTAS ILMU-ILMU KESEHATAN
PROGRAM STUDI FISIOTERAPI
2015
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TERAPI LATIHAN ASSISTED ACTIVE MOVEMENT DALAM
MENINGKATKAN LINGKUP GERAK SENDI ELBOW PADA
KONDISI POST OPERASI ORIF FRAKTUR 1/3 DISTAL
HUMERI
Fendy Widiatmoko
Abstrak
Fraktur 1/3 distal humeri adalah rusaknya kontinuitas tulang humerus pada 1/3
distal yang disebabkan oleh trauma secara langsung maupun tidak langsung.
Tulang mengalami fraktur biasanya diikuti kerusakan jaringan disekitarnya seperti
ligamen, otot, tendon, pembuluh darah dan persyarafan. Salah satu upaya
pengembalian bentuk tulang yang mengalami fraktur dengan tindakan operasi.
Pada kasus ini ditemukan keterbatasan lingkup gerak sendi, dan penurunan
kemampuan fungsional. Untuk penanganan yang efektif dan efisien, maka
dilakukan metode pemeriksaan yaitu pemeriksaan nyeri dengan Simple Diskritif
Visual Analogue Scale (VAS), pemeriksaan lingkup gerak sendi dengan
goneometer. Untuk membantu mengatasi masalah-masalah tersebut, salah satu
modalitas fisioterapi yang dapat digunakan adalah terapi latihan assisted active
movement.Tujuan umum dari karya tulis ilmiah akhir ini ialah sendi elbow pada
post operasi ORIF fraktur 1/3 distal humeri setelah diberikan terapi latihan
assisted active movement, sedangkan tujuan khusus dari karya tulis ilmiah akhir
ini ialah untuk mengetahui manfaat dari terapi latihan active assisted pada kasus
fraktur elbow 1/3 distal. Metode yang dilakukan dalam oenulisan karya tulis
ilmiah akhir ini ialah metode dengan cara pengumpulan data. Setelah dilakukan
sebanyak 6 kali, didapatkan hasil berupa peningkatan lingkup gerak sendi dan
nyeri berkurang. Dari hasil yang diperoleh, maka dapat disimpulkan bahwa
dengan penggunaan modalitas fisioterapi berupa terapi latihan yaitu Assisted
active movement dapat membantu menggurangi permasalahan yang timbul akibat
post operasi ORIF fraktur 1/3 distal humeri dengan pemasangan plate and screw.
Kata kunci : fraktur 1/3 distal humeri, VAS, LGS, Terapi Latihan
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EXERCISE THERAPY JOINT MOTION TO INCREASE THE
SCOPE ELBOW ON CONDITION OPERATION POST
FRACTURE 1/3 DISTAL HUMERAL ORIF
Fendy Widiatmoko
Abstract
Fraktur 1/3 humeri distal is destroying of humerus bone kontinuitas at 1 / 3 distal
which because of trauma directly and also indirectly. Natural bone of fraktur
isusually followed by damage of network about him like ligament, muscle,
tendon, venous and nerve. One of the effort return of natural bone form fraktur
with operation action. At this case found by limitation of scope move joint, and
degradation of functional ability. For efficient and effective handling, hence
conducted by inspection method that is inspection of pain in bone with Visual
Analogue Scale ( VAS), Range Of Motion (ROM) move joint with goneometer.
To assist to to overcome the problems, one of the physiotherapy modalitas able to
be used by practice therapy of assisted public movement. The goal for active of
masterpiece write this final erudite is joint of elbow at post operate for ORIF
fraktur 1 / 3 humeri distal after given by practice therapy of assisted movement
active, while special target of masterpiece write this final erudite is to know
benefit of practice therapy of active assisted at case of fraktur elbow 1 / 3 distal.
Method performed within masterpiece oenulisan write this final erudite is method
by data collecting. After conducted counted 6 times, got result of in the form of
make-up of scope move pain in bone and joint decrease. From result of which
obtained, hence can be concluded that with usage of physiotherapy modalitas in
the form of practice therapy that is Assisted movement active can assist increase
problems of arising out effect of post operate for ORIF fraktur 1 / 3 humeri distal
with installation of screw and plate.
Keywords: 1/3 distal humeral fracture, VAS, ROM, Therapeutic Exercises
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DAFTAR ISI
HALAMAN JUDUL ........................................................................................ i
LEMBAR ORSINALITAS .............................................................................. ii
LEMBAR PUBLIKASI .................................................................................. iii
PENGESAHAN .............................................................................................. iv
ABSTRAK ...................................................................................................... v
ABSTRACT ..................................................................................................... vi
KATA PENGANTAR ..................................................................................... vii
DAFTAR ISI .................................................................................................... viii
DAFTAR TABEL ........................................................................................... x
DAFTAR GAMBAR ....................................................................................... xi
DAFTAR LAMPIRAN ................................................................................... xii
BAB I PENDAHULUAN ............................................................................... 1
I.1 Latar Belakang ........................................................................................ 2
I.2 Identifikasi Masalah ................................................................................. 4
I.3 Rumusan Masalah ..................................................................................... 4
I.4 Tujuan Penulisan ....................................................................................... 5
BAB II TINJAUAN PUSTAKA ...................................................................... 6
II.1 Fraktur 1/3 Distal Humerus ..................................................................... 6
II.2 Problematik Fisioterapi ........................................................................... 17
II.3 Diagnosa Fisioterapi ................................................................................ 18
II.4 Metode Intervensi Fisioterapi .................................................................. 18
II.5 Edukasi dan Home progam ..................................................................... 19
BAB III METODOLOGI PENGAMBILAN DATA DAN INTERVENSI .... 20
III.1 Rencana Intervensi Fisioterapi ............................................................... 20
III.2 Waktu dan Tempat Pengambilan Data .................................................. 25
III.3 Kriteria Kasus Terpilih ........................................................................... 25
III.4 Definisi Operasional ............................................................................... 25
III.5 Cara Pengumpulan Data dan Analisa Data ........................................... 26
III.6 Intervensi Fisioterapi ............................................................................. 26
III.7 Rencana Edukasi .................................................................................. 27
III.8 Rencana Evaluasi ................................................................................... 27
III.9 Deskripsi Data dan Analisa Data ........................................................... 27
BAB IV PELAKSANAAN STUDI KASUS .................................................. 28
IV.1 Identitas .................................................................................................... 28
IV.2 Assesment ............................................................................................... 28
IV.3 Daftar Masalah Fisioterapi Dan Diagnosa Fisioterapi ............................ 30
IV.4 Perencanaan Fisioterapi .......................................................................... 30
IV.5 Intervensi Fisioterapi .............................................................................. 30
IV.6 Home Program ........................................................................................ 31
IV.7 Evaluasi .................................................................................................... 31
IV.8 Deskripsi Data dan Analisa Data ............................................................ 33
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BAB V PEMBAHASAN ................................................................................ 35
BAB VI PENUTUP ......................................................................................... 37
VI.1 Kesimpulan ........................................................................................... 37
DAFTAR PUSTAKA ...................................................................................... 39
DAFTAR RIWAYAT HIDUP
LAMPIRAN
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DAFTAR TABEL
Tabel 1 Variabel Dependent ............................................................................ 26
Tabel 2 Evaluasi Lingkup Gerak Sendi .......................................................... 32 Tabel 3 Evaluasi Nyeri ................................................................................... 32
Tabel 4 Evaluasi kekuatan otot ...................................................................... 33
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DAFTAR GAMBAR
Gambar 1 Tipe Fraktur ................................................................................... 7
Gambar 2 Sendi Siku ..................................................................................... 12
Gambar 3 Fraktur humerus 1/3 distal .............................................................. 29
Gambar 4 Fraktur humerus 1/3 distal Setelah Operasi ORIF ......................... 29
Gambar 5 Perubahan Lingkup Gerak Sendi .................................................... 33
Gambar 6 Perubahan Nyeri ............................................................................ 34
Gambar 7 Perubahan Kekuatan Otot .............................................................. 34
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DAFTAR LAMPIRAN
Lampiran 1 Persetujuan Pasien
Lampiran 2 Laporan Studi Kasus
Lampiran 3 Surat Permohonan Ijin Pengambilan Pasien
Lampiran 4 Surat Persetujuan Pengambilan Data