Wardani, Dwi Anis Kusuma (2016) Prosedur Penggunaan Sepeda Pasca Stroke Untuk Rehabilitasi Fisik Pasien Stroke. Undergraduate thesis, Institut Teknologi Sepuluh Nopember Surabaya.
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Abstract
Terdapat dua cara yang umumnya digunakan untuk menyembuhkan penyakit stroke, yaitu dengan pengobatan medis dan rehabilitasi medis dengan cara berolahraga secara manual maupun dengan bantuan alat olahraga. Penggunaan alat bantu seperti sepeda statis membantu pemulihan fungsi gross motoric pasien, namun pasien hanya bisa bergerak atau melakukan latihan terapi di suatu tempat tanpa adanya mobilitas dan hanya dapat melatih otot kaki sedangkan otot tangan tidak. Rancang bangun sepeda pasca stroke oleh Sandy 2016 membutuhkan prosedur penggunaan sepeda pasca stroke untuk membantu rehabilitasi fisik pasien stroke supaya dalam penerapannya dapat memberikan manfaat yang aman dan maksimal bagi pasien stroke. Pada tugas akhir kali ini, penyusunan prosedur penggunaan sepeda pasca stroke untuk rehabilitasi fisik pasien stroke didasarkan pada adopsi dari prosedur terapi di RSU Haji Surabaya dengan durasi kayuh yang ditetapkan agar sesuai dengan kemampuan pasien stroke. Sebelum dan sesudah melakukan rehabilitasi fisik menggunakan sepeda pasca stroke, kondisi vital sign, kekuatan otot dan skala postural pasien stroke diperiksa, dipantau dan dicatat untuk memastikan keadaan fisik pasien stroke memenuhi syarat dan berada dalam batas aman yang diijinkan untuk melakukan olahraga. Terapi kayuh sepeda pasca stroke ini dilakukan dengan durasi kayuh 3-5-5, yaitu diawali dengan melakukan terapi kayuh selama 3 menit terlebih dahulu, dilanjutkan dengan terapi kayuh 5 menit sebanyak 2 kali. Di sela-sela terapi kayuh dengan durasi yang ditentukan, pasien stroke diistirahatkan sesuai dengan prosedur istirahat selama 2 menit atau lebih. Pada terapi kayuh yang dilakukan tidak ada batasan kecepatan yang harus dicapai oleh pasien stroke. Kecepatan kayuh ini menjadi salah satu parameter keberhasilan proses terapi. Uji kayuh dilakukan secara rutin, sebanyak tiga kali dalam satu minggu mengikuti prosedur yang telah disusun. Terapi ini dilakukan secara kontinyu hingga pasien stroke menunjukkan perkembangan kekuatan otot dan nilai skala postural yang memenuhi kriteria sehat. Hasil yang didapatkan pada tugas akhir ini adalah prosedur penggunaan sepeda pasca stroke, yang terdiri dari prosedur pengukuran vital sign, prosedur pemeriksaan kekuatan otot dan Postural Assessment Scale for Stroke (PASS), prosedur terapi kayuh, dan prosedur istirahat pasien stroke. Setiap prosedur dihasilkan dokumen berupa lembar rekam medik pasien stroke, lembar pengukuran vital sign, lembar pemeriksaan kekuatan otot dan Postural Assessment Scale for Stroke (PASS), serta lembar kecepatan kayuh pasien stroke. Sebagai contoh pengisian, prosedur tersebut telah dilakukan pada uji kayuh pasien stroke
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There are two ways commonly used for curing stroke, the medical treatment and medical rehabilitation by exercising manually or with the aid of exercise equipment. Use of tools such as statically bicycles help the recovery of gross motoric function of the patient, but the patient could only move or exercise therapy in a place with no mobility and can only train the leg muscles but not the hand muscles. The design of the post-stroke tricycle by Sandy 2016 requires the usage procedure to help post-stroke physical rehabilitation of stroke patients so that the application can provide safe and maximum benefit for stroke patients. In the end of the task this time, the preparation of procedures for using post-stroke tricycle for physical rehabilitation of stroke patients was based on the adoption of therapeutic procedures in RSU Haji Surabaya with specified paddling duration to match the ability of stroke patients. Before and after physical rehabilitation by using the post-stroke tricycle, conditions of vital signs, muscle strength and postural scale stroke patients have to be examined, monitored and recorded to ensure the physical state of stroke patients qualify and are within safe limits that allowed for the exercise. Post-stroke tricycle therapy is done with a 3-5-5 paddling duration, which begins with a paddling therapy for 3 minutes in advance, continued with 5 minutes paddling therapy 2 times. On the sidelines of paddling therapy with the specified duration, stroke patients rested according to the resting procedures for 2 minutes or more. When
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the paddling therapy is being done, there’s no speed limitation to be achieved by stroke patients. The paddling speed is one of the success parameters for the therapy process. Paddling test is done routinely, three times a week following the procedure that had been developed. This therapy is carried out continuously until the stroke patients showed the development of muscle strength and postural scale values that achieve healthy criteria. The results obtained in this final project is the procedure for post stroke tricycle, which consists of vital sign measurement procedures, inspection procedures muscle strength and Postural Assessment Scale for Stroke (PASS), paddling therapy procedures, and resting procedures for stroke patients. Each procedure generated documents such as patient record sheet stroke, vital sign measurement sheet, examination muscle strength and Postural Assessment Scale for Stroke (PASS) sheet, and the paddling speed of stroke patients sheet. For sheet charging example, such procedures have been performed on the paddling test for stroke patients
| Item Type: | Thesis (Undergraduate) |
|---|---|
| Additional Information: | RSM 629.227 3 War p |
| Uncontrolled Keywords: | sepeda; terapi; stroke |
| Subjects: | T Technology > TL Motor vehicles. Aeronautics. Astronautics > TL410 Bicycles and bicycling--Design and construction |
| Divisions: | Faculty of Industrial Technology > Mechanical Engineering > 21201-(S1) Undergraduate Thesis |
| Depositing User: | EKO BUDI RAHARJO |
| Date Deposited: | 30 Apr 2020 03:23 |
| Last Modified: | 30 Apr 2020 03:23 |
| URI: | http://repository.its.ac.id/id/eprint/75924 |
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