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"This book provides a comprehensive and up-to-date description of the diagnosis and management of dysphagia, with particular reference to oral and pharyngeal dysfunction. All aspects of dysphagia are covered, from anatomy and physiology to patient care. Alongside descriptions of a variety of disease entities, signs and symptoms, and treatment approaches, many other relevant topics are addressed, including endoscopic and manometric aspects, malnutrition and dehydration, the psychiatric burden, and features specific to pediatric and geriatric patients. The authors are without exception renowned experts in their field. This book will be of value to all specialists involved in the evaluation and treatment of dysphagia, including ENT surgeons, thoracic surgeons, speech and language pathologists, phoniatricians, gastroenterologists, neurologists, and radiologists."

"Tujuan: Mengetahui manfaat pemberian mirror therapy dibandingkan sham therapy terhadap pemulihan fungsi tangan. Desain penelitian: Studi intervensi. Metode: Studi randomisasi tersamar tunggal pada pasien strok serangan pertama. Subjek dibagi menjadi 2, yaitu kelompok mirror dan sham, yang diberikan mirror therapy atau sham therapy sebagai tambahan terapi okupasi standar. Parameter Hasil: Fugl Meyer Assessment dan Functional Independence Measure (FIM). Hasil: Delapan belas pasien (rerata usia 53,9 tahun), dengan lama awitan kurang dari 6 bulan ikut serta dalam penelitian ini. Didapatkan peningkatan signifikan pada rerata skor Fugl Meyer pada kedua kelompok setelah 3 minggu dan 6 minggu perlakuan (p<0,001), sedangkan skor FIM meningkat hanya pada 3 minggu pertama. Peningkatan skor Fugl Meyer lebih tinggi pada kelompok mirror (rerata=20,5) dibanding kelompok sham (rerata 13,75), walaupun secara statistik tidak signifikan. Kesimpulan: Mirror therapy dapat meningkatkan pemulihan motorik pada pasien strok fase pemulihan. Dibutuhkan penelitian lebih lanjut dengan sampel lebih besar untuk mendapatkan hasil yang bermakna.

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Objective: To evaluate the effect of mirror therapy on motor recovery of stroke patients.

Study design: Intervention study.

Methods: A randomized, controlled, assessor blinded trial in outpatient with first stroke, that were divided into two groups: mirror and sham. They completed a protocol of six week mirror therapy or sham therapy for 30 minutes 3 times a week, in addition to standard occupational therapy program.

Outcome parameters: Fugl Meyer Assessment for upper extremity and Functional Independence Measure (FIM).

Results: Eighteen patients (mean age 53,9 yo), all within 6 months post stroke were enrolled. Fugl Meyer score increased in both group after three weeks and six weeks intervention (p<0,001), FIM score increased only in the first three weeks. The Fugl Meyer mean score improved more in the mirror group than in the sham group (by mean 20,5 vs. 13,75), but statistically not significant.

Conclusions: Mirror therapy could enhances hand motor recovery in subacute stroke patient. Due to limited sample, further study is needed."

"Manual of Temporomandibular Disorders, Third Edition provides comprehensive, evidence-based information on temporomandibular disorders (TMD). Focusing on clinically relevant information throughout, the book allows dentists to diagnose TMD accurately, rule out disorders that mimic TMD, and provide effective therapy for most patients. Useful features, such as frequently asked questions, quick consults, technical tips, and focal points are integrated to help the clinician find precise answers with ease. Case scenarios provide the reader with a way to enhance their clinical reasoning skills, with a focus on solving TMD problems at chairside. Offering comprehensive coverage in a highly-illustrated, compact package, Manual of Temporomandibular Disorders is the ideal source for dentists dealing patients suffering from TMD"--Provided by publisher."

"Manual of Temporomandibular Disorders, Third Edition provides comprehensive, evidence-based information on temporomandibular disorders (TMD). Focusing on clinically relevant information throughout, the book allows dentists to diagnose TMD accurately, rule out disorders that mimic TMD, and provide effective therapy for most patients. Useful features, such as frequently asked questions, quick consults, technical tips, and focal points are integrated to help the clinician find precise answers with ease. Case scenarios provide the reader with a way to enhance their clinical reasoning skills, with a focus on solving TMD problems at chairside. Offering comprehensive coverage in a highly-illustrated, compact package, Manual of Temporomandibular Disorders is the ideal source for dentists dealing patients suffering from TMD"--Provided by publisher."

"TUJUAN: Tujuan penelitian ini adalah mengetahui korelasi antara pola jalan dengan pemulihan motorik berdasarkan stadium Brunnstrom pada penderita pasca strokeMETODE: Subjek penelitian adalah penderita stroke fase subakut dan fase kronis ( onset > 2 minggu) yang non hemiparesis, hemiparesis kanan dan hemiparesis kiri. Dilakukan pemeriksaan fisik dan penilaian pemulihan motorik berdasarkan stadium Brunnstrom. Diberikan penjelasan mengenai prosedur pelaksanaan penelitian. Subjek berjalan pada lintasan sepanjang 10 meter sehingga didapatkan kecepatan berjalannya. Selanjutnya subjek berjalan pada alat gait analyser selama 2 menit, dengan memasukkan kecepatan tiap subjek di alat gait analyser. Didapatkan nilai step length sisi sehat, step length sisi sakit, stride length dan cadence tiap-tiap subjek.HASIL: Terdapat 30 subjek dalam penelitian ini. Rerata nilai step length sisi sehat 29,69 + 12,65 cm, step length sisi sakit 32,36 + 10,75 cm, stride length 61,85 + 16,89 cm, cadence 71 + 21,66 langkah/menit. Frekuensi subjek dengan pemulihan motorik Brunnstrom 2 terdapat 2 orang (6,7%), Brunnstrom 3 terdapat 6 orang (20%), Brunnstrom 4 terdapat 5 orang (16,7%) pada Brunnstrom 5 terdapat 8 orang( 26,7%) dan Brunnstrom 6 terdapat 9 orang (30%).SIMPULAN: Terdapat korelasi lemah sampai sedang antara step length sisi sehat, step length sisi sakit, stride length, cadence dengan pemulihan motorik berdasarkan stadium Brunnstrom.

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OBJECTIVE: The purpose of this research is to find out correlation between gait pattern with motor recovery based on Brunnstrom stages for stroke patient.METHODS: The subject of these research are stroke patient in subacute and chronic phase ( onset > 2 weeks) non hemipharetic, right and left hemipharetic. Physical examination and scoring motor recovery based on Brunnstron stage. The patient were given the explanation of the procedure for the research. The subject walks on 10 metres track to get walking speed. Next, subject walks on the gait analyzer for 2 minutes, with walking speed installed to gait analyzer. The outcome measurements consist of step length on unaffected and affected side, stride length and cadence for every subjects.RESULTS: There are 30 subject in this research. Average step length score on unaffected 29,69 + 12,65 cm, step length on affected side 32,36 + 10,75 cm, stride length 61,85 + 16,89 cm, cadence 71 + 21,66 step/minutes. Frequent subject with motor recovery Brunnstrom 2 are 2 subjects ( 6,7%), Brunnstrom 3 are 6 subjects (20%), Brunnstrom 4 are 5 subjects ( 16,7 %), Brunnstrom 5 are 8 subject (26,7%) and Brunnstrom 6 are 9 subject (30%).CONCLUSIONS: There is a mild until moderate correlation between step length on unaffected and affected, stride length, cadence and motor recovery based on Brunnstrom stages."

"Nafas Dalam, Rentang Gerak Sendi, dan Peregangan merupakan bentuk intervensi keperawatan komunitas untuk meningkatkan kemampuan rehabilitasi pada lansia paska stroke. Penulisan bertujuan memberikan gambaran pelaksanaan bentuk intervensi dalam pelayanan dan asuhan keperawatan komunitas melalui integrasi CAP, FCN, konsekuensi fungsional, dan manajemen pada lansia dengan paska stroke di Kelurahan Curug. Hasil terjadi peningkatan skor perilaku anggota kelompok pendukung yaitu pengetahuan 14,6%, sikap 10,6%, dan tindakan 8,75%. Peningkatan perilaku kelompok lansia paska stroke yang meliputi pengetahuan 16,67%, sikap 5,2%, dan tindakan 8,1%. Terjadi peningkatan skor kekuatan otot lengan sebesar 0,87% dan otot kaki 0,7%. Terjadi penurunan skor kecemasan sebesar 6,4%. Terjadi peningkatan perilaku keluarga meliputi pengetahuan 16,7%, sikap 13,5%, dan tindakan 18,36%. Terjadi peningkatan tingkat kemandirian keluarga sebesar 100%. Kesimpulan dari penulisan ini yaitu terdapat pengaruh pelaksanaan intervensi "NAfas DAlam, Range Of Motion dan Stretching (Nada ROMS) terhadap peningkatan kemampuan rehabilitasi pada kelompok lansia paska stroke. Diharapkan keluarga dapat memberikan dan mendampingi lansia dalam melakukan latihan NADA ROMS di rumah.

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Deep Breathing, Range of motion, and Stretching are the forms of community nursing interventions that can be conducted by families and communities to improve post-stroke rehabilitation in the elderly. This report aimed to provide an overview of the implementation of nursing intervention and services project through the integration of the CAP, FCN, functional consequences, and management in older adults with post-stroke in Curug sub district, Depok. The result showed that the score of support groups behaviour increased by 14.6%, 10.6% and 8.75% (knowledge, attitude, and skill respectively). The result showed that the score of knowledge level, attitude, and action of elderly with post stroke in Curug increased by 16.67%, 5,2% and 8.1% respectively. There was an increase in arm muscle and leg muscles strength score by 0.87% and 0.7%. The anxiety scores decreased by 6.4%. The family behavior included knowledge 16.7%, 13.5% attitude and skill by18.36%. There was an increase in the level of family independence of 100%. The study concludes that there are significan implementation of the intervention "Deep breathing, Range Of Motion and Stretching (NADA ROMS) to increase the rehabilitation capacity of post-stroke elderlies. Caregiver or family member should assist elderly with post stroke to do NADA ROMS exercises."

"ABSTRAKPerlakuan salah dan kekerasan merupakan permasalah sosial yang berdampak pada kondisi fisik dan psikososial lansia. Penelitian ini bertujuan untuk mengetahui implementasi penanganan trauma program Pusat Penanganan Trauma Lanjut Usia PSTW Budhi Dharma Bekasi. Pendekatan kualitatif digunakan dalam evaluasi formatif untuk dapat melihat kekuatan dan kelemahan program tersebut. Kekuatan yang ada pada program ini adalah: pencatatan identitas klien, intervensi kedaruratan, peran pendamping, program Kementerian Sosial dan program sudah tersosialisasi. Kelemahannya adalah: klien kurang tepat, pemahaman petugas terhadap klien dan program, lemahnya pengawasan dan supervisi, dan penarapan penghargaan dan hukuman.

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ABSTRACTAbuse and mistreatment are social problem that affect to phsycial and psychosocial elderlies condition. The purpose of this research is to find out the implementation of traumatic treatment in adult traumatic centre program PSTW Budhi Dharma Bekasi. Using qualitative approach in formative evaluation to identify strength and weaknesses of the program. The strength are: records of client?s identity, emergency intervention, role of cargiver, social ministries affair program and program was published. The weaknesses are: clients isn?t appropriate, staff?s comprehension of client and program, lack of control and supervision, and reward & punishment."