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Rizky Kusuma Wardhani
Uji keandalan dan kesahihan gilette functional assessment questionnaire sebagai penilai fungsi kemampuan berjalan pada anak pasca poliomyelitis = Validity and reliability of gilette functional assessment questionnaire to measure functional walking ability in children post-poliomyelitis
"Tujuan : Penelitian ini bertujuan untuk menguji keandalan dan kesahihan Gillette Functional Assessment Questionnaire sebagai alat ukur fungsi kemampuan berjalan pada anak pasca poliomyelitis yang diterjemahkan ke dalam Bahasa Indonesia.
Metode : Disain penelitian ini adalah studi potong lintang pada 35 anak poliomyelitis kronik di Kabupaten Lebak, Kabupaten Serang dan Kota Serang. Keandalan antarpemeriksa dilakukan dengan membandingkan skor Gillette FAQ yang diperoleh peneliti dari observasi langsung dan empat penilai lainnya yang menilai dari hasil wawancara dan rekaman video. Kesahihan eksterna dilakukan dengan membandingkan skor Gillettte FAQ dan skor modified WeeFIM sebagai alat ukur fungsional yang banyak digunakan.
Hasil : Tiga puluh lima subyek penelitian usia 7- 17 tahun dianalisa dalam penelitian ini. Pada uji keandalan antarpemeriksa didapatkan tingkat konsistensi yang tinggi pada penilai yang berbeda, yakni nilai kappa 1 antara peneliti dan 4 orang penilai lainnya. Uji kesahihan eksterna dengan membandingkan skor Gillette FAQ dan skor modified WeeFIM subskala mobilitas, didapatkan korelasi yang baik dengan kekuatan korelasi 0,994 ( p=0,001). Diperoleh rumus persamaan perolehan skor modified WeeFIM yaitu 3,13 + (3,23 x skor Gillette FAQ).
Kesimpulan : Gillette FAQ merupakan alat ukur yang andal dan sahih, serta praktis dan mudah digunakan untuk menilai fungsi kemampuan berjalan pada anak pasca poliomyelitis.
Objectives : To examine validity and reliability of Gillette Functional Assessment Questionnaire (FAQ) in Indonesian language translation.
Methods : A cross sectional study was performed in 35 children post poliomyelitis, aged 7 to 17 years at Lebak and Serang regency. The Gillette FAQ was administered by observations and four rater through video records to determine the functional walking level of the child, and the interrater reliability of the Gillette FAQ was calculated. External validity was determined by comparing score between the Gillette FAQ and a commonly used modified WeeFIM as a functional ability instrument.
Results : Good interrater reliability among a researcher and 4 raters was demonstrated, with high levels of consistency ( kappa=1). External validity comparing Gillette FAQ with modified WeeFIM- mobility subscale resulted a good correlation with the power of correlation 0,994 (p = 0.001). The equation’s formula to predict score of modified WeeFIM was 3.13 + (3.23 x score of Gillette FAQ).
Conclusion : Gillette FAQ is a reliable and a valid tool which is simple and easy to use for measuring functional walking ability in children with poliomyelitis."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2013
SP-pdf
UI - Tugas Akhir  Universitas Indonesia Library
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Yuni Ekowati
Uji validitas dan reliabilitas Test of In-Hand Manipulation-Revised (TIHM-R) berbahasa Indonesia pada anak usia 4-7 tahun = Validity and reliability the Indonesian version of Test of In-Hand Manipulation-Revised (TIHM-R) in children ages 4 to 7 years
"Latar Belakang : Perkembangan motorik halus merupakan salah satu aspek penting dalam kehidupan anak. In-Hand Manipulation (IHM) merupakan komponen penting dalam keterampilan motorik halus yang berhubungan dengan kemampuan menulis dan perawatan diri. Penelitian ini ingin menguji validitas isi dan reliabilitas interrater dan test-retest yang diterjemahkan kedalam bahasa Indonesia yang belum pernah dilakukan sebelumnya.
Metode : Desain penelitian ini adalah uji validasi, terdiri dari 60 subjek yang diambil berdasarkan kriteria penerimaan; anak laki-laki atau perempuan usia 4-7 tahun, dapat memahami dan mengikuti instruksi yang diberikan, diizinkan oleh orang tua dengan mengisi informed consent. Subjek tidak dapat mengikuti penelitian jika terdapat gangguan penglihatan, gangguan pendengaran, gangguan neuromuskuloskeletal berdasarkan pemeriksaan fisik secara umum dan IQ < 90. Kemampuan IHM dinilai dengan TIHM-R Berbahasa Indonesia.
Hasil : Dari 60 anak didapatkan rerata usia responden adalah 72 (SB 7) bulan dengan kisaran usia 52 bulan hingga 84 bulan. Secara isi TIHM-R berbahasa Indonesia telah dinyatakan sesuai dengan TIHM-R berbahasa Inggris. Tidak didapatkan perbedaan yang bermakna pada nilai TIHM-R antara ketiga pemeriksa (rater). Pada uji test-retest didapatkan perbedaan bermakna dengan rentang waktu 2 minggu. Dari analisa didapatkan kenaikan skor secara signifikan pada aspek waktu di semua tugas rotasi (p=0.001, p=0.021) dan translasi 4 pasak (p=0.019).
Kesimpulan : TIHM-R berbahasa Indonesia mempunyai validitas isi dan reliabilitas yang baik untuk digunakan sebagai alat ukur kemampuan IHM pada anak usia 4-7 tahun.
Background : Development of fine motor is one of the most important aspect in a child?s life. In-Hand Manipulation (IHM) is an important component in the fine motor skill associated with writing and self care ability. This research aim to test the content validity, interrater and test-retest reliability of the TIHM-R that has been translated to Bahasa Indonesia, which has never been done before.
Methods : The design of research is validity test, with 60 subject according to the inclusion criteria ; boys or girls at the age of 4-7 years old, able to understand and follow the instructions given, and permitted by their parents by filling the informed consent. Subject are excluded if they have vision, hearing or neuromusculosceletal problems based on general physical examination and IQ < 90. The ability of IHM is measured by TIHM-R in the Indonesian version.
Results : From 60 children, the mean age was 72 (SD 7) months with range from 52 months until 84 months. The Indonesian version of TIHM-R has been declared appropriate with original TIHM-R. There is no significant difference of TIHM-R score obtained from interrater evaluation. There is significant difference of TIHM-R score between the first test and the second test with interval 2 weeks. There is significant increase in scores on the aspect of time in rotation task (p=0.001, p=0.21) and translation 4 pegs task (p=0.019).
Conclusion : The Indonesian version of TIHM-R has good content validity and reliability to measure IHM skills in children ages 4 to 7 years."
Depok: Fakultas Kedokteran Universitas Indonesia, 2014
SP-Pdf
UI - Tugas Akhir  Universitas Indonesia Library
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Elien Wihestin
Penggunaan skala reel modifikasi dalam menilai gangguan perkembangan bahasa pada anak usia 18-36 bulan di daerah rural = The use of modified reel scale in assessing language development disorder in child age 18-36 months in rural area
"[ABSTRAK
Latar Belakang : Kemampuan berbahasa merupakan salah satu indikator
perkembangan anak karena melibatkan kemampuan kognitif, sensori motor,
psikologis, emosi dan lingkungan disekitar anak. Penilaian kemampuan bahasa
anak sangat penting pada periode 2-4 tahun karena terjadi peningkatan jumlah dan
kompleksitas dalam perkembangan bicara dan bahasa. Penilaian dapat dilakukan
oleh tenaga kesehatan maupun oleh orang tua. Keterbatasan tenaga kesehatan di
daerah rural menyebabkan penilaian berbasis orang tua sangat penting sehingga
dibutuhkan instrumen yang sesuai dengan budaya, bahasa dan lingkungan anak.
Tujuan penelitian adalah mengetahui akurasi instrumen penilaian kemampuan
bahasa berbasis orang tua pada anak usia 18-36 bulan didaerah rural.
Metode : Subjek penelitian diambil dari anak usia 18 ? 36 bulan dan orang
tua/pelaku rawat peserta posyandu di desa Sukarapih, Kecamatan Tambelang,
Kabupaten Bekasi. Orang tua/pelaku rawat harus mampu membaca dan mengerti
bahasa Indonesia. Perkembangan bahasa anak dinilai dengan skala REEL
(Receptive Expressive Emergent Language) modifikasi oleh orang tua dan skala
ELM (Early Language Milestone) oleh peneliti. Hasil penilaian skala REEL
dibandingkan dengan skala ELM melalui uji diagnostik untuk mendapatkan nilai
sensitivitas dan spesifitas, nilai prediksi positif dan negatif serta likelihood ratio
(LR).
Hasil : Jumlah subjek terdiri dari 100 anak dan 100 orang tua/pelaku rawat yang
diambil dari empat posyandu. Skala REEL mempunyai nilai sensitivitas 72,73 %,
spesifisitas 98,87 %, nilai prediksi positif 88,89%, nilai prediksi negatif 96,70%,
LR positif 64,73 dan LR negatif 0,28.
Kesimpulan : Skala REEL dapat dipakai dalam menilai gangguan perkembangan
bahasa pada anak usia 18-36 bulan di daerah rural dengan menggunakan kalimat
yang lebih sederhana dan mudah dipahami.
ABSTRACT
Background : Language skill is one of the indicator of a child's development
because it involves cognitive ability, sensory motor, the psychological, emotional
and environment around children. Assessment of a child's language skill at the age
of 2-4 years is very important due to an increase in the number and complexity in
the development of speech and language. Assessment can be done by health
professionals as well as by parents. Limitations of available health workers in
rural areas increases the need for a parental-based assessment tool that is
applicable with the culture, language and environment of the children. The
research objective was to determine the accuracy of the parental-based language
assessment instrument on children aged 18-36 months in rural areas.
Methods : The subjects were children aged 18-36 months and their parents /
caregivers who were participants of Sukarapih neighborhood health center in the
village, District Tambelang, Bekasi Regency. Parents / caregivers should be able
to read and understand Bahasa Indonesia. The children's language development
was assessed using the modified REEL (receptive Expressive Emergent
Language) scale by their parents and the ELM (Early Language Milestone) scale
by the researcher. The REEL-scale assessment results was compared with ELM
scale through a diagnostic test for sensitivity and specificity, positive and negative
predictive values as well as likelihood ratio (LR).
Results : The subjects consisted of 100 children and 100 parents / caregivers
taken from four neighborhood health center. The REEL scale has 72.73%
sensitivity, 98.87% specificity, 88.89% positive predictive value, 96.70% negative
predictive value, 64.73 positive LR and of 0.28 negative LR.
Conclusion : The REEL Scale can be used to assess language development
disorders in children aged 18-36 months in rural areas by using simplified and
easy to understand sentences.;Background : Language skill is one of the indicator of a child's development
because it involves cognitive ability, sensory motor, the psychological, emotional
and environment around children. Assessment of a child's language skill at the age
of 2-4 years is very important due to an increase in the number and complexity in
the development of speech and language. Assessment can be done by health
professionals as well as by parents. Limitations of available health workers in
rural areas increases the need for a parental-based assessment tool that is
applicable with the culture, language and environment of the children. The
research objective was to determine the accuracy of the parental-based language
assessment instrument on children aged 18-36 months in rural areas.
Methods : The subjects were children aged 18-36 months and their parents /
caregivers who were participants of Sukarapih neighborhood health center in the
village, District Tambelang, Bekasi Regency. Parents / caregivers should be able
to read and understand Bahasa Indonesia. The children's language development
was assessed using the modified REEL (receptive Expressive Emergent
Language) scale by their parents and the ELM (Early Language Milestone) scale
by the researcher. The REEL-scale assessment results was compared with ELM
scale through a diagnostic test for sensitivity and specificity, positive and negative
predictive values as well as likelihood ratio (LR).
Results : The subjects consisted of 100 children and 100 parents / caregivers
taken from four neighborhood health center. The REEL scale has 72.73%
sensitivity, 98.87% specificity, 88.89% positive predictive value, 96.70% negative
predictive value, 64.73 positive LR and of 0.28 negative LR.
Conclusion : The REEL Scale can be used to assess language development
disorders in children aged 18-36 months in rural areas by using simplified and
easy to understand sentences.;Background : Language skill is one of the indicator of a child's development
because it involves cognitive ability, sensory motor, the psychological, emotional
and environment around children. Assessment of a child's language skill at the age
of 2-4 years is very important due to an increase in the number and complexity in
the development of speech and language. Assessment can be done by health
professionals as well as by parents. Limitations of available health workers in
rural areas increases the need for a parental-based assessment tool that is
applicable with the culture, language and environment of the children. The
research objective was to determine the accuracy of the parental-based language
assessment instrument on children aged 18-36 months in rural areas.
Methods : The subjects were children aged 18-36 months and their parents /
caregivers who were participants of Sukarapih neighborhood health center in the
village, District Tambelang, Bekasi Regency. Parents / caregivers should be able
to read and understand Bahasa Indonesia. The children's language development
was assessed using the modified REEL (receptive Expressive Emergent
Language) scale by their parents and the ELM (Early Language Milestone) scale
by the researcher. The REEL-scale assessment results was compared with ELM
scale through a diagnostic test for sensitivity and specificity, positive and negative
predictive values as well as likelihood ratio (LR).
Results : The subjects consisted of 100 children and 100 parents / caregivers
taken from four neighborhood health center. The REEL scale has 72.73%
sensitivity, 98.87% specificity, 88.89% positive predictive value, 96.70% negative
predictive value, 64.73 positive LR and of 0.28 negative LR.
Conclusion : The REEL Scale can be used to assess language development
disorders in children aged 18-36 months in rural areas by using simplified and
easy to understand sentences., Background : Language skill is one of the indicator of a child's development
because it involves cognitive ability, sensory motor, the psychological, emotional
and environment around children. Assessment of a child's language skill at the age
of 2-4 years is very important due to an increase in the number and complexity in
the development of speech and language. Assessment can be done by health
professionals as well as by parents. Limitations of available health workers in
rural areas increases the need for a parental-based assessment tool that is
applicable with the culture, language and environment of the children. The
research objective was to determine the accuracy of the parental-based language
assessment instrument on children aged 18-36 months in rural areas.
Methods : The subjects were children aged 18-36 months and their parents /
caregivers who were participants of Sukarapih neighborhood health center in the
village, District Tambelang, Bekasi Regency. Parents / caregivers should be able
to read and understand Bahasa Indonesia. The children's language development
was assessed using the modified REEL (receptive Expressive Emergent
Language) scale by their parents and the ELM (Early Language Milestone) scale
by the researcher. The REEL-scale assessment results was compared with ELM
scale through a diagnostic test for sensitivity and specificity, positive and negative
predictive values as well as likelihood ratio (LR).
Results : The subjects consisted of 100 children and 100 parents / caregivers
taken from four neighborhood health center. The REEL scale has 72.73%
sensitivity, 98.87% specificity, 88.89% positive predictive value, 96.70% negative
predictive value, 64.73 positive LR and of 0.28 negative LR.
Conclusion : The REEL Scale can be used to assess language development
disorders in children aged 18-36 months in rural areas by using simplified and
easy to understand sentences.]"
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2014
T-Pdf
UI - Tesis Membership  Universitas Indonesia Library
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Endah Ambarwati
Uji kesahihan dan keandalan family report questionnaire gross motor function classification system pada palsi serebral = Validity and reliability of family report questionnaire gross motor function classification system in cerebral palsy
"ABSTRAK
Penanganan palsi serebral(PS) yang baik membutuhkan
peran serta aktif pelaku rawat . Sehingga diperlukan alat ukur penilaian fungsi
motorik kasar yang singkat dan dapat dimengerti .Tujuan penelitian ini adalah
menguji kesahihan dan keandalan FRQ-GMFCS versi Bahasa Indonesia .agar
dapat dipergunakan para klinisi dan pelaku rawat anak dengan PS.
METODE.Desain penelitian dengan metode potong lintang pada 53 subjek,
berusia 2-18 tahun.yang dikelompokan sesuai dengan pembagian usia pada FQGMFCS
. Pengolahan data dilakukan dengan analisa univariat dan nilai Cohen
Kappa .
HASIL: Hasil uji kesahihan dan keandalan FRQ-GMFCS versi Indonesia
mendapat hasil yang secara statistik bermakna.
KESIMPULAN: FRQ-GMFCS versi Bahasa Indonesia terbukti memiliki
kesahihan dan keandalan yang baik serta cukup spesifik untuk digunakan klinisi
dan pelaku rawat anak dengan PS.
ABSTRACT
A good handling of cerebral palsy requires the active
participation of caregivers. So, we need an understandable short questionaire of
gross motor function assessment.The aim of this study was to determine the
validity and reliability of Indonesian version of FRQ-GMFCS so it can be used
for clinicians and caregivers of children with cerebral palsy(CP).
METODE:We conducteds a cross-sectional study in 53 caregivers of children
with CP, aged 2-18 yeras old and was grouped according to the age distribution of
the FRQ-GMFCS. Data processing was performed with univariate analysis and
Cohen Kappa value.
RESULTS: The validity and reliability of Indonesian version of FRQ-GMFCS
statistically are significant.
CONCLUSION: Indonesian version of FRQ-GMFCS shown to have good
validity and reliability as well as the specific enough to be used clinicians and
caregivers of children with CP. ;BACKGROUND: A good handling of cerebral palsy requires the active
participation of caregivers. So, we need an understandable short questionaire of
gross motor function assessment.The aim of this study was to determine the
validity and reliability of Indonesian version of FRQ-GMFCS so it can be used
for clinicians and caregivers of children with cerebral palsy(CP).
METODE:We conducteds a cross-sectional study in 53 caregivers of children
with CP, aged 2-18 yeras old and was grouped according to the age distribution of
the FRQ-GMFCS. Data processing was performed with univariate analysis and
Cohen Kappa value.
RESULTS: The validity and reliability of Indonesian version of FRQ-GMFCS
statistically are significant.
CONCLUSION: Indonesian version of FRQ-GMFCS shown to have good
validity and reliability as well as the specific enough to be used clinicians and
caregivers of children with CP. "
Fakultas Kedokteran Universitas Indonesia, 2015
SP-PDF
UI - Makalah dan Kertas Kerja  Universitas Indonesia Library
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Ratna Ekawati
Uji Kesahihan dan Keandalan Communication Function Classification System Versi Bahasa Indonesia pada Penderita Palsi Serebral = Validity and Reliability Test of Indonesian Version of the Communication Function Classification System on Patients with Cerebral Palsy
"Gangguan komunikasi pada anak dengan palsi serebral dapat meliputi gangguan pada proses berbicara dan berbahasa baik ekspresif maupun reseptif. Gangguan fungsi komunikasi berpengaruh secara bermakna terhadap kualitas hidup anak dengan palsi serebral terutama dalam domain aktivitas sehari-hari dan partisipasi dalam hubungan sosial. Sistem penilaian fungsi komunikasi pada anak dengan palsi serebral sangat diperlukan untuk mendapatkan data dasar fungsi komunikasi anak. Communication Function Classification System (CFCS) merupakan instrumen yang dipakai untuk mengelompokkan fungsi komunikasi anak dengan palsi serebral. Penelitian ini bertujuan untuk menguji kesahihan dan keandalan instrumen CFCS yang diadaptasi dan diterjemahkan dalam budaya dan bahasa Indonesia. Penelitian ini dilaksanakan di poliklinik Departemen Rehabilitasi Medik divisi Pediatri RSCM dari 1 Oktober 2021 hingga 28 Februari 2022. Metode yang digunakan adalah desain potong lintang dengan sampel berjumlah 42 orang. Uji kesahian menggunakan validitas isi. Data diolah dengan uji keandalan inter-rater menggunakan koefisien Kappa dan test-retest menggunakan Intraclass Correlation Coefficient (ICC). Hasil penelitian menunjukkan nilai koefisien Kappa antara rater dokter dengan terapi wicara adalah 0,643 (baik), nilai antara rater dokter dengan pelaku rawat adalah 0,385 (lemah) dan nilai antara rater terapi wicara dengan pelaku rawat adalah 0,333 (lemah). Nilai ICC pada rater dokter adalah 1,000, rater terapis wicara adalah 0.973 dan pada rater pelaku rawat adalah 0,937. Berdasarkan hasil dari proses translasi, adaptasi bahasa, uji keandalan inter rater dan test retest maka dapat disimpulkan CFCS versi bahasa Indonesia merupakan instrumen yang sahih dan memiliki keandalan yang baik antara rater dokter dan terapi wicara untuk digunakan sebagai alat klasifikasi fungsi komunikasi penderita palsi serebral di Indonesia.
Communication disorders in children with cerebral palsy can include disturbances in speech and language processes, both expressive and receptive. Impaired communication function significantly affects quality of life of children with cerebral palsy, especially in the domain of daily activities and participation in social relationships. The communication function classification system in children with cerebral palsy is needed to obtain basic data on children's communication functions. The Communication Function Classification System (CFCS) is an instrument used to classify the communication functions of children with cerebral palsy. This study aims to test the validity and reliability of the CFCS instrument adapted and translated into Indonesian culture and language. This research was conducted at the Polyclinic of Department of Medical Rehabilitation in Pediatrics Division of RSCM from October 1, 2021 to February 28, 2022. The method used was a cross-sectional design with a sample of 42 subjects. Validity test using content validity. The data was processed by inter-rater reliability test using Kappa coefficient and test-retest using Intraclass Correlation Coefficient (ICC). The results showed that the Kappa coefficient between raters of doctors and speech therapy was 0.643 (good), the value between raters of doctors and caregivers was 0.385 (weak) and the value between raters of speech therapy and caregivers was 0.333 (weak). The ICC value for the doctor rater is 1,000, the speech therapist rater is 0.973 and the caregivers rater is 0.937. Based on the translation process, language adaptation, inter rater reliability test and test retest, it can be concluded that the Indonesian version of the CFCS is a valid instrument and has good reliability between rater doctors and speech therapy to be used as a means of classifying the communication function of patients with cerebral palsy in Indonesia."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2022
T-pdf
UI - Tesis Membership  Universitas Indonesia Library
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Fitria
Uji Kesahihan dan Keandalan Eating and Drinking Ability Classification System (EDACS) Versi Bahasa Indonesia Pada Anak Palsy Serebral = Validity and Reliability Indonesian Version of EDACS (Eating and Drinking Ability Classification System) in Children with Cerebral Palsy
"esis ini bertujuan untuk mengetahui kesahihan dan keandalan Eating and Drinking Ability Classification System (EDACS) versi Bahasa Indonesia pada anak Palsi serebral. EDACS diterjemahkan dan diadaptasi kultural ke dalam Bahasa Indonesia menggunakan metode FACIT (Functional Assessment of Chronic Illness Therapy). Kesepakatan antar rater terapis wicara dan dokter ketika menggunakan EDACS dinilai menggunakan koefisien Kappa. Sebanyak 30 anak dengan Palsi serebral (usia rata-rata 6 tahun, SD 3,2 tahun, kisaran 3-16 tahun) diklasifikasikan kemampuan makan dan minumnya dengan EDACS. Hasil reabilitas inter rater terapis wicara menunjukkan tingkat kesepakatan yang sangat kuat (tingkat EDACS, k=0.871) dan kuat (tingkat pendampingan k=0.80). Reliabilitas inter rater dokter menunjukkan tingkat kesepakatan yang kuat (tingkat EDACS, k=0.703; tingkat pendampingan, k= 0.788. Keeratan kesepakatan inter rater terapis wicara dan dokter untuk tingkat EDACS dan tingkat pendampingan adalah sangat kuat ( k =0.828 dan k =0.895). Kesimpulan dari penelitian ini adalah EDACS versi bahasa Indonesia sahih dan andal digunakan oleh dokter dan terapis bahasa wicara dalam mengklasifikasikan kemampuan fungsional makan dan minum pada anak Palsi serebral.
.This thesis aims to determine the validity and reliability of the Indonesian version of the Eating and Drinking Ability Classification System (EDACS) in children with cerebral palsy. EDACS was translated and culturally adapted into Bahasa Indonesia using the FACIT (Functional Assessment of Chronic Illness Therapy) method. Agreement between speech therapist and medical doctor raters when using EDACS was assessed by Kappa coefficient. A total of 30 children with cerebral palsy (mean age 6 years, SD 3.2 years, range 3-16 years) had their ability to eat and drink classified using EDACS. The speech therapist inter-rater reliability results showed a very strong agreement (EDACS level, κ=0.871) and strong agreement (EDACS level of assistance κ=0.80). The inter-rater reliability of medical doctors showed a strong agreement (EDACS level, κ=0.703; EDACS level of assistance, κ= 0.788). The agreement between speech therapists and medical doctors for EDACS level and level of assistance is very strong (κ =0.828 and κ =0.895). The conclusion of this study is the Indonesian version of EDACS is valid and reliable to be used by medical doctors and speech therapists in classifying functional eating and drinking abilities in children with cerebral palsy.
"
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2023
SP-pdf
UI - Tugas Akhir  Universitas Indonesia Library
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Teffy Aulia Merry Dame
Efek permainan tradisional engklek terhadap fungsi keseimbangan anak usia sekolah dasar dengan gangguan perkembangan koordinasi = Effects of Indonesia traditional games Engklek associated with Balance function in elementary school children with Developmental coordination disorder.
"Latar belakang: GPK adalah gangguan neurodevelopmental yang dikarakteristikkan dengan gangguan performa motorik dalam melakukan aktivitas sehari-hari yang tidak konsisten dengan usia dan intelegensi anak. Penyandang GPK juga memiliki gangguan keseimbangan selain gangguan motorik kasar dan halus yang memiliki ciri khas berupa kesulitan dalam proses pembelajaran motorik, sehingga akan membutuhkan waktu yang lebih lama dalam prosesnya. Akibat gangguan yang dimilikinya, anak dengan GPK cenderung melakukan isolasi dan restriksi dari beragam aktivitas fisik yang apabila tidak dikoreksi dapat memberikan defisit di bidang lainnya seperti akademis, perawatan diri bahkan mental yang akhirnya dapat mempengaruhi kualitas hidup anak. Gangguan ini dapat menetap hingga dewasa namun apabila diberikan intervensi dapat memberikan keluaran yang lebih baik dalam performa motorik anak, sehingga sebuah intervensi penting untuk diberikan. Penyandang GPK memiliki defisit mulai dari gerakan yang diinisiasi diri, gangguan motorik prefungsional, Kemampuan kontrol motoric dan performa motorik serta keterampilan motorik yang akhirnya mempengaruhi fungsi motoric adaptifnya, dalam hal ini bermain. Sementara engklek sendiri berperan dalam fungsi motorik adaptif yaitu bermain bersama dalam komunitas, yang aktivitasnya meliputi lompat,lempar dan berbalik, yang dengan pelatihan dapat meningkatkan fungsi koordinasi serta keseimbangan dan tidak lupa peningkatan motivasi bergerak serta memenuhi unsur praktek berulang.
Metode: Penelitian ini merupakan studi intervensi dengan consecutive sampling pada 18 orang anak sekolah dasar berusia 6-12 tahun dengan GPK yang memiliki skor motorik pada zona merah berdasarkan penilaian dengan Movement Assessment Battery for Children-2. Intervensi yang diberikan berupa latihan engklek sebanyak 2x/minggu sebanyak 10 kali putaran selama 6 minggu.
Hasil: Dari hasil penilaian skor pada awal, minggu ketiga dan akhir penelitian didapatkan peningkatan fungsi keseimbangan, namun hasilnya tidak signifikan secara statistik. Tidak signifikannya perbaikan ini dapat didasari oleh dasar mekanisme pada GPK yaitu kesulitan dalam proses pembelajaran motorik itu sendiri. Dalam penelitian ini, tiap anak hanya mendapatkan 120x momen permainan engklek total yang setara dengan 520 kali pengulangan lompat dengan satu kaki. Sehingga,penyandang GPK perlu lebih banyak latihan untuk menyesuaikan dengan kondisinya
Kesimpulan: permainan tradisional engklek memberikan perbaikan skor keseimbangan pada anak dengan GPK yang tidak signifikan secara statistik
DCD is a neurodevelopmental disorder characterized by motor performance problems in daily activities that are inconsistent with the age and intelegency. Children with DCD also has a balance problem in addition to fine and gross motor problems with a characteristic of difficulty in the motor learning process, which can take a longer time in motor learning process. Due to his or her problems, child with DCD tends to make a self isolation and restriction to various physical activities. Uncorrected problems in DCD children leads to other areas deficits such as academic, self-care even mental problems that can eventually affect children quality of life. These disorders can remain to adulthood but when given the intervention can provide better output in children motor performance, so that an intervention is important to this condition. DCD children have a deficit ranging from self-initiated movements, prefunctional Motor disorders, motoric control capabilities and motor performance as well as motor skills that ultimately affect its adaptive motoric function like plays. While the Engklek itself plays a role in adaptive motor function like play together in the community, whose activities include jumping, throwing and turning, which with training can improve the function of coordination as well as balance and also increased motivation to moves and fulfill elements of repetitive practice. Methods: This research is an intervention study with consecutive sampling in 18 elementary school children aged 6-12 years with DCD that has a motor score in the red zone based on the assessment with the Movement Assessment Battery for Children-2. The intervention given is 2x/week of Engklek training as much as 10 rounds for 6 weeks. Results: Assessment was taken at baseline, third and final week of study which shows improved balance function, but the results were not statistically significant. This finding might because of the based on the basic mechanism of DCD i.e difficulty in the motor learning process itself. In this study, each child only gained 120x a total game moment equivalent to 520 times the jump loop with one foot. Thus, DCD child needs more exercise to adjust to its condition. Conclusion: Engklek traditional game usually provide balance function score improvement in children with DCD but not statistically significant"
Depok: Fakultas Kedokteran Universitas Indonesia, 2019
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Multazam
Keterlambatan Bahasa dan Bicara pada Anak Usia 18-36 Bulan: Faktor yang Memengaruhi dan Hubungannya dengan Riwayat Lahir Prematur = Language and Speech Delay in Children Aged 18-36 Months: Influencing Factors and Their Relationship with History of Preterm Birth
"Penelitian ini bertujuan untuk untuk mendeteksi awal keterlambatan bahasa dan bicara menggunakan early language milestone scale 2 (ELMS2) pada anak usia 18-36 bulan dengan faktor yang memengaruhi dan hubungannya dengan riwayat lahir prematur. Jumlah subjek penelitian sebesar 96 subjek, dengan 48 subjek anak lahir prematur (kelompok studi) dan 48 subjek anak lahir cukup bulan (kelompok kontrol). Sebanyak 22 subjek (68,8%) anak dengan riwayat lahir prematur mengalami keterlambatan bahasa dan bicara dibandingkan anak cukup bulan, p = 0,017; OR 3,2 (1,3-7,9). Faktor riwayat perawatan NICU, p < 0,001; OR 5.4 (2.0 - 14.5), riwayat kuning (jaundice), p = 0,046; OR 2.8 (0.9 - 7.7), riwayat kelurga dengan gangguan bahasa dan bicara, p = 0,003; OR 3.4 (2.5 - 4.6), jumlah screen time ³ 2 jam, p= 0, 030; OR 2.6 (1.0 – 6.5), status ekonomi, p= 0,017, dan pendidikan ibu, p<0,001 merupakan faktor yang memengaruhi kejadian keterlambatan bahasa dan bicara, sedangkan jumlah anak, p = 0,378 dan bilingualisme, p= 0,204, tidak memengaruhi kejadian keterlambatan bahasa dan bicara.
This study aims to detect early language and speech delays using the early language milestone scale 2 (ELMS2) in children aged 18-36 months with influencing factors and their relationship with a history of premature birth. The number of study subjects was 96 subjects, with 48 subjects born prematurely (study group) and 48 subjects born at term (control group). A total of 22 subjects (68.8%) of children with a history of preterm birth had language and speech delays compared to full-term children, p = 0.017; OR 3.2 (1.3-7.9). Factors such as history of NICU care, p < 0.001; OR 5.4 (2.0 - 14.5), history of jaundice, p = 0.046; OR 2.8 (0.9 - 7.7), family history of language and speech disorders, p = 0.003; OR 3.4 (2.5 - 4.6), screen time ≥ 2 hours, p = 0, 030; OR 2.6 (1.0 - 6. 5), economic status, p = 0.017, and maternal education, p < 0.001 were factors that influenced the incidence of language and speech delay, while the number of children, p = 0.378 and bilingualism, p = 0.204, did not influence the incidence of language and speech delay."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2023
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UI - Tugas Akhir  Universitas Indonesia Library
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Duhita Yassi
Kajian faktor-faktor yang berhubungan dengan skor nasalance pada pasien celah palatum = Study of factors related with nasalance score in cletf palate patients / Duhita Yassi
"ABSTRAK
Tesis ini melaporkan gambaran skor nasalance pada defek celah palatum, hubungan antara skor nasalance percontoh celah palatum dan percontoh tanpa celah palatum serta mengetahui faktor-faktor yang berhubungan dengan skor nasalance pada pasien celah palatum berdasarkan klasifikasi Veau. Desain penelitian adalah comparative cross sectional. Pengambilan percontoh dilakukan dengan purposive sampling, dilakukan di Departemen THT-KL FK UI-RSCM serta Instalasi Rehabilitasi Medik RSUP Fatmawati. Percontoh dikelompokkan menjadi 2 yaitu kelompok celah palatum dan tanpa celah palatum sebagai kontrol. Jumlah percontoh adalah 17 untuk masing-masing kelompok. Dilakukan pengumpulan data berupa wawancara, pengisian kuesioner, selanjutnya pemeriksaan THT, audiometri, timpanometri, nasoendoskopi dan nasometri. Didapatkan hasil gambaran rerata skor nasalance percontoh celah palatum Uji Gajah kelompok Veau 1 45,40% ± 10,6; Veau 2 41,74% ± 11,6; Veau 3 52,88%; celah palatum sub mukosa 55,67% ± 6,2. Pada Uji Hantu didapatkan rerata skor nasalance kelompok Veau 1 43,90 % ± 6,8; Veau 2 40,59% ± 13,7; Veau 3 59,8% dan celah palatum sub mukosa 49,02% ± 7,5. Pada Uji Sengau, rerata kelompok Veau 1 40,16 % ± 7,2; Veau 2 41,77% ± 13,4; Veau 3 70,51% dan celah palatum sub mukosa 62,75% ± 6,3. Terdapat perbedaan yang bermakna antara skor nasalance percontoh celah palatum dan tanpa celah palatum pada Uji Gajah dan Uji Hantu (p<0,001), sedangkan pada Uji Sengau tidak bermakna (p>0,05). Pada analisis multivariat secara keseluruhan faktor-faktor yang berhubungan dengan skor nasalance ((adenoid, Otitis Media Efusi (OME) dan gangguan pendengaran)) dan keberadaan celah palatum berpengaruh secara signifikan terhadap skor nasalance pada semua uji nasalance (p<0,05) pada pengujian terhadap kedua kelompok percontoh, dan tidak berpengaruh secara signifikan pada pengujian kelompok celah palatum saja. Bila dilihat secara parsial faktor adenoid berpengaruh secara signifikan terhadap skor semua uji nasalance baik pada analisis kedua kelompok percontoh maupun pada percontoh celah palatum saja.
ABSTRACT
This paper reported nasalance score in cleft palate patients, the correlation between nasalance score in cleft palate and non cleft palate patients and also factors related with nasalance score in cleft palate patients in Veau criteria. The design of this study is comparative cross sectional, with purposive sampling in ENT Department of Indonesian University-Cipto Mangunkusumo Hospital and Instalation of Medical Rehabilitation Fatmawati Hospital. Sample devided in to 2 groups, cleft palate and non cleft palate group with 17 samples in each group. Data was collected with interview, questioner application, ENT examination, audiometry, tympanometry, nasoendoscopy and nasometry. The result of this study reported mean of nasalance score in cleft palate patients, Uji Gajah in Veau 1 patients is 45,40% ± 10,6; Veau 2 41,74% ± 11,6; Veau 3 52,88% and sub mucous cleft palate 55,67% ± 6,2. In Uji Hantu the nasalance score are Veau 1 patients 43,90 % ± 6,8; Veau 2 40,59% ± 13,7; Veau 3 59,8% and sub mucous cleft palate 49,02% ± 7,5. In Uji Sengau, the score are Veau 1 40,16 % ± 7,2; Veau 2 41,77% ± 13,4; Veau 3 70,51% and sub mucous cleft palate 62,75% ± 6,3. There is significant difference in nasalance score between cleft palate and non cleft palate patients in Uji Gajah and Uji Hantu (p>0,05) but no differences in Uji Sengau. In multivariate analysis, in general the factors related with nasalance score ((adenoid, Otitis Media with Effusion, hearing loss)) and also existancy of cleft palate is significantly correlated with nasalance score in all nasalance test (p<0,05) in both groups analysis but no signifficant correlation in cleft palate group analysis. Partially, adenoid is significantly correlated with nasalance score in both group analysis and cleft palate group analysis."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2014
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