Manajemen Fisioterapi Dengan Pendekatan Neuro Developmental Treatment (NDT) Dan Passive Stretching Pada Kasus Cerebral Palsy Spastik Diplegi: Case Report

Vivian Jennie Diva Carissa; Totok Budi Santoso; Edy Waspada

doi:10.61132/obat.v2i2.306

Authors

Vivian Jennie Diva Carissa Universitas Muhammadiyah Surakarta
Totok Budi Santoso Universitas Muhammadiyah Surakarta
Edy Waspada YPAC Dr. Soeharso Surakarta

DOI:

https://doi.org/10.61132/obat.v2i2.306

Keywords:

cerebral palsy, neuro developmental treatment, passive stretching, spasticity

Abstract

Cerebral Palsy (CP) is a disorder of the immature and developing brain that causes impaired movement, posture and muscle strength. Spastic type represents 70% of cerebral palsy. The purpose of this study was to determine the effect of Neuro Developmental Treatment (NDT) on the patient's functional ability and the effect of Passive Stretching on reducing spasticity. The research method used in this study is single subject research involving a 3-year-old girl with a diagnosis of cerebral calsy spastic Diplegi. The interventions given were NDT and Passive Stretching. In this study, it was found that there was still no significant change in the level of muscle spasticity and gross motor with the condition of spastic diplegi cerebral palsy. In future research, the author hopes that this research will be conducted over a longer period of time to determine the effect of physiotherapy on children with a diagnosis of spastic diplegiate cerebral palsy.

References

Abidin, Z., Kuswardani&Purnomo,D.(2017).Pengaruh Terapi Latihan Bobath Terhadap Cerebral palsy Diplegi Spastik.Jurnal Fisioterapi dan Rehabilitasi (JFR).1,No.1,16-23.

Alireza, M., J Steven, A., Mohammad Ali, S., & Robert, Z. (2010). Alemtuzumab and multiple sclerosis: therapeutic application. Expert opinion on biological therapy, 10(3), 421-429.

Barnes, K. 2013. Clinical Crash Coursb: Paediatrics. 4th ed. Cina: Elsevier.

Butler, C & Darrah, J. 2001. AACPDM Evidence Report; Effect of Neuro Developmental Treatment (NDT) for Cerebral Palsy, D evelopmental A Medicine and Child Neurology; Oktober, 14, 2012. From: http//www.ACCPDM.org

Donna, L. 2004. Pedoman Klinis Keperawatan Pediatrik. 4 th ed. Jakarta: Anggota IKAPI.

Fauziyah,N.(2021). Penatalaksanaan Fisioterapi Pada Kasus Cerebral palsy Spastik Quadriplegia Dengan Metode Bobath Di RSI Jemursari.KTI.Madura:Stikes Ngudia Husada Madura

Labaf, S., Shamsoddini, A., Hollisaz, M. T., Sobhani, V., & Shakibaee, A. (2015). Effects of Neurodevelopmental Therapy on Gross Motor Function in Children With Cerebral Palsy. 9(2), 36–41.

Luhur, ATM. (2016). Penatalaksanaan Fisioterapi Dengan Pendekatan Neuro Development Treatment Pada Kasus Cerebral palsy Di PNCT Karanganyar. KTI. Surakarta: Universitas Muhammadiyah Surakarta

Nugroho, L. 2007. Penatalaksanaan Terapi Latihan Metode Neuro Developmental Treatment Pada Cerebral Plasy Spastik Diplegi. Karya Tulis Ilmiah, Surakarta : Politeknik Kesehatan Surakarta.

Rikesdas. 2010. Situasi Penyandang Disability. Jakarta: Kementrian Kesehatan Republik Indonesia.

Sopandi, M. A., & Nesi, N. (2021). Fisioterapi Pada Kasus Cerebral Palsy. Indonesian Journal of Health Science, 1(2), 47-50.

Tupimai, T., Peungsuwan, P., Prasertnoo, J., & Yamauchi, J. (2016). Effect of combining passive muscle stretching and whole body vibration on spasticity and physical performance of children and adolescents with cerebral palsy. Journal of physical therapy science, 28(1), 7–13. https://doi.org/10.1589/jpts.28.7

Waluyo, T. 2008. Pengaruh Mobilisasi Trunk Terhadap Penurunan Spastisitas Pada Cerebral Palsy Spastik Diplegi. Skripsi. Surakarta: Universitas Muhammadiyah Surakarta.

Waspada, E. 2010. Fisioterapi Pediatri II. Surakarta: Universitas Muhammadiyah Surakarta Prodi Fisioterapi.

Zulyus A, B., &Anggita, M, Y. (2019). Efektivitas Pemberian Trunk Exercise Pada Plantar Flexor Ankle Exercise Terhadap Kemampuan Berjalan Anak Cerebral palsy Diplegi.Jurnal Fisioterapi Volume 19 Nomor 2, Oktober 2019.hal 53-59