241767391 Fraktur Jurnal Sistem Integumen Keperawatan

7/24/2019 241767391 Fraktur Jurnal Sistem Integumen Keperawatan

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}\viewkind1\viewscale100\margl0\margr0\margt0\margb0\deftab80\dntblnsbdb\expshrtn\paperw11900\paperh16840\pard\sb0\sl-240{\bkmkstart Pg1}{\bkmkend Pg1}\par\pard\ql \li1416\sb0\sl-276\slmult0 \par\pard\ql\li1416\sb0\sl-276\slmult0 \par\pard\ql\li1416\sb0\sl-276\slmult0 \par\pard\ql\li1416\sb64\sl-276\slmult0 \up0 \expndtw-4\charscalex100 \ul0\nosupersub\cf1\f2\fs24 GASTER Vol. 10 No. 2 Agustus 2013\par\pard\qj \li1585\sb0\sl-300\slmult0 \par\pard\qj\li1585\ri1323\sb105\sl-300\slmult0\fi237 \up0 \expndtw-4\charscalex100 \ul0\nosupersub\cf4\f5\fs25 PENGARUH LATIHAN RANGE OF MOTION (ROM) AKTIF TERHADAP \line \up0 \expndtw-4\charscalex100 KEKUATAN OTOT PADA PASIEN POST OPERASI FRAKTUR HUMERUS DI \par\pard\ql \li4654\sb11\sl-287\slmult0 \up0 \expndtw-5\charscalex100 RSUD Dr. MOEWARDI \par\pard\ql \li4000\sb0\sl-276\slmult0 \par\pard\ql\li4000\sb167\sl-276\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf1\f2\fs24 Ririn Purwanti, Wahyu Purwaningsih \par\pard\ql \li3312\sb4\sl-276\slmult0 \up0 \expndtw-3\charscalex100 Sekola

h Tinggi Ilmu Kesehatan Aisyiyah Surakarta \par\pard\ql \li5372\sb0\sl-276\slmult0 \par\pard\ql\li5372\sb188\sl-276\slmult0 \up0 \expndtw-3\charscalex100 ABSTRAK \par\pard\qj \li1416\ri1160\sb115\sl-287\slmult0 \up0 \expndtw-7\charscalex100\ul0\nosupersub\cf5\f6\fs24 Latar Belakang : \ul0\nosupersub\cf3\f4\fs24 Fraktur merupakan salah satu masalah kesehatan yang menyebabkan kecacatan \line \up0 \expndtw-4\charscalex100 pada anggota gerak tubuh yang mengalami fraktur. Pasienpost operasi fraktur di Rumah Sakit, \line \up0 \expndtw-2\charscalex100 seringmengalami keterlambatan dalam melakukan pergerakan yaitu terjadi kelemahan otot.\line \up0 \expndtw-2\charscalex100 Latihan rentang gerak yang digunakan untukmeningkatkan kekuatan otot post operasi fraktur \line \up0 \expndtw-4\charscalex100 di Rumah Sakit adalah dengan latihan Range of Motion (ROM). \ul0\nosupersub\cf5\f6\fs24 Tujuan;\ul0\nosupersub\cf3\f4\fs24 Mengetahui pengaruh \line \up0 \

expndtw-4\charscalex100 latihan Range of Motion (ROM) aktif terhadap kekuatan otot pada pasien post operasi fraktur \line \up0 \expndtw-3\charscalex100 humerusdi RSUD Dr. Moewardi. \ul0\nosupersub\cf5\f6\fs24 Metode;\ul0\nosupersub\cf3\f4\fs24 Penelitian ini menggunakan desain Pre Eksperimen \line \up0 \expndtw-2\charscalex100 Design dengan rancangan One Group Pre-Post Test. Pengambilan sampel dalam penelitian \line \up0 \expndtw-3\charscalex100 ini menggunakan teknik Purposive Sampling dengan jumlah sampel penelitian 30 responden, \line \up0 \expndtw-3\charscalex100 sedangkan instrumen penelitian menggunakan lembar observasi, skala kekuatan otot deskriptif \line \up0 \expndtw-2\charscalex100 dan lembar panduan untuk melakukan latihan ROM aktif. Penelitian ini menggunakan analisa \line \up0 \expndtw0\charscalex100 univariate dan bivariate. Pada analisa bivariate menggunakan uji Wilcoxon. \ul0\nosupersub\cf5\f6\fs24 Hasil; \ul0\nosupersub\cf3\f4\fs24 Hasil \line \up0 \expndtw-3\charscalex100 penelitian menunjukkan bahwa lat

ihan Range of Motion (ROM) aktif ini mampu dilakukan oleh \line \up0 \expndtw-4\charscalex100 seluruh responden (100%), sebagian besar kekuatan otot pasien postoperasi fraktur humerus \line \up0 \expndtw-5\charscalex100 sebelum diberi lati


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han ROM aktif adalah skala kekuatan otot 0 atau paralisis total atau tidak ada \line \up0 \expndtw-3\charscalex100 kontraksi otot dan setelah diberikan latihanROM aktif sebanyak 9 kali menjadi skala kekuatan \line \up0 \expndtw-5\charscalex100 otot 2 atau kategori buruk atau kontraksi otot yang cukup kuat menggerakkansendi tetapi hanya \line \up0 \expndtw-2\charscalex100 dapat dilakukan bila pengaruh dari gaya gravitasi dihilangkan. Dari hasil analisa bivariate \line \up0 \expndtw-2\charscalex100 diperoleh nilai z hitung sebesar 4,940 dengan angka sign

ifikan (p) 0,000. Berdasarkan hasil \line \up0 \expndtw-2\charscalex100 tersebutdiketahui z hitung (4,940) > z tabel (1,96) dan angka signifikan (p) < 0,05 sehingga \line \up0 \expndtw-2\charscalex100 ada pengaruh signifikan latihan ROM aktif terhadap kekuatan otot pada pasien post operasi \line \up0 \expndtw-3\charscalex100 fraktur humerus di RSUD Dr. Moewardi. \ul0\nosupersub\cf5\f6\fs24 Kesimpulan; \ul0\nosupersub\cf3\f4\fs24 Ada pengaruh signifikan pada latihan \line \up0 \expndtw-3\charscalex100 range of motion (ROM) aktif terhadap kekuatan otot pada pasien post operasi fraktur humerus \line \up0 \expndtw-4\charscalex100 di RSUD Dr. Moewardi. \par\pard\ql \li1416\sb0\sl-276\slmult0 \par\pard\ql\li1416\sb27\sl-276\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf1\f2\fs24 KataKunci :\ul0\nosupersub\cf3\f4\fs24 Latihan Range Of Motion (ROM) Aktif, Kekuatan Otot Post Operasi\par\pard\sect\sectd\sbknone\cols2\colno1\colw5962\colsr160\

colno2\colw5638\colsr160\ql \li1416\sb0\sl-276\slmult0 \par\pard\ql \li1416\sb122\sl-276\slmult0 \up0 \expndtw-1\charscalex100 \ul0\nosupersub\cf2\f3\fs24 A. PENDAHULUAN\par\pard\qj \li1416\ri90\sb115\sl-439\slmult0\fi396 \up0 \expndtw-4\charscalex100 Mobilitas manusia yang ingin serba cepat \line \up0 \expndtw0\charscalex108 dapat menimbulkan masalah yang cukup \line \up0 \expndtw-5\charscalex100 serius, yaitu jumlah kepadatan lalu lintas yang \line \up0 \expndtw-4\charscalex100 semakin bertambah. Bertambahnya kepadatan \line \up0 \expndtw0\charscalex103 lalu lintas tersebut berakibat meningkatnya\par\pard\ql \li1416\sb0\sl-276\slmult0 \par\pard\ql \li1416\sb220\sl-276\slmult0\tx1846 \up0 \expndtw-3\charscalex100 42\tab \up0 \expndtw-2\charscalex100 Pengaruh Latihan \ul0\nosupersub\cf3\f4\fs24 Range of Motion\ul0\nosupersub\cf2\f3\fs24 ...\par\pard\column \ql \li6122\sb0\sl-276\slmult0 \par\pard\ql \li20\sb122\sl-276\slmult0 \up0 \expndtw0\charscalex108 kecelakaan lalu lintas. Di Indonesia pada\par\pard\qj \li20\ri1172\sb

30\sl-439\slmult0 \up0 \expndtw0\charscalex102 tahun 2003 jumlah kecelakaan di jalan raya \line \up0 \expndtw0\charscalex106 mencapai 13.399 kejadian dengan jumlah \line \up0 \expndtw0\charscalex104 kematian mencapai 9.865 orang, sebanyak \line \up0 \expndtw0\charscalex102 6.142 orang mengalami luka berat (fraktur) \line \up0 \expndtw-3\charscalex100 dan 8.694 luka ringan, dengan rata-rata setiap\par\pard\sect\sectd\fs24\paperw11900\paperh16840\pard\sb0\sl-240{\bkmkstart Pg2}{\bkmkend Pg2}\par\pard\ql \li6739\sb0\sl-276\slmult0 \par\pard\ql\li6739\sb0\sl-276\slmult0 \par\pard\ql\li6739\sb0\sl-276\slmult0 \par\pard\ql\li6739\sb64\sl-276\slmult0 \up0 \expndtw-4\charscalex100 \ul0\nosupersub\cf1\f2\fs24 GASTER Vol. 10 No. 2 Agustus 2013\par\pard\sect\sectd\sbknone\cols2\colno1\colw5962\colsr160\colno2\colw5638\colsr160\ql \li1416\sb0\sl-276\slmult0 \par\pard\ql \li1416\sb146\sl-276\slmult0 \up0 \expndtw-4\charscalex100 \ul0\nosupersub\cf2\f3\fs24 hari terjadi 4,0 kejadian kecelakaan lalu lintas\par\pard\qj \li1416\ri90\sb28\sl-431\slmult0 \up0 \expndtw0\charscalex107 yang mengakibatkan 30 orang meninggal\line \up0 \expndtw-6\charscalex100 dunia (Utama et al, 2008). Kecelakaan tersebut \line \up0 \expndtw-5\charscalex100 dapat menimbulkan cidera, baik cidera ringan, \line \up0 \expndtw-3\charscalex100 berat, kecacatan bahkan kematian. Tingginya \line \up0 \expndtw-7\charscalex100 angka kecelakaan menyebabkan insiden fraktur \line \up0 \expndtw-8\charscalex100 tinggi, dan salah satu fraktur yang paling sering \line \up0 \expndtw-9\charscalex100 terjadi adalah fraktur humerus (Smeltzer, 2001). \line \up0 \expndtw0\charscalex101 Fraktur dapat menyebabkan kecacatan pada \line \up0 \expndtw-3\charscalex100 anggota gerak yang mengalami fraktur, untuk \line \up0 \expndtw-7\charscalex100 itu diharuskan segera dilakukantindakan untuk \line \up0 \expndtw0\charscalex105 menyelamatkan klien dari kecacatan fisik. \line \up0 \expndtw0\charscalex101 Sedangkan kecacatan fisik dapat

dipulihkan \line \up0 \expndtw-3\charscalex100 secara bertahap melalui latihan rentang gerak \line \up0 \expndtw-3\charscalex100 yaitu dengan latihan Range of Motion(ROM) \line \up0 \expndtw-3\charscalex100 yang dievaluasi secara aktif, yan


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g merupakan \line \up0 \expndtw0\charscalex104 kegiatan penting pada periode post operasi \line \up0 \expndtw0\charscalex104 guna mengembalikan kekuatan otot pasien \line \up0 \expndtw0\charscalex103 (Lukman dan Ningsih, 2009). Berdasarkan\line \up0 \expndtw-3\charscalex100 hasil observasi di RSUD Dr. Moewardi, pada \line \up0 \expndtw0\charscalex100 tanggal 05 Desember 2011 diperoleh pasien \line \up0 \expndtw0\charscalex106 fraktur humerus tahun 2011 sejumlah 174 \line \up0 \expndtw0\charscalex102 pasien yang dirawat inap, dari data tersebut \line \up

0 \expndtw0\charscalex106 terdapat 150 pasien fraktur humerus yang \line \up0 \expndtw-3\charscalex100 dilakukan tindakan pembedahan/ operasi.\par\pard\ql \li1416\sb0\sl-276\slmult0 \par\pard\ql \li1416\sb81\sl-276\slmult0 \up0 \expndtw-1\charscalex100 B. METODE PENELITIAN\par\pard\ql \li1416\sb156\sl-276\slmult0 \up0\expndtw-3\charscalex100 Desain Penelitian\par\pard\qj \li1416\ri90\sb22\sl-439\slmult0\fi396 \up0 \expndtw-7\charscalex100 Jenis penelitian yang digunakan yaitu jenis \line \up0 \expndtw-2\charscalex100 penelitian kuantitatif. Desain penelitian yang \line \up0 \expndtw0\charscalex105 digunakan dalam penelitian ini adalah Pre\par\pard\column \ql \li6122\sb0\sl-276\slmult0 \par\pard\ql \li20\sb146\sl-276\slmult0 \up0 \expndtw0\charscalex102 Eksperimen Design dengan rancanganOne\par\pard\ql \li20\sb154\sl-276\slmult0 \up0 \expndtw-4\charscalex100 Group Pre-Post Test.\par\pard\ql \li20\sb154\sl-276\slmult0 \up0 \expndtw-4\charscalex1

00 Tempat dan Waktu Penelitian\par\pard\ql \li20\ri1173\sb27\sl-430\slmult0\fi396\tx427 \up0 \expndtw0\charscalex101 Penelitian ini dilakukan di Rumah Sakit \up0 \expndtw-7\charscalex100 Umum Daerah (RSUD) Dr. Moewardi di ruang \up0 \expndtw-6\charscalex100 rawat inap bedah yaitu Mawar 2 dan Mawar 3. \line\tab \up0 \expndtw-2\charscalex100 Waktu penelitian mulai bulan November \line \up0 \expndtw-3\charscalex100 2011 sampai bulan Juli 2012.\par\pard\ql \li20\sb128\sl-276\slmult0 \up0 \expndtw-3\charscalex100 Populasi dan Sampel\par\pard\qj \li20\ri1172\sb27\sl-430\slmult0\fi396 \up0 \expndtw0\charscalex111 Populasi dalam penelitianini adalah \up0 \expndtw0\charscalex101 seluruh pasien yang telah dilakukan operasi \up0 \expndtw0\charscalex107 fraktur humerus yang di ruang rawat inap \up0 \expndtw-2\charscalex100 bedah di RSUD Dr. Moewardi sebanyak 150 \up0 \expndtw-2\charscalex100 pada bulan Januari - Desember 2011.\par\pard\qj \li20\ri1172\sb1\sl-430\slmult0\fi396 \up0 \expndtw-3\charscalex100 Dalam penelitian ini peneliti

menetapkan \up0 \expndtw-10\charscalex100 jumlah sampel sebanyak 30 orang denganteknik \up0 \expndtw0\charscalex102 pengambilan sampel dengan menggunakan \up0\expndtw-3\charscalex100 purposive sampling.\par\pard\ql \li20\ri1172\sb1\sl-430\slmult0\fi396\tx427\tx427 \up0 \expndtw-6\charscalex100 Kriteria inklusi dalampenelitian ini adalah \line \up0 \expndtw-2\charscalex100 1. Pasien fraktur humerus pada hari pertama \line\tab \up0 \expndtw-4\charscalex100 setelah dilakukanoperasi yang berumur > \line \tab \up0 \expndtw-3\charscalex100 12 tahun.\par\pard\ql \li20\ri1173\sb1\sl-430\slmult0\tx427\tx427 \up0 \expndtw-2\charscalex1002. Pasien fraktur humerus pada hari pertama \line\tab \up0 \expndtw0\charscalex104 setelah dilakukan operasi dan bersedia \line \tab \up0 \expndtw-3\charscalex100 menjadi responden.\par\pard\ql \li20\ri1172\sb1\sl-430\slmult0\tx427\tx427\up0 \expndtw-2\charscalex100 3. Pasien fraktur humerus pada hari pertama \line\tab \up0 \expndtw-7\charscalex100 setelah dilakukan operasi tanpa komplikasi \line \tab \up0 \expndtw-3\charscalex100 atau penyakit lain.\par\pard\ql \li20\ri1173\sb0\sl-439\slmult0\tx427\tx427 \up0 \expndtw-2\charscalex100 4. Pasien fraktur humerus pada hari pertama \line\tab \up0 \expndtw0\charscalex103 setelah dilakukan operasi yang mampu \line \tab \up0 \expndtw-3\charscalex100 berkomunikasidengan baik.\par\pard\ql \li6332\sb0\sl-276\slmult0 \par\pard\ql \li230\sb194\sl-276\slmult0\tx4150 \up0 \expndtw-2\charscalex100 Pengaruh Latihan \ul0\nosupersub\cf3\f4\fs24 Range of Motion\ul0\nosupersub\cf2\f3\fs24 ...\tab \up0 \expndtw-3\charscalex100 43 \par\pard\sect\sectd\fs24\paperw11900\paperh16840\pard\sb0\sl-240{\bkmkstart Pg3}{\bkmkend Pg3}\par\pard\ql \li1416\sb0\sl-276\slmult0 \par\pard\ql\li1416\sb0\sl-276\slmult0 \par\pard\ql\li1416\sb0\sl-276\slmult0 \par\pard\ql\li1416\sb64\sl-276\slmult0 \up0 \expndtw-4\charscalex100 \ul0\nosupersub\cf1\f2\fs24 GASTER Vol. 10 No. 2 Agustus 2013\par\pard\sect\sectd\sbknone\cols2\

colno1\colw5962\colsr160\colno2\colw5638\colsr160\ql \li1416\sb0\sl-276\slmult0\par\pard\ql \li1416\sb146\sl-276\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf2\f3\fs24 5. Pasien fraktur humerus pada hari pertama\par\pard\qj \li


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1813\ri90\sb30\sl-439\slmult0 \up0 \expndtw0\charscalex115 setelah dilakukan operasi tidak ada \line \up0 \expndtw-4\charscalex100 kecacatan fisik seperti cacatbawaan yang \line \up0 \expndtw-6\charscalex100 memungkinkan kesalahan dalam penilaian\par\pard\ql \li1813\sb136\sl-276\slmult0 \up0 \expndtw-3\charscalex100 gerakan.\par\pard\qj \li1416\ri90\sb143\sl-439\slmult0\fi396 \up0 \expndtw0\charscalex109 Kriteria eksklusi dalam penelitian ini \line \up0 \expndtw0\charscalex102 adalah Pasien fraktur humerus yang pulang \line \up0 \expndtw0\charscalex103

paksa sebelum waktu yang ditentukan oleh \line \up0 \expndtw-5\charscalex100 dokter.\par\pard\ql \li1416\sb193\sl-276\slmult0 \up0 \expndtw-3\charscalex100 Instrumen Penelitian\par\pard\ql \li1416\ri91\sb30\sl-439\slmult0\tx1813\tx1813 \up0\expndtw0\charscalex100 1. Range of Motion (ROM) Aktif \line\tab \up0 \expndtw0\charscalex101 Alat ukur yang digunakan berupa daftar \line \tab \up0 \expndtw-3\charscalex100 tindakan (check list).\par\pard\ql \li1416\sb136\sl-276\slmult0\up0 \expndtw0\charscalex103 2. Kekuatan Otot\par\pard\qj \li1813\ri90\sb30\sl-439\slmult0 \up0 \expndtw-3\charscalex100 Instrumen yang digunakan adalah lembar\line \up0 \expndtw0\charscalex101 observasi yang sudah dibakukan berupa \line\up0 \expndtw0\charscalex105 skala kekuatan otot berupa uji Manual\par\pard\ql \li1813\sb136\sl-276\slmult0 \up0 \expndtw-3\charscalex100 Lovett.\par\pard\ql \li1416\ri90\sb138\sl-445\slmult0\fi396\tx1813 \up0 \expndtw0\charscalex103 Lembar

observasi ini untuk mengamati \line \up0 \expndtw0\charscalex100 kekuatan ototpasien yang terdiri dari tidak \line \up0 \expndtw-4\charscalex100 ada, sedeikit, buruk, sedang, baik dan normal. \line\tab \up0 \expndtw-3\charscalex100 Adapun rentang nilainya adalah : 0 (tidak \line \up0 \expndtw-4\charscalex100 ada/ paralisis total). 1 (sedikit/ suatu kontraksi \line \up0 \expndtw0\charscalex102halus, yang hanya dapat dirasakan bila otot \line \up0 \expndtw0\charscalex100 diraba). 2 (buruk/ kontraksi otot yang cukup \line \up0 \expndtw0\charscalex109 kuat menggerakkan sendi, bila pengaruh \line \up0 \expndtw0\charscalex111 gaya gravitasi dihilangkan). 3 (sedang/ \line \up0 \expndtw-6\charscalex100 kontraksiotot cukup kuat dapat menggerakkan \line \up0 \expndtw0\charscalex109 sendi melawan gaya gravitasi). 4 (baik/\par\pard\ql \li1416\sb0\sl-276\slmult0 \par\pard\ql \li1416\sb0\sl-276\slmult0 \par\pard\ql \li1416\sb184\sl-276\slmult0\tx1846\up0 \expndtw-3\charscalex100 44\tab \up0 \expndtw-2\charscalex100 Pengaruh Lat

ihan \ul0\nosupersub\cf3\f4\fs24 Range of Motion\ul0\nosupersub\cf2\f3\fs24 ...\par\pard\column \ql \li6122\sb0\sl-276\slmult0 \par\pard\ql \li20\sb146\sl-276\slmult0 \up0 \expndtw-6\charscalex100 kekuatan kontraksi otot yang cukup kuat dapat\par\pard\qj \li20\ri1172\sb0\sl-496\slmult0 \up0 \expndtw-2\charscalex100 menggerakkan sendi melawan gaya gravitasi \up0 \expndtw-6\charscalex100 dan tahanan). 5 (normal/ kekuatan otot penuh). \up0 \expndtw-3\charscalex100 Analisa Data\par\pard\qj \li20\ri1172\sb0\sl-439\slmult0\fi396 \up0 \expndtw-3\charscalex100Penelitian ini ingin mengetahui pengaruh \line \up0 \expndtw-6\charscalex100 latihan ROM aktif terhadap kekuatan otot pada \line \up0 \expndtw-5\charscalex100 pasien post operasi fraktur humerus setelah 24 \line \up0 \expndtw-1\charscalex100 jam sebelum dilakukan ROM aktif pada hari \line \up0 \expndtw-1\charscalex100pertama dengan yang sudah dilakukan ROM \line \up0 \expndtw0\charscalex102 aktifpada hari ke tiga. Dalam penelitian ini \line \up0 \expndtw0\charscalex105 untuk menguji dan menganalisa data yang \line \up0 \expndtw-2\charscalex100 diperoleh, menggunakan uji Wilcoxon match \line \up0 \expndtw-3\charscalex100 pairs test.\par\pard\qj \li20\ri1174\sb146\sl-439\slmult0\tx427 \up0 \expndtw0\charscalex107 C. HASIL PENELITIAN DAN PEM -\line \tab \up0 \expndtw-3\charscalex100 BAHASAN\par\pard\ql \li20\sb97\sl-276\slmult0 \up0 \expndtw-3\charscalex100 Hasil\par\pard\ql \li20\sb97\sl-276\slmult0 \up0 \expndtw0\charscalex101 1. Karakteristik Responden\par\pard\ql \li417\sb97\sl-276\slmult0 \up0 \expndtw0\charscalex102 a. Umur\par\pard\ql \li1211\sb250\sl-276\slmult0 \up0 \expndtw0\charscalex102 Distribusi frekuensi pasien post\par\pard\ql \li814\sb164\sl-276\slmult0 \up0\expndtw-1\charscalex100 operasi fraktur humerus berdasarkan\par\pard\ql \li814\sb164\sl-276\slmult0 \up0 \expndtw-4\charscalex100 umur, dapat dilihat pada tabel berikut\par\pard\ql \li814\sb164\sl-276\slmult0 \up0 \expndtw-3\charscalex100

ini:\par\pard\ql \li813\sb238\sl-276\slmult0 \up0 \expndtw0\charscalex108 Tabel1 Distribusi Frekuensi Ber-\par\pard\ql \li813\sb12\sl-276\slmult0 \up0 \expndtw-3\charscalex100 dasarkan Umur\par\pard\ql \li6996\sb0\sl-184\slmult0 \par\pard


5/23

\ql \li894\sb11\sl-184\slmult0\tx2511\tx3504 \up0 \expndtw0\charscalex110 \ul0\nosupersub\cf6\f7\fs16 No Umur\tab \up0 \expndtw-2\charscalex100 Frekuensi\tab \up0 \expndtw-2\charscalex100 (%)\par\pard\ql \li894\sb87\sl-184\slmult0\tx1392\tx2511\tx3504 \up0 \expndtw-2\charscalex100 1\tab \up0 \expndtw-2\charscalex100 < 20 tahun\tab \up0 \expndtw-2\charscalex100 4\tab \up0 \expndtw-2\charscalex100 13,4\par\pard\ql \li894\sb8\sl-184\slmult0\tx1392\tx2511\tx3504 \up0 \expndtw-2\charscalex100 2\tab \up0 \expndtw-2\charscalex100 20-55 tahun\tab \up0 \expnd

tw-2\charscalex100 23\tab \up0 \expndtw-2\charscalex100 76,6\par\pard\ql \li894\sb8\sl-184\slmult0\tx1392\tx2511\tx3504 \up0 \expndtw-2\charscalex100 3\tab \up0\expndtw-2\charscalex100 > 55 tahun\tab \up0 \expndtw-2\charscalex100 3\tab \up0 \expndtw-2\charscalex100 10,0\par\pard\ql \li894\sb87\sl-184\slmult0\tx2511\tx3504 \up0 \expndtw-4\charscalex100 Total\tab \up0 \expndtw-2\charscalex100 30\tab \up0 \expndtw-2\charscalex100 100\par\pard\ql \li813\sb141\sl-230\slmult0 \up0\expndtw-2\charscalex100 \ul0\nosupersub\cf7\f8\fs20 Sumber: Data Primer\par\pard\ql \li1211\sb172\sl-276\slmult0 \up0 \expndtw0\charscalex109 \ul0\nosupersub\cf2\f3\fs24 Berdasarkan Tabel 1 menun-\par\pard\ql \li814\sb164\sl-276\slmult0\up0 \expndtw0\charscalex107 jukkan sebagian besar pasien post

{\shp {\*\shpinst\shpleft6916\shptop12480\shpright10487\shpbottom12480\shpfhdr0\

shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz237\shplid0{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn geoRight}{\sv 3571}}{\sp{\sn geoBottom}{\sv 0}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn pVerticies}{\sv 8;5;(0,0);(493,0);(1612,0);(2605,0);(3571,0)}}{\sp{\sn pSegmentInfo}{\sv 2;11;16384;45824;1;45824;1;45824;1;45824;1;45824;32768}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn lineWidth}{\sv 15083}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}}}

{\shp {\*\shpinst\shpleft6916\shptop12751\shpright10487\shpbottom12751\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz244\shplid1

{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn geoRight}{\sv 3571}}{\sp{\sn geoBottom}{\sv 0}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn pVerticies}{\sv 8;5;(0,0);(493,0);(1612,0);(2605,0);(3571,0)}}{\sp{\sn pSegmentInfo}{\sv 2;11;16384;45824;1;45824;1;45824;1;45824;1;45824;32768}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn lineWidth}{\sv 15083}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}}}

{\shp {\*\shpinst\shpleft6916\shptop13406\shpright10487\shpbottom13406\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz251\shplid2{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn geoRight}{\sv 3571}}{\sp{\sn geoBottom}{\sv 0}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn pVerticies}{\sv 8;5;(0,0);(493,0);(1612,0);(2605,0);(3571,0)}}{\sp{\sn pSegmentInfo}{\sv 2;11;16384;45824;1;45824;1;45824;1;45824;1;45824;32768}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn lineWidth}{\sv 15083}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}}}

{\shp {\*\shpinst\shpleft6916\shptop13677\shpright10487\shpbottom13677\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz258\shplid3{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{

\sn geoRight}{\sv 3571}}{\sp{\sn geoBottom}{\sv 0}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn pVerticies}{\sv 8;5;(0,0);(493,0);(1612,0);(2605,0);(3571,0)}}{\sp{\sn pSegmentInfo}{\sv 2;11;16384;45824;1;45824;1;45824;1;45824;1;45824;3276


6/23

8}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn lineWidth}{\sv 15083}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}}}\par\pard\sect\sectd\fs24\paperw11900\paperh16840\pard\sb0\sl-240{\bkmkstart Pg4}{\bkmkend Pg4}\par\pard\ql \li6739\sb0\sl-276\slmult0 \par\pard\ql\li6739\sb0\sl-276\slmult0 \par\pard\ql\li6739\sb0\sl-276\slmult0 \par\pard\ql\li6739\sb64\

sl-276\slmult0 \up0 \expndtw-4\charscalex100 \ul0\nosupersub\cf1\f2\fs24 GASTERVol. 10 No. 2 Agustus 2013\par\pard\sect\sectd\sbknone\cols2\colno1\colw5962\colsr160\colno2\colw5638\colsr160\ql \li2210\sb0\sl-276\slmult0 \par\pard\ql \li2210\sb146\sl-276\slmult0 \up0 \expndtw0\charscalex114 \ul0\nosupersub\cf2\f3\fs24operasi fraktur humerus dengan\par\pard\qj \li2210\ri91\sb30\sl-439\slmult0 \up0\expndtw-3\charscalex100 umur 20-55 tahun, yaitu sebanyak 23 \line \up0 \expndtw0\charscalex105 responden (76,6%), sebagian kecil \line \up0 \expndtw0\charscalex101 pasien post operasi fraktur humerus\par\pard\qj \li2210\ri91\sb1\sl-439\slmult0 \up0 \expndtw0\charscalex100 dengan umur > 55 tahun sebanyak 3 \up0 \expndtw-3\charscalex100 responden (10,0%).\par\pard\ql \li1813\sb136\sl-276\slmult0 \up0 \expndtw0\charscalex103 b. Jenis Kelamin\par\pard\qj \li2210\ri90\sb30\sl-439\slmult0\fi396 \up0 \expndtw0\charscalex102 Distribusi frekuensi pasien post \

line \up0 \expndtw-1\charscalex100 operasi fraktur humerus berdasarkan \line \up0 \expndtw-5\charscalex100 jenis kelamin, dapat dilihat pada tabel\par\pard\ql \li2210\sb136\sl-276\slmult0 \up0 \expndtw-3\charscalex100 berikut ini :\par\pard\qj \li2210\ri90\sb195\sl-288\slmult0 \up0 \expndtw0\charscalex108 Tabel 2 Distribusi Frekuensi Ber-\line \up0 \expndtw-3\charscalex100 dasarkan Jenis Kelamin\par\pard\ql \li2210\sb0\sl-184\slmult0 \par\pard\ql \li2290\sb8\sl-184\slmult0\tx4090\tx5082 \up0 \expndtw0\charscalex104 \ul0\nosupersub\cf6\f7\fs16 No Jenis Kelamin\tab \up0 \expndtw-2\charscalex100 Frekuensi\tab \up0 \expndtw-2\charscalex100 (%)\par\pard\ql \li2290\sb87\sl-184\slmult0\tx2778\tx4090\tx5082 \up0 \expndtw-2\charscalex100 1\tab \up0 \expndtw-2\charscalex100 Laki-laki\tab \up0 \expndtw-2\charscalex100 23\tab \up0 \expndtw-2\charscalex100 76,7\par\pard\ql \li2290\sb8\sl-184\slmult0\tx2778\tx4090\tx5082 \up0 \expndtw-2\charscalex100 2\tab\up0 \expndtw-2\charscalex100 Perempuan\tab \up0 \expndtw-2\charscalex100 7\tab

\up0 \expndtw-2\charscalex100 23,3\par\pard\ql \li2290\sb87\sl-184\slmult0\tx4090\tx5082 \up0 \expndtw-4\charscalex100 Total\tab \up0 \expndtw-2\charscalex10030\tab \up0 \expndtw-2\charscalex100 100\par\pard\ql \li2210\sb136\sl-207\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf8\f9\fs18 Sumber: Data Primer\par\pard\qj \li2210\ri91\sb42\sl-439\slmult0\fi396 \up0 \expndtw0\charscalex109\ul0\nosupersub\cf2\f3\fs24 Berdasarkan Tabel 2 menun-\line \up0 \expndtw0\charscalex115 jukkan \up0 \expndtw0\charscalex115 23 responden \up0 \expndtw-10\charscalex94 ( 76 ,7 % )\par\pard\qj \li2210\ri91\sb1\sl-439\slmult0 \up0 \expndtw0\charscalex103 dengan jenis kelamin laki-laki, dan \up0 \expndtw0\charscalex1027 responden (23,3%) dengan jenis \up0 \expndtw-3\charscalex100 kelamin perempuan.\par\pard\ql \li1813\sb136\sl-276\slmult0 \up0 \expndtw0\charscalex101 c. Penyebab\par\pard\qj \li2210\ri91\sb30\sl-439\slmult0\fi396 \up0 \expndtw0\charscalex102 Distribusi frekuensi pasien post \line \up0 \expndtw-1\charscalex100 operasi fraktur humerus berdasarkan \line \up0 \expndtw0\charscalex106 penyebab, dapat dilihat pada tabel\par\pard\ql \li2210\sb136\sl-276\slmult0 \up0 \expndtw-3\charscalex100 berikut ini:\par\pard\qj \li2210\ri90\sb195\sl-288\slmult0 \up0 \expndtw0\charscalex108 Tabel 3 Distribusi Frekuensi Ber-\line \up0 \expndtw-3\charscalex100 dasarkan Penyebab\par\pard\ql \li2290\sb0\sl-184\slmult0 \par\pard\ql\li2290\sb9\sl-184\slmult0\tx4090\tx5082 \up0 \expndtw0\charscalex107 \ul0\nosupersub\cf6\f7\fs16 No Penyebab\tab \up0 \expndtw-2\charscalex100 Frekuensi\tab \up0 \expndtw-2\charscalex100 (%)\par\pard\ql \li2290\sb87\sl-184\slmult0\tx2778\tx4090\tx5082 \up0 \expndtw-2\charscalex100 1\tab \up0 \expndtw-2\charscalex100 Kecelakaan lalu\tab \up0 \expndtw-2\charscalex100 26\tab \up0 \expndtw-2\charscalex100 86,7\par\pard\ql \li2783\sb8\sl-184\slmult0 \up0 \expndtw-2\charscalex100 lintas\par\pard\column \ql \li6996\sb0\sl-184\slmult0 \par\pard\ql \li6996\

sb0\sl-184\slmult0 \par\pard\ql \li894\sb164\sl-184\slmult0\tx1392\tx2703\tx3695\up0 \expndtw-2\charscalex100 2\tab \up0 \expndtw-2\charscalex100 Jatuh\tab \up0 \expndtw-2\charscalex100 3\tab \up0 \expndtw-2\charscalex100 10,0\par\pard\ql


7/23

\li894\sb8\sl-184\slmult0\tx1392\tx2703\tx3695 \up0 \expndtw-2\charscalex100 3\tab \up0 \expndtw-2\charscalex100 Pukulan\tab \up0 \expndtw-2\charscalex100 1\tab\up0 \expndtw-2\charscalex100 3,3\par\pard\ql \li1387\sb8\sl-184\slmult0 \up0 \expndtw-2\charscalex100 benda tumpul\par\pard\ql \li894\sb182\sl-184\slmult0\tx2703\tx3695 \up0 \expndtw-4\charscalex100 Total\tab \up0 \expndtw-2\charscalex10030\tab \up0 \expndtw-2\charscalex100 100\par\pard\ql \li813\sb173\sl-207\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf8\f9\fs18 Sumber: Data Primer\

par\pard\ql \li1211\sb176\sl-276\slmult0 \up0 \expndtw0\charscalex109 \ul0\nosupersub\cf2\f3\fs24 Berdasarkan Tabel 3 menun-\par\pard\ql \li814\sb164\sl-276\slmult0 \up0 \expndtw0\charscalex107 jukkan sebagian besar pasien post\par\pard\ql\li814\sb164\sl-276\slmult0 \up0 \expndtw0\charscalex101 operasi fraktur humerus disebabkan\par\pard\ql \li814\sb164\sl-276\slmult0 \up0 \expndtw0\charscalex105 karena kecelakaan lalu lintas yaitu\par\pard\ql \li814\sb164\sl-276\slmult0 \up0 \expndtw0\charscalex107 sebanyak 26 responden (86,7%),\par\pard\ql \li814\sb164\sl-276\slmult0 \up0 \expndtw0\charscalex107 sebagian kecil pasien post operasi\par\pard\ql \li814\sb164\sl-276\slmult0 \up0 \expndtw0\charscalex103 frakturhumerus disebabkan karena\par\pard\ql \li814\sb164\sl-276\slmult0 \up0 \expndtw0\charscalex113 pukulan benda tumpul yaitu \up0 \expndtw-3\charscalex100 1\par\pard\ql \li814\sb164\sl-276\slmult0 \up0 \expndtw-3\charscalex100 responden (3

,3%).\par\pard\qj \li20\ri1173\sb195\sl-287\slmult0\tx427 \up0 \expndtw-2\charscalex100 2. Hasil Identifikasi Kekuatan Otot Sebelum \line\tab \up0 \expndtw-3\charscalex100 Dilakukan Latihan ROM Aktif\par\pard\qj \li417\ri1173\sb182\sl-288\slmult0 \up0 \expndtw-4\charscalex100 Tabel 4.Distribusi Frekuensi Berdasarkan \up0 \expndtw-3\charscalex100 Skala Kekuatan Otot Sebelum Dilakukan \up0 \expndtw-4\charscalex100 Latihan ROM Aktif\par\pard\ql \li6599\sb0\sl-184\slmult0 \par\pard\ql \li497\sb69\sl-184\slmult0\tx1834\tx2826\tx3705 \up0 \expndtw0\charscalex110 \ul0\nosupersub\cf6\f7\fs16 No Skala\tab \up0 \expndtw-2\charscalex100 Kategori\tab \up0 \expndtw-2\charscalex100 Frekuensi\tab \up0 \expndtw-2\charscalex100 (%)\par\pard\ql \li497\sb148\sl-184\slmult0\tx995\tx1834\tx2826\tx3705 \up0 \expndtw-2\charscalex100 1\tab \up0 \expndtw-2\charscalex100 0\tab \up0 \expndtw-2\charscalex100 Tidak ada\tab \up0 \expndtw-2\charscalex100 16\tab \up0 \expndtw-2\charscalex100 53,3\par\pard\ql \li497\sb25\sl-184\slmult0\tx995\tx1834\tx2

826\tx3705 \up0 \expndtw-2\charscalex100 2\tab \up0 \expndtw-2\charscalex100 1\tab \up0 \expndtw-2\charscalex100 Sedikit\tab \up0 \expndtw-2\charscalex100 6\tab\up0 \expndtw-2\charscalex100 20,0\par\pard\ql \li497\sb25\sl-184\slmult0\tx995\tx1834\tx2826\tx3705 \up0 \expndtw-2\charscalex100 3\tab \up0 \expndtw-2\charscalex100 2\tab \up0 \expndtw-2\charscalex100 Buruk\tab \up0 \expndtw-2\charscalex100 8\tab \up0 \expndtw-2\charscalex100 26,7\par\pard\ql \li497\sb26\sl-184\slmult0\tx995\tx1834\tx2826\tx3705 \up0 \expndtw-2\charscalex100 4\tab \up0 \expndtw-2\charscalex100 3\tab \up0 \expndtw-2\charscalex100 Sedang\tab \up0 \expndtw-2\charscalex100 0\tab \up0 \expndtw-2\charscalex100 0\par\pard\ql \li497\sb25\sl-184\slmult0\tx995\tx1834\tx2826\tx3705 \up0 \expndtw-2\charscalex100 5\tab \up0 \expndtw-2\charscalex100 4\tab \up0 \expndtw-2\charscalex100 Baik\tab \up0 \expndtw-2\charscalex100 0\tab \up0 \expndtw-2\charscalex100 0\par\pard\ql \li497\sb25\sl-184\slmult0\tx995\tx1834\tx2826\tx3705 \up0 \expndtw-2\charscalex100 6\tab \up0 \expndtw-2\charscalex100 5\tab \up0 \expndtw-2\charscalex100 Normal\tab \up0\expndtw-2\charscalex100 0\tab \up0 \expndtw-2\charscalex100 0\par\pard\ql \li497\sb153\sl-184\slmult0\tx2826\tx3705 \up0 \expndtw-4\charscalex100 Total\tab \up0 \expndtw-2\charscalex100 30\tab \up0 \expndtw-2\charscalex100 100\par\pard\ql\li417\sb202\sl-207\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf8\f9\fs18 Sumber: Data Primer\par\pard\qj \li417\ri1172\sb42\sl-439\slmult0\fi396 \up0 \expndtw0\charscalex104 \ul0\nosupersub\cf2\f3\fs24 Berdasarkan Tabel 4 menunjukkan \line \up0 \expndtw-7\charscalex100 sebelum diberi latihan ROM aktif sebagian \line \up0 \expndtw-4\charscalex100 besar pasien post operasi fraktur humerus\par\pard\qj \li417\ri1172\sb1\sl-439\slmult0 \up0 \expndtw0\charscalex112 dengan skala kekuatan otot 0, yaitu \line \up0 \expndtw0\charscalex107 sebanyak16 responden (53,3%) dan \line \up0 \expndtw-5\charscalex100 sebagian kecil den

gan skala kekuatan otot\par\pard\ql \li417\sb136\sl-276\slmult0 \up0 \expndtw-3\charscalex100 1, yaitu sebanyak 6 responden (20,0%).\par\pard\ql \li6332\sb0\sl-276\slmult0 \par\pard\ql \li6332\sb0\sl-276\slmult0 \par\pard\ql \li6332\sb0\sl


8/23

-276\slmult0 \par\pard\ql \li230\sb9\sl-276\slmult0\tx4150 \up0 \expndtw-2\charscalex100 Pengaruh Latihan \ul0\nosupersub\cf3\f4\fs24 Range of Motion\ul0\nosupersub\cf2\f3\fs24 ...\tab \up0 \expndtw-3\charscalex100 45


\sn geoRight}{\sv 3572}}{\sp{\sn geoBottom}{\sv 0}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn pVerticies}{\sv 8;5;(0,0);(493,0);(1805,0);(2797,0);(3572,0)}}{\sp{\sn pSegmentInfo}{\sv 2;11;16384;45824;1;45824;1;45824;1;45824;1;45824;32768}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn lineWidth}{\sv 15083}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}}}



{\shp {\*\shpinst\shpleft2210\shptop8143\shpright5782\shpbottom8143\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz106\shplid2{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn geoRight}{\sv 3572}}{\sp{\sn geoBottom}{\sv 0}}{\sp{\sn shapePath}{\sv 4}}

{\sp{\sn pVerticies}{\sv 8;5;(0,0);(493,0);(1805,0);(2797,0);(3572,0)}}{\sp{\sn pSegmentInfo}{\sv 2;11;16384;45824;1;45824;1;45824;1;45824;1;45824;32768}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn lineWidth}{\sv 15083}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}}}


{\shp {\*\shpinst\shpleft2210\shptop14045\shpright5782\shpbottom14045\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz198\shplid4{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn geoRight}{\sv 3572}}{\sp{\sn geoBottom}{\sv 0}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn pVerticies}{\sv 8;5;(0,0);(493,0);(1805,0);(2797,0);(3572,0)}}

{\sp{\sn pSegmentInfo}{\sv 2;11;16384;45824;1;45824;1;45824;1;45824;1;45824;32768}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn lineWidth}{\sv 15083}


9/23

}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}}}








{\shp {\*\shpinst\shpleft6916\shptop2939\shpright10487\shpbottom2939\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz249\shplid9{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn geoRight}{\sv 3571}}{\sp{\sn geoBottom}{\sv 0}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn pVerticies}{\sv 8;5;(0,0);(493,0);(1804,0);(2796,0);(3571,0)}}

{\sp{\sn pSegmentInfo}{\sv 2;11;16384;45824;1;45824;1;45824;1;45824;1;45824;32768}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn lineWidth}{\sv 15083}


10/23

}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}}}


\sn geoRight}{\sv 3902}}{\sp{\sn geoBottom}{\sv 0}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn pVerticies}{\sv 8;6;(0,0);(493,0);(1332,0);(2324,0);(3203,0);(3902,0)}}{\sp{\sn pSegmentInfo}{\sv 2;13;16384;45824;1;45824;1;45824;1;45824;1;45824;1;45824;32768}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn lineWidth}{\sv 15083}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}}}


\sn geoRight}{\sv 3902}}{\sp{\sn geoBottom}{\sv 0}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn pVerticies}{\sv 8;6;(0,0);(493,0);(1332,0);(2324,0);(3203,0);(3902,0)}}{\sp{\sn pSegmentInfo}{\sv 2;13;16384;45824;1;45824;1;45824;1;45824;1;45824;1;45824;32768}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn lineWidth}{\sv 15083}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}}}


{\sp{\sn pVerticies}{\sv 8;6;(0,0);(493,0);(1332,0);(2324,0);(3203,0);(3902,0)}}{\sp{\sn pSegmentInfo}{\sv 2;13;16384;45824;1;45824;1;45824;1;45824;1;45824;1;45824;32768}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn lineWidth}{\sv 15083}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}}}

{\shp {\*\shpinst\shpleft6519\shptop11287\shpright10421\shpbottom11287\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz364\shplid13{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn geoRight}{\sv 3902}}{\sp{\sn geoBottom}{\sv 0}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn pVerticies}{\sv 8;6;(0,0);(493,0);(1332,0);(2324,0);(3203,0);(3902,0)}}{\sp{\sn pSegmentInfo}{\sv 2;13;16384;45824;1;45824;1;45824;1;45824;1;45824;1;45824;32768}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn lineWidth}{\sv 15083}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}}}\par\pard\sect\sectd\fs24\paperw11900\paperh16840\pard\sb0\sl-240{\bkmkstart Pg5}{\bkmkend Pg5}\par\pard\ql \li1416\sb0\sl-276\slmult0 \par\pard\ql\li1416\sb0\sl-276\slmult0 \par\pard\ql\li1416\sb0\sl-276\slmult0 \par\pard\ql\li1416\sb64\sl-276\slmult0 \up0 \expndtw-4\charscalex100 \ul0\nosupersub\cf1\f2\fs24 GASTERVol. 10 No. 2 Agustus 2013\par\pard\sect\sectd\sbknone\cols2\colno1\colw6359\colsr160\colno2\colw5241\colsr160\ql \li1416\sb0\sl-276\slmult0 \par\pard\ql \li1416\sb146\sl-276\slmult0 \up0 \expndtw0\charscalex101 \ul0\nosupersub\cf2\f3\fs24

3. Hasil Identifikasi Kekuatan Otot Setelah\par\pard\ql \li1813\sb12\sl-276\slmult0 \up0 \expndtw-3\charscalex100 Dilakukan Latihan ROM Aktif\par\pard\qj \li1813\ri488\sb184\sl-288\slmult0 \up0 \expndtw-4\charscalex100 Tabel 5 Distribusi F


11/23

rekuensi Berdasarkan \up0 \expndtw0\charscalex101 Skala Kekuatan Otot Setelah Dilakukan \up0 \expndtw-4\charscalex100 Latihan ROM Aktif\par\pard\ql \li1893\sb0\sl-184\slmult0 \par\pard\ql \li1893\sb27\sl-184\slmult0\tx3220\tx4213\tx5091 \up0 \expndtw0\charscalex110 \ul0\nosupersub\cf6\f7\fs16 No Skala\tab \up0 \expndtw-2\charscalex100 Kategori\tab \up0 \expndtw-2\charscalex100 Frekuensi\tab \up0 \expndtw-2\charscalex100 (%)\par\pard\ql \li1893\sb105\sl-184\slmult0\tx2381\tx3220\tx4213\tx5091 \up0 \expndtw-2\charscalex100 1\tab \up0 \expndtw-2\charsca

lex100 0\tab \up0 \expndtw-2\charscalex100 Tidak ada\tab \up0 \expndtw-2\charscalex100 0\tab \up0 \expndtw-2\charscalex100 0\par\pard\ql \li1893\sb8\sl-184\slmult0\tx2381\tx3220\tx4213\tx5091 \up0 \expndtw-2\charscalex100 2\tab \up0 \expndtw-2\charscalex100 1\tab \up0 \expndtw-2\charscalex100 Sedikit\tab \up0 \expndtw-2\charscalex100 6\tab \up0 \expndtw-2\charscalex100 20,0\par\pard\ql \li1893\sb8\sl-184\slmult0\tx2381\tx3220\tx4213\tx5091 \up0 \expndtw-2\charscalex100 3\tab\up0 \expndtw-2\charscalex100 2\tab \up0 \expndtw-2\charscalex100 Buruk\tab \up0\expndtw-4\charscalex100 11\tab \up0 \expndtw-2\charscalex100 36,7\par\pard\ql\li1893\sb8\sl-184\slmult0\tx2381\tx3220\tx4213\tx5091 \up0 \expndtw-2\charscalex100 4\tab \up0 \expndtw-2\charscalex100 3\tab \up0 \expndtw-2\charscalex100 Sedang\tab \up0 \expndtw-2\charscalex100 8\tab \up0 \expndtw-2\charscalex100 26,7\par\pard\column \ql \li6519\sb0\sl-276\slmult0 \par\pard\ql \li20\sb146\sl-276\sl

mult0 \up0 \expndtw-5\charscalex100 \ul0\nosupersub\cf2\f3\fs24 dilakukan latihan ROM aktif, 6 responden\par\pard\qj \li20\ri1173\sb30\sl-439\slmult0 \up0 \expndtw-3\charscalex100 sedikit, 11 responden buruk, 8 responden \up0 \expndtw-3\charscalex100 sedang, dan 5 responden baik.\par\pard\ql \li6519\sb0\sl-276\slmult0\par\pard\ql \li20\sb92\sl-276\slmult0\tx754 \up0 \expndtw-4\charscalex100 Tabel\tab \up0 \expndtw0\charscalex102 7 Perbandingan Skala Kekuatan\par\pard\qj \li20\ri1172\sb3\sl-287\slmult0 \up0 \expndtw0\charscalex103 Otot Sebelum Dan Setelah Dilakukan \up0 \expndtw-4\charscalex100 Latihan ROM Aktif\par\pard\ql \li810\sb174\sl-184\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf6\f7\fs16Skala Kekuatan Otot ML 0-5\par\pard\ql \li48\sb25\sl-184\slmult0 \up0 \expndtw-2\charscalex100 Perlakuan\par\pard\sect\sectd\sbknone\cols2\colno1\colw6359\colsr160\colno2\colw5241\colsr160\ql \li1893\sb0\sl-144\slmult0\tx2381\tx3220\tx4213\tx5091 \up0 \expndtw-2\charscalex100 5\tab \up0 \expndtw-2\charscalex100 4\tab \

up0 \expndtw-2\charscalex100 Baik\tab \up0 \expndtw-2\charscalex100 5\tab \up0 \expndtw-2\charscalex100 16,7\par\pard\ql \li1893\sb0\sl-144\slmult0\tx2381\tx3220\tx4213\tx5131 \up0 \expndtw-2\charscalex100 6\tab \up0 \expndtw-2\charscalex100 5\tab \up0 \expndtw-2\charscalex100 Normal\tab \up0 \expndtw-2\charscalex100 0\tab \up0 \expndtw-2\charscalex100 0\par\pard\ql \li1893\sb100\sl-184\slmult0\tx4213\tx5091 \up0 \expndtw-4\charscalex100 Total\tab \up0 \expndtw-2\charscalex100 30\tab \up0 \expndtw-2\charscalex100 100\par\pard\ql \li1813\sb153\sl-207\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf8\f9\fs18 Sumber: Data Primer\par\pard\ql \li2210\sb176\sl-276\slmult0 \up0 \expndtw0\charscalex104 \ul0\nosupersub\cf2\f3\fs24 Berdasarkan Tabel 5 menunjukkan\par\pard\qj \li1813\ri487\sb30\sl-439\slmult0 \up0 \expndtw-4\charscalex100 setelah diberi latihan ROM aktifsebagian \line \up0 \expndtw-4\charscalex100 besar pasien post operasi frakturhumerus \line \up0 \expndtw0\charscalex112 dengan skala kekuatan otot 2, yaitu\par\pard\qj \li1813\ri487\sb1\sl-439\slmult0 \up0 \expndtw0\charscalex107 sebanyak 11 responden (36,7%) dan \line \up0 \expndtw-5\charscalex100 sebagian kecildengan skala kekuatan otot \line \up0 \expndtw-3\charscalex100 4, yaitu sebanyak 5 responden (16,7%).\par\pard\ql \li1416\sb0\sl-276\slmult0 \par\pard\ql \li1416\sb92\sl-276\slmult0\tx1808 \up0 \expndtw-3\charscalex100 4.\tab \up0 \expndtw0\charscalex106 Perbedaan Kekuatan Otot Pasien Post\par\pard\qj \li1813\ri487\sb3\sl-288\slmult0 \up0 \expndtw0\charscalex103 Operasi Fraktur Humerus Sebelum dan \up0 \expndtw0\charscalex109 Setelah Dilakukan Latihan Range Of \up0 \expndtw-4\charscalex100 Motion (ROM) Aktif\par\pard\qj \li1813\ri487\sb278\sl-287\slmult0 \up0 \expndtw0\charscalex103 Tabel 6 Perbandingan Skala Kekuat-an \up0 \expndtw0\charscalex103 Otot Sebelum Dan Setelah Dilakukan \up0 \expndtw-4\charscalex100 Latihan ROM Aktif\par\pard\ql \li1841\sb0\sl-184\slmult0 \par\pard\ql \li260

4\sb47\sl-184\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf6\f7\fs16Kekuatan Otot\par\pard\ql \li1841\sb25\sl-184\slmult0 \up0 \expndtw-2\charscalex100 Perlakuan \up0 \expndtw-3\charscalex100 Tidak\par\pard\column \ql \li810\sb0


12/23

\sl-144\slmult0\tx1311\tx1888\tx2426\tx3005\tx3409 \up0 \expndtw-2\charscalex1000\tab \up0 \expndtw-2\charscalex100 1\tab \up0 \expndtw-2\charscalex100 2\tab \up0 \expndtw-2\charscalex100 3\tab \up0 \expndtw-2\charscalex100 4\tab \up0 \expndtw-2\charscalex100 5\par\pard\ql \li48\sb111\sl-184\slmult0\tx815\tx1311\tx1888\tx2426\tx2965\tx3409 \up0 \expndtw-2\charscalex100 Sebelum\tab \up0 \expndtw-2\charscalex100 16\tab \up0 \expndtw-2\charscalex100 6\tab \up0 \expndtw-2\charscalex100 8\tab \up0 \expndtw-2\charscalex100 0\tab \up0 \expndtw-2\charscalex100

0\tab \up0 \expndtw-2\charscalex100 0\par\pard\ql \li48\sb8\sl-184\slmult0\tx815\tx1311\tx1888\tx2426\tx2965\tx3409 \up0 \expndtw-2\charscalex100 Setelah\tab \up0 \expndtw-2\charscalex100 0\tab \up0 \expndtw-2\charscalex100 6\tab \up0 \expndtw-4\charscalex100 11\tab \up0 \expndtw-2\charscalex100 8\tab \up0 \expndtw-2\charscalex100 5\tab \up0 \expndtw-2\charscalex100 0\par\pard\ql \li20\sb185\sl-207\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf8\f9\fs18 Sumber: DataPrimer\par\pard\qj \li20\ri1172\sb330\sl-439\slmult0\fi396 \up0 \expndtw0\charscalex104 \ul0\nosupersub\cf2\f3\fs24 Berdasarkan Tabel 7 menunjukkan \line \up0\expndtw0\charscalex105 adanya penurunan skala kekuatan otot \line \up0 \expndtw-3\charscalex100 ML 0-5, sebelum dilakukan latihan ROM \line \up0 \expndtw0\charscalex109 aktif skala kekuatan otot 0,1, dan 2, \line \up0 \expndtw-5\charscalex100 setelah dilakukan latihan ROM aktif skala \line \up0 \expndtw-2\charscalex

100 kekuatan otot meningkat menjadi 1, 2, 3, \line \up0 \expndtw-3\charscalex100dan 4.\par\pard\qj \li20\ri1172\sb1\sl-439\slmult0\fi396 \up0 \expndtw-3\charscalex100 Ada tidaknya pengaruh latihan ROM \line \up0 \expndtw0\charscalex100 aktif terhadap kekuatan otot pada pasien \line \up0 \expndtw-6\charscalex100 post operasi fraktur humerus di RSUD Dr. \line \up0 \expndtw-7\charscalex100 Moewardi,dilakukan pengujian dengan uji \line \up0 \expndtw0\charscalex101 statistik wilcoxon math pair test dengan \line \up0 \expndtw0\charscalex101 taraf signifikansi 5%. Berdasarkan hasil\par\pard\sect\sectd\sbknone\cols3\colno1\colw1703\colsr110\colno2\colw4556\colsr160\colno3\colw5241\colsr160\ql \li1416\sb0\sl-276\slmult0 \par\pard\ql \li1416\sb0\sl-276\slmult0 \par\pard\ql \li1416\sb0\sl-276\slmult0 \par\pard\ql \li1416\sb0\sl-276\slmult0 \par\pard\ql \li1416\sb0\sl-276\slmult0 \par\pard\ql \li1416\sb0\sl-276\slmult0 \par\pard\ql \li1416\sb0\sl-276\slmult0 \par\pard\ql \li1416\sb0\sl-276\slmult0 \par\pard\ql \li1416\sb0\sl-276\slmul

t0 \par\pard\ql \li1416\sb0\sl-276\slmult0 \par\pard\ql \li1416\sb0\sl-276\slmult0 \par\pard\ql \li1416\sb0\sl-276\slmult0 \par\pard\ql \li1416\sb49\sl-276\slmult0 \up0 \expndtw-3\charscalex100 46\par\pard\column \ql \li811\sb1\sl-164\slmult0\tx1312 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf6\f7\fs16 ada\tab \up0\expndtw0\charscalex105 Sedikit Buruk Sedang Baik Normal\par\pard\ql \li48\sb46\sl-184\slmult0\tx816\tx1312\tx1888\tx2427\tx2966\tx3410 \up0 \expndtw-2\charscalex100 Sebelum\tab \up0 \expndtw-2\charscalex100 16\tab \up0 \expndtw-2\charscalex100 6\tab \up0 \expndtw-2\charscalex100 8\tab \up0 \expndtw-2\charscalex1000\tab \up0 \expndtw-2\charscalex100 0\tab \up0 \expndtw-2\charscalex100 0\par\pard\ql \li48\sb8\sl-184\slmult0\tx816\tx1312\tx1888\tx2427\tx2966\tx3410 \up0 \expndtw-2\charscalex100 Setelah\tab \up0 \expndtw-2\charscalex100 0\tab \up0 \expndtw-2\charscalex100 6\tab \up0 \expndtw-4\charscalex100 11\tab \up0 \expndtw-2\charscalex100 8\tab \up0 \expndtw-2\charscalex100 5\tab \up0 \expndtw-2\charscalex100 0\par\pard\ql \li20\sb113\sl-207\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf8\f9\fs18 Sumber: Data Primer\par\pard\qj \li20\ri487\sb42\sl-439\slmult0\fi396 \up0 \expndtw0\charscalex104 \ul0\nosupersub\cf2\f3\fs24 Berdasarkan Tabel 6 menunjukkan \line \up0 \expndtw-5\charscalex100 sebelum dilakukan latihan ROM aktif 16 \line \up0 \expndtw-4\charscalex100 responden tidak ada gerakan, 6 responden \line \up0 \expndtw0\charscalex102 sedikit, dan 8 responden buruk. Setelah\par\pard\ql \li1851\sb0\sl-276\slmult0 \par\pard\ql \li1851\sb0\sl-276\slmult0 \par\pard\ql \li58\sb103\sl-276\slmult0 \up0 \expndtw-2\charscalex100 Pengaruh Latihan \ul0\nosupersub\cf3\f4\fs24 Range of Motion\ul0\nosupersub\cf2\f3\fs24 ...\par\pard\column \ql \li20\sb0\sl-216\slmult0 \up0 \expndtw-4\charscalex100 uji statistik wilcoxon math pair test, dapat\par\pard\qj \li20\ri1172\sb0\sl-439\slmult0 \up0 \expndtw0\charscalex108 diketahui nilai z hitung sebesar

4,940 \line \up0 \expndtw0\charscalex104 dengan angka signifikan (p) 0,000 dari\line \up0 \expndtw-1\charscalex100 hasil tersebut akan dibandingkan dengan \line \up0 \expndtw0\charscalex100 z tabel untuk taraf signifikansi 5% yaitu \line


13/23

\up0 \expndtw0\charscalex100 sebesar 1,96. Berdasarkan hasil tersebut \line \up0\expndtw-4\charscalex100 diketahui z hitung (4,940) > z tabel (1,96)





{\shp {\*\shpinst\shpleft1813\shptop5113\shpright5715\shpbottom5113\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz86\shplid2{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn geoRight}{\sv 3902}}{\sp{\sn geoBottom}{\sv 0}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn pVerticies}{\sv 8;6;(0,0);(493,0);(1332,0);(2325,0);(3203,0);(3902,0)}}

{\sp{\sn pSegmentInfo}{\sv 2;13;16384;45824;1;45824;1;45824;1;45824;1;45824;1;45824;32768}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn lineWidth}{\sv 15083}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}}}

{\shp {\*\shpinst\shpleft1813\shptop5417\shpright5715\shpbottom5417\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz94\shplid3{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn geoRight}{\sv 3902}}{\sp{\sn geoBottom}{\sv 0}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn pVerticies}{\sv 8;6;(0,0);(493,0);(1332,0);(2325,0);(3203,0);(3902,0)}}{\sp{\sn pSegmentInfo}{\sv 2;13;16384;45824;1;45824;1;45824;1;45824;1;45824;1;45824;32768}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn lineWidth}{\sv 15083}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}}}

{\shp {\*\shpinst\shpleft1813\shptop12760\shpright4187\shpbottom12760\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz229\shplid4{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn geoRight}{\sv 2374}}{\sp{\sn geoBottom}{\sv 0}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn pVerticies}{\sv 8;5;(0,0);(763,0);(1259,0);(1835,0);(2374,0)}}{\sp{\sn pSegmentInfo}{\sv 2;11;16384;45824;1;45824;1;45824;1;45824;1;45824;3276

8}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn lineWidth}{\sv 15083}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fBehindDocume


14/23

nt}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}}}


{\sp{\sn pVerticies}{\sv 8;8;(0,0);(763,0);(1259,0);(1835,0);(2374,0);(2912,0);(3356,0);(3895,0)}}{\sp{\sn pSegmentInfo}{\sv 2;17;16384;45824;1;45824;1;45824;1;45824;1;45824;1;45824;1;45824;1;45824;32768}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn lineWidth}{\sv 15083}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}}}


\sn geoRight}{\sv 982}}{\sp{\sn geoBottom}{\sv 0}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn pVerticies}{\sv 8;3;(0,0);(538,0);(982,0)}}{\sp{\sn pSegmentInfo}{\sv 2;7;16384;45824;1;45824;1;45824;32768}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn lineWidth}{\sv 15083}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}}}

{\shp {\*\shpinst\shpleft2576\shptop11925\shpright5708\shpbottom11925\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz253\shplid7{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn geoRight}{\sv 3132}}{\sp{\sn geoBottom}{\sv 0}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn pVerticies}{\sv 8;7;(0,0);(496,0);(1072,0);(1611,0);(2149,0);(2593,0);(

3132,0)}}{\sp{\sn pSegmentInfo}{\sv 2;15;16384;45824;1;45824;1;45824;1;45824;1;45824;1;45824;1;45824;32768}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn lineWidth}{\sv 15083}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}}}{\shp {\*\shpinst\shpleft1813\shptop12344\shpright2576\shpbottom12344\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz257\shplid8{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineWidth}{\sv 15083}}}}{\shp {\*\shpinst\shpleft5169\shptop12760\shpright5708\shpbottom12760\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz261\shplid9{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineWidth}{\sv 15083}}}}

{\shp {\*\shpinst\shpleft2576\shptop12344\shpright5708\shpbottom12344\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz270\shplid10{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn geoRight}{\sv 3132}}{\sp{\sn geoBottom}{\sv 0}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn pVerticies}{\sv 8;7;(0,0);(496,0);(1072,0);(1611,0);(2149,0);(2593,0);(3132,0)}}{\sp{\sn pSegmentInfo}{\sv 2;15;16384;45824;1;45824;1;45824;1;45824;1;45824;1;45

824;1;45824;32768}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn lineWidth}{\sv 15083}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fBehindDocume


15/23

nt}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}}}




{\sp{\sn pVerticies}{\sv 8;8;(0,0);(762,0);(1258,0);(1834,0);(2373,0);(2912,0);(3356,0);(3894,0)}}{\sp{\sn pSegmentInfo}{\sv 2;17;16384;45824;1;45824;1;45824;1;45824;1;45824;1;45824;1;45824;1;45824;32768}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn lineWidth}{\sv 15083}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}}}


{\sp{\sn pVerticies}{\sv 8;3;(0,0);(539,0);(983,0)}}{\sp{\sn pSegmentInfo}{\sv 2;7;16384;45824;1;45824;1;45824;32768}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn lineWidth}{\sv 15083}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}}}

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pbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz402\shplid16{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineWidth}{\sv 15083}}


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}}

{\shp {\*\shpinst\shpleft7281\shptop5020\shpright10413\shpbottom5020\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz411\shplid17{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn geoRight}{\sv 3132}}{\sp{\sn geoBottom}{\sv 0}}{\sp{\sn shapePath}{\sv 4}}{\sp{\sn pVerticies}{\sv 8;7;(0,0);(496,0);(1073,0);(1611,0);(2150,0);(2594,0);(

3132,0)}}{\sp{\sn pSegmentInfo}{\sv 2;15;16384;45824;1;45824;1;45824;1;45824;1;45824;1;45824;1;45824;32768}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn lineWidth}{\sv 15083}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}}}\par\pard\sect\sectd\fs24\paperw11900\paperh16840\pard\sb0\sl-240{\bkmkstart Pg6}{\bkmkend Pg6}\par\pard\ql \li6739\sb0\sl-276\slmult0 \par\pard\ql\li6739\sb0\sl-276\slmult0 \par\pard\ql\li6739\sb0\sl-276\slmult0 \par\pard\ql\li6739\sb64\sl-276\slmult0 \up0 \expndtw-4\charscalex100 \ul0\nosupersub\cf1\f2\fs24 GASTERVol. 10 No. 2 Agustus 2013\par\pard\sect\sectd\sbknone\cols2\colno1\colw6172\colsr160\colno2\colw5428\colsr160\ql \li1813\sb0\sl-276\slmult0 \par\pard\ql \li181

3\sb146\sl-276\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf2\f3\fs24dan angka signifikan (p) < 0,05 sehingga\par\pard\qj \li1813\ri300\sb30\sl-439\slmult0\fi0 \up0 \expndtw0\charscalex106 ada pengaruh signifikan latihan ROM \line \up0 \expndtw0\charscalex100 aktif terhadap kekuatan otot pada pasien \line \up0 \expndtw-6\charscalex100 post operasi fraktur humerus di RSUD Dr.\par\pard\ql \li1813\sb136\sl-276\slmult0 \up0 \expndtw-3\charscalex100 Moewardi.\par\pard\ql \li1416\sb0\sl-276\slmult0 \par\pard\ql \li1416\sb81\sl-276\slmult0 \up0 \expndtw0\charscalex102 PEMBAHASAN\par\pard\ql \li1416\sb97\sl-276\slmult0\tx1806 \up0 \expndtw-4\charscalex100 1.\tab \up0 \expndtw-5\charscalex100 Analisis Karakteristik Pasien Post Operasi\par\pard\ql \li1813\sb12\sl-276\slmult0 \up0 \expndtw-3\charscalex100 Fraktur Humerus\par\pard\ql \li1813\sb193\sl-276\slmult0\tx2205 \up0 \expndtw-3\charscalex100 a.\tab \up0 \expndtw0\charscalex107 Analisis Karakteristik Pasien Post\par\pard\ql \li2210\sb12\sl-276\slmult0 \up0 \expndtw-7\c

harscalex100 Operasi Fraktur Humerus Berdasarkan\par\pard\ql \li2210\sb12\sl-276\slmult0 \up0 \expndtw-3\charscalex100 Umur\par\pard\ql \li2607\sb249\sl-276\slmult0 \up0 \expndtw0\charscalex108 Hasil penelitian pada Tabel 1\par\pard\ql \li2210\sb164\sl-276\slmult0 \up0 \expndtw0\charscalex101 menunjukkan sebagian besar pasien\par\pard\ql \li2210\sb164\sl-276\slmult0 \up0 \expndtw-1\charscalex100post operasi fraktur humerus dengan\par\pard\ql \li2210\sb164\sl-276\slmult0 \up0 \expndtw-3\charscalex100 umur 20-55 tahun, yaitu sebanyak 23\par\pard\ql \li2210\sb164\sl-276\slmult0 \up0 \expndtw0\charscalex101 responden (76,6%). MenurutHelmi\par\pard\ql \li2210\sb164\sl-276\slmult0 \up0 \expndtw0\charscalex102 (2012) gambaran klinik dari fraktur\par\pard\ql \li2210\sb164\sl-276\slmult0 \up0 \expndtw-5\charscalex100 humerus sebagian besar pasien adalah\par\pard\ql \li2210\sb164\sl-276\slmult0 \up0 \expndtw0\charscalex108 orang dewasa muda (>20 tahun).\par\pard\ql \li2210\sb164\sl-276\slmult0 \up0 \expndtw-6\charscalex100 Sedangkan fraktur humerus proksimal\par\pard\ql \li2210\sb164\sl-276\slmult0 \up0 \expndtw0\charscalex108 (kolum humerus) biasanya terjadi\par\pard\ql \li2210\sb164\sl-276\slmult0 \up0 \expndtw-2\charscalex100 pada usia lanjut riwayat osteoporosis\par\pard\ql \li2210\sb164\sl-276\slmult0 \up0 \expndtw0\charscalex105 atau padawanita pascamenopouse\par\pard\ql \li2210\sb164\sl-276\slmult0 \up0 \expndtw0\charscalex104 tetapi tidak menutup kemungkinan\par\pard\ql \li2210\sb164\sl-276\slmult0 \up0 \expndtw-4\charscalex100 bisa terjadi pada usia dewasa. Fraktur\par\pard\ql \li2210\sb164\sl-276\slmult0 \up0 \expndtw-4\charscalex100 batang humerus biasanya terjadi pada\par\pard\ql \li2210\sb164\sl-276\slmult0 \up0 \expndtw0\charscalex106 usia dewasa akibat dari jatuh pada\par\pard\ql \li2210\sb164\sl-276\slmult0 \up0 \expndtw0\charscalex101 tangan memuntir humerus sehingga\par\pard\ql \li2210\sb164\sl-276\slmult0 \up0 \expndtw-1\charscalex100 menyebabkan frakt

ur spiral dan bisa\par\pard\ql \li2210\sb164\sl-276\slmult0 \up0 \expndtw-2\charscalex100 terjadi pada manula akibat dari suatu\par\pard\ql \li2210\sb163\sl-276\slmult0 \up0 \expndtw0\charscalex109 metastasis. Fraktur suprakondiler\par\pard


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\column \ql \li6916\sb0\sl-276\slmult0 \par\pard\ql \li604\sb146\sl-276\slmult0\up0 \expndtw-1\charscalex100 humerus biasanya terjadi pada anak-\par\pard\ql \li604\sb164\sl-276\slmult0 \up0 \expndtw-8\charscalex100 anak dan tidak menutup kemungkinana\par\pard\ql \li604\sb164\sl-276\slmult0 \up0 \expndtw-4\charscalex100 bisa terjadi pada usia dewasa. Fraktur\par\pard\ql \li604\sb164\sl-276\slmult0\up0 \expndtw-7\charscalex100 kondilus lateral biasanya sering terjadi\par\pard\ql \li604\sb164\sl-276\slmult0 \up0 \expndtw0\charscalex102 pada anak, pada ora

ng dewasa juga\par\pard\ql \li604\sb164\sl-276\slmult0 \up0 \expndtw0\charscalex112 sering dijumpai biasanya fraktur\par\pard\ql \li604\sb164\sl-276\slmult0 \up0 \expndtw-5\charscalex100 berbentuk huruf T atau Y.\par\pard\ql \li1001\sb164\sl-276\slmult0 \up0 \expndtw-6\charscalex100 Hasil penelitian ini didukung oleh\par\pard\ql \li604\sb164\sl-276\slmult0 \up0 \expndtw-3\charscalex100 penelitianyang dilakukan Rahmasari\par\pard\ql \li604\sb164\sl-276\slmult0 \up0 \expndtw-3\charscalex100 et al (2008) yang menyatakan tingkat\par\pard\ql \li604\sb164\sl-276\slmult0 \up0 \expndtw0\charscalex100 kemandirian pasien pada usia 20-55\par\pard\ql \li604\sb164\sl-276\slmult0 \up0 \expndtw-2\charscalex100 tahun atau usia produktif lebih tinggi\par\pard\ql \li604\sb164\sl-276\slmult0 \up0 \expndtw0\charscalex115 dari pada anak-anak dan lansia.\par\pard\ql \li604\sb164\sl-276\slmult0 \up0 \expndtw-4\charscalex100 Penelitian tersebut juga menyebutkan\par\par

d\ql \li604\sb164\sl-276\slmult0 \up0 \expndtw0\charscalex100 bahwa pada usia produktif memiliki\par\pard\ql \li604\sb164\sl-276\slmult0 \up0 \expndtw0\charscalex106 fleksibilitas sendi yang baik. Pada\par\pard\ql \li604\sb164\sl-276\slmult0 \up0 \expndtw-8\charscalex100 usia dewasa tua fleksibilitas cenderung\par\pard\ql \li604\sb164\sl-276\slmult0 \up0 \expndtw0\charscalex103 mengalami panurunanpada tingkat\par\pard\ql \li604\sb164\sl-276\slmult0 \up0 \expndtw-2\charscalex100 aktivitas dan kekuatan otot, sehingga\par\pard\ql \li604\sb164\sl-276\slmult0 \up0 \expndtw0\charscalex110 dapat menurunkan rentang gerak\par\pard\ql \li604\sb164\sl-276\slmult0 \up0 \expndtw-3\charscalex100 sendi.\par\pard\ql \li6519\sb0\sl-276\slmult0 \par\pard\ql \li207\sb24\sl-276\slmult0\tx608 \up0 \expndtw-3\charscalex100 b.\tab \up0 \expndtw0\charscalex107 Analisis Karakteristik PasienPost\par\pard\ql \li604\sb12\sl-276\slmult0 \up0 \expndtw-7\charscalex100 Operasi Fraktur Humerus Berdasarkan\par\pard\ql \li604\sb12\sl-276\slmult0 \up0 \expnd

tw-3\charscalex100 Jenis Kelamin\par\pard\ql \li1001\sb249\sl-276\slmult0 \up0 \expndtw0\charscalex112 Hasil penelitian pada Tabel\par\pard\ql \li604\sb164\sl-276\slmult0 \up0 \expndtw0\charscalex111 2 menunjukkan sebagian besar\par\pard\ql \li604\sb164\sl-276\slmult0 \up0 \expndtw0\charscalex101 pasien post operasi fraktur humerus\par\pard\ql \li604\sb164\sl-276\slmult0 \up0 \expndtw0\charscalex102 berjenis kelamin laki-laki sebanyak\par\pard\ql \li604\sb164\sl-276\slmult0 \up0 \expndtw0\charscalex107 23 responden (76,7%) sedangkan\par\pard\ql \li604\sb164\sl-276\slmult0 \up0 \expndtw0\charscalex107 perempuan sebanyak 7 responden\par\pard\ql \li6332\sb0\sl-276\slmult0 \par\pard\ql \li6332\sb0\sl-276\slmult0 \par\pard\ql \li20\sb196\sl-276\slmult0\tx3940 \up0 \expndtw-2\charscalex100Pengaruh Latihan \ul0\nosupersub\cf3\f4\fs24 Range of Motion\ul0\nosupersub\cf2\f3\fs24 ...\tab \up0 \expndtw-3\charscalex100 47 \par\pard\sect\sectd\fs24\paperw11900\paperh16840\pard\sb0\sl-240{\bkmkstart Pg7}{\bkmkend Pg7}\par\pard\ql \li1416\sb0\sl-276\slmult0 \par\pard\ql\li1416\sb0\sl-276\slmult0 \par\pard\ql\li1416\sb0\sl-276\slmult0 \par\pard\ql\li1416\sb64\sl-276\slmult0 \up0 \expndtw-4\charscalex100 \ul0\nosupersub\cf1\f2\fs24 GASTER Vol. 10 No. 2 Agustus 2013\par\pard\sect\sectd\sbknone\cols2\colno1\colw5962\colsr160\colno2\colw5638\colsr160\ql \li2210\sb0\sl-276\slmult0 \par\pard\ql \li2210\sb146\sl-276\slmult0 \up0 \expndtw-7\charscalex100 \ul0\nosupersub\cf2\f3\fs24 (23,3%). Sesuai pendapat Lukman dan\par\pard\ql \li2210\sb164\sl-276\slmult0 \up0 \expndtw0\charscalex102 Ningsih (2009) bahwa fraktur lebih\par\pard\ql \li2210\sb164\sl-276\slmult0 \up0 \expndtw-1\charscalex100 sering terjadi pada laki-laki daripada\par\pard\ql \li2210\sb164\sl-276\slmult0 \up0 \expndtw-9\charscalex100 perempuan. Hal ini disebabkan aktifitas\par\pard\ql \li2210\sb164\sl-276\slmult0 \up0 \expndtw0\charscalex100 laki-laki sebagai pencari nafkah dan\par\pard\ql \li2210\sb164\sl-276\slmult0

\up0 \expndtw0\charscalex113 intensitas kegiatan diluar rumah\par\pard\ql \li2210\sb164\sl-276\slmult0 \up0 \expndtw0\charscalex108 yang lebih tinggi, aktifitasseperti\par\pard\ql \li2210\sb164\sl-276\slmult0 \up0 \expndtw0\charscalex104 m


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emanjat, mengendarai kendaraan\par\pard\ql \li2210\sb164\sl-276\slmult0 \up0 \expndtw-6\charscalex100 bermotor, olah raga dan lain-lain yang\par\pard\ql \li2210\sb164\sl-276\slmult0 \up0 \expndtw0\charscalex106 dapat meningkatkan resiko cidera.\par\pard\ql \li2210\sb164\sl-276\slmult0 \up0 \expndtw0\charscalex105 Hasilini didukung penelitian yang\par\pard\ql \li2210\sb164\sl-276\slmult0 \up0 \expndtw0\charscalex106 dilakukan oleh Utama et al (2008)\par\pard\ql \li2210\sb164\sl-276\slmult0 \up0 \expndtw0\charscalex109 berdasarkan jenis kelamin bahwa\par\

pard\ql \li2210\sb164\sl-276\slmult0 \up0 \expndtw-4\charscalex100 prevalensi kecelakaan lalu lintas pada\par\pard\ql \li2210\sb164\sl-276\slmult0 \up0 \expndtw0\charscalex102 laki-laki bermakna lebih tinggi dari\par\pard\ql \li2210\sb164\sl-276\slmult0 \up0 \expndtw-3\charscalex100 perempuan.\par\pard\ql \li1813\sb0\sl-276\slmult0 \par\pard\ql \li1813\sb24\sl-276\slmult0\tx2205 \up0 \expndtw-3\charscalex100 c.\tab \up0 \expndtw0\charscalex107 Analisis Karakteristik Pasien Post\par\pard\ql \li2210\sb12\sl-276\slmult0 \up0 \expndtw-7\charscalex100 OperasiFraktur Humerus Berdasarkan\par\pard\ql \li2210\sb12\sl-276\slmult0 \up0 \expndtw-3\charscalex100 Penyebab\par\pard\ql \li2607\sb249\sl-276\slmult0 \up0 \expndtw0\charscalex108 Hasil penelitian pada Tabel 3\par\pard\ql \li2210\sb164\sl-276\slmult0 \up0 \expndtw-1\charscalex100 menunjukkan 26 responden (86,7%)\par\pard\ql \li2210\sb164\sl-276\slmult0 \up0 \expndtw0\charscalex104 fraktur disebabka

n kecelakaan lalu\par\pard\ql \li2210\sb164\sl-276\slmult0 \up0 \expndtw0\charscalex112 lintas. Sesuai pendapat Smeltzer\par\pard\ql \li2210\sb164\sl-276\slmult0 \up0 \expndtw0\charscalex103 (2001) tingginya angka kecelakaan\par\pard\ql \li2210\sb164\sl-276\slmult0 \up0 \expndtw0\charscalex105 menyebabkan angka kejadian atau\par\pard\ql \li2210\sb164\sl-276\slmult0 \up0 \expndtw0\charscalex105 insiden fraktur tinggi. Fraktur atau\par\pard\ql \li2210\sb164\sl-276\slmult0 \up0\expndtw0\charscalex111 patah tulang dapat menimbulkan\par\pard\ql \li2210\sb164\sl-276\slmult0 \up0 \expndtw0\charscalex113 berbagai gangguan fungsi tubuh\par\pard\ql \li2210\sb164\sl-276\slmult0 \up0 \expndtw0\charscalex114 diantaranya fungsi motorik atau\par\pard\ql \li2210\sb164\sl-276\slmult0 \up0 \expndtw-4\charscalex100 anggota gerak tubuh yang mengalami\par\pard\ql \li1416\sb0\sl-276\slmult0 \par\pard\ql \li1416\sb0\sl-276\slmult0 \par\pard\ql \li1416\sb196\sl-276\slmult0\tx1846 \up0 \expndtw-3\charscalex100 48\tab \up0 \expndtw-2\charscalex100 P

engaruh Latihan \ul0\nosupersub\cf3\f4\fs24 Range of Motion\ul0\nosupersub\cf2\f3\fs24 ...\par\pard\column \ql \li6916\sb0\sl-276\slmult0 \par\pard\ql \li814\sb146\sl-276\slmult0 \up0 \expndtw-2\charscalex100 fraktur. Angka kecacatan fisikakibat\par\pard\ql \li814\sb164\sl-276\slmult0 \up0 \expndtw0\charscalex101 fraktur paling banyak dibandingkan\par\pard\ql \li814\sb164\sl-276\slmult0 \up0 \expndtw0\charscalex107 dengan semua cedera atau trauma\par\pard\ql \li814\sb164\sl-276\slmult0 \up0 \expndtw-1\charscalex100 yang disebabkan karena kecelakaan,\par\pard\ql \li814\sb164\sl-276\slmult0 \up0 \expndtw-1\charscalex100 salah satu fraktur yang sering terjadi\par\pard\ql \li814\sb164\sl-276\slmult0 \up0 \expndtw0\charscalex112 adalah fraktur humerus . Hasil\par\pard\ql \li814\sb164\sl-276\slmult0 \up0 \expndtw0\charscalex106 penelitian ini tidak sejalan dengan\par\pard\ql \li814\sb164\sl-276\slmult0 \up0 \expndtw0\charscalex105 penelitian yangdilakukan Indriani\par\pard\ql \li814\sb164\sl-276\slmult0 \up0 \expndtw0\charscalex101 dan Indawati (2006) bahwa terjadi\par\pard\ql \li814\sb164\sl-276\slmult0 \up0 \expndtw0\charscalex100 kecelakaan lalu lintas paling banyak\par\pard\ql \li814\sb164\sl-276\slmult0 \up0 \expndtw0\charscalex109 disebabkan karena kondisi waktu\par\pard\ql \li814\sb164\sl-276\slmult0 \up0 \expndtw0\charscalex104gelap mengendarai kendaraan roda\par\pard\ql \li814\sb164\sl-276\slmult0 \up0 \expndtw0\charscalex102 dua pada musim penghujan dengan\par\pard\ql \li814\sb164\sl-276\slmult0 \up0 \expndtw-6\charscalex100 kondisi korban mati merupakan angka\par\pard\ql \li814\sb164\sl-276\slmult0 \up0 \expndtw-4\charscalex100 kecelakaanpaling besar.\par\pard\ql \li6122\sb0\sl-287\slmult0 \par\pard\ql \li20\ri1173\sb4\sl-287\slmult0\tx427\tx427 \up0 \expndtw0\charscalex115 2. Analisis Identifikasi Kekuatan Otot \line\tab \up0 \expndtw0\charscalex105 Sebelum Dilakukan Latihan Range Of \line \tab \up0 \expndtw-4\charscalex100 Motion (ROM) Aktif\par\pa

rd\qj \li417\ri1172\sb113\sl-439\slmult0\fi396 \up0 \expndtw-4\charscalex100 Hasil pengamatan sebelum dilakukan \line \up0 \expndtw0\charscalex117 perlakuan yaitu latihan ROM aktif \line \up0 \expndtw0\charscalex110 pada Tabel 4 menunjukka


19/23

n sebelum\par\pard\qj \li417\ri1172\sb1\sl-439\slmult0 \up0 \expndtw0\charscalex100 diberi latihan ROM aktif sebagian besar \line \up0 \expndtw0\charscalex101 responden dengan skala kekuatan otot 0 \line \up0 \expndtw0\charscalex105 yaitu sebanyak 16 responden (53,3%).\par\pard\qj \li417\ri1173\sb1\sl-439\slmult0 \up0\expndtw-1\charscalex100 Menurut Noer 1996, dalam Lukman dan \line \up0 \expndtw0\charscalex103 Ningsih (2009) otot skeleta merupakan \line \up0 \expndtw0\charscalex103 organ yang berkontraksi dengan tujuan\par\pard\qj \li417\ri1172\sb1\sl-

439\slmult0 \up0 \expndtw0\charscalex100 memperoleh tenaga dan gerakan ke arah \line \up0 \expndtw0\charscalex106 tertentu. Otot skelet terdiri atas sel-sel \line \up0 \expndtw0\charscalex108 yang disebut sebagai serabut (fibers) \par\pard\sect\sectd\fs24\paperw11900\paperh16840\pard\sb0\sl-240{\bkmkstart Pg8}{\bkmkend Pg8}\par\pard\ql \li6739\sb0\sl-276\slmult0 \par\pard\ql\li6739\sb0\sl-276\slmult0 \par\pard\ql\li6739\sb0\sl-276\slmult0 \par\pard\ql\li6739\sb64\sl-276\slmult0 \up0 \expndtw-4\charscalex100 \ul0\nosupersub\cf1\f2\fs24 GASTER Vol. 10 No.2 Agustus 2013\par\pard\sect\sectd\sbknone\cols2\colno1\colw5962\colsr160\colno2\colw5638\colsr160\ql \li1813\sb0\sl-276\slmult0 \par\pard\ql \li1813\sb146\sl-276\slmult0 \up0 \expndtw-4\charscalex100 \ul0\nosupersub\cf2\f3\fs24 yang mempunyai struktur tertentu. Sesuai\par\pard\qj \li1813\ri90\sb30\sl-439\slmult0 \up0\expndtw-3\charscalex100 pendapat Krol (1996) skala kekuatan otot \line \up0 \e

xpndtw-6\charscalex100 0 itu tidak ada kontraksi otot atau paralisis \line \up0\expndtw0\charscalex101 total. Hasil penelitian ini didukung oleh\par\pard\qj \li1813\ri90\sb1\sl-439\slmult0 \up0 \expndtw-7\charscalex100 penelitian Astrid etal (2008) menunjukkan \line \up0 \expndtw-4\charscalex100 bahwa nilai kekuatanotot pada kelompok \line \up0 \expndtw-5\charscalex100 yang dilakukan intervensiberbeda dengan\par\pard\qj \li1813\ri91\sb1\sl-439\slmult0 \up0 \expndtw-1\charscalex100 kekuatan otot pada kelompok yang tidak \line \up0 \expndtw0\charscalex113 dilakukan intervensi, bahwa latihan \line \up0 \expndtw-2\charscalex100 ROMberpengaruh terhadap peningkatan\par\pard\ql \li1813\sb136\sl-276\slmult0 \up0 \expndtw-3\charscalex100 kekuatan otot pasien stroke.\par\pard\ql \li1416\sb0\sl-287\slmult0 \par\pard\ql \li1416\ri91\sb4\sl-287\slmult0\tx1813\tx1813 \up0 \expndtw-5\charscalex100 3. Analisis Identifikasi Kekuatan Otot Setelah \line\tab \up0 \expndtw0\charscalex109 Dilakukan Latihan Range Of Motion \line \tab \up0 \e

xpndtw-4\charscalex100 (ROM) Aktif\par\pard\qj \li1813\ri90\sb113\sl-439\slmult0\fi396 \up0 \expndtw0\charscalex123 Setelah dilakukan perlakuan \line \up0 \expndtw0\charscalex107 yaitu latihan ROM aktif pada Tabel 5 \line \up0 \expndtw-3\charscalex100 menunjukkan setelah diberi latihan ROM\par\pard\qj \li1813\ri90\sb1\sl-439\slmult0 \up0 \expndtw0\charscalex110 aktif sebanyak 9 kali sebagian besar \line \up0 \expndtw-4\charscalex100 pasien dengan skala kekuatan otot 2 yaitu \line \up0 \expndtw0\charscalex105 sebanyak 11 responden (36,7%) atau\par\pard\qj \li1813\ri90\sb1\sl-439\slmult0 \up0 \expndtw-7\charscalex100 kategori buruk, sedangkan secara fisiologis \line \up0 \expndtw-1\charscalex100 menurut pendapat Smeltzer 2002, dalam \line \up0 \expndtw0\charscalex104 Lukman dan Ningsih(2009), kekuatan\par\pard\qj \li1813\ri90\sb1\sl-439\slmult0 \up0 \expndtw-4\charscalex100 otot mulai kembali tanpa dilakukan ROM \line \up0 \expndtw-3\charscalex100 sesuai dengan tahap penyembuhan tulang \line \up0 \expndtw-3\charscalex100dimana pada tahap poliferasi sel kira-kira\par\pard\qj \li1813\ri90\sb1\sl-439\slmult0 \up0 \expndtw0\charscalex109 lima hari hematoma akan mengalami \line \up0 \expndtw-7\charscalex100 organisasi, terbentuk benang-benang fibrin \line \up0\expndtw-3\charscalex100 dalam jendela darah membentuk jaringan\par\pard\ql \li1813\sb136\sl-276\slmult0 \up0 \expndtw0\charscalex110 untuk invasi fibroblas dan osteoblas.\par\pard\column \ql \li6519\sb0\sl-276\slmult0 \par\pard\ql \li417\sb146\sl-276\slmult0 \up0 \expndtw0\charscalex102 Menurut Krol (1996) buruk merupakan\par\pard\qj \li417\ri1172\sb30\sl-439\slmult0 \up0 \expndtw0\charscalex103kondisi kontraksi otot yang cukup kuat \line \up0 \expndtw0\charscalex102 menggerakkan sendi tetapi hanya dapat \line \up0 \expndtw-7\charscalex100 dilakukan bila pengaruh dari gaya gravitasi\par\pard\qj \li417\ri1172\sb1\sl-439\slmult0 \up0 \expndtw-4\charscalex100 dihilangkan. Tingkat buruk pasien fraktur \line \up0

\expndtw-2\charscalex100 berbeda-beda tergantung pada keparahan \line \up0 \expndtw0\charscalex106 penyakitnya. Pada pasien post operasi\par\pard\qj \li417\ri1172\sb1\sl-439\slmult0 \up0 \expndtw0\charscalex100 fraktur mengalami keterlamba


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tan dalam \line \up0 \expndtw-3\charscalex100 melakukan pergerakan karena kelemahan \line \up0 \expndtw0\charscalex118 otot dan rasa nyeri yang dirasakan\par\pard\qj \li417\ri1172\sb1\sl-439\slmult0 \up0 \expndtw0\charscalex104 (Potter danPerry, 2006). Penelitian ini \line \up0 \expndtw-3\charscalex100 sejalan denganpenelitian yang dilakukan \line \up0 \expndtw0\charscalex103 oleh Astrid et al (2008) bahwa sesudah\par\pard\qj \li417\ri1172\sb1\sl-439\slmult0 \up0 \expndtw-1\charscalex100 pasien mendapatkan latihan ROM 4 kali \line \up0 \expndtw0\charsc

alex106 sehari selama 7 hari, terdapat manfaat \line \up0 \expndtw0\charscalex103 untuk pasien yaitu adanya peningkatan\par\pard\qj \li417\ri1172\sb1\sl-439\slmult0 \up0 \expndtw-4\charscalex100 kekuatan otot dan kemampuan fungsional \line\up0 \expndtw0\charscalex106 pada pasien stroke. Penelitian ini juga \line \up0\expndtw0\charscalex102 mengungkapkan bahwa baik itu latihan\par\pard\qj \li417\ri1172\sb1\sl-439\slmult0 \up0 \expndtw-7\charscalex100 ROM yang dilakukan 4 kali sehari maupun \line \up0 \expndtw-3\charscalex100 latihan ROM yang diberikan hanya 1 kali \line \up0 \expndtw0\charscalex100 sehari sama-sama berpengaruh terhadap\par\pard\ql \li417\sb136\sl-276\slmult0 \up0 \expndtw-3\charscalex100 peningkatan kemampuan fungsional.\par\pard\ql \li6122\sb0\sl-276\slmult0 \par\pard\ql\li20\sb24\sl-276\slmult0\tx422 \up0 \expndtw-3\charscalex100 4.\tab \up0 \expndtw0\charscalex109 Analisis Pengaruh Latihan Range Of\par\pard\qj \li417\ri1173\

sb3\sl-288\slmult0 \up0 \expndtw-3\charscalex100 Motion (ROM) Aktif Terhadap Kekuatan \line \up0 \expndtw-3\charscalex100 Otot\par\pard\qj \li417\ri1173\sb113\sl-439\slmult0\fi396 \up0 \expndtw0\charscalex101 Kekuatan otot dapat kembali secara \line \up0 \expndtw0\charscalex103 fisiologis tanpa dilakukan ROM sesuai \line \up0 \expndtw-6\charscalex100 dengan pendapat Smeltzer (2001), tahapan\par\pard\ql \li417\sb136\sl-276\slmult0 \up0 \expndtw-5\charscalex100 kembalinya ototberhubungan erat dengan\par\pard\ql \li6332\sb0\sl-276\slmult0 \par\pard\ql \li6332\sb0\sl-276\slmult0 \par\pard\ql \li230\sb196\sl-276\slmult0\tx4150 \up0 \expndtw-2\charscalex100 Pengaruh Latihan \ul0\nosupersub\cf3\f4\fs24 Range of Motion\ul0\nosupersub\cf2\f3\fs24 ...\tab \up0 \expndtw-3\charscalex100 49 \par\pard\sect\sectd\fs24\paperw11900\paperh16840\pard\sb0\sl-240{\bkmkstart Pg9}{\bkmkend Pg9}\par\pard\ql \li1416\sb0\sl-276\slmult0 \par\pard\ql\li1416\sb0\sl-276\slmult0 \par\pard\ql\li1416\sb0\sl-276\slmult0 \par\pard\ql\li1416\sb64\sl-276\slmu

lt0 \up0 \expndtw-4\charscalex100 \ul0\nosupersub\cf1\f2\fs24 GASTER Vol. 10 No.2 Agustus 2013\par\pard\sect\sectd\sbknone\cols2\colno1\colw5962\colsr160\colno2\colw5638\colsr160\ql \li1813\sb0\sl-276\slmult0 \par\pard\ql \li1813\sb146\sl-276\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf2\f3\fs24 tahapan penyembuhan tulang yang terdiri\par\pard\qj \li1813\ri91\sb31\sl-450\slmult0 \up0\expndtw-8\charscalex100 atas inflamasi, proliferasi sel, pembentukan \line \up0\expndtw0\charscalex101 kalus, penulangan kalus (osifikasi), dan \line \up0 \expndtw0\charscalex101 remodeling. Sesuai tahap penyembuhan\par\pard\qj \li1813\ri91\sb0\sl-450\slmult0 \up0 \expndtw0\charscalex112 tulang tersebut, kekuatan otot mulai \line \up0 \expndtw0\charscalex111 kembali secara fisiologis pada tahap\line \up0 \expndtw0\charscalex108 poliferasi sel yaitu kira-kira lima hari\par\pard\qj \li1813\ri90\sb0\sl-450\slmult0 \up0 \expndtw0\charscalex103 hematoma akan mengalami organisasi. \line \up0 \expndtw-1\charscalex100 Sehingga kekuatan otot mulai regenerasi \line \up0 \expndtw0\charscalex104 kembali tanpa dilakukanROM selama\par\pard\qj \li1813\ri90\sb0\sl-450\slmult0 \up0 \expndtw0\charscalex111 5 hari. Perbandingan skala kekuatan \line \up0 \expndtw0\charscalex113 ototpasien dapat dilihat pada Tabel \line \up0 \expndtw0\charscalex104 4.7, pada tabel tersebut menunjukkan\par\pard\qj \li1813\ri90\sb0\sl-450\slmult0 \up0 \expndtw0\charscalex110 peningkatan skala kekuatan otot ML \line \up0 \expndtw0\charscalex108 0-5, sebelum dilakukan latihan ROM \line \up0 \expndtw0\charscalex109 aktif skala kekuatan otot 0,1, dan 2,\par\pard\qj \li1813\ri90\sb0\sl-450\slmult0 \up0 \expndtw-5\charscalex100 setelah dilakukan latihan ROM aktif skala \line\up0 \expndtw0\charscalex101 kekuatan otot meningkat menjadi 1,2,3, \line \up0\expndtw0\charscalex104 dan 4. Hal ini sesuai dengan teori-teori\par\pard\qj \li1813\ri90\sb0\sl-450\slmult0 \up0 \expndtw0\charscalex106 yang ada, salah satu d

iantaranya yang \line \up0 \expndtw-5\charscalex100 diungkapkan oleh Potter danPerry (2006) \line \up0 \expndtw-6\charscalex100 yaitu teori rentang gerak sendi, yang mana\par\pard\qj \li1813\ri90\sb0\sl-450\slmult0 \up0 \expndtw-7\charscal


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ex100 teori ini menyatakan bahwa dengan adanya \line \up0 \expndtw0\charscalex104 latihan rentang gerak sendi, hematoma \line \up0 \expndtw0\charscalex108 akanmengalami organisasi terbentuk\par\pard\qj \li1813\ri90\sb0\sl-450\slmult0 \up0\expndtw0\charscalex112 benang-benang fibrin dalam jendela \line \up0 \expndtw0\charscalex111 darah sehingga membentuk jaringan \line \up0 \expndtw0\charscalex110 untuk invasi fibroblas dan osteoblas.\par\pard\ql \li1813\sb144\sl-276\slmult0 \up0 \expndtw-4\charscalex100 Fibroblas dan osteoklas (berkembang dari\par\par

d\ql \li1416\sb0\sl-276\slmult0 \par\pard\ql \li1416\sb0\sl-276\slmult0 \par\pard\ql \li1416\sb273\sl-276\slmult0\tx1846 \up0 \expndtw-3\charscalex100 50\tab \up0 \expndtw-2\charscalex100 Pengaruh Latihan \ul0\nosupersub\cf3\f4\fs24 Range of Motion\ul0\nosupersub\cf2\f3\fs24 ...\par\pard\column \ql \li6519\sb0\sl-276\slmult0 \par\pard\ql \li417\sb146\sl-276\slmult0 \up0 \expndtw0\charscalex101 osteosit, sel endotel dan sel periosteum)\par\pard\qj \li417\ri1172\sb31\sl-450\slmult0 \up0 \expndtw0\charscalex112 akan menghasilkan kolagen sebagai \line \up0\expndtw0\charscalex108 matriks kolagen pada patahan tulang. \line \up0 \expndtw-5\charscalex100 Terbentuk jaringan ikat fibrosa dan tulang\par\pard\qj \li417\ri1173\sb0\sl-450\slmult0 \up0 \expndtw0\charscalex107 rawan (osteoid). Tulang yang sedang \line \up0 \expndtw0\charscalex110 aktif tumbuh menunjukkan potensial\line \up0 \expndtw0\charscalex100 elektronegatif, oleh karenanya kekuatan\par\

pard\qj \li417\ri1172\sb0\sl-450\slmult0 \up0 \expndtw-4\charscalex100 otot akanmeningkat atau bahkan menjadi \line \up0 \expndtw0\charscalex107 normal. Hasilpenelitian ini didukung \line \up0 \expndtw0\charscalex101 oleh penelitian Windiarto (2008) dalam\par\pard\qj \li417\ri1172\sb0\sl-450\slmult0 \up0 \expndtw-4\charscalex100 penelitiannya mengatakan bahwa terbukti \line \up0 \expndtw-2\charscalex100 adanya perbedaan lama waktu terjadinya \line \up0 \expndtw0\charscalex100 pemulihan peristaltik usus antara pasien\par\pard\qj \li417\ri1173\sb0\sl-450\slmult0 \up0 \expndtw-2\charscalex100 yang dilakukan ambulasi dini ROM aktif \line \up0 \expndtw-4\charscalex100 dan ROM pasif pada pasien pasca operasi \line\up0 \expndtw-2\charscalex100 abdomen. Pasien pasca operasi abdomen\par\pard\qj\li417\ri1172\sb0\sl-450\slmult0 \up0 \expndtw-2\charscalex100 yang dilakukan ambulasi dini ROM aktif \up0 \expndtw-6\charscalex100 lebih cepat pulih dari padayang dilakukan \up0 \expndtw-3\charscalex100 ambulasi dini ROM pasif.\par\pard\q

l \li6122\sb0\sl-276\slmult0 \par\pard\ql \li20\sb85\sl-276\slmult0 \up0 \expndtw0\charscalex100 D. SIMPULAN\par\pard\ql \li20\r

241767391 Fraktur Jurnal Sistem Integumen Keperawatan

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