LAPORAN PRAKTIK KLINIK

INDIVIDU (PROJECT)

PENATALAKSANAAN PASIEN POST POLIOMYELITIS TUNGKAI

KANAN DENGAN MENGGUNAKAN KAFO (KNEE ANKLE FOOT
ORTHOSIS) DI KLINIK PROMEDIK SEMARANG

Oleh:

MAULIDA HIKMA GUMANTI

NIM. P 27227014046

KEMENTRIAN KESEHATAN RI

POLITEKNIK KESEHATAN SURAKARTA

JURUSAN ORTOTIK PROSTHETIK

2018

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 LEMBAR PERSETUJUAN

Laporan Praktik Klinik Promedik Semarang

PENATALAKSANAAN PASIEN POST POLIOMYELITIS TUNGKAI KANAN

DENGAN MENGGUNAKAN KAFO (KNEE ANKLE FOOT ORTHOSIS) DI
KLINIK PROMEDIK SEMARANG

OLEH:

MAULIDA HIKMA GUMANTI

NIM. P27227014046

Telah disetujui dan disahkan oleh Tim penguji

pada tanggal: ...............................

Nama Tanda tangan

1. ....................................... .................................

2. ....................................... .................................

Semarang , 2018

Mengetahui,
Ketua Jurusan Orthotik Prosthetik Ketua prodi D IV Orthotik Prosthetik
Politeknik Kesehatan Surakarta Politeknik Kesehatan Surakarta

dr. Yopi Harwinanda Ardes., M.Kes Drs. Alfan Zubaidi, M.Kes

NIP. 19750514 200604 1 003 NIP. 19640826 198931 1 001

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 KATA PENGANTAR

Segala puji dan syukur hanya pantas penulis haturkan kepada Allah SWT,

Rabb semesta alam, yang telah memberikan begitu banyak nikmat serta

kemudahan sehingga penulis dapat menyelesaikan laporan UAP yang berjudul

“Penatalaksanaan Pasien Post Poliomyelitis Tungkai Kanan dengan

Menggunakan KAFO (Knee Ankle Foot Orthosis) di Klinik Promedik”. Laporan

Praktik Klinik ini disusun untuk melengkapi tugas dan memenuhi persyaratan

untuk menyelesaikan program pendidikan Diploma IV Jurusan Ortotik Prostetik.

Penulis menyadari bahwa laporan yang kami susun masih jauh dari

sempurna, sehingga penulis sangat mengharapkan masukan, kritik maupun saran

yang membangun guna sempurnannya Laporan ini.

Semarang, 28 Mei 2018

Penulis

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 DAFTAR ISI

HALAMAN JUDUL .................................................................................. i

LEMBAR PERSETUJUAN ....................................................................... ii

KATA PENGANTAR ................................................................................. iii

DAFTAR ISI ................................................................................................ iv

DAFTAR GAMBAR ....................................................................................vi

DAFTAR TABEL ........................................................................................ vi

BAB I PENDAHULUAN

A. Latar Belakang Penulisan ............................................................... 1

B. Landasan Teori .............................................................................. 3
C. Tujuan Penulisan ............................................................................ 13
D. Manfaat Penulisan .......................................................................... 13

BAB II PENATALAKSANAAN ORTOTIK PROSTETIK

A. Assessment ...................................................................................... 14
1. Definisi Assessment .................................................................. 14
2. Subjective Assessment .............................................................. 14
3. Objective Assessment ............................................................... 15
4. Kesimpulan Hasil Assessment / Prescription ............................ 17
B. Measurement .....................................................................................18
1. Definisi Measurement ................................................................ 18
2. Measurement Sound side ........................................................... 18
3. Measurement Orthotik side ........................................................ 18
C. Casting ............................................................................................. 19
1. Definisi Casting ......................................................................... 19
2. Teknik Casting ........................................................................... 19
3. Evaluasi Negatif Cast ................................................................ 19
D. Fabrikasi .......................................................................................... 20
1. Definisi Fabrikasi ...................................................................... 20
2. Filling Negatif Cast ................................................................... 20
3. Rectification Positif Cast ........................................................... 21
4. Moulding Positif Cast .................................................................23
5. Bending ......................................................................................24
6. Bench Aligment ......................................................................... 26
E. Fitting ............................................................................................... 27
1. Definisi Fitting ........................................................................... 27
2. Static Aligment .......................................................................... 27

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 3. Dynamic Aligment ..................................................................... 27
4. Evaluasi Fitting .......................................................................... 27
F. Finisshing ......................................................................................... 28
1. Definisi Finishing .......................................................................28
2. Edukasi Pasien ............................................................................ 29

BAB IV PENUTUP

A. Kesimpulan .......................................................................................30
B. Saran ................................................................................................. 30

DAFTAR PUSTAKA

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 DAFTAR GAMBAR

halaman

Gambar 1.1: free motion knee joint ........................... .............................. 10

Gambar 1.2: drop lock knee joint ................................................................ 10
Gambar 1.3: bale knee joint lock ................................................................ 11
Gambar 1.4: posterior offset knee joint......................................................... 11
Gambar 2.1: Subjective assesment..............................................................15
Gambar 2.2: objective assesment .............................................................. 17
Gambar 2.3: objective assesment ............................................................. 17
Gambar 2.4: Measurement ..........................................................................18
Gambar 2.5: Casting ...................................................................................20
Gambar 2.6: Filling Negative Cast .............................................................20
Gambar 2.7: Rectification ......................................................................... 22
Gambar 2.8: penentuan knee axis ...............................................................22
Gambar 2.9: Moulding .............................. ................................................ 23
Gambar 2.10: Bending ...............................................................................24
Gambar 2.11: trimline ...............................................................................25
Gambar 2.12: pembuatan strap .................................................................26
Gambar 2.13: bench alingment .................................................................26
Gambar 2.14: Fitting .................................................................................27

DAFTAR TABEL

halaman
Tabel 1.1: otot pengerak knee joint ......................................................... 7
Tabel 2.1: objective assessment ............................................................. 15
Table 2.2 : objective assessment ........................................................... 17
Tabel 2.3: measurement ......................................................................... 18

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