KATA PENGANTAR

Segala puji dan syukur penulis panjatkan kehadirat Allah SWT atas rahmat dan karunia-
Nya, penulis dapat menyelesaikan laporan kasus ini dengan baik dan tepat waktu. Laporan
kasus ini disusun untuk memenuhi tugas mata kuliah Praktik Klinis Fisioterapi Komprehensif.
Penulis mendapatkan bantuan bimbingan dan dukungan dari berbagai pihak, untuk itu penulis
ingin mengucapkan terima kasih kepada yang terhormat:

a. Drs. Imam Waluyo,MBA selaku ketua program studi D4 Fisioterapi Stikes Binawan
Jakarta Timur.
b. Iwan Safir Alam,SE selaku Kepala Yayasan Heesu Cahaya Cinta.
c. Seluruh Staff dan Fisioterapi di Yayasan Heesu Cahaya Cinta.
d. Nn.A atas ketersediaannya menjadi pasien dalam praktik komprehensif kasus.
e. Orang tua kami yang selalu memberikan dukungan moral maupun materi.
f. Teman-teman seangkatan Fisioterapi 2014 Stikes Binawan Jakarta Timur yang telah
memberikan dukungannnya.

Penulis menyadari bahwa laporan kasus ini masih jauh dari kata sempurna. Oleh karena
itu, penulis sangat mengharapkan saran serta masukan yang membangun dari berbagai pihak.
Penulis juga berharap semoga laporan kasus ini dapat bermanfaat bagi para pembaca untuk
menambah wawasan dan pengetahuan.

Cileungsi, 19 Desember 2017

Penulis

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 DAFTAR ISI
KATA PENGANTAR ........................................................................................................ i

DAFTAR ISI....................................................................................................................... ii

DAFTAR TABEL .............................................................................................................. iii

DAFTAR GAMBAR .......................................................................................................... iv

BAB I PENDAHULUAN

1.1 Latar Belakang ........................................................................................................ 1

1.2 Rumusan Masalah ................................................................................................... 2
1.3 Tujuan .................................................................................................................... 2
1.4 Manfaat ................................................................................................................... 3

BAB II KAJIAN TEORI

2.1 Anatomi Otak ......................................................................................................... 4

2.2 Definisi Cerebral Palsy ........................................................................................... 7
2.3 Klasifikasi Cerebral Palsy ....................................................................................... 7
2.4 Epidemiologi ........................................................................................................... 10
2.5 Etiologi .................................................................................................................... 11
2.6 Patofisiologi ............................................................................................................ 12
2.7 Definisi Duduk ........................................................................................................ 13
2.8 Definisi Berdiri ....................................................................................................... 14
2.9 Sit To Stand Exercise .............................................................................................. 14
2.10 Otot-otot yang berperan dalam sit to stand........................................................... 15
2.11 Fase-fase sit to stand ............................................................................................. 16
2.12 Faktor-faktor yang mempengaruhi sit to stand ..................................................... 17
2.13 Pengukuran ........................................................................................................... 18

BAB III LAPORAN KASUS

3.1 Definisi Operasional ............................................................................................... 20

3.2 Deskripsi Kasus....................................................................................................... 20
3.3 Laporan Kasus......................................................................................................... 23
BAB IV INTERVENSI, EVALUASI DAN PEMBAHASAN

4.1 Intervensi................................................................................................................. 29
4.2 Evaluasi ................................................................................................................... 57
4.3 Pembahasan ............................................................................................................. 62

BAB V PENUTUP

5.1 Kesimpulan ............................................................................................................. 63

5.2 Saran ...................................................................................................................... 64

REFERENSI ....................................................................................................................... 65

LAMPIRAN ........................................................................................................................ v

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 DAFTAR TABEL
2.1 Nilai Kekuatan Otot ..................................................................................................... 19
3.1 Prognosis berdasarkan usia ketika mengontrol kepala ................................................ 23
3.2 Prognosis berdasarkan usia ketika bisa duduk ............................................................. 23
3.3 Prognosis berdasarkan usia ketika bisa merangkak ..................................................... 23
3.4 MMT sebelum dilakukan intervensi ............................................................................ 26
3.5 Problema Fisioterapi .................................................................................................... 27
3.6 Rencana program penatalaksanaan Fisioterapi ............................................................ 27
3.7 Intervensi Fisioterapi ................................................................................................... 28
4.1 Intervensi ..................................................................................................................... 29

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 DAFTAR GAMBAR
2.1 Anatomi Otak ................................................................................................................ 5
2.2 Klasifikasi Cerebral Palsy ............................................................................................. 7
2.3 Sit to stand Exercise ...................................................................................................... 15
2.4 Skala VAS ..................................................................................................................... 19
3.1 VAS sebelum latihan .................................................................................................... 26
3.2 VAS setelah latihan....................................................................................................... 26
4.1 Grafik hasil MMT sebelum dan sesudah diberi intervensi ........................................... 57
4.2 Grafik VAS sebelum dan sesudah intervensi................................................................ 58
4.3 Grafik lamanya waktu treatment ................................................................................... 59
4.4 Grafik lamanya waktu berdiri ....................................................................................... 60
4.5 Grafik pengaruh lamanya treatment terhadap lamanya berdiri..................................... 61

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 LAMPIRAN

Massage pada ektremitas bawah

Latihan duduk di atas bola

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Sit to stand Exercise Perhitungan lamanya waktu berdiri

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