TUJUAN PENULISAN : Untuk mengetahui dan memahami penatalaksanaan
dan fungsi (KAFO) knee ankle foot orthosis. LATAR BELAKANG : Polio atau poliomyelitis merupakan penyakit menular akut yang disebabkan oleh virus yang menyerang sel anterior sumsum tulang belakang dan inti motorik batang otak sehingga dapat mengakibatkan terjadinya kelumpuhan dan atrofi pada otot. Penyakit ini ditandai dengan munculnya demam, lelah, sakit kepala, mual, kaku di leher, serta sakit di tungkai dan lengan. ortotis prostetik berkewajiban untuk ikut serta dalam program rehabilitasi medis dengan memberikan ortosis. Alat bantu knee ankle foot orthosis (KAFO) umum di preskripsikan bagi pasien dengan riwayat poliomyelitis dan berfungsi untuk memperbaiki gaya berjalan, memberikan stabilitas saat berjalan. SUBJEK : Subjek dalam penulisan ini adalah pasien Post Polio Paralysis dari Klego, Boyolali. HASIL ASSESMENT : Subjek mengalami post polio paralysis pada tungkai kiri. Terdapat athropy otot, sensitifitas baik, tidak ada luka, valgus/varus negatif, kontraktur hip flexor, kontraktur knee flexor, knee joint stabil, pasien mengalami talipes valgus, pasien mengalami pes cavus, dan terdapat LLD 0,5 cm. PROSTHETIC PRESCRIPTION : Berdasarkan hasil assessment penulis memberikan pelayanan Knee Ankle Foot Orthosis (KAFO) desain custom plastic anterior shell, dengan menggunakan drop lock knee joint dan flexible ankle joint. Kemudian pemberian insole medial arch dan anti slip pada foot HASIL : Hasil analisa pada fitting Knee Ankle Foot Orthosis diketahui bahwa pasien mampu berjalan tanpa memegang lutut. KESIMPULAN : dalam Penatalaksanaan Orthotik Prosthetik yang tepat sesuai prosedur seorang Ortotis Prosthetis berperan penting dalam dunia rehabilitasi medis untuk mewujudkan masyarakat sehat dan mandiri. Kata kunci : Post Polio Paralysis, Knee Ankle Foot Orthosis. ABSTRACT
MANAGEMENT OF POST POLIO PARALYSIS LEFT
LEFT USING (KAFO) KNEE ANKLE FOOT ORTHOSIS Advisor I Muhammad Fathi, SST.OP., MPH, Advisor II Atika Febri Anggriani, STr. Kes, Aldya Chintyafanny Diploma Three Study Program, Prosthetic Orthotic Department, Health Ministry of Health, Surakarta
WRITING OBJECTIVE : To know and understand the management and
function (KAFO) of knee ankle foot orthosis. BACKGROUND : Polio or poliomyelitis is an acute infectious disease caused by a virus that attacks the anterior cells of the spinal cord and the brain stem motor nuclei so that it can result in paralysis and atrophy in the muscles. This disease is characterized by the appearance of fever, fatigue, headache, nausea, stiffness in the neck, and pain in the legs and arms. prosthetic orthotics are obliged to participate in a medical rehabilitation program by providing orthosis. Knee ankle foot orthosis (KAFO) aids are commonly described for patients with a history of poliomyelitis and serve to improve gait, providing stability while walking. SUBJECT : The subjects in this paper are Post Polio Paralysis patients from Klego, Boyolali. ASSESSMENT RESULTS : Subjects experienced post polio paralysis in the left leg. There is muscle athropy , good sensitivity, no injuries, valgus / negative varus, hip flexor contractures, knee flexor contractures , stable knee joints, patients have talipes valgus , patients have pes cavus , and there is 0.5 cm LLD. PROSTHETIC PRESCRIPTION : Based on the results of the assessment the authors provide Knee Ankle Foot Orthosis (KAFO) custom plastic anterior shell design , using a drop lock knee joint and flexible ankle joint . Then administering medial arch insole and anti slip on the foot RESULTS : The results of the analysis on the Knee Ankle Foot Orthosis fitting revealed that the patient was able to walk without holding the knee. CONCLUSION : In the proper management of prosthetic orthotics in accordance with the procedures of a prosthetic orthotic plays an important role in the world of medical rehabilitation to create a healthy and independent society. Keywords: Post Polio Paralysis, Knee Ankle Foot Orthosis