PENGARUH LATIHAN NEURO DEVELOPMENTAL TREATMENT (NDT) TERHADAP TONUS OTOT DAN KEMAMPUAN MOTORIK PADA ANAK DOWN SYNDROME
ANALISIS DATA SEKUNDER
Abstract
Background: Down syndrome is a condition in which a child has an extra triple of chromosomes or trisomy of all or part of chromosome 21 which causes impairment in brain growth and development. Purpose: This study was to determine the effect of Neuro-Developmental Treatment (NDT) exercise on muscle tone and motor skills in children with Down syndrome. Methods: The research design in this study was pre-experimental. This study used secondary data from medical records at KKTK and IRM in the physiotherapy section of Harapan Kita Hospital from January 2017 to December 2020 with a sample size of 15 respondents who were selected using quota sampling. The independent variable was NDT, and the dependent variable, muscle tone was measured by Asworth and motor skills by GMFM. Data collection techniques was medical record documentation. Results: The average muscle tone increased significantly by about 0.86 from 0.67 to 1.06 with a P value of 0.000. Motoric ability also experienced a significant increase of 55.93 from 10.01 to 65.94. Conclusion: In children with Down syndrome, muscle tone and motor skills experience correlated disorders, so these two aspects must be considered when carrying out physiotherapy. NDT is an effective therapy in increasing muscle tone and motor skills in children with Down syndrome.
References
Bu, Q., Qiang, R., Cheng, H., Wang, A., Chen, H., & Pan, Z. (2022). Analysis of the Global Disease Burden of Down Syndrome Using YLDs, YLLs, and DALYs Based on the Global Burden of Disease 2019 Data. Frontiers in Pediatrics, 10(April), 1–8. https://doi.org/10.3389/fped.2022.882722
Burnette, W. B. (2012). Hypotonic (Floppy) Infant. In Neurology in Clinical Practice (Seventh Ed, pp. 319–328). Elsevier. https://doi.org/10.1016/B978-1-4377-0434-1.00027-X
Centers for Disease Control and Prevention. (2019). Facts about Down Syndrome. Centers for Disease Control and Prevention.
Crawford, D., & Dearmun, A. (2016). Down’s syndrome. Nursing Children and Young People, 28(9), 17. https://doi.org/10.7748/ncyp.28.9.17.s19
Foley, C., & Killeen, O. G. (2019). Musculoskeletal anomalies in children with Down syndrome: An observational study. Archives of Disease in Childhood, 104(5), 482–487. https://doi.org/10.1136/archdischild-2018-315751
Harb, A., & Kishner, S. (2020). Modified Ashworth Scale. StatPearls, Journal Article. https://www.ncbi.nlm.nih.gov/books/NBK554572/
Hodapp, R. M., & Zigler, E. (1990). Applying the developmental perspective to individuals with Down syndrome. In Children with Down Syndrome (pp. 1–28). Cambridge University Press. https://doi.org/10.1017/CBO9780511581786.002
Irwanto, H. W. (2019). A-Z Sindrom Down. In H. W. Irwanto (Ed.), Journal of Visual Languages & Computing (1st ed.). Airlangga University Press.
Judith C. Bierman. (2016). Neuro-Developmental Treatment. A Guide to NDT Clinical Practice. In Revista de Logopedia, Foniatría y Audiología (1st ed., pp. 198–199). https://doi.org/10.1016/j.rlfa.2017.10.002
Kazemi, M., Salehi, M., & Kheirollahi, M. (2016). Down Syndrome: Current Status, Challenges and Future Perspectives. Int J Mol Cell Med, 5(3). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5125364/pdf/ijmcm-5-125.pdf
National Down Syndrome Society. (2018). What Is Down Syndrome? - National Down Syndrome Society. National Down Syndrome Society.
Nurwahidah, S., Suwondo, W., & Sasmita, I. S. (2017).
Prevalensi sindroma Down di wilayah Priangan pada tahun 2015
Prevalence of Down syndrome at the Priangan area in 2015. Jurnal Kedokteran Gigi Universitas Padjadjaran, 29(3). https://doi.org/10.24198/jkg.v29i3.15950Patel, P. N., & Zwibel, H. (2018). Physiology, Exercise. StatPearls, Journal Article.
Raine, S., Meadows, L., & Lynch-Ellerington, M. (2009). Bobath Concept. In S. Raine, L. Meadows, & M. Lynch-Ellerington (Eds.), Bobath Concept: Theory and Clinical Practice in Neurological Rehabilitation. Wiley-Blackwell. https://doi.org/10.1002/9781444314601
Storey, J. (2022). Down syndrome. Pediatric Anesthesia: A Comprehensive Approach to Safe and Effective Care, 250–252. https://doi.org/10.1177/000992288902800804
United Nation. (2023). World Down Syndrome Day 21 March : Down syndrome. https://www.un.org/en/observances/down-syndrome-day
Uyanik, M., & Kayihan, H. (2010). Down Syndrome: Sensory Integration, Vestibular Stimulation and Neurodevelopmental Therapy Approaches for Children. International Encyclopedia of Rehabilitation, 1–22.
Wardah, Dian Mulya, Sri Poedji HD, P. D. K. (2019). Antara Fakta dan Harapan Sindrom Down. Pusat Data Dan Informasi - Kementerian Kesehatan Republik Indonesia, Kemenkes Jakarta. https://pusdatin.kemkes.go.id/resources/download/pusdatin/infodatin/infodatin-down-syndrom-2019-1.pdf
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