Nadira Secionova Putri Moerdijanto, . (2026) PENATALAKSANAAN FISIOTERAPI PADA KASUS CEREBRAL PALSY SPASTIC QUADRIPLEGIA DI KITTY CENTRE. Tugas Akhir thesis, Universitas Pembangunan Nasional Veteran Jakarta.
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Abstract
Background : Cerebral Palsy Spastic Quadriplegia is characterized by involvement of all four extremities and accounts for approximately 20% of Cerebral Palsy cases. This condition is often associated with a history of premature birth and has a poor prognosis in achieving independent walking ability. Clinical manifestations include spasticity, postural disorders, and limitations in motor function, and are often accompanied by sensory, cognitive, communication, behavioral disorders, epilepsy, and secondary musculoskeletal complications. Objective : To identify specific physiotherapy examinations, physiotherapy problems, physiotherapy interventions and also evaluation results in patients with Cerebral Palsy Spastic Quadriplegia at Kitty Center. Method : This scientific paper uses a case study method that includes collecting patient data in the form of identity, alloanamnesis, physiotherapy examination results, interventions given, and evaluation of therapy results. Results : The evaluation results showed an improvement in head control, decreased muscle tone and spasticity (MAS), and an increase in GMFM scores by 1.9% in dimension A. These changes were influenced by a combination of physiotherapy interventions in the form of massage, stretching, patterning, standing frame, head control exercises, hand support, crawling position, and Botox injection. However, no changes were found in the GMFCS level, primitive reflexes, and sensory function. Conclusion : The results of physiotherapy examinations through anamnesis, inspection, palpation, anthropometry, MAS, GMFM-88, GMFCS, primitive reflex examination, and sensory showed spasticity, increased muscle tone, sensory disturbances, persistent primitive reflexes, and impaired postural control, head control, and hand support in patients with Cerebral Palsy Spastic Quadriplegia. Physiotherapy interventions were in the form of massage, stretching, patterning, standing frame, head control exercises, hand support, and crawling position. The evaluation showed a decrease in spasticity, improved muscle tone, and increased gross motor skills, while other parameters did not show significant changes. Keywords : Cerebral Palsy Spastic Quadriplegia, Physiotherapy, Spasticity, Massage and Stretching, Botox Injection
| Item Type: | Thesis (Tugas Akhir) |
|---|---|
| Additional Information: | No. Panggil : 2310702044 Pembimbing : Mona Oktarina Penguji 1 : Rena Mailani Penguji 2 : Andy Sirada |
| Uncontrolled Keywords: | Cerebral Palsy Spastic Quadriplegia, Physiotherapy, Spasticity, Massage and Stretching, Botox Injection |
| Subjects: | R Medicine > RJ Pediatrics R Medicine > RZ Other systems of medicine |
| Divisions: | Fakultas Ilmu Kesehatan > Program Studi Fisioterapi (DIII) |
| Depositing User: | NADIRA SECIONOVA PUTRI MOERDIJANTO |
| Date Deposited: | 24 Aug 2026 03:39 |
| Last Modified: | 24 Aug 2026 03:39 |
| URI: | http://repository.upnvj.ac.id/id/eprint/51009 |
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