Download - Nyeri Muskuloskeletal
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PERAN REHABILITASI MEDIK PADA NYERIMUSKULOSKELETALdr. Dyah Gita Rambu Kareri S!K"R. M.Si.Med
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DEFINISI NYERI
Nyeri me#urut
International Associationfor the Study of Painada$ah !e#%a$ama#
&e#&'ri( da# m't'ri( ya#%
tida( me#ye#a#%(a#&ehubu#%a# de#%a#(eru&a(a# )ari#%a#
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NYERI
K'%#iti*
Se#&'ri
Em'&i
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KLASIFIKASI NYERI
Berda&ar(a# dura&i#ya ,
Nyeri a(ut, #yeri (are#a (are#a ada
(eru&a(a# )ari#%a# !r'&e& !e#ya(itatau!u# *u#%&i ab#'rma$ dari 't'tatau 'r%a# da$am -i&/era0
Nyeri (r'#i&, #yeri ya#% me#eta!dia$ami $ebih + bu$a# atau 1 bu$a#dari &e)a( mu$ai dari dira&a(a# #yeri
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DAM PAK NYERI
Dam!a( ya#%be&ar ba%i
*u#%&i !&i('$'%ida# &'&ia$
Kehi$a#%a#!r'du(tiita& di
tem!at (er)a
Biaya!e#%'bata#
ti#%%i
Pe#i#%(ata#
biaya!e#a#%a#a#di&abi$ita& da#
('m!e#&a&i
$ai#
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M ASALAH PSIKOLOGIS
TERKAIT NYERI KRONIK
• D e ! r e & i • K e / e m a & a # • K e m a r a h a #
"a(t'ra*e(ti*
• A ( t i . i t a & y a # % m e # u r u # a t a u m e # ) a d i ! a & i *
"a(t'r('%#it
i*
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Ke/ema&a#
De!re&i
Si*at
me#%hi#dar Putu& a&a
Be#/a#a
Me#erima(eadaa#
I#%i# berubah Strate%i 3'!i#%
Se$* e4/a/y
5S
Per)a$a#a# #yeri di!e#%aruhi *a(t'r!&i('$'%i
"a(t'r !&i('$'%i& 6 Nyeri
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PEN G U KURAN N YERI
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PEN G U KURAN N YERI
A$at u(ur behai'ra$ me#i$ai
ma&a$ah &'&ia$
!&i('$'%i(a$ -!e#yim!a#%a# !eri$a(u&i(a! %aya hidu! (emam!ua#*u#%&i'#a$ ter&ebut meru!a(a#ma&a$ah 9&i(a$ atau !&i('$'%i(a$0
!e#%ertia# da# !e#erimaa# terhada!&itua&i ya#% dia$ami
ta#da:ta#da de!re&i -iritabe$ $'y'(ura#% ('#&e#tra&i !e#uru#a# ha&rat0
da# &tatu& em'&i'#a$ da# (e ribadia#
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M AN AJEM EN N YERI KRO N IK
Pe#de(ata# terbai( ada$ah de#%a#me#emu(a# da# me#%ata&i eti'$'%iya#% me#da&ari #yeri me&(i!u# ha$
ter&ebut tida( &e$a$u ada da# tida(mudah u#tu( diide#ti9(a&i.
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M AN AJEM EN N YERI KRO N IK
Mu$tidi&i!$i# da# i#terdi&i!$i#
Mu$ti a&!e( m'da$ita&
Berda&ar(a# !e#e$itia# data:dataterbaru me#u#)u((a# bah
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TUJUAN PENATALAKSANAAN
NYERI Me#%ura#%i i#te#&ita& da# dura&i (e$uha# #yeri
Me#uru#(a# (emu#%(i#a# berubah#ya #yeria(ut me#)adi %e)a$a #yeri (r'#i& ya#% !er&i&te#
Me#%ura#%i !e#deritaa# da# (etida(mam!ua#a(ibat #yeri
Memi#ima$(a# rea(&i ta( dii#%i#(a# ataui#t'$era#&i terhada! tera!i #yeri
Me#i#%(at(a# (ua$ita& hidu! !a&ie# da#me#%'!tima$(a# (emam!ua# !a&ie# u#tu(me#)a$a#(a# a(tiita& &ehari:hari
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Peran rehabilitasi m ei!
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TERAPI FISIK
M'da$ita& ada$ah a%e#:a%e# 9&i( ya#%di%u#a(a# u#tu( me#%ha&i$(a# re&!'#tera!i !ada )ari#%a#
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Tera"i "anas
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Tera"i in#in
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LASER
LASER ada$ah &i#%(ata# dari Light Amplication by Stimulated Emissionof Radiation -am!$i9(a&i /ahaya ya#%
di&timu$a&i '$eh emi&i radia&i0 La&er da!at me#%e$uar(a# !h't'#
-!arti(e$:!arti(e$ e#er%i dari /ahaya0ya#% da!at beri#tera(&i de#%a#m'$e(u$ bi'$'%i& u#tu( me#%ha&i$(a#rea(&i (imia
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;=
Elektroterapi
me#%%u#a(a# aru& $i&tri( u#tu(me#&timu$a&i &yara* atau 't't atau(edua#ya &e/ara tra#&(uta#eu&me#%%u#a(a# e$e(tr'da:e$e(tr'da!ermu(aa#
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Thera"e$ti% e&er%ise
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;;
M anipulasi
Ma#i!u$a&i ada$ah &uatu ti#da(a#!a&i* %era(a# me(a#i& ya#%di$a(u(a# !ada &e#di terte#tu atau!ada &uatu &e%me# &e#di u#tu(me#%emba$i(a# $i#%(u! %era( ataue(&te#&ibi$itaya da# u#tu(
me#%ura#%i #yeri
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M asase
E*e( 9&i'$'%i& dari ma&a&e beru!a, E*e( me(a#i& -yaitu !e#i#%(ata# aru&
ba$i( e#a da# drai#a&e $im*ati(
!e#%$e!a&a# adhe&i da# me$embut(a# )ari#%a# !arut da# me#%hi$a#%(a#&e(re&i0
E*e( re>e(&i* -yaitu !e#i#%(ata#
&ir(u$a&i me$a$ui re>e(& a&'di$ata&ire$a(&a&i %e#era$ da# e*e( &edati*!e#i#%(ata# !er&!ira&i da# &e(re&i%$a#du$a &eba&ea da# me#%ura#%i#yeri0
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TERAPI O KU PASI
O(u!a&i tera!i (hu&uya ber*'(u&!ada edu(a&i !a&ie# me#%e#ai!'&tur ya#% &e&uai da# er%'#'mi&a(tiita& e(&tremita& ya#% ber(aita#de#%a# a(tiita& (ehidu!a# &ehari:hari da# mem*a&i$ita&i &e&e'ra#%
u#tu( memi$ih atau (emba$i (e!e(er)aa# ya#% &e&uai
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PSIKO TERAPI
Tera!i !eri$a(u ('%#iti* K'#di&i !&i('$'%i& ya#% me#yim!a#%
ber(aita# de#%a# !'$a !i(ir !a&ie#ya#% irra&i'#a$ da# &i(a! ya#%
me#yim!a#% Tera!i !eri$a(u Mem'di9(a&i !eri$a(u ya#%
berhubu#%a# de#%a# #yeri
P&i('tera!i i#ter!er&'#a$ K'#di&i !&i('$'%i& berhubu#%a#
de#%a# ma&a$ah &'&ia$ da# (
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Terima(a&ih