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Objective: This study aimed to explore the profile of evidence-practice implementation and its associated factors among Indonesian Physiotherapists in Jakarta and the surrounding area, Indonesia. Methods: This study was a cross-sectional design and a proportional sampling technique used to calculate the minimum sample as population representative. Twenty-one public and private hospitals and around 104 full-time registered Physiotherapists participated in this study. The study adopted the instruments which have been established to investigate the attitude of Physiotherapists towards Evidence-Based Practice which was developed by Jette (2013). Univariate analysis and logistic regression were employed to see if there are significant relationships between the predictors and outcome. Results: The participants in this study were less than 40 years (61.5%). Participants have been recognized as having worked in the field of physiotherapy with a duration of fewer than ten years (43.3%). For educational background, the participants who certified as Bachelor of Applied Science (B.Sc) was 21.2%. The results revealed the association between predictors and  EBP implementation. Physiotherapists who admit that they were doing self-learning in seeking information and other additional more likely to have a positive attitude towards EBP (OR=1.472). Similarly, working in physiotherapy for more than ten years was positively associated with EBP implementation (OR = 1.009). Conclusion: In general, self intention to develop their skill and their knowledge on  EBP and also the duration of working as physiotherapists were contributed to influencing the attitude of physiotherapists toward Evidence-Based Practice. In future studies, the understanding level of EBP terms should be distinguished. Hence, it could differentiate the physiotherapists from the low-level to the high-level according to their understanding of EBP.

ABSTRAK Latar Belakang. Penelitian-penelitian terdahulu menunjukkan prevalensi gangguan perkembangan pada anak usia 0-5 tahun masih tinggi. Gangguan ini akan semakin kompleks jika tidak terdeteksi secara dini dan mendapatkan penanganan yang tepat. Oleh karena itu, program ini bertujuan untuk mendeteksi secara dini gangguan perkembangan pada siswa Pusteblume Daycare Yogyakarta. Target dan luaran program ini adalah: diketahuinya capaian perkembangan setiap siswa, terdeteksinya gangguan perkembangan siswa dan rujukan ke ahlinya secara dini, guru pengasuh/ pendamping dan orang tua memahami capaian perkembangan anak dan dapat memberikan stimulasi yang sesuai. Metode. Program ini dilaksanakan terhadap 32 siswa Pusteblume Daycare Yogyakarta pada bulan November 2019. Untuk mendeteksi gangguan perkembangan anak digunakan Denver Development Screening Test (DDST) II versi Bahasa Indonesia. Sesudah deteksi, dilakukan sesi konsultasi dan edukasi kepada guru pendamping masing-masing siswa. Hasil. Persentase siswa dengan suspect keterlambatan perkembangan ringan: motorik kasar (6,25%), bahasa (9,37%), motorik halus (12,50%), dan personal-sosial (3,12%). Terdapat 1 siswa yang dirujuk ke terapis wicara terkait keterlambatan perkembangan bahasa. Guru dan orang tua telah diedukasi tentang bagaimana menstimulasi siswa berdasarkan capaian perkembangannya. Simpulan. Mayoritas siswa Pusteblume Daycare Yogyakarta memiliki capaian perkembangan yang normal. Kata kunci: deteksi dini, perkembangan anak, DDST II  ABSTRACT Background. Previous studies showed the prevalence of developmental disorders in children aged 0-5 years is still high. This disorder will be more complex if it is not early detected and got the appropriate intervention. Therefore, this program aimed to detect early developmental disorders of Pusteblume Daycare Yogyakarta students. The target and output of this program were: students' developmental achievements were known, students' developmental disorders were early detected and referred to the expert, teachers and parents understood their child's development and providing appropriate stimulation. Methods. This program was carried out on 32 students of Pusteblume Daycare Yogyakarta in November 2019. The Denver Development Screening Test (DDST) II-Indonesian version was used to detect the developmental disorder. After the detection, consultation and the educational session were carried out for the teachers accompanying each student. Results. Students suspected of mild delay in development were: gross motoric (6.25%), language (9.37%), fine motoric (12.50%), and personal-social (3.12%). One student delayed in language development was referred to the speech therapist. Teachers and parents were educated on how to stimulate the students based on their development achievement. Conclusion. Most Pusteblume Daycare Yogyakarta students have normal developmental achievements.  Keywords: early detection, child development, DDST II

Pendahuluan: Prevalensi Low Back Pain (LBP) pada pembatik cukup tinggi (86,70%). Gerakan kerja yang berulang, posisi duduk statis, dan durasi kerja 6-8 jam/ hari menyebabkan pembatik berisiko tinggi mengalami Myogenic LBP. Williams Flexion Exercises (WFE) dan Core Stability Exercises (CSE) merupakan bentuk terapi latihan yang mudah, murah, dapat dijadikan sebagai home program, serta terbukti efektif mengurangi nyeri, disabilitas punggung bawah, dan meningkatkan aktivitas fungsional pasien Myogenic LBP di rumah sakit. Penelitian ini bertujuan untuk mengetahui pengaruh WFE dan CSE dalam menurunkan tingkat disabilitas punggung bawah pembatik dengan Myogenic LBP. Metode:  Studi Quasi-Experimental dengan desain One-Group Pretest-Posttest dilakukan pada bulan Juli–Oktober 2018. Subjek adalah 30 pembatik dengan Myogenic LBP di sentra batik Giriloyo, Wukirsari, Imogiri, Bantul, yang terpilih melalui purposive sampling. Teknik ini dipilih untuk memberikan hasil yang representatif dengan cara menerapkan kriteria inklusi dan eksklusi penelitian. Intervensi yang diberikan berupa WFE dan CSE yang dilakukan setiap hari selama 6 minggu. Tingkat disabilitas punggung bawah subjek diukur dengan Modifikasi Oswestri Disability Index (ODI) Bahasa Indonesia. Data dianalisis dengan Paired t-Test. Hasil: Mayoritas subjek berusia >40 tahun (80,00%), indeks massa tubuh normal (46,66%), masa kerja >5 tahun (96,67%), durasi kerja >2 jam (96,67%). Tingkat disabilitas punggung bawah sebelum intervensi mayoritas ringan (73,34%) dan setelah intervensi tidak ada disabilitas (50%). Uji Paired t-Test menunjukkan terdapat penurunan bermakna rerata skor ODI pasca intervensi (11,43 + 4,09 vs 5,43 + 3,84, p= 0,000; 95%CI = 4,80-7,20). Simpulan: Intervensi WFE dan CSE terbukti menurunkan tingkat disabilitas punggung bawah pembatik dengan Myogenic LBP.   Kata Kunci: williams flexion exercises, core stability exercises, disabilitas punggung bawah, pembatik, myogenic low back pain