Soeharso Surakarta Research Articles

THE EFFECT OF EARLY MOBILIZATION EXERCISE ON THE LEVEL OF INDEPENDENCE ON PATIENTS AFTER POST OPERATIVE FRACTURE FEMUR

Background; Patients with postoperative femur fractures will experience limited motion in their knee function, weakness, immobility and disability as a result of limitations in caring for themselves and carrying out daily activities. This study is to determine the effect of early mobilization education on the level of independence in postoperative patients with femur fracture. Research methods; The study used a quasi-experimental design with pre and post control group design, with 36 respondents (18 experimental groups, 18 controls). Data collection using questionnaires and observation. The independent variable is early mobilization education, while the dependent variable is the level of independence. The sampling technique used consecutive sampling. The population in this study were patients with postoperative at Prof. Dr. R. Soeharso Surakarta. Data analysis using independent t-test and paired t-test. Research results; There is a significant difference in the level of independence in patients before and after being given early mobilization exercises of intervention group. The results of the independent t-test on the level of independence obtained p value (0.0001) <0.05, there is a significant difference in the level of independence in patients in the control group and intervention group. Conclusion; There is an increase in independence in patients after early mobilization education, and there is a difference in the level of independence in the control group and the intervention group.

Effect Of Seft Giving (Spiritual Emotional Freedom Technique) On The Level Of Anxiety Of Covid 19 Patients In The Edelweis Isolation,Orthopedic Hospital Prof. Dr. R. Soeharsosurakarta

Coronavirus Disease (covid-19) is a disease caused by the Severe AcuteRespiratory Syndrome Coronavirus-2(SARS-COV-2) virus. Coronavirus Disease(covid-19) has become a worldwide pandemic. This study aims to determine theEffect of Giving SEFT (Spiritual Emotional Freedom Technique) Regarding the Anxiety Level of Covid-19 Patients in the Edelweis Isolation Ward, Prof. Orthopedic Hospital. Dr. R. Soeharso Surakarta. Thisresearch is a quantitativestudy, with the experimental method of one group pre and post test design (withoutcontrol group), which is done to reveal causal relationships or influences by involving one group of subjects.This research was conducted on 30 respondents in the Edelweis Isolation Ward, Prof. Orthopedic Hospital. Dr. R. Soeharso Surakarta, with female sex as much as 60% and the most age range 45-55 years asmuch as 36.7%, most jobs are private as much as 20% and most education is S1 as many as 33.3%. Respondents with comorbidities were 43.3% and 23.3% were patients with pneumonia. From the results of the analysis using the Wilcoxon test, the p-value = 0.00001 (<0.05). There is an effect of giving SEFT (Spiritual EmotionalFreedom Technique) therapy on the anxiety level of Covid-19 patients in the Edelweis ward of Prof.Orthopedic Hospital. Dr. R. Soeharso Surakarta.

EFFECTIVENESS OF EARLY POSTOPERATIVE EXERCISE PROGRAM IN POST HIP ARTHROPLASTY PATIENTS

Background: Patients after undergoing arthroplasty surgery will experience several changes in carrying out functional activities and daily routines. This is due to altered joint and muscle function due to decreased strength and limited range of motion after arthroplasty surgery. Post-hip arthroplasty conditions require comprehensive treatment so as not to cause impairment/disability that will interfere with function and gait. How effective is the early postoperative exercise program in preventing further decline in ability and speeding recovery? Methods: This exercise program is given since the patient has finished surgery and is gradually progressing to standing and walking exercises. This research was conducted on patients in the inpatient room of RS Ortopedi Prof. Dr. R. Soeharso Surakarta. Assessment and evaluation of post-hip arthroplasty results using the Harris Hip Score functional index before and after being given an exercise program. Results: The statistical test showed that the data was not normally distributed (p<0.05) and the results of the influence test using the Wilcoxon Test showed that there was an effect of early postoperative exercise on reducing pain (p=0.005) and increasing the Harris Hip Score (HHS) index. The result of the action is that there is an increase in functional ability in post-hip arthroplasty patients. Conclusion: Based on this study, it can be concluded that the program of giving exercise therapy as early as possible in post-hip arthroplasty patients can accelerate recovery and improve functional ability.

Profile of Arthrogryposis Multiplex Congenita (AMC) patients on surgery treatment at single centered study in orthopaedic hospital and a brief review

Introduction: Arthrogryposis multiplex congenita (AMC) is a complex abnormal condition characterized by multiple congenital contractures in the body's joints. Although this condition is not progressive, if not treated properly, it will increase the degree of disability in children. There are two types of AMC. The most common type of AMC is amyoplasia. The second type is distal arthrogryposis (DA), a genetically inherited type characterized by congenital contractures in multiple joints and no neurologic or muscular abnormalities. The incidence of AMC 1:3000 births with clubfeet and congenital hip dislocation is the most common. In this retrospective study, the authors described the profile of AMC patients who underwent surgery at our center with the approach and management. Method: The study design was a descriptive retrospective. The population of this study is all AMC patients who underwent surgery at the orthopedic hospital of Prof. Soeharso Surakarta, Indonesia. We used the total sampling technique who underwent surgery in the 2018-2021 period. Result: In this study, we got eleven AMC patients who underwent surgery. Distribution based on sex found six boys and five girls. Half of the patients underwent surgery under the age of three years, while the other half underwent surgery after the age of five. The presence of patients who are consulted at an older age indicates a lack of public literacy about the abnormal condition of AMC or a lack of concern for the condition. Almost all AMC patients who undergo surgery are in the lower extremities. Conclusion: Rehabilitation plays a very important role in improving the quality of life for AMC patients. A multidisciplinary approach is needed in the treatment of AMC patients. Surgery is performed if stretching and external support splinting/casting cannot achieve functional ROM and repair the deformity.

PEMBERDAYAAN ANAK PENYANDANG DISABILITAS DALAM MENINGKATKAN LIFE SKILL MELALUI PENERAPAN SISTEM AKUAPONIK

Children with disabilities are part of diversity, but there are problems such as the lack of character formation of children, not yet optimal in developing the potential and limited skills and independence of children with disabilities. So the PKM-PM team at Slamet Riyadi University Surakarta provided a mentoring activity through the application of the aquaponics system in order to empower children with disabilities in improving the life skills of children with disabilities at YPAC Professor Doctor Soeharso Surakarta. The methods applied in this service include: (1) providing counseling and socialization related to the aquaponics system, (2) aquaponics assembly, (3) training related to aquaponics seeding and care, and (4) monitoring the development of aquaponics. The result of this service is that children with disabilities who become participants during the service process have gained knowledge related to the aquaponics system. Children routinely carry out maintenance such as spraying hydroponic vegetables, feeding catfish to cleaning fish waste at the bottom of the pond. Assistance is carried out to train the independence and responsibility of children with disabilities in aquaponic care as well as become vocational skills for them which if aquaponics continues to be developed it will become a source of income for children with disabilities, especially those living in dormitories. This service has achieved the expected results and the sustainability of this program continues to be carried out with a monitoring pattern.
 Keywords: Aquaponics, Empowerment, Children with Disabilities, Life Skills

The effect of physical therapy intervention on Pain and Functional in Pre-Operative Lumbar Spinal Stenosis (LSS) Patients

Lumbar Spinal Stenosis (LSS) is the focal narrowing of the spinal canal. Nerve root canal or intervertebral foramina which many elderly suffer from, is characterized by pain, disability, risk of falling and depression. The incidence of LSS is estimated to increase along with the increase in the number of the elderly population. Patients with LSS symptoms are more effective at getting operative with the installation of a specific inplant or by decompression surgery with or without fusion than conservative intervention that continue to be performed whenever three to six months of conservative measures fail. Because the gradually slow progression of the disease naturally and the complications of the surgical procedure, it is recommended that conservative management such as physiotherapy intervention be performed before surgical intervention. The purpose of this study was to determine the effect of manual therapy and exercise on pain scores and functional abilities of patients with LSS before receiving surgery. The research method is quantitatively experimental. The research sample amounted to 30 people taken with a non-random sampling technique from a spine clinic patient at the Orthopedic Orthopedic Hospital Prof. Dr. R. Soeharso Surakarta. The effect of physiotherapy intervention on pain was measured by a visual analoge scale (VAS) and functional ability was measured with the Oswestry Disability Index (ODI). results are analyzed by t-test. The results of this study showed the influence of manual therapy and exercise statistically significant on pain (p = 0.000) and functional ability (p = 0.000). In the questions of each session, there was an influence on: pain intensity, lifting activity, sitting and no effect of physiotherapy actions on self-care sessions, walking, standing, sleeping, sexual activity, social life and traveling/traveling. Manual therapy and exercises affect the reduction of pain and the improvement of the functional ability of LSS patients.

COMPETENCY, COLLABORATION, MOTIVATION AND WORK DISCIPLINE OPERATION ON THE PERFORMANCE OF THE ROOM NURSE AT ORTHOPEDIC PROF DR.R.SOEHARSO HOSPITAL SURAKARTA

This research evaluates the impact on the operating room nurse's efficiency at Prof. Dr R. Soeharso Orthopedic Hospital, Surakarta, of competence, teamwork, encouragement, and work discipline. This research method using quantitative descriptive. The population of all nurses who work at Orthopedic Hospital Prof. Dr R. Soeharso Surakarta, totalling 180 people. The sampling technique used in this study was the purposive sampling technique with the number of samples in the study were 45 people or respondents. Data collection using a questionnaire. The data analysis technique used is multiple linear regression test, model feasibility test, hypothesis test, and determination coefficient. The results showed that competence, collaboration, motivation, and work discipline affected the operating room nurse's performance at Prof. Dr R. Soeharso Orthopedic Hospital, Surakarta. The variable shows that competence, collaboration, motivation, and work discipline affect nurses' performance by 0.825 or 82.5%, while 17.5% are influenced by other variables that are not studied, such as work environment, ability, education, and others. Suggestions from this study, Prof. Dr R. Soeharso Surakarta Orthopedic Hospital continues to improve the quality of existing competencies, collaboration, motivation, and work discipline, so that nurses' performance will increase and become better than before.

PENATALAKSANAAN FISIOTERAPI PADA KONDISI “TOTAL HIP REPLACEMENT” DENGAN MODAL INFRA MERAH DAN TERAPI LATIHAN DI RS ORTHOPEDI DR. R. SOEHARSO SURAKARTA

<p><em>Total Hip Replacement </em>is the replacement of both sufaces of the hip joint that are experiencing degeneration. This means that the joint are replaced (conventional) or trimmed and covered with metal caps (resurfacing). The post operative problems of <em>Total Hip Replacement </em>are pain, spasm, differences leg length, decreased joint motion, decreased muscle strength, and decreased functional ability activities. Physiotherapy examination of pain with Verbal Descriptive Scale, spasm with palpation, leg length differences with midline, scope of joint motion with goniometer, muscle strength with a <em>Manual Muscle Testing</em> scale, and functional ability activity with the <em>Oxford Hip Score </em>index. In this case the technology chosen was <em>Infra Red </em>and Exercise Therapy.</p><p>The purpose of this study was to determine the effect of physiotherapy management on post operative conditions <em>Total Hip Replacement </em>with <em>Infra Red </em>modality and Exercise Therapy. This research was conducted at RS Orthopedi Dr. R. Soeharso Surakarta with a descriptive analytic research design. Subjects were patients with post operative <em>Total Hip Replacement </em>with <em>Infra Red </em>and Exercise Therapy. Research instruments in the form of <em>Visual Descriptive Scale</em> (VDS), palpation, midline, goniometer, <em>Manual Muscle Testing</em> (MMT), and <em>Oxford Hip Score Scale</em>.</p>The results of the study were 2 times the following therapy : (1) there was a decrease in pain (2) there was a decrease in muscle spasm (3) there was no change in leg length (4) there was no increase in joint range of motion (5) there was no increase in muscle strength (6) there is no increase in the ability of functional activities. The conclusion of this study is that physiotherapy intervention with Infra Red modality and Exercise Therapy can reduce the problems that arise in the postoperative condition of <em>Total Hip Replacement.</em>

The Impact Of Leadership To Serve And Organizational Commitments To Employee Performance With Behavior Organizational Citizenship as Mediation Variable

The aim of this study was to determine the influence of servant leadership and organizational commitment on employee performance with Organizational Citizenship Behavior (OCB) as a mediating variable (case study of the Center for Social Rehabilitation Prof. Dr. Soeharso Surakarta). The population in this study were employees of civil servants BBRSBD Prof. Dr. Soeharso Surakarta. With a sample used as many as 100 respondent. The technique of taking sample used is saturated sampling, where all populations are sampled entirely. Data collection techniques by distributing questionnaires. Data analysis techniques using Structural Equation Modeling (SEM) with the help of Partial Least Square (PLS) version 3.0.
 The results of the study show that 1) there is no significant influence of leadership variables that serve organizational citizenship behavior; 2) There is a significant influence of organizational commitment variables on organizational citizenship behavior; 3) There is influence of leadership variables that serve employee performance; 4) There is no influence on organizational commitment variables on employee performance; 5) There is an influence of organizational citizenship behavior variables on employee performance.

PENATALAKSANAAN FISIOTERAPI PADA HERNIA NUCLEUS PULPOSUS (HNP) DENGAN MODALITAS TRAKSI DAN MC. KENZIE EXERCISE DI RSO PROF DR. R. SOEHARSO SURAKARTA

Hernia Nucleus Pulposus (HNP) is a disease where the part of the nucleus is made of a gel-shaped material in the spinal cord coming out of the annulus resulting in suppression or narrowing of the spinal nerves and causing pain. Physiotherapy problems are the presence of pain, spasm, limited range of joint motion, decreased muscle strength and decreased functional activity. To determine the effect of Physiotherapy Management on the condition of HNP with modalities traction and mc kenzie exercise. The study was conducted at the Rso Prof Dr. R. Soeharso Surakarta with descriptive analytic research design. Based on the therapy, the following results were obtained: (1) The decrease in silent pain T1=2 to T4=0, tenderness T1= 4 to T4= 2, motion pain T1=6 to T4=3 (2) The decrease in spasm at T4 = 0, ( 3) There is an increase in the scope of motion of trunk joint flexion T1=4cm to T4=14cm, extension T1 = 3cm to T4 = 6cm, lateral flexi dextra T1 =14cm to T4 =18cm, lateral flexi left T1 = 12cm to T4 = 16cm and rotation T1 = 35°-0°-35° to T4 =45°-0°-45° (4) There is an increase in trunk muscle strength, flexor T1=4 becomes T4=5, extensor T1= 4 becomes T4 =4+, Lateral Flexor T1=4 becomes T4=5, and rotator T1 = 4 becomes T4=5 (5) There is a decrease in disability T1=46% to T4=20%. Physiotherapy interventions with modalities traction and mc. Kenzie exercise can reduce problems arising in the condition of the HNP.

Design of work facilities for transtibial people in sewing machine stations using TRIZ Method

A person with physical disability is someone who cannot carry out an activity caused by a physical condition or a biological system. Data from SAKERNAS states that the rate of disability in 2017 reached 16.81% with a total disabled workforce of 11, 224, 673. BBRSPDF Prof. Dr. Soeharso Surakarta is the implementing unit for empowering persons with physical disabilities, where empowerment developed is sewing skills. The empowerment of sewing machines in the garment industry is generally designed to be able to be run for physically normal workers, this is different if a person has a transtibial disability. The operation of a sewing machine that previously used the sole of the sewing machine was changed to the use of the knee. This problem can be overcome by making special work facilities. The design of work facilities for persons with transitional disabilities needs to be adjusted between needs and abilities through a participatory approach. The design of the sewing machine pedal motor also contradicts technical problems, due to differences in the use of limb functions. This problem can be solved using the TRIZ method to obtain a design that fits the user’s needs.

Work facilities design for people with paraparesis at hemming machine work station using TRIZ Method

The number of disability employee in Indonesia increases every year due to traffic accidents, natural disasters, and diseases. It reached 16.81 percent of the total Indonesian workforce until 2017 [1]. According to the law which explains disability, each private company must employ disabled employee for at least 1 percent and state-owned companies must employ disabled employee for at least 2 percent from all employees. In fact, the regulation has not been implemented due to negative society views on disability. Therefore, it is necessary to empower paraparesis people to work independently so that negative views from the society can be eliminated. Empowerment of people with paraparesis at Balai Besar Rehabilitasi Sosial Penyandang Disabilitas Fisik (BBRSPDF) Prof. Dr. Soeharso Surakarta was conducted by training on the development of the hemming machine. Their legs are not able to use pedals, so they need work facilities to accommodate the design of work facilities based on participatory approach to determine user needs. Participatory approach was conducted with distributing questionnaires. Change of operation hemming machine which previously used feet changed using the elbows cause technical contradictions in design of work facilities. Technical contradiction problem can be solved using TRIZ method.

PENATALAKSANAAN FISIOTERAPI PADA KONDISI LOW BACK PAIN e.c SPONDILOSIS DENGAN MODALITAS TRANSCUTANEUS ELECTRICAL NERVE STIMULATION (TENS) DAN BACK EXERCISE DI RS ORTHOPEDI PROF. Dr. R. SOEHARSO SURAKARTA

<p><strong>Background:</strong> Lumbar spondylosis is a degenerative disease of the vertebral corpus or intervertebral disc. The problem of physiotherapy that arises in low back pain is pain, decreased muscle strength, limited range of joint motion, decreased functional activity. Pain check with VAS (Visual Analogue Scale), muscle strength with MMT (Manual Muscle Testing), joint motion range with midline functional activity with oswestry index. In this case the technology chosen to solve this problem is the modality of Transcutaneous Electrical Nerve Stimulation (TENS) and back excercise. </p><p><strong>Objective:</strong> To determine the effect of Physiotherapy Management on Low Back Pain ec Spondylosis with Transcutaneous Electrical Nerve Stimulation (TENS) modalities and exercise therapy.<strong></strong></p><p><strong>Method:</strong> This study was conducted at the RSO Prof. Dr. R. Soeharso Surakarta with a descriptive analytical method to find out assessments and changes that can be known to use VAS instruments to examine pain, MMT to check muscle strength, midline to measure LGS, Oswestry to assess functional activity.</p><p><strong>Results:</strong> After 4 times the therapy was obtained, (1) There was a decrease in silent pain T1 = 3 at T4 = 2, tenderness T1 = 5 at T4 = 4, motion pain T1 = 6 at T4 = 5. (2) There is an increase in flexor muscle strength T1 = 4 at T4 = 5, the right lateral flexor muscle T1 = 3 at T4 = 4. (3) There is an increase in LGS with flexion difference T1 = 8 at T4 = 9, extension T1 = 4 T4 = 5, lateral flexion of the T1 = 12 T4 = 14. (4) There is an increase in functional activity from T1 = 60% T4 = 42.</p><strong>Conclusion:</strong> Physiotherapy inpatients with modalities and exercise therapy can reduce the problems that arise in the condition of Low Back Pain Spondilosys.

PENYESUAIAN SOSIAL PENYANDANG DISABILITAS TUBUH DI BALAI BESAR REHABILITASI SOSIAL BINA DAKSA (BBRSBD) PROF. DR. SOEHARSO KOTA SURAKARTA, JAWATENGAH

Final Scientific Writing is based on research about Social Adjustment of Disabled People at Social Rehabilitation House ofBinaDaksa (BBRSBD) of Prof. Dr. Soeharso Surakarta. The objectives of the research are to obtain the description about: the characteristics of respondents and 5 aspects of social adjustment namely: recognition, participation, social approval, altruism, and conformity. The method used in this research was descriptive research method with quantitative approach;it aimed to describe the Social Adjustment of Disabilities People at Social Rehabilitation House of BinaDaksa (BBRSBD) of Prof. Dr. Soeharso Surakarta. Data collection techniques used werequestionnaires, observations, and documentation studies. The research was conducted on 34 respondents determined by census. The results showed that the characteristics of respondents consisted of 10 women and 24 men among the ages of 17-25 years. The result of research also showed that 5 aspects of social adjustment, namely recognition aspect 94,12% are in high category so that it needs to be maintained, participation aspect 52,94% is in medium category so that it needs to be improved, social approval aspect 50.00% is in high category and 50.00% is in the moderate category so it needs to be improved, altruism aspect 73.53% is in high category so it needs to be maintained, conformity aspect 85,30% is in high category so it needs to be maintained. Based on the results of research, the participation and social approval aspects are in the moderate category, so they need to be improved by taking into account the problems faced and the source system that can be utilized, the writer offers problem solving in the form of "Participation Enhancement Program and Social Approval for Disabled People through Self-help Group (selfhelp group) at Social Rehabilitation House of BinaDaksa (BBRSBD) of Prof. Dr. Soeharso Surakarta. ". This program aims to improve the realization of better social adjustment for people with disabilities.

Factors Affecting Ankle Functional Scores at Spastic Diplegia Cerebral Palsy Patients that Have Been Performed Single Event Multi Level Surgery

Background: Single Event Multi Level Surgery (SEMLS) is the treatment most often used to correct deformities and functional in children with Spastic Diplegic Cerebral Palsy. There is no research in Indonesia that assesses the ankle function in patients with Spastic CP Diplegic has done SEMLS. The purpose of this study was to determine the influence of age, gender and time period after surgery with functional ankle patients with CP Spastic Diplegic that has been done SEMLS in the RSO. Prof. Dr. R. Soeharso Surakarta (RSO). Subjects and Method : This study was a cross sectional study in 43 patients (25 male and 18 female) patients with Spastic Cerebral Palsy Diplegia that has been done SEMLS in pediatric orthopedics clinic RSO. Prof.dr.R.Soeharso Surakarta at least 3 months postoperatively, since January 1 st 2013 to December 31 st 2014. We assessed ankle function using the Oxford Ankle Foot Questionnaire for Children. From the results of the questionnaire we value outcomes as a percentage and we regrouped into 4 groups: value of 91% - 100% for excellent value, 81% - 90% for good, 71% - 80% for fair and if less than 70% for poor. Then we did impact assessment for age, sex and time of the postoperative with functional ankle score of patients with examination of linear regression model analysis. Results: There were 52 patients with Spastic CP Diplegi have done SEMLS but only 43 patients who qualified the inclusion criteria, the youngest patient was 5 years old and the oldest 15 years old with a mean age of 8.3 years. From the 43 patients, 25 are men and 18 were women. Postoperative time with the fastest time of observation was 5 months and the longest was 26 months with a mean of 14.3 months postoperatively SEMLS. From the 43 patients there are 11 patients (25%) function are excellent, 21 patients (49%) are good, 8 patients (19%) are fair, and 3 (7%) are poor. Age factor significantly influence the functional ankle score (p = 0.013) and postoperative time factors also significantly influence the functional score Ankle with (p = 0.04). While gender has no effect on the functional ankle score (p= 0.266). Conclusion: Paediatri Orthopaedic clinic at RSO. Prof. Dr. R. Soeharso has succed treated patients with CP Spastic Diplegic that have performed SEMLS. Age and time of postoperative significantly influence the functional ankle score in patients with CP Spatik Diplegic that have been done SEMLS. While the sex of the patients had no effect on the functional ankle score in patients with CP Spastic Diplegic that have been done SEMLS. Keywords : RSO Prof. Dr. R. Soeharso, CP Spastic Diplegic, SEMLS, Ankle Functional Score Correspondence: Aryo Budiyogo Andryanto. Student of Orthopaedic and Traumatology school of Medicine, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Indonesian Journal of Medicine (2019), 4(3): 228-231 https://doi.org/10.26911/theijmed.2019.04.03.05

Identifikasi Osteoporosis Pada Vertebra Spinalis Menggunakan Metode Blended Statistical-Index Singh

The purpose of this research is to make osteoporosis detection aid system by utilizing x-ray image of spinal vertebra as research specimen. To improve the accuracy of the identification system, then used blended method between statistical theory and Index Singh as the determinant of osteoporosis level. This study used 50 sempel test of x-ray image of spinal vertebra obtained from RSO dr. R, Soeharso Surakarta. The completion stage of this research is done by pre-processing x-ray image, calculating the area, calculating the number of pixels, and ending by calculating statistically and comparing Index Singh. The results of this study show the representation of the area based on the highest white pixel is 7,983 pixels while the lowest is 5,410 pixels. Having done the overall testing of this system can provide accuracy of 76%.

Indeks Massa Tubuh dengan Keseimbangan Statis Pengguna Transtibial Prosthesis

<p>The balance of a person's body is affected by the Body Mass Index. Body Mass Index is the easiest way to estimate obesity as well as to be highly correlated with body fat mass, but it is also important to identify obese patients who have a risk of medical complications. Purpose of this study was to know correlation body mass index with the static balance of transtibial prosthesis user. The study was a quantitative research with a cross-sectional design. Location research in BBRSBD Prof. Dr. Soeharso Surakarta with sample were patients with post-amputation of transtibial as many as 15 people. Analysis of data was used correlation Pearson test. There was a correlation between body mass index with the static balance of transtibial prosthesis user, the coefficient correlation of -0.646 with significant and levels of correlation moderate. The value of normal body mass index has the highest static balance than lean body mass index and fat. Mass Index of the skinny body has a moderate static balance. Obese body mass index has the lowest static balance of body mass index thin and normal. </p>

Pengaruh reward, insentif, pembagian tugas dan pengembangan karier pada kepuasan kerja perawat di rumah sakit ortopedi Prof. Dr. R. Soeharso Surakarta

The purpose of this study to analyze the influence of rewards, incentives, job and career development in the job satisfaction of nurses. This study was included in the category of ex-post facto research. This study uses the individual (individual) for the unit of analysis, answer questions based on the responses of each individual (nurse Orthopaedic Hospital Prof. Dr. R. Soeharso Surakarta). The data used is primary and secondary data. The population in this study were nurses working in the Field of Nursing totaling 187 people and taken samples of 65 people with accidental sampling technique. The research instrument used a questionnaire with Likert scale. The data analysis includes validation test, reliability and multiple regression analysis. Test model assumptions including normality test, autocorrelation, multicollinearity and heteroscedasticity.The results showed that reward positive and significant impact on job satisfaction of nurses, incentives positive and significant impact on job satisfaction of nurses, division of positive and significant impact on job satisfaction of nurses, career development positive and significant impact on job satisfaction of nurses, and the rewards, incentives , division tuags and career development have a significant effect on job satisfaction of nurses at the hospital. Orthopedics Prof. Dr. R. Soeharso Surakarta.

PENGARUH GAYA KEPEMIMPINAN TRANSFORMASIONAL PADA KOMITMEN, KEPUASAN KERJA DAN NIAT PINDAH KERJA DENGAN PERAN MEDIASI KEADILAN DAN KEPERCAYAAN DI RSO PROF. DR. R. SOEHARSO SURAKARTA

Improving the quality of hospital services can not be separated from the role of the various disciplines of health workers in hospitals, including nurses, because most hospital services are nursing services. The purpose of this study was to analyze the effect of transformational leadership style on commitment, job satisfaction and nurses’ intent to move RSO Prof. Dr. R. Soeharso Surakarta with the mediating role of justice and trust. The study also is associative causal research that seek causal influence of the variables to be studied. This research was conducted and involved nurses Orthopaedic Hospital Prof. Dr. R. Soeharso Surakarta. The number of samples of this study were 124 nurses Orthopaedic Hospital Orthopedics Prof. Dr. R. Soeharso Surakarta. The results showed that transformational leadership style influence on commitment, job satisfaction and nurses’ intent to move RSO Prof. Dr. R. Soeharso Surakarta with the mediating role of justice and trust.

PENGARUH DISIPLIN KERJA, MOTIVASI KERJA, KEPUASAN KERJA DAN KOMPETENSI TERHADAP KOMITMEN ORGANISASI

The purpose of this study to determine and analyze the effect of work discipline, work motivation, job satisfaction, and work competence of the organization’s commitment to employees in RSO Prof. Dr. R Soeharso Surakarta. This research was explanatory research with survey research design. Data used primary data. The population of all employees who work in RSO Prof. Dr. R. Soeharso totaling 626 people, were taken a sample of 244 people with purposive sampling technique. The research instrument used a questionnaire with a scale linkert. The data analysis includes validation test, reliability and multiple regression analysis, t-test, F and R2. The results showed discipline work positive and significant effect on organizational commitment, motivation positive and significant effect on organizational commitment, job satisfaction positive and significant effect on organizational commitment, competence work positive and significant effect on organizational commitment, and the discipline of work, work motivation , job satisfaction and work competence significant effect together against the organization’s commitmentto employee hospital Orthopedics Prof. Dr. R. Soeharso Surakarta