Tesis

Efektivitas Pemberian Latihan Functional Chewing Terhadap Fungsi Mengunyah Pada Anak Palsi Serebral dengan Disfagia Fase Orofaringeal: Laporan Berbasis Bukti = Effectiveness of Functional Chewing Training on Chewing Function of Children with Cerebral Palsy with Oropharyngeal Dysphagia: EvidenceBased Case Report.

Tesis ini disusun untuk menilai pengaruh latihan Functional Chewing terhadap fungsi mengunyah pasien anak palsi serebral dengan disfagia fase orofaringeal menggunakan metode penelitian evidence-based case report (EBCR). Metode penelitian EBCR adalah metode pelaporan sebuah masalah klinis dengan pendekatan berbasis bukti. Pencarian literatur dilakukan pada Cochrane, Pubmed, Science direct, Oxford Academic dan Sage Journals sesuai dengan pertanyaan klinis. Seleksi judul dan abstrak berdasarkan kriteria inklusi dan eksklusi, penyaringan ganda dan pembacaan jurnal secara menyeluruh menghasilkan dua buah artikel. Penelitian ini menggunakan metaanalisis pada kedua jurnal untuk menilai kualitasnya berdasarkan validitas, kepentingan dan aplikabilitasnya. Dari hasil metaanalisis didapatkan bahwa subjek penelitian adalah disfagia orofaringeal pada anak palsi serebral dengan GMFCS level V dan indikator kemampuan mengunyah Karaduman Chewing Performance Scale (KCPS) 4 yang mendapatkan latihan Functional Chewing memiliki kemampuan mengunyah yang lebih baik dibandingkan yang mendapatkan latihan oromotor tradisional. Indikator KCPS menunjukkan peningkatan nilai signifikan dengan P < 0,001. Latihan Functional Chewing diberikan selama 12 minggu dengan frekuensi 5 set per hari dan intensitas 20 menit tiap set. Kesimpulan penelitian ini adalah latihan Functional Chewing dapat meningkatkan kemampuan mengunyah pada pasien anak palsi serebral dengan disfagia fase orofaringeal.
Kata Kunci: Latihan Functional Chewing, disfagia, palsi serebral


This thesis was designed to assess the effect of Functional Chewing training on the chewing function of children with cerebral palsy with oropharyngeal dysphagia using an evidence-based case report (EBCR) research method. The EBCR research method is a clinical problem reporting method with an evidence-based approach. Literature searches were performed in Cochrane, Pubmed, Science direct, Oxford Academic and Sage Journals according to clinical questions. Selection of titles and abstracts based on inclusion and exclusion criteria, double reading and thorough reading of the journal resulted in two articles. This study uses a meta-analysis in the second journal to assess its quality based on its validity, importance, and applicability. From the results of the meta-analysis, it was found that the research subjects were oropharyngeal dysphagia in children with cerebral palsy with GMFCS level V and the Karaduman Chewing Performance Scale (KCPS) 4 chewing ability indicator who received Functional Chewing exercise had better chewing ability than traditional oromotor exercises. The KCPS indicator showed a significant increase in value with P < 0.001. Functional Chewing exercises were given for 12 weeks with a frequency of 5 sets per day and an intensity of 20 minutes per set. The conclusion of this study is that Functional Chewing exercises can improve chewing ability in pediatric cerebral palsy patients with oropharyngeal dysphagia phase.
Key Words: functional chewing training, dysphagia, cerebral palsy