SIKLUS

Skrining Kesehatan Mandiri

SIKLUS · Skrining Kesehatan

Panadol Runner's Movement Self-Check

Pemeriksaan ini merupakan skrining mandiri singkat, bukan diagnosis medis dan bukan jaminan bahwa peserta bebas cedera atau aman mengikuti perlombaan.

This assessment is a brief self-screening tool and is not a medical diagnosis. It does not guarantee that a participant is injury-free or medically fit to participate in a race.

1 Data Sasaran
2 Skrining

Informasi Pribadi Personal Information

Isi sesuai identitas sasaran yang akan mengikuti skrining. Fill in according to the target participant's identity for the screening.

Ketik atau tempel 16 digit NIK. Kolom ini boleh dikosongkan. Type or paste 16-digit NIK. This field can be left blank.
NIK harus terdiri dari 16 digit. NIK must consist of 16 digits.
/ /
Masukkan tanggal lahir yang valid. Please enter a valid date of birth.

Alamat Domisili Domicile Address

Alamat digunakan untuk membantu pencatatan wilayah sasaran. Address is used to help record the target area.

Lakukan setiap gerakan secara perlahan. Hentikan apabila muncul nyeri sedang-berat, pusing, kehilangan keseimbangan, atau merasa tidak aman.
Bagian 1 dari 4 (Section 1 of 4)
Informasi Kegiatan
Bagian 2 dari 4 (Section 2 of 4)
Movement Self-Check

Perform a double-leg squat 3 times. Do you feel any pain? No (tidak), Yes (Ya)

If pain occurs during the double-leg squat, where is the pain located?

Can the movement be completed? No (Tidak) / Yes (Ya)

Berdiri dengan satu kaki selama 20 detik pada setiap sisi. Pilih semua opsi yang sesuai.

Perform a Single-Leg Balance. Stand on one leg for 20 seconds on each side, then select all options that apply.

  • Mampu 20 detik - kanan : Able to hold for 20 seconds - right

  • Mampu 20 detik - kiri : Able to hold for 20 seconds - left

  • Muncul nyeri - kanan : Pain occurs - right

  • Muncul nyeri - kiri : Pain occurs - left

  • Hampir jatuh/perlu berpegangan - kanan : Almost lost balance / needed support - right

  • Hampir jatuh/perlu berpegangan - kiri : Almost lost balance / needed support - left

Lakukan squat dangkal sebanyak 3 kali pada setiap sisi. Pilih semua opsi yang sesuai.
Perform a single-leg squat 3 times on each side. Select all that apply.

  • Mampu 3 kali - kanan : Able to complete 3 reps - right

  • Mampu 3 kali - kiri : Able to complete 3 reps - left

  • Muncul nyeri - kanan : Pain occurs - right

  • Muncul nyeri - kiri : Pain occurs - left

  • Gerakan tidak stabil - kanan : Unstable movement - right

  • Gerakan tidak stabil - kiri : Unstable movement - left

Dorong lutut ke arah dinding tanpa mengangkat tumit secara bergantian. Pilih semua opsi yang sesuai.

Push your knee toward the wall without lifting your heel, alternating sides. Select all that apply.

  • Dapat dilakukan - kanan : Able to perform - right

  • Dapat dilakukan - kiri : Able to perform - left

  • Muncul nyeri - kanan : Pain occurs - right

  • Muncul nyeri - kiri : Pain occurs - left

  • Terasa lebih kaku - kanan : Feels stiffer - right

  • Terasa lebih kaku - kiri : Feels stiffer - left

Lakukan gerakan berjinjit 10 kali pada setiap sisi. Pilih semua opsi yang sesuai.
Perform calf raises 10 times on each side. Select all that apply.

  • Mampu 10 kali - kanan : Able to complete 10 reps - right

  • Mampu 10 kali - kiri : Able to complete 10 reps - left

  • Muncul nyeri - kanan : Pain occurs - right

  • Muncul nyeri - kiri : Pain occurs - left

  • Berhenti karena nyeri/kelelahan - kanan : Stopped due to pain/fatigue - right

  • Berhenti karena nyeri/kelelahan - kiri : Stopped due to pain/fatigue - left

Bagian 3 dari 4 (Section 3 of 4)
Pain Summary

Is there any movement that causes pain? Tidak = No, Ya = yes

Movement that causes pain?

Primary pain location:

  • Pinggul/punggung = Hip / Lower back

  • Paha = Thigh

  • Lutut = Knee

  • Tulang kering/betis = Shin / Calf

  • Achilles/pergelangan kaki = Achilles / Ankle

  • Tumit/telapak kaki = Heel / Sole of the foot

Highest pain scale. Rate how severe your pain is. 0 = No pain - 10 = Severe pain

Tidak nyeri Nyeri terberat

Which side of the body feels more painful?

  • Right = Kanan

  • Left = Kiri

  • Both = Keduanta

  • None = Tidak ada

Bagian 4 dari 4 (Section 4 of 4)
Alerting Conditions
Tanda Bahaya
This assessment is a brief self-screening tool and is not a medical diagnosis. It does not guarantee that a participant is injury-free or medically fit to participate in a race.