Ezra Bernadus Wijaya
Universitas Binawan

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Penatalaksanaan Fisioterapi Pada Kasus Plantar Fasciitis: Efektivitas Kombinasi Tens, Ultrasound, Dan Terapi Latihan Di RS Kramat 128 Zulfikar H. Wada; Caroline Xaveriana Dalla Soro; Ezra Bernadus Wijaya
JOURNAL SAINS STUDENT RESEARCH Vol. 4 No. 1 (2026): Februari: Jurnal Sains Student Research
Publisher : CV. KAMPUS AKADEMIK PUBLISING

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61722/jssr.v4i1.8859

Abstract

Plantar fasciitis is a musculoskeletal disorder characterized by heel pain and decreased foot function. This study aimed to evaluate the effectiveness of a multimodal physiotherapy approach combining Transcutaneous Electrical Nerve Stimulation (TENS), therapeutic ultrasound, and exercise therapy in patients with plantar fasciitis treated at the Physiotherapy Unit of RS Kramat 128. A descriptive case study design was employed involving three subjects who underwent eight treatment sessions over an eight-week period. Outcome measures included pain intensity assessed using the Visual Analogue Scale (VAS), ankle range of motion measured with a goniometer, muscle strength evaluated by Manual Muscle Testing (MMT), and functional ability assessed using the Foot and Ankle Ability Measure (FAAM). The results demonstrated clinical improvements in all subjects, including a mean pain reduction of 3, 6 points, increased ankle range of motion reaching normal reference values (20° dorsiflexion - 0° neutral, 35° plantarflexion), and improvements in muscle strength from grade 4 to grade 5. Variability in treatment response was influenced by adherence to home exercise programs, baseline physical condition, and lifestyle modifications. The findings suggest that a multimodal physiotherapy protocol combined with patient education and regular evaluation is effective in reducing symptoms and facilitating recovery in patients with plantar fasciitis.
Pengaruh Core Stability Exercise terhadap Keseimbangan Pasien Stroke di Poli Rehabilitasi Medik RS Adhyaksa Jakarta: Case Study Rokhim Sunandi; Ezra Bernadus Wijaya; Slamet Sumarno
Vitamin : Jurnal ilmu Kesehatan Umum Vol. 4 No. 1 (2026): January : Jurnal ilmu Kesehatan Umum
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/vitamin.v4i1.2107

Abstract

Stroke is a major cause of long-term disability and frequently results in balance impairment that limits functional mobility and increases the risk of falls. Impaired trunk control and postural instability are common consequences of stroke, highlighting the need for effective rehabilitation strategies. This study aimed to analyze the effect of Core Stability Exercise on balance improvement in stroke patients undergoing rehabilitation at the Medical Rehabilitation Polyclinic of RS Adhyaksa Jakarta. A case study design with a pretest–posttest approach was applied to three patients with ischemic stroke who presented with balance disorders. The intervention consisted of Core Stability Exercise, including bridging, bird-dog exercise, and seated balance exercise, conducted three times per week for eight sessions. Balance performance was measured using the Berg Balance Scale before and after the intervention. The findings demonstrated a consistent increase in Berg Balance Scale scores in all patients, indicating improvements in static and dynamic balance as well as a reduction in fall risk. Patients with better initial motor control showed faster and greater improvement, although positive changes were also observed in patients with more severe impairments. These results suggest that Core Stability Exercise contributes to enhanced trunk stability, postural control, and functional balance in stroke patients. The study implies that integrating Core Stability Exercise into routine physiotherapy programs may support more comprehensive and individualized stroke rehabilitation, particularly in addressing balance-related functional limitations.