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All Journal MNJ (Malang Neurology Journal) Cermin Dunia Kedokteran Smart Society: Community Service and Empowerment Journal
Tandiyo, Desy Kurniawati
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Humanities Education Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Public Health Social Sciences Other

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Penatalaksanaan Kedokteran Fisik dan Rehabilitasi Tennis Elbow Tandiyo, Desy Kurniawati
Cermin Dunia Kedokteran Vol 41, No 5 (2014): Muskuloskeletal
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (534.537 KB) | DOI: 10.55175/cdk.v41i5.1141

Abstract

Tennis elbow atau epikondilitis lateral merupakan kasus nyeri siku bagian lateral. Penatalaksanaan Kedokteran Fisik dan Rehabilitasi bertujuan mengatasi inflamasi; mempercepat penyembuhan; mengurangi overuse; dan memperbaiki fleksibilitas, kekuatan dan ketahanan jaringan lunak. Penatalaksanaan dengan cara tidak melakukan aktivitas yang memprovokasi, analgesik, modalitas fisik dan pembidaian. Modalitas fisik berupa cryotherapy, TENS (Transcutaneous Electrical Nerve Stimulation), ultrasound dan phonophoresis, Extracorporeal Shock-Wave Therapy (ESWT) dan Light Amplification by Stimulated Emission of Radiation (LASER) kekuatan rendah. Terapi latihan dengan pembebanan progresif ekstensor pergelangan tangan. Dengan penatalaksanaan yang baik, pasien dapat kembali bekerja atau berolahraga dengan modifikasi beban dan latihan khusus. Intervensi penting lainnya berupa modifikasi tempat kerja, edukasi dan latihan postur.Tennis elbow or lateral epicondylitis is the most common presentation of lateral elbow pain. The goals of Physical Medicine and Rehabilitation treatment are to control the inflammation; to reduce overuse; and to improve soft-tissue flexibility, strength and endurance. Treatment involves discontinuation of provocative activities, analgesics, physical modalities and bracing. Physical modalities include cryotherapy; TENS (Transcutaneous Electrical Nerve Stimulation); ultrasound and phonophoresis; Extracorporeal Shock-Wave Therapy (ESWT); and Low Level Light Amplification by Stimulated Emission of Radiation (LASER). Therapeutic exercise include progressive loading of the wrist extensors. With proper treatment, patients can return to activities with modification. Workstation modifications, education, and postural retraining are important interventions. 
ESWT (Extracorporeal Shock Wave Therapy) untuk Calcaneal Spur Tandiyo, Desy Kurniawati
Cermin Dunia Kedokteran Vol 42, No 12 (2015): Dermatologi
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (288.525 KB) | DOI: 10.55175/cdk.v42i12.939

Abstract

Nyeri tumit ditandai nyeri pada tumit bagian inferior atau posterior yang diperparah dengan posisi tubuh weight bearing, bersifat progresif dan ditemukan spur pada 50% kasus. Terapi modalitas yang biasa diberikan antara lain terapi dingin, terapi panas, iontophoresis, dan TENS (Transcutaneous Electrical Nerve Stimulation). ESWT (Extracorporeal Shock Wave Therapy) adalah terapi menggunakan shock wave (gelombang kejut) dengan impuls tekanan mikrodetik; tergantung energi yang digunakan dapat mengurangi nyeri dan fragmentasi deposit kalsifikasi, sehingga dapat dipertimbangkan sebagai alternatif penanganan nyeri tumit dengan spur.Painful heel is characterised by severe pain in the inferior or posterior aspect of the heel, aggravated by weight bearing, progressively worsening, with evidence of spur in about 50% of cases. Treatment modalities for painful heel are usually cold therapy, heat therapy, iontophoresis, and TENS (Transcutaneous Electrical Nerve Stimulation). ESWT (Extracorporeal Shock Wave Therapy) is based on the use of shock wave with microsecond pressure impulses, depending on the energy used, to reduce pain and fragmentation of calcific deposits. ESWT can be used as an alternative therapy for painful heel with calcaneal spur.
Education on Recognizing The Symptom and Treatment of Knee Osteoarthritis at UNS Hospital Tandiyo, Desy Kurniawati
Smart Society Vol 4, No 1 (2024): June 2024
Publisher : FOUNDAE (Foundation of Advanced Education)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58524/smartsociety.v4i1.326

Abstract

Osteoarhritis (OA) is a chronic degenerative disease characterized by wear on the cartilage structure. In UNS hospital, knee OA is ranked as the 2nd largest cases, after low back pain. Misleading beliefs that OA is an incurable, progressive disease that is associated with specific causal factors can lead patients to cut down on physical activities and adapt to restricted lifestyle with less spontaneity, which in many cases results in a great feeling loss and isolation associated with a reduction in social relationship. There is an urgent need to mitigate this negative impact, using proper patient-education strategies to better manage the disease and improve the concordance between patients’ expectations and treatment outcomes. Overall, patient knowledge about the disease is still inadequate. The aim of this study is to increase the knowledge of patients and patients’ caregiver at UNS hospital about symptoms dan treatment of knee OA. The step of this study consisted of preparation, implementation and evaluation. Before giving education, the participants did pre-test, and after education, the participants did post-test, to know the level of participants’ knowledge about the education. There were 22 female (67%) and 11 male (33%) participants. Mean of the level of participants’ knowledge about 5,42 before giving education, and 7,31 after giving education, so there was an enhancement about 1,89. This program ran well. There was an enhancement level of patients’ and caregiver’s knowledge before and after giving education.
EFFICACY OF ELECTRICAL STIMULATION (ES) ON DYSPHAGIA IN POST-STROKE PATIENTS: A SYSTEMATIC REVIEW Modesty, Kyra; Sitepu, Brigitta Ellycia; Budianto, Pepi; Probandari, Ari; Tandiyo, Desy Kurniawati
MNJ (Malang Neurology Journal) Vol. 11 No. 2 (2025): July
Publisher : PERDOSSI (Perhimpunan Dokter Spesialis Saraf Indonesia Cabang Malang) - Indonesian Neurological Association Branch of Malang cooperated with Neurology Residency Program, Faculty of Medicine Brawijaya University, Malang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.mnj.2025.011.02.08

Abstract

Background: Stroke is a disease that can occur in both developed and developing countries and is the second leading cause of death in the world. Stroke can cause various complications such as dysphagia. This study examines the efficacy of electrical stimulation (ES) as a treatment for dysphagia in post- stroke patients with various measurements of the severity of dysphagia. Objective: This study aims to review the efficacy of electrical stimulation on dysphagia in post-stroke patients. Methods: This study uses a systematic review method by following the guidelines from PRISMA. Articles are arranged based on keywords that have been determined in PICO, namely electrical stimulation, dysphagia, and stroke. Articles included in the inclusion criteria are RCTs, in English, and published between January 2013 and January 2023. Results: Eighteen studies that met the inclusion criteria were critically reviewed by the two authors. There were ten types of outcomes included in this systematic review and six of them had significant results for reducing the severity of dysphagia. Conclusion: ES can be given as the main therapy for post-stroke dysphagia patients. The six types of outcomes used to measure the degree of dysphagia, namely FOIS, PAS, FDS, PTT, OTT, and MASA, showed high significance associated with a reduction in the degree of dysphagia thereby reducing the risk of aspiration pneumonia by using this ES therapy.
Co-Authors Ari Probandari Budianto, Pepi Modesty, Kyra Sitepu, Brigitta Ellycia