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The Effect Of Muscle Energy Technique (MET) on Range of Motion (ROM) Knee Joint in Patients Postoperative Posterior Cruciate Ligament Reconstruction (PCLR) Hamstring Graft : A Case Study Sobariyah, Ana Maratus; Efendi, Elif Nur; Perdana, Suryo Saputra
Academic Physiotherapy Conference Proceeding 2022: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Abstract

Introduction: Posterior crusiate ligament reconstruction (PCLR) surgery is an operating method to replace PCL ligaments with other materials (graft). PCLR postoperative rehabilitation focuses on reducing pain, swelling, stiffness, instability, regaining range of motion (ROM), muscle strength, and normal functional activity. Restoring the range of motion (ROM) postoperatively of PCL reconstruction is an important aspect of normal human functioning.Case Presentation: A male is a 38-year-old language tutor with a height of 150 cm and a weight of 75 kg. Patients condition of motion pain in the knee and limitation of movement flexion knee sinistra after PCLR hamstring graft surgery since December 2021. The patient feels difficulty and pain at the time of the sitting position to the stand, stand for a long time and walk a long distance. the patient can already carry out his work even with a sitting position and the legs remain straight. Currently, patients undergo routine physiotherapy at the clinic practice physiotherapy Magetan 3x / week. The patient's current condition is experiencing limited mobility when bending the knee.Management and Outcome: The intervention used muscle energy technique (MET) for 3x/week in 4 weeks. The disorder is a limitation of movement for knee flexion. Evaluation carried out using a goneometer instrument to measure the range of motion (ROM)Conclusion: It can be concluded that in this case, after providing physiotherapy intervention in the form of MET, it has an effect on the increase knee joint ROM in patients postoperative PCLR.
Effectiveness of Specific Training on Physical Functional Improvement and Walking Speed in Patients with Knee Osteoarthritis Perdana, Suryo Saputra; Anggraeni, Nadya; Norazmi, Ihsan; Septiani, Icha; Zhulfahmi, Moch. Rizki; Kasumbung, Muhammad Tasa
Indonesian Journal of Medicine Vol. 7 No. 1 (2022)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (31.699 KB) | DOI: 10.26911/theijmed.2022.7.1.431

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Background: Osteoarthritis (OA) is a musculoskeletal disorder which is a progressive change in joints that is slow and intermittent, usually in the field there are exercises to strengthen muscles which are only supported by the agonist muscles while the antagonistic muscles also participate and even more dominant, the most approved intervention to be able to activate both muscles is a special task. The purpose of this study is to study whether there are functional requirements for specific tasks to improve the functioning and running of osteoarthritis patients.Subjects and Method: This study method uses the type of experimental research with a single case research method using A-B-A research design. The study was conducted in January 2020 located at the University of Muhammadiyah Surakarta. A patient with knee OA was selected using consecutive sampling. Functional ability and walking speed were tested by West Ontario and McMaster Osteoarthritis Index (WOMAC).Results: Specific training improved physical function and speed walking in patients with knee osteoarthritis. There was no effect of specific training on pain and stiffness.Conclusion: Task specific training improves functional ability and walking performance in aptient with knee osteoarthritis.Keywords: Osteoarthritis, task specific training, visual surface electromyograph, augmented feedback, functional ability.Correspondence: Suryo Saputra Perdana. Faculty of Health Sciences, Universitas Muhammadiyah Surakarta, Jl. Ahmad Yani, Tromol Pos 1, Pabelan Kartasura, Sukoharjo 57169, Central Java, Indonesia. Phone: +6281298563988. Email: suryo.saputra@ums.ac.id.Indonesian Journal of Medicine (2022), 07(01): 89-101https://doi.org/10.26911/theijmed.2022.07.01.10 
Relationship of Impairment Classification to Injury Incidence in Para Sport Athletes: A Systematic Review Suci Syafatillah, Shureenzen; Saputra Perdana, Suryo
Gaster Vol 23 No 1 (2025): FEBRUARI
Publisher : P3M Universitas 'Aisyiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30787/gaster.v23i1.1699

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Background para sport will be divided into a group determined by the type and level of disability of an athlete; impairment classification in the International Paralympic Committee (IPC) is divided into visual, physical, and intellectual impairment. Athletes with impairments increase the risk of events in para-sports. Purpose: The aim was to determine if there is a relationship between impairment classification and the incidence of injury in para-sport athletes. Method: The research is a systematic review following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Data search follows the databases Google Scholar, PubMed, and Scopus using keywords and Boolean search in searching for literature. Result: 10 studies were obtained with publication years between 2016-2022, of which 1 study included reports of injury incidence in athletes with visual, physical, and intellectual impairment, three studies included reports of injury incidence in athletes with visual impairment and physical impairment, three studies included reports of injury incidence in athletes with visual impairment only, and three studies included reports of injury incidence in athletes with physical impairment only. Injury rates in athletes with visual impairment, where the highest population was 267 of elite judokas participating in the IBSA 2018 world judo, 19.1% were injured. Conclusion: This study showed variation in injury incidence based on impairment classification in para-sport athletes, with a high prevalence in athletes with a limb deficiency, neurological impairment, and visual impairment.
Pengaruh Mobilization With Movement terhadap Nyeri dan Lingkup Gerak Sendi Penderita Osteoarthritis Lutut di Rumah Sakit Islam Klaten Sari, Dwi Rosella Komala; Kurniady, Devi Arhamevia; Perdana, Suryo Saputra
Jurnal Kesehatan Andalas Vol. 12 No. 3 (2023): Online November 2023
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v12i3.2218

Abstract

Osteoarthritis (OA) is characterized by pain that causes a decrease in knee joint range of motion, affecting a person's gait change and quality of life. Manipulation with Movement (MWM) is the most commonly used manual therapy technique in musculoskeletal disorders, especially in arthritis, to increase the range of movement (ROM).  The MWM technique with a sliding direction aims to minimize pain and increase ROM in patients with knee OA. Objective: To determined the effect of MWM on pain and range of movement (ROM) in knee joint OA patients. Methods: This research was an experimental study with a quasi-experimental approach without a control group design. The research group consisted of 18 female patients who used the MWM technique two times a week for four weeks. The pain and ROM were measured by NRS and goniometer, respectively. Results: There were significant effects of MWM to reduce pain and increase ROM of knee joint (p<0.05). The average ROM of knee flexion and knee extension were improved by 12.2 and 1.7 degrees, respectively. The average pain was decreased by 2.4 as well after being treated by MWM for four weeks. Conclusion: MWM exercises were trained for four weeks to reduce pain and increase knee range of motion in flexion and extension in OA patients. MWM is recommended as an approach exercise for patients with knee OA to be involved in a rehabilitation program.Keywords: mobilization with movement, pain, range of joint movement, knee osteoarthritis
Assessment of Muscle Strength in Para Sport Athletes: A Systematic Review Qanitah, Talitha; Perdana, Suryo Saputra
Indonesian Journal of Medicine Vol. 10 No. 1 (2025)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2025.10.1.835

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Background: Accurate and reliable muscle strength assessment is essential for monitoring injury risk, monitoring the effectiveness of rehabilitation or strength training programs, and for sport classification purposes. This study aims to look at measurement tools to assess muscle strength in para-athletes, look at the characteristics of muscle strength assessment methods, and determine the validity and reliability of several muscle strength measurement tools. Subjects and Method: This systematic review used methods described in the Cochrane Handbook for Systematic Reviews of Interventions and reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Data searches in several databases (PubMed, Scopus, and Google Scholar) were conducted using the boolean search method. The keywords used in the literature search were “muscle strength” OR “muscle power” AND “assessment” OR “outcomes” AND “isometric contraction” OR “isotonic contraction” AND “para-sports” OR “para-athletics” AND “paralympic”. Results: Isometric strength testing was shown to be valid and reliable (ICC  0.85) but limited to static measurements; isokinetic testing was shown to be valid and reliable (ICC 0.81-0.95) but required expertise, specialized equipment, and was time-consuming. MMT, although frequently used, shows variable validity and reliability and is highly subjective.Conclusion: Muscle strength assessment with isometric and isokinetic tests is effective for para-athlete classification. However, more standardized muscle strength assessment methods are needed to ensure a more objective classification of para-athletes.
Inovasi Digital Classifypro Cp untuk Efisiensi Klasifikasi Atlet Sepak Bola Cerebral Palsy di Tokyo Kusdiana, Faris Rahman; Perdana, Suryo Saputra
Mestaka: Jurnal Pengabdian Kepada Masyarakat Vol. 4 No. 5 (2025): Oktober 2025
Publisher : Pakis Journal Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58184/mestaka.v4i5.768

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Cerebral Palsy (CP) is a permanent neurological condition affecting movement, muscle tone, and posture. This community service activity aimed to introduce ClassifyPro CP, a decision-support tool for the objective and efficient classification of CP Football athletes. The program was conducted in two sessions: an online Zoom Meeting (May 18, 2025) with 37 participants from Indonesia and Japan, and an offline presentation at Tokyo Metropolitan University (May 29, 2025) with 20 participants including physiotherapy students and lecturers. The activities included presentations, scientific counseling, interactive discussions, and application trials. The results showed participants’ enthusiasm, particularly regarding integration with IFCPF classification standards. This activity benefits participants by improving understanding of objective classification, encouraging student innovation, and opening opportunities for international research collaboration.
Edukasi dan Pemberian Yoga untuk Mengurangi Nyeri Pinggang dan Melatih Pernapasan Akibat Perubahan Postur Pada Ibu Hamil Di Posyandu Panca Marga Gumpang Fadila, Dhira Rahma; Saharudin, Adinda Afifah; Safitri, Khusnul; Perdana, Suryo Saputra; Pristianto, Arif
Jurnal Pengabdian Pada Masyarakat METHABDI Vol 4 No 2 (2024): Jurnal Pengabdian Pada Masyarakat METHABDI
Publisher : Universitas Methodist Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46880/methabdi.Vol4No2.pp130-136

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Background: Pregnancy causes physiological and psychological changes in mothers, including back pain. Yoga can help improve physical and mental fitness through relaxed breathing techniques. Objective: Increase pregnant women's understanding of yoga to reduce low back pain and train breathing. Methods: health education and yoga on breathing exercises to relieve low back pain in the community of pregnant women and evaluate knowledge using questionnaires before and after education. Results: The activity was attended by 16 pregnant women in the 2nd and 3rd trimester at Posyandu Panca Marga Gumpang. Conclusion: Education about low back pain and breathing exercises is expected to increase the knowledge of pregnant women and support labor preparation.
Case Report: Penatalaksanaan Fisioterapi Pada Kasus Carpal Tunnel Syndrome (CTS) Aziefa, Nevgy Hamama; Perdana, Suryo Saputra
Prosiding University Research Colloquium Proceeding of The 16th University Research Colloquium 2022: Bidang MIPA dan Kesehatan
Publisher : Konsorsium Lembaga Penelitian dan Pengabdian kepada Masyarakat Perguruan Tinggi Muhammadiyah 'Aisyiyah (PTMA) Koordinator Wilayah Jawa Tengah - DIY

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Abstract

Carpal Tunnel Syndrome (CTS) adalah mononeuropati perifer yang paling umum yang disebabkan oleh kompresi saraf medianus di terowongan karpal, dengan pravalensi berkisar antara 6,3% hingga 11,7%. Ketika terjadi penekanan pada nervus maka dapat menyebabkan nyeri yang menjalar hingga lengan bawah. Untuk memilimasir masalah yang timbul fisioterapi dapat melakukan intervensi berupa: Ultrasound dan Neurodinamik Exercise. Penatalaksanaan fisioterapi ini bertujuan untuk mengetahui pengaruh pemberian intervensi pada kasus Carpal Tunnel Syndrome selama 3 kali pertemuan fisioterapi. Setelah diberikan intervensi selama 3 kali pertemuan didapatkan hasil adanya penurunan nyeri dengan menggunakan Numeric Rating Scale (NRS) menunjukkan penurunan nyeri tekan 3 menjadi 2 , nyeri gerak 6 menjadi 4, dan nyeri diam tetap 0. Kekuatan otot diukur dengan Manual Muscle Testing (MMT) dan belum ada peningkatan signifikan pada peningkatan kekuatan otot dikarenakan waktu penelitian yang sangat terbatas. Kemampuan fungsional menggunakan Buston Questionaire Carpal Tunnel Syndrome (BQCTS) dijumpai adanya peningkatan kemampuan fungsional dan penurunan derajat nyeri. Kesimpulan yang didapatkan bahwa Ultrasound dan Neurodinamik Exercise efektif diberikan pada kasus Carpal Tunnel Syndrome.
The Effect of Electromyography Biofeedback in Combination Conventional Physiotherapy Training on Improving Walking Speed in Individual with Chronic Stroke: A Meta-Analysis Perdana, Suryo Saputra; Spence, Nicola; Rahayu, Umi Budi
Annual Physiotherapy Scientific Meeting Proceeding 2022: Annual Physiotherapy Scientific Meeting Proceeding
Publisher : Ikatan Fisioterapi Indonesia

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Abstract

Background: The main important goal in rehabilitation of chronic stroke patients is improvement walking speed. EMG biofeedback training is promising treatment for improving that outcome. It offers an exceptional approach (self-control training) that does not exist in conventional physiotherapy. Based on a continuous biofeedback of EMG signal recorded in selective muscles, with the goal of modifying it. Objectives: Efficiency EMG biofeedback training in combination conventional physiotherapy approaches and the implementation into clinical settings to improve walking speed in individuals‘ chronic stroke. Methods: We searched English-language of randomised controlled studies (RCT) and words related EMG biofeedback (electromyography, biofeedback, visual biofeedback and auditory biofeedback) and related walking speed (gait speed, walking velocity, and gait velocity) as well as chronic stroke between 1980-2019 using MEDLINE, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Cochrane Library, ScienceDirect, and Physiotherapy Evidence Database (PEDro), Grey Literature Report, The British Library. Results: Eleven studies including 110 participants met the inclusion criteria but only nine checked sufficient outcome data for gait speed. For this meta-analysis, the mean effect size was statistically significant (p = 0.03) with mean 2.15 (95% CI, 0.16 [0.01, 0.30]), Z test. However, the result did not exceed Minimal Clinically Important Difference (MICD) score of walking speed improvement in chronic stroke patients. Conclusions: Statistically, the result indicate that EMG biofeedback training is superior to conventional physiotherapy alone for enhancing walking speed in individuals with chronic stroke. However, the meta-analysis verified lack of clinical significance for implementing EMG biofeedback training in clinical settings. Applications/Originality/Value: This study contributes to solving nutrition problem in adolescent female athlete and as a basis for intervention in the problem of female athlete triad.
Efektivitas Ankle Control Balance Training (ACBT) Terhadap Gait Ability Lansia Rofi’atin, Rofi’atin; Perdana, Suryo Saputra
FISIO MU: Physiotherapy Evidences Vol.1, No.2, Juli 2020
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/fisiomu.v1i2.4957

Abstract

Latar Belakang; Lanjut usia atau lansia adalah seseorang yang telah memasuki usia 60 tahun. Seiring bertambah usia maka akan terjadi perubahan kualitas kesehatan lansia. Salah satu permasalahan lansia adalah jatuh. Risiko jatuh erat kaitannya dengan penurunan kondisi fisik yang berpengaruh terhadap gait ability. Risiko jatuh pada lansia dapat diturunkan dengan peningkatan gait ability. Tujuan; Penelitian ini dilakukan untuk mengetahui efektivitas ACBT terhadap peningkatan gait ability lansia. Metode; Studi yang dipilih adalah Randomized Controlled Trial (RCT) double blinding.Teknik pengambilan sampel menggunakan purposive simple sampling. Jumlah sampel yang terpilih sebanyak 16 lansia dengan usia minimal 60 tahun, kemudian dibagi secara acak ke dalam kelompok kontrol dan intervensi. Sebelum dan setelah penelitian dilakukan tes Time Up and Go (TUG) untuk mengevaluasi gait ability. Kedua kelompok mendapat baseline treatment senam lansia dan edukasi pencegahan risiko jatuh seminggu sekali. Pada kelompok intervensi diberikan latihan tambahan berupa ACBT seminggu dua kali selama empat minggu. Hasil; Latihan ACBT berpengaruh signifikan terhadap peningkatan gait ability lansia. Sesuai dengan uji pengaruh paired t-test yang menunjukkan p-value pada kelompok intervensi 0,004 (p 0,05) dan t-hitung lebih besar t-tabel (4,209 lebih besar 2,364) yang artinya data berpengaruh secara signifikan. Selain itu, independent t-test menunjukkan hasil p-value 0,008 (p kurang dari 0,05), artinya ada perbedaan pengaruh antara kelompok intervensi dan kontrol. Simpulan; Hasil penelitian ini menunjukkan bahwa ACBT secara statistik berpengaruh signifikan terhadap peningkatan gait ability lansia.
Co-Authors Abimayu, Ryan Juniano Adnan Faris Naufal Agus Setiyawan Akbar, Alifa Alfarisyi, Dimas Arif Amalia Nur Azizah Amalia Nur Azizah Amalia Nur Azizah Amaliyah Hana Safitri Amirotuzakiyah, Maryam Anggraeni, Nadya Anggraini, Nadya Annisa Fitri Dewi Aquariza, Eliska Elok Arianti, Bella Arif Pristianto Ariyanti, Amalia Carissa Ashrifah, Ayuni Ayu, Yunidar Niken Az-Zahra, Fadhilah Aziefa, Nevgy Hamama Azizah, Amalia Nur Azzahra, Farikha Syifau Daniel Happy Putra Debbita, Nurraya Martha Dedi Prasetyo Devia Putri Agnesia Dewangga, Mahendra Wahyu Dhiva Luhtirani Yanitamara Dinulloh, Hafidz Dwi Rosella Komala Sari Dwi Rosella Komalasari Dwi Rosella Komalasari Dwi Rossela Komalasari Efendi, Elif Nur Ernanda Zainovita Fadhilah Ilmi, Dhiki Fadila, Dhira Rahma Farhan Sufi Hibatul Azizi Gani, Purnomo Gina Fazrina Halim Mardiato Hapsari Cahyaningrum Herman, Dedy Heru Purnomo Ilham Yugantara Irfan, Naufal Kadek Agustini Aryani Kasumbung, Muhammad Tasa Kholida Nabila Kingkinnarti Kingkinnarti, K Komalasari, Dwi Rosella Konara Budi Sudrajat Kurniady, Devi Arhamevia Kusdiana, Faris Rahman La Ode Abdhal Idrus Maranti, Zemba Riski Mardiyanto, Halim Martopo, Nur Agung Maulidya, M Miftakhul Nur Ilmi Muhammad Naufal Anas Muhammad Raihan Maulidan Multasih Nita Utami Musyafa, Zafaf Nabila Nabila Nabila, Nabila Nazihah, Zulvy Nevgy Hamama Aziefa Nikmatur Rosidah Nilam Nur Hamidah Ningsih, Aulia Setia Norasmi, Ihsan Norazmi, Ihsan Novitasari, Tessya Hadika Nur Agung Martopo Nurma, Hanifah Dwi Pakaratee Chaiyawat Pakaratee Chaiyawat Pangestu, Gesang Gede Paramita, Made Pradnya Pradipta, Alvian Willy Prahesti, Yona Risha Prasetijo, Dedy Herman Pratamasiwi, Afrilia Saras Prayitno, P Putri, Adelia Kurnia Putri, Thesa Arsita Qanitah, Talitha Raden Shafira Saniyyah Ramadhani Raga Geriana Novita Dewi Rahma Septiara Ramadhani, Jihan Nabila Rezky Guna Putra Rofi&#039;atin Rofi&#039;atin Rofi’atin, Rofi’atin Ronald Rizal Shidiq Sabina Afifatuzzahra Safitri, Amaliyah Hana Safitri, Khusnul Saharudin, Adinda Afifah Saputri, Shinta Claudia Saputro, Sigit Sari, Diani Qomaradewi Indah Septiani, Icha Setiawan, Purnomo Gani Silaen, Nevada Bulandari Siti Fadhilah Sobariyah, Ana Maratus Spence, Nicola Sri Yunanto Suci Syafatillah, Shureenzen Tasa Kasumbung Tomiana Tomiana Totok Budi Santoso Umi Budi Rahayu Utami, Dyah Wahyu Utami, Multasih Nita W Wahyuni, W Widyawati, Erinda Anggar Tri Wijayandari, Nawang Galih Wijayanti, Wahyu Kusuma Wulandari, Novita Sri Yanuar, Reza Arshad Yunita Rahayu Pratiwi Yusria Apriliani Zakaria, Ricky Fauzi Zara Sugiyarti Zemba Riski Maranti Zhulfahmi, Moch. Rizki