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All Journal JPM: JURNAL PENGABDIAN MASYARAKAT Jurnal Kesehatan Tambusai Lux Mensana: Journal of Scientific Health Academic Physiotherapy Conference Proceeding Jurnal Profesional Fisioterapi DEVOTE: Jurnal Pengabdian Masyarakat Global JTH: Journal of Technology and Health
Supriyadi, Arin
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Journal : Academic Physiotherapy Conference Proceeding

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Penatalaksanaan Fisioterapi COPD e.c Brokintis di RSUD Dungus: A Case Study Prastowo, Angga; Supriyadi, Arin; Utami, Multasih Nita
Academic Physiotherapy Conference Proceeding 2024: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Pendahuluan: Penyakit paru obstruktif kronik (PPOK) adalah gangguan pernapasan yang umum berdampak pada kesehatan dan ekonomi global yang signifikan. Prevalensi PPOK global diperkirakan sebesar 10,6% dengan 480 juta kasus pada tahun 2020 dan diproyeksikan mencapai 592 juta pada tahun 2050. Di Indonesia angka pasien PPOK sebesar 3,7% dan mempengaruhi 9,2 juta orang, sedangkan di Bali sebesar 3,5%. PPOK ditandai dengan terbatasnya aliran udara dan kematian jaringan akibat peradangan kronis akibat paparan partikel berbahaya terutama asap rokok. Gejalanya berupa batuk, sesak nafas dan produksi dahak yang berpotensi menyebabkan gagal nafas. Brokintis kronis dikaitkan dengan merokok dan melibatkan produksi lendir yang berlebihan menyebabkan penyumbatan saluran napas dan memperburuk peradangan. Presentasi Kasus: Seorang pasien berusia 70 tahun dengan riwayat sesak nafas berulang selama 2 tahun, disertai batuk tanpa dahak. Tanda-tanda vital menunjukkan tekanan daarah 13/80 mmHg , denyut jatung 96x/menit, pernapasan 29x/menit, suhu 36,5°C dan saturasi oksigen 94%. Perkusi dada menunjukkan suara sonor disisi kanan dan gerakan sangkar thorak yang asimetris. Pemeriksaan radiologi melalui rontgen dada menujukkan jantung berukuran besar dan normal, tidak terlihat infiltrate atau nodul di paru-paru. Hilus tidak menebal dan dan sistema tulang baik. Pengukuran : Pengukuran kecacatan menggunakan mMRC, pengukuran sesak nafas menggunakan Skala Borg dan pengukuran sangkar thorak menggunakan midline. Program rehabiliatasi dengan memberikan deep breathing dan pursed lip breathing Pembahasan: Terjadi penurunan tekanan darah sistolik sebesar 10 mmHg, peningkatan kadar oksigen (SPO2) sebesar 1% dan peningkatan sangkar thorak sebesar 0,5- 1cm Kesimpulan: Sistem kardiopulmonal pasien menujukkan perbaikan yang signifikan dengan peningkatan saturasi oksigen dan penurunan sesak napas, namun kecacatan akibat dyspnea menujukkan tidak adanya perbaikan yang signifikan.
Manajemen Fisioterapi pada Kasus Benigh Prostate Dysplasia pasca Transurethral Resection of The Prostate: Studi Kasus Adhiibah, Paradise; Supriyadi, Arin; Setiawan, Galih Adhi Isak
Academic Physiotherapy Conference Proceeding 2024: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Pendahuluan Benign Prostate Hyperplasia (BPH) mengacu pada pertumbuhan non-ganas atau hiperplasia jaringan prostat dan merupakan penyebab umum lower urinary tract symptoms (LUTS) pada pria lanjut usia. Salah satu tindakan yang paling banyak dilakukan pada pasien dengan BPH adalah tindakan pembedahan Trationnsurethral Resection Of the Prostate (TURP). Pada pembedahan BPH jarang terjadi, tetapi 30-40% klien mengalami inkontinensia urin dini. Disfungsi ereksi juga merupakan salah satu dampak post operasi TURP. Pelvic floor exercise mampu meringankan bahkan menyembuhkan inkontinensia urin atau ketidakmampuan menahan BAK. Presentasi kasus: pasien dengan diagnosa post Transurethral Resection of the Prostate (TURP) ec Benign Prostate Hyperplasia. Pasien seorang pensiunan dan banyak beraktivitas di rumah. Pasien menjalankan operasi pada tanggal 4 Desember 2023. Manajemen dan hasil: Pasien diberikan intervensi berupa breathing exercise dan pelvic floor exercise. Pengukuran yang dilakukan peneliti yaitu untuk mengevaluasi nyeri, keparahan inkontinensia urin, ejakulasi dini, disfungsi ereksi, dan fungsional seksual. Diskusi: Pelvic floor exercise atau senam kegel adalah latihan yang dapat memperkuat otot dasar panggul, pelvic floor exercise dapat meningkatkan fungsi sfingter dan otot daerah genital. Pelvic floor exercise bertujuan untuk mengatasi inkontinensia urin pada wanita dan pria. Pelvic floor exercise juga dapat membantu pemulihan organ genital setelah persalinan, permasalahan usus dan memulihkan kesulitan ereksi pada pria. Kesimpulan: Pemberian intervensi breathing exercise dan pelvic floor exercise pada pasien post operapi TURP dapat menurunkan nyeri namun belum terlihat hasilnya untuk menurunkan keparahan inkontinensia urin pada pasien.
Pengaruh Pemberian Tendon Gliding Exercise terhadap Penurunan Nyeri pada Carpal Tunnel Syndrome: Case Report Ningrum, Rahmawati Cahya; Supriyadi, Arin; Charisa, Anis Dwi
Academic Physiotherapy Conference Proceeding 2024: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Carpal Tunnel Syndrome (CTS) merupakan kondisi neurologis yang umum terjadi, ditandai dengan adanya kompresi pada saraf medianus di pergelangan tangan. Salah satu manifestasi utama CTS adalah nyeri pada pergelangan tangan yang dapat memengaruhi aktivitas sehari-hari. Tendon gliding exercise telah diusulkan sebagai salah satu intervensi non-invasif yang mungkin efektif dalam mengurangi nyeri pada CTS. Penelitian ini bertujuan untuk mengevaluasi pengaruh pemberian tendon gliding exercise terhadap penurunan nyeri pada pasien dengan Carpal Tunnel Syndrome. Metode penelitian yang digunakan adalah studi kasus (case report). Seorang pasien perempuan berusia 52 tahun dengan diagnosis CTS diberikan terapi tendon gliding exercise sebanyak 3 kali dalam seminggu. Pengukuran nyeri dilakukan sebelum dan setelah intervensi menggunakan Numerical Rating Scale (NRS). Selain itu, pengukuran paresthesia juga dilakukan menggunakan Visual Analog Scale (VAS). Setelah menjalani terapi tendon gliding exercise, terjadi penurunan signifikan dalam tingkat nyeri pada pasien. Pengukuran dengan NRS menunjukkan penurunan nyeri diam, nyeri tekan, dan nyeri gerak dari T0 hingga T3. Pengukuran dengan VAS juga menunjukkan penurunan paresthesia pada kondisi diam, ditekan, dan saat bergerak.
THE EFFECT OF KINESIO TAPPING TO REDUCE PAIN AND OEDEMA IN ANKLE SPRAIN PATIENTS: A CASE STUDY Na'im, W. Azhar; Supriyadi, Arin; Fandrian, Ganang
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Sprain Ankleis a sports injury condition that causes problems in ligaments, muscles and joints. This condition causes instability in the ankle joint and causes pain and swelling on the injured side. Giving Kinesio Tapping can reduce pain levels, reduce swelling and can also provide stabilization of the ankle joint.Case Presentation:The patient came with difficulty walking, there was swelling, pain and the skin looked abnormal on the right ankle.Management and Outcome: In this case, the administration of kinesio tapping with the AET stretching technique of 30%-40% for two weeks with daily administration for 16 hours can reduce the level of pain as measured by a visual analogue scale and can reduce the size of swelling to its normal condition which is measured using a meterline. .Discussion:Using this technique for two weeks will help in the natural healing process. Proprioception will detect the location of joints and all moving extremities and help them recover to a normal position, in other studies showing that the application of tapping can improve proprioception by stimulating skin mechanoreceptors. The use of tapping is thought to reduce swelling by stimulating the drainage of edema in the interstitial spaces into less dense lymphatic channelsConclusion: In the cases and data described above, it has been proven that conventional therapy using kinesio tapping the acute eversion tapping technique in patients with ankle sprain injuries is able to reduce pain values measured using a visual analogue scale and the size of edema measured using a meterline.
AQUATIC EXERCISE IN PATIENTS WITH CHRONIC LOW BACK PAIN: A CASE STUDY Wardani, Aulia Ayu Kusuma; Supriyadi, Arin; Pristianto, Arif
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction : Chronic low back pain is defined as pain in the lower back that lasts more than 12 weeks. The average prevalence of LBP sufferers is 39% in adults. In Lower Cross Syndrome there is tension in the thoraco-lumbar extensor muscles that cross the m. iliopsoas and m. rectus femoris. As well as weakness in the abdominal muscles that cross the m. gluteus maximus and medius. Schober test is used to determine ROM in the lumbar. Aquatic exercise can be used for the purpose of facilitating Range of Motion (ROM) exercises, facilitating weight-bearing exercises, minimizing the risk of injury or re-injury during rehabilitation, and promoting relaxation. Case Presentation : A patient named Mr. AN is 36 years old and works in the TNI. The patient complained of pain in the lower back and limitation of bending motion. Diagnosis of Chronic Low Back Pain (non-specific). Schober test measurements obtained results of 2 cm. Management and Outcomes : The physiotherapy process was carried out on patients in the hospital with 5 meetings. The aquatic exercise movements used include Stretching, Strengthening, Stabilization, Pelvic Tilt. Measurement of lumbar ROM using the Schober test. Discussion : After the patient received 4 sessions of physiotherapy, evaluation of the lumbar ROM measurement was carried out using the Schober test. The results of the measurement of lumbar ROM with the Schober test showed a significant improvement, from 2cm to 3.1cm. Where with these results it can be concluded that there is an additional lumbar ROM. Conclusion : The physiotherapy program which was carried out four times in cases of Chronic Low Back Pain using aquatic exercises which included stretching, strengthening, stabilization, and pelvic tilt was proven to be able to increase the Range of Motion (ROM) in the lumbar.
PHYSIOTHERAPY MANAGEMENT FOR POST RECONSTRUCTION POSTERIOR CRUCIATE LIGAMENT ACUTE PHASE: A CASE STUDY Monitari, Triska; Supriyadi, Arin; Mardianto, Halim
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Rupture is a tear of tissue caused by trauma. Posterior Cruciate Ligament (PCL) ruptures can be caused by direct or indirect contact with the knee. A grade 3 PCL injury requires surgery. Rehabilitation in PCL injuries focuses on quadriceps muscle augmentation to counteract the force of the hamstrings muscles and the gravity that move the tibia towards the posterior. Case Presentation: A football athlete suffered a knee injury while playing football. From mri examination found the diagnosis of rupture PCL sinistra grade 3, then undergo reconstruction surgery PCL sinistra. The results of the examination there are several problems in patients, such as oedem, atrophy, spasm, pain (press &motion), and limited motion. Management and outcome:interventions given in the form of exercise therapy as much as 3 times. Pain measured by Numeric Rating Scale (NRS), oedem (metline), range of motion (gonio meter). Discussion: Based on the interventions provided found results that exercise has benefits in patients post acute phase PCL reconstruction that has the goal of maximum protection on grafting, maintaining patellar mobility, maintaining quadriceps muscle tone, maintaining full passive extensions, controlling pain and oedem, early mobilization in knee joints Conclusion:Intervention in the form of exercise therapy can relieve pain, reduce oedem and improve ROM in patients post acute phase PCL reconstruction.
PHYSIOTHERAPY MANAGEMENT OF BREATHING EXERCISE AND MOBILIZATION OF THE THORAX CAGE IN CASES OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD): A CASE STUDY Mufidayanti, Arum; Supriyadi, Arin
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction : Chronic Obstructive Pulmonary Disease (COPD) is a disease with persistent respiratory symptoms and chronic airflow limitation due to significant exposure to noxious particles or gases combined with a variety of host factors including genetics, airway hyperresponsiveness, and poor lung growth during childhood. The purpose of this study was to determine the effectiveness of breathing exercise combined with mobilization of the thorax cage on increasing activity tolerance. Case Presentation : A 65-year-old man with history of COPD presented with severe shorthness of breath, chest pain and cough with difficulty in expelling phlegm. The patient had smoking history and hypertention. The spirometry examination result showed the FEV1 prediction was 50%. Management and Outcome : The treatment used in this study were breathing exercise combined with mobilization of the thorax cage. The evaluation result showed from day 1 to day 4 there were BORG scale from 5 to 2, CAT scale from 33 to 11, mMRC scale from 4 to 2 and there was significant improvement from thorax expansion. Discussion : Breathing exercise combined with mobilization of the thorax cage decreased the sensation of dyspnea patient with COPD and improved the thorax expansion by loosened the airway and increased the upper-limb joint range of motion. Conclusion: Breathing exercise combined with mobilization of the thorax cage has positive impact on improved exercise/activity tolerance patient with COPD.
AEROBIC EXERCISE INCREASE FUNCTIONAL CAPACITY ON POST ATRIAL SEPTAL DEFECT CLOSURE PATIENT: A CASE STUDY Martani, Laras Rum; Supriyadi, Arin
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Atrial Septal Defect (ASD) are common and present at any age. Atrial septal defect (ASD) is a congenital heart defect that enables blood flow between the left and right atria through a defect in the interatrial septum. ASDs compose 35% to 40% of congenital heart defects, making them the second most common congenital heart defect. The ratio of ASD sufferers is 1:2 male to female. Treatment options are determined based on time of discovery and size and location of defect. Surgical correction is ideal before pulmonary hypertension develops, and has the lowest risk of complications when performed in patients<25y, closure may be performed as open heart surgery. Case Presentation:A female 26 years old with a diagnosis of ASD. Patient complained fatigue, and dyspnea. Echocardiographic before operation showed ASD secundum 20 mm left to right shunt, diastolic dysfunction grade 1 and ejection friction 78.1% probability pulmonary hypertension. Management and Outcome:An aerobic exercise were used in this study. The program performed 3 sessions in a week during 4 weeks. The 6-minutes walking test were used to evaluate functional capacity. Discussion:After giving an aerobic exercise during 1 month obtained the result increase functional capacity. Patients was able to walk as far as 220 meters in 6 minutes. Conclusion: : Physiotherapy management in post ASD closure phase II for 12 sessions of aerobic exercise program showed a good progression.
PHYSIOTHERAPY MANAGEMENT IN PATIENT WITH URINARY INCONTINENCE: A CASE STUDY Riani, Kurnia Ade; Supriyadi, Arin; Hayati, Ika
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Urinary incontinence (UI) is the problem of accidental or abnormal loss (leakage) of urine. The physiotherapy management of ES (Electrical Stimulation), Kegel Exercises, and Abdominal Muscle Exercise in increasing the strength of pelvic floor muscle and abdominal muscle strength in patients with urinary incontinence. Case Presentation: A female 25 year old comes to the doctor with complaints of difficulty urinating postpartum for 6 months, the doctor diagnoses the patient with urinary incontinence then referred to physiotherapy for further treatment Management and Outcome: Giving of electrical stimulation, kegel exercise, and abdominal muscle exercise effective to increase the strength of the pelvic floor muscle and abdominal muscle as well as decrease severity of urinary incontinence in patient urinary incontinence Discussion: After physiotherapy exercise interventions were given, the results obtained were an increase in the strength of the pelvic floor muscle from Pre-Test with a strength of the pelvic floor value of 2, an increase in strength of the pelvic floor to 3 at T8, an increase in the abdominal muscle strength at Pre-Test the result is 3 and becomes 4 at T8, and there is a decrease in severity of urinary incontinence at Pre-Test the result is 8 and becomes 6 at T8. Giving of electrical stimulation, kegel exercise, and abdominal muscle exercise effective to increase the strength of the pelvic floor muscle and abdominal muscle as well as decrease severity of urinary incontinence in patient urinary incontinence. Conclusion: After given by physiotherapy modalities and exercise in urinary incontinence it show a good progression. The physiotherapi’s treatment showed that there was an increase pelvic floor muscle strenght and abdominal muscle as well as decrease severity of urinary incontinence.
MANAGEMENT PHYSIOTHERAPY FOR CEREBRAL PALSY (CP) DIPLEGI TO IMPROVE TRUNK CONTROL WITH SATCO (SEGMENTAL ASSESMENT OF TRUNK CONTROL) EXERCISE COMBINATION TOA (TASK ORIENTED ACTIVITY) Hayati, Ika; Supriyadi, Arin
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Physiotherapy treatment in CP diplegi for improved trunk control with satco Exercise combination TOA. to report the results of the FT program on CP diplegi to improve trunk control capabilities with satco exercise combined with TOA. Case Presentation: Patients aged 3 years with the main diagnosis of CP diplegi with less (ugly) trunk control who are currently undergoing therapy using SATco Exercise combination TOA. The implementation of physiotherapy is carried out for approximately 6 weeks with the frequency of therapy a week 3 times. The patient sits 90 degree in stool then installed pelvic straps for pelvic stabilization then given trunk control exercises with satco exercise for approximately 30 min / session into 3 parts namely static control, active control and reactive control each - 10 minutes each .and combined with TOA in the frontal sagittal and transverse fields (reach / grab and insert puzzle ring donut) Management and Outcome: after 18 treatments in the results there was an increase in control trunk which was initially at the upper thoracic control level with the level of support on the axilla currently there is an increase in the upper lumbar control level with a level of support below ribs (L3). Discussion: SATco or these is combined the TOA (Task Oriented of Activity) wich is the therapy that takes stage by stage down through the trunk and then in those children are able through the lower limbs working on their posturalcontrol and from that their function then evolves. TOA (Task Oriented Activity Based) is one of the NDT principles that has been proven effective and efficient in improving performance promoting meaningful and goal-oriented intensive training. Both treatments effectively help improve trunk control in patients. Conclusion: In these cases there was a significant increase in trunk control with SATco exercise combined with TOA.
Co-Authors Abdullah, Arif Adhiibah, Paradise Akbar, Nisyahda Narpami Anifah, Nur Arif Pristianto Athiyaturrofi, Alifah Ayu B.P, Niki Sari Aziz, Muhammad Nur Azizah, Hauna Nur Charisa, Anis Dwi Dhira Rahma Fadila Elgina, Ike Puteri Fandrian, Ganang Filmasari, Fitri Hanan, Salma Zahra Fitria Hayati, Ika Mardianto, Halim Martani, Laras Rum Monitari, Triska Mufidayanti, Arum Na'im, W. Azhar Ningrum, Rahmawati Cahya Nursaputri Prastowo, Angga Puspitosari, Dyah Pertiwi Riani, Kurnia Ade Rinna Ainul Maghfiroh Rohayani, Iin Safitri, Khusnul Saharudin, Adinda Afifah Setiawan, Galih Adhi Isak Srimela, Mary Zahra Triyani, Lusi Amalia Utami, Multasih Nita Viyanti, Aulia Nanda Wahyu Tri Sudaryanto Wahyu Wijayanti, Christina Wardani, Aulia Ayu Kusuma Wibowo, Embar Arie Yanuar, Reza Arshad