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Journal : Academic Physiotherapy Conference Proceeding

PHYSIOTHERAPY IN POST TOTAL HYSTERECTOMY: A CASE REPORT Puspitosari, Dyah Pertiwi; Supriyadi, Arin; Anifah, Nur
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Abstract

Introduction: Total hysterectomy is the surgical removal of the uterus for medical reasons. From the post-medical procedure and the effects of bed rest, complications can arise. Therefore, it is necessary to provide physiotherapy measures. Case Presentation: A 44-year-old woman came for pain treatment after total hysterectomy surgery. Pain is felt at the incision site for a total hysterectomy. Pain in the lower abdomen is felt when going up and down stairs and activities, so that he cannot bend down and sit on the floor, as well as constipation and incontinence. Management and Outcome: The interventions used Pelvic Floor Muscle Training, Static Contraction in the abdominal muscles, Active Exercise on the hip joint flexors and trunk flexors, Breathing Exercises, Massage on the large intestine with repeaters 8 times per session 3 times a day and gradually increased and education, then Incision pain is reduced, constipation and incontinence are gone, functional ability is increased, muscle strength and range of motion are increased. Discussion: After the administration of physiotherapy modalities with repetition and a gradual increase in repetition, the patient’s complaints are reduced. Conclusion: Complications after total hysterectomy surgery in this case can be resolved by pelvic floor muscle training, static contraction of the abdominal muscles, active exercise on the hip joint flexors and flexors trunk, breathing exercise, colon massage and education.
Physiotherapy Management for Early Mobilization after Total Hip Replacement Surgery E.C Secondary Osteoarthritis Hip: A Case Study Akbar, Nisyahda Narpami; Supriyadi, Arin
Academic Physiotherapy Conference Proceeding 2023: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Abstract

Introduction: In the lower extremities of the human body, there is a hip joint which is the most proximal part with the type of synovial ball and socket joint. In carrying out the functions, the hip joint often experiences problems both as a result of trauma, degenerative, and post-traumatic hip. Osteoarthritis (90%) contributes the largest problems in hip joint, followed by femoral neck fracture (5%), avascular necrosis (2%), dysplasia (2%), and inflammatory arthritis (1%) (Ferguson et al, 2018). Thus, if conservative treatment did not provide better changes, then a total hip replacement is performed to reduce pain and improve physical function. Total hip replacement is a surgical procedure by replacing the entire hip joint with an implant. Implants themselves can last up to 20 years. Case Presentation: A 58-year-old patient with unable to endure pain and discomfort in his activities and at rest, when consulted by a doctor, patients experience infections around implants and plates & screws. After total hip replacement patient complained of pain in the incision on the side of tight and limited movement in the left leg. Management and Outcome: Early mobilization given in the form of breathing exercises, isometric exercises, and other exercises on the bed, then on the second and third days began to be given transfer-ambulation exercises. Pain is measured using NRS and joint scope of motion is measured using a goniometer. Discussion: From several articles that become supporting in line with the results obtained where the initial mobilization is a major influence in the patient's life in the future. Patients who do initial mobilization are able to return to activity more quickly than patients who do not do initial mobilization. Conclusion: After receiving physiotherapy management for early moilization at three days after surgery, there was a decrease in pain levels, an increase in joint scope of motion, and a decrease in edema in the patient's left leg.
Manajemen Fisioterapi pada post Sectio Caesaria et Causa Ketuban Pecah Dini+Mal Posisi: A Case Report Elgina, Ike Puteri; Supriyadi, Arin; Abdullah, Arif
Academic Physiotherapy Conference Proceeding 2025: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Abstract

Introduction: Sectio caesarea merupakan prosedur pembedahan yang umum dilakukan untuk mengatasi komplikasi kehamilan, salah satunya ketuban pecah dini (KPD) dan malposisi janin. Kondisi pasca operasi seringkali menimbulkan nyeri, keterbatasan mobilitas, dan gangguanlaktasi. Penelitian ini bertujuan untuk mengevaluasi efektivitas intervensi fisioterapi dalam mempercepat pemulihan pasca sectio caesarea dengan indikasi KPD dan malposisi.Case Presentation: Studi ini menggunakan desain studi kasus pada pasien Ny. I, usia 35 tahun, pasca operasi sectio caesarea. Intervensi fisioterapi dilakukan dua kali pada hari ke-1 dan ke-2 pasca operasi, meliputi mobilisasi dini, latihan pernapasan, penguatan otot abdomen dan dasar panggul, serta senam laktasi. Evaluasi dilakukan menggunakan NRS, MMT, dan Kenny Self CareEvaluation.Management and Outcome: Terdapat penurunan nyeri signifikan (nyeri diam 3→0, tekan 5→2, gerak 6→2), peningkatan kekuatan otot abdomen (MMT 2→4), dan peningkatan kemampuan fungsional (KSCE F→A). Produksi ASI juga menunjukkan perbaikan pasca intervensi.Conclusion: Intervensi fisioterapi terstruktur terbukti efektif dalam mempercepat pemulihan fisik dan fungsional, serta mendukung laktasi pada pasien post sectio caesarea dengan komplikasiobstetri.