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All Journal Majalah Ilmiah Fisioterapi Indonesia Jurnal Penelitian Kesehatan Suara Forikes Academic Physiotherapy Conference Proceeding Gaster Quantum Wellness : Jurnal Ilmu Kesehatan Indonesian Journal of Health Research Innovation
Kadek Agustini Aryani
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Decision Sciences, Operations Research & Management Dentistry Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health

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THE GIVING BREATH RELAXATION TECHNIQUES IN PASSIVE EXERCISE THERAPY REDUCE PAIN INTENSITY IN PATIENTS IN SECOND DEGREE BURNS SANGLAH HOSPITAL IN DENPASAR Kadek Agustini Aryani
Majalah Ilmiah Fisioterapi Indonesia Vol 1 No 2 (2013): Majalah Ilmiah Fisioterapi Indonesia
Publisher : Bachelor of Physiotherapy and Physiotherapy Profession Study Program, Faculty of Medicine, Udayana University in collaboration with Indonesian Physiotherapy Association (IPA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (65.508 KB) | DOI: 10.24843/MIFI.2013.v01.i02.p06

Abstract

The burn is a form of tissue damage caused by contact with heat sources. Pain is one of the clinical manifestations in the second degree burns. The research was conducted in Sanglah Hospital Burn Unit Denpasar. This research is experimental, randomized design with pre test and post test control group design. The samples were obtained for 24 people consisting of 12 persons of control group and 12 treatment groups. The sample was selected by randomized sampling technique. Independent variables in this study is a passive exercise therapy and breathing relaxation techniques. Dependent variable is the change in pain intensity as measured by the VAS scale. Data were analyzed with parametric statistical test with t test. The results obtained t value of 34.51 with an average value of 50.33, p of 0.00 (p <0.05) results showed that mean H0 rejected passive exercise therapy is effective in reducing pain in the second degree burns. In the intervention breathing and relaxation techniques of passive exercise therapy obtained t value of 63.44, an average of 66.50, p of 0.00 (p <0.05) showed a mean H0 rejected breathing relaxation techniques and exercise therapy is effective passive reduce pain intensity II degree burns. From the results showed no significant differences in the influence which intervention techniques at therapy relaxation breathing exercises reduce pain more effectively passive degree burns II because results obtained from the average difference in pain intensity decreased by 66.50 while in passive exercise therapy intervention gained an average decrease in pain intensity difference of 50.33.
Penatalaksanaan Fisioterapi Pada Kasus Acute Myocardial Infarction : Case Report Ajeng Sabtorini; Umi Budi Rahayu; Kadek Agustini Aryani
Quantum Wellness : Jurnal Ilmu Kesehatan Vol. 2 No. 2 (2025): Juni : Quantum Wellness : Jurnal Ilmu Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/quwell.v2i2.1946

Abstract

Acute Myocardial Infarction (AMI) is a critical medical condition that requires comprehensive rehabilitation to restore cardiac function and quality of life. This study presents a case report of a 54-year-old female patient post-PCI following subendocardial myocardial infarction. The physiotherapy intervention was conducted during phase 2 of cardiac rehabilitation in four sessions, consisting of warm-up (cardiac exercise), main training (walking and treadmill), and cool-down (ergocycle). Evaluation included the 6-Minute Walk Test (6MWT), Borg Scale, vital signs, and thoracic cage measurements. Results showed an increase in walking distance from 462 meters to 500 meters, improved METs, decreased Borg Scale score, and greater thoracic expansion. These findings suggest that phase 2 physiotherapy intervention effectively enhances functional capacity and physical activity tolerance in post-AMI patients.
PENINGKATAN KAPASITAS AEROBIK DENGAN LATIHAN INTENSITAS SEDANG PADA PASIEN CONGESTIVE HEART FAILURE EC REUMATIC HEART DEASES: CASE REPORT Muhammad Naufal Anas; Perdana, Suryo Saputra; Aryani, Kadek Agustini
Indonesian Journal of Health Research Innovation Vol. 2 No. 2 (2025): Indonesian Journal of Health Research Innovation
Publisher : Yayasan Menawan Cerdas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64094/wqzknd79

Abstract

Rheumatic Heart Disease (RHD) merupakan komplikasi dari infeksi bakteri Streptococcus yang memicu reaksi autoimun dan gangguan fungsi jantung, berujung pada Congestive Heart Failure (CHF). Pasien CHF perlu menjalani rehabilitasi untuk meningkatkan kapasitas aerobik, kapasitas fungsional, dan kualitas hidup. Penelitian ini bertujuan untuk mengevaluasi pengaruh latihan aerobik intensitas sedang (70 % HRmaks) terhadap peningkatan kapasitas aerobik dan tanda-tanda vital pasien CHF akibat RHD pada program rehabilitasi jantung fase II. Seorang pasien wanita, 62 tahun, menjalani program rehabilitasi jantung fase II yang meliputi latihan aerobik intensitas sedang (70 % HRmaks) terdiri dari pemanasan, jalan di lintasan atau treadmill, dan sepeda statis. Evaluasi awal menggunakan 6-Minute Walking Test (6MWT) sebagai baseline. Setiap sesi diukur derajat sesak napas dengan Borg Scale dan tanda-tanda vital. Setelah 12 pertemuan, kapasitas aerobik dinilai kembali dengan 6MWT, jarak tempuh, Heart Rate at Walking Speed Index (HRWSI), dan nilai METs. Setelah 12 pertemuan, terdapat peningkatan jarak tempuh 6MWT, peningkatan HRWSI, dan kenaikan nilai METs dibanding baseline. Derajat sesak napas menurun dan tanda-tanda vital dalam batas normal selama latihan. Latihan aerobik intensitas sedang (70 % HRmaks) pada rehabilitasi jantung fase II efektif meningkatkan kapasitas aerobik pada pasien CHF akibat RHD.
Penanganan Fisioterapi pada Kasus post Bentall Procedure: A Case Report Salatina, Alfi; Rahayu, Umi Budi; Aryani, Kadek Agustini
Academic Physiotherapy Conference Proceeding 2025: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Abstract

Introduction: Prosedur Bentall merupakan salah satu metode operasi jantung yang penting dan sering digunakan untuk mengatasi gangguan pada akar aorta, seperti aneurisma aorta asendens serta diseksi aorta tipe A. Teknik bedah ini pertama kali dikembangkan oleh Hugh Bentall pada tahun 1968 dan telah mengalami berbagai penyempurnaan untuk meningkatkan keberhasilan jangka panjang serta mengurangi risiko komplikasi pascaoperasi.Case Presentation: Seorang remaja berusia 20 tahun mengalami kondisi post operasi jantung yaitu Bentall procedure. Pasien menunjukkan menurunnya kapasitas aerobik, nyeri pada luka post operasi serta terbatasnya kemampuan fungsional.Management and Outcome: Intervensi fisioterapi dilakukan meliputi latihan pernapasan, latihan aktif ROM, latihan batuk efektif serta mobilisasi dini sebelum dan setelah dua sesi intervensi. Hasil menunjukkan belum ada perubahan klinis yang signifikan, namun terdapat perbaikan berupa penurunan 1 angka skala nyeri, Skor Index Barthel meningkat dari 40 menjadi 60.Conclusion: Walaupun perkembangan pasien belum terlihat secara signifikan, akan tetapi ada manfaat didapat dari latihan yang sudah dilakukan. Dukungan dari penelitian terbaru memperkuat efektivitas teknik yang digunakan, sehingga fisioterapi perlu dilakukan secara rutin dengan evaluasi berkala untuk mendukung pemulihan fungsi pasien secara optimal.
f: Walking Exercise Sebagai Intervensi Pada Rehabilitasi Jantung Fase II Untuk Meningkatkan Kapasitas Aerobik Pasien CHF et causa CAD 3VD : Case Report Amalia, Farah Rizki; Rahman, Farid; Aryani, Kadek Agustini
Jurnal Penelitian Kesehatan SUARA FORIKES 2026
Publisher : FORIKES

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Abstract

Gagal jantung kongestif (Congestive Heart Failure/CHF) memiliki prevalensi tinggi dan berdampak besar pada kapasitas fungsional pasien. Cardiac Rehabilitation (CR) fase II, khususnya latihan aerobik terstruktur, merupakan intervensi yang efektif. Studi kasus ini mengevaluasi efek walking exercise intensitas sedang pada pasien laki-laki 54 tahun dengan CHF et causa Coronary Artery Disease (CAD) dengan three vessel disease (3VD). Program rehabilitasi dilakukan 10 sesi (3–5×/minggu, 60 menit/sesi) meliputi pemanasan, latihan inti (walking track dan treadmill), dan pendinginan. Evaluasi menggunakan tekanan darah, heart rate, SpO₂, Borg Scale, 6MWT, kapasitas aerobik, dan HRWSI. Hasil menunjukkan peningkatan jarak 6MWT dari 428 menjadi 535 meter (+107 m), peningkatan kapasitas aerobik dari 4,8 METs menjadi 5,7 METs, serta HRWSI dari 1,21 menjadi 1,5. Parameter hemodinamik stabil dan Borg Scale 6–7/20 tanpa keluhan. Intervensi walking exercise terbukti aman dan efektif meningkatkan kapasitas aerobik, stabilitas hemodinamik, dan toleransi aktivitas. 
Physical Therapy Rehabilitation Approach for Phase II CHF Due to RHD Post-MVR: A Case Study Ni’mah, Fera Syofwatin; Rahman, Farid; Aryani, Kadek Agustini
Gaster Vol 24 No 1 (2026): FEBRUARI
Publisher : P3M Universitas 'Aisyiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30787/gaster.v24i1.2342

Abstract

Introduction: Congestive Heart Failure (CHF) due to Rheumatic Heart Disease (RHD) often causes cardiac dysfunction after mitral valve replacement (MVR) and tricuspid valve repair (TVR) surgery. Phase II cardiac rehabilitation is important to improve aerobic capacity, cardiorespiratory function, and quality of life in postoperative patients. Objective: To examine the effects of a phase II physical therapy rehabilitation program on improving aerobic capacity in Class II CHF patients with RHD after MVR and TVR. Method: A single case study of a 43-year-old woman with postoperative CHF FC II, who underwent 13 aerobic exercise sessions consisting of walking on a track, treadmill, and stationary bicycle based on the FITT (Frequency, Intensity, Time, Type) principle. Parameters evaluated included blood pressure, heart rate, oxygen saturation, Borg scale, and distance covered in the Six Minute Walking Test (6MWT). Results: Showed an increase in 6MWT distance from 355 meters to 446 meters, METs from 4.18 to 4.9, and Borg score from 6 to 7 with stable vital signs. Conclusion: Gradual aerobic exercise in phase II rehabilitation is safe and effective in improving aerobic capacity, hemodynamic response, and activity tolerance in patients, while preventing deterioration of condition and readmission.
Co-Authors Ajeng Sabtorini Amalia, Farah Rizki Farid Rahman Muhammad Naufal Anas Ni’mah, Fera Syofwatin Perdana, Suryo Saputra Rahman, Farid Salatina, Alfi Umi Budi Rahayu