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Siti Chodijah
Universitas Sam Ratulangi
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Journal : Academic Physiotherapy Conference Proceeding

 1 
THE EFFECT OF NEUROMUSCULAR ELECTRICAL STIMULATION (NMES) AND PROPRIOCEPTIVE NEUROMUSCULAR FACILITATION (PNF) IN INCREASING EXTREMITY MUSCLE STRENGTH OF HEMIPARESIS DEXTRA PATIENT: A CASE STUDY Chodijah, Siti; Herawati, Isnaini
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Abstract

Introduction: Stroke is the second leading cause of death and third disability in the world. Data from the World Stroke Organization shows that every year there are 13.7 million new cases of stroke and about 6.7 million deaths that occur due to stroke. Stroke causes paralysis that worsens, and creates limitations in contractile or non-contractile tissue, and reduces range of motion in joints. Case Presentation: A case study on a 68-year-old man who had his first stroke in August 2020 and found a decrease in muscle strength, pain at the end of movements of shoulder, elbow and knee flexion along with decreased functional ability in the right extremity. Management and outcome: The patient received a therapeutic approach with NMES and PNF for 4 times for 2 weeks. This programs could improve muscle strength and decreased the level of pain among men with Hemiparesis Dextra Discussion: The study states that NMES appears to be an effective physical rehabilitation treatment to initiate skeletal muscle anabolic processes that promote muscle growth and strengthening in hemiparetic and healthy older skeletal muscle. In addition, PNF technique to the non-affected side as well as the affected side, where both had abnormally increased muscle tone and stiffness due to a post-stroke upper motor neuron lesion, had positive effects. Furthermore, the PNF combined pattern is an effective treatment method for increasing the muscle activity. Conclusion: After physiotherapy treatment 4 times for 2 weeks there was an increase in muscle strength and a decrease in pain at the end of passive flexion of the shoulder, elbow and knee.
Co-Authors Ade Silvia Handayani Adi Putra Harmansyah Agustina, Revalina Nazwa Ainiyah Ekowati Ajid Thohir Al-Fahad, Muhamad Firman Alfani, Ilzam Hubby Dzikrillah Amri, Andi Andhika, Elang Kristi ANWAR IBRAHIM, ANWAR Anwar, Dera Azkia Apriliani, Devi Rizki Aryo Andri Nugroho Aulia, Nurfadilah Ayub, Agis Dimas Azzahra, Fathia Azzam, Fariz Abdul Bijak Riyandi Ahadito Bulan Purnama Sari, Bulan Purnama Diah Mulyawati Utari dumaria, corazon hanna Efiyanna, Rina Fahira, Diva Aulia Fahma Riyanti Fauzi Ahmad Muda Fauzi, Asep Muhammad Fauziah, Salma Fidya, Feny Firdha Senja Maelaningsih hasanah, hafizotun Hendra, Mohamad Henni Febriawati, Henni Heriansyah, Dafis Heru Wibowo Hidayat, Rahman Iin Purnamasari Intan Kusuma Dewi Intan Nuraini Irawan Hadi Islami, Enur Mutiah Isnaini Herawati Jamil, Gita Wahidah juhaeri, Juhaeri Julinar Julinar Julius Nursyamsi Junay Darmawati Karel Pandelaki Khusnadin, Muhammad Hafidz Kinasih, Ayu Antika Sekar Lestari, Linda Yunia Lidya Fransisca, Lidya Luthfia, Asya Dwina Luthfiyyah, Nayla Desiyana M. Abdul Mukhyi Mahardika, Afftah Rizki Makmun Makmun Malihah, Nadia Rosikhoh Maryani, Santi Mauizah, Adzkiya Zayyan Mauluddin, Faulia Muhyi, Asep Abdul Mulyana Mulyana Nasher, Abdurrahman Nisrina, Hana Fitri Nugroho, Agung Nurfadilah, Muhammad Rifa Nyayu Latifah Husni, Nyayu Latifah Palola, Jelsdryn Parisya Arundati, Nadia Peradila, Sani Poedji Loekitowati Hariani Purnama Sari, Bulan Putra, Daffa Jilbransyah Putri Anditasari, Putri Putri Sari, Yemmy Putri, Primastri Nuryandari Rahman, Irfan Hifdzur Rahmawati, Fatihah Rizki Ramdan, Zamzam Muhamad Rani Puspita Ratnasari, Juni Ratu Ayu Dewi Sartika Respiana, Wina Ridwan, Anggraeni Rismiyanti, Aina Risyana, Ariq Fauzan Rizal, Rossy Ville Rizqi, Muchammad Rosdiana, Rina Rosihon Anwar, Rosihon Rossi Septy Wahyuni Roy Efendi, Roy Safira, Vika Putri Sahroni, Sahroni Salsabila, Afifa Salsabila, Shafa Tania Santoso, Muhammad Iqbal Firdaus Saputra, Muhammad Ragil Sari, Deti Permata Sari, Yemmy Putri Sofyan, Muhammad Agil Stella Talitha Sugiyanto - Suhendra . Susanti Susanti Syakira, Azka Rizqiya T., Muslih Tedengki, Rein Tendengki, Rein Tri Mahajani Utami, Gusti Faoziah Tri Utomo, Sholeh Veradilla, Veradilla Widia Purwaningrum Widya Astuti, Riska Wijayanti, Nur Wulan Angraini zulfitra, Zulfitra