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Journal : Academic Physiotherapy Conference Proceeding

MANAGEMENT OF ACTIVE CYCLE OF BREATHING TECHNIQUES (ACBT) AND POSTURAL DRAINAGE IN BRONCHIECTASIS: A CASE STUDY Halim, Muhammad; Sudaryanto, Wahyu Tri
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Abstract

Introduction: Bronchiectasis is a debilitating chronic respiratory condition that affects people of all ages. It is most common in women and those older than 60 years, Patients have daily excessive sputum and associated symptoms, recurrent chest infections and impaired healthrelated quality of life Case Presentation: The patient is a 54 year old woman with a history of bronchiectasis, complaining of shortness of breath, cough accompanied by phlegm that has been felt since 6 months ago. Management and Outcome: Interventions were given in the form of Active Cycle of Breathing Techniques (ACBT) and Postural Drainage and the therapy process was carried out in 3 meetings. Examination of the degree of cough with the Leicester Cough Questionnaire, examination of the thoracic cage with anthropometry with 3 measurement reference points, namely the axilla, Intercostal IV-V, and xiphoid process, and measurement of functional activity level with the Modified Medical Research Council (MMRC). There was an increase in the difference in expansion of the thoracic cage at each axillary point, Intercostal IV-V, and xiphoid process from T1: 1 cm to T3: 2 cm. on the measurement of the degree of cough with the Leicester Cough Questionnaire there was an increase in the value from T1:7 to T3:12, and the measurement of functional activity level with the Modified Medical Research Council (MMRC) decreased from T1:3 to T2:2. Discussion: ACBT that performed in 3 stages, can reduce airway constriction and increase oxygen saturation through breathing control, thoracic expansion exercises that move secretions and increase alveolar ventilation, and the huffing or force expiratory technique (FET) which helps move phlegm from the small airways into the airways. big air. This is also assisted by postural drainage, which is positioning the patient with the lung segment where there is a buildup of sputum in such a way that gravity has a maximum effect on facilitating the drainage of broncho-pulmonary secretions from the tracheobronchial tree. Conclusion:Active Cycle of Breathing Techniques (ACBT) and Postural Drainage can help treat complaints in cases of Bronchiectasis such as clearing the airway, increasing the expansion of the thoracic cage, and increasing the ability of functional activities.
Physiotherapy Management for Carpal Tunnel Syndrome Bilateral: A Case Study Putri, Sefrizka Irwhana; Sudaryanto, Wahyu Tri; Ismadi, I
Academic Physiotherapy Conference Proceeding 2022: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Abstract

Introduction: Carpal Tunnel Syndrome (CTS) is a disorder of the forearm due to compression of the median nerve in the carpal tunnel, either due to fascial edema in the carpal tunnel or due to abnormalities in the small bones in the palm. Carpal tunnel syndrome (CTS) is the most common upper extremity pressure neuropathy, with a prevalence of 3%-5% in the general population, and is 6% more common in women over 40 years of age. The objectives to be achieved in this study are to reduce the pain complained of by the patient, increase the strength of the muscles around the wrist and optimize the increase in daily functional activities in household work activities.Case Presentation: Mrs. K is female, 47 years old, works as a housewife. Mrs. K complains of pain, numbness, tingling and discomfort in both right and left wrists until they radiate to the upper arm. Complaints become worse when buttoning clothes, opening bottles, washing clothes which activities involve movement of the fingers.Management and Outcome: Patients do therapy twice a week for two weeks with physiotherapy programs of ultrasound therapy, stretching exercises, strengthening exercises, and manual therapy. Patients were evaluated using the Numerical Rating Scale (NRS) to measure pain, Manual Muscle Testing (MMT) to measure muscle strength, and the Boston Carpal Tunnel Syndrome Questionnaire (BCTSQ) to measure functional ability.Discussion: Ultrasound produces a warm effect that increases blood circulation and reduces pressure on the median nerve which can reduce pain. Strengthening Exercise by using Hand Exercise with Ball which is able to increase muscle strength, balance, and blood flow to the hand, wrist, and elbow. The manual therapy carried out is Median Nerve Mobilization and Nerve and Tendon Gliding which aims to reduce pressure on the median nerve at the wrist by returning the anatomical structure to its original position.Conclusion: Physiotherapy programs for Bilateral Carpal Tunnel Syndrome patients using Ultrasound Therapy, Stretching Exercises, Strengthening Exercises and Manual Therapy interventions can reduce pain, increase muscle strength and improve functional abilities.
Physiotherapy Management in Cases of Lumbar Radiculopathy e.c Lumbal Spondylosis: Case Report Winanti, Milan Dwi; Sudaryanto, Wahyu Tri; Kingkinarti, K
Academic Physiotherapy Conference Proceeding 2025: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Abstract

Introduction: Lumbar radiculopathy akibat spondylosis lumbalis menyebabkan nyeri menjalar dan gangguan aktivitas fungsional. Fisioterapi berperan dalam mengurangi nyeri dan meningkatkan fungsional pasien.Objectives: Penelitian ini bertujuan untuk mengetahui pengaruh intervensi fisioterapi berupa kombinasi Short Wave Diathermy (SWD), Transcutaneous Electrical Nerve Stimulation (TENS), latihan neurodinamik, stretching, dan strengthening terhadap penurunan intensitas nyeri, peningkatan kekuatan otot trunk, serta peningkatan aktivitas fungsional pada pasien dengan lumbar radiculopathy akibat spondylosis lumbalis.Method: Penelitian ini menggunakan desain case report dengan pendekatan single subject research pada wanita usia 45 tahun. Intervensi terdiri dari SWD, TENS, latihan neurodinamik, stretching, dan strengthening selama empat sesi. Evaluasi menggunakan NPRS, MMT, dan ODI.Result: Terjadi penurunan skor nyeri dari 8 menjadi 3, dan skor ODI dari 15 menjadi 7, yang menunjukkan perbaikan gejala dan peningkatan aktivitas fungsional. Namun, tidak terjadi peningkatan bermakna pada kekuatan otot trunk, dengan nilai MMT tetap pada 3.Conclusion: Kombinasi terapi fisioterapi berupa SWD, TENS, latihan neurodinamik, stretching, dan strengthening efektif dalam menurunkan nyeri dan meningkatkan aktivitas fungsional pada pasien dengan lumbar radiculopathy akibat spondylosis lumbalis. Namun, tidak memberikan pengaruh signifikan terhadap peningkatan kekuatan otot trunk dalam jangka pendek.
Manfaat Fisioterapi pada Pasien Perempuan Berusia 65 Tahun dengan Hemiparesis Dextra pasca Stroke Non Hemorraghic: Studi Kasus Agasi, Muhammad Andre; Sudaryanto, Wahyu Tri; Fauzan, Muhammad
Academic Physiotherapy Conference Proceeding 2025: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Abstract

Introduction: Stroke non Hemorraghic merupakan penyebab utama kecacatan fisik, khususnya pada populasi lanjut usia. Salah satu manifestasinya adalah hemiparase yang berdampak pada gangguan mobilitas, kekuatan otot, koordinasi, serta kemampuan menjalankan aktivitas fungsional. Fisioterapi memiliki peran penting dalam rehabilitasi untuk mengurangi gejala dan meningkatkan kualitas hidup pasiCase Presentation: Penelitian ini merupakan studi case report terhadap seorang pasien perempuan berusia 65 tahun dengan hemiparase dextra akibat stroke non hemoragik.Management and Outcome: Intervensi fisioterapi dilakukan selama tiga minggu (2 sesi/minggu) dengan modalitas Infrared (IR), Transcutaneous Electrical Nerve Stimulation (TENS), latihan ROM aktif, massage, dan core muscle exercise. Evaluasi dilakukan pada T0, T1, dan T2 menggunakan NRS, MMT, MAS, dan Barthel Index Disability. Terjadi penurunan nyeri (NRS nyeri gerak: 6 menjadi 5; nyeri tekan: 4 menjadi 3) dan spastisitas (MAS fleksor elbow dan knee dextra dari 3 menjadi 2 dan 2 menjadi 1). Tidak ada peningkatan signifikan pada kekuatan otot maupun skor Barthel Index (tetap 85).Conclusion: Intervensi fisioterapi efektif dalam menurunkan nyeri dan spastisitas pada pasien pascastroke, namun peningkatan kekuatan otot dan kemampuan fungsional memerlukan intervensi lanjutan.
Management Fisioterapi pada Kasus post Operasi Fraktur Tibia Proximal Dextra di Rumah Sakit Islam Sakinah Mojokerto: Studi Kasus Fathan, Muhammad; Sudaryanto, Wahyu Tri; Gemilang, G
Academic Physiotherapy Conference Proceeding 2025: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Abstract

Introduction: Fraktur adalah diskontinuitas pada tulang (atau tulang rawan) kekuatan akibat mekanisme yang melebihi kemampuan tulang untuk menahannya. Tujuan guna memahami tata laksana fisioterapi pada kasus pasca fraktur tibia proximal dextra.Case Presentation: Ny. U, berusia 59 tahun, berprofesi sebagai ibu rumah tangga, yang menjalani terapi fisioterapi pasca operasi fraktur tibia proximal kanan. Program intervensi dilakukan sebanyak empat kali sesi di Rumah Sakit Islam Sakinah Mojokerto.Management and Outcome: Penanganan fisioterapi pada kasus ini dilakukan dalam empat sesi terapi. Pasien dengan diagnosis post operasi fraktur tibia proximal kanan menjalani intervensi berupa terapi ultrasound, stretching (termasuk teknik hold-relax), serta latihan penguatan otot (quadset dan ankle range of motion).Conclusion: Berdasarkan hasil evaluasi penerapan modalitas ultrasound, Streching (senam peregangan), dan program penguatan otot pada pasien berinisial Ny. U yang didiagnosa Post Fraktur Tibia Proximal Dextra, disimpulkan bahwa setelah menyelesaikan empat kali perawatan selama sebulan, terjadi peningkatan kapasitas fungsional dengan FADI, ada perubahan kekuatan otot quadricep dan ankle dextra, dan terjadi pengurangan nyeri pada knee dan ankle dextra.
Co-Authors Abdul Haris Abyori Daru Murtama Adel Restasia Cinta Adnan Faris Naufal Agasi, Muhammad Andre Ahdiyat Ananta Rachmat Ahmad Najib Ali Ziyan Ajeng Sabtorini Al Farizy, Muhammad Hasbi Al'Arifi, Afthon Aziz Alfi Salatina Alifah Athiyaturrofi Alifia Putri Latifah Amalia Carissa Ariyanti Amalia Faradilla Rahim Ambar Mudigdo Amelia Dwi Putika Sari Anak Agung Istri Sri Wiadnyani Anggraini, Ricky Diah Ayu Anggun Pramudya Putri Annisa Rizky Amalia Anugrah, Welya Nesvi Ardiyanto, Irfan Arif Pristianto Arimbi, Cindy Kartika Arradini, Dewi Asrani, Muhammad Astuti, A Aulia Rahman Aulia Safa’ Nabila Belinda, Melur Bhisma Murti Cindi Permata Sari Damayanti, Karina Daris Tri Gamadia Della Annisa Thalib Denada Salsabila Devi Arthamevia Dewangga, Mahendra Wahyu Dharmawan, Yan Ari Tya Dhira Rahma Fadila Diki Retno Yuliani, Diki Retno Dinda Armita Dinda Rispati Dwi Rosella Komala Sari Ernawati Ernawati Evi Oktaviani, Evi Evita Sari Fadhil, Adnan Rizqy Fadhil, Taufiq Fuad Faizah Nashrillah Reyhana Fandrian, Ganang Fathan, Muhammad Fatmasari, Army Yudhia Felani Hilmi Azahra Filmasari, Fitri Firnadia Septika Rahajeng Firstya Gifta Raudyatuzzahra Fitri, Nabila Nur Afifah Fitriananda, Eva Galih Adhi Isak Setiawan Gemilang, G Gemma Nurulfatiha Arianeputri Griska Mutiara Kartika Halimatus Sadiah Halimatus Sa’diah Hanan, Salma Zahra Fitria Hanifa, Miftahul Fauziah Hendra, Zulnanda Ika Yuli Ayuningrum Ike Puteri Elgina Ilham Nur Hihmawan Ilma Liani Vanath Irfan Muhammad Ismadi, I Isnaeni Herawati Isnaini Herawati Ivana Hanun Nisa Jannah, Nadiya Izzatul Joko Tri Atmojo Khansa Syafira Khanza, Namira Mutia Khoirunnisa, Asty Kingkinarti, K Kofifah Indri Nurhayati Konara Budi Sudrajat Kukuh, Achmad lestari, sulis Lingga Vitasari Listyana, Lifia Rahma M Irfan Alhady Maliesgasari, Dita Marros, Andika Yulian Marshela, Ajeng Matasim, M Maulidya, Maulidya Muhamad Afif Nurochman Muhammad Andre Agasi Muhammad Dhaffa Karyanto Muhammad fauzan Muhammad Halim, Muhammad Muhammad Raffi Muhammad Shamil Muwaffaq Muhammad Zulfa Rangga Nuraminazkiya Nabila Ayundasari Nabilla Windi Aulia Nadya Aqsha Tamarinda Naufal, Adnan Faris Navisatul Oktaviana Nia Hayati Nugroho, Setyo Puji Nur'ana, Hafiz Arief Nuristiqomah Dwi Putri Nurma, Hanifah Dwi Nursaputri Nursaputri, Nursaputri Nurvadhanti Intan Shabarina Oktaviani Fitriyah Ory Kusti Oviandar Pradanov, Cartika Volta Prasetyo, Arya Tri Pratama, I Putu Aditya Pratamasari, Nastiti Prihastomo, Teguh Pristanto, Arif Putri Satrio, Alifia Azzahra Putri, Dylla Ramadhani Putri, Elma Prida Hapsari Putri, Nuristiqomah Dwi Putri, Sefrizka Irwhana Putro, Dimas Liwung Sasongko Qonitah Faizatul Fitriyah Raden Andrea Zalfa Zaki Rahma Alfina Raihanah Nur Sa’adah Rakhma Nur Fitratun Nikmah Ramona, Dela Redita Salma Ayusandra Pramesti Rinna Ainul Maghfiroh Rizqillah, Indah Prima S Salwa, S Sabana, Muhammad Rajab Safitri, Khusnul Saharudin, Adinda Afifah Sari, Mediano Melania Kartika Seliana Sinta Debi Setiawan, Rizki Setyo Puji Nugroho Shakil Fajarul Sukma Shidiq, Ronald Rizal Siti Handayani Siti Helmyati Soemanto, RB Srimela, Mary Zahra Sukma, Shakil Fajarul Supriyadi, Arin Suryo Saputra Perdana Syafiq, Bakri As Syamsul Ari Wicaksono Taufik Eko Susilo Tessya Hadika Novitasari Theresia, Ribka Tiara Fatmarizka Tiara Paramitha Sugiri Syah Putri Totok Budi Santoso Tri Mukti Handayani Ulfa Kumala Umi Budi Rahayu Viani, Ilvia Rema Vivian Jennie Diva Carissa Viyanti, Aulia Nanda W Wahyuni, W Wahyu Tri Setyo Nugroho wahyuni wahyuni Wanda Indriya Pramesti Wibowo, Embar Arie Widiyanto, Aris Widya Aryanti, Widya Wijaya, Katwa Wijayanti, Wahyu Kusuma Wijianto Wijianto Winanti, Milan Dwi Wulandari, Puput Yngvie Salma Kirani Yulia Dewi Yulia Nafizah Mawarni Zahra Almadani Zahra, Salma