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INTERVENSI FOUR SQUARE STEP LEBIH EFEKTIF DALAM MENINGKATKAN KESEIMBANGAN DINAMIS DARIPADA BALANCE STRATEGY EXERCISE PADA LANSIA DI KELURAHAN TONJA, DENPASAR TIMUR, BALI Putu Ayunia Laksmita; Ni Luh Nopi Andayani; I Gusti Ayu Artini
Majalah Ilmiah Fisioterapi Indonesia Vol 6 No 1 (2018): 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 (557.796 KB) | DOI: 10.24843/MIFI.2018.v06.i01.p03

Abstract

Dynamic balance is the ability to maintain body position while moving. The purpose of this study was to determine the effect of four square step interventions that is more effective in improving the dynamic balance rather than balance strategy exercise. This research is an experimental design using Pre and Post Test of Two Group Design. The results showed an increase in dynamic balance in the treatment of group 1 of 3.222 and there was an increase of 4,444 in the treatment group 2. Results of paired samples t-test found a significant difference with p = 0.000 (p <0.05)in the treatment group 1 and p = 0.000 (p <0.05) in the treatment of group 2. The differential test of Mann Whitney u test showed no significant difference between the treatment group 1 and treatment group 2 in which p = 0.01 (p <0.05). It can be concluded that the four square step interventions is more effective in improving the dynamic balance rather than the balance strategy exercise in the elderly. Keywords: dynamic balance, balance exercise strategy, four square step
Physiotherapy treatments for the patient with Bankart lesion repair: a case report study Vittala, Govinda; Muhammad Adrian Putra Rachman; Ni Luh Veni Rahayu; Ni Komang Mega Junianti; Emily Devina Kartawijaya; Ni Made Lidia Swandari; Putu Ayunia Laksmita
Physical Therapy Journal of Indonesia Vol. 4 No. 1 (2023): January-June 2023
Publisher : Universitas Udayana dan Diaspora Taipei Medical University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/ptji.v4i1.88

Abstract

Background: Bankart lesion is torn in the anterior membrane covering the shoulder joint (labrum) due to continuous dislocation of the shoulder joint forward. Bankart lesions can occur due to sports activities that use the front of the shoulder, such as javelin throwing. It is not uncommon for injuries to javelin-throwing athletes to require physiotherapy treatment so they can return to playing javelin-throwing. Aim: This study aims to determine the effectiveness of the training program such as ultrasound therapy and transcutaneous electrical nerve stimulation (TENS), active assisted range of motion (ROM) exercises, active assisted ROM exercises against gravity, strengthening exercises, wall climbing, and open cage exercises. to tourists who are javelin throwing athletes who experience Bankart lesions. Case Report: In this case, a 42-year-old man from France came to the physiotherapy clinic complaining of pain, stiffness, and limited movement of the right shoulder joint. The patient underwent surgery for Bankart shoulder repair on his right shoulder on October 16th, 2022, due to repeated dislocations three times during javelin throws. The patient has limited movement and pain in the right shoulder. In addition, the right hand also does not swing when walking. On static inspection, the chest, shoulder, and right arm are smaller (atrophied) and positioned lower than the left. There is an incision in the anterior deltoid area (post-Bankart repair shoulder). Intervention modalities included ultrasound therapy applications and transcutaneous electrical nerve stimulation (TENS). Exercise therapy includes active assisted ROM exercises, active assisted ROM exercises against gravity, strengthening exercises, wall climbing, and open cage exercises. Result: After interventions, the patient’s recovery condition improved. An exercise program designed and implemented on patients for two weeks has slowly raised the patient's self-confidence and increased the patient's ability to perform physical activities. Conclusion: The physiotherapy intervention program for a Bankart lesion patient showed an improvement in the patient’s condition, with an increase in ROM, an increase in muscle strength, and a decrease in perceived pain.