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PENATALAKSANAAN FISIOTERAPI PADA KASUS HNP DENGAN MODALITAS SHORTWAVE DIATERMY,TRAKSI LUMBAL DAN MC. KENZIE EXERCISE DI RSUD. Prof. Dr. MARGONO SOEKARJO PURWOKERTO Dwi Susilo; Ady Nugroho; Andung Maheswara
Pena Jurnal Ilmu Pengetahuan Dan Teknologi Vol 25, No 1 (2013): Pena September 2013
Publisher : LPPM Universitas Pekalongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31941/jurnalpena.v25i1.88

Abstract

In  patients  with  HNP  (Hernia  Nucleus  Pulposus)  will  usually  arise  low  back  pain  that radiates  to  the  lower  leg  area  even  up  to  the  end  of  the  toes  and  also  characterized  by severe  pain  when  the  patient  straining  or  sneezing.  Given  the  pain,  then  there  will  be muscle  spasm  around  the  vertebrae  and  limited  motion  in  the  lumbar  spine  (flexion, extension,).  Issues  arising  from  this,  will  affect  the  activities  of  daily  life  can’t  work according to their field and can’t enjoy leisure time due to pain breaks. For effective and efficient  handling  performed  an  inspection  method  nyri  with  VDS  (Visual  Descriptive Scale),  muscle  strength  checks  MMT  (Manual  Muscle  Testing)  examination  joints  with limitation  of  motion  of  LGS  (Mid  line)  Examination  of  the  functional  activity  Owestry scale. As for the goal to be achieved in reducing muscle spasm pain and, increase muscle strength, increase range of motion, and improve the patient's functional activities for daily life - today. Most patients will improve HNP in 6 weeks with conservative therapy. Small proportion will develop into chronic despite terapeutik, in patients in surgery 90% will be improved,  especially leg pain,  but the likelihood of recurrence  is 50% and can  be at  the same level or different discs. Key Word : HNP, Intervensi SWD, Traksi Lumbal,  and Mc. Kenzie exercise.
PENATALAKSANAAN FISIOTERAPI PADA KONDISI CARPAL TUNNEL SYNDROME (CTS) DEXTRA DENGAN MODALITAS ULTRASOUND (US) DAN TERAPI LATIHAN DI RSUD BENDAN KOTA PEKALONGAN Nurul Faidah; Andung Maheswara
Pena Jurnal Ilmu Pengetahuan Dan Teknologi Vol 27, No 1 (2014): Pena September 2014
Publisher : LPPM Universitas Pekalongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31941/jurnalpena.v27i1.123

Abstract

Physiotherapy  management  in  condition  of  Carpal  Tunnel  Syndrome  (CTS)  dextra  with ultrasound (USD) and Exercise Therapy modalities. The manufacture of this paper was intended to provide  information,  knowledge  and  understanding  the  condition  of  Carpal  Tunnel  Syndrome (CTS) dextra that was characterized by the emphasis which the  median nerve as the cause of the problems such as pain, spasm, decreased muscle strength, range of joint motion, and the functional abilities. And the given modalities were ultrasound (USD) and  Exercise Therapy. Case  study  was  used  in  the  formulated  of  this  paper.  To  provide  an  effective  and  efficient handling,  carried  out  an  inspection  method  of  pain  with  Verbal  Descriptive  Scale  (VDS),  spasm examination  by  palpation,  examination  of  muscle  strength  with  Manual  Muscle  Testing  (MMT), range  of  joint  motion  checked  with  goneometer  and  the  functional  capabilities  usingWrist  hand disability index.  To  solve  those  problems,  ultrasound  (USD)  and  Exercise  Therapy  were  used  to  deal  with  the patient. After the therapies given for six times, obtained a decrease in pain of the patient, (pain at rest) T1 = 2, T6 = 1 (tenderness) T1 = 3, T6 = 1 (motion pain) T1 = 3, T6 = 1, decrease spasm T1 = 3, T6 = 1, an increase in muscle strength T1 = dorsal flexion 4, palmar flexion3+, ulnar deviation of 4+,  radial deviation 4+, into T6 = dorsal flexion 5, palmar flexion 4+,  ulnar deviation 5, radial deviation 5, an increase in range of motion of wrist T1 = S = 45-0-55, F = 30-0-20, T6 = S = 55-0- 55,  F  =  30-0-20,  the  increase  of  functional  ability  T1  =  34  (severe  dependence),  T6  =  13  (mild dependence).  From  the  results  obtained,  it  can  be  concluded  that  the  use  of  ultrasound  (USD)  and  Exercise Therapy  modalities  could  help  in  reduce  the  problems  that  arise  in  the  case  of  Carpal  Tunnel Syndrome (CTS) dextra.   Keywords:  Carpal  Tunnel  Syndrome  (CTS)  dextra,  Verbal  Descriptive  Scale  (VDS),  Spasm, Manual  Muscle  Testing  (MMT),  range  of  motion,  Wrist  and  Hand  Disability  Index, Ultrasound, Exercise Therapy.
PENATALAKSANAAN FISIOTERAPI PADA KASUS HNP DENGAN MODALITAS SHORTWAVE DIATERMY,TRAKSI LUMBAL DAN MC. KENZIE EXERCISE DI RSUD. Prof. Dr. MARGONO SOEKARJO PURWOKERTO Dwi Susilo Ady Nugroho; Andung Maheswara
Pena Jurnal Ilmu Pengetahuan Dan Teknologi Vol 25, No 1 (2013): Pena September 2013
Publisher : LPPM Universitas Pekalongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31941/jurnalpena.v25i1.89

Abstract

In  patients  with  HNP  (Hernia  Nucleus  Pulposus)  will  usually  arise  low  back  pain  that radiates  to  the  lower  leg  area  even  up  to  the  end  of  the  toes  and  also  characterized  by severe  pain  when  the  patient  straining  or  sneezing.  Given  the  pain,  then  there  will  be muscle  spasm  around  the  vertebrae  and  limited  motion  in  the  lumbar  spine  (flexion, extension,).  Issues  arising  from  this,  will  affect  the  activities  of  daily  life  can’t  work according to their field and can’t enjoy leisure time due to pain breaks. For effective and efficient  handling  performed  an  inspection  method  nyri  with  VDS  (Visual  Descriptive Scale),  muscle  strength  checks  MMT  (Manual  Muscle  Testing)  examination  joints  with limitation  of  motion  of  LGS  (Mid  line)  Examination  of  the  functional  activity  Owestry scale. As for the goal to be achieved in reducing muscle spasm pain and, increase muscle strength, increase range of motion, and improve the patient's functional activities for daily life - today. Most patients will improve HNP in 6 weeks with conservative therapy. Small proportion will develop into chronic despite terapeutik, in patients in surgery 90% will be improved,  especially leg pain,  but the likelihood of recurrence  is 50% and can  be at  the same level or different discs.Key Word : HNP, Intervensi SWD, Traksi Lumbal,  and Mc. Kenzie exercise.