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AQUATIC EXERCISE IN PATIENTS WITH CHRONIC LOW BACK PAIN: A CASE STUDY Wardani, Aulia Ayu Kusuma; Supriyadi, Arin; Pristianto, Arif
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Abstract

Introduction : Chronic low back pain is defined as pain in the lower back that lasts more than 12 weeks. The average prevalence of LBP sufferers is 39% in adults. In Lower Cross Syndrome there is tension in the thoraco-lumbar extensor muscles that cross the m. iliopsoas and m. rectus femoris. As well as weakness in the abdominal muscles that cross the m. gluteus maximus and medius. Schober test is used to determine ROM in the lumbar. Aquatic exercise can be used for the purpose of facilitating Range of Motion (ROM) exercises, facilitating weight-bearing exercises, minimizing the risk of injury or re-injury during rehabilitation, and promoting relaxation. Case Presentation : A patient named Mr. AN is 36 years old and works in the TNI. The patient complained of pain in the lower back and limitation of bending motion. Diagnosis of Chronic Low Back Pain (non-specific). Schober test measurements obtained results of 2 cm. Management and Outcomes : The physiotherapy process was carried out on patients in the hospital with 5 meetings. The aquatic exercise movements used include Stretching, Strengthening, Stabilization, Pelvic Tilt. Measurement of lumbar ROM using the Schober test. Discussion : After the patient received 4 sessions of physiotherapy, evaluation of the lumbar ROM measurement was carried out using the Schober test. The results of the measurement of lumbar ROM with the Schober test showed a significant improvement, from 2cm to 3.1cm. Where with these results it can be concluded that there is an additional lumbar ROM. Conclusion : The physiotherapy program which was carried out four times in cases of Chronic Low Back Pain using aquatic exercises which included stretching, strengthening, stabilization, and pelvic tilt was proven to be able to increase the Range of Motion (ROM) in the lumbar.
PHYSIOTHERAPY MANAGEMENT FOR POST RECONSTRUCTION POSTERIOR CRUCIATE LIGAMENT ACUTE PHASE: A CASE STUDY Monitari, Triska; Supriyadi, Arin; Mardianto, Halim
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Rupture is a tear of tissue caused by trauma. Posterior Cruciate Ligament (PCL) ruptures can be caused by direct or indirect contact with the knee. A grade 3 PCL injury requires surgery. Rehabilitation in PCL injuries focuses on quadriceps muscle augmentation to counteract the force of the hamstrings muscles and the gravity that move the tibia towards the posterior. Case Presentation: A football athlete suffered a knee injury while playing football. From mri examination found the diagnosis of rupture PCL sinistra grade 3, then undergo reconstruction surgery PCL sinistra. The results of the examination there are several problems in patients, such as oedem, atrophy, spasm, pain (press &motion), and limited motion. Management and outcome:interventions given in the form of exercise therapy as much as 3 times. Pain measured by Numeric Rating Scale (NRS), oedem (metline), range of motion (gonio meter). Discussion: Based on the interventions provided found results that exercise has benefits in patients post acute phase PCL reconstruction that has the goal of maximum protection on grafting, maintaining patellar mobility, maintaining quadriceps muscle tone, maintaining full passive extensions, controlling pain and oedem, early mobilization in knee joints Conclusion:Intervention in the form of exercise therapy can relieve pain, reduce oedem and improve ROM in patients post acute phase PCL reconstruction.
PHYSIOTHERAPY MANAGEMENT OF BREATHING EXERCISE AND MOBILIZATION OF THE THORAX CAGE IN CASES OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD): A CASE STUDY Mufidayanti, Arum; Supriyadi, Arin
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction : Chronic Obstructive Pulmonary Disease (COPD) is a disease with persistent respiratory symptoms and chronic airflow limitation due to significant exposure to noxious particles or gases combined with a variety of host factors including genetics, airway hyperresponsiveness, and poor lung growth during childhood. The purpose of this study was to determine the effectiveness of breathing exercise combined with mobilization of the thorax cage on increasing activity tolerance. Case Presentation : A 65-year-old man with history of COPD presented with severe shorthness of breath, chest pain and cough with difficulty in expelling phlegm. The patient had smoking history and hypertention. The spirometry examination result showed the FEV1 prediction was 50%. Management and Outcome : The treatment used in this study were breathing exercise combined with mobilization of the thorax cage. The evaluation result showed from day 1 to day 4 there were BORG scale from 5 to 2, CAT scale from 33 to 11, mMRC scale from 4 to 2 and there was significant improvement from thorax expansion. Discussion : Breathing exercise combined with mobilization of the thorax cage decreased the sensation of dyspnea patient with COPD and improved the thorax expansion by loosened the airway and increased the upper-limb joint range of motion. Conclusion: Breathing exercise combined with mobilization of the thorax cage has positive impact on improved exercise/activity tolerance patient with COPD.
AEROBIC EXERCISE INCREASE FUNCTIONAL CAPACITY ON POST ATRIAL SEPTAL DEFECT CLOSURE PATIENT: A CASE STUDY Martani, Laras Rum; Supriyadi, Arin
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Atrial Septal Defect (ASD) are common and present at any age. Atrial septal defect (ASD) is a congenital heart defect that enables blood flow between the left and right atria through a defect in the interatrial septum. ASDs compose 35% to 40% of congenital heart defects, making them the second most common congenital heart defect. The ratio of ASD sufferers is 1:2 male to female. Treatment options are determined based on time of discovery and size and location of defect. Surgical correction is ideal before pulmonary hypertension develops, and has the lowest risk of complications when performed in patients<25y, closure may be performed as open heart surgery. Case Presentation:A female 26 years old with a diagnosis of ASD. Patient complained fatigue, and dyspnea. Echocardiographic before operation showed ASD secundum 20 mm left to right shunt, diastolic dysfunction grade 1 and ejection friction 78.1% probability pulmonary hypertension. Management and Outcome:An aerobic exercise were used in this study. The program performed 3 sessions in a week during 4 weeks. The 6-minutes walking test were used to evaluate functional capacity. Discussion:After giving an aerobic exercise during 1 month obtained the result increase functional capacity. Patients was able to walk as far as 220 meters in 6 minutes. Conclusion: : Physiotherapy management in post ASD closure phase II for 12 sessions of aerobic exercise program showed a good progression.
PHYSIOTHERAPY MANAGEMENT IN PATIENT WITH URINARY INCONTINENCE: A CASE STUDY Riani, Kurnia Ade; Supriyadi, Arin; Hayati, Ika
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Abstract

Introduction: Urinary incontinence (UI) is the problem of accidental or abnormal loss (leakage) of urine. The physiotherapy management of ES (Electrical Stimulation), Kegel Exercises, and Abdominal Muscle Exercise in increasing the strength of pelvic floor muscle and abdominal muscle strength in patients with urinary incontinence. Case Presentation: A female 25 year old comes to the doctor with complaints of difficulty urinating postpartum for 6 months, the doctor diagnoses the patient with urinary incontinence then referred to physiotherapy for further treatment Management and Outcome: Giving of electrical stimulation, kegel exercise, and abdominal muscle exercise effective to increase the strength of the pelvic floor muscle and abdominal muscle as well as decrease severity of urinary incontinence in patient urinary incontinence Discussion: After physiotherapy exercise interventions were given, the results obtained were an increase in the strength of the pelvic floor muscle from Pre-Test with a strength of the pelvic floor value of 2, an increase in strength of the pelvic floor to 3 at T8, an increase in the abdominal muscle strength at Pre-Test the result is 3 and becomes 4 at T8, and there is a decrease in severity of urinary incontinence at Pre-Test the result is 8 and becomes 6 at T8. Giving of electrical stimulation, kegel exercise, and abdominal muscle exercise effective to increase the strength of the pelvic floor muscle and abdominal muscle as well as decrease severity of urinary incontinence in patient urinary incontinence. Conclusion: After given by physiotherapy modalities and exercise in urinary incontinence it show a good progression. The physiotherapi’s treatment showed that there was an increase pelvic floor muscle strenght and abdominal muscle as well as decrease severity of urinary incontinence.
MANAGEMENT PHYSIOTHERAPY FOR CEREBRAL PALSY (CP) DIPLEGI TO IMPROVE TRUNK CONTROL WITH SATCO (SEGMENTAL ASSESMENT OF TRUNK CONTROL) EXERCISE COMBINATION TOA (TASK ORIENTED ACTIVITY) Hayati, Ika; Supriyadi, Arin
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Physiotherapy treatment in CP diplegi for improved trunk control with satco Exercise combination TOA. to report the results of the FT program on CP diplegi to improve trunk control capabilities with satco exercise combined with TOA. Case Presentation: Patients aged 3 years with the main diagnosis of CP diplegi with less (ugly) trunk control who are currently undergoing therapy using SATco Exercise combination TOA. The implementation of physiotherapy is carried out for approximately 6 weeks with the frequency of therapy a week 3 times. The patient sits 90 degree in stool then installed pelvic straps for pelvic stabilization then given trunk control exercises with satco exercise for approximately 30 min / session into 3 parts namely static control, active control and reactive control each - 10 minutes each .and combined with TOA in the frontal sagittal and transverse fields (reach / grab and insert puzzle ring donut) Management and Outcome: after 18 treatments in the results there was an increase in control trunk which was initially at the upper thoracic control level with the level of support on the axilla currently there is an increase in the upper lumbar control level with a level of support below ribs (L3). Discussion: SATco or these is combined the TOA (Task Oriented of Activity) wich is the therapy that takes stage by stage down through the trunk and then in those children are able through the lower limbs working on their posturalcontrol and from that their function then evolves. TOA (Task Oriented Activity Based) is one of the NDT principles that has been proven effective and efficient in improving performance promoting meaningful and goal-oriented intensive training. Both treatments effectively help improve trunk control in patients. Conclusion: In these cases there was a significant increase in trunk control with SATco exercise combined with TOA.
PHYSIOTHERAPY IN POST TOTAL HYSTERECTOMY: A CASE REPORT Puspitosari, Dyah Pertiwi; Supriyadi, Arin; Anifah, Nur
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Total hysterectomy is the surgical removal of the uterus for medical reasons. From the post-medical procedure and the effects of bed rest, complications can arise. Therefore, it is necessary to provide physiotherapy measures. Case Presentation: A 44-year-old woman came for pain treatment after total hysterectomy surgery. Pain is felt at the incision site for a total hysterectomy. Pain in the lower abdomen is felt when going up and down stairs and activities, so that he cannot bend down and sit on the floor, as well as constipation and incontinence. Management and Outcome: The interventions used Pelvic Floor Muscle Training, Static Contraction in the abdominal muscles, Active Exercise on the hip joint flexors and trunk flexors, Breathing Exercises, Massage on the large intestine with repeaters 8 times per session 3 times a day and gradually increased and education, then Incision pain is reduced, constipation and incontinence are gone, functional ability is increased, muscle strength and range of motion are increased. Discussion: After the administration of physiotherapy modalities with repetition and a gradual increase in repetition, the patient’s complaints are reduced. Conclusion: Complications after total hysterectomy surgery in this case can be resolved by pelvic floor muscle training, static contraction of the abdominal muscles, active exercise on the hip joint flexors and flexors trunk, breathing exercise, colon massage and education.
Physiotherapy Management for Early Mobilization after Total Hip Replacement Surgery E.C Secondary Osteoarthritis Hip: A Case Study Akbar, Nisyahda Narpami; Supriyadi, Arin
Academic Physiotherapy Conference Proceeding 2023: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: In the lower extremities of the human body, there is a hip joint which is the most proximal part with the type of synovial ball and socket joint. In carrying out the functions, the hip joint often experiences problems both as a result of trauma, degenerative, and post-traumatic hip. Osteoarthritis (90%) contributes the largest problems in hip joint, followed by femoral neck fracture (5%), avascular necrosis (2%), dysplasia (2%), and inflammatory arthritis (1%) (Ferguson et al, 2018). Thus, if conservative treatment did not provide better changes, then a total hip replacement is performed to reduce pain and improve physical function. Total hip replacement is a surgical procedure by replacing the entire hip joint with an implant. Implants themselves can last up to 20 years. Case Presentation: A 58-year-old patient with unable to endure pain and discomfort in his activities and at rest, when consulted by a doctor, patients experience infections around implants and plates & screws. After total hip replacement patient complained of pain in the incision on the side of tight and limited movement in the left leg. Management and Outcome: Early mobilization given in the form of breathing exercises, isometric exercises, and other exercises on the bed, then on the second and third days began to be given transfer-ambulation exercises. Pain is measured using NRS and joint scope of motion is measured using a goniometer. Discussion: From several articles that become supporting in line with the results obtained where the initial mobilization is a major influence in the patient's life in the future. Patients who do initial mobilization are able to return to activity more quickly than patients who do not do initial mobilization. Conclusion: After receiving physiotherapy management for early moilization at three days after surgery, there was a decrease in pain levels, an increase in joint scope of motion, and a decrease in edema in the patient's left leg.
Sosialisasi Pencegahan dan Penanganan Nyeri Pinggang Bersama Persatuan Wredatama Republik Indonesia (PWRI) Viyanti, Aulia Nanda; Dhira Rahma Fadila; Saharudin, Adinda Afifah; Nursaputri; Hanan, Salma Zahra Fitria; Srimela, Mary Zahra; Safitri, Khusnul; Wibowo, Embar Arie; Sudaryanto, Wahyu Tri; Supriyadi, Arin; Maghfiroh, Rinna Ainul; Filmasari, Fitri
JPM: Jurnal Pengabdian Masyarakat Vol. 5 No. 3 (2025): January 2025
Publisher : Forum Kerjasama Pendidikan Tinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47065/jpm.v5i3.2301

Abstract

Kelurahan Kroyo, located in Karangmalang District, Sragen Regency, has strategic road access and the majority of its population works in the private sector, agriculture, and as brick craftsmen. However, the physical conditions often leading to heavy physical activity have made health issues, especially low back pain (LBP), a major health concern. LBP, a common problem among the elderly, is often triggered by factors such as aging, poor work habits, and a lack of physical activity. This can decrease the quality of life and productivity within the community. The purpose of this community service program is to provide preventive education and management of LBP through health counseling and physiotherapy interventions to the community of Kelurahan Kroyo, particularly members of the Persatuan Wredatama Republik Indonesia (PWRI). The participant in this activity is the PWRI Branch of Karangmalang, which has 26 elderly members. The implementation method of this program was carried out in three stages: preparation (coordination with the village administration and the village midwife), execution (health counseling and interactive discussions), and evaluation (post-test to assess participants' understanding). The results of the activity show an increase in participants' knowledge about the prevention and management of LBP, with the pre-test average score being 36.7% and the post-test increasing to 63.3%. This activity not only enhanced health awareness but also provided practical skills that can be applied in daily life, such as stretching exercises and proper posture. Through this community service, it is hoped that PWRI members will be able to reduce LBP complaints and lead a healthier and more productive life.
Penyuluhan Senam Otak untuk Meningkatkan Kemampuan Kognitif pada Komunitas Lansia di Wilayah Puskesmas Mojolaban Kota Surakarta Ilvia Rema Viani; Arin Supriyadi
MENGABDI : Jurnal Hasil Kegiatan Bersama Masyarakat Vol. 3 No. 2 (2025): April : MENGABDI : Jurnal Hasil Kegiatan Bersama Masyarakat
Publisher : Asosiasi Riset Ekonomi dan Akuntansi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/mengabdi.v3i2.1298

Abstract

Mojolaban is one of the sub-districts in Sukoharjo Regency, Central Java. Mojolaban Sub-district has a Health Center as its role in the field of public health at the first level with 2 health centers, namely Mojolaban Health Center as the main health center and Jati Malang Health Center as a supporting health center. The 10 largest number of diseases in Mojolaban Health Center is in the elderly. When the elderly experience a degenerative process due to the aging process, one of which is changes in the neurological system so that the elderly experience cognitive decline. The purpose of this program is to help provide education, prevention and maintain these changes so that they do not worsen. The method used is education in the form of counseling and providing leaflets to the Healthy Jaya Abadi Elderly Post Community in Wirun Village. The results of the pre-test and post-test questionnaires to assess understanding showed a significant increase in understanding with an average pre-test value of 20% and an average post-test value of 80%.
Co-Authors Abdullah, Arif Adhiibah, Paradise Adnan Faris Naufal Agitha, Intan Tri Akbar, Nisyahda Narpami AL AZHAR, MUHAMMAD ZAFFARUL AZZALNA Aldila Lutfi Asmarasikha Alifah Athiyaturrofi Amanda Putri Nurhaliza Amar Maulana Izzuddin Andik Rohmana Anifah, Nur Anindita Antya Candrika Arif Pristianto Athiyaturrofi, Alifah Ayu B.P, Niki Sari Aziz, Muhammad Nur Azizah, Hauna Nur Charisa, Anis Dwi Desi Rahmadhina Putri Dhira Rahma Fadila Dwi Rosella Komala Sari Elgina, Ike Puteri Fandrian, Ganang Fendi Gustofa Filmasari, Fitri Fira Fadhilah Saly Hanan, Salma Zahra Fitria Hayati, Ika Ilvia Rema Viani Jihan Bariqa Arya Ramadhani Jihan Bariqa Arya Ramadhani John Hotma Marchelino Listya Triandari Luthfia Fadillah Mardianto, Halim Martani, Laras Rum Mawar Aqila Miftahul Jannah Monalisa Monalisa Monitari, Triska Mufidayanti, Arum Muhammad Ghozi Rezki Ramadan Sitompul Muhammad Iqbal Yazid Fazry Muhammad Tarbiyah Akbar Na'im, W. Azhar Nanda Farah Naomi Kharista Neni Oktaviani Ningrum, Rahmawati Cahya Nursaputri Nurul Azizah Nurul Muflihah Oktavia Oktavia Prastowo, Angga Puspitosari, Dyah Pertiwi Rahayu Gita Junita Reza Arshad Yanuar Riani, Kurnia Ade Richie Purnama Wahyu Apriyanto Rinna Ainul Maghfiroh Rohayani, Iin Roja, Aulia Shofia Safitri, Khusnul Saharudin, Adinda Afifah Salsabila Nurul Fitri Selina Sinta Debi Selina Sinta Debi Setiawan, Galih Adhi Isak Srimela, Mary Zahra Taufik Eko Susilo Tomiana Tomiana Triyani, Lusi Amalia Utami, Multasih Nita Viyanti, Aulia Nanda W Wijianto Wahyu Tri Sudaryanto Wahyu Wijayanti, Christina Wahyuni Wahyuni Wanda Indriya Pramesti Wardani, Aulia Ayu Kusuma Wibowo, Embar Arie Yanuar, Reza Arshad