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Edukasi Fisioterapi Dan Terapi Latihan Untuk Mengurangi Keluhan Nyeri Lutut Pada Wanita Menopause Di Desa Klewor Kecamatan Kemusu Syavira Nooryana; Umi Budi Rahayu; Arif Pristianto
To Maega : Jurnal Pengabdian Masyarakat Vol 5, No 3 (2022): Oktober 2022
Publisher : Universitas Andi Djemma

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35914/tomaega.v5i3.1052

Abstract

Menopause merupakan suatu kondisi fisiologis pada wanita yang telah memasuki masa penuaan (aging) atau wanita berusia 45 tahun keatas. Salah satu penyakit yang berkaitan dengan faktor penuaan adalah osteoarthritis genu. Osteoarthritis genu merupakan penyakit kronis yang terjadi pada persendian akibat penurunan hormone estrogen pada wanita menopause yang menyebabkan menurunnya matrik kolagen sehingga tulang rawan menjadi rusak. Permasalahan yang akan terjadi pada penderita osteoarthritis genu yaitu timbulnya rasa nyeri, kelemahan otot, ketidakstabilan sendi, kekakuan sendi pada pagi hari, krepitasi, pembengkakan dan keterbatasan fungsional. Pelayanan fisioterapi yang bisa diberikan yaitu pemberian edukasi mengenai terapi latihan. Tujuannya adalah memberikan edukasi terkait osteoarthritis genu dan penatalaksanaan fisioterapinya. Metode ini menggunakan metode penyuluhan (ceramah dan tanya jawab), edukasi dan demonstrasi tentang latihan, serta pemeriksaan nyeri lutut menggunakan Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) pada 65 wanita menopause yang dilakukan selama 1 bulan yaitu pada tanggal 06 s/d 31 Desember 2021. Hasil setelah diberikan edukasi fisioterapi dan terapi latihan didapatkan adanya penurunan keluhan nyeri lutut pada wanita menopause. Hasil dari kegiatan Pengabdian kepada Masyarakat ini diharapkan akan menjadi referensi bagi fisioterapis maupun profesi kesehatan lain agar kegiatan serupa dapat dilakukan, sehingga kemanfaatannya dapat meningkatkan kesehatan pada masyarakat khususnya terkait kasus osteoarthritis genu pada wanita menopause.
PENATALAKSANAAN FISIOTERAPI TERHADAP PENURUNAN KEMAMPUAN FUNGSIONAL PADA KASUS CARPAL TUNNEL SYNDROME (CTS) DEXTRA Sirajuddin Handalguna; Umi Budi Rahayu; Atik Hidayati
Journal of Innovation Research and Knowledge Vol. 2 No. 7: Desember 2022
Publisher : Bajang Institute

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Abstract

Carpal Tunnel Syndrome merupakan salah satu gangguan yang menimbulkan mati rasa kesemutan, nyeri, atau lemah di tangan dan pergelangan tangan. Kasus ini terjadi ketika saraf di dalam pergelangan tangan terhimpit atau tertekan. Lorong karpal adalah lorong sempit di dalam pergelangan tangan yang dibentuk oleh tulang pergelangan tangan (tulang karpal) dan jaringan penghubung antar tulang (ligamen) (Sheereen et al., 2022). Penyebab dari kasus ini disebabkan terhimpitnya Saraf Medianus dimana mempengaruhi indra peraba (sensorik) dan gerakan tangan (motorik) penderita. Terhimpitnya saraf medianus dapat disebabkan oleh berbagai kondisi, seperti retak pada tulang pergelangan tangan, peradangan jaringan ikat di sekitar lorong karpal yang disebabkan oleh rheumatoid arthritis, cairan (edema) di lengan bagian bawah yang berlebihan, serta penyumbatan di sekitar lorong karpal (Sangaonkar et al., 2020). Tujuan: penelitian ini bertujuan untuk mengetahui pengaruh pemberian intervensi fisioterapi berupa Infra Red, Transcutaneous Electrical Nerve Stimulation (TENS), ULTT 1, Active Resisted wrist exercise, dan Tendon gliding dalam mengurangi intensitas nyeri, meningkatkan lingkup gerak sendi dan meningkatkan kekuatan otot. Metode: studi case report yang dilaksanakan di Klinik Mandiri Ibu Atik Hidayati kecamatan Jatinom, Klaten pada pasien Tn.G usia 64 tahun, penelitian ini dilakukan secara langsung kepada responden dengan pemberian terapi selama 2 kali didapatkan hasil berupa penurunan intensitas nyeri, peningkatan LGS, peningkatan kekuatan otot dan peningkatan kemampuan fungsional dan aktivitas. Kesimpulan: program fisioterapi pada kasus CTS
MANAGEMEN FISIOTERAPI DENGAN TERAPI LATIHAN PADA KASUS LOW BACK PAIN ET. CAUSA ISCHIALGIA: A CASE REPORT Lusia Intan Purnamasari; Umi Budi Rahayu; Kingkinnarti Kingkinnarti
Journal of Innovation Research and Knowledge Vol. 2 No. 12: Mei 2023
Publisher : Bajang Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53625/jirk.v2i12.5637

Abstract

Background: Ischialgia is a manifestation of low back pain that occurs due to clamping of the ischiadicus nerve which causes paraesthesia/tingling along the course of the ischiadicus nerve roots, this condition will cause low back pain. Complaints are felt such as discomfort, limited movement that interferes with functional activities. Exercise therapy is given an effect in repairing, recovering, and increasing the body's physiology and physical function. The types of exercise therapy given are stretching, core stability and strengthening. Objektive: Knowing physiotherapy management with exercise therapy methods in case of low back pain et. causa ischialgia. Methods: Research using the Case Report method was carried out at Dr. Harjono S Ponorogo Hospital in a 66-year-old male patient diagnosed with physiotherapy for low back pain et. causa ischialgia with complaints of lower back pain and feeling pain radiating to the right hind thigh. Patients were given intervention in the form of exercise therapy which was carried out 1 week 2 times. Result: The exercise therapy which was carried out 3 times resulted in a decrease in pain, an increase in muscle strength, an increase in trunk LGS, there was no increase in functional activity, and there was an increase in measurements of the risk of falling. Conclusion: Based on the research using Case Report, it shows that physiotherapy management with the exercise therapy method in cases of low back pain et. causa ischialgia, as a whole the evaluation results found an increase.
Pengaruh Home Program Rehabilitation Setelah Pemberian Transcranial Magnetical Stimulation 1 Hz Terhadap Fungsi Motorik Upper Extremity Pasien Pasca Stroke Iskemik sakinah sakinah; Umi Budi Rahayu
Jurnal Kesehatan Vol 16, No 1 (2023): Jurnal Kesehatan
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/jk.v16i1.18078

Abstract

ABSTRAKPendahuluan: Stroke merupakan salah satu penyakit yang banyak menyebabkan kematian dan kecacatan. Berbagai penelitian telah dilakukan sebagai upaya untuk menemukan solusi dari pencegahan dan penanganan stroke. Kami melakukan penelitian ini untuk mengetahui pengaruh dari penambahan Home Program Rehabilitaion (HPR) setelah diberikan Transcranial Magnetical Stimulation (TMS) 1 Hz terhadap fungsi motorik upper extremity pasien pasca stroke iskemik. Metode: Penelitian ini dilakukan dengan Randomized Controlled Trial (RCT) design double blind pada pasien pasca stroke iskemik yang sesuai dengan kriteria inklusi berjumlah 11 responden, 6 untuk perlakuan dan 5 untuk kelompok kontrol. Kelompok perlakuan diberi penambahan HPR 60 menit setelah pemberian TMS 1 Hz selama 20 menit di rumah sakit setiap hari sampai hari ke-7. Kelompok kontrol diberi intervensi TMS 1 Hz selama 20 menit seperti kebiasaan rutinnya. Pada hari ke-7 dilakukan evaluasi pada fungsi motorik pasien tersebut dengan ARAT. Data diolah dengan aplikasi SPSS. Hasil: Kriteria sampel berusia 47-70 tahun, usia 60 tahun (64%), usia 60 tahun (36%). Rata-rata saat pre test pada kelompok perlakuan (17.50), post test  (39.33). Pada kelompok kontrol rata-rata saat pre test (17.00) dan  post test (20.20). Pada uji normalitas data didapatkan (p 0.05). Uji pengaruh fungsi motorik Upper Extremity (p0.05). uji parametrik independent t test nilai p=0.006 (p0.05). Simpulan: Terdapat pengaruh yang signifikan pada penambahan HPR setelah pemberian TMS 1 Hz dibandingkan dengan hanya pemberian TMS 1 Hz saja terhadap peningkatan fungsi motorik upper extremity pasien pasca stroke iskemik.
Program Fisioterapi Pada Kondisi Low Back Pain Et Causa Ischialgia Trisnandhika Galang Pratama; Umi Budi Rahayu
Jurnal Kesehatan dan Fisioterapi Vol 2, No 3 (2022): Jurnal KeFis - Juli 2022
Publisher : LPPM STIKES Siti Hajar dan Insight Power

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Abstract

Low back pain is pain that occurs in the lower spine, especially in the lumbar vertebrae region, low back pain is one of the causes of disability in people under 45 years of age, this condition causes limitations in the body's functional activities so that it affects the patient's quality of life (Ripollés -Melchor et al., 2022). One of the causes of low back pain, one of which is the presence of nerve clamping in the lumbar segment or commonly known as ischialgia. Ischialgia is a manifestation of low back pain that occurs due to clamping of the sciatic nerve, causing paraesthesia/tingling along the journey of the sciatic nerve root, this is one of the causes of low back pain (Rini & Rakasiwi, 2021). Objective: This study aims to determine the effect of providing physiotherapy interventions in the form of Short Wave Diathermy (SWD), Transcutaneous Electrical Nerve Stimulation (TENS), myofascial release, stretching and strengthening exercises in reducing pain intensity, increasing joint range of motion and increasing muscle strength. Methods: a case report study conducted at the Condong Catur Hospital, Jogjakarta on patients Mr. S aged 64 years, this study was conducted directly on the respondent by giving therapy for 3 times. The results were a decrease in pain intensity, an increase in ROM, an increase in muscle strength and an increase in functional ability and activity. Conclusion: a comprehensive physiotherapy program in cases of low back pain et causa ischialgia was proven to be able to reduce pain intensity, increase ROM, increase muscle strength and increase functional ability and activity. Keywords: Low back pain, ischialgia, Short Wave Diathermy (SWD), Transcutaneous Electrical Nerve Stimulation (TENS), myofascial release, stretching, strengthening exercise 
Manajemen Fisioterapi Dengan Chest Therapy dan Breathing Control Pada Kondisi Covid 19: Case Report Siti Raihani; Kurnia Kusuma Ramadhan; Umi Budi Rahayu; Ririt Ika Lestari
Jurnal Kesehatan dan Fisioterapi Vol 2, No 3 (2022): Jurnal KeFis - Juli 2022
Publisher : LPPM STIKES Siti Hajar dan Insight Power

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Abstract

Introduction: Coronavirus disease 2019 (COVID-19) is a respiratory infection caused by a new coronavirus that first appeared in Wuhan, China, in December 2019. Patients with COVID-19 infection have a rapid but shallow breathing pattern or tachypnea. This happens because the inflammatory process caused by the SARS-CoV-2 virus interferes with the diffusion and oxygen perfusion process of the lungs. Chest physiotherapy has been shown to be effective for improving long-term respiratory physiology. ARIR recently reported on the role of chest physiotherapy in the acute phase of COVID-19, pointing out the limitations of some procedures due to limited experience with the disease. Objective: to determine the effect of giving interventions in the form of chest therapy and breathing control in reducing shortness of breath, increasing oxygen saturation and reducing spasm in the respiratory muscles. Research Methods: carried out directly to 1 patient with the condition of Covid 19 by giving therapy 5 times. The results obtained after 5 therapy sessions showed that there was a reduction in shortness of breath, an increase in oxygen saturation, and a reduction in respiratory muscle spasm. Conclusion: it can be said that a comprehensive physiotherapy program in Covid 19 cases with chest therapy and breathing control has been shown to be able to reduce shortness of breath, increase oxygen saturation, and reduce spasm in the respiratory muscles.Keywords: Covid 19, Chest therapy, Breathing control
STUDI KASUS : PROGRAM FISIOTERAPI PADA KASUS CEREBRAL PALSY ATAKSIA DI KLINIK INTAN FISIOTERAPI ANAK Ulfah Zulfahmi; Umi Budi Rahayu; Intan Herlinawati
Jurnal Kesehatan dan Fisioterapi Vol 2, No 3 (2022): Jurnal KeFis - Juli 2022
Publisher : LPPM STIKES Siti Hajar dan Insight Power

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Abstract

Introduction: Cerebral Palsy (CP) is a neuromotor disorder that affects the development of a movement, muscle tone, and posture caused by abnormalities in the developing part of the brain. Ataxic cerebral palsy is one of the most common types of cerebral palsy. The characteristics are by producing abnormal movement patterns due to disturbances in the cerebellum where the function of the cerebellum is as a center for controlling balance, coordination, and muscle tone. Physiotherapy can improving functional abilities and conditions with a Multidisciplinary approach (MDT), to reduce functional limitation, psychological limitations, and improve quality of life in children. Physiotherapy focuses on function, movement, and optimal use of the child's potential. Objective: to determine the effectiveness of the physiotherapy program in cases of cerebral palsy ataxia. Methods: The study design used a single-subject research conducted on 18-month-old patients with cerebral palsy. The interventions used were patterning, exercise therapy, atlantooccipital mobilization, and standing frame exercise which were performed 3 times a week for 4 weeks. Results: Evaluation was carried out 2 times using Gross Motor Functional Measurement (GMFM). After doing physiotherapy, it was found that there was an increase in motor functional activity as measured by the T1 result of 49.4%; T2 52.7%; and T3 59.7%. Conclusion: From the results, there was an increast in motor functional abilities after being given physiotherapiprograms for 4 weeks.Keywords: Cerebral Plasy Ataxia, GMFM, Patterning, Exercise, Standing Frame, Atlanto Occipitalis Mobilization
KOMBINASI NEUROMUSCULAR TAPING DAN WALKING EXERCISE UNTUK MENGATATASI PERMASALAHAN SENSORIK DAN MOTORIK PASIEN DIABETIC PERIPHERAL NEUROPATHY: A CASE REPORT Arifin Agung Prehanto; Umi Budi Rahayu; Ririt Ika lestari
Journal of Innovation Research and Knowledge Vol. 3 No. 1: Juni 2023
Publisher : Bajang Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53625/jirk.v3i1.5863

Abstract

Latar Belakang: Buruknya kontrol gula darah pasien diabetes dapat menimbulkan daibetic peripheral neuropathy (DPN) yang dapat memengaruhi kekmapuan morotik dan sensorik kaki. NMT terbukti mampu untuk meningkatkan kemampuan sensorik DPN melalui wrinkle yang muncul ketika terjadi pergerakan kaki, namun pada kasus DPN tingkat berat, terjadi kelemahan otot di sekitar kaki sehingga pengapikasian NMT kurang optimal. Sehingga penulis menambahkan walking exercise untuk mengoptimal kerja NMT serta peningkatan pengikatan glukosa darah oleh otot rangka. Tujuan: Mengetahui pengaruh kombinasi NMT dan Walking exercise untuk mengatasi permasalahan motorik dan sensorik Penderita Dibetic peripheral neuropathy. Metode: Penelitian dengan metode Case Report yang dilaksanakan di rumah sakit RS Paru Ario Wirawan pada seorang pasien laki-laki berusia 65 tahun terdiagnosa Diabetes melitus dengan komplikasi diabetic peripheral neuropathy dengan keluhan subyek merasa mati rasa, lemas, kesemutan di kaki sebelah kiri dan terus bertambah buruk hingga kaki pasien mengalami keterbatasan gerak dors fleksi. Diberikan intervensi berupa NMT dan Walking exercise 3 kali seminggu selama 2 minggu. Hasil: Secara kesuluruhan terjadi peningkatan peningkatan aspek motorik dan sensorik. Pengukuran MMT kelompok otot dorsi flexor menunjukan peningkatan dari 3-/5 menjadi 3/5, Terdapat peningkatan LGS aktif pada dorsi fleksi sebesar 10 derajat serta terjadi penurunan Skor DNE dari 7/16 menjadi 6/16. Kesimpulan: Berdasarkan penelitian menggunakan Case Report ini menunjukkan bahwa kombinasi NMT dan Walking exercise mampu meningkatkan kemampuan motorik dan sensoris pada pasien Diabetic Peripheral Neuropathy.
MANAJEMEN FISIOTERAPI PADA KASUS ISCHIALGIA DEXTRA ET CAUSA HERNIA NUCLEUS PULPOSUS DENGAN MODALITAS FISIOTERAPI: A CASE REPORT Muhammad Taufik Ilyas; Umi Budi Rahayu; Atik Hidayati
Journal of Innovation Research and Knowledge Vol. 3 No. 1: Juni 2023
Publisher : Bajang Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53625/jirk.v3i1.6016

Abstract

Ischialgia is pain that occurs in the lower back radiating from the L4-S2 nerve roots in a distal direction following the path of the sciatic nerve to the lower leg. Signs and symptoms of ischialgia include limited range of motion, decreased muscle strength, and increased radiating pain. These signs and symptoms can interfere with daily activities resulting in the patient's biopsychosocial factors. Physiotherapy management by providing physiotherapy modalities such as infrared, TENS, and exercise therapy. Objective: knowing physiotherapy management to increase joint range of motion, increase muscle strength, reduce pain in cases of ischialgia dextra using physiotherapy modalities such as Infrared, TENS, and exercise therapy. Methods: This study used the case report method which was conducted at the Physiotherapy Center And Baby Spa Atik Hidayati in a male patient aged 60 years-old with complaints of lower back pain that radiated to the right leg. after specific tests the patient was diagnosed by physiotherapy as having ischialgia et causa hernia nucleus pulposus. Patients were given interventions using physiotherapy modalities 2 times a week. Result: after the intervention was implement to patient resulted increase joint range of motion, increase muscle strength, decrease in pain, increase in functional activity. Conclusion: based on this research physiotherapy management with phyisioterapy modalities such as infrared, TENS, and exercise therapy showed a good increase but not significant between before intervention and after intervention
PENATALAKSANAAN FISIOTERAPI PADA KASUS BELL’S PALSY SINISTRA DENGAN MODALITAS INFRAMERAH, ELECTRICAL STIMULATION DAN MIME EXERCISE Muhammad Fawwaz Malik Azhari; Umi Budi Rahayu; Muhammad Nasuka
Journal of Innovation Research and Knowledge Vol. 3 No. 2: Juli 2023
Publisher : Bajang Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53625/jirk.v3i2.6044

Abstract

Bell palsy is the most common idiopathic condition of peripheral paralysis of the seventh cranial nerve. Bell palsy causes the inability to move the affected side of the facial muscles fully or partially. About 40,000 new cases of bell palsy are diagnosed each year with a lifetime risk of 1 in 60. Treatment for Bell''s palsy includes electrical stimulation and infrared therapy. The motor points sought were for the movements of closing the mouth, smiling, closing the eyes and frowning. Mime exercise..Mime exercises are performed with a frequency of 2x a week. With 10 repetitions in 5 sets of each movement. Movements included (1) passive eyebrow raising (2) passive winking (3) passive eye opening and closing (4) passive mouth blowing and (5) passive smiling. After the physiotherapy program was carried out for 1 week, it was found that there was no improvement in facial functional ability based on the evaluation results using the ugo fisch scale and the strength of the facial muscles based on the evaluation of MMT values. Patient Mr. D is 27 years old with a diagnosis of bell''s palsy sinistra after being given physiotherapy interventions, such infrared, electrical stimulation, mime therapy as much as 3x in 2 weeks, there are no changes in facial motor functional abilities or facial muscle strength values.
Co-Authors Abi Muhlisin Adhy Kurniawan Agus Setiya Agus Setiyawan Ajeng Marshela Tiara Ningrum Ajeng Sabtorini Akib, Marliyanti Nur Rahmah Al-Kubro, Putri Balqis Alfiyani, Lina Alinda Nur Ramadhani Alviana Dwi Lestari Amanda, Tasya Ghea Ambarwati Amelia Dwi Putika Sari Amir, Suliati P Andiyani, Rhavida Anniza Anindita, Putri Maharani Annisa Fitri Dewi Arif Pristianto Arifin Agung Prehanto Arum Pratiwi Atik Hidayati Atik Hidayati Ayu Tri Kusumaningrum Subiyanto Baihaqi, Muhamad Adzib Cahyana, Aris Alfaldieka Cahyo Setiawan Chaiyawat, Pakaratee Della Annisa Thalib Dewangga, Mahendra Wahyu Dwiky Yudhistira Edy Waspada Effran, Endy Faizah Betty Rahayuningsih Firnadia Septika Rahajeng Fitri Dwi Jayanti Fitriyya, Munaaya Guswiyamto, G Hafiduddin, Muhammad Harun, Andi Qonita Hasmar, Wanti Ida Untari Imtiyaz Nisa Indiana Radinda Intan Herlinawati Irfan Muhammad Ismadi Ismail Setyopranoto Kadek Agustini Aryani Kasumbung, Muhammad Tasa Katno Asha Khairi Rizqi Fadhlika Khairunissa, Hatifa Kingkinnarti Kingkinnarti Kingkinnarti Kingkinnarti, K Komalasari, Dwi Rosella Kurnia Kusuma Ramadhan Kurniawati, Susilo Lusia Intan Purnamasari M. Halim Mardianto, Halim Maulidia, Kamila Mufidati, Husna Muhamad Nasuka Muhammad fauzan Muhammad Fawwaz Malik Azhari Muhammad Nasuka Muhammad Raffi Muhammad Sena Nurrahman Pasya Muhammad Taufik Ilyas Muliyono, Didik Mulyadi, Farah Ekawati Mulyanto Mulyanto Mustiko, Prihantoro Larasati Mutalazimah Namirah, Hanna Aulia Napisah, Sri Nastiti, Rindang Rizky Natalia, Ike Ni Putu Riantini Ni Putu Riantini Nia Hayati Nilam Nur Hamidah Nora Eny Zulekha Nurhidayah, Indah Suci Nusaibah, Yasmin Oktiva, Yayuk Dwi Perdana, Suryo Saputra Pramaisella, Inggrid Pitaloka Pramesti, Redita Salma Ayusandra Prihantoro Larasati Mustiko Puad, Laylin Ramadhani, Muhammad Mumtaz Rini Mustikasari Kurnia Pratama Ririt Ika lestari Ririt Ika Lestari Rivan Danuaji Rizy, Muhammad Hasbi Alfa Rosidah, Nikmatur sakinah sakinah Salsabila, Savira Rizka Meidy Samekto Wibo Samekto Wibowo Seliana Sinta Debi Seliana Sinta Debi Setiawan, Purnomo Gani Setyawati, Yayuk Silvia Rahma Maulida Sirajuddin Handalguna Siti Raihani Siti Soekiswati Sri Sat Titi Hamranani Sri Utami Subandi Sudarsono, Wahyu Tri Sugiarto, Rahmat Sulistyawati, Irma Sunyiwara, Arum Sekar Syavira Nooryana Tiara Paramitha Sugiri Syah Putri Trisnandhika Galang Pratama Ulfah Zulfahmi Umam, Devid Noor Umar Jamaludin W Wahyuni, W Wahyu Tri Sudaryanto Wanda Kurnia Yuda Yakob, Asmirati Yantini, Sri Yuli Kusumawati Yunita Nur Rochmah