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MOTOR CONTROL FOR GAIT IN CASES OF IDIOPATHIC TOE WALKING Salsabila, Savira Rizka Meidy; Rahayu, Umi Budi
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Abstract

This case report shows a motor control exercise program as a treatment for walking patterns in children with idiopathic tip toe walking. A 5 year old child with talipes equiness walking pattern, during treatment received motor control with stair-step standing, standing balance, stooping and transition activities, control stepping, sensory and intrinsic foot activities, age-appropriate motivation method, information for parents, and home activities to facilitate a more upright standing and walking posture to strengthen surface reaction forces relative to the ankle axis. This program is conducted for 1 hour per session twice a week. Prior to intervention the patient had a Functional Gait Assessment (FGA) score of 8 with the highest score of 30. After 2 weeks of treatment, the Functional Gait Assessment (FGA) score increased by 17 with the highest score of 30. Our results suggest that a functional rehabilitation program may be beneficial in functional recovery. walking patients with idiopathic tip toe walking in children.
THE USE OF TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION (TENS), PATELLAR MOBILIZATION, AND QUADRICEPS SETTING IN BILATERAL KNEE OSTEOARTHRITIS GRADE 2 CASE IN OLDER ADULTS Pramaisella, Inggrid Pitaloka; Rahayu, Umi Budi
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Osteoarthritis (OA) is known as degenerative joint disease where there is joint abnormality causing inflammation involving cartilage and surrounding tissue which result in morbidity and functional limitations, especially for older adults. Method: The aim of the study was to determine the benefits of performing Transcutaneous Electrical Nerve Stimulation (TENS), Patellar Mobilization, and Quadriceps Setting in Bilateral Knee Osteoarthritis Grade 2 on Elderly. The assessment used was Numerical Rating Scale Pain Assessment (NRS), Manual Muscle Testing (MMT), and Western Ontario and McMaster Universities Osteoarthritis (WOMAC). Discussion: The giving of Patellar Mobilization is able to increase function in older adults and also decrease knee joint stiffness and pain, meanwhile the giving of Quadriceps Setting is also able to increase Quadriceps muscle strength, and the application of Transcutaneous Electrical Nerve Stimulation (TENS) is able to decrease pain caused by OA and increase physical performance in patient with Knee OA. Conclusion: After doing physiotherapy as many as 4 times using Transcutaneous Electrical Nerve Stimulation (TENS), Patellar Mobilization, and Quadriceps Setting, it is gained the decrease of pressure and movement pain, the increase of right and left leg muscle strength, and also the increase of WOMAC functional Test result after being given Transcutaneous Electrical Nerve Stimulation (TENS), Patellar Mobilization, and Quadriceps Setting.
PHYSIOTHERAPY STRATEGY FOR PATIENT WITH HERNIATED DISC Nastiti, Rindang Rizky; Rahayu, Umi Budi
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction : Hernia Nucleus Pulposus (HNP) is a condition that occurs due to biochemical changes in the spinal disc tissue. This change will cause rupture of the annulus fibrosus which makes the nucleus pulposus bulging (protrudes) towards the spinal canal which will put pressure on the nerve roots, causing symptoms in the form of neurological pain. Case Presentation : Mrs. E is a 37-year-old housewife with low back pain due to disc herniation with a history of post chemotherapy for breast cancer. Pain is felt when the patient is undergoing treatment, pain is like being stabbed and radiates from the lower back to both legs and especially the right leg, numbness and weakness in the right leg Management and Outcome : Treatments provided such us infrered, TENS, stretching, and core stability exercise performed 2 times a week for 4 weeks. The measuring instrument used is NRS, MMT, and Oswestry Disability Index. Discussion : One type of exercise that can be done for patients with lumbar HNP is core stability exercises in the form of abdominal hollowing exercises, prone lying, prone on elbow, prone press-up, prone press up with overpressure which can be selected by taking into account the ability of the patient. Core stability exercise is an exercise that functions as a synergistic activation that contracts the trunk and pelvic stabilizer muscles, to improve the control of the neuromuscular system and the strength of the trunk muscles and to maintain spinal stability which functions to maintain body posture and optimize the patient to control the trunk position. Core stability performed by the patient is able to reduce pressure on the nucleus pulposus during the spine extension position, so that nerve clamping can be reduced and can reduce pain symptoms, Conclusion : It can be concluded that in this case, the provision of physiotherapy programs in the form of infrared, TENS, stretching hamstrings, and core exercises performed 2 times a week for 4 weeks was able to reduce pain and improve functional ability in patients.
PHYSIOTHERAPY MANAGEMENT FOR DEGENRATION KNEE OSTEOARTHRITIS BILATERAL Sunyiwara, Arum Sekar; Rahayu, Umi Budi
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Abstract

Intoduction: Osteoarthritis is a degenerative disease characterized by the deterioration of joint cartilage which causes bones to rub against each other and triggers pain, stiffness and movement disorders. Osteoarthritis comes from the Greek word osteo which means bone. arthro which means joint, itis which means inflammation. Case Presentation : A 87 years old patient with Knee osteoarthritis come to PFDA Pekalongan Clinic. The patient had pain in both knees since 1 year ago. The patient feels pain in the knee when sitting to standing position, the patient complains of aches and pains in both knees when walking long distances. Pain is felt during activity. The intensity of pain increases at night. The patient has been to the doctor and has been injected 4 times. Management and Outcome : IR, TENS and strengthening exercises using theraband with hip extension standing position with elastic band and knee extension sitting position with elastic band was performed for 30 minutes per session, 3 times a week for 4 weeks. Before the intervention, the patient still felt pain and impaired functional activities with a NRS value of 6 and a WOMAC score of 28 . However, after a 4-week intervention, there was a decrease in pain (NRS) to 2 and functional disability increased with a WOMAC score of 23. Discussion : Exercise is carried out repeatedly according to a predetermined dose, This is where there is a decrease in subchondral inflammation resulting in decreased pain, and increased stability. To increase functional activity, theraband exercise provides direct stimulation to the skin receptors and which affects proprioception and maximizes sensation around the knee joint thereby increasing the performance of daily activities Conclusion : It can be concluded that in this case, the provision of a physiotherapy intervention program in the form of: IR, TENS and Theraband Exercises performed 3 times a week for 4 weeks was able to reduce pain, increase muscle strength and increase functional activity.
INFLUENCE FITNESS AEROBIC EXERCISE TO INCREASE UPPER BODY STRENGTH AT CADRE POSYANDU ELDERLY UPT PUSKESMAS NGAWI ANVIL DURING COVID-19 PADEMIC Cahyana, Aris Alfaldieka; Rahayu, Umi Budi; Yantini, Sri
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Abstract

Physical fitness is a need that must be met so that we can carry out activities of daily life well. Increasing a person's age will cause a decrease in the function of body cells which can lead to a decrease in physical fitness, one of which is muscle strength. Upper body muscle strength can affect functional activity. To achieve good muscle strength, aerobic exercise is needed. This study aims to determine the effect of aerobic exercise on increasing upper body strength in elderly posyandu cadres.
PHYSIOTHERAPY MANAGEMENT POST RECONSTRUCTION ANTERIOR CRUCIATE LIGAMENT: A CASE STUDY Nurhidayah, Indah Suci; Rahayu, Umi Budi; Mardianto, Halim
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Abstract

Introduction: Anterior Cruciate Ligament (ACL) is one of the ligaments present in the knee and serves as a stabilizer of the anterior translation of the femur bone. Non-contact injuries are most common in athletes, usually due to sudden shaft changes resulting in tibia translation of the femur. About 60% of sports injuries are most common in the lower limbs, as many as 16% of injuries are caused by torn ligaments from the knee. Post-reconstruction rehabilitation of ACL aims to prevent complications such as swelling, limited scope of joint motion, muscle weakness, decreased balance and restoration of knee functional abilities Case Presentation: A 23-year-old patient came to one of the hospitals in Semarang with a diagnosis of sinistra ACL rupture, underwent reconstruction 2 months ago. Currently the patient undergoes a phase 2 physiotherapy program because he still complains of mild pain, joint stiffness when waking up, limited joint movement. Management and Outcome: Therapy is carried out for 4 weeks, with an exercise program using static bicycle, lunges, single leg, squat, single leg with cone, side step with theraband. Some tests are performed such as pain measurement using NRS (Numeric Rating Scale), measurement of joint sphere of motion using goneometer, and atrophy measurement using meterline. Discussion: Exercises given in patients post ACL reconstruction aim to improve susceptible joint motion, stimulate blood circulation, maintain muscle elasticity and reduce pain. Significant loss of function as well as inhibition of nerves can lead to atrophy. It causes quadriceps to become weak. To train the strength of the hamstring muscles and quadriceps can use close kinetic chain exercises to produce co-contraction of the muscles around the joints. Conclusion: In this case, it shows that close kinetic chain exercises can increase the range of motion of the joints, reduce pain, and prevent atrophy.
PHYSIOTHERAPY MANAGEMENT FOR STROKE PATIENT ON STATIC BALANCE ABILITY: A CASE STUDY Maulidia, Kamila; Wahyuni, W; Rahayu, Umi Budi
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Abstract

Introduction: Stroke is a disease that causes damage to the brain due to infarction or bleeding in the blood vessels that supply blood to the brain, resulting in a lack of oxygen and glucose supply to brain tissue. In stroke patients, the general symptom that appears is weakness on one side of the limb which will affect the ability to balance. Handling efforts that can be done are to offer single leg stance and walking training. Case Presentation: The patient is 67 years old, female with a job as a housewife. Currently the patient is able to carry out activities well at home, but the patient often complains that his left side of the limb still feels heavy and his balance decreases when standing or walking. Management and Outcome: The study was conducted 3 times a week in 4 weeks. Mini Mental State Examination (MMSE) was given to determine the cognitive level of respondents. Evaluation is carried out every week using the Functional Reach Test (FRT). Physiotherapy management that used single leg stance and walking training which was carried out for 4 weeks resulted in an increase in static balance in the patient. Discussion: Single leg stance and walking training can increase proprioceptive input which will increase the ability to support on the injured side so as to produce a balanced weight bearing. In addition, the provision of this exercise can train visual, somatosensory, vestibular and proprioceptive which will maintain an upright body position during walking and improve the correct gait pattern so as to improve balance ability.
The Effectiveness of Combined Interventions of Infrared, Tens, Massage Release, Scalp Massage, Neck Passive Stretch and Upper Extremity Stretch to Reduce Pain and Increase Functional Activity in Myofascial Trigger Point Syndrome Kurniawati, Susilo; Rahayu, Umi Budi; Guswiyamto, G
Academic Physiotherapy Conference Proceeding 2022: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Abstract

Introduction: Long time in computer use and poor work attitude are risk factors for myofascial trigger point syndrome. Occupational overuse can cause adhesions to the myofascial upper trapezius and rhomboid muscles. This can cause local ischemia and tissue hypoxia due to the accumulation of lactic acid, causing pain and decreased functional activity. Case Presentation: A 55-year-old patient with myofascial trigger point syndrome came to the FisioGo clinic Sragen. The patient complained of dizziness and pain in the upper trapezius and rhomboid muscles. Complaints are felt for one week and are very disturbing when on the move or not so lazy to do any activity. Pain is felt to increase when working long hours at the computer. Management and Outcome: After being given a combination of physiotherapy interventions with two visits, the results of pain reduction were obtained using a silent visual analogue scale (VAS) T0:2 cm, T1: 1cm became T2: 0cm, press T0: 5cm, T1: 3cm became T2: 1cm, movement T0: 3cm, T1: 1cm, to T2: 0cm and increased functional activity with neck pain disability index (NPDI) T0: 38%, T1: 20% to T2: 2%. Discussion: Infrared therapeutic effect is vasodilation which can facilitate blood circulation and relaxation. TENS can direct electrical pulses of light to nerves in the area experiencing pain and block pain impulses through large nerve fibers so that the body releases endorphins. Massage release affects the parasympathetic nervous system so that muscle relaxation and blood circulation become smooth in sending oxygen and metabolism to the central nervous system. Scalp massage controls stress which has a positive effect on blood pressure and stabilization of hormone levels because it can reduce sympathetic nerve activation while increasing parasympathetic nerve activation, resulting in a decrease in norepinephrine and cortisol secretion. Stretching can reduce the soft tissue adhesion of the upper trapezius and rhomboid muscles. Conclusion: The combination of infrared, tens, massage release, scalp massage, passive neck stretch and upper extremity stretch with two patient visits can be effective in reducing pain and increasing functional activity in myofascial trigger point syndrome.
Penyuluhan Edukasi Tentang Efektifitas Mc Kenzie Dan William Flexion Exercise Pada Penderita Ichialgia Di Komunitas Lansia Puskesmas Nogosari Umi Budi Rahayu; Muhammad Raffi; Amelia Dwi Putika Sari; Firnadia Septika Rahajeng; Wahyu Tri Sudaryanto
Jurnal Pengabdian Masyarakat Vol. 2 No. 2 (2023): Oktober : Jurnal Pengabdian Masyarakat
Publisher : Universitas 45 Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30640/abdimas45.v2i2.1691

Abstract

Ischialgia is a condition that often occurs in the elderly and can reduce their quality of life. Therefore, educational outreach regarding Mc Kenzie and William Flexion exercises is important in treating and managing this condition. The results of the study showed that both intervention groups experienced a significant reduction in pain and increased mobility compared to the control group. However, there was no significant difference between the two intervention groups in terms of improving quality of life. These results indicate that both Mc Kenzie and William Flexion exercises are effective in reducing ichialgia pain in the elderly, but there is no significant difference between the two in terms of quality of life.
Effectiveness of Low-Impact Aerobic Exercise to Improve Cardiorespiratory Fitness and Quality of Life in Elderly Setiawan, Cahyo; Ramadhani, Alinda Nur; Rahayu, Umi Budi
Althea Medical Journal Vol 12, No 1 (2025)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v12n1.3756

Abstract

Background: Aging is associated with declining physical health and decreased quality of life in the elderly population. In response to the rising challenges faced by the aging demographic, this study aimed to investigate the effects of low-impact aerobic exercise on cardiorespiratory fitness and overall quality of life in the elderly. Methods: A quasi-experimental study design was employed involving 42 elderly participants who underwent a three-month low-impact aerobic exercise intervention. This study was conducted in the work area of the Surakarta City Health Service from June to August 2023. Cardiorespiratory fitness was measured using the Harvard Step Test, and quality of life was assessed through the World Health Organization Quality of Life Brief Version (WHOQOL-BREF) questionnaire. The effect of low-impact aerobic exercise on cardiorespiratory fitness and quality of life was analyzed using the non-parametric test Wilcoxon Test.Results: Most respondents were aged 60–65 years (66.7%) and female (71.5%). The study revealed a significant improvement in both cardiorespiratory fitness (p=0.025) and quality of life (p<0.000) among the elderly participants after low-impact aerobic exercise intervention.Conclusion: Low-impact aerobic exercise has an effect on increasing cardiorespiratory fitness and  quality of life in the elderly. This finding is expected to be one of the main therapies that can help maintain the health and well-being of the geriatric population.
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 Anandri S, Rico Andiyani, Rhavida Anniza Anindita, Putri Maharani Annisa Fitri Dewi ARIF KURNIAWAN 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 Daru Kumoro Cipto Jati Deistriany, Zehra Karil Della Annisa Thalib Dewangga, Mahendra Wahyu Dewi, Asri Seftika Dwi Rosela Komala Sari Dwi Rosella Komala Sari Dwiky Yudhistira Edy Waspada Endy Effran Faizah Betty Rahayuningsih Firnadia Septika Rahajeng Fitri Dwi Jayanti Fitriyya, Munaaya Guswiyamto, G Hafiduddin, Muhammad Hamidah, Nilam Nur 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 lestari, sulis Lusia Intan Purnamasari M. Halim Mardianto, Halim Maulidia, Kamila Mufidati, Husna Muhamad Nasuka Muhammad fauzan Muhammad Fawwaz Malik Azhari Muhammad Nasuka Muhammad Raffi Muhammad Tasa Kasumbung 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 Nia Hayati Nilam Nur Hamidah Nora Eny Zulekha Nurhidayah, Indah Suci Nusaibah, Yasmin Oktiva, Yayuk Dwi Panrus, Ali Imroni Muhammad Pasya, Muhammad Sena Nurrahman Perdana, Suryo Saputra Perdana, Suryo Saputra  Pramaisella, Inggrid Pitaloka Pramesti, Redita Salma Ayusandra Pratiwi, Citra Dewi Loh Budi Puad, Laylin Putra, Guntur Rusmana Putra, Zulfikar Yucha Ramadhani, Muhammad Mumtaz Retno Setianing riantini, ni putu Rini Mustikasari Kurnia Pratama Ririt Ika lestari Ririt Ika Lestari Rivan Danuaji Rizy, Muhammad Hasbi Alfa Rosidah, Nikmatur Safitri, Lela Lutfiana sakinah sakinah Salsabila, Savira Rizka Meidy Samekto Wibowo Seliana Sinta Debi Seliana Sinta Debi Setiawan, Purnomo Gani Setyawati, Yayuk Silvia Rahma Maulida Sirajuddin Handalguna Siti Raihani Siti Soekiswati Spence, Nicola Sri Sat Titi Hamranani Sri Utami Subandi Sudarsono, Wahyu Tri Sugiarto, Rahmat Sulistyawati, Irma Sunyiwara, Arum Sekar Suryo Saputra Perdana Syavira Nooryana Syinta, Ahmada Norma Tiara Paramitha Sugiri Syah Putri Trisnandhika Galang Pratama Ulfah Zulfahmi Umam, Devid Noor Umar Jamaludin W Wahyuni, W Wahyu Tri Sudaryanto Wanda Kurnia Yuda Waspada, Edy Wibo, Samekto Wijianto Wijianto Yakob, Asmirati Yantini, Sri Yuli Kusumawati Yunita Nur Rochmah Zulekha, Nora Eny