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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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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.
Analysis of determinant diabetic neuropathy symptom score factors in diabetes mellitus patients Nurul Aktifah; Umi Budi Rahayu; Muhammad Ghilang Maulud Setyawan; Firman Faradisi; Dwi Fijianto
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 14, No 3, (2023)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol14.Iss3.art7

Abstract

Background: Diabetes peripheral neuropathy (DPN) is a set of signs and symptoms of peripheral nervous system dysfunction in diabetes mellitus patients. Abdominal obesity is one of the main risk factors for DPN. Diabetic neuropathy symptom (DNS) is a reliable instrument with consistent results for the diagnosis of neuropathy. Objective: This study aimed to determine the correlation of abdominal obesity with scores. Methods: This research was a quantitative study with a cross-sectional approach. The sample of this study was 92 type 2 diabetes mellitus (T2DM) patients aged range 30-60 years who participated in the chronic disease management program (Prolanis) and the integrated healthcare center (Posbindu) for people in the area of three public health centers (Puskesmas) in Pekalongan Regency which purposively selected. Instruments used to measure DPN were DNS sheets, and abdominal obesity was measured by waist circumference using a midline. The bivariate analysis was performed using the Pearson correlation and linear regression tests. Results: There was a correlation between abdominal obesity and DNS scores with a p value of 0.043 with a correlation coefficient of 0.212. The DNS score was influenced by age, gender, duration of diabetes, and body mass index by 13.4%. Conclusion: There was a correlation between abdominal obesity and DNS scores. It indicated that the higher the value of abdominal obesity was, the higher DNS scores increased.
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.
Hubungan Jump Service dengan Risiko Jumpers Knee pada Pemain Bola Voli Amanda, Tasya Ghea; Rahayu, Umi Budi
Jurnal Akademika Baiturrahim Jambi Vol. 14 No. 1 (2025): Maret
Publisher : Universitas Baiturrahim

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36565/jab.v14i1.876

Abstract

Jump service is one of the techniques used by volleyball athletes. Jump service is carried out using a service technique accompanied by a sudden jump as high as possible or what is usually called explosive power. This is one of the triggers for knee pain or also known as Jumpers knee. The extent identify to which Jump Service is related to the risk of Jumpers Knee in volleyball players. This research method is an observational study using a jump service correlational approach (Independent variable) with the risk of jumpers knee (Dependent variable) for Tadifa Volleyball Club and Jambi City PBS VC Volleyball Club players, a sample of 61 using the total sampling method.. From the results of research conducted at the Jambi City Volleyball Club, it was found that the male respondents were 54.09% and the female respondents were 45.90%. Carrying out the Spearman-Rho correlation test, the significance result was 0.097 (>0.05), which means There is no relationship between jump service and jumpers knee in Jambi City Volleyball players. Patellar tendinopathy is a common injury that often occurs in sports that involve jumping, such as volleyball and basketball. Although this injury has a high prevalence among athletes in jumping sports, especially volleyball and basketball, this injury has big factors influencing the occurrence of jumpers knee, such as excessive body weight, weak patellar ligaments, stiffness of the hamstring muscles, trauma to the knee, poor angle of the foot. more and the length of the patella is not parallel.
Administration of Epley maneuver and stretching exercise in Benign Paroxysmal Positional Vertigo: a Case Report Dwiky Yudhistira; Rahayu, Umi Budi; Ismadi
Physiotherapy and Physical Rehabilitation Journal Vol. 2 No. 1 (2023): May : Physiotherapy and Physical Rehabilitation Journal
Publisher : STIKES Telogorejo Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63520/pprj.v2i1.345

Abstract

Benign paroxysmal positional vertigo (BPPV) is a disease that is often encountered by everyone, including the elderly, characterized by dizziness and a sudden spinning sensation when doing positioning movements that can interfere with daily activities. Treatment of BPPV can be given the intervention of the Epley maneuver which is considered capable of reducing the sensation of spinning in BPPV but there has been no research in overcoming the secondary problem of BPPV, namely stiffness in the neck muscles. Giving stretching exercises to the neck area is considered capable of reducing pain, as well as improving neck function and quality of life. Purpose: to determine the effectiveness in reducing the sensation of spinning, neck muscle stiffness, and increasing functional ability in BPPV. Methods: a study using the case report method in a 50-year-old male patient diagnosed with left BPPV 6 months ago. The patient complains of a headache accompanied by a feeling of spinning and lightheadedness as well as muscle stiffness in the neck. Examination of the dix Hallpike maneuver in the patient was positive. Patients were given physiotherapy interventions in the form of Epley maneuvers and stretching exercises. Results: decreased dizziness and spinning sensation at the fifth meeting and stiffness of the neck muscles which were evaluated using the Numeric Rating Scale (NRS) and a 50% reduction at the third meeting which was evaluated using the Dizziness Handicap Inventory (DHI). Conclusion: there is effectiveness in reducing the sensation of spinning, neck muscle stiffness, and increasing functional ability in BPPV.
Co-Authors Abi Muhlisin Addin, Fauziah Nurulita Adhy Kurniawan Agus Setiya Agus Setiyawan Ahmad Rifai Ajeng Marshela Tiara Ningrum Ajeng Sabtorini Akib, Marliyanti Nur Rahmah Al-Kubro, Putri Balqis Alinda Nur Ramadhani Alviana Dwi Lestari Amanda, Tasya Ghea Ambarwati Amelia Dwi Putika Sari Amir, Suliati P Anandri S, Rico Anindita, Putri Maharani Annisa Fitri Dewi Apriliyani, Yuyun Ardiningrum, Nadiah ARIF KURNIAWAN Arif Pristianto Arifin Agung Prehanto Arum Pratiwi Asmirati Yakob Atik Hidayati Atik Hidayati Ayu Tri Kusumaningrum Subiyanto Baihaqi, Muhamad Adzib Cahyana, Aris Alfaldieka Cahyo Setiawan Daru Kumoro Cipto Jati Deistriany, Zehra Karil Della Annisa Thalib Devid Noor Umam Dewangga, Mahendra Wahyu Dewi, Asri Seftika Dwi Fijianto Dwi Rosela Komala Sari Dwi Rosella Komala Sari Dwi Rosella Komalasari Dwi Rosella Komalasari Dwiky Yudhistira Dyah Wahyu Utami Edy Waspada Endy Effran Faizah Betty Rahayuningsih Fatkhiyah, Siti Rahma Fauziyah, Qur'ana Firman Faradisi Firnadia Septika Rahajeng Fitri Dwi Jayanti Fitriana Mustikaningrum Fitriyya, Munaaya Guswiyamto, G Hamidah, Nilam Nur Haqi, Nadyastama Faisal Harun, Andi Qonita Hasmar, Wanti Ida Untari Ida Untari Ikrom, Yasier Imtiyaz Nisa Indiana Radinda Intan Herlinawati Irfan Muhammad Ismadi Ismail Setyopranoto Isnaini Herawati Kadek Agustini Aryani Kasumbung, Muhammad Tasa Katno Asha Khairi Rizqi Fadhlika Khairunissa, Hatifa Kingkinnarti Kingkinnarti Kingkinnarti Kingkinnarti, K Kurnia Kusuma Ramadhan Kurniawati, Susilo lestari, sulis Lina Alfiyani Lina Alfiyani Lusia Intan Purnamasari M. Halim Mardianto, Halim Maulidia, Kamila Mufidati, Husna Muh. Ghozy Rezki Ramadan Sitompul Muhamad Nasuka Muhammad fauzan Muhammad Fawwaz Malik Azhari Muhammad Ghilang Maulud Setyawan Muhammad Hafiduddin 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 Nikmatur Rosidah Nilam Nur Hamidah Nuraini, Hikmatul Laili Nurhidayah, Indah Suci Nurul Aktifah Nusaibah, Yasmin Oktiva, Yayuk Dwi Pakaratee Chaiyawat Pakaratee Chaiyawat Panrus, Ali Imroni Muhammad Pasya, Muhammad Sena Nurrahman Perdana, Suryo Saputra Perdana, Suryo Saputra  Pramaisella, Inggrid Pitaloka Pramesti, Redita Salma Ayusandra Pratidina, Devina Kemala Pratiwi, Citra Dewi Loh Budi Puad, Laylin Putra, Guntur Rusmana Putra, Zulfikar Yucha Putri, Amanda Permata Putri Ramadhani, Muhammad Mumtaz Retno Setianing Rhavida Anniza Andyani riantini, ni putu Rini Mustikasari Kurnia Pratama Ririt Ika Lestari Ririt Ika lestari Rivan Danuaji Rizy, Muhammad Hasbi Alfa Safitri, Lela Lutfiana sakinah sakinah Salatina, Alfi Salsabila, Savira Rizka Meidy Samekto Wibowo Seliana Sinta Debi Seliana Sinta Debi Setiawan, Galih Adhi Isak Setiawan, Purnomo Gani Setyawati, Yayuk Silvia Rahma Maulida Sirajuddin Handalguna Siti Raihani Siti Raihani Siti Soekiswati Spence, Nicola Sri Sat Titi Hamranani 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 Tasa Kasumbung 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 Zulikha, Nora Eny