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EFEKTIVITAS TERAPI LATIHAN DALAM MENINGKATKAN KEMAMPUAN FUNGSIONAL TUNGKAI BAWAH PADA KASUS POST ORIF FRAKTUR CRURIS DEXTRA Tabita Widyasari; Faizah Abdullah Djawas
Jurnal Fisioterapi dan Rehabilitasi Vol 5 No 1 (2021): Jurnal Fisioterapi dan Rehabilitasi
Publisher : Universitas Widya Husada Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33660/jfrwhs.v5i1.122

Fraktur cruris adalah terputusnya kontinuitas tulang dan ditentukan sesuai jenis dan luasnya, terjadi pada tulang tibia dan fibula. Fraktur terjadi jika tulang dikenai tekanan yang lebih besar dari yang dapat diabsorbsinya. Setelah tindakan post ORIF fraktur masalah yang biasanya timbul adalah nyeri, deformitas, atrofi otot, keterbatasan Range of Motion (ROM) dan penurunan kekuatan otot yang berakibat pada gangguan fungsional. Penelitian terdahulu menunjukkan terapi latihan seperti latihan AROM, Hold relax, QSE, dan HSE mampu mengurangi problematika yang ditimbulkan. Tujuan dari studi ini adalah untuk mengetahui efektivitas terapi latihan dalam meningkatkan kemampuan fungsional tungkai bawah pada kasus post ORIF Fraktur Cruris dextra. Metode yang digunakan adalah studi kasus tunggal berbasis bukti, dengan memberikan intervensi fisioterapi pada seorang laki laki berumur 25 tahun. Terapi latihan yang diberikan adalah latihan AROM, Hold relax, HSE, QSE, selama 2 minggu dengan 5 kali evaluasi. Penilaian intensitas nyeri menggunakan VAS, penilaian lingkup gerak sendi (LGS) menggunakan goniometer, penilaian kekuatan otot menggunakan MMT, serta untuk menilai perkembangan fungsional pasien dilakukan pengukuran menggunakan parameter LEFS (Lower Extremity Fuctional Scale). Terdapat penurunan nilai VAS nyeri gerak diakhir sesi terapi, terdapat peningkatan LGS regio lutut serta pergelangan kaki, terdapat peningkatan MMT, dan peningkatan kemampuan fungsional dengan dari nilai 15 menjadi 59, yang menunjukkan bahwa terdapat peningkatan terhadap kemampuan fungsional pasien sebanyak 55%. Studi ini menunjukan bahwa metode terapi latihan dapat meningkatkan kemampuan fungsional pada kasus fraktur yang diukur menggunakan parameter LEFS.

Penatalaksanaan Fisioterapi pada Frozen Shoulder Sinistra Terkait Hiperintensitas Labrum Posterior Superior di Rumah Sakit Pusat Angkatan Darat Gatot Soebroto Amien Suharti; Rokhim Sunandi; Faizah Abdullah3
Jurnal Vokasi Indonesia Vol 6, No 1 (2018): January - June
Publisher : Program Pendidikan Vokasi Universitas Indonesia

Intellectual disability is a disabilities with limitaton in intellectual function, adaptive function, and the onset must occur before the age of 18 years. This study focus on Ja 19 years old with moderate intellectual disability that have difficulty in ability of oral hygiene is toothbrushing. The aim of the process of writing is to find out how occupational therapy intervention in increase of patient skill to maintenance his oral hygiene with toothbrushing using behavior modification. Data obtained from interviews, observation, assessment, and occupational therapy intervention. The result show that the effectiveness of behavior modification will be find out if the programs will be doing consistently. Key words: Occupational therapy, intellectual disability, behavior modification, toothbrush

Profiling physiotherapy students’ interactions patterns in history taking Harni Kartika-Ningsih; Faizah Abdullah Djawas
Indonesian Journal of Applied Linguistics Vol 12, No 1 (2022): Vol. 12, No. 1, May 2022
Publisher : Universitas Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17509/ijal.v12i1.46540

In physiotherapy education, history taking – in which a physiotherapist interacts with a patient to determine a prognosis – requires a set of communication skills which can be challenging for most student physiotherapists. One way to better understand the struggle that the students face is to examine the language and function of the interactions they use. This paper aims to investigate the way students perform their communication skills in history taking role-play. This study employed a qualitative discourse analytic method following the interpersonal discourse of NEGOTIATION, genre and register frameworks from the systemic functional linguistics. The data were obtained from a recorded students‘ role-play for their final assignments in a physiotherapy class. These data were then analysed by following the discourse analytic frameworks to map the structures and function of their interactions. The findings reveal that the students structure history taking stages similarly, while the length of exchange structures they build to gather information show differences in which skilled students tended to be more extensive in the interactions. The findings suggest that making explicit of the stages and move options may provide better awareness of the available choices the students can have in the history taking interactions.

Closed Kinetic Chain Exercise efektif Dalam Meningkatkan Kemampuan Fungsional Pada Osteoartritis Lutut Faizah Abdullah Djawas; Wafa Rahmalillah Isna
Jurnal Ilmiah Fisioterapi Vol 3 No 2 (2020): Jurnal Ilmiah Fisioterapi (JIF)
Publisher : LPPM Universitas Abdurrab

Latar Belakang : Osteoartritis (OA) lutut merupakan suatu penyakit sendi menahun yang ditandai oleh adanya kelainan pada tulang rawan ( kartilago ) yang akan berakibat tulang bergesekan satu sama lain, adanya abrasi tulang rawan sendi dan pembentukan osteofit pada permukaan sendi yang menimbulkan gejala berupa kekakuan, nyeri, dan pembatasan gerakan pada sendi lutut. Terapi latihan closed kinetic chain exercise (CKCE) umumnya memberikan manfaat dalam mengurangi keluhan yang diperkirakan mampu meningkatkan kemampuan fungsional pasien dalam melakukan aktivitas secara optimal. Tujuan dari studi ini adalah untuk mengetahui efektivitas metode latihan closed kinetic chain exercise (CKCE) pada kasus osteoartritis lutut. Metode : Studi kasus tunggal, dengan memberikan intervensi fisioterapi pada seorang wanita 72 tahun dengan diagnosis OA lutut. CKCE berupa gerakan mini squatt, QSE, dan step up and step down diberikan selama 2 minggu dengan 4 kali evaluasi. Penilaian intensitas nyeri menggunakan VAS, penilaian lingkup gerak sendi (LGS) menggunakan goniometer, penilaian kekuatan otot menggunakan MMT, serta untuk menilai perkembangan fungsional pasien dilakukan pengukuran menggunakan parameter WOMAC. Hasil : Terdapat penurunan nilai VAS nyeri gerak diakhir sesi terapi dari VAS 3 menjadi VAS 1, penurunan nilai VAS nyeri tekan dari VAS 2 menjadi VAS 1, terdapat peningkatan LGS lutut gerak fleksi 1200menjadi 1250, terdapat peningkatan MMT dari 4 menjadi 5 yang dikaitkan dengan skor WOMAC dari nilai 37 menjadi 26, yang menunjukkan bahwa terdapat peningkatan terhadap kemampuan fungsional pasien sebanyak 20% Kesimpulan : Studi ini menunjukan bahwa metode terapi latihan closed kinetic chain exercise (CKCE) dapat meningkatkan kemampuan fungsional pada osteoartritis lutut yang diukur menggunakan parameter WOMAC.

Hold Relax dan Passive Stretching Efektif Dalam Meningkatkan Kemampuan Fungsional Pada Pasien Post-Gips Fracture Tibial Plateau Dextra Nizatul Mumtazah; Faizah Abdullah Djawas
Jurnal Ilmiah Fisioterapi Vol 3 No 2 (2020): Jurnal Ilmiah Fisioterapi (JIF)
Publisher : LPPM Universitas Abdurrab

Background: Tibial plateau fracture is one type of fracture that usually occur in legs. Tibial Plateau fracture usually occur because of high energy trauma that produced by the force of varus and valgus and also because of axial loading or because of the pedestrian that crashed by the car with high energy which can also called as fracture bumber. The purpose of this case study is to examine the effectiveness of hold relax and passive stretching in tibial plateau fracture. Method: A single case study, providing physiotherapy interventions for a 44 year old woman with a diagnosis of a tibial plateau post-cast fracture. Hold-relax stretching is a technique in which shortened antagonistic muscle groups are isometrically contracted against the optimal resistance given by the physiotherapist. Passive stretching is a method for extending the contractile or non-contractile components of the musculotendinoeus unit where force is exerted externally and given manually. Hold relax and passive stretching are given for 2 weeks with 5 evaluations. ROM assessment was measured by a goniometer and spasm by palpation. Result: There is an increase in LGS knee flexion 90ᴼ to 110ᴼ and decrease in spasm which associated with an improvement LEFS score from 17 to 44, indicates that there is an increase in the functional ability of lower extremity. Conclusion: This study shows that the method of therapeutic exercise with hold relax and passive stretching can improve functional ability in tibial plateau fracture which is measured using LEFS parameters.

Efektivitas Manual Therapy dan Ultrasound Terhadap Peningkatan Fungsi Gerak Bahu Pada Kasus Nyeri Bahu Et Causa Bursitis Subacromialis Dengan Parameter SPADI di RSUD Muhammad Natsir Az-Zahra, Fadhilah; Lufitos, Ronal; Djawas, Faizah Abdullah
Jurnal Fisioterapi Terapan Indonesia or Indonesian Journal of Applied Physiotherapy
Publisher : UI Scholars Hub

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ABSTRACT: Adhesive Capsulitis is a disorder that occurs in the shoulder area in the form of inflammation of the joint capsule which causes a feeling of stiffness and pain. Glenohumeral joint mobilization with the Maitland mobilization technique is using passive mobilization with physiological oscillatory movements which can produce a stretching effect and release of adhesive on the ligament capsule in the shoulder so that the range of motion of the shoulder joint can be increased. Hold relax is an exercise therapy with the principle of reciprocal inhibition which aims to improve antagonistic pattern relaxation, and mobilization, and to reduce pain. In this technique stimulation occurs through maximum contraction of a number of motor units simultaneously and maximally so that there is a decrease in muscle tension around the joint to increase the range of motion of the shoulder joint. This paper aims to determine the decrease in the SPADI (shoulder pain disability index) score by administering glenohumeral joint glide mobilization and hold relax during ultrasound intervention in a 71-year-old female patient who was diagnosed with adhesive capjuangitis ec. bursitis subacromialis dextra. After six meetings there was a significant decrease in the SPADI score.

Efektivitas Terapi Latihan terhadap Kemampuan Fungsional Post Rekonstruksi ACL Grade 2 Djawas, Faizah Abdullah; Prasasti, Prasasti
Jurnal Fisioterapi Terapan Indonesia or Indonesian Journal of Applied Physiotherapy
Publisher : UI Scholars Hub

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Introduction: Anterior Cruciate Ligament rupture is a condition with a tear in the ACL ligament, caused by direct or indirect contact in the knee. Various problems in patients with post-ACL reconstructions include a limited range of motions (ROM), decreased muscle strength, and decreased functional ability. Exercise therapy in CKCE, OKCE, and core stability is believed to improve functional abilities by decreasing pain and improving ROM and muscle strength. The purpose of this study is to determine the effectiveness of exercise therapy on functional ability in post-reconstructionACL grade 2. Method: Single case study, physiotherapy intervention in a 19-year-old male. Exercise therapy in CKCE, OKCE, and core stability is given three times per week, with five evaluations. Assessment of pain intensity using VAS, ROM using a goniometer, muscle strength with MMT, and functional ability using IKDC parameters. Result: This study finds a decrease in pain, an increase in ROM and MMT, and an increase in functional abilities. Conclusion: Exercise therapy interventions with CKCE, OKCE, and core stability exercise improve functional ability in post-reconstructionACL grade 2 cases measured by IKDC parameters.

Terapi Manual Dan Terapi Latihan Meningkatkan Kemampuan Fungsional Pada Kasus Cervical Syndrome Et Causa Flat Neck : Studi Kasus Djawas, Faizah Abdullah; Huwaida, Rafiqoh Nur
Jurnal Fisioterapi Terapan Indonesia or Indonesian Journal of Applied Physiotherapy
Publisher : UI Scholars Hub

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Cervical syndrome is a collection of symptoms, especially pain around the cervical spine. Pain in cervical syndrome is more common in conditions related to the deformity of the cervical vertebrae, one of which is a flat neck or conditions where cervical lordosis is reduced. When the lordosis curve disappears, the vertical load will be redistributed along the anterior portion of the cervical spine, causing pressure on soft tissue and surrounding bone. This can lead to various musculoskeletal problems. The combination of manual therapy and exercise is suggested to reduce problems such as pain, limitations of the range of motion (ROM), and improve functional ability. Methods: Single case study, with the implementation of kneading and friction massage and exercise therapy in the form of modified cervical and shoulder retraction exercises, evaluated eight times. pain Visual Analogue Scale (VAS), goniometer, and the Neck Disability Index (NDI) parameter were used for pain intensity, ROM, and functional ability, respectively. Results: There was a decrease in the VAS for pain intensity, compared to the first evaluation for right lateral flexion of 7.6/10 to 1.2/10, left lateral flexion from 7.3/10 to 0.9/10, and the right rotation from 6.1/10 to 0/10. In addition, there was an increase in ROM compared to the first time. The ROM for extension motion increases from 40º to 45º, right lateral flexion 35º to 40º, left lateral flexion 40º, and right rotation from 50º to 60º. Associated with a decrease in VAS and an increase in ROM, the NDI score shows significant improvement from 44% in the first evaluation to 2% in the last evaluation. The decrease in the NDI value indicates the better the patient's functional ability. Conclusion: This study shows that massage and exercise therapy in the form of modified cervical and shoulder retraction exercises are proven to be effective in reducing pain, increasing ROM, and improving functional abilities.

Perbedaan Durasi Latihan Aerobik terhadap Penurunan Tingkat Nyeri Dismenore Primer pada Wanita Usia Produktif: Systematic Literature Review Wijayanti, Ade Novia; Djawas, Faizah Abdullah
Jurnal Dunia Pendidikan Vol 6 No 1 (2025): Jurnal Dunia Pendidikan
Publisher : LPPM Sekolah Tinggi Olahraga dan Kesehatan Bina Guna

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55081/jurdip.v6i1.4131

Latar belakang: Dismenore primer adalah keluhan nyeri haid yang dilaporkan dialami oleh 45%-95% populasi wanita usia reproduktif di seluruh dunia. Efek sistemik yang ditimbulkan dari dismenore pada usia reproduktif berdampak pada ketidakhadiran di tempat kerja atau di sekolah yang penurunan kualitas hidup. Umumnya wanita memilih untuk melakukan penanganan secara mandiri dengan farmakologis dan non-farmakologis. Berbagai literature menyebutkan efektivitas latihan aerobik sebagai salah satu penanganan non-farmakologis yang dapat dilakukan.Tujuan: Studi ini mengkaji perbedaan durasi pemberian latihan aerobik dalam menurunkan tingkat nyeri dismenore primer. Metode: Studi systematic literature review menggunakan data sekunder dari Scopus, PubMed, dan Google Scholar. Pencarian artikel menggunakan metode PICO: Population (Usia Reproduktif), Intervention (Latihan Aerobik), Comparison (tanpa pembanding), dan Outcome (dismenore primer). Kriteria inklusi mencakup penelitian dengan subjek berusia 15-30 tahun yang melakukan intervensi latihan aerobik untuk dismenore primer, dipublikasikan dalam 10 tahun terakhir dalam bahasa Indonesia dan Inggris. Kriteria eksklusi mencakup subjek di luar usia reproduktif dan intervensi lain. Hasil: Dari 7 artikel yang dianalisis, 3 menyatakan bahwa latihan aerobik selama 8 minggu efektif, sementara 4 lainnya menunjukkan pengaruh latihan selama 3, 4, 12 minggu, dan 7 bulan terhadap nyeri dismenore primer. Satu artikel tidak memberikan hasil positif atau negatif Kesimpulan: Berdasarkan tujuh artikel yang memenuhi kriteria inklusi, latihan aerobik terbukti efektif dalam mengurangi gejala dismenore primer, khususnya nyeri menstruasi. Meskipun perbedaan durasi latihan tidak menunjukkan dampak signifikan, intervensi selama 4-12 minggu dengan sesi 30-60 menit efektif dalam meredakan nyeri dismenore primer.

Terapi Latihan Dan Ultrasound Dalam Meningkatkan Kemampuan Fungsional Pada Total Hip Replacement Utami, Retno; Djawas, Faizah Abdullah
Jurnal Fisioterapi Terapan Indonesia
Publisher : UI Scholars Hub

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Total Hip Replacement (THR) is an orthopedic surgical procedure to replace the cartilage of the acetabulum and collum femur with a prosthesis, which is an artificial ball and rod made of metal. This causes various problems including limited joint range of motion (LGS), decreased muscle strength, decreased balance, and decreased functional ability. The application of modalities in the form of ultrasound is believed to be able to reduce pain and the application of exercise therapy in the form of Stretching Exercise, ROM Exercise, Strengthening Exercise, Balance Exercise, and Gait Training is believed to be able to improve functional abilities by reducing spasm, increasing LGS, increasing muscle strength, increasing balance, and improving walking patterns. The purpose of this study is to determine the effectiveness of exercise therapy and ultrasound in improving functional ability in total hip replacement. Methods: Single case study in a 64-year-old woman. Therapeutic modalities in the form of ultrasound and exercise therapy in the form of Stretching Exercise, ROM Exercise, Strengthening Exercise, Balance Exercise, and Gait Training with six evaluations. Assessment of pain intensity using VAS, LGS assessment using a goniometer, muscle strength assessment with MMT, and functional ability assessment using HHS parameters. Results: There is a decrease in pain, an increase in the scope of joint motion and muscle strength and an increase in functional ability. Conclusion: This study shows that modality therapy interventions in the form of ultrasound and exercise therapy in the form of Stretching Exercise, ROM Exercise, Strengthening Exercise, Balance Exercise, and Gait Training can improve functional abilities in cases of total hip replacement as measured using HHS parameters.

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