Dwi Rosella Komalasari
Program Studi Profesi Fisioterapi, Fakultas Ilmu Kesehatan, Universitas Muhammadiyah Surakarta

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MANAGEMENT FISIOTERAPI PADA KASUS HEMIPARESE SINISTRA e.c STROKE NON HEMORAGIC: A CASE REPORT Dwi Rahmah Kartija; Dwi Rosella Komalasari; Muhamad Nasuka
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.v3i1.5818

Abstract

Hemiparesis is a condition where there is weakness on one side of the body or the inability to move a limb on one side. Stroke patients who experience hemiparesis who do not get proper treatment can cause pain, decreased muscle strength, and activity daily living. Exercise therapy is one method that can be done. The purpose of this study was to determine the effectiveness of exercise therapy for the conditions faced by patients, namely pain, decreased muscle strength and activity daily living. This study uses a case report. Interventions in the form of active ROM exercises, strengthening exercises, bridging exercises and transfers and ambulation were carried out 4 times. The results of this study were that there was a decrease in pain as measured by NRS, an increase in muscle strength as measured by MMT and activity daily living as measured by the Barthel Index.
MANAGEMENT FISIOTERAPI PADA KASUS MULITPLE LIGAMENT KNEE INJURY E.C POST RECONSTRUCTION ANTERIOR CRUCIATUM LIGAMENT, POSTERIOR CRUCIATUM LIGAMENT DAN MEDIAL COLLATERAL LIGAMENT DENGAN PERUBAHAN GAIT PATTERN: A CASE REPORT Yuni Sandra Repisalta; Dwi Rosella Komalasari; Arik Dwindayani
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.v3i2.5896

Abstract

ackground: Multiple ligament knee injury (MLKI) is a very complex injury. MLKI affects the anterior cruciate ligament (ACL), posterior cruciate ligament (PCL), medial collateral ligament (MCL) and lateral collateral ligament (LCL). Disorders that occur in MLKI cause a decrease in ROM, decreased muscle strength, muscle atrophy, decreased ability to function, accompanied by balance disorders and changes in gait patterns. Purpose: To determine the effectiveness of physiotherapy management with NMES, OKCE, CKCE, and MCE in patients with MLKI e.c post reconstruction ACL, PCL, and MCL accompanied by changes in gait patterns. Methods: This study uses a case report study with analysis and evaluation of 3 meetings in 3 weeks. Outcome: Using the results of measurements with a goniometer on ROM, manual muscle test (MMT) on muscle strength, anthropometry with midline on muscle atrophy. The results of the assessment of functional activity ability used the western ontario and mcmaster universities osteoarthritis (WOMAC) index, balance analysis using the single leg stance test (SLST) and timed up and go test (TUG) as well as phases of gait analysis on changes in gait patterns. Conclusion: This study is to determine the effectiveness of physiotherapy management with NMES, OKCE, CKCE, and MCE which is used for rehabilitation programs in patients diagnosed with MLKI e.c post reconstruction of ACL, PCL, and MCL accompanied by changes in gait patterns. Administration of the NMES, OKCE, CKCE, and MCE programs increases ROM, increases muscle strength, increases muscle mass, and improves ability to perform functional activities. This program also shows that balance and gait patterns are getting better.