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Latihan Range of Motion pada Lanjut Usia Budiawan, Helly; Oroh, Cindi; Mamuaja, Filly; Langelo, Wahyuny
Jurnal Peduli Masyarakat Vol 5 No 2 (2023): Jurnal Peduli Masyarakat: Juni 2023
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jpm.v5i2.1855

Seseorang dengan umur 60 tahun keatas atau biasa disebut lanjut usia (lansia) merupakan proses kehidupan tahap lanjut yang ditandai dengan adanya penurunan kemampuan tubuh dalam melakukan adaptasi pada stres lingkungan. Lansia yang menderita penyakit maupun yang tidak, sama-sama berada pada fase dimana fungsi-fungsi sistem tubuh mengalami penurunan. Dampak dari kondisi tersebut adalah ketidakmampuan lansia dalam melaksanakan aktivitas untuk dapat memenuhi kebutuhan hidupnya. Latihan ROM merupakan latihan yang dapat diberikan pada lansia sehingga lansia bisa mempertahankan atau memperbaiki kemampuannya ketika menggerakkan persendian sehingga terjadi peningkatan massa otot dan tonus otot. Tujuan kegiatan pengabdian kepada masyarakat ini adalah untuk melatih lansia menggerakkan sendi-sendinya sehingga akan menambah kemampuan otot. Kegiatan ini melibatkan 34 lansia yang tinggal di Panti Sosial Tresna Werdha Bethania Lembean. Kegiatan dilakukan dengan memberikan pendidikan kesehatan terlebih dahulu, kemudian melatih dan membantu lansia untuk melakukan garakan-gerakan latihan dengan baik. Hasil kegiatan ini adalah lansia kooperatif melakukan Latihan ROM. Lansia mengatakan sendi terasa lebih ringan, tidak kaku, dan lebih mudah menggerakan kaki dan tangan.

INTERVENSI FISIOTERAPI PADA IBU HAMIL DENGAN NYERI PUNGGUNG BAWAH MENGGUNAKAN INFRA RED DAN SENAM HAMIL Sakul, Desinta; Mamuaja, Filly
Lasalle Health Journal Vol. 2 No. 1 (2023)
Publisher : Fakultas Keperawatan, Universitas Katolik De La Salle Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52159/lhj.v2i1.89

Introduction : During pregnancy, the posture of the mother's body will change. The center of gravity shifts forward, the normal lumbosacrum curve is increasingly curved and the cervico dorsal region must form a curvature (excessive anterior flexion). This is due to adjustments to the burden associated with fetal development. Increased abdominal distension makes the pelvis tilt forward, decrease abdominal muscle tone, and increase body weight, so it needs to be adjusted for pregnant women. These and other changes make musculoskeletal conditions uncomfortable, reducing the efficiency of contractions due to shifts in the center of gravity will also reduce the mechanical benefits of abdominal muscles. From this, pregnant women are risk to lower back pain. About 60% - 70% of pregnancies, estimated ± 50% of pregnant women complain of back pain. In Rurukan public health center, the prevalence of pregnant women reached 168 from December 2018 - March 2019, and 51% with low back pain. Objective : to determine the effect of infra red and pregnancy exercises in pregnant women with low back pain. Methods : case study, with respondence was 42 years old with complaints of low back pain and limited functional activities. Results: After physiotherapy intervention with infra-red and pregnancy exercises in 6 times, the results are there was a change in motion pain from 4 (severe pain) to 2 (slight pain) and examination of functional abilities using the oswestry disability index from 28% (moderate disability) to 18 % (minimum disability). Conclusion : Intervention of Physiotherapy using Infra Red and Pregnancy Exercise affect to women pregnancy with low back pain

PENATALAKSANAAN TRANSCUTANEUS ELECTRICAL NERVE STIMULATION DAN TRAKSI TRANSLASI TERHADAP PENURUNAN NYERI DAN PENINGKATAN ROM PADA CAPSULITIS ADHESIVE Sinapa, Indri Kristanty; Mamuaja, Filly
Lasalle Health Journal Vol. 2 No. 2 (2023)
Publisher : Fakultas Keperawatan, Universitas Katolik De La Salle Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52159/lhj.v2i2.95

Introduction: Capsulitis Adhesive is a condition characterized by inflammation of the shoulder joint capsule with limitation of shoulder range of motion in the form of a capsule pattern and pain in the shoulder joint. The main cause is not yet known with certainty, but secondary effects can be systemic, extrinsic or intrinsic. Capsulitis adhesive cases affect around 2% of the population with an age range of 40-60 years. The symptoms that appear in this case are pain, limited range of motion of the joints, decreased muscle strength, shoulder girdle muscle atrophy and impaired functional activities. Objective: to determine the effect of transcutaneous electrical nerve stimulation in reducing pain and the effect of traction - translation in increasing the range of motion of joints in patients with capsulitis adhesive. Methods: case study with a 64 year old male respondent who complained of shoulder pain and limited movement in the shoulder joint. Results: after receiving physiotherapy intervention 8 times for 4 weeks, there was a change in tenderness to 2, and movement pain from 4 to 2. The range of motion of the shoulder joint increased, exorotation motion from 30° to 50°, abduction motion 80° to 110°, and endorotational movement of 30° to 45°. Conclusion: Physiotherapy management in the form of transcutaneous nerve electrical stimulation and traction-translation has an effect on reducing pain and increasing the range of motion of the shoulder joint as well as increasing the functional ability of patients with capsulitis adhesive.

PENATALAKSANAN ULTRASOUND TERAPI DAN WILLIAM FLEXION EXERCISE PADA SPONDYLOSIS LUMBALIS Punuh, Naftali; Mamuaja, Filly
Lasalle Health Journal Vol. 3 No. 2 (2024)
Publisher : Fakultas Keperawatan, Universitas Katolik De La Salle Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52159/lhj.v3i2.117

Introduction: Lumbar spondylosis is a degenerative condition of the lower spine, involving changes in the intervertebral discs, facet joints, and ligaments that cause pain, and occurs with age and is one of the causes of lower back pain that can ultimately cause obstacles in activities. Effective management in the form of integrated ultrasound therapy and William flexion exercise will allow patients to feel an increase in quality of life and better pain management, thereby increasing the patient's functional activity ability. Objective: Management of lumbar spondylosis with a combination of ultrasound therapy and William flexion exercise can provide more optimal results, which aim to reduce pain and increase the patient's functional activity. Method: This study is a case study / single case study pre-experiment with a one group pretest posttest design approach, which was conducted on a patient at R.W Monginsidi Hospital Teling Manado. Results: After the intervention of ultrasound therapy and William flexion exercise, changes in pain in the spine and increased functional activity were obtained. Conclusion: Ultrasound therapy and William flexion exercise management can reduce pain and increase functional activity in patients with lumbar spondylosis.

KOMBINASI TENS DAN CORE STABILITY EXERCISE MENGURANGI NYERI DAN MENINGKATKAN KEKUATAN OTOT PADA PASIEN SPONDYLOSIS LUMBAL Pabuaran, Birgiana; Mamuaja, Filly; Geneo, Martinus; Eman, Friets
Lasalle Health Journal Vol. 4 No. 1 (2025)
Publisher : Fakultas Keperawatan, Universitas Katolik De La Salle Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52159/lhj.v4i1.127

Introduction: As age increases, the risk factors for experiencing lower back pain also increase. In addition, the length of time and duration of work also play a role in causing lower back pain. Lower back pain is also caused by degeneration of the discs and facet joints in the spine, especially in the lumbar region, which can lead to pressure on the intervertebral foramen resulting in osteophyte formation that can cause irritation and pain. This condition is referred to as lumbar spondylosis. Lumbar spondylosis is a degenerative condition that can cause chronic pain in the back, characterized by abnormal bone growth or osteophytes, thinning of the intervertebral discs, and narrowing of the space between vertebrae, which leads to pain and functional disturbance in the lower back. Objective: to evaluate the effectiveness of the combination of TENS and core stability exercise in reducing pain and increasing muscle strength in patients with lumbar spondylosis. The method used in this study is a case study of a patient diagnosed with lumbar spondylosis to undergo TENS intervention and core stability exercises for six therapy sessions, conducted twice a week. The results of the study indicate that the combination of TENS and core stability exercise resulted in a decrease in pain using the VAS scale and an increase in lumbar muscle strength. Keywords: Core stability exercise, TENS, Lumbar spondylosis.

PENERAPAN MASSAGE DAN MIRROR EXERCISE UNTUK MENINGKATKAN KEKUATAN OTOT WAJAH PADA PASIEN BELL’S PALSY Mamuaja, Filly; Sapulete, Kriselda
JURNAL ILMIAH KESEHATAN MANADO Vol. 1 No. 3 (2022): Jurnal Ilmiah Kesehatan Manado (JIKMA)
Publisher : Yayasan Syalom Cipta Sumikolah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64418/jikma.v1i3.51

Wajah atau muka merupakan bagian tubuh manusia yang mampu menyampaikan perasaan individu melalui ekspresi, untuk penampilan, serta identitas, sehingga sangat penting untuk dijaga dan dirawat. Apabila terjadi gangguan pada wajah, hal ini akan membuat seseorang kehilangan kepercayaan dan bahkan mungkin menarik diri dari aktivitas lingkungan sekitarnya. Bell’s palsy merupakan salah satu gangguan yang bisa timbul pada wajah yang menyebabkan kelumpuhan akut pada lower motor neuron pada satu sisi wajah yang berdampak pada kesimetrisan wajah yang tidak sesuai. Masalah yang ditimbulkan oleh Bell’s palsy, yaitu kelainan bentuk ekspresi wajah diantara bibir tidak asimteris, mata tidak bisa menutup dengan sempurna, saat tersenyum akan nampak mulut mencong ke salah satu sisi, oleh karena adanya lesi pada saraf fasialis. Massage adalah teknik manipulasi yang dilakukan oleh tangan untuk memulihkan kondisi tubuh yang lelah ke keadaan semula. Mirror exercise adalah latihan ulang neuromuskuler yang diterapkan dengan pelatihan motorik selektif untuk memfasilitasi gerakan simetris dan mengontrol aktivitas motorik kasar yang tidak diinginkan. Metode penelitian adalah studi kasus dengan pre dan post tes. Tujuan penelitian untuk mengetahui penerapan massage dan mirror exercise untuk meningkatkan kekuatan otot wajah pada pasien bell’s palsy. Hasil menunjukkan bahwa terjadi peningkatan kekuatan otot wajah dan kemampuan fungsional wajah antara sebelum dan sesudah terapi dengan penilaian menggunakan manual muscle testing dan skala ugo fisch. Download Full File Disini

PENATALAKSANAAN FISIOTERAPI PADA FROZEN SHOULDER ET CAUSA CAPSULITIS ADHESIVA UNTUK MENINGKATKAN KEMAMPUAN FUNGSIONAL Runtuwene, Keylin; Mamuaja, Filly
Lasalle Health Journal Vol. 4 No. 2 (2025)
Publisher : Fakultas Keperawatan, Universitas Katolik De La Salle Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52159/lhj.v4i2.157

Pendahuluan: Frozen shoulder et causa capsulitis adhesiva merupakan suatu kondisi peradangan pada pembungkus atau kapsul sendi yang melindungi sendi glenohumeral. Penyebabnya belum diketahui secara pasti, namun usia lebih dari 40 tahun merupakan faktor resiko yang paling sering terjadi pada kasus ini. Kasus frozen shoulder et causa capsulitis adhesiva menjadi 2% - 5% dari masalah-masalah yang sering terjadi pada sendi bahu. Gejala yang muncul dapat berupa nyeri yang disertai dengan keterbatasan gerak saat pergerakan sendi glenohumeral, serta terbatasnya aktivitas fungsional. Objektif: untuk mengetahui pengaruh transcutaneus electrical nerve stimulation, terapi manipulasi dan mobilisasi skapula dalam meningkatkan kemampuan fungsional pada pasien frozen shoulder et causa capsulitis adhesiva. Metode: Studi kasus pada seorang responden wanita berumur 59 tahun dengan keluhan adanya gangguan dalam melakukan aktivitas fungsional sehari-hari menggunakan Shoulder Pain and Disability Index (SPADI) lewat evaluasi pada terapi awal dan terapi akhir. Hasil: terjadi perubahan aktivitas fungsional SPADI pada terapi akhir dengan skor nyeri 40%, skor disabilitas 31,25%, dan skor SPADI 34,61%. Kesimpulan: Penatalaksanaan fisioterapi berupa transcutaneus electrical nerve stimulation, terapi manipulasi dan mobilisasi skapula memberikan pengaruh terhadap gangguan aktivitas fungsional pada pasien dengan frozen shoulder et causa capsulitis adhesive.

KOMBINASI TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION DAN CORE STABILITY EXERCISE TERHADAP NYERI DAN AKTIVITAS FUNGSIONAL PADA PASIEN SPONDYLOSIS LUMBAL Banua, Andre; Robot, Joanne; Mamuaja, Filly
Lasalle Health Journal Vol. 5 No. 1 (2026): Lasalle Health Journal
Publisher : Fakultas Keperawatan, Universitas Katolik De La Salle Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52159/lhj.v5i1.188

Introduction: Lumbar spondylosis is a degenerative condition of the lumbar spine that frequently causes low back pain and limitations in functional activities. Transcutaneous Electrical Nerve Stimulation (TENS) and core stability exercise are known to help reduce pain and improve patient function. Objective: To determine the effectiveness of the combination of TENS and core stability exercise in pain and functional activity in patients with lumbar spondylosis. Methods: This study used a case study design involving a 59-year-old female patient diagnosed with low back pain due to lumbar spondylosis at the Physiotherapy Clinic of RSUD Tondano. The intervention was administered over six therapy sessions using TENS and core stability exercises, including pelvic tilt, marching in place, seated knee lifts, and modified bird-dog exercises. Evaluation was conducted using the Visual Analogue Scale (VAS) to assess pain intensity and the Oswestry Disability Index (ODI) to evaluate functional activity. Results: Showed a reduction in movement pain, with the VAS score decreasing from 4 to 2 after six therapy sessions, there was an improvement in functional activity, indicated by a decrease in the ODI score from 32% (moderate disability) to a lower level of disability after the intervention. Conclusion: The combination of TENS and core stability exercise was effective in reducing pain and improving functional activity in patients with lumbar spondylosis.

RHYTHMIC AUDITORY STIMULATION TERHADAP PENINGKATAN KECEPATAN BERJALAN PADA PASIEN LANSIA PASCA STROKE Hansun, Ephyfano; Eman, Friets; Mamuaja, Filly
Lasalle Health Journal Vol. 5 No. 1 (2026): Lasalle Health Journal
Publisher : Fakultas Keperawatan, Universitas Katolik De La Salle Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52159/lhj.v5i1.191

Introduction: Post-stroke is a neurological condition that can cause motor impairments, muscle weakness, coordination disorders, and decreased walking ability. In elderly post-stroke patients, impaired walking speed is one of the most common functional problems that may affect daily activities. Rhythmic Auditory Stimulation (RAS) is a physiotherapy intervention that uses rhythmic auditory cues to help improve gait pattern and walking speed in patients. Objective: To determine the effectiveness of Rhythmic Auditory Stimulation in improving walking speed in elderly post-stroke patients. Methods: This study used a case study method on an elderly post-stroke patient who experienced decreased walking speed. Physiotherapy intervention using Rhythmic Auditory Stimulation was administered for 6 therapy sessions over a period of 3 weeks. Walking ability was measured using the 10 Meter Walk Test to assess the patient’s walking speed before and after the intervention. Results: Showed an improvement in the patient’s walking speed after the Rhythmic Auditory Stimulation intervention. The walking speed increased from 0.75 m/s at the initial evaluation to 1.25 m/s at the final evaluation after 6 therapy sessions. Conclusion: Rhythmic Auditory Stimulation was effective in improving walking speed in elderly post-stroke patients. This intervention can be used as one of the physiotherapy modalities to improve functional walking ability in post-stroke patients.

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