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All Journal Pharmauho: Jurnal Farmasi, Sains, dan Kesehatan IJIS - Indonesian Journal On Information System IJISTECH (International Journal Of Information System & Technology) GEMASSIKA: Jurnal Pengabdian Kepada Masyarakat IJISTECH Academic Physiotherapy Conference Proceeding Prosiding Simposium Nasional Rekayasa Aplikasi Perancangan dan Industri Prosiding University Research Colloquium Indonesian Health Journal Annual Physiotherapy Scientific Meeting Proceeding

W Wahyuni, W

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Humanities Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Civil Engineering, Building, Construction & Architecture Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Electrical & Electronics Engineering Engineering Environmental Science Health Professions Industrial & Manufacturing Engineering Law, Crime, Criminology & Criminal Justice Mechanical Engineering Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary

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Penatalaksanaan Fisioterapi pada Kasus Asthma Bronchial: Case Report Wulandari, Nanda Dias; Wahyuni, W; Prayitno, P
Academic Physiotherapy Conference Proceeding 2024: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Pendahuluan: Asthma bronchial adalah suatu penyakit heterogen yang ditandai dengan terjadinya peradangan atau penyempitan pada sistem pernapasan. Secara klinis, asthma disertai dengan peradangan saluran napas, hiperresponsif saluran napas dan keterbatasan aliran udara. Hal tersebut dapat menimbulkan gejala pernafasan seperti batuk, mengi dan sesak napas. Ketika sesak napas atau batuk tersebut terjadi maka otot-otot pernapasan akan mengalami spasme. Berdasarkan data jumlah penderita asthma di Indonesia berjumlah 4,5% dari total jumlah penduduk atau sebanyak 12 juta jiwa penderita asthma. Metode: Penelitian ini menggunakan metode studi kasus dengan desain studi case report yang dilakukan di RS Paru Respira Bantul. Waktu pelaksanaan penelitian dimulai pada tanggal 12 Februari hingga 9 Maret 2024. Studi kasus ini dilakukan pada 1 pasien Laki-laki yang berinisial Tn. D dengan umur 78 tahun dan saat ini sudah tidak bekerja. Presentasi Kasus: Pasien Tn. D yang berusia 78 tahun dengan diagnose medis Asthma Bronchial, pasien datang ke RS Paru Respira Bantul dengan keluhan sesak napas terkadang disertai mengi. Sesak napas terkadang timbul saat pasien terkena hawa dingin, biasa terjadi saat dini hari atau subuh. Management Fisioterapi: Pasien mengikuti program berupa myofascial release, Pursed Lips Breathing, Inspiratory Muscle Training (IMT) dan Endurance Exercise menggunakan static cycle. Program latihan dilakukan selama 5 kali pertemuan. Hasil dan Pembahasan: Menunjukkan pengukuran pada ekspansi thoraks yang mengalami peningkatan tetapi tidak signifikan terlihat. Menunjukkan bahwa pada pemeriksaan atau pengukuran Voldyne terdapat adanya peningkatan pada kemampuan untuk mengembangkan paru-parunya saat inspirasi. Menunjukkan bahwa pda pemeriksaan atau perhitungan peakflow terdapat adanya peningkatan pada kemampuan untuk mengeluarkan udara yang ada di paru-paru. Evaluasi endurance exercise ini menggunakan static cycle yang dilakukan selama 20-25 menit dan didapatkan hasil adanya peningkatan pada capaian HRmaks pasien. Kesimpulan: Program fisioterapi yang diberikan pada kasus Asthma Bronchial pada Tn. D berusia 78 tahun di RS Paru Respira yang dilakukan sebanyak 5 kali didapatkan hasil adanya peningkatan pada ekspansi thoraks, adanya peningkatan pada nilai tahanan Inspiratory Muscle Training (IMT), adanya peningkatan pada hasil Voldyne, adanya peningkatan pada hasil Peakflow serta adanya peningkatan kekuatan dan daya tahan paru yang dilakukan dengan menggunakan endurance exercise berupa static cycle.

Penatalaksanaan Rehabilitasi Fisioterapi pada Kasus Pasca Rekonstruksi Anterior Cruciate Ligament Sinistra Fase 2: A Case Report Hardalena, Lidya; Wahyuni, W; Mardianto, Halim
Academic Physiotherapy Conference Proceeding 2024: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Pendahuluan: Aktivitas fisik yang berlebihan atau olahraga dapat menimbulkan resiko terkena cedera. Cedera olahraga biasa terjadi karena adanya cedera yang bersifat langsung maupun tidak langsung. Cedera Anterior Cruciate Ligament (ACL) adalah cedera lutut yang umum terjadi saat berolahraga. Cedera ini umumnya terjadi pada olahraga yang melibatkan gerakan zig-zag, perubahan arah gerakan, perubahan kecepatan yang mendadak seperti pada olahraga sepak bola, basket, bola voli, dan futsal. Komplikasi yang terjadi setelah rekonstruksi ACL adalah keterbatasan gerakan terutama gerakan fleksi knee yang dapat mengakibtakan kelemahan otot, kesulitan berjalan dan rasa nyeri pada lutut Presentasi Kasus: Jenis studi yang digunakan dalam penelitian yaitu metode penelitian case report di RSD KRMT Wongsonegoro pada pasien laki-laki berusia 21 tahun yang merupakan seorang mahasiswa yang telah melakukan operasi rekonstruksi ACL sinistra. Pasien menjalani fisioterapi dengan kondisi dapat berjalan tanpa alat bantu tetapi pasien masih mengeluhkan nyeri dan krepitasi saat berjalan pada lutut kiri. Metode dan Hasil: Rehabilitasi fisioterapi dilakukan di RSD KRMT Wongsonegoro Semarang selama 2 minggu dengan 4 kali pertemuan dan home program di rumah pada pasien pasca rekonstruksi ACL sinistra dan didaptkan hasil penurunan rasa nyeri, meningkatakan kekuatan otot, meningkatkan lingkup gerak sendi, meningkatkan keseimbangan dan mengembalikan kemampuan aktivitas fungsional sehari-hari. Diskusi: Rehabilitasi fisioterapi fase 2 pada pasien pasca rekonstruksi ACL sinistra pada latihan awal dapat dilakukan dengan jenis latihan menggunakan berat badan, latihan resistance, latihan keseimbangan dan latihan koordinasi. Latihan yang dilakukan selama terapi yaitu statis bycyle, squat, lunges, dan step up dapat mengurangi keterbatasan gerakan lutut dan meningkatkan kemampuan fungsional Kesimpulan: Rehabilitasi fisioterapi fase 2 pasca rekonstruksi ACL sinistra terbukti dapat menurunkan rasa nyeri, meningkatakan kekuatan otot, meningkatkan lingkup gerak sendi, meningkatkan keseimbangan dan mengembalikan kemampuan aktivitas fungsional sehari-hari.

Management Fisioterapi pada Kasus Multiple Sclerosis: Studi Kasus Arimbi, Cindy Kartika; Wahyuni, W; Belinda, Melur
Academic Physiotherapy Conference Proceeding 2024: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Multiple Sclerosis (MS) merupakan suatu kondisi ketika sistem kekebalan tubuh mengeluarkan reaksi abnormal dan menyerang sistem saraf pusat yang menyebabkan defisit keseimbangan dan gaya berjalan, kekejangan, peningkatan risiko jatuh, disfungsi kognitif, penglihatan, pernapasan, kelemahan otot dan kelelahan. Biasanya didiagnosis antara usia 20–50 tahun. Menurut National Multiple Sclerosis Society yang berbasis di AS, rehabilitasi MS membantu pasien mencapai dan mempertahankan potensi fisik, salah satunya yaitu dengan fisioterapi. Case Presentation: Seorang pasien perempuan 29 tahun mengeluhkan tubuhnya tiba-tiba terasa lemas dengan kelemahan pada kedua kakinya yaitu pada otot fleksor dan ekstensornya. Nyeri yang dirasakan hilang timbul di setiap sendi tetapi lebih nyeri dari pinggang hingga ke kedua tungkai dan nyeri bertambah ketika saat ingin berdiri maupun kembali ke duduk. Pasien mengalami keterbatasan Lingkup gerak sendi pada kedua ankle saat dorsofleksi dan ekstensi knee nya. Serta adanya gangguan sensoris dan aktivitas fungsional. Pasien memeriksakan keadaannya ke dokter di RSUD Dr. Saiful Anwar Malang, Jawa Timur dengan hasil dari lab lumbal pungsi menunjukkan bahwa pasien di diagnosa sebagai Multiple Sclerosis. Kemudian dirujuk ke rehabilitasi medik dan mendapat penanganan fisioterapi. Management and Outcome: Pasien diberikan intervensi berupa TENS, NMES, DNS, mobilisasi bertahap serta terapi latihan. Setelah diberikan intervensi selama 4x didapatkan hasil yaitu adanya penurunan nyeri diam dan nyeri gerak, adanya peningkatan LGS, tetapi belum adanya peningkatan pada kekuatan otot, sistem sensoris, maupun aktivitas fungsionalnya. Discussion: Intervensi TENS dapat mengurangi nyeri dan NMES dapat memberikan stimulasi pada otot yang bertujuan untuk penguatan otot dan mencegah kelemahan otot atau atrofi otot. Serta tujuan DNS yaitu pendekatan manual dan rehabilitatif untuk mengoptimalkan sistem pergerakan. Terapi latihan dapat membantu meningkatkan kekuatan otot, mobilisasi bertahap dapat meningkatkan aktifitas fungsional serta stimulasi sensoris untuk menstimulasi sistem sensoris dengan cara stimulasi taktil. Conclusion: Management fisioterapi pada kasus MS dengan intervensi TENS, NMES, DNS, mobilisasi bertahap, stimulasi sensoris yang dilakukan selama 4x terapi didapatkan hasil adanya penurunan nyeri diam dan nyeri gerak, adanya peningkatan LGS pada ekstensi knee dan dorsofleksi ankle akan tetapi belum ada peningkatan kekuatan otot, belum muncul sensibilitas pada kulit, serta aktifitas fungsionalnya.

Manfaat Deep Breathing Exercise dan Latihan Mobilisasi Sangkar Thorax terhadap Penurunan Derajat Sesak dan Peningkatan Ekspansi Thorax pada Pasien Efusi Pleura di RSUD Dungus, Madiun: Studi Kasus Ariyanti, Annisa Mutiara; Wahyuni, W; Utami, Mulatsih Nita
Academic Physiotherapy Conference Proceeding 2024: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Efusi pleura merupakan kondisi patologis dimana terjadi penumpukan cairan pada rongga pleura, yaitu antara pleura visceral dan pleura parietal. Pada aspek fisioterapi pada efusi pleura akan didapatkan permasalahan sesak napas, nyeri pada area dinding dada, pola napas tidak efektif, gangguan postur, penurunan ekspansi thorak, dan keterbatasan aktivitas fungsional. Terdapat juga kelemahan atau thigtness pada otot-otot bantu pernapasan seperti scaleni, sternocleidomastoid, upper trapezius, pectoralis major, dan serratus anterior yang apabila dibiarkan dapat menyebabkan sesak napas parah dan mempengaruhi diafragma. Deep breathing exercise efektif dalam meningkatkan ekspansi thorax, mengurangi kerja pernapasan dan meningkatkan efisiensi ventilasi pernapasan, pasien menarik napas dalam melalui hidung dan ditahan 3-5 detik kemudian dihembuskan napas melalui mulut secara perlahan, latihan dapat dilakukan dengan frekuensi 3 kali sehari dengan waktu 5-10 menit. Latihan mobilisasi sangkar thorax juga dapat meningkatkan mobilitas ekspansi thorax, ventilasi pernapasan, mengkontrol inspirasi dan ekspirasi. Case Presentation: Pasien inisial Ny.S berumur 65 tahun, beragama islam. Pasien didiagnosa medis di RSUD Dungus dengan Cardiomegaly dengan efusi pleura kanan, suggestive lobar pneumonia kanan. Pasien sudah pernah dirawat di RSUD Dungus dengan keluhan yang sama 4 bulan yang lalu. Pasien mengeluhkan mual dan berat saat menarik napas, dirasakan memberat 2 minggu terakhir sebelum masuk RS. Saat ini pasien tidak bisa beraktivitas turun dari kasur dikarenakan lemas dan sesak apabila beraktivitas. Management and Outcome: Pasien diberikan intervensi fisioterapi berupa nebulizer, deep breathing exercise, mobilisasi sangkar thorax dan stretching active regio neck dan shouldher sebanyak 6 kali dalam jangka waktu 4 hari berturut-turut, untuk evaluasi dilakukan penilaian ulang dari vital sign (BP,HR,RR,Spo2), pengukuran mobiltas ekspansi thorax dengan antropometri, pola napas pasien, nyeri dengan NRS, derajat sesak napas menggunakan BORG scale, dan aktivitas fungsional dengan MRC. Discussion: Intervensi yang diberikan berupa nebulizer untuk membuka jalan napas, deep breathing exercise untuk mengatur pola napas, latihan mobilisasi sangkar thorax untuk menambah ekspansi thorass dan stretching untuk mengurangi spasme pada otot accecory muscle. Deep breathing exercise dan latihan mobilisasi thorax yang diberikan sebanyak 6 kali dapat menurunkan sesak, meningkatkan eksapansi thorax. Conclusion: Setelah terapi 6 kali dengan Nebulizer, Deep Breathing dengan mobilisasi sangkar thorax dan Stretching aktif SCM didapatkan penurunan RR, peningkatan sangkar thorax, perbaikan pola napas dan penurunan spasme pada SCM kanan dan kiri, upper trapezius dan pectoralis mayor kanan dan kiri.

THE CORRELATION BETWEEN STRESS LEVEL AND PREMENSTRUAL SYNDROME IN FINEL LEVEL NURSE STUDENTS Wahyuni, W; Dewi, Diana Rosalina Kartika
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Stress is a phenomenon that occurs quite often in everyday life that we cannot avoid and will be experienced by each person. Stress is a condition that can be caused by several things such as uncontrolled physical demands, the environment, and social situations. Premenstrual syndrome (PMS) is a common problem that is often encountered by women which includes a collection of emotional and physical symptoms that occur in women in the 2-14 days before the onset of menstruation, or in the luteal phase of the menstrual cycle and then subsides soon after the onset of menstruation. College students are one of the groups that have a high potential for experiencing premenstrual syndrome due to increased levels of stress during academic education Objective: This study aims to determine the relationship between stress levels and premenstrual syndrome symptoms in final year nursing students. Methods: This type of research is observational with a cross-sectional study approach. The sampling technique used was purposive sampling, with the number of respondents as many as 115 final year D3 nursing students at Kusuma Husada University Surakarta in January. The instrument used to measure the level of stress is the Kessler Psychological Distress Scale (K10) and to measure the level of premenstrual syndrome using the Shortened Premenstrual Assessment Form (SPAF). Results: The results of the study using the Sperman rho' test, it was found that the p-value was 0.000 < 0.05, which means that there is a significant relationship between stress levels and premenstrual syndrome, and a correlation of r = 0.846 which means the relationship is strongly correlated with the direction of the correlation. positive Conclusion: The heavier the stress level, the more severe the premenstrual syndrome symptoms experienced.

POSTPARTUM DIASTASIS SYMPHYSIS PUBIC: A CASE STUDY Sudarmi, S; Wahyuni, W
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Pubic symphysis diastasis is the weakness of the ligaments in the pubis that causes the separation of the pubic bone due to hormonal or normal delivery of a baby that is too large (Naoum, & Garner, 2003). Incidence of cases like this is rare but as reported prevalence in a year can reach 520 to 20,000 per case. Case Presentation: A 25-year-old woman has achieved HPL and delivered normally or spontaneously, then the patient was diagnosed with Diastasis Symphysis Pubis with a distance of 3.42 cm. Management and Outcome: The management is in the form of Tens,mobilization exercises, pain reduction and pelvic floor exercises to reduce the level and intensity of pain, increase muscle strength and increase joint range of motion and restore functional ability. Discussion: pubic symphysis instability can lead to joint inflammation, leading to difficulties in outpatient care. Severe dilation of the pubic symphysis damages the ligaments associated with the bones of the bones. If the distance between the symphysis pubis is greater than 2 cm on radiographs, involvement of the sacroiliac joints is often seen. In our research, almost half (16/33, 48.5%) of patients with PPSD had a pubic symphysis dilation of more than 2 cm according to (Sung et al., 2021), in this case study the patient had a pubic width of 3.42 Cm but after doing a physiotherapy program 2 times a week at the hospital for 3 days and doing the exercises at home to get results for approximately 3 months decreased to 1.85 Cm. Conclusion: handling of Physiotherapy programs given to patients 2 times a day for mobilization exercises and pelvic floor exercises in order to prevent joint stiffness and decrease in abdominal and pelvic muscle strength.

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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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 CO-CONTRACTION EXERCISE WITH EXTERNAL CLUE FOR QUALITY RULES IN INDIVIDUAL KNEE OA PATIENTS: SINGLE CASE REPORT Septiani, Icha; Wahyuni, W; Perdana, Suryo Saputra
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Osteoarthritis (OA) is one of the most common conditions that cause disability, especially in the elderly population. Osteoarthritis (OA) is a degenerative and chronic disease of the knee joint. The recommended intervention is Task-Specific Training with Co-Contraction, namely muscle co-activation (coordinated agonist and antagonist muscle activity simultaneously) for joint stability, even in OA knee individuals who function dynamically as a stabilizer, controlling movement during walking. Augmented feedback (External Clue) commonly used in clinical practice and can play an important role in motor learning. Case Presentation: Mrs. S is 68 years old. The patient has a height of 155 cm and a weight of 70 kg. Mrs. S works as a housewife. The patient had this complaint several years ago. There is no history of illness in the family. Supporting data in the form of X-ray with the interpretation of knee osteoarthritis grade 2. The patient also suffered from mild deformity of the foot towards varus , the presence of crepitus, but the patient did not have local oedema , the absence of pes anserinus bursitis and the absence of joint tendenes. Management and Outcome: The patient underwent treatment consisting of Task-Specific Training based on Co-Contraction/ Co-contraction with External Clue. The patient is instructed to contract the muscles while walking. Coactivation occurs when the flexor muscles are active during the moment of extension. (External Clue) is the therapist providing additional information about the performance of motor skills so that the patient can get feedback from the patient himself. The data analysis used in this study is a single case report. The design for this study used the ABA design. The sampling technique is the consecutive method with 1 person who fits the inclusion criteria. The research measurement instrument related to the quality of walking used the 6 Minute Walking Test (6MWT). The data analysis technique used descriptive analytic. This exercise program uses Task- Specific Muscle Co-contraction Training with External Clue for one week starting from January 7 to January 14, 2020, with Ethical Clearance Letter no. 2682/B.2/KEPKFKUMS/ XI/2019 conducted by the Health Research Ethics Commission (KEPK) FK UMS. Discussion: The subjects of this study have typical symptoms of osteoarthritis of the knee, so there is no need for additional examinations to diagnose knee osteoarthritis. This is supported by the existence of pain, stiffness, and locomotor which are common symptoms of knee OA that is focused on a functional approach, namely component important in locomotor retriction is running. Task- specific training is understanding how distraction-based exercise can affect certain functional tasks which helps improve exercise protocols for people with knee OA. The concept of muscle coactivation from a specific task is muscle co-activation (coordinated agonist and antagonist muscle activity simultaneously) for joint stability, even in OA knee individuals who function dynamically as a stabilizer, controlling movement during walking. Muscle co-activation to help stabilize the joints in the ligaments and distribute pressure on the joint surfaces. Conclusion: There was a significant increase in individual walking distance of osteoarthritis knee patients.

THE EFFECT OF STRETCHING LOWER EXTREMITY AND CORE STABILITY ON THE DYNAMIC BALANCE OF UMS BASKETBALL PLAYER: A CASE STUDY Ramadhani, Suci Indah; Wahyuni, W; Wijianto, W
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction : The components of physical condition are speed, strength, endurance, flexibility, strength, coordination, balance, and agility in improving the performance of basketball players. one is that the relationship between the ability to balance and the risk of sports injury has been determined in most cases, but the relationship between ability and balance between athletics is less clear. The importance of balance for basketball players itself reduces injuries and improves performance during the game. Case Presentation : Respondents with criteria aged 19-22 years, male and female, work as basketball players. With balance problems who want to follow an exercise program that will be given to improve dynamic balance abilities. Management and outcomes : The patient underwent a treatment consisting of stretching and core stability. Before exercise, patients are asked to perform stretching and core stability independently under the supervision of a physiotherapist. The instrument used is the Y balance test. The results of the paired sample t-test show the mean in pair 1 is 2.35824 with a significant value of 0.000 where p < 0.05 then Ha is accepted and pair 2 is 1.67059 with a significant value of 0.005 where p < 0 0.05 then Ha is accepted, it can be concluded that the lower extremity stretch and core stability affect increasing dynamic balance Discussion : The subjects in this study have dynamic balance disorders because the importance of balance for basketball players can reduce injuries and improve performance during matches. Stretching and core stability can increase flexibility and activate core muscles in athletes to improve balance. Conclusion : Supporting lower severity stretches and core stability can improve the dynamic balance of basketball players.

PHYSIOTHERAPY MANAGEMENT OF WILLIAM FLEXION EXERCISE FOR PAIN REDUCTION IN LOW BACK PAIN MYOGENIC: CASE STUDY Wardianti, Dwi; Wahyuni, W
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Introduction: Low back pain is a major health problem in all developed countries. Myogenic low back pain is defined as pain, muscle tension, or stiffness localized to the lower trunk and above the inferior gluteal folds, with or without pain. The most dominant symptoms of nonspecific low back pain are pain and disability. The prevalence of low back pain in the general US adult population is 10-30%, and the lifetime prevalence of AS adults is as high as 65-80%. The global prevalence of LBP is estimated to be around 31%, and it often occurs in women aged 40-80 years. The prevalence of LBP in the productive age group is almost 40%. The etiology of low back pain can often be distinguished based on the patient's history, physical examination, and some cases. For example, myofascial pain is a musculoskeletal complaint that is often seen, especially after trauma or repetitive motion injuries. Several risk factors that can cause low back pain include; age, body mass index, years of service, work chair, sitting position, and sports activities. Case Presentation: A literature review of several databases (PubMed, Science Direct, Web of Science). A mix of keywords has been used in searches or Medical Subject Heading (MESH) terms related to "William flexion exercise-related low back pain" or "low back pain myogenic and William flexion exercise" and combined with or treatment and "low-income countries and medium". The inclusion criteria of the article were patients with myogenic low back pain and all studies assessed were published in English in the period 2000-2021. The methodological quality of the included studies in terms of internal validity was assessed using the CASP (Critical Appraisal Skills Program). Management and Outcome: William flexion exercise can improve functional status, decrease pain level and intensity, and improve quality of life in low back pain sufferers are the benefits of physiotherapy management to solve myogenic low back pain. .Discussion: Several articles have been selected from three databases with an 80% quality rating for each study. The study states that an exercise program 3 times a week, an exercise program using hamstring stretch techniques, pelvic tilt, double knee to chest, hip flexor stretch can improve functional status, reduce the pain level and intensity, and improve quality of life in patients with low back pain. physiotherapy management to treat myogenic low back pain Conclusion: Physiotherapeutic management using a three to a twelve-week exercise program. The special technique of William flexion is used to treat myogenic low back pain.

Co-Authors Abdullah, Arif Achmad Fuad Hafid Adeputra, James Alfida, Nur Andzani, Fahreza Ayu Anshari, Riyadi Anugrah, Welya Nesvi Anwar, Rafidan Ari Sartinah, Ari Arif Pristianto Arimbi, Cindy Kartika Ariyanti, Annisa Mutiara Aty Widyawaruyanti Baru Sadarun Belinda, Melur Carla Wulandari Sabandar Chairunnisa, Maurizka Dewi, Diana Rosalina Kartika Dwiyanti, Neriza Fadhliyah Malik Faridah, Umi Hamid, Mustakim Hamidah, Nilam Nur Hanum, Ery Nafisah Hardalena, Lidya Hasanuddin, Didi Dharmadi Haswika, Haswika Helmia, Wa Ode Nia Imam Mawardi Isak, Galih Adi Israwan, Wiek Iyan Gustiana Jabbar, Asriullah Kamaluddin Kamaluddin Kasmawati, Henny Kun Harismah Kusala, Katrin Vidya Lestari, Dimas Budi Lestari, Fegi lestari, sulis Lestari, Ulfa Putri Mahardhini, Ambarrizka Malaka, Muhammad Hajrul Malaka, Muhammad Hajrul Maliesgasari, Dita Marcelia, Riza Mardianto, Halim Mardikasari, Sandra Aulia Maulidia, Kamila Mawarni, Indah Meir, Ruth Golda Mesi Leorita, Mesi Mubaroq, S R Muhammad Ilyas Yusuf Muhammad Rizqi Musadar Mappasomba Noor Hidayah Noor Iman, Fidiantari Novrini Hasti Nur Illiyyin Akib Pabrizadinata, M. Irfan Jasir Perdana, Suryo Saputra Poko, Feny Riskiana Pratiwi, Dilia Ananda Pratiwi, Heny Pratiwi, Yunita Rahayu Prayitno, P Prihantoro, Bangkit Dwi Pristanto, Arif Ramadhani, Raden Shafira Saniyyah Ramadhani, Suci Indah Rini Hamsidi Rustam HN, Muhammad Sabana, M. Rajab Sabana, Muhammad Rajab Sabarudin Sabarudin Sahidin . Sahidin, S Salsabila, Brissa Isabel Sanjoyo, D D Sari, Etik Yunita Septiani, Icha Shidiq, Ronald Rizal Siti Fadhilah, Siti SITI MARYAM Suaib, S Sudarmi, S Suwarto Suwarto Syaahidah, Habiibatusy Timung, Yusni Oktaviani Tomiana, T Tri Widayatno Triastuti Rahayu Trisnabari, Hindari Mernasantia Umi Budi Rahayu Utami, Mulatsih Nita Wa Ode Sitti Musnina Wahidah, Yulia Wahyu Tri Sudaryanto Wardianti, Dwi wati, Mida Wijayanti, Christina Wahyu Wijianto, W Wirasmanto, Bayu Wiwied Ekasari Wulaisfan, Randa Wulandari, Nanda Dias Zaman, Alifia Fatimah

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Journal : Academic Physiotherapy Conference Proceeding