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Physiotherapy Management in Post-Stroke Hemorrhage : A Case Report Sutejo, Mianti Nurrizky; Ragil Aidil Fitriasari Addini; Linda Pramusinta
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.v2i1.631

Abstract

Post-stroke hemorrhage refers to bleeding that occurs in or around the brain following a stroke, particularly after a hemorrhagic stroke. This condition can lead to further brain damage and complications, necessitating immediate medical attention and intervention. Treatment of post-stroke hemmorrage can be given the intervention of the neuroplasticity and motor learning, and Bobath concept. Neuroplasticity is the brain's ability to reorganize itself by forming new neural connections, which is crucial for recovery after a stroke. The Bobath concept, or neurodevelopmental treatment, focuses on facilitating motor learning and functional movement in stroke patients, promoting recovery through tailored rehabilitation strategies. Purpose: The objectives of implementing interventions focused on neuroplasticity, motor learning, and the Bobath concept for patients post-stroke hemorrhage include enhancing neural recovery, improving motor function, promoting functional independence, and optimizing motor learning. 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.
PERBEDAAN PENGARUH PEMBERIAN THAI WAND EXERCISE DAN STRENGTHENING EXERCISE TERHADAP AKTIVITAS FUNGSIONAL DENGAN OSTEOARTHRITIS PADA LANSIA Dita Setyaningrum; Muhammad Dwi Kurniawan; Ragil Aidil Fitriasari Addini; Mianti Nurrizky Sutejo
Physiotherapy and Physical Rehabilitation Journal Vol. 3 No. 2 (2024): November: Physiotherapy and Physical Rehabilitation Journal 
Publisher : STIKES Telogorejo Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63520/pprj.v3i2.656

Abstract

LATAR BELAKANG: Osteoarthritis (OA) lutut pada lansia merupakan penyakit degeneratif dimana sendi lutut mengalami peradangan yang menimbulkan gejala nyeri, krepitasi, pembengkakan sendi, kekakuan sendi, menurunnya fungsi sendi, keterbatasan lingkup gerak sendi. Hal tersebut dapat menyebabkan penurunan aktivitas fungsional pada pasien penderita osteoarthritis lansia. Salah satu intervensi fisioterapi yang dapat diberikan pada pasien osteoarthritis lutut lansia yaitu terapi latihan Thai Wand Exercise dan Strengthening Exercise. TUJUAN: Penelitian ini bertujuan untuk mengetahui perbedaan pengaruh pemberian Thai Wand Exercise dan Strengthening Exercise terhadap aktivitas fungsional dengan osteoarthritis pada lansia. METODE: Jenis penelitian quasi eksperimental dengan desin penelitian two group pre and post test. Teknik pengambilan data purposive sampling sejumlah 20 responden yang dibagi menjadi dua kelompok yaitu kelompok 1 Thai Wand Exercise sebanyak 10 responden dan kelompok 2 Strengthening Exercise sebanyak 10 responden. Alat ukur yang digunakan untuk menilai aktivitas fungsional yaitu kuesioner WOMAC. HASIL PENELITIAN: Hasil uji beda pengaruh t-independent menunjukan nili sig.(2 tailed) 0,135 > 0,05 yang berarti data tidak perbedaan pengaruh signifikan. KESIMPULAN: Tidak ada perbedaan pengaruh antara kelompok Thai Wand Exercise dan Strengthening Exercise terhadap aktivitas fungsional dengan osteoarthritis pada lansia.
COMPARATIVE EFFECTIVENESS BETWEEN HEEL RAISE EXERCISES AND RESISTANCE BAND EXERCISES ON FUNCTIONAL ABILITY IN ATHLETES WITH ANKLE INJURIES Samuel Frandito Pramaditya T; Mianti Nurrizky Sutejo; Ragil Aidil Fitriasari Addini; Nana Noviada Kwartawaty
Physiotherapy and Physical Rehabilitation Journal Vol. 3 No. 2 (2024): November: Physiotherapy and Physical Rehabilitation Journal 
Publisher : STIKES Telogorejo Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63520/pprj.v3i2.657

Abstract

Background: Ankle injuries are among the most common sports injuries, affecting athletes with symptoms such as pain, swelling, joint instability, muscle weakness, and reduced functional activity. Effective interventions, such as heel raise exercises and resistance band exercises, are crucial for managing these injuries.. Objective: This study aims to compare the effects of heel raise exercises and resistance b and exercises on improving functional ability in athletes with ankle injuries. Method: A quasi-experimental design with a pre-test and post-test two-group approach was used. The study sample consisted of 22 athletes from Nafas Bintang Barat FC, with 11 athletes assigned to the heel raise exercise group (Group I) and 11 athletes assigned to the resistance band exercise group (Group II). Participants were selected using purposive sampling. Functional ability was assessed using the Foot and Ankle Ability Measure (FAAM).. Results: The Paired Sample Test revealed significant improvements in functional ability within both groups, with p-values of 0.000 for Group I and 0.000 for Group II, indicating that both interventions were effective. However, the Independent Sample Test showed no significant difference between the two groups, with an average difference of 0,1816 and a p-value of 0.131, suggesting that there is no significant difference in effectiveness between heel raiseexercises and resistance band exercises.. Conclusion: Both heel raise exercises and resistance band exercises effectively improve functional ability in athletes with ankle injuries. However, there is no significant difference in effectiveness between the two exercise modalities.
PENGARUH KOMBINASI PEMBERIAN TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION (TENS), STRETCHING HAMSTRING, DAN QUADRICEPS SETTING TERHADAP PENURUNAN NYERI PADA KASUS OSTEOARTHRITIS GENU Yoel Kristian Adi Candra; Mianti Nurrizky Sutejo; Muhammad Dwi Kurniawan; Ragil Aidil Fitriasari Addini
Physiotherapy and Physical Rehabilitation Journal Vol. 3 No. 2 (2024): November: Physiotherapy and Physical Rehabilitation Journal 
Publisher : STIKES Telogorejo Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63520/pprj.v3i2.660

Abstract

Latar Belakang: Osteoarthritis merupakan penyakit sendi bersifat kronik, berjalan progresif lambat yang ditandai menipisnya tulang rawan sendi dan timbulnya osteofit pada permukaan sendi/tulang yang berdampak pada gangguan gerak dan fungsi seperti berjalan, jongkok, menaiki tangga, dan aktivitas sehari-hari lainnya. Masalah yang sering ditemukan pada kasus OA yaitu timbulnya nyeri lutut, penurunan kekuatan otot, krepitasi, dan penurunan fleksibilitas otot. Pasien osteoarthritis genu diberi intervensi berupa TENS, Stretching Hamstring, dan Quadriceps Setting. Tujuan: Mengetahui pengaruh kombinasi pemberian TENS, Stretching Hamstring, dan Quadriceps Setting terhadap penurunan nyeri pada kasus osteoarthritis (OA) genu. Metode Penelitian: Penelitian ini berjenis quasi eksperimental research dengan metode penelitian one grup pretest and posttest design. Sampel penelitian sebanyak 10 pasien dengan klinis osteoarthritis genu dengan teknik purposive sampling. Penelitian dilaksanakan selama 4 minggu dengan frekuensi 2 kali dalam seminggu. Penelitian ini menggunakan skala ukur Numeric Rating Scale (NRS) untuk mengukur tingkat keparahan nyeri pasien sebelum dan sesudah pemberian intervensi. Hasil: Penelitian uji pengaruh dengan menggunakan uji Wilcoxon test diperoleh nilai signifikasi sebesar 0,005 (P<0,05) artinya terdapat pengaruh penurunan tingkat nyeri. Kesimpulan: Terdapat pengaruh kombinasi pemberian TENS, Stretching Hamstring, dan Quadriceps Setting terhadap penurunan tingkat nyeri pada pasien osteoarthritis genu.
Pemberdayaan Kader Sebagai Upaya Pencegahan Kegawatan Risiko Jatuh Lansia Melalui Program DePePe Juwariyah, Siti; Septianingtyas, Maya Cobalt Angio; Sutejo, Mianti Nurrizky; Sovianti, Vivi
Jurnal Masyarakat Madani Indonesia Vol. 2 No. 4 (2023): November
Publisher : Alesha Media Digital

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59025/js.v2i4.116

Abstract

Populasi lansia menyatakan antara tahun 2015–2050 diperkirakan meningkat menjadi dua kali lipat dari 12% menjadi 22% atau sekitar 900 juta menjadi 2 milyar pada usia diatas 60 tahun. Risiko jatuh merupakan kejadian yang dilaporkan penderita atau keluarga yang melihat kejadian, mengakibatkan seseorang mendadak terbaring, terduduk di lantai maupun tempat yang rendah dengan atau tanpa kehilangan kesadaran dan luka. Tingginya risiko jatuh yang terjadi pada lansia terjadi akibat dari gangguan keseimbangan postural. Penurunan kemampuan berbagai organ, fungsi dan sistem tubuh bersifat fisiologis. Diperlukan upaya terpadu untuk mengatasi masalah tersebut dengan memberikan pelatihan kepada kader kesehatan dalam mengelola lansia yang dengan kegawatan risiko jatuh. Manfaat yang akan diselesaikan bersama adalah kader kesehatan mampu mendeteksi, pemeriksaan dasar dan memberikan penyuluhan kepada lansia dan keluarga yang belum tahu tentang kegawatan kasus risiko jatuh pada lansia. Metode pelaksanaan program ini adalah dengan Program DEPEPE yaitu Deteksi, Pemeriksaan dan Penyuluhan. Kader di ajarkan cara mendeteksi, memeriksa risiko jatuh dan memberikan penyuluhan dan juga mengajarakan gerakan untuk mengatasi risiko jatuh pada lansia.  Hasil kegiatan pengabdian kepada masyarakat ini seluruh peserta dapat menyerap informasi dengan baik yaitu 87% dapat mempraktekkan kembali cara mendeteksi dan senam tai chi
Utilization of rehabilitation services for BPJS stroke outpatients in indonesia Sutejo, Mianti Nurrizky; Hafidz, Firdaus; Pinzon, Rizaldy
BKM Public Health and Community Medicine Vol 37 No 08 (2021)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v37i08.1752

Abstract

Purpose: JKN has been implemented since 2014; however, there has been no change in the value of access to and utilization of medical rehabilitation services, particularly physiotherapy, in FKRTLs in Indonesia. This research aims to identify the factors that influence the pattern of outpatient physiotherapy services received by stroke patients at BPJS Kesehatan during the treatment period. Methods: This study employs an analytical approach using secondary data from the 2015-2016 BPJS Health Data Sample, with a cross-sectional study design. The data were analyzed using univariable and bivariable analyses with the chi-square test, as well as multivariable analysis with logistic regression, with an α level of 0.05. Results: The analysis of patients with stroke cases yielded only 1,641 participants who visited physiotherapy services, and 3 participants from stroke cases who visited rehabilitation services, out of the total participants of BPJS Health in 2015-2016. Frequency of visits to health services for stroke cases among BPJS Kesehatan participants, based on gender, age, province of residence of the participant, type of participation, type of stroke, stroke comorbidity, type of hospital, and cost of claims. Conclusion: This study showed that only a very small number of stroke patients attend rehabilitation services. The utilization services are related to sex, living area, type of stroke, and comorbidities.