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All Journal Jurnal Fisioterapi dan Ilmu Kesehatan Sisthana (JUFDIKES) Jurnal Ilmu Kedokteran dan Kesehatan Indonesia JTH: Journal of Technology and Health Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Nilam Nur Hamidah
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Health Professions Medicine & Pharmacology Nursing Public Health

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Management Of Physiotherapy Programs In Skin Flap For Thumb : Case Report Della Annisa Thalib; Umi Budi Rahayu; Nilam Nur Hamidah
JURNAL FISIOTERAPI DAN ILMU KESEHATAN SISTHANA Vol. 6 No. 1 (2024): Januari : Jurnal Fisioterapi dan Ilmu Kesehatan Sisthana
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jufdikes.v6i1.1026

Abstract

Skin flap is a skin graft procedure that will repair damaged skin by removing the soft tissue underneath. Objective: to determine Physiotherapy management in the form of giving electro therapy (ultrasound and Infrared) and exercise. Methods: The research method includes a "case report" case study conducted on 1 male patient with a diagnosis of Stiffness wrist digiti 1-5 manus dextra hand function disorders, ec. Amputation of fingers manus dextra post flap). The measuring instruments used are using the Numeric Rating Scale (NRS) for pain scale, Wrist Hand Disability Index (WHDI) to measure functional activity ability, Gonimeter to measure joint motion scope, Manual Muscle Testing (MMT) to measure muscle strength, mitline to measure odema segment circumference. Results: After 3 times of therapy, the patient's assessment results were obtained, namely a significant change in the level of joint scope of motion, muscle strength, skin integrity, motion pain in the wrist and fingers of the right hand, and functional ability. Conclusion: This case study shows that the administration of electrotepsy and exercises in the case of Skin Flap of the thumb of the hand, proved to be effective.
Physiotherapy Management For Pedicled Ld Flap And Stsg E.C Soft Tissue Tumor : A Case Report Kamela Afrelia; Mahendra Wahyu Dewangga; Nilam Nur Hamidah
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 4 No. 1 (2024): Maret : Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v4i1.2948

Abstract

Background: Pedicled LD Flap and STSG are reconstructive measures to cover defects in extensive tumor conditions in the brachii region, especially the elbow. In this case, physiotherapy management is given to accelerate recovery to be more optimal, reduce the risk of complications and improve functional results in the brachii region. Methods: In this study using the Case report method conducted at Prof. Dr. I.G.N.G Ngoerah Bali Hospital in a male patient aged 15 post Pedicled LD Flap and STSG with complaints of pain in the surgical scar area, limited joint motion, and impaired functional ability. Given exercise, infrared modality, and ADL training with 1x a week for 2 weeks. Results: Overall there was an increase in sinistra AGA muscle strength, increased joint motion scope, and improved functional ability with the SPADI Index. Conclusion: Based on research using this case report, it shows that physiotherapy management in post Pedicled LD Flap and STSG E.C Soft Tissue Tumor conditions given infrared, exercise, and ADL training can be concluded to be able to reduce pain, reduce stiffness, increase the scope of joint motion, increase muscle strength, and improve joint functional abilities and daily activities of patients.
Physiotherapy Management For Pedicled Ld Flap And Stsg E.C Soft Tissue Tumor : A Case Report Kamela Afrelia; Mahendra Wahyu Dewangga; Nilam Nur Hamidah
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 4 No. 1 (2024): Maret : Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v4i1.2948

Abstract

Background: Pedicled LD Flap and STSG are reconstructive measures to cover defects in extensive tumor conditions in the brachii region, especially the elbow. In this case, physiotherapy management is given to accelerate recovery to be more optimal, reduce the risk of complications and improve functional results in the brachii region. Methods: In this study using the Case report method conducted at Prof. Dr. I.G.N.G Ngoerah Bali Hospital in a male patient aged 15 post Pedicled LD Flap and STSG with complaints of pain in the surgical scar area, limited joint motion, and impaired functional ability. Given exercise, infrared modality, and ADL training with 1x a week for 2 weeks. Results: Overall there was an increase in sinistra AGA muscle strength, increased joint motion scope, and improved functional ability with the SPADI Index. Conclusion: Based on research using this case report, it shows that physiotherapy management in post Pedicled LD Flap and STSG E.C Soft Tissue Tumor conditions given infrared, exercise, and ADL training can be concluded to be able to reduce pain, reduce stiffness, increase the scope of joint motion, increase muscle strength, and improve joint functional abilities and daily activities of patients.
EFFECTIVENESS OF SHOULDER ROM EXERCISES IN POST BREAST CANCER SURGERY: CASE REPORT Firnadia Septika Rahajeng; Arif Pristianto; Nilam Nur Hamidah
JTH: Journal of Technology and Health Vol. 2 No. 1 (2024): July: JTH: Journal of Technology and Health
Publisher : CV. Fahr Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61677/jth.v2i3.358

Abstract

This study evaluated the effectiveness of Range of Motion (ROM) exercises in post-breast cancer surgery patients who experienced shoulder stiffness. This study used a case report method, which was carried out on a 33-year-old female patient with a diagnosis of shoulder stiffness after breast cancer surgery. Measurements were made using various parameters, namely pain level using the Numerical Rating Scale (NRS), muscle strength using Manual Muscle Testing (MMT), and shoulder functional ability using the Shoulder Pain and Disability Index (SPADI). The physiotherapy interventions provided include active and passive ROM exercises, as well as hold-relax techniques with variations in flexion extension, abduction-adduction, and internal-external rotation with a dose of 8 repetitions in 2 sets per therapy session. The results showed a significant reduction in pain, where movement pain decreased from NRS 5 to NRS 1, as well as an increase in muscle strength from level 3 to level 5. Joint range of motion (ROM) increased, with shoulder flexion from 90° to 170°, abduction from 75° to 170°, and external rotation from 40° to 90°. In addition, the SPADI score decreased from 39.30% to 14.00%, indicating an increase in shoulder functional ability. This study concludes that active and passive ROM exercises have proven to be effective in increasing joint flexibility, reducing pain, increasing muscle strength, and improving shoulder functional ability in post-breast cancer surgery patients. This exercise can be a recommended physiotherapy intervention in the rehabilitation of patients with similar conditions.
Co-Authors Arif Pristianto Della Annisa Thalib Dewangga, Mahendra Wahyu Firnadia Septika Rahajeng Kamela Afrelia Umi Budi Rahayu