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All Journal Open Access Indonesian Journal of Medical Reviews Academic Physiotherapy Conference Proceeding Jurnal Profesional Fisioterapi Journal Physical Therapy UNISA
Prihastomo, Teguh
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Journal : Academic Physiotherapy Conference Proceeding

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Management Fisioterapi pada Kasus Drop Foot e.c. Morbus Hansen Multi Basiler dengan Xerosis dan Ulcus Zahra, Arifah Az; Wijianto, W; Prihastomo, Teguh
Academic Physiotherapy Conference Proceeding 2024: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Morbus Hansen atau biasa dikenal Kusta adalah penyakit menular kronis yang disebabkan oleh sejenis bakteri yang disebut Mycobacterium leprae dan menyerang kulit, saraf perifer, mukosa saluran pernapasan bagian atas, dan mata. Kusta dapat mengganggu kelembapan kulit yang menyebabkan xerosis. kusta biasanya dapat disembuhkan dan jarang menyebabkan kematian, tetapi dapat menyebabkan cacat. Salah satu masalah yang timbul akibat penyakit kusta ini adalah kelemahan atau lesi saraf peroneus, yang merupakan kelumpuhan otot anterior dan lateral pada kaki karena cedera atau kerusakan saraf peroneus. Ini juga dikenal sebagai istilah drop foot. Case Presentation: Penelitian ini dilakukan dengan meneliti seorang pasien jenis kelamin laki-laki usia 42 tahun yang didiagnosa Drop Foot Bilateral et causa Morbus Hansen Multi Basiler dengan Xerosis dan Ulcus. Dengan tujuan untuk mengetahui manfaat dari modalitas fisioterapi berupa Electrical stimulation, Stretching exercise, Terapi Latihan, dan Oiling. Management and Outcome: setelah dilakukan Tindakan fisioterapi sebanyak 3 kali pertemuan selama 3 dengan durasi 45 menit setiap pertemuan. didapatkan peningkatkan kekuatan otot pada dorsi fleksi, eversi dan inversi ankle dextra 1 poin, dan peningkatan lingkup gerak dextra dan sinistra sebanyak 5 derajat. Namun belum mengalami peningkatan pada kelembapan kulit dan belum mengalami perubahan pada kemampuan fungsional. Discussion: Belum adanya peningkatan yang signifikan dalam aspek-aspek pemeriksaan secara keseluruhan. Hal ini dikarenakan kerusakan pada saraf membutuhkan waktu yang lebih lama untuk sembuh dari pada otot. Karena fungsi saraf mengirimkan impuls listrik ke otot, ketika otot mengalami kerusakan, implus listrik yang dikirim ke otot akan terganggu dan berkurang, yang berarti otot tidak dapat melakukan fungsinya dengan baik. Oleh karena itu, sangat memungkinkan terjadinya peningkatan apabila waktu pertemuan untuk evaluasi diperpanjang. Total dari dilakukan terapi hingga evaluasi yaitu 3 kali pertemuan selama 2 minggu dengan durassi 45 menit setiap pertemuan. Conclusion: berdasarkan penelitian pada studi kasus ini menunjukkan bahwa modalitas fisioterapi pada kasus Drop Foot e.c morbus hansen multi basiler dengan xerosis dan ulcus berupa Electrical Stimulation, Stretching exercise, Terapi Latihan, dan Oiling dapat meningkatkan kekuatan otot dan peningkatan lingkup gerak sendi meskipun belum signifikan.
PHYSIOTHERAPY MANAGEMENT IN INDIVIDUAL WITH WRIST DROP AFFECTED BY LEPROSY: A CASE REPORT Endrawati, Mira Yuga; Sari, Dwi Rosella Komala; Prihastomo, Teguh
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Leprosy is a skin disease caused by Mycobacterium leprae, which is an intracytoplasmic parasite on macrophages and Schwann cells. This bacterium attacks the peripheral nerves, especially the Schwann cells. Mycobacterium leprae was first discovered by a Norwegian named Gerhard Armauer Hansen. One of the consequences of peripheral nerve disorders in people with leprosy is drophand/wrist drop/finger drop caused by damage in radial nerve. Case Presentation: A male patient aged 29 years, at the Kelet’s Hospital, Jepara, Central Java, on January 11, 2021 in a bed rest phase, had a fever of 37.8 C. His diagnose was wrist drop affected by leprosy. The condition of the skin was dry and peeled and indicated wrist drop. Previously, the patient had treated at one of the health centers in Juwana city, Central Java, and received the 4th MDT, the haemoglobin was 7 and already received a blood transfusion. Thus, the patient was referred to Kelet’s Hospital to get better treatments and the doctor suggested to do physiotherapy treatment. Management and Outcome: The interventions used the virgin coconut oil (VCO) Oil, passive, active assisted and stretching for 3 sessions. The impairments were limitation movement for wrist flexion and extension. The evaluation carried out the Manual Muscle Testing (MMT) to measure the muscle strength of wrist flexion and extension and the xerosis problem value applied by Overall Dry Skin Score (ODSS). Discussion: After 3 sessions, the physical examination declaired muscle strength for wrist flexion and extension had the same pattern was 3 of 5 and xerosis problem had not decreased yet. The second treatment reported muscle strength was not increasing, however the skin condition was more moist. The third evaluation found a reduction of xerosis condition, as well as increased muscle strength for wrist flexion and extension were 4 of 5. Conclusion: A management of physiotherapy used VCO Oil and exercise therapy applied passive, active assisted and stretching in patients with wrist drop affected by leprosy, reported giving positive effects to xerosis condition and able increase muscle strength of flexion and extension of wrist joint.
Physiotherapy Program on Claw Hand Condition at Leprosy Hospital Kelet Donorejo: a Case Study Hawari, Dadang; Naufal, Adnan Faris; Prihastomo, Teguh
Academic Physiotherapy Conference Proceeding 2022: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Leprosy or known as Morbus Hansen's disease is a bacterium that attacks skin tissue, peripheral nerves, and respiratory tract in humans under the name Mycobacterium leprae. Fourteen countries including Indonesia conducted data collection on cases of leprosy in the world with a total of 199,992 people in 2015 and 17,202 people in Indonesia. Most people with leprosy experience ulnar nerve paralysis which causes partial disruption of the fingers.Case Presentation: Patient S, 21 years old, complains of swelling of the hands and itching and fever. The patient reported numbness in the left hand and difficulty moving the 4th and 5th fingers of the left arm. In January 2021 the doctor recommended taking multi drug therapy (MDT), after taking it the patient had a severe reaction with nodules appearing in several areas.Management and Outcome: Physiotherapy performed an IPPA examination (inspection, palpation, percussion, auscultation), the results were thickening of the left ulnar nerve, the skin surface felt dry and rough. physiotherapy also performs pain assessment using a numerical rating scale (NRS), muscle strength examination using manual muscle testing (MMT), examination of joint range of motion with a goniometer, examination of motor nerve function and nerve palpation with POD, and examination of functional ability of the hand using a wrist hand. disability index (WHDI).Discussion: The physiotherapy program carried out for claw hand patients aims to increase the range of motion of the joints, increase muscle strength, and increase the patient's functional activities.Conclusion: The physiotherapy program for 7 meetings on claw hand conditions at the Leprosy Hospital Kelet Donorojo, Jepara in the form of stretching, strengthning, and functional exercises can increase the range of motion of the joints, there has not been an increase in muscle strength and functional in the patient, although in the range of joint motion which increases, the results are not significant.
Co-Authors Andini, Rizqi Mutia Arif Pristianto Dwi Rosella Komala Sari Endrawati, Mira Yuga Hawari, Dadang Isnaini Herawati Naufal, Adnan Faris Ratnasari, Eka Febri Tiara Fatmarizka Wahyu Tri Sudaryanto Wijianto, W Zahra, Arifah Az