Randa, Meybi
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PENATALAKSANAAN FISIOTERAPI PADA KASUS POST DOUBLY COMMITTED SUBARTERIAL VENTRICULAR SEPTAL DEFECTS CLOSURE:: LAPORAN KASUS Randa, Meybi; Wijianto, Wijianto; Susilo, Ridwan Andi
JURNAL PROFESIONAL FISIOTERAPI Vol. 2 No. 2 (2023): July
Publisher : Universitas Muhammadiyah Metro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24127/fisioterapi.v2i2.3928

Abstract

Pendahuluan: Subarterial doubly committed (SADC) merupakan subtipe VSD yang dikenal sebagai tipe VSD infundibular yang terletak di bawah katup semilunar (aorta dan pulmonal) di septum outlet ventrikel kanan diatas crista supraventricularis. Jenis VSD ini pada populasi Asia menyumbang sekitar 30% dibandingkan dengan populasi Barat (5-10%). Kelainan ini menyebabkan tidak mampunya katup menutup secara spontan dan prolaps katup aorta, serta regurgitasi aorta (AR) yang diperkirakan melebihi 40% akibat tidak adanya septum infundibular. Metode: Metode penelitian yang digunakan adalah case report dengan identitas seorang pria berusia 24 tahun terdiagnosa subarterial doubly committed pasca operasi VSD closure atau penutupan katup jantung yang akan mengikuti program rehabilitasi jantung di RSUD Moewardi Surakarta dengan jenis latihan aerobic sebanyak 3 kali pertemuan dan keluhan pasien sekarang adalah mudah lelah, serta intoleransi aktivitas. Hasil: Latihan pertama diperoleh METS 9,131 atau VO2Max 31,960, latihan kedua diperoleh METS 8,90 atau VO2Max 31,151 dan latihan ketiga 7,65 METS. Simpulan: Adanya pengaruh latihan aerobic terhadap proses penyembuhan pasca operasi VSD closure, tetapi terjadi penurunan kapasitas aerobic akibat latihan home program yang jarang dilakukan pasien. Introduction: Subarterial double committed (SADC) is a subtype of VSD known as the infundibular VSD type which is located below the semilunar valves (aortic and pulmonary) in the right ventilation outlet septum above the supraventricular crista. This type of VSD in the Asian population accounts for about 30% compared to the Western population (5-10%). This condition causes the inability of the valve to close spontaneously and prolapse of the aortic valve, as well as aortic regurgitation (AR) which is estimated to exceed 40% due to the absence of an infundibular septum. Methods: The research method used was a case report with the identity of a 24-year-old man diagnosed with subarterial double commit after VSD closure surgery or heart valve closure who was going to take part in a cardiac rehabilitation program at the regional public hospital Moewardi Surakarta with a type of aerobic exercise for 3 meetings and the patient's complaints are now easily tired and activity intolerance. Results: The first exercise obtained METS 9.131 or VO2Max 31.960, the second exercise obtained METS 8.90 or VO2Max 31.151 and the third exercise 7.65 METS. Conclusion: There is an effect of aerobic exercise on the healing process after VSD closure surgery, but there is a decrease in aerobic capacity due to exercise programs at home which patients rarely do.
The Effect of Stretching and Strengthening Exercises on Reducing Pain and Functional Disorders in Subacromial Pain Syndrome: A Literature Review Wahyuni, Wahyuni; Randa, Meybi
FISIO MU: Physiotherapy Evidences Vol. 5 No. 1 (2024): Physiotherapy New Era
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/fisiomu.v5i1.2280

Abstract

Introduction: Shoulder pain is the third most common pain in musculoskeletal cases, after lower back and knee pain. These complaints are caused by various things, including subacromial pain syndrome. Subacromial pain syndrome is a synonym for rotator cuff syndrome, which refers to all non-traumatic unilateral shoulder problems involving the structures surrounding the subacromial. The purpose of this study was to determine the effect of stretching and strengthening exercises on reducing pain and functional impairment in subacromial pain syndrome. Methods: The method used is a literature review with a narrative type. The data for the selected publication articles are RCTs for 2013-2022 in English. Search publication articles using search PEDro, and Google Scholar which are classified into inclusion and exclusion criteria. Data analysis by assessing the quality of journals using the PEDro scale, outline literature review of the PICO method and data synthesis. Results: Strengthening and stretching exercises show significant short-term functional improvement and pain reduction in subacromial pain syndrome. Additionally, specific rotator cuff and scapular exercises, combined with active/passive ROM exercises, significantly enhance function and reduce pain levels. Conclusion: Strengthening (eccentric, isometric) and stretching exercises on the posterior shoulder and rotator cuff or scapular in the short term have an effect on reducing pain (VAS), as well as a significant improvement in function (DASH scale).