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All Journal Academic Physiotherapy Conference Proceeding Jurnal Profesional Fisioterapi
Susilo, Ridwan Andi
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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.
EFFECTS AEROBIC EXERCISE ON VO2 MAX IN PHASE 2 REHABILITATION POST PERCUTANEOUS CORONARY INTERVENTION (PCI) AT DR. MOEWARDI HOSPITAL Nurrahman, Muhammad Rizqa; Naufal, Adnan Faris; Susilo, Ridwan Andi
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (685.068 KB)

Abstract

Introduction Coronary Heart Disease (CHD) is a disease that occurs due to the formation of atherosclerotic plaques in the lumen of blood vessels. Case Presentation: Aerobic exercise was carried out for 2 months and evaluated every month. Aerobic exercise is carried out based on the Cardiovascular Rehabilitation Manual compiled by the Indonesian Association of Cardiovascular Specialists. Based on the Cardiac Rehabilitation Manual, patients who will be given aerobic exercise are examined first using the 6 minute walking test to determine the dose to be used for exercise. Exercise intensity using the target Heart Rate Reserve (HRR). Management and Outcome: Aerobic exercise can increase VO2 Max from before being given aerobic exercise until the second month evaluation. This proves that Aerobic exercise can increase VO2 Max in coronary heart patients after Percutaneous Coronary Intervention. Discussion: The mechanism underlying the increase in VO2Max due to the intensity of aerobic exercise in the elderly is an improvement in the adaptation mechanisms at the central and peripheral levels to exercise. The increase in VO2Max that occurs after endurance training in healthy elderly men is due to an increase in peak stroke volume and a lower CO difference, thereby increasing A-VO2Max.. Conclusion: After the patient on behalf of Mrs. S carried out a phase 2 rehabilitation program with Aerobic exercise or walking exercise for 2 months, the results obtained were a fairly good increase in VO2 Max in post-Percutaneous Coronarry Intervention patients.
MANAGEMENT OF PHYSIOTHERAPY IN MITRAL VALVE REPLACEMENT E.C. MITRAL REGURGITATION RELATED TO AEROBIC CAPACITY: A CASE STUDY Suwendra, Ria; Sari, Dwi Rosella Komala; Susilo, Ridwan Andi
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (438.966 KB)

Abstract

Introduction: A mitral regurgitation (MR) is the second most common single native valvular disease and accounts for 31.6% of valvular heart disease patients with degenerative etiology as much as 61.3%, rheumatism 14.2%, endocarditis 3.5%, inflammation 0.8%, congenital 4.8%, ischemic 7.3%, miscellaneous 8.1%.2 In patients who undergoing surgical intervention for severe MR, the most common etiologies being MVP (20%-70% of cases), ischemic MR (13%- 30% of cases), rheumatic disease (3%-40% of cases), and endocarditis (10%- 12% cases). Case presentation: A 44-year-old housewife patient complained of pain in the area around the operation of Dr. Moewardi’s hospital, Surakarta, especially when coughed and sneezed and body rotation involved movement in the chest area. Found muscle spasm in the area intercostals muscles, scaleni, levator scapula, and pectoralis major. On auscultation there was a clicking sound coming from a mechanical valve, no cardiac murmur was heard, percussion was resonant. laboratory test Fasting Blood Sugar 148 mg/dl, and other results look normal. Blood pressure was 108/46 mmHg, SPO2 was 98%, temperature was 36.8˚C, respiratory rate was 20 bpm, heart rate was 70 bpm. Vital examinations were performed before performing the strength test. Management and outcomes: Performed massage with efflurage technique to reduce spasm in the accessory muscles of respiration. The patient underwent a physiotherapy rehabilitation program using a 6 minutes walking test with telemetry. The exercise phase lasts about 20-60 minutes with the brisk walking exercise method. Borg Scale – RPE Category Scale was used to measure the perception of fatigue and dyspnea symptoms during exercise. Exercise is given 10 times in 2 weeks with one session of 60 minutes Disscussion: Physiotherapy technique as effleurage is an effective technique used to increase blood flow, reduce muscle tightness and relieve muscle tension. And walk brisk were able to reduce the fatique symptom of patient and increase the capability of tolerance activity. Although the aerobic capacity was not altering as well. Conclution: The regular exercises can significantly improve the quality of life in patient with post surgery mitral valve replacement.
Co-Authors Dwi Rosella Komala Sari Naufal, Adnan Faris Nurrahman, Muhammad Rizqa Randa, Meybi Suwendra, Ria Wijianto Wijianto