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Physiotherapy Management in Cases of Bell's Palsy Dextra et Causa Post Craniotomy with Transcutaneous Electrical Nerve Stimulation (TENS) and Facial Exercise: Case Reports Ramahandika, Achmad Kukuh; Widodo, Agus; Kadarti, Sri Isnin
Academic Physiotherapy Conference Proceeding 2024: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Abstract

Introduction: Bell's palsy is a condition of peripheral facial paralysis or weakness which is generally idiopathic, occurring due to interference with nerve VII in the stylomastoid foramen. Although the majority of patients recover completely, a small proportion experience different sequelae. Although its etiology is not yet fully understood, its association with certain viral infections has been recognized, causing neuroinflammation and other pathological processes. Risk factors such as elevated blood sugar, uncontrolled blood pressure, and migraines can increase susceptibility to this paralysis. Case Presentation: This study reported a men patient, 16 years old with bell's palsy dedxtra post craniotomy after an accident on November 2023 and there was bleeding in the brain. The patient was taken to Dr. Sardjito General Hospital for surgery and felt that the right side of his face was thickened, numb and sensitive after the operation. Management and Outcome:. The measuring instruments used in this study were the Numeric Rating Scale (NRS) to measure the degree of pain felt by the patient, Manual Muscle Testing (MMT) to measure the degree of muscle strength, Ugo fisch performed on patients to provide information regarding facial function assessment, and House-Brackmann Score to assess nerve damage in facial nerve paralysis and Transcutaneous electrical nerve stimulation intervention. Discussion: There was a decrease in pain as measured using a numeric rating scale from 3 to 2, an increase in muscle strength from 3 to 4, an increase in the degree of functional activity from 26 points (poor condition) to 50 points (medium condition), there was an increase in the score on the House- Brackmann Score from grade V (severe dysfunction) to grade IV (moderate and severe dysfunction). Conclusion: Comprehensive treatment with physiotherapy techniques has a positive effect on patients with Bell's Palsy. This research may be a reference to guide other physiotherapists in carrying out rehabilitation for Bell's Palsy patients.
Anthropometric Measurements to Detect Stunting in Toddlers in Plosokerep Village, Sragen Arimbi, Cindy Kartika; Ramahandika, Achmad Kukuh; Sukmawati, Andera Prastina; Latif, Syariah; Radinda, Indiana; Kurniawati, Innie; Zahra, Izdihar; Hizza, Rifqi Warnedi; Saputra, Andi; Pristianto, Arif; Naufal, Adnan Faris
Urecol Journal. Part C: Health Sciences Vol. 3 No. 1 (2023): January-June
Publisher : Konsorsium LPPM Perguruan Tinggi Muhammadiyah 'Aisyiyah (PTMA) Koordinator Wilayah Jawa Tengah - DIY

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53017/ujhs.244

Abstract

Short Toddler (Stunting) is the nutritional status based on the PB/U or TB/U index where in anthropometric standards to assess the nutritional status of children, the measurement results are at the threshold (Z-Score) < -2 SD to -3 SD (short/dwarf) and <-3 SD (very short/severe stunted). Stunting is a health problem that occurs in society so it needs to be treated seriously, because it will have an impact in the long term and can be repeated in the life cycle. The direct cause of stunting is malnutrition in toddlers which can have an impact on low levels of intelligence. This education aims to provide knowledge to parents about stunting prevention and how to overcome stunting in toddlers. Thus, this education is very important because in cases of increased stunting, problems with growth and development in children can be prevented and minimize further disability in sufferers of stunting. In this counseling, it was found that there were a number of toddlers who experienced stunting or malnutrition, namely as many as 6 toddlers and from head circumference measurements, the results of toddlers with microcephaly head circumference (small head circumference) were 7 toddlers (29%).