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All Journal Academic Physiotherapy Conference Proceeding Physical Therapy Journal of Indonesia
Ningsih, Alifia Fitria
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Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health

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Penatalaksanaan Fisioterapi pada Kondisi Carpal Tunnel Syndrom di RSJD dr. RM. Soedjarwadi Prov. Jawa Tengah: A Case Study Ningsih, Alifia Fitria; Susilo, Taufik Eko; Sukatwa, S
Academic Physiotherapy Conference Proceeding 2024: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Abstract

Introduction: Carpal Tunnel Syndrome (CTS) merupakan kelainan yg disebabkan oleh penekanan saraf medianus pada terowongan karpal di pergelangan tangan. Penekanan saraf medianus mengakibatkan mobilitas saraf terbatas yang ditandai dengan timbulnya rasa nyeri, parestesia, kesemutan, dan hilangnya sensasi pada persarafan saraf medianus. Fisioterapis memberikan tindakan seperti terapi ultrasound dan terapi latihan dengan teknik neurodinamik exercise (nerve gliding exercise). Case Presentation: Pasien atas nama Ny. S berusia 62 tahun yang kegiatan sehari-harinya adalah bertani. Pasien sudah mengeluhkan rasa nyeri dan kesemutan selama satu tahun, kemudian rasa nyeri semakin meningkat sejak 3 bulan yang lalu, sehingga menghambat aktivitas sehari-hari akibat nyeri. Management and Outcome: pemberian ultrasound dengan dosis frekuensi: 1 MHz, intensitas: 2.5 w/cm2, tipe: continuos, waktu: 3 menit, dan neurodinamik exercise dengan frekuensi: 3x/seminggu, repetisi: 10-15x/gerakan. Parameter yang digunakan untuk evaluasi yaitu menggunakan NPRS, MMT dan WHDI. Discussion: Terjadi penurunan nyeri dan peningkatan kemampuan fungsional diakhir evaluasi. Hal tersebut juga dipengaruhi dengan pasien yang mengurangi aktivitas penggunan tangan kanan. Penggunaan modalitas ultrasound dan neurodinamik exercise dapat membantu meringankan gejala yang dirasakan pasien dengan carpal tunnel syndrome. Conclusion: penatalaksanaan fisioterapi dengan pemberian ultrasound mampu menurunkan rasa nyeri, dan pemberian neurodinamik exercise mampu meningkatkan kekuatan otot dan meningkatkan kemampuan fungsional tangan.
The Impact of Puzzle Games on Attention and Fine Motor Abilities Upon Cases of Autism Spectrum Disorder: A Case Report Almadani, Zahra; Ningsih, Alifia Fitria; Purwaningsih, Ika; Wibowo, Angger Perdana; Pristianto, Arif; Herlinawati, Intan
Physical Therapy Journal of Indonesia Vol. 3 No. 2 (2022): July - December 2022
Publisher : Universitas Udayana dan Diaspora Taipei Medical University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/ptji.v3i2.56

Abstract

Background: Autism Spectrum Disorder (ASD) is brought on by the neurobiology process. This disorder ultimately results in the inability to communicate with others, a lack of interest, and repetitive behavior. One of the things that are most often encountered in children with ASD is reduced eye contact. Which, of course, will impact the severity of social deficits in the future. Patients with this behavior condition also experience motor impairments, particularly in fine motor abilities and eye contact difficulties. Naturally, there is a relationship between eye contact and fine motor abilities, where the intensity of the person's attention will undoubtedly predict fine motor abilities. Both abilities can be improved by solving puzzles. Playing this game might enhance focus, attentiveness, and fine motor abilities. This study aims to understand how puzzle games affect the attention and fine motor abilities of children with ASD. Case Description: The patient was five years and six months old with a genetic background and was diagnosed with ASD. This study was conducted at the Intan Child Physiotherapy Clinic (IFA), Boyolali. The length of time the child can maintain eye contact with objects during an attention evaluation will be used by the therapist to gauge the fine motor skills and assess how well the youngster grasps and pinches objects. Observational data-gathering approaches are employed throughout therapy. Results: The patient's capacity for eye contact attention was worth 1 second, whereas the capacity for attention to objects was 30 seconds. The number for grabbing was three (plenty), whereas the value for pinching was one and a half (very little). Conclusion: There was no significant improvement in both attentional and fine motor skills.
Co-Authors Almadani, Zahra Arif Pristianto Herlinawati, Intan Ika purwaningsih, Ika Sukatwa, S Taufik Eko Susilo Wibowo, Angger Perdana