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Rochmaningtyas, Putri
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PROVISION COMBINATION OF CERVICAL TRACTION AND NEURAL MOBILIZATION MODALITY IN PHYSIOTHERAPY MANAGEMENT IN CERVICAL RADICULOPATHY: A CASE REPORT Kurniansari, Anggun Agiel; Pristianto, Arif; Rochmaningtyas, Putri
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Cervical radiculopathy (CR) is a condition described as neck pain radiating to one or both sides of the upper limb, allowing sensory, reflex and even motor disturbances to occur. The incidence of CR was recorded as 1.07-1.75 per 1000 males and 0.68-5.8 per 1000 females. Most of the improvement was obtained through non-surgical measures, that physiotherapy management will be described in the form of a combination of cervical traction (CT) and neural mobilization (NM) modalities. Case Presentation: A 52-year-old female patient complained of neck pain up to her left arm, appeared forward head posture, was diagnosed with cervical radiculopathy due to narrowing of the intervertebral disc from C5-7 (SMRI results). Management and Outcome: After 6 treatments, pain reduction was obtained from T0: 4/10 to T5: 2/10 numeric rating scale (NRS), the results of the goniometer measurement of the joint range of motion (ROM) neck flexion T0:42o to T5:45o and decreased disability rate from 35% (T0) to 42% (T5) neck disability index (NDI) score. Discussion: The use of CT provides a short-term analgesic effect, increasing the intervertebral foramen space that the pressure between the discs decreases. While the NM technique will increase the ability of nerve gliding and decrease nerve mechanosensitivity. Conclusion: The combination of CT and NM modalities can reduce pain, increase ROM and decrease disability in CR patients.
THE EFFECTIVENESS OF NEURODYNAMIC TECHNIQUE (TENSIONING AND SLIDING) AND ULTRASOUND THERAPY TO REDUCE SYMPTOMS ON CARPAL TUNNEL SYNDROME PATIENTS: A CASE REPORT Khotimah, Ulfah Khusnul; Pristianto, Arif; Rochmaningtyas, Putri
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Carpal Tunnel Syndrome (CTS) is a peripheral neuropathy caused by entrapment on the median nerve in the carpal tunnel resulting in limited nerve mobility. The aim of this study is to find out the effectiveness of the neurodynamic technique (tensioning and sliding) and ultrasound therapy to reduce symptoms in CTS patients. Case Presentation: The patient was a 47 years old woman with sensory impairment and decreased functional ability. Sensory impairment includes pain, paresthesias, and numbness in the palm and thumb to the ring finger. Management and Outcome: Treatment given was a conservative treatment by physiotherapy in the form of neurodynamic technique (tensioning and sliding) and ultrasound therapy. The instruments used were the Numeric Pain Rating Scale to measure the pain and Boston Carpal Tunnel Questionnaire to measure the severity of symptoms and functional ability. Discussion: The results obtained were the decrease of tenderness T1: 3 to T4: 2, motion pain T1: 3 to T4: 2, and increased functional ability of the patient. Conclusion: The addition of hand splinting use during working with giving neurodynamic technique (tensioning and sliding) and ultrasound therapy can effectively reduce pain and increase functional ability.
EFFECTIVENESS OF ULTRASOUND (US), TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION (TENS) AND STRETCHING IN PLANTAR FASCIITIS CASES: A CASE REPORT Khotimah, Siti Nur; Pristianto, Arif; Rochmaningtyas, Putri
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Plantar Fasciitis (PF) is a standard heel and foot pain that affects the plantar fascia. The purpose of this study is to determine the effectiveness of ultrasound (US), Transcutaneous Electrical Nerve Stimulation (TENS), and stretching in treating Plantar Fasciitis cases. Case Presentation: The patient in this study was a 38-year-old man with complaints of medial heel press pain, wake-up pain in the morning and after activity. Management and Outcome: given therapy in ultrasound (US), Transcutaneous Electrical Nerve Stimulation (TENS), and stretching as many as four times. The pain was measured using a numeric rating scale (NRS) and the Foot and Ankle Outcome Score (FAOS). Discussion: After being given therapy, it obtained results in the form of pain reduction measured using the Numeric Rating Scale (NRS pain press T1: 5 to T4: 2, wake pain in the morning T1: 7 to T4: 3, pain after activity T1: 6 to T4: 3 and there was an increase in ability measured using FAOS (Foot and Ankle Outcome Score). Conclusion: The administration of ultrasound (US), Transcutaneous Electrical Nerve Stimulation (TENS), and stretching effective reduces pain and improves functional ability in patients with Plantar Fasciitis.
Co-Authors Arif Pristianto Khotimah, Siti Nur Khotimah, Ulfah Khusnul Kurniansari, Anggun Agiel