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EFFECTIVENESS OF SLUMP AND STRAIGHT LEG RISING STRETCHING FOR PAIN AND FUNCTIONAL ACTIVITIES IN CHRONIC MYOGENIC LOW BACK PAIN AT RSU. ISLAM KLATEN: A CASE REPORT Widiatmi, Sri; Sari, Dwi Rosella Komala
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Abstract

Introduction: The slump test is a neurodynamic test to evaluate the mechanosensitivity of neuromeningeal structures within the vertebral canal. The straight leg raising (SLR) is a provocation test that evidences radicular irritation in the lumbosacral region by lower limb flexion and can be due to multiple causes. Active stretching effectively reduces pain and improves function in adults with LBP (first degree) in sub-acute and chronic phases. Methods: This study was a case report that observed twelve patients with chronic LBP divided into two groups. Group 1 received slum and SLR stretching, while in the group 2 did not treated with stretching, however only got the SWD and TENS. The pain intensity and functional ability were evaluated after treatment by VAS and Oswestry scale respectively. Objective: To determine the effectiveness of slump and SLR stretching for reducing pain and increasing ADL in patients with chronic myogenic LBP. Results: Fifty patients with a diagnosis of chronic myogenic LBP, 12 patients met the inclusion criteria devided into 2 groups. 11 of 12 patients reported decreased pain and increased functional activity. There was a decrease in pain 9 points and an increase in the functional activity of 12.3% in the group 1. While in the group 2, there was a decrease in pain as 3 points and an increase functional activity 2.33% as well. Conclusion: Slump and SLR stretching can reduce pain and increase functional activity in chronic myogenic LBP patients, although the intervention was only given twice and few samples. Further research needs to be done by increasing the number of samples and training doses.
PHYSIOTHERAPY MANAGEMENT FOR DROP FOOT: A CASE REPORT Pratama, Cafin Surya Putra; Sari, Dwi Rosella Komala; Widiatmi, Sri
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 (545.831 KB)

Abstract

Introduction: Drop Foot is a gait disorder that drops the foot forward due to weakness, irritation or damage to peroneal nerve, and paralysis of the muscles in the back of the foot. This is usually a symptom of a bigger problem, not the disease itself. It is characterized by inability or impairment to raise the toes or lift the foot from ankle. Based on data quoted from the Agency for Healthcare Research and Quality (AHRQ), throughout 2009 in the United States there were 1.787 patients who experienced drop foot in hospitals. In the UK, there are 126.699 patients will experience unilateral and bilateral foot drop. Case Presentation: A 26-year-old man was involved in a traffic accident on 1 years ago when he worked in a mine located at East Kalimantan, Samarinda. One day he was going to work form home had a traffic accident with fracture arm and with a deep open wound at medial leg. He was unconscious for 3 days after the accident. After 4 months of being treated in Samarinda, the patient moved to Surabaya because he followed his wife worked. He was treated at UNAIR Hospital for 4 months. Thus, he moved to Klaten and stayed at his family’s place and started doing treatment at Klaten Islamic Hospital. Management and Outcome: Functional Electrical Stimulation (FES), Ankle and Foot Orthoses (AFO), Exercise can increase muscle strength and functional activity that measured by Manual Muscle Test (MMT) and Foot and Ankle Disability Index (FADI) Discussion: FES was able increase muscle strength. Its mechanism is based the depolarization of axons by an electric field. A bidirectional action potensial, activating the motor unit direct depolarization of muscle can used to stimulate the general peroneal nerve, activating the dorsiflexor muscles of the foot during the swing phase of the gait. The AFO improved subtalar joint motion, while also providing stability anterior-posterior and medial-lateral. AFO has beneficial effects in term of improving functional mobility, gait quality and decreased fall rates in these subjects. Therapeutic exercise was a systematic and planned performance intended body movement, posture, or physical activity to provide patients/clients with the means to fix or prevent impairment, repairing, restoring or improving physical function, prevent or reduce health-related risk factors, optimize your health status, fitness, or overall sense of wellbeing. Conclusion: The treatment of Functional Electrical Stimulation (FES), Exercise, and Ankle Foot Orthoses (AFO) in this case is to be useful for patients with foot drop cases caused by nerve damage after a traffic accident, increase muscle strength and increase functional activity.
Physiotherapy Management of Total Knee Replacement et Causa Bilateral Genu Osteoarthritis Reski, Sri; Wahyuni, Wahyuni; Widiatmi, Sri
FISIO MU: Physiotherapy Evidences Vol 4, No 3 (2023): Vol 4, No.3 September 2023 Physiotherapy Case Study
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/fisiomu.v4i3.5054

Abstract

Background: Total Knee Replacement (TKR) et causa Osteoarthritis genu bilateral is a medical procedure for replacing the knee joint with an artificial material in the form of a plate. Weight gain or obesity may be the most common cause of meniscus/joint-cushion thinning. This will cause pain and limited range of motion after knee joint replacement surgery. By providing physiotherapy interventions in the form of IR, Tens and Exercise therapy based on the Rehabilitation Protocol For Knee Replacement Surgery, it is hoped that pain and functional limitations in the knee can return to normal soon. Purpose: the aim is to determine the effect of providing physiotherapy interventions in the form of IR, Tens and Exercise therapy in increasing functional ability in conditions after Total Knee Replacement (TKR) and causing bilateral genu osteoarthritis. Methods: this program is carried out directly to respondents with post-Total Knee Replacement (TKR) conditions and causes of bilateral genu osteoarthritis by administering 3 times of therapy to obtain results of increased functional ability as measured by scores on the KOOS index, namely T0: 36.406 to T3: 39.554. Conclusion: the provision of physiotherapeutic interventions in the form of IR, Tens and Exercise therapy after the case of Total Knee Replacement (TKR) et causa osteoarthritis genu bilateral is proven to reduce complaints in the form of edema, pain, limited range of motion of the joints, and decreased muscle strength which has an impact on increasing the functional abilities of the respondents.