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THE EFFECT OF THE OTAGO EXERCISE PROGRAM AND BRIDGING EXERCISE IN THE ELDERLY WITH THE RISK OF FALL IN RSUD PROF. DR. MARGONO SOEKARJO PURWOKERTO: A CASE REPORT Wahyundari, Dhanti; Naufal, Adnan Faris; Wijayaningsih, Anteng
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Falls` is the third leading cause of disability among the elderly and a public health problem with major social impacts worldwide in countries with significantly aging populations. More than 30% of people over the age of 65 fall each year and half of the cases fall again. Dynamic balance and leg muscle strength have a close relationship with the risk of falling. Reduced hip muscle activity also affects the body's ability to maintain balance which has negative consequences on functional performance. Case Presentation: Mr. IW is 74 years old with complaints of pain from the lower back sometimes radiating to the left side of the leg since 1 year ago. The left lower leg feels heavy and the pain increases when doing strenuous activities and walking long distances. Complaints reduced with rest. The patient's history of comorbidities has heart disease and gout. Management and Outcome: Patients received the Otago Exercise Program and Bridging Exercise in 1 month with a prescribed dose. Based on the results of the BBS examination, 30 second Chair Stand, TUG Test, and the Indonesian version of the ODI modification, there was an increase in balance and muscle strength of the lower extremities as well as an increase in functional activity seen in patients Discussion: History of low back pain that can causes changes in balance and postural control so that it has a higher postural sway and greater displacement of the center of pressure. For the elderly to be able to enjoy a healthy life and be free from worries about accidents that result in bruises such as falls, they need good muscle strength and balance skills. Lower leg muscle weakness is one of a predictor of falls. Another study found that regular exercise, lumbar muscle strengthening exercises and balance exercises were effective in preventing injury in the elderly and improving the function of the sensory-motor system, which is necessary to keep the body safe. The specially designed OEP consists of strengthening and balance exercises targeting and improving dynamic balance outcomes in the elderly. Core strengthening exercise in the form of Bridging Exercise can restore the body's postural control function and increase range of motion and is considered an appropriate exercise for the elderly. Conclusion: Physiotherapy programs for the elderly at risk of falling using the Otago Exercise Program and Bridging Exercise can improve balance and muscle strength in the lower extremities as well as increase the ability to functional activity in elderly individuals.

THE EFFECT OF BRIDGING EXERCISE AND GAIT INTERVENTION FOR HEMIPARASE AFTER STROKE ISCHEMIC AT PROF. DR. MARGONO SOEKARJO HOSPITAL PURWOKERTO: A CASE REPORT Pradani, Frita Aulia; Naufal, Adnan Faris; Wijayaningsih, Anteng
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Stroke is a disease of functional brain disorders in the form of paralysis of the nerves that causes muscle weakness or imbalance, reduced postural control, muscle flexibility, and body asymmetry. As many as 80% of stroke patients will experience walking problems. Lack of muscle use for a long time can also cause secondary changes in muscles and nerves, causing musculoskeletal problems in the joints and problems coordinating activities in the neuromuscular system which is responsible for limb control and balance. The provision of bridging exercise and gait interventions can improve dynamic balance, leg muscle strength, walking speed and mobility after stroke so that it will also increase the patient's functional activity. Case Presentation: A 60-year-old housewife with a history of left hemiparase complains of dizziness, stiffness in the back area and feels heavy when trying to stand up since having a stroke 5 months ago. From the results of the examination, it was found that there was weakness in the lower extremities, balance disorders and disturbances in walking patterns. The patient has a history of hypertension and diabetes mellitus and a family history of similar diseases. Management and Outcome : Giving bridging exercise and gait intervention to patients aims to overcome problems in patients, especially strengthening the muscles of the lower extremities. From the results of measurements and examinations using BBS and NKT there was an increase in muscle strength and balance in patients. Discussion: Disorders of balance and gait patterns are often found in cases of hemiparase after a stroke. This is due to a decrease in strength in the core muscles and lower extremity muscles due to stroke, therefore it is necessary to reactivate these muscles so that the body can function properly. In the study, it was found that giving bridging exercise and gait intervention can activate core muscles and leg muscles so that there is an increase in these muscles. This can improve balance and change in the pattern of walking for the better. Conclusion: In this case, it was found that there was an increase in balance, leg muscle strength and stride length after the intervention of Bridging Exercise and Gait Intervention every 2 weeks for one month.

PHYSIOTHERAPY MANAGEMENT FOR CARPAL TUNNEL SYNDROME: A CASE STUDY Ni'mah, Dita Nurul; Naufal, Adnan Faris; Wijayaningsih, Anteng
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Carpal tunnel syndrome (CTS) is the most common neuropathy caused by compression of the median nerve in the carpal tunnel, which can cause symptoms such as pain, tingling, and numbness,the prevalence is 5.8% in adult women and 0.6% in men. The purpose of this study was to determine the effectiveness of a physiotherapy program using manual therapy, and exercise therapy to reduce pain and increase functional activity in patients with Carpal Tunnel Syndrome (CTS). Case Presentation: Mr. H complained of tingling in his left hand from the wrist to the 4th finger and sometimes felt pain. Complaints are exacerbated at night so that it is difficult to sleep. Mr. H has difficulty driving a motorbike or car, buttoning clothes, opening bottles, and doing activities requiring the left hand. Management and Outcome: The patient attended therapy four times once a week for four weeks with a physiotherapy program manual therapy, stretching exercises and strengthening exercises. Patients were evaluated using the Numerical Rating Scale (NRS), Manual Muscle Testing (MMT), and Boston Carpal Tunnel Syndrome Questionnaire (BCTSQ). Conclusion: Physiotherapy management in the form of manual therapy, stretching exercises and strengthening exercises performed once a week for four weeks can reduce pain and increase the functional activity.

PHYSIOTHERAPY MANAGEMENT FOR LUMBAL STRETCHING EXERCISE AND LUMBAL CORE STABILIZATION EXERCISE IN CHRONIC LOW BACK PAIN: A CASE STUDY Putri, Yulinda Permata; Naufal, Adnan Faris; Wijayaningsih, Anteng
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Chronic low back pain refers to the low back, lumbosacral and sacroilliac pain over 3 months which is sometimes accompanied by radiating pain in the lower extremities. LBP is one of the most common musculoskeletal disorders with a prevalence rate of 80%. LBP treatment can be done with medication and physiotherapy programs.The purpose of this study was to determine the effectiveness of a physiotherapy program using MWD, Tens, stretching exercise and lumbal core stabilization exercise to reduce pain, improving range of motion and optimizing functional ability in patient with CLBP. CasePresentation: Mr. Y feels pain in the lower back, left buttocks and left hamstring since 1 year ago, sometimes he feels tingling and cramping in his left leg. The patient also complained of pain in the left hip area and was known to have a history of falling from his motorcycle and cracking his left hip. The patient is unable to walk long distances, feels pain in the waist if he sits too long, feels pain when bending his back and unable to lift heavy weights from the floor. The complaints will be reduced when used to rest. Management and Outcome: The patient attended therapy three times once a week with a physiotherapy programs MWD, Tens, Stretching Exercise and Lumbal Core Stabilization Exercise. Patient were evaluated using Numerical Rating Scale (NRS), Meterline, Goneometer, Manual Muscle Testing (MMT), and Oswestry Disability Index (ODI). Conclusion: Physiotherapy program for 1 months with the intensity of patient visits once a week with the intervention of MWD, Tens, Stretching Exercise and Lumbar Core Stabilization Exercise can reduce pain intensity, increasing left hip range of motion and increase the patient's functional ability.

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