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Physiotherapy Management in Individual with Spastic Stroke Hemiparesis Sinistra: A Case Report Rosada, Amrina; Efendi, Elif Nur; Perdana, Surya Saputro
Academic Physiotherapy Conference Proceeding 2022: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Abstract

Introduction: Stroke is a functional brain disorder in the form of nerve paralysis caused by blood vessel diseases such as bleeding (ischemic) and busted blood vessels (hemorrhagic) in one part of the brain leading to blood flow reduction, brain cells death, and even brain-damage. In clinical appearance, a stroke will cause spasticity and reduction of muscle power and balance as the consequence of brain function degradation. Post-stroke patients with left hemiparesis who undergo stroke disorder because of hypotension should get appropriate medication, such as physiotherapy management.Case presentation: The subject in this study is a 50-year-old woman, 150 cm in height and 65 kg in weight, who works as a merchant. The patient complained about the stiffness and difficulty in moving the left side of her body since she was hospitalized. The first impression is that the patient was unable to walk and use a walking device. The hand looked clawed, the foot seemed to drop, and the skin of the left side looked drier compared to the other side. Currently, the patient is undergoing a physiotherapy program at Magetan Physiotherapy Clinic thrice a week. The items assessed in this study are muscle power, spasticity, balance for fall risk, range of motion and activity of daily living.Management and Outcome: The intervention in this case study is physiotherapy programs such as the bobath technique, tactile stimulation, pelvic tilting, mirror therapy, and infrared thrice a week for three weeks. The final evaluation showed muscle power improvement on the left side of the body, improving from 2 to 3; spasticity reduction, proven with an Ashworth scale from 1+ to 1; the activity of daily living ability improved to 60, interpreted as the patient only need minimum help; the balance function also showed minimum risk fall. Meanwhile, there was no significant change in ROM because of muscle weakness.Discussion: After three weeks research, the subjects showed improvement in left upper and lower extremity spasticity reduction, muscle power and balance enhancement.Conclusion: It can be concluded from the case that physiotherapy interventions such as bobath technique, pelvic tilting, tactile stimulation, mirror therapy, and infrared positively affect a post-stroke patient with left hemiparesis.
The Effect Of Muscle Energy Technique (MET) on Range of Motion (ROM) Knee Joint in Patients Postoperative Posterior Cruciate Ligament Reconstruction (PCLR) Hamstring Graft : A Case Study Sobariyah, Ana Maratus; Efendi, Elif Nur; Perdana, Suryo Saputra
Academic Physiotherapy Conference Proceeding 2022: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (366.044 KB)

Abstract

Introduction: Posterior crusiate ligament reconstruction (PCLR) surgery is an operating method to replace PCL ligaments with other materials (graft). PCLR postoperative rehabilitation focuses on reducing pain, swelling, stiffness, instability, regaining range of motion (ROM), muscle strength, and normal functional activity. Restoring the range of motion (ROM) postoperatively of PCL reconstruction is an important aspect of normal human functioning.Case Presentation: A male is a 38-year-old language tutor with a height of 150 cm and a weight of 75 kg. Patients condition of motion pain in the knee and limitation of movement flexion knee sinistra after PCLR hamstring graft surgery since December 2021. The patient feels difficulty and pain at the time of the sitting position to the stand, stand for a long time and walk a long distance. the patient can already carry out his work even with a sitting position and the legs remain straight. Currently, patients undergo routine physiotherapy at the clinic practice physiotherapy Magetan 3x / week. The patient's current condition is experiencing limited mobility when bending the knee.Management and Outcome: The intervention used muscle energy technique (MET) for 3x/week in 4 weeks. The disorder is a limitation of movement for knee flexion. Evaluation carried out using a goneometer instrument to measure the range of motion (ROM)Conclusion: It can be concluded that in this case, after providing physiotherapy intervention in the form of MET, it has an effect on the increase knee joint ROM in patients postoperative PCLR.
Physiotherapy Management for Osteoarthritis Knee for Grade II: A Case Report Aunnillah, Raden Roro Aneta Jihan; Fatmarizka, Tiara; Efendi, Elif Nur
Academic Physiotherapy Conference Proceeding 2022: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (517.942 KB)

Abstract

Introduction: Osteoarthritis Knee (OA) is the most common condition during that elderly the quality of life, and a previous study has found that the most widely recognized type of osteoarthritis influencing up to 25% of people over the age of 50 years with many progressing to knee replacement surgery. Current clinical practice guidelines recommend knee replacement surgery only after first-line and second-line management options have been exhausted. Such non-surgical management options include patient education, exercise therapy, weight management and advice about pharmacological management of symptoms. Osteoarthritis Knee is the most well-known kind of joint inflammation and portrays the degeneration of the joints. Whilst most experience moderately mellow manifestations, for one in ten individuals, their knee agony and joint solidness are incapacitating. OA Knee were two of the top 20 search terms in an analysis of the searches conducted of the Physiotherapy Evidence Database (PEDro).Case Presentation: A 59 years male. He as the a ex-work officer residing in Magetan, EastJava. Examinations that have been carried out on the patient found muscle stiffness and tenderness and pain in motion and positive findings were also found during a specific examination using the anterior drawer test and the Lachman test.Management and Outcome: Mobilitation knee and technology modalities (Infrared and Ultrasound) could improve functional status, decreased the level and intensity of pain, and raise the quality of life among elderly man were the benefit of physiotherapy management for solving the knee problems.Discussion: Several studies have revealed that the use of infrared, TENS, ultrasound modalities, Muligan’s mobilization by adding muscle strengthening exercises quadriceps have a positive effect in reducing pain and stretching in muscles hamstring in cases of OA Knee. The author tries to prove it by applying several modalities that have been studied previously.Conclusion: Physiotherapy management in the Praktik Fisioterapi Magetan setting use the three to ten weeks of exercise program. The specific technique of exercise and mobilitation knee were used to treat the knee problems among OA elderly man.