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All Journal Academic Physiotherapy Conference Proceeding Prosiding University Research Colloquium Jurnal Solusi Masyarakat Dikara
Ismadi, I
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Physiotherapy Management in Fifth Week Post Operation of Ankle Fractur Weber C in Wonosari General Hospital: A Case Study Fitria, Ida; Widodo, Agus; Ismadi, I
Academic Physiotherapy Conference Proceeding 2022: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: According to the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD), there were 178 million cases of fractures in 2019, a 33.4% increase from 1990. There were 76.4 million cases of fractures in women and 120 million in men. One of the top three anatomical sites for fracture in terms of prevalence is the ankle. The Weber C ankle fracture is a fracture that occur above syndesmosis-level and pronation-external ankle rotation is the most common trauma mechanism. The focus of intervention in the first to fifth week after surgery are minimizing the pain, reduce edema, and increase ankle joint range of motion.Case Presentation: Mr. B, 23, was taken to Wonosari General Hospital's emergency room following a hard impact on his right leg while playing soccer on Sunday, March 13 in the afternoon. An x-ray examination revealed a complete fractured 1/3 of the distal fibula dextra with a Weber C type of fracture. On Monday March 14, the patient underwent surgery using the ORIF approach without syndesmosis stabilization. Mr. B were advised to see an orthopaedic once a week and were taken to physiotherapy in week five. Following the operation, the patient did exercises to strengthen the thigh muscles as well as the upper body, but no ankle exercises were performed.Management and outcome: Mr. B received a total of six physiotherapy interventions. The physiotherapy interventions given include: ankle elevation, IASTM, active ROM exercise, hold relax stretching, and strengthening. After undergoing the intervention six times, there was a reduction in pain during dorsi flexion and inversion, as well as a reduction in edema, increase of ankle joint range of motion, an improvement in muscle strength, and an improvement of functional ability (AOFAS).Discussion: The patient went to physiotherapy at week 5 postoperatively with the condition still wearing the bandage, visible signs of inflammation, and using crutches with non weight-bearing. The intervention administered in week 5 and 6 are aimed at reducing pain, reducing edema, and increasing ankle joint range of motion. At week 6-7 the intervention is added with strengthening and weight bearing exercises.Conclussion: There was a decrease in pain, edema, an increase in range of motion, an improvement in muscle strength, and an increase in functional capacity after receiving the physiotherapy intervention for six times. A significant improvement is a decrease in pain during dorsi flexion and an increase in muscle strength in plantar flexion.
Physiotherapy Management for Carpal Tunnel Syndrome Bilateral: A Case Study Putri, Sefrizka Irwhana; Sudaryanto, Wahyu Tri; Ismadi, I
Academic Physiotherapy Conference Proceeding 2022: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Carpal Tunnel Syndrome (CTS) is a disorder of the forearm due to compression of the median nerve in the carpal tunnel, either due to fascial edema in the carpal tunnel or due to abnormalities in the small bones in the palm. Carpal tunnel syndrome (CTS) is the most common upper extremity pressure neuropathy, with a prevalence of 3%-5% in the general population, and is 6% more common in women over 40 years of age. The objectives to be achieved in this study are to reduce the pain complained of by the patient, increase the strength of the muscles around the wrist and optimize the increase in daily functional activities in household work activities.Case Presentation: Mrs. K is female, 47 years old, works as a housewife. Mrs. K complains of pain, numbness, tingling and discomfort in both right and left wrists until they radiate to the upper arm. Complaints become worse when buttoning clothes, opening bottles, washing clothes which activities involve movement of the fingers.Management and Outcome: Patients do therapy twice a week for two weeks with physiotherapy programs of ultrasound therapy, stretching exercises, strengthening exercises, and manual therapy. Patients were evaluated using the Numerical Rating Scale (NRS) to measure pain, Manual Muscle Testing (MMT) to measure muscle strength, and the Boston Carpal Tunnel Syndrome Questionnaire (BCTSQ) to measure functional ability.Discussion: Ultrasound produces a warm effect that increases blood circulation and reduces pressure on the median nerve which can reduce pain. Strengthening Exercise by using Hand Exercise with Ball which is able to increase muscle strength, balance, and blood flow to the hand, wrist, and elbow. The manual therapy carried out is Median Nerve Mobilization and Nerve and Tendon Gliding which aims to reduce pressure on the median nerve at the wrist by returning the anatomical structure to its original position.Conclusion: Physiotherapy programs for Bilateral Carpal Tunnel Syndrome patients using Ultrasound Therapy, Stretching Exercises, Strengthening Exercises and Manual Therapy interventions can reduce pain, increase muscle strength and improve functional abilities.
Penatalaksanaan Fisioterapi Pada Kasus Post Orif Fraktur Humerus Distal Setyaningratri, Yeni; Komalasari, Dwi Rosella; Ismadi, I
Prosiding University Research Colloquium Proceeding of The 16th University Research Colloquium 2022: Mahasiswa (Student Paper Presentation)
Publisher : Konsorsium Lembaga Penelitian dan Pengabdian kepada Masyarakat Perguruan Tinggi Muhammadiyah 'Aisyiyah (PTMA) Koordinator Wilayah Jawa Tengah - DIY

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Latar Belakang : Fraktur humerus distal adalah patah diujung bawah tulang lengan atas, salah satu dari tiga tulang yang bersatu untuk membentuk sendi elbow. Salah satu penanganan kondisi ini dengan dilakukan pembedahan ORIF (Open Reduction Internal Fixation). Salah satu rehabilitasi fisioterapi menggunakan terapi latihan secara aktif maupun pasif, baik menggunakan alat maupun tanpa menggunakan alat. Yang dapat membantu pemulihan kekuatan otot, tendon, ligament, serta dapat mempertahankan stabilitas sendi dan menambah lingkup gerak sendi (LGS). Tujuan : Untuk mengetahui efek penatalaksaan fisioterapi pada post ORIF fraktur humerus distal sinistra terhadap penurunan nyeri dan peningkatan LGS elbow. Metode: Studi kasus ini dilakukan pada seorang pasien post ORIF fraktur humerus distal sinistra di RSUD Wonosari. Problematika yang dialami pasien adalah terdapat nyeri, dan penurunan LGS elbow. Intervensi fisioterapi yang diberikan adalah instrument assisted soft tissue mobilization (IASTM) dikombinasikan dengan resisted active exercise dilakukan 1x/minggu selama 1 bulan. Hasil: Pemeriksaan nyeri dengan menggunakan Numeric Rating Scale (NRS) menunjukkan penurunan nyeri diam dari 1 menjadi 0, nyeri tekan dari 6 menjadi 2 dan nyeri gerak dari 7 menjadi 3, LGS diukur dengan goniometer untuk ekstensi & fleksi elbow dimana T0: S.130o-0o-70o menjadi S.155o-0o-95o. Kesimpulan : Intervensi IASTM dikombinasikan dengan resisted active exercise 1x/minggu selama 1 bulan, mampu menurunkan nyeri serta dapat meningkatan lingkup gerak sendi elbow.
Pemanfaatan Lahan Sawah Untuk Budidaya Tanaman Hortikultura Dalam Upaya Meningkatkan Gizi Masyarakat di Masa Pandemi Usnawiyah, U; Ismadi, I; Hafifah, H; Yusuf N, Muhammad; Wirda, Zurrahmi; Nazirah, Laila; Handayani, Rd. Selvy
Jurnal Solusi Masyarakat Dikara Vol 2, No 2 (2022): Agustus 2022
Publisher : Yayasan Lembaga Riset dan Inovasi Dikara

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Pandemi Corona Virus Disease (COVID-19) memberikan dampak yang cukup besar di berbagai sektor di Indonesia, termasuk bidang pangan. Wabah corona yang semakin masif akhir-akhir ini menjadi faktor pengganggu terhadap proses pemenuhan kebutuhan pangan dan gizi bagi masyarakat di pedesaan yang umumnya berada di bawah garis kemiskinan. Desa Blang Nibong, Kecamatan Samudera Kabupaten Aceh Utara, adalah salah satu yang Kehidupan masyarakatnya banyak yang berada di bawah taraf sejahtera dan banyaknya petani dan nelayan tanpa penghasilan tetap sebagai kepala keluarga dan menambah tingginya kesulitan hidup yang dihadapi masyarakat. Tujuan kegiatan ini adalah untuk memberikan pembinaan kepada masyarakat khususnya petani dalam hal teknik budidaya tanaman hortikultura. dan melakukan manajemen usaha yang lebih baik sehingga dapat meningkatkan pendapatan keluarga. Ada dua bentuk kegiatan utama yang dilakukan dalam kegiatan ini, yaitu: (1) Penyuluhan tentang arti kegunaan dari budidaya dan nilai gizi yang terkandung didalam tanaman hortikultura (2) Demonstrasi/praktek pembuatan media tanam dan budidayanya, serta pengolahan dan pemasaran produk tanaman hortikultura (3) Evaluasi kegiatan dan pendampingan. Hasil evaluasi menunjukkan bahwa kegiatan penyuluhan dan pelatihan Pemanfaatan lahan sawah untuk budidaya tanaman hortikultura dalam upaya meningkatkan nilai gizi masyarakat di masa pandemi sudah terlaksana dan dapat diterima  dengan baik oleh masyarakat. Masyarakat Desa Blang Nibong Kecamatan Samudra Kabupaten Aceh Utara mendapatkan peningkatan pengetahuan dan keterampilan budidaya tanaman serta pengolahan dan pemasaran produk tanaman hortikultura. Masyarakat sangat antusias mengikuti kegiatan pengabdian ini.
Co-Authors AGUS WIDODO Fitria, Ida H Hafifah, H Komalasari, Dwi Rosella Laila Nazirah Putri, Sefrizka Irwhana Rd. Selvy Handayani Setyaningratri, Yeni Usnawiyah, U Wahyu Tri Sudaryanto Yusuf N, Muhammad Zurrahmi Wirda