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All Journal Jurnal Medika Nusantara Inovasi Kesehatan Global Vitamin: Jurnal Ilmu Kesehatan Umum
Warih Sri Widodo
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Health Professions Medicine & Pharmacology Nursing Public Health

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Intervensi Fisioterapi pada Kasus Sprain Ankle : A Case Report Angger Perdana Wibowo; Isnaini Herawati; Warih Sri Widodo
Jurnal Medika Nusantara Vol. 3 No. 1 (2025): Jurnal Medika Nusantara
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/medika.v3i1.1656

Abstract

Background: An ankle sprain is an acute musculoskeletal injury that causes damage to one or more ligaments in the ankle. There are 3 grades of damage to an ankle sprain, namely grade 1: mild ligament tear, grade 2: partial ligament tear, grade 3 : complete ligament tear. Therefore, this study aims to find out how to treat physiotherapy in cases of ankle sprains and the progress that patients find after being given intervention. Methods: This case study was carried out at Panembahan Senopati Hospital Bantul on ankle sprain patients. The problems experienced by patients are pain, weakness of muscle strength, limited range of motion of joints, and decreased functional activity. Findings: Numeric Rating Scale (NRS) pain assessment revealed that quiet pain remained at zero while pressure pain decreased from two to one and movement pain decreased from four to two. Ankle eversion, dorsiflexion, plantar flexion, and inversion are used in Manual Muscle Testing (MMT) to test muscle strength, and the results range from 3 to 4. Goniometers are used to measure range of motion (ROM) when moving plantar-dorso flexi S : 15 °-0-30° becomes S: 18°-0-32°, while in the inversion-eversion movement R: 25°-0-15° becomes R: 27°-0-17°. Functional activity as measured by the Foot and Ankle Disability Index (FADI) showed an increase, initially with a value of 71 which increased to 78. Conclusion: Providing intervention for ankle sprains with 3 meetings where the modalities used were infrared, active resisted exercise and calf raises were able to reduce pain relief, increasing muscle strength, increasing joint range of motion and functional activities
Penatalaksanaan Fisioterapi pada Kasus Frozen Shoulder : a Case Report Andhika Fatir Ath-Thariq; Isnaini Herawati; Warih Sri Widodo
Jurnal Medika Nusantara Vol. 3 No. 1 (2025): Jurnal Medika Nusantara
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/medika.v3i1.1683

Abstract

Background: Frozen shoulder also known as adhesive capsulitis, is a common shoulder disorder that manifests as pain and progressive loss of shoulder motion. Frozen shoulder can be primary or secondary, which refers to whether the condition occurs spontaneously, without known cause or trauma to primary frozen shoulder, or whether it is associated with trauma, surgery or other pathologies, such as secondary frozen shoulder subacromial pain. Method: This study design used a case report method which observed one patient with a case of left frozen shoulder. The observation location was at Panembahan Senopati Bantul Hospital. Examination using the Numeric Rating Scale (NRS) for pain examination, Manual Muscle Testing (MMT) for muscle strength examination, goniometer for joint range of motion (LGS) examination, palpation for spasm examination, Shoulder Pain and Disability Index (SPADI) for functional activity evaluation. Results: This study showed that physiotherapy treatment for 3 meetings increased joint range of motion, increased muscle strength, decreased spasm and reduced pain in patients with frozen shoulder. Conclusion: Infrared, TENS, Massage, Active resisted exercise and SPADI are effective in treating frozen shoulder cases.
A Case Report: Physiotherapy Management for Patients with Plantar Fasciitis Abyori Daru Murtama; Dwi Rosella Komala Sari; Warih Sri Widodo
Vitamin : Jurnal ilmu Kesehatan Umum Vol. 3 No. 3 (2025): Juli: Vitamin : Jurnal ilmu Kesehatan Umum
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/vitamin.v3i3.1484

Abstract

Plantar fasciitis is a common cause of heel pain that is often found in the population aged 40-60 years, especially women with prolonged standing activities and high body mass index. This case report discusses physiotherapy management in a 41-year-old female patient with plantar fasciitis dextra who underwent therapy at Panembahan Senopati Hospital. The physiotherapy interventions provided included ultrasound, gastrocnemius muscle massage, stretching (Towel Stretch), and exercises (Calf Raise and Towel Toe Curl) for three sessions in three weeks. Evaluation was performed using Wong Baker Scale, Manual Muscle Testing (MMT), Goniometer, and Foot and Ankle Disability Index (FADI). The results showed a decrease in tenderness and pain during movement, increased plantar fascia flexibility, and an increase in FADI score from 63.28% to 77.88%, indicating improved function. Physiotherapy interventions proved to be effective in managing plantar fasciitis symptoms conservatively and improving the patient's quality of life.
Penatalaksanaan Fisioterapi Pada Kasus Fraktur Radius Dan Supracondyeler Stifness Joint: Case Report Sabrina Tristiana Abkhoir; Arif Pristianto; Warih Sri Widodo
Inovasi Kesehatan Global Vol. 2 No. 3 (2025): Agustus : Inovasi Kesehatan Global
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/ikg.v2i3.2196

Abstract

Radius fracture and supracondylar joint stiffness are common post-traumatic complications that can reduce upper extremity function and limit daily activities. These problems are generally accompanied by pain, decreased range of motion (LGS), and muscle strength, thus disrupting the patient's functional independence. This study aims to evaluate the effectiveness of multimodal physiotherapy interventions in improving the clinical condition of patients with post-ORIF radius fractures and supracondylar joint stiffness. This study is a case study of a 47-year-old male patient treated at Panembahan Senopati Bantul Regional Hospital. Physiotherapy interventions were carried out twice, with modalities consisting of infrared therapy, muscle release techniques, assisted active exercises, strengthening exercises, and hold-relax techniques. Clinical evaluation was carried out using the Numerical Rating Scale (NRS) for pain, Manual Muscle Testing (MMT) for muscle strength, goniometer for LGS, and Mayo Elbow Score for joint function. The results of the study showed a decrease in pain levels, an increase in LGS and muscle strength, and an improvement in daily activity function. The synthesis of these findings indicates that multimodal physiotherapy interventions have a positive clinical impact on postoperative joint stiffness and musculoskeletal disorders. In conclusion, a combination of various physiotherapy techniques is effective in addressing pain, mobility limitations, and functional impairment in patients with post-ORIF radius fractures and supracondylar joint stiffness, and underscores the importance of a comprehensive and individualized rehabilitation approach.
Co-Authors Abyori Daru Murtama Andhika Fatir Ath-Thariq Angger Perdana Wibowo Arif Pristianto Dwi Rosella Komala Sari Isnaini Herawati Sabrina Tristiana Abkhoir