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All Journal KESANS : International Journal of Health and Science
Izzatul Aziz, Faza
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Chemistry Health Professions Medicine & Pharmacology Physics Public Health

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Case Study: Post-Orif Joint Stiffness Following a Distal Third Right Tibial Fracture Managed with Infrared Radiation Therapy and Exercise Puspita, Wita Hana; Fazrina, Gina; Agustyaningsih, Nugrahaeni; Izzatul Aziz, Faza
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 5 (2026): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i5.583

Abstract

Fractures of  the tibia 1/3 distal dextra after Open Reduction External Fixation (OREF) often cause joint stiffness, pain, oedema,  muscle atrophy, as well as limitations in joint range of motion (LGS) and functional activity. The administration of physiotherapy with Infrared Radiation (IRR) modalities and exercise therapy is a non-invasive approach to overcome these complications. This study used a case study method, in a 61-year-old female patient, with the provision of interventions in the form of IRR and exercise therapy such as static contractions, free active exercises, active resistance training, and non-weight bearing (NWB)  walking exercises using walkers.  After 6 sessions of therapy, compressive pain decreased, motion pain decreased, oedema in the maleolus decreased, LGS eversi-inversion increased and LGS plantar-dorsal flexion increased, knee flexor muscle strength, dorsal flexor ankle, plantar flexor ankle, as well as evertor and invertor ankle increases, the circumference of the right thigh muscle increases, and the value of functional ability increases
Co-Authors Agustyaningsih, Nugrahaeni Fazrina, Gina Puspita, Wita Hana