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Physiotherapy Program on Claw Hand Condition at Leprosy Hospital Kelet Donorejo: a Case Study Hawari, Dadang; Naufal, Adnan Faris; Prihastomo, Teguh
Academic Physiotherapy Conference Proceeding 2022: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Leprosy or known as Morbus Hansen's disease is a bacterium that attacks skin tissue, peripheral nerves, and respiratory tract in humans under the name Mycobacterium leprae. Fourteen countries including Indonesia conducted data collection on cases of leprosy in the world with a total of 199,992 people in 2015 and 17,202 people in Indonesia. Most people with leprosy experience ulnar nerve paralysis which causes partial disruption of the fingers.Case Presentation: Patient S, 21 years old, complains of swelling of the hands and itching and fever. The patient reported numbness in the left hand and difficulty moving the 4th and 5th fingers of the left arm. In January 2021 the doctor recommended taking multi drug therapy (MDT), after taking it the patient had a severe reaction with nodules appearing in several areas.Management and Outcome: Physiotherapy performed an IPPA examination (inspection, palpation, percussion, auscultation), the results were thickening of the left ulnar nerve, the skin surface felt dry and rough. physiotherapy also performs pain assessment using a numerical rating scale (NRS), muscle strength examination using manual muscle testing (MMT), examination of joint range of motion with a goniometer, examination of motor nerve function and nerve palpation with POD, and examination of functional ability of the hand using a wrist hand. disability index (WHDI).Discussion: The physiotherapy program carried out for claw hand patients aims to increase the range of motion of the joints, increase muscle strength, and increase the patient's functional activities.Conclusion: The physiotherapy program for 7 meetings on claw hand conditions at the Leprosy Hospital Kelet Donorojo, Jepara in the form of stretching, strengthning, and functional exercises can increase the range of motion of the joints, there has not been an increase in muscle strength and functional in the patient, although in the range of joint motion which increases, the results are not significant.

Physiotherapy Management for Tennis Elbow: A Case Study Nazihah, Zulvy; Zakaria, Ricky Fauzi; Perdana, Suryo Saputra
Academic Physiotherapy Conference Proceeding 2022: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: In daily life, people with activities or work that involves repetitive hand movements can lead to complaints in the arms, especially the elbows, one of the risk factors for tennis elbow. Tennis elbow is a disorder involving joint mobility and range of motion, muscle performance associated with tendonosis inflammation of the wrist extensor tendon attached to the lateral epicondyle that can cause pain and disability. Tennis elbow happens in about 40% of the population and mainly occurs in men and women aged 35 to 54. In addition, 50% of tennis players also experience pain in the elbow, with 75-80% due to tennis elbow. The physiotherapy modalities used are SWD (Short Wave Diathermy) and exercise therapy in the form of active and strengthening exercises.Case Presentation: A 40-year-old woman works as a private employee in print media in Yogyakarta with pain in her right elbow. The pain has been felt since September 2021, after the patient painted his house. Currently, the pain is felt during daily activities such as personal hygiene, carrying loads, riding a motorcycle, and typing in the office.Management and Outcome: The patient undergoes three physiotherapy treatments, 60 minutes for each session, in the form of TENS, SWD, and exercise therapy. The evaluation consists of pain measurement using NRS, muscle strength measurement using MMT, Range of Motion measurement using a goniometer, and functional ability measurement using PRTEE.Discussion: The aim of the physiotherapy program for tennis elbow patients is to reduce pain andimprove muscle strength, joint range of motion, and functional ability. The exercise therapy was also performed on tennis elbow patients, which was aimed to help the muscles contract and relax to control specific movements.Conclusion: Physiotherapy program in the form of TENS, Short Wave Diathermy, and Exercise therapy for patient with diagnosed tennis elbow gave several improvements such as decreasing pain, increasing range of motion, muscle strength, and functional ability.

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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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.

Effectivity of Squat to Stand Training in Improving Lower Extremity Muscle Power on Children with Down Syndrome Syaahidah, Habiibatusy; Widodo, Agus; Hidayati, Atik
Academic Physiotherapy Conference Proceeding 2022: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Background: Squat to stand training is one of the core muscle and lower extremity muscle strengthening exercises that aim to improve lower extremity muscle power to prepare foot muscle in the standing process.Objective: This study aims to find the effectiveness of squat-to-stand training on a down syndrome patient aged 19 months.Method: This study is single-subject research on a Down Syndrome patient aged 19 months old with walking delay, hypotonia on both legs, unable to stand independently, and muscle weakness on both lower extremities. The subject had received squat-to-stand training for four weeks, twice a week, and a follow-up at each end of the session.Result: there is an improvement in XOTR assessment, where the baseline result was T that interpreted as the presence of muscle contraction with minimum movement, and after four weeks of intervention, there is an improvement in the muscle tone and movement compared with the baseline though have not met the X value yet, with normal muscle power interpretation.Conclusion: squat-to-stand training is practical but does not significantly improve lower extremity muscle power in Down Syndrome patients.

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.

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

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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

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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.

The Relationship Between Flatfoot and Static Balance in School-Aged Children Mulyoto, Raufina Riandhani; Jannah, Suci Muqodimatul; Supinganto, Agus
Academic Physiotherapy Conference Proceeding 2022: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Flatfoot is one of musculoskeletal deformities in the foot that is commonly seen in children. Previous study found that children with flatfoot have balance differences during standing as well as fatigue compared with children with normal feet that are associated with falling. Therefore, the purpose of this study was to investigate the correlation between flatfoot and static balance in children with flatfoot.Method: This was a cross sectional study design with purposive sampling data. The total sample was 16. Children were assessed using Chippaux-Smirak Index (CSI). The one-legged stance balance was used to assess static balance. Spearman correlation was conducted to examine the relationship between flatfoot and static balance in children.Results: The mean age of the participants was 7.94 years old in which they tend to have a second degree of flatfoot. There were significant differences in static balance between eyes open and eyes close in which the subject can maintain their balance longer while eyes open. However, there was no correlation between flatfoot and static balance in children.Conclusion: Flatfoot in school-aged children affects the balance performance where visual input plays an important role, even though there was no correlation between flatfoot and balance ability.

Physiotherapy Management for Reconstruction of Anterior Cruciatum Ligament (ACL) With Achilles Graft: A Case Study Lestari, Fegi; Maryam, Siti; Wahyuni, W
Academic Physiotherapy Conference Proceeding 2022: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Anterior Cruciatum Ligament (ACL) reconstruction is an action performed by performing surgery to restore the repairation function and joint stability by grafting the ACL using tendon tissue. Ligament replacement using other materials (graft) will usually be taken from the patellar tendon or hamstring tendon in the patient himself (autograft). The physiotherapy management provided is expected to be able to help the recovery process in ACL reconstruction cases.Case Presentation: Mr. G aged 38 years working as a private employee performed an ACL reconstruction with an achilles graft on his left leg which had been diagnosed with ACL rupture by doctors after performing an MRI. This injury is caused because the patient is hit by an impact during football. The operation was carried out on October 28, 2021 at Harapan Bunda Hospital. The patient after undergoing surgery one week later did physiotherapy at Esa Unggul Clinic so it still includes phase 1 rehabilitation.Management and Outcome: The physiotherapy program used cryotherapy, strengthening exercises and isometric exercises for 2 sessions/week for 4 week. The evaluation carried out the Numeric Rating Scale (NRS) to measure the pain, Manual Muscle Testing (MMT) to measure the muscle strength and goniometer to measure the Range of Motion (ROM) of knee joint.Discussion: After being given a physiotherapy program for 4 weeks, the results can reduce of pain in knee joint sinistra from 8 to 0, increasing the MMT of knee joint from 2 to 4 and increase ROM of active motion of the regio knee from the first week of S:0º - 0º - 45º to S:0º - 0º - 120º.Conclusion: Physiotherapy management in cases of ACL reconstruction with achilles graft used cryotherapy, strengthening exercise and isometric exercise can reduce pain, increase muscle strength and ROM.

Physiotherapy Management for Osteoarthritis Knee: A Case Study Wardhani, Azzahra Irkoshaum Kusuma; Naufal, Adnan Faris
Academic Physiotherapy Conference Proceeding 2022: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Osteoarthritis (OA) is the most common form of arthritis affecting approximately 302 million people worldwide. OA is characterized by pathology involving the entire joint including cartilage degradation, bone remodeling, synovial inflammatory osteophyte formation, leading to pain, stiffness, swelling, and loss of normal joint function. The most commonly affected appendicular joints include: knees, hips and hands. Conservative therapy consists of pharmacological and non-pharmacological therapy given to patients with mild tomoderatekneeOA.Nonpharmacologicaltherapy can be in the form of exercise therapy and physical modalities. The purpose of this study was to determine the effectiveness of a physiotherapy program using Ultrasound, TENS, Quadriceps Setting and Passive Hamstring Exercise.Case Presentation: Patients with the initials Mr. M is 60 years old with the main job as a sand porter. Nine months ago, the patient fell under a sandbag while working and hit his head and back. As a result, the back fractured and had to be operated on. One week after surgery the patient had a urinary tract disorder, so he needed to be operated on again. As a result of the operation the patient was required to use a catheter. The patient began to complain of stiffness due to the use of the catheter and bed rest in the long term (8 months). Management and Outcome: The patient attended therapy three times in two weeks with a physiotherapy programs Ultrasound, TENS, Quadriceps Setting and Passive Hamstring Exercise. Patient were evaluated using Numerical Rating Scale (NRS), Meter line, Goniometer, and Manual Muscle Testing (MMT),Conclusion: Physiotherapy with the intensity of patient visits three times in two weeks with the intervention of Ultrasound, TENS, Quadriceps Setting and Passive Hamstring Exercise can reduce pain, decrease edema, improve leg muscle strength, and increase range of motion of knee joint.

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Contact Name
Yasir Sidiq

Contact Email
lppi@ums.ac.id

Phone
+6282134901660

Journal Mail Official
lppi@ums.ac.id

Editorial Address
Jl. Ahmad Yani, Pabelan, Kartasura, Surakarta 57162, Jawa Tengah, Indonesia

Location
Kota surakarta,

Jawa tengah

INDONESIA

Abstract

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Abstract

Abstract

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Abstract

Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name Yasir Sidiq

Contact Email lppi@ums.ac.id

Phone +6282134901660

Journal Mail Official lppi@ums.ac.id

Editorial Address Jl. Ahmad Yani, Pabelan, Kartasura, Surakarta 57162, Jawa Tengah, Indonesia

Location Kota surakarta, Jawa tengah INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Contact Name
Yasir Sidiq

Contact Email
lppi@ums.ac.id

Phone
+6282134901660

Journal Mail Official
lppi@ums.ac.id

Editorial Address
Jl. Ahmad Yani, Pabelan, Kartasura, Surakarta 57162, Jawa Tengah, Indonesia

Location
Kota surakarta,

Jawa tengah

INDONESIA