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MANAGEMENT OF ACTIVE CYCLE OF BREATHING TECHNIQUES (ACBT) AND POSTURAL DRAINAGE IN BRONCHIECTASIS: A CASE STUDY Halim, Muhammad; Sudaryanto, Wahyu Tri
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Bronchiectasis is a debilitating chronic respiratory condition that affects people of all ages. It is most common in women and those older than 60 years, Patients have daily excessive sputum and associated symptoms, recurrent chest infections and impaired healthrelated quality of life Case Presentation: The patient is a 54 year old woman with a history of bronchiectasis, complaining of shortness of breath, cough accompanied by phlegm that has been felt since 6 months ago. Management and Outcome: Interventions were given in the form of Active Cycle of Breathing Techniques (ACBT) and Postural Drainage and the therapy process was carried out in 3 meetings. Examination of the degree of cough with the Leicester Cough Questionnaire, examination of the thoracic cage with anthropometry with 3 measurement reference points, namely the axilla, Intercostal IV-V, and xiphoid process, and measurement of functional activity level with the Modified Medical Research Council (MMRC). There was an increase in the difference in expansion of the thoracic cage at each axillary point, Intercostal IV-V, and xiphoid process from T1: 1 cm to T3: 2 cm. on the measurement of the degree of cough with the Leicester Cough Questionnaire there was an increase in the value from T1:7 to T3:12, and the measurement of functional activity level with the Modified Medical Research Council (MMRC) decreased from T1:3 to T2:2. Discussion: ACBT that performed in 3 stages, can reduce airway constriction and increase oxygen saturation through breathing control, thoracic expansion exercises that move secretions and increase alveolar ventilation, and the huffing or force expiratory technique (FET) which helps move phlegm from the small airways into the airways. big air. This is also assisted by postural drainage, which is positioning the patient with the lung segment where there is a buildup of sputum in such a way that gravity has a maximum effect on facilitating the drainage of broncho-pulmonary secretions from the tracheobronchial tree. Conclusion:Active Cycle of Breathing Techniques (ACBT) and Postural Drainage can help treat complaints in cases of Bronchiectasis such as clearing the airway, increasing the expansion of the thoracic cage, and increasing the ability of functional activities.

DECREASE FUNCTIONAL MOVEMENT OF THE HAND IN DAILY LIFE IN GALEAZZI FRACTURES: CASE REPORT Martina, Fita; Susilo, Taufik Eko
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction : The Galeazzi dislocation fracture is a unique injury that involves a fracture of the radial diaphysis, together with a dislocation of the distal radioulnar joint (DRUJ). Galeazzi fractures have poor stability due to disruption of the DRUJ (distal radial ulnar joint) and disruption of the interosseous membrane (IOM), the triangular fibrocartilage complex (TFCC) which acts as the main stabilizer of the DRUJ and the dorsal and volar radioulnar ligaments. Case Presentation : A 58-year-old patient had a chief complaint of limited movement in dorsi flexion and palmar flexion of the left wrist. Management and Outcome : In this case, significant changes were found in muscle strength, and an increase in wrist ROM, but no change in functional ability was evident. Discussion : Early mobilization has been shown to maintain physiological viscoelasticity and connective tissue homeostasis. Early movement up to 1-3 weeks after injury appears to significantly improve bone healing at the site of long bone fracture. Controlled movement is essential to avoid unwanted changes resulting from immobilization and to maintain normal homeostasis and connective tissue viscoelasticity. Conclusion : The role of physiotherapy can reduce the adverse effects of immobilization and help the patient return to pre-fracture function. Physiotherapy management post Galeazzi fracture for 4 times intervention with evaluation done once a week 2 times to see the development of joint range of motion and functional activity in the left wrist, was not seen significantly.

PHYSIOTHERAPY MANAGEMENT FOR CERVICAL ROOT SYNDROME: A CASE STUDY Zaman, Alifia Fatimah; Wahyuni, W; Israwan, Wiek
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Cervical root syndrome (CRS) is a pain that extends from the vertebrae of the neck to the arms. The occurrence of CRS can be caused by factors related to activity, posture, and degenerative changes of the cervical discs that can be caused by age, trauma, repetitive movements, and work. The appearance of such pain can decrease productivity, quality of life, and social activities. Problems caused by cervical root syndrome are sharp spreading pain, muscle weakness, spasm in the cervical muscles, and a decrease in ROM to decrease the functional ability of the patient Case Presentation: The patient age 54 years old came to the Dempo clinic in Malang with a CT-Scan with the results of hernia nucleus pulposus in C3 and C4 and with complaints of pain radiating from the neck to the left arm since 2 weeks ago. Activities that aggravate complaints are when the patient looks up, turns to the left, when going to sleep, and when typing using a laptop for a long time. Pain will be reduced when sleeping at night. The patient is a lecturer whose activities are a lot of sitting, standing, and using a laptop to teach. Management and Outcome: Patient receive therapy three times in once a week. Ultrasound therapy and cervical traction were used for the patient. The Numeric Rating Scale (NRS), Range of Motion using metline, and Neck Disability Index (NDI) were used to evaluate patient. Discussion: After therapy in three weeks with ultrasound and cervical traction, the pain decreases and ROM increases. The functional ability of the neck decreased the disability rate from 26% to 20%. Conclusion: Physiotherapy program conducted in three times for three weeks’ therapy with physiotherapy modalities used such as ultrasound and mechanical traction is able to reduce pain and restore the body's function to carry out daily activities.

PREVALENCE OF DISEASES COMPLICATION IN INDIVIDUALS WITH TYPE TWO DIABETES MELLITUS Oktaviana, Riast Eka; Sari, Rosella Dwi Komala
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Non-communicable diseases are a special problem, especially in Indonesia, one of the developments of non-communicable diseases is diabetes mellitus. This disease can be characterized by glucose levels in the blood which will have a negative impact on damage to body organs such as blood vessels, heart, eyes, nerves, and kidneys. Type 2 diabetes (T2DM) is the most common case of diabetes, this occurs when the body's resistance occurs or does not produce enough insulin. Diabetes mellitus has contributed to the development of diabetes complications both microvascular and macrovascular. Microvascular complications can include neuropathy, retinopathy, and nephropathy, while macrovascular complications are more likely to lead to coronary artery disease, cerebrovascular disease, and peripheral vascular disease. Based on the above findings, this study was conducted to determine the prevalence of microvascular and macrovascular complications that may occur at Jasmine Clinic 2 Surakarta. Management and Outcome : A case report conducted in this study by reconding the numbers and informations from data based of T2DM patients in Jasmin 2 Clinic, Surakarta. All necessary data such as gender, age, duration of diabetes, recent blood sugar levels (both fasting blood sugar and hemoglobin A1c calculations were entered) as well as recent complaints obtained through phone interviews. Based on the data presented, there were a total of 100 participants, of which 52 were women and 48 were men, aged 40 – 80 years. All participants received oral information regarding the purpose of this research. This study found prevalence of DM in women was higher than men by 52% and 48% respectively. There were 33% people aged less than 60 years. As many as 52% of individuals with diabetes mellitus 1-5 years, 32% for 6-10 years, and more than 10 years by 16%. Current blood sugar levels 14% blood sugar levels <100mg/dl and the remaining 86% with blood sugar levels >100mg/dl. The incidence of microvascular complications reported higher than macrovascular complications, there were 68% and 8% for each, while participants who did not have complaints were 24%. Conclusion : This study declared higher prevalence of DM among women aged over or 60 years. Hyperglycemia is a tendency as dominant factor developing microvascular and macrovascular complications in individuals with T2DM.

MANAGEMENT OF PHYSIOTHERAPY IN MITRAL VALVE REPLACEMENT E.C. MITRAL REGURGITATION RELATED TO AEROBIC CAPACITY: A CASE STUDY Suwendra, Ria; Sari, Dwi Rosella Komala; Susilo, Ridwan Andi
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: A mitral regurgitation (MR) is the second most common single native valvular disease and accounts for 31.6% of valvular heart disease patients with degenerative etiology as much as 61.3%, rheumatism 14.2%, endocarditis 3.5%, inflammation 0.8%, congenital 4.8%, ischemic 7.3%, miscellaneous 8.1%.2 In patients who undergoing surgical intervention for severe MR, the most common etiologies being MVP (20%-70% of cases), ischemic MR (13%- 30% of cases), rheumatic disease (3%-40% of cases), and endocarditis (10%- 12% cases). Case presentation: A 44-year-old housewife patient complained of pain in the area around the operation of Dr. Moewardi’s hospital, Surakarta, especially when coughed and sneezed and body rotation involved movement in the chest area. Found muscle spasm in the area intercostals muscles, scaleni, levator scapula, and pectoralis major. On auscultation there was a clicking sound coming from a mechanical valve, no cardiac murmur was heard, percussion was resonant. laboratory test Fasting Blood Sugar 148 mg/dl, and other results look normal. Blood pressure was 108/46 mmHg, SPO2 was 98%, temperature was 36.8˚C, respiratory rate was 20 bpm, heart rate was 70 bpm. Vital examinations were performed before performing the strength test. Management and outcomes: Performed massage with efflurage technique to reduce spasm in the accessory muscles of respiration. The patient underwent a physiotherapy rehabilitation program using a 6 minutes walking test with telemetry. The exercise phase lasts about 20-60 minutes with the brisk walking exercise method. Borg Scale – RPE Category Scale was used to measure the perception of fatigue and dyspnea symptoms during exercise. Exercise is given 10 times in 2 weeks with one session of 60 minutes Disscussion: Physiotherapy technique as effleurage is an effective technique used to increase blood flow, reduce muscle tightness and relieve muscle tension. And walk brisk were able to reduce the fatique symptom of patient and increase the capability of tolerance activity. Although the aerobic capacity was not altering as well. Conclution: The regular exercises can significantly improve the quality of life in patient with post surgery mitral valve replacement.

PHYSIOTHERAPY IN POST TOTAL HYSTERECTOMY: A CASE REPORT Puspitosari, Dyah Pertiwi; Supriyadi, Arin; Anifah, Nur
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Total hysterectomy is the surgical removal of the uterus for medical reasons. From the post-medical procedure and the effects of bed rest, complications can arise. Therefore, it is necessary to provide physiotherapy measures. Case Presentation: A 44-year-old woman came for pain treatment after total hysterectomy surgery. Pain is felt at the incision site for a total hysterectomy. Pain in the lower abdomen is felt when going up and down stairs and activities, so that he cannot bend down and sit on the floor, as well as constipation and incontinence. Management and Outcome: The interventions used Pelvic Floor Muscle Training, Static Contraction in the abdominal muscles, Active Exercise on the hip joint flexors and trunk flexors, Breathing Exercises, Massage on the large intestine with repeaters 8 times per session 3 times a day and gradually increased and education, then Incision pain is reduced, constipation and incontinence are gone, functional ability is increased, muscle strength and range of motion are increased. Discussion: After the administration of physiotherapy modalities with repetition and a gradual increase in repetition, the patient’s complaints are reduced. Conclusion: Complications after total hysterectomy surgery in this case can be resolved by pelvic floor muscle training, static contraction of the abdominal muscles, active exercise on the hip joint flexors and flexors trunk, breathing exercise, colon massage and education.

PHYSIOTHERAPY MANAGEMENT FOR PRE-OPERATIVE ANTERIOR CRURIATE LIGAMENT INJURY: A CASE REPORT Anjoni, Martina Dwi; Susilo, Taufik Eko
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction : Previous studies have shown that preoperative management of ACL injuries performed at least 3 weeks before surgery can improve postoperative recovery, prevent knee joint effusion, can be fully active and passive range-of-motion, and increase quadriceps muscle strength with strengthening exercises. Case Presentation : A 19-year-old man as an athlete complains of pain in the right knee. The patient reported that the onset of the pain complaint was that in March the patient fell on the stairs with his feet sideways out. After the incident the patient felt pain, swelling and bruising in the right knee area. The results of Magnetic Resonance Imaging (MRI) carried out on May 20, 2021 showed a complete Anterior Cruciate Ligament (ACL) rupture. Management and Outcome : Ultrasound and strengthening exercise with the aim of increasing and maintaining the muscle strength of the lower limbs in preparation before surgery, reducing pain during walking activities and preventing further back pain. Evaluation of pain using VAS and muscle strength using MMT. Discussion : In this case, prior to surgery or reconstruction, a pre-operative rehabilitation program for ACL injuries was given with the aim of focusing on quadriceps strength, reducing pain for normal gait and ADL. Conclusion : Pre-operative physiotherapy management of ACL injuries found an increase in muscle strength in the quadriceps and hamstring muscles. But in pain management there is no reduction in pain during walking activities.

EFFECTIVENESS HEEL-RAISE-LOWER EXERCISE AND DUAL TASK GAIT TRAINING AGAINST A PATIENTREVERSIBLE ISCHEMIC NEUROLOGIC DEFICIT STROKE (RIND) TO IMPROVE: A CASE STUDY Wijayanti, Putri Eka; Rahman, Farid
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Stroke is a disease that causes damage to the brain due to infarction or blood vessels supplying blood to the brain which can cause decreased sensory function, muscle weakness, muscle atrophy, weight loss bearing, posture control, coordination, balance, and lower limb instability. Global Burden Disease data in 2010 showed that 80% of the total population had ischemic stroke while 20% had hemorrhagic stroke. While in Indonesia in 2019 the incidence of stroke per year is 200 out of 100,000 population, around 2.5% and the rest are disabled light or heavy. Purpose: The purpose of this case study is to find outEffectivenessHeel-Raise-Lower Exercise and Dual Task Gait Training for a patient Reversible Ischemic Neurologic Deficit Stroke (RIND) to improve balance. Methode: The method used in this study is Case Report. After doing therapy 3 times a week for 2 weeks The results showed an increase in each examination of muscle strength (MMT), Spasticity Examination (Aswort Scale), and Balance Check (Breg Balance Scale). Conclusin: Based on the results of the evaluation, it was concluded that in this case study, the provision of a physiotherapy intervention program in the form of: Heel-Raise-Lower Exercise and Dual Task Gait Training increase muscle strength, reduce spasticity, improve balance, coordination and walking patterns.

PHYSICAL EXERCISE IN PATIENTS WITH DIABETIC PERIPHERAL NEUROPATHY: A CASE STUDY Dwiastuti, Riani; Rahman, Farid
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Diabetic peripheral neuropathy (DPN) is a common complication of long-term diabetes mellitus (DM) and is a progressive and irreversible disease. DPN occurs in 40%-59% of the total DM population, in general the estimated prevalence of DPN is 15.3-72.3/100,000 person-years, and in developing countries the prevalence of DPN is around 25-50%. Symptoms of DPN include paresthesias, hyperesthesia, and dysesthesias, and some patients experience neuropathic symptoms (such as burning and tingling) while others may have no signs or symptoms. Many disorders of the lower extremities and feet such as deformity, decreased range of motion, impaired balance coordination, and muscle weakness can be caused by DM. Physical therapy can improve the overall quality of life of DPN patients, and can relieve symptoms of diabetic neuropathy. It can also improve muscle strength, joint mobility, balance, coordination and physical function, when done regularly can reduce neuropathic pain and can help control blood sugar levels. Case Presentation: A 60-year-old woman with Diabetes Mellitus (DM) since 6 years ago (2015). Having complaints of numbness in both legs, these complaints more or less appeared in the last one year. Complaints get worse, especially when used to sit for a long time and stand for a long time, and complaints decrease when resting and walking at home. Management and Outcome: The physiotherapy program provided is in the form of stretching exercises for the lower extremities, balance (One leg stance, Side Lunges), gait training (Walking Exercise) and strengthening (Ankle theraband). Evaluation was carried out by measuring the value of numbness using NRS, measuring muscle strength in the lower extremities with the Five Time Sit to Stand Test, measuring static balance with MCTSIB and dynamically using the Time Up and Go Test. Discussion: Skeletal muscle stretching can help a person to control or lower blood glucose, this movement effectively has the benefit of exercising without physical stress. Gait and balance exercises with function-oriented strengthening programs are directed to simultaneously improve balance and gait in diabetic patients, exercise can improve macro and microvascular factors in diabetes. Strengthening exercises are important to reduce lower extremity weakness, which is a risk factor for falls in patients with DPN. Conclusion: The physiotherapy program which was conducted three times with stretching, balance, gait training and strengthening exercises was able to reduce the value of numbness in both legs.

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.

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Contact Name
Yasir Sidiq

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lppi@ums.ac.id

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+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

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