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CHRONIC LOW BACK PAIN ET CAUSA SPONDYLOSIS AND SPONDYLOLISTHESIS: CASE REPORT Rahimia, R; Susilo, Taufik Eko
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Chronic low back pain et causa spondylosis and spondylolisthesis is a rare case. One of the physical therapy interventions, in this case, is William's flexion exercises that are proven to relieve pain and increase range of motion. The purpose of this case report is to show William's flexion exercise can maintain or even reduce signs and symptoms of the patient’s condition, increase functional activity measured by Oswestry Disability Index. Our patient is a 56-years-old-woman with Chronis low back pain et causa spondylosis and spondylolisthesis grade 1 condition after 10 treatments have changed the walking distance caused by William's flexion exercise.

PROVISION COMBINATION OF CERVICAL TRACTION AND NEURAL MOBILIZATION MODALITY IN PHYSIOTHERAPY MANAGEMENT IN CERVICAL RADICULOPATHY: A CASE REPORT Kurniansari, Anggun Agiel; Pristianto, Arif; Rochmaningtyas, Putri
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Cervical radiculopathy (CR) is a condition described as neck pain radiating to one or both sides of the upper limb, allowing sensory, reflex and even motor disturbances to occur. The incidence of CR was recorded as 1.07-1.75 per 1000 males and 0.68-5.8 per 1000 females. Most of the improvement was obtained through non-surgical measures, that physiotherapy management will be described in the form of a combination of cervical traction (CT) and neural mobilization (NM) modalities. Case Presentation: A 52-year-old female patient complained of neck pain up to her left arm, appeared forward head posture, was diagnosed with cervical radiculopathy due to narrowing of the intervertebral disc from C5-7 (SMRI results). Management and Outcome: After 6 treatments, pain reduction was obtained from T0: 4/10 to T5: 2/10 numeric rating scale (NRS), the results of the goniometer measurement of the joint range of motion (ROM) neck flexion T0:42o to T5:45o and decreased disability rate from 35% (T0) to 42% (T5) neck disability index (NDI) score. Discussion: The use of CT provides a short-term analgesic effect, increasing the intervertebral foramen space that the pressure between the discs decreases. While the NM technique will increase the ability of nerve gliding and decrease nerve mechanosensitivity. Conclusion: The combination of CT and NM modalities can reduce pain, increase ROM and decrease disability in CR patients.

CASE STUDY: PHYSIOTHERAPY PROGRAM IN BELL'S PALSY Endrawati, Ika; Rahman, Farid; Riza, Oni Iftaru; Rochmawati, Rizki Wahyu Dhani
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction:Bell's palsy is an acute facial nerve disease where the first symptom is pain in the mastoid area and causes facial paralysis1. In one year the incidence of this disorder can occur in 23 people out of 100,000 people2. Problems caused by Bell's palsy include the occurrence of facial asymmetry, a decrease in muscle strength on the side of the injured face, which results in decreased functional ability and interferes with activities. Bell's palsy treatment can be given medical therapy and physiotherapy programs. Physiotherapy plays a role in increasing muscle flexibility, facilitating weak muscles in carrying out movements to improve muscle work. This report follows up on the research of3, conducted the same program on 8 patients with similar complaints, getting results that are in accordance with this study. Case Presentation: A 50 years male, had a profession as civil servants and muslim, residing in Ngawi, East Java. The examination that has been carried out on the patient found that there is asymmetry on one side of the face, there are limitation in the movement of opening and closing the eyes, limitations in smiling, puffing the cheeks and smile, while the movements of frowning and raising the eyebrows have not been able to do. Management and Outcome:Physiotherapy modalities with infrared, electrical stimulation, massage facial to increasing muscle flexibility, facilitating weak muscles in carrying out movements to improve muscle work. Furthermore, to determine the patient's progress, measurement results were used in the form of a Manual Muscle Testing (MMT) to determine the increase in strength in facial muscle and Ugo Fisch Scale to determine the increase in functional ability in facial muscle. Discussion: This study was to measure the effects of electrical stimulation, infrared and facial massage on patients with Bell's palsy. This report will follow up the research of3 about their study on 8 patient with the same complaint whether there are result that are ini sync with this study. Conclusion: It is proven that cases of Bell’s Palsy that receive in the form of infrared, electrical stimulation and massage can increase muscle strength and can increase facial functional activity.

COMBINATION TENDON AND NERVE GLIDING EXERCISE WITH NEURODYNAMIC MOBILIZATION TO IMPROVE HAND FUNCTION IN CARPAL TUNNEL SYNDROME PATIENT: A CASE REPORT Sekaringtyas, Dyah; Susilo, Taufik Eko; Prihati, Eko
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy of the upper extremity caused by compression of the median nerve with an overall prevalence in the general population of 5.3% for women and 2.1% for men. In general, CTS will cause pain, neurological symptoms, and decreased functional ability and can interfere with daily activities. Treatment of carpal tunnel syndrome (CTS) can be done by giving a physiotherapy program, one of which is exercise. The purpose of this study was to determine the effectiveness of the combination of tendon and nerve gliding exercise with neurodynamic mobilization on increasing functional activity in patients with Carpal Tunnel Syndrome (CTS). Case Presentation: A 19-year-old woman came with a diagnosis of Carpal Tunnel Syndrome Dextra. She had a tingling sensation in his 1,2,3 and 4th half finger with carpal compression and a positive Phalen test. The patient was given a combination of tendon and nerve gliding exercise with neurodynamic mobilization for 6 weeks face-to-face and was evaluated. Management & Outcome: The patient showed good adherence to the program and achieved the desired goal within 6 weeks of therapy. The patient showed improvement (in pain, range of motion, and hand function. Tendon and nerve gliding exercise combined with neurodynamic mobilization was effective in improving clinical symptoms in patients with CTS. Discussion: Several recent pieces of literature state nerve and tendon gliding exercise as an alternative intervention in conservative management of CTS. Nerve and tendon gliding exercise is a joint and tendon mobilization exercise program that can be applied by performing several movements of the hands and wrists. This case report combines neurodynamic mobilization. This Exercise Program was carried out for 6 sessions and after 6 weeks of close monitoring and guidance of a combined training program. Overall, the results of this case report for CTS-related disorders and clinical symptoms showed significant results for improving hand function in CTS patients. Conclusions: A combination of tendon and nerve gliding exercise with neurodynamic mobilization is effective for improving hand function in CTS patients.

MANAGEMENT OF PHYSIOTHERAPY TO INCREASE GAIT SPEED IN PATIENTS WITH KNEE OSTEOARTHRITIS: SINGLE CASE STUDY Anggraini, Nadya; Perdana, Suryo Saputra; Santoso, Totok Budi; Putri, Thesa Arsita
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Osteoarthritis(OA) is a musculoskeletal disorder that causes changes in the joints progressively slowly and intermittently. Usually, in the field, muscle strengthening exercises are often found that only focus on the agonist's muscle. Whereas antagonistic muscles also play a role and are even more dominant. The most recommended intervention to be able to activate the two muscles is in the form of taskspecific exercises. The basic concept of task-specific exercise itself is muscle coactivation. To be able to see muscle activity being activated, task-specific exercises are combined with visual surface electromyography (SEMG) biofeedback. Case Presentation: the patient is 57-years old woman and works as a housewife. Patient from Solo, Central Java. Examination of the patient was found to have 3 types of causes such as age more than 45 years or more, morning stiffness for less than 30 minutes, and pain when doing activities. Management and Outcomes: Given treatment in the form of task-specific training combined with visual surface electromyography (SEMG) biofeedback to increase the walking speed and functional activity of the patient. Furthermore, the measuring instrument used for walking speed is the 10-meter walking test and WOMAC Discussion: A study revealed that the addition of a visual surface EMG biofeedback component in task-specific functional training had a positive effect on increasing muscle function and strength. The authors assume that the addition of visual biofeedback can have a positive impact on the rehabilitation process. Conclusion: Giving this intervention can provide a statistically significant improvement and can be implemented clinically to increase walking speed in individual patients and this can provide a significant improvement in functional ability in patients with osteoarthritis of the knee.

PHYSIOTERAPY PROGRAM IN NON-OPERATIVE GRADE 2 ANTERIOR CRUCIATE LIGAMENT INJURY: A CASE STUDY Prasetyo, Agus; Rahman, Farid; Prayitno, P
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: An ACL injury is a damage to the anterior cruciate ligament (ACL), which is the strong tissue that helps connect the femur and tibia. ACL injuries most often occur during sports activities such as football, basketball, badminton that have a lot of motion during sudden stops, changes of direction, jumps, and landings. The incidence of ACL injuries is estimated to range from 30 to 78 per 100,000 people annually. Generally, ACL injuries are performed by ACL reconstruction procedures to restore joint motion function in the knee. However, some people with ACL injuries choose not to undergo ACL reconstruction due to various factors that underlie their reasons. Some of them managed to return to some level of function with non-operative management. Therefore, the role of physiotherapy in non-operative ACL management is to prevent more severe tissue damage, restore movement function and maximize strength by modifying the patient's daily movements or activities to become more optimal. Case Presentation: A 27 years male. He works as a private employee, residing in Solo, Central Java. 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: Physiotherapy modalities with infrared, Kinesio taping myofascial release, and combined with muscle strengthening exercises can reduce pain and muscle spasms in ACL patients with non-operative procedures. Furthermore, to determine the patient's progress, measurement results were used in the form of a Numeric Rating Scale ( NRS ) to measure pain, Manual Muscle Testing ( MMT ) to measure muscle strength and Knee injury, and Osteoarthritis Outcome Score ( KOOS ) to measure knee function. Discussion: Several studies have revealed that the use of infrared modalities, Kinesio taping, myofascial release by adding muscle strengthening exercises have a positive effect in reducing pain and stiffness in muscles in cases of ACL injuries. The author tries to prove it by applying several modalities that have been studied previously Conclusion: The physiotherapy program which was carried out in 3 weeks with the physiotherapy modalities used such as Infrared, Myofacial Release, Kinesio Taping, and Strengthening Exercises was able to reduce pain and restore body functions to carry out daily activities. however, no significant increase in muscle strength was found. It can be concluded that this exercise is effective for the short term and helps restore the patient's functional activity.

REHABILITATION PROGRAM PHASE I POST RECONSTRUCTION ACL: A CASE STUDY Nabila, N; Widodo, Agus; Wijaya, Dimas Zena
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction : Anterior Cruciate Ligament (ACL) injuries are the most common knee injuries during sports. The incidence of ACL rupture ranged between 30-78 people per 100,000 people per year. Most athletes with ACL injuries undergo reconstructive surgery in hopes of returning to do some sports activities. To accelerate and optimize conditions for a return to sport, a proper rehabilitation program is needed so that the patients can return to do some sports activities. According to protocol, proper rehabilitation involves exercises to increase muscle strength, knee ROM, proprioception, accompanied by reducing pain, and inflammation. Case Presentations : An 18 years old male patient came to physiotherapy with a diagnosis of post-ACL reconstruction. He did surgery a week before seeing the physiotherapy. The patient came with complaints of swelling and pain in the knee area. The pain increases when he bending the knee and doing activities that require support on the knee.. Management and Outcomes : Patients did 8-time therapies in 4 weeks. In one of the therapy sessions, the patient was given a rehabilitation program in the form of ice compression, ROM exercise, and isometric exercise. All of these rehabilitation programs will be evaluated with several measurement instruments, including; Pain measurement with NRS, anthropometric measurement with metline, measurement of muscle strength with MMT, and measurement of functional ability using KOOS. Discussion : The ACL post-reconstruction rehabilitation program is divided into 4 phases. Time for 0-6 weeks after surgery is included in phase 1 or what is known as an acute condition. The purpose of the program in phase 1 is to focus on reducing the risk of postoperative complications by reducing inflammation symptoms, maintaining joint mobility, and stimulating muscle contraction. The patient is given ice compression to reduce pain and reduce edema. Furthermore, ROM exercises are given to maintain joint mobility and flexibility of the tissues around the joints. The patient is also given isometric exercise to activate the muscles around the knee to improve knee joint stabilization. Conclusion: By providing interventions in the form of ice compression, ROM exercise, and isometric exercise, the post ACL reconstruction rehabilitation program in phase 1 can reduce pain, reduce edema, increase muscle strength and improve the patient's functional ability.

PHYSIOTHERAPY MANAGEMENT FOR PATIENT WITH PRIMARY SPONTANEOUS PNEUMOTHORAX DEXTRA: A CASE STUDY Listyana, Lifia Rahma; Sudaryanto, Wahyu Tri; Haris, Abdul
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction : Primary Spontaneous Pneumothorax is the presence of air or gas in the pleural cavity that can cause the lung to collapse but without any prior chest trauma or history of lung disease. Generally, patients with primary spontaneous pneumothorax present with chest pain accompanied by breathless to decreased thoracic expansion. The purpose of this case study is to report the results of a physiotherapy program in a patient with primary spontaneous pneumothorax. Case Presentation : The patient was a 62-year-old male laborer, was diagnosed with primary spontaneous pneumothorax dextra. The patient reported the breathless with non-productive cough. Asymmetrical chest movements, with the dextra lower than the sinitra. Chest X-ray showed that dextra lung had collapse. Management and Outcome : The intervention was given one session every day for 7 days consist of Segmental Breathing Exercise, Thoracic Expansion Exercise, and Pursed Lip Breathing. Each program is repeated 3-5 times, interspersed with rest and Breathing Control. Evaluation of the results of the intervention in measuring the degree of breathless using the Brog Scale, measuring thoracic expansion using a medline, as well as the results of a chest X-ray. Discussion : The physiotherapy program in cases of primary spontaneous pneumothorax is given segmental breathing exercise and thoracic expansion exercise to increase thoracic expansion and maximize the inspiration-expiration process. The pursed lip breathing program aims to relieve breathless interspersed with breathing control to restore a calm breathing pattern. Conclusion : Physiotherapy management for patient withprimary spontaneous pneumothorax dextra with the intervention that is Segmental Breathing Exercise, Thoracic Expansion Exercise, Pursed Lip Breathing can relieve breathless, increase thoracic expansion and restore lung function.

PHYSIOTHERAPY PROGRAM PHASE 1 POST RECONSTRUCTION ACL CONDITIONS: A CASE STUDY Nur'ana, Hafiz Arief; Sudaryanto, Wahyu Tri; Fandrian, Ganang
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: The incidence of ACL Rupture ranges from 30 to 78 per 100,000 people per year, after ACL reconstruction 61% to 89% of athletes successfully return to sport, usually 8 to 18 months after reconstruction. In the management of cases of ACL tear, reconstruction of the ACL ligament will be carried out with the procedure of grafting the ACL with tendon tissue to restore the stabilizing function of the ACL ligament in the knee joint. Case Presentation: A 19-year-old male patient with a post ACL reconstruction diagnosis, with complaints of pain in the patient's knee, difficulty bending the knee, and decreased muscle strength in the leg after ACL reconstruction. Management and Outcome: The patient participated in 6 therapies, in 1 therapy for 60 minutes for 2 weeks, with a physiotherapy program in the form of giving Ice compression, ROM exercise, and Strenghtening exercise. And in the evaluation, several measurements were carried out, namely pain measurements using NRS, measurements of muscle strength using MMT, and also measurements of Range of Motion using a goniometer. Discussion: The Physiotherapy program carried out in phase 1 of post-ACL rehabilitation is aimed at reducing pain and edema, increasing the range of motion of the joints, and also strengthening muscles before moving on to the next stage/phase. reduce the intensity of inflammation in the tissue, ROM Exercise which aims to maintain or improve joint mobility and can also increase muscle mass and muscle tone, in addition to maintaining the mobility of the joint and to minimize a decrease in the elasticity of the tissue around the joint, and Also doing strengthening exercises to strengthen the muscles around the knee to increase stability in the knee joint. Conclusion: Post-ACL rehabilitation physiotherapy program using MOON Guideline in Phase 1 Rehabilitation with Ice Compression, ROM Exercise, and also Strenghthening Exercise can reduce pain, increase muscle strength and can improve the functional ability of patients after ACL reconstruction.

IMPROVING POST STROKE FUNCTIONAL ABILITY USING THE BOBATH CONCEPT: A CASE REPORT Handoko, Topan; Susilo, Taufik Eko; Fauziah, Maulida R.
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Stroke is one of the health problems that causes disability. According to the World Stroke Health Organization, there are 13.7 million new cases of stroke that cause a decrease in functional ability every year. Physiotherapy interventions based on the Bobath Concept are one of the interventions that are widely used to treat disability problems in post-stroke patients, although the results of these interventions may vary. A study is needed in the management of handling disability in post-stroke using the Bobath Concept, in order to improve functional abilities. This aim can be achieved through exercises that refer to postural improvement, movement analysis, selective movement and the role of sensory information to achieve functional targets. Case Presentation: A 65-year-old man was diagnosed with a right ischemic stroke in December 2020 with a condition of hemiparesis on his left side of the body, 1 week after that the patient was referred for physiotherapy at the Halmahera Medika Main Clinic. The patient reported having hypercholesterolemia. During the initial stroke, the patient feels a cold and limp sensation on the side of the lesion. The results of the examination showed that the patient had impaired postural control, decreased selective movement ability, which led to a decrease in functional ability. Management and Outcome: Patients undergo a therapy program every 3 times a week and each session lasts 40-50 minutes. Physiotherapy with the Bobath concept includes facilitation to activate postural muscles and to suppress the synergistic pattern of stroke, pelvic mobilization, hip mobilization, active assisted exercise, positioning how to sleep to sitting, balance and coordination exercises, walking exercises and facilitation of weight bearing. At the end of the study the patient experienced an increase in functional ability,especially transfer and walking catagory. From the results we can state that there is an increase in the patient's functional status based on the Barthel Index, especially in the ability to transfer and walk on a flat road. Discussion: Two articles have been selected to support and compare with this study, the findings of which are in line with the research of Besios et al (2019), and Mikołajewska (2013). Base on the functional movement analysis and response to facilitation, which is part of the assessment, it shows that the given exercises improve postural orientation and posture stabilization in sitting, standing, and walking. This is the reason how the functional abilities in our patients developed after the intervention especially the transfer and ambulation abilities of walking. Conclusion: The conclusion of this case report is that there is an increase in functional ability, especially the patient's ability to transfer or ambulate independently on one of the Barthel index items, several other items also experienced an increase although not as much as an increase in transfer ambulation.

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Yasir Sidiq

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+6282134901660

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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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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