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Academic Physiotherapy Conference Proceeding
Published by Universitas Muhammadiyah Surakarta
ISSN : -     EISSN : 28097475     DOI : -
Core Subject : Health, Science,
Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health
Academic Physiotherapy Conferences are a series of activities that include international seminars and call papers. This activity aims to improve literacy and scientific publications of physiotherapy which specifically discuss cases related to problems of function and movement of the human body
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 200 Documents
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INTER RATER RELIABILITY THE NUMERIC RATING SCALE IN INDIVIDUALS WITH KNEE OSTEOARTHRITIS Nur Fauziyah, Luluk; Sari, Dwi Rosella Komala
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Abstract

Background: Pain is one of the most commonly reported and prominent factors that are responsible for physical inactivity in patient with knee Osteoarthritis (OA). There are many measuring tools that can used in clinical practice, one of is which is the Numerical Rating Scale (NRS). The aim this study was analyzing the inter rater reliability of NRS in individuals with knee osteoarthritis. Metode: The study was planned in accordance with guidelines for reporting reliability studies. 10 participants enrolled in this study. Intra-class correlations, two-way random effects model, (ICC 2.1) with 95% confidence intervals, standard error of measurement and minimal detectable change. Result: The inter rater reliability of NRS was excellent (ICC=0.929 95% CI = 0.712 – 0.982). The correlation coefficient recorded has higher than 0.8. The average of ages 59,9 years old. Conclusion: This study had excellent inter rater reliability by excellent ICC, which means the NRS is acceptable measurement that can be used to evaluate pain.
HOME REHABILITATION PROGRAM IN THE CASE OF BELL'S PALSY AT Dr.EFRAM HARSANA Hospital, ISWAHJUDI-Case Report Wulandari, Tri Mei; Widodo, Agus
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Abstract

Introduction: Bell's palsy is a unilateral facial nerve with rapid onset of weakness or paralysis of unknown cause. The facial paralysis that occurs in Bell's palsy can cause significant transient oral incompetence and an inability to close the eyelids, leading to potential eye injury.Case Presentation: The method used in this study is a case study. This case study was conducted at Dr. Efram Harsana Hospital with the patient Mrs. S with the age of 67 years. Management and outcome: the provision of infrared, electrical stimulation, and mirror exercise is one of the effective methods to increase muscle strength and improve the functional ability of facial muscles. Discussion: The IR application given to Bell's palsy patients will have a relaxing effect and help drain blood in the area. Giving electrical stimulation, namely electrochemical reactions, membrane permeability, reactions to motor nerves in the form of skeletal muscle contractions, increasing muscle strength, improving the vascular system and stimulating sensory nerves. This type of mirror exercise aims to increase facial muscle strength and increase facial functional ability activity. Conclusion: Physiotherapy treatment in the form of IR, electrical stimulation, and mirror exercise can increase muscle strength and improve the functional ability of facial muscles.
MOTOR CONTROL FOR GAIT IN CASES OF IDIOPATHIC TOE WALKING Salsabila, Savira Rizka Meidy; Rahayu, Umi Budi
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Abstract

This case report shows a motor control exercise program as a treatment for walking patterns in children with idiopathic tip toe walking. A 5 year old child with talipes equiness walking pattern, during treatment received motor control with stair-step standing, standing balance, stooping and transition activities, control stepping, sensory and intrinsic foot activities, age-appropriate motivation method, information for parents, and home activities to facilitate a more upright standing and walking posture to strengthen surface reaction forces relative to the ankle axis. This program is conducted for 1 hour per session twice a week. Prior to intervention the patient had a Functional Gait Assessment (FGA) score of 8 with the highest score of 30. After 2 weeks of treatment, the Functional Gait Assessment (FGA) score increased by 17 with the highest score of 30. Our results suggest that a functional rehabilitation program may be beneficial in functional recovery. walking patients with idiopathic tip toe walking in children.
EFFECTIVENESS OF ULTRASOUND (US), TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION (TENS) AND STRETCHING IN PLANTAR FASCIITIS CASES: A CASE REPORT Khotimah, Siti Nur; Pristianto, Arif; Rochmaningtyas, Putri
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Abstract

Introduction: Plantar Fasciitis (PF) is a standard heel and foot pain that affects the plantar fascia. The purpose of this study is to determine the effectiveness of ultrasound (US), Transcutaneous Electrical Nerve Stimulation (TENS), and stretching in treating Plantar Fasciitis cases. Case Presentation: The patient in this study was a 38-year-old man with complaints of medial heel press pain, wake-up pain in the morning and after activity. Management and Outcome: given therapy in ultrasound (US), Transcutaneous Electrical Nerve Stimulation (TENS), and stretching as many as four times. The pain was measured using a numeric rating scale (NRS) and the Foot and Ankle Outcome Score (FAOS). Discussion: After being given therapy, it obtained results in the form of pain reduction measured using the Numeric Rating Scale (NRS pain press T1: 5 to T4: 2, wake pain in the morning T1: 7 to T4: 3, pain after activity T1: 6 to T4: 3 and there was an increase in ability measured using FAOS (Foot and Ankle Outcome Score). Conclusion: The administration of ultrasound (US), Transcutaneous Electrical Nerve Stimulation (TENS), and stretching effective reduces pain and improves functional ability in patients with Plantar Fasciitis.
EFFECTIVENESS OF TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION, EXERCISE THERAPY, AND KINESIO TAPE TO REDUCE SYMPTOMS IN DIABETIC PERIPHERAL NEUROPATHY PATIENTS: A CASE REPORT Anggraini, Ricky Diah Ayu; Sudaryanto, Wahyu Tri; Sari, Dwi Rosella Komala
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Abstract

Introduction:Diabetic Peripheral Neuropathy (DPN) is one of the microvascular complications of diabetes, which occurs due to high levels of sugar in the blood, resulting in damage to a group of nerves. The purpose of this study is to determine the effectiveness of the giving of Transcutaneous Electrical Nerve Stimulation (TENS), Exercise Therapy, and Kinesio Tape in cases of Diabetic Peripheral Neuropathy. Case Presentation:The patient in the study was a 64-year-old woman with a diabetes history who complained of tingling, a slight numbness, and a burning sensation in both legs. The complaints will worsen at night. Management and Outcome:The subject got therapy in Transcutaneous Electrical Nerve Stimulation (TENS), Exercise Therapy, and Kinesio Tape as many as three times. The Paraesthesia was measured using the numeric pain rating scale (NPRS), lower extremity muscle strength was measured using 5STS, the static balance using MCTSIB, and the dynamic balance using TUG. Discussion:After being given therapy, It obtained results in the form of decreased Paraesthesia measured using the Numeric Pain Rating Scale (NPRS) silent pain T1: 10 to T3: 9, motion pain T1: 10 to T3: 9. Increased muscle strength in lower extremities and postural in T1: 18 to T3: 15. Increased static balance from T1:0.35 to T3:0.41. Improved dynamic balance from T1:14.90 to T3:14.45. Conclusion:Therapy in Transcutaneous Electrical Nerve Stimulation (TENS), Exercise Therapy, and Kinesio Tape effectively reduces Paraesthesia, increases lower extremity and postural muscle strength, improves static balance, and improves dynamic balance.
EFFECTIVENESS OF TRANSCUTANEUS ELECTRICAL NERVE STIMULATION (TENS), BALANCE EXERCISES, AND QUADRICEPS SETINGG IN THE CASE OF BALANCE DISORDERS IN KNEE OSTEOARTHRITIS PATIENTS: A CASE REPORT Putri, Elma Prida Hapsari; Sudaryanto, Wahyu Tri; Fitriananda, Eva
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
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Abstract

Introduction: Osteoarthritis is the most common degenerative disease that causes disability in the elderly. Defined as progressive articular cartilage wear and tear. The goal of this study was to see how well Transcutaneous Electrical Nerve Stimulation (TENS), Balance Exercise, and Quadriceps Setting worked in cases of Balance Disorders in Osteoarthritis Knee Patients. Case Presentation: A retired teacher, 68 years old. The patient complains of pain in her right knee, which happens when she first wakes up in the morning and when he walks lengthy distances. Management and Outcome: Patients receive therapy twice a week, with each session lasting 60 minutes. Transcutaneous Electrical Nerve Stimulation (TENS) and exercises were used to treat the patient. The Numeric Rating Scale (NRS) and the Berg Balance Scale (BBS) were used to assess pain. Discussion: Tenderness and motion discomfort decreased by one point after therapy, and balance improved by one point as measured by BBS, with a pre-therapy value of 14 and a post-therapy value of 23. Conclusion: In Osteoarthritis Knee patients, therapy in the form of Transcutaneous Electrical Nerve Stimulation (TENS) modalities and exercises is beneficial in lowering pain and improving balance values.
PHYSIOTHERAPY MANAGEMENT IN POST OPERATION CABG (CORONARY ARTERY BYPASS GRAFT): A CASE STUDY Nabilah, Amiratun; Wijianto, W; Purbasasana, P
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction : Coronary Artery Bypass Graft (CABG) is a surgical procedure to restore normal blood flow to the heart by bypassing blocked coronary arteries. The purpose of this study was to determine the effectiveness of giving Deep Breathing Exercise in cases of postoperative CABG (Coronary Artery Bypass Graft). Case Presentation: A 55 year old man with a dentist job. The patient complains of pain in the chest that was incised, pain occurs when sneezing or coughing. Management and Outcome : The patient is given deep breathing exercise. Do repetitions for 1 minute with a break of 2 seconds for each repetition, done 2 times a day. Pain was measured using the NPRS (Numeric Pain Rating Scale). Discussion : After being given therapy, it was found that there was a decrease in motion pain as much as 2 points which was measured using NRS where the values at T(beginning):5 and T(end) were:3. Conclusion : Giving therapy in the form of deep breathing exercise modality can reduce chest pain (incise scar) in patients after CABG (Coronary Artery Bypass Graft) surgery.
EXERCISE THERAPY PROGRAM IN SECONDARY SPONTANEOUS PNEUMOTHORAX ASSOCIATED WITH PULMONARY TUBERCULOSIS: A CASE REPORT Irayanti, Winda; Wijianto, W; Utami, Mulatsih Nita; Hidayati, Ratna Nur Rahma
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
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Abstract

Introduction: Secondary spontaneous pneumothorax (PSS) occurs due to underlying lung disease, in some developing countries pulmonary tuberculosis (TB) is the primary cause of PSS. Case Presentation: A 37 years-old male patient who was farmer from Wonogiri, Central Java, came to RS Paru Dungus with the symptoms of dyspnea, cough, and chest pain for 3 months ago. The patient is an active smoker for 25 years and quits smoking 3 months ago. The patient has a history of pulmonary TB disease. On examination of vital signs, blood pressure and heart rate were good, the patient's breathing was 28x/minute, oxygen saturation was 90%. A chest X-ray showed suggestive pleural TB with secondary infection and pneumothorax in the left apical segment. Based on the inspection, the patient using diaphragmatic breathing, has a barrel chest, and kyphosis. On palpation, there was a spasm of the accessory muscles of respiration. Auscultation showed normal breath sounds and hyper resonance in the left superior area. Vocal fremitus in left superior lobe > left inferior lobe. The dyspnea scale was 6 while the functional activity examination showed the patient was on a scale of 4. Management and Outcome: Physiotherapists give breathing control (BC), deep breathing exercise (DBE), and chest expansion resistance exercise (CERE) training programs for 9 days, getting the results of decreasing dyspnea level and increasing the patient's functional activity. Discussion: Pneumothorax secondary to TB usually occurs after extensive TB involvement of the lung as sudden bronchopleural fistulization and empyema with severe cavitary formations cause pleural rupture. BC is given to patients with a respiratory rate >20x/min, to help improve inefficient or abnormal breathing patterns, while DBE can increase ventilation and oxygenation, and CERE is given to maximize lung expansion by increasing the amount of air that can be pumped by the lungs to maintain the performance of the respiratory accessory muscles. Conclusion: Exercise therapy can reduce shortness of breath and improve functional activity in patients with secondary spontaneous pneumothorax associated pulmonary TB.
THE EFFECT OF TASK SPECIFIC TRAINING BASED ON COCONTRACTION WITH EXTERNAL CLUE FOR FUNCTIONAL ABILITY ON OSTEOARTHRITIS KNEE: SINGLE CASE REPORT Zhulfahmi, Moch. Rizki; Perdana, Suryo Saputra; Prasetijo, Dedy Herman
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Abstract

Introduction: Osteoarthritis Knee is a symptom that often comes in elderly people, a chronic progressive condition that causes movement disorders and interferes with activities. The intervention is task specific training. Task specific training is an effective rehabilitation program for balance, walking speed and reducing pain in OA. External Clue is the therapist providing information about the performance of motor skills so that the patient can get feedback from the patient himself. Case Presentation: Mrs. S is 68 years old. The patient has a height of 155 cm and a weight of 70 kg. Mrs. S works as a housewife. The patient had this complaint several years ago. There is no history of illness in the family. Supporting data in the form of X-ray with the interpretation of knee osteoarthritis grade 2. The patient also suffered from mild deformity of the foot towards varus, the presence of crepitus, but the patient did not have local oedema, no pes anserinus bursitis and no joint tendeness. Management and Outcome: The patient underwent treatment consisting of Task Specific Training based on Co-Contraction with External Clue. The patient is instructed to contract the muscles while walking. Coactivation occurs when the flexor muscles are active during the moment of extension. (External Clue) is the therapist providing additional information about the performance of motor skills so that the patient can get feedback from the patient himself. The osteoarthritis instrument used is WOMAC (Western Ontario and McMaster Universities) pain T1: 8 to T7: 3, stiffness T1:2 to T7: 2, physical function T1: 24 to T7: 7. Discussion: The subjects of this study have typical symptoms of osteoarthritis of the knee, so there is no need for additional examinations to diagnose knee osteoarthritis in these subjects. This is supported by international guidelines which state that individuals with signs such as individuals aged >45 years, pain when doing activities, and morning stiffness <30 minutes can be directly diagnosed with knee osteoarthritis. Task specific has the concept of muscle cocontraction where (simultaneous coordinated activity of agonist and antagonist muscles) is considered as the main mechanism for joint stabilization, load distribution, and control of movement during gait. Muscle co-contraction for activities of daily living (ADL) can be combined with different muscles. It is therefore important to understand muscle co-activation strategies across different ADLs and across different muscle combinations. Conclusion: Obtained an increase in functional ability in patients with knee osteoarthritis.
PULMONARY REHABILITATION FOR CHRONIC OBSTRUCTIVE PULMONARY DISEASE: A CASE REPORT Ajitirtiono, Ramadanu; Herawati, Isnaini
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
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Abstract

Introduction: Global Initiative for Chronic Obstructive Lung Disease (GOLD) defined chronic obstructive pulmonary disease (COPD) as a common, preventable, and treatable disease characterized by persistent respiratory symptoms and airflow limitation. In COPD, the respiratory muscles remain contracted for prolonged periods to meet the increased demand of ventilatory flow causing hyperinflation and increasing load on the respiratory muscle. Pulmonary rehabilitation (PR) is defined as a comprehensive individualized intervention provided by an interdisciplinary team that targeting COPD patients to achieve the maximal level of independence, functioning and, autonomy. PR is a key component of managing COPD because it has been shown to improve exercise capacity, dyspnea, and quality of life in patients with moderate to severe COPD. Physical therapy is a part of PR that can improve multiple aspects of physical function and the performance of functional activities in COPD Patients Case Presentation: A 56-year-old female patient with a longstanding history of asthma, was referred to Balai Besar Kesehatan Paru Masyarakat (BBKPM) Bandung due to shortness of breath. The shortness of breath worsened three days ago when performing activities and was not affected by changes in the body position. The shortness of breath limits the patient's ability to walk more than 50 m. The patient must stop and rest for a while before being able to walk again Management and Outcome: A pulmonary rehabilitation program twice a week in 3 weeks was given which consists of breathing exercise, respiratory muscle stretching, and aerobic training. After 6 sessions of physical therapy, there is improvement in chest expansion, 6MWT distance, mMRC score, and CAT score. Discussion: Patients with chronic obstructive pulmonary disease usually having shortness of breath, reduced functional capacity, and quality of life. Evidence suggests that PR is an effective intervention for patients with COPD. Expected benefits from physical therapy are reduced dyspnea level, improved exercise tolerance, and maximized patient’s health-related quality of life. Conclusion: A pulmonary rehabilitation program consisting of breathing exercise, respiratory muscle stretching, and aerobic training was able to improve chest expansion, improve 6MWT distance, reducing mMRC dyspnea scale, and reducing CAT score.

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