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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 231 Documents
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PHYSIOTHERAPY MANAGEMENT IN BELL'S PALSY CASE WITH ELECTRICAL STIMULATION AND MASSAGE MODALITIES: A CASE REPORT Aryanti, Widya; Sudaryanto, Wahyu Tri
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Abstract

Introduction: Bell's Palsy is a condition where there is facial paralysis resulting in paralysis of the peripheral facial nerve acute and currently the cause is unknown (idiopathic) in the absence of other neurologic abnormalities. The goal to be achieved is to know the benefits of Electrical Stimulation and Mirror Exercise in the case of Bell's Palsy (BP). Case Presentation: A 50-year-old woman presented with left-sided facial paralysis and asymmetry. The patient received therapy 6 times with Electrical Stimulation and Mirror Exercise modalities. Management and Outcome: : Patient follows 6 times therapy in 1 week 2 times meeting, in 1 time therapy for 30 minutes which is given Electrical Stimulation modality for 15 minutes and Massage for 15 minutes. Muscle strength was measured using MMT (Manual Muscle Testing), and for facial functional ability using Ugo fisch. Discussion: The results obtained after doing therapy 6 times using Electrical Stimulation and Massage are an increase in muscle strength, and facial functional abilities M. Frontalis T0: 1 to T6:5 , M. Corugator supercili T0:1 to T6:5, M. Procerus T0:5 to T6:5, M.Orbicularis Oculi T0:1 to T6:3, M. Nasalis T0:1 to T6:5, , M.Zygomaticus Major & minor T0:1 to T6:5, M. Orbicularis Oris T0:1 becomes T6:3, M. Bucinator T0:5 becomes T6:5, M.Mentalis T0:5 becomes T6:5. Conclusion: Management of Physiotherapy in the case of Bell's Palsy using an exercise program for 6 times therapy with Electrical Stimulation and Mirror Exercise modalities can be an intervention that can be done in overcoming the problem of Bell's Palsy.
PHYSIOTHERAPY MANAGEMENT IN INDIVIDUAL WITH WRIST DROP AFFECTED BY LEPROSY: A CASE REPORT Endrawati, Mira Yuga; Sari, Dwi Rosella Komala; Prihastomo, Teguh
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Abstract

Introduction: Leprosy is a skin disease caused by Mycobacterium leprae, which is an intracytoplasmic parasite on macrophages and Schwann cells. This bacterium attacks the peripheral nerves, especially the Schwann cells. Mycobacterium leprae was first discovered by a Norwegian named Gerhard Armauer Hansen. One of the consequences of peripheral nerve disorders in people with leprosy is drophand/wrist drop/finger drop caused by damage in radial nerve. Case Presentation: A male patient aged 29 years, at the Kelet’s Hospital, Jepara, Central Java, on January 11, 2021 in a bed rest phase, had a fever of 37.8 C. His diagnose was wrist drop affected by leprosy. The condition of the skin was dry and peeled and indicated wrist drop. Previously, the patient had treated at one of the health centers in Juwana city, Central Java, and received the 4th MDT, the haemoglobin was 7 and already received a blood transfusion. Thus, the patient was referred to Kelet’s Hospital to get better treatments and the doctor suggested to do physiotherapy treatment. Management and Outcome: The interventions used the virgin coconut oil (VCO) Oil, passive, active assisted and stretching for 3 sessions. The impairments were limitation movement for wrist flexion and extension. The evaluation carried out the Manual Muscle Testing (MMT) to measure the muscle strength of wrist flexion and extension and the xerosis problem value applied by Overall Dry Skin Score (ODSS). Discussion: After 3 sessions, the physical examination declaired muscle strength for wrist flexion and extension had the same pattern was 3 of 5 and xerosis problem had not decreased yet. The second treatment reported muscle strength was not increasing, however the skin condition was more moist. The third evaluation found a reduction of xerosis condition, as well as increased muscle strength for wrist flexion and extension were 4 of 5. Conclusion: A management of physiotherapy used VCO Oil and exercise therapy applied passive, active assisted and stretching in patients with wrist drop affected by leprosy, reported giving positive effects to xerosis condition and able increase muscle strength of flexion and extension of wrist joint.
THE EFFECT OF TENS, US AND BALANCE EXERCISE AGAINST PATELAL FRACTURE IN THE ELDERLY: A CASE REPORT Janani, Ummi Syarfina; Rahman, Farid; Arifin, Akhmad Zaenal
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Abstract

Introduction: Patellar fractures most often occur due to trauma, this condition often results in several problems such as pain, decreased muscle strength and decreased range of motion of the joint. The goal to be obtained is to know the effect of TENS, US and balance fatigue on reducing pain, increasing muscle strength and joint range of motion as well as increasing stability and balance in order to reduce risk factors for falls in patients with patellar fracture conditions . case presentation: A male patient aged 65 years in July 2019 had an accident, the accident occurred while driving a motor vehicle and was hit from behind. The patient fell and his right knee hit the barrier. The patient was immediately referred to the hospital for emergency treatment. Management and outcomes: Giving TENS and US modalities as well as balance and stability exercises its effectives for reduce pain, increase muscle strength, increase joint range of motion and improve stability and balance in patellar fractures. Discussion After fourth physiotherapy and exercise interventions were given, the results obtained were a decrease in motion pain and pressure from T1 to , an increase in muscle strength in the flexor knee from T1 with a muscle strength value of 4/5, an increase in muscle strength to 5/5 at T4, an increase in the range of motion of the joint on flexor knee at T1 the result is 950 and becomes 1150 at T4, and there is a decrease in risk factors for falling. Giving TENS and US modalities as well as balance and stability exercises can reduce pain, increase muscle strength, increase joint range of motion and improve stability and balance in patellar fractures. Conclusion:after given by physiotherapy modalities and exercise in patellar fracture it shows a good progression. The fourth physicaltherapy's treatment showed that there was an decrease in pain, improve the range of motion,increase muscle strength and reducing risk factors of fall.
THE EFFECT OF BRIDGING EXERCISE AND GAIT INTERVENTION FOR HEMIPARASE AFTER STROKE ISCHEMIC AT PROF. DR. MARGONO SOEKARJO HOSPITAL PURWOKERTO: A CASE REPORT Pradani, Frita Aulia; Naufal, Adnan Faris; Wijayaningsih, Anteng
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Abstract

Introduction: Stroke is a disease of functional brain disorders in the form of paralysis of the nerves that causes muscle weakness or imbalance, reduced postural control, muscle flexibility, and body asymmetry. As many as 80% of stroke patients will experience walking problems. Lack of muscle use for a long time can also cause secondary changes in muscles and nerves, causing musculoskeletal problems in the joints and problems coordinating activities in the neuromuscular system which is responsible for limb control and balance. The provision of bridging exercise and gait interventions can improve dynamic balance, leg muscle strength, walking speed and mobility after stroke so that it will also increase the patient's functional activity. Case Presentation: A 60-year-old housewife with a history of left hemiparase complains of dizziness, stiffness in the back area and feels heavy when trying to stand up since having a stroke 5 months ago. From the results of the examination, it was found that there was weakness in the lower extremities, balance disorders and disturbances in walking patterns. The patient has a history of hypertension and diabetes mellitus and a family history of similar diseases. Management and Outcome : Giving bridging exercise and gait intervention to patients aims to overcome problems in patients, especially strengthening the muscles of the lower extremities. From the results of measurements and examinations using BBS and NKT there was an increase in muscle strength and balance in patients. Discussion: Disorders of balance and gait patterns are often found in cases of hemiparase after a stroke. This is due to a decrease in strength in the core muscles and lower extremity muscles due to stroke, therefore it is necessary to reactivate these muscles so that the body can function properly. In the study, it was found that giving bridging exercise and gait intervention can activate core muscles and leg muscles so that there is an increase in these muscles. This can improve balance and change in the pattern of walking for the better. Conclusion: In this case, it was found that there was an increase in balance, leg muscle strength and stride length after the intervention of Bridging Exercise and Gait Intervention every 2 weeks for one month.
PHYSIOTHERAPY INTERVENTION IN PNEUMONY PATIENTS IN DUNGUS LUNG HOSPITALS Suryawiningrum, Widya; Wijianto, W; Setiawan, Agus
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Abstract

Pneumonia is caused by an infection that occurs in the air sacs caused by viruses, bacteria to fungi, attacking one or both lungs, which results in the alveoli being filled with fluid or pus, making it difficult for the patient to breathe. Pneumonia is the most common cause of death in the world with nearly 3.5 million deaths per year (Wunderink RG, Waterver GW., 2014). According to the incidence of infection with pneumonia, pneumonia is divided into two. Community pneumonia if the patient is infected from the community and nosocomial pneumonia if the patient is infected in the hospital. The goal to be achieved is to find out the benefits of providing physiotherapy interventions in the form of Chest Physiotherapy in reducing patient complaints in Pneumonia conditions at Dungus Lung Hospital. The results obtained after 3 times of therapy showed that shortness of breath decreased from a value of 5 (severe shortness of breath) to a value of 4 (somewhat severe).
EFFECTIVENESS OF ELECTRICAL STIMULATION AND EXERCISE THERAPY TO INCREASE FUNCTIONAL ACTIVITY IN POST-STROKE PATIENTS HEMIPARASE DEXTRA (HEMORRHAGIC): A CASE REPORT Fatmasari, Army Yudhia; Sudaryanto, Wahyu Tri; Marros, Andika Yulian
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Abstract

Introduction: A Stroke is defined as the sudden death of cells in localized areas due to inadequate blood flow, caused by blood vessel constriction (ischemic) or rupture (hemorrhagic). The purpose of this study is to determine the effectiveness of giving electrical stimulation at a faradic current frequency of 100 Hz and exercise therapy to increase functional activity in the case of post-stroke hemiparesis Dextra (hemorrhagic) patients. Case Presentation: The patient in the study was a 72-year-old man with a history of hypertension and typed 2 diabetes, complaining of weakness in his right hand and leg. Management and Outcome: Given therapy in the form of electrical stimulation with a faradic current frequency of 100 Hz and exercise therapy as much as three times. Functional activity was measured using the Barthel Index, muscle strength was measured using Manual Muscle Testing (MMT), and spasticity was measured using the Ashworth Scale. Discussion: After being given therapy, it obtained results in increased muscle strength measured by Manual Muscle Testing (MMT) on the regio wrist from T1: 1 to T3: 2. The Spastic decrease measured by the Ashworth Scale on the regio wrist field of motion flexion-extension finger T1: 4 to T3: 3, functional activity of the patient did not experience the increase measured using the index Barthel total score T1: 40 to T3: 40 with the interpretation of severe dependence, requires further intervention to get an increase in Bethel index score. Conclusion: Giving therapy in the form of Electrical Stimulation faradic current frequency of 100 Hz and Exercise Therapy during 3x meetings is ineffective for increasing functional activity. However, it effectively increases muscle strength in the regio wrist Dextra.
CASE REPORT: THE PROVISION OF INTERVENTION TENS AND NEURO MOBILIZATION IN PATIENTS WITH CERVICAL ROOT SYNDROME (CRS) Irfan, Naufal; Perdana, Suryo Saputra
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
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Abstract

The purpose of this article is to show the benefits of physiotherapy modalities in the form of Trancutaneus Electrical Nerve Stimulation (TENS) and Neuro Mobilization in patients with Cervical Root Syndrome (CRS). It begins with the presence of auctivity will cause excessive effect on a person, such as a complaint on the muscular system (musculoskeletal) in the form of complaints of pain, pain, fatigue and other. This research using this type of research is a case study. The implementation of the research made in In RSUP Dr. Sardjito. After getting physiotherapy treatment for 3 times using TENS and Neuro Mobilization obtained positive results such as a decrease in pain silent, press, and motion, the presence of reelkatan LGS, and increased aktivity. In addition, it was found that the presence of a decrease in pain in cervical, i.e. there is the addition of ROM on some field of motion. Another thing is there is a drop points NDI which signifies that the patient is gradually able to release its dependence with other people in the activity diary.
PHYSIOTHERAPY MANAGEMENT OF ULCUS DECUBITUS AT RSU 'AISYIYAH PONOROGO HOSPITAL - A CASE STUDY Widyawati, Erinda Anggar Tri; Perdana, Suryo Saputra; Setiyawan, Agus
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
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Abstract

Introduction: Ulcus Decubitus is a condition that is serious with figures of morbidity an mortality in the age of advanced and would be a burden families with the cost of high care. Ulcer sores can occur at any stage of the age, but the case is a matter which specific ally on advanced age due to immobilization. Specificity lies in the incidence of even that are closely related to immobilization which is a problem major in patients geriatric1. The patient slipped about 8 months ago, since then the patient has been unable to walk and move. The left leg hurts to move, and until now it's getting stiffer and can't be straightened, then a wound appears on the top of the left leg. At first it was just red and like a blister, but as time went on the wound became wet, Case Presentation: The method used in this study is a case report of one patient at RSU ‘Aisyiyah Ponorogo Hospital with identity Mrs.P with the age of 98 years. Management and outcome: The provision of positioning, active passive exercise and TENS is one of the effective methods to reduce complaints of pain due to ulcus decubitus. Discussion: One of the actions to reduce the incidence of pressure sores is by giving the side position. The reason for giving the tilted position is because this position is able to prevent the skin from rubbing and tearing the tissue, thereby reducing the incidence of pressure sores2. According to the researcher, the tilted position also has advantages, namely it does not take much time and is easy to implement, tools and materials are easy to obtain and the patient's waiting family can carry out their own in reducing the patient's pressure sores3. Conclusion: Handling physiotherapy in the form of positioning, active passive exercise and TENS can reduce pain complaints that Mrs.P.
PHYSIOTHERAPY MANAGEMENT FOR POST RECONSTRUCTION POSTERIOR CRUCIATE LIGAMENT ACUTE PHASE: A CASE STUDY Monitari, Triska; Supriyadi, Arin; Mardianto, Halim
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
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Introduction: Rupture is a tear of tissue caused by trauma. Posterior Cruciate Ligament (PCL) ruptures can be caused by direct or indirect contact with the knee. A grade 3 PCL injury requires surgery. Rehabilitation in PCL injuries focuses on quadriceps muscle augmentation to counteract the force of the hamstrings muscles and the gravity that move the tibia towards the posterior. Case Presentation: A football athlete suffered a knee injury while playing football. From mri examination found the diagnosis of rupture PCL sinistra grade 3, then undergo reconstruction surgery PCL sinistra. The results of the examination there are several problems in patients, such as oedem, atrophy, spasm, pain (press &motion), and limited motion. Management and outcome:interventions given in the form of exercise therapy as much as 3 times. Pain measured by Numeric Rating Scale (NRS), oedem (metline), range of motion (gonio meter). Discussion: Based on the interventions provided found results that exercise has benefits in patients post acute phase PCL reconstruction that has the goal of maximum protection on grafting, maintaining patellar mobility, maintaining quadriceps muscle tone, maintaining full passive extensions, controlling pain and oedem, early mobilization in knee joints Conclusion:Intervention in the form of exercise therapy can relieve pain, reduce oedem and improve ROM in patients post acute phase PCL reconstruction.
MANAGEMENT PHYSIOTHERAPY FOR MYALGIA UPPER TRAPEZIUS CASE SITTING FOR A LONG TIME WORKING IN FRONT OF A LAPTOP DURING WORK FROM HOME: CASE REPORT Pradipta, Alvian Willy; Perdana, Suryo Saputra; Debbita, Nurraya Martha
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Work from Home during the pandemic covid-19 made almost all Indonesian students online learning activities at home. The use of laptops in a sitting position for too long causes Myalgia Upper Trapezius in students. A study says complaints of 86.4% in the neck and 76.2% in the shoulders during WFH. The purpose of writing is to find out the benefits of Short- Wave Diathermy, Myofascial Release and Stretching to reduce pain and increase joint range of motion. Case Presentation: The patient used was a female student with complaints of pain and limitation of motion in the neck area and was chronic. Pain is caused by a static position sitting in front of the laptop for too long, causing limited neck movement during WFH. Management and Outcome: Short Wave Diathermy, Myofascial Release and Stretching can reduce pain intensity and increase joint range of motion in women with Myalgia Upper Trapezius. Discussion: After 3 weeks physiotherapy, the results were evaluated 3 times. Get the results of reducing silent pain with VAS evaluation 1: 4.5 evaluation 3: 1.1 tenderness evaluation 1: 5.1 evaluation 3: 2.1 and motion pain evaluation 1: 5.3 evaluation 3: 2.5. An increase in the range of motion neck of the joint also occurs in movement with Goniometer, Flexion evaluation 1: 260 evaluation 3: 380, Extension evaluation 1: 300 evaluation 3: 450, Side right flexion evaluation 1: 380 evaluation 3: 440, Side left flexion evaluation 1: 200 evaluation 3: 440, Right rotation evaluation 1: 400 evaluation 3: 480, Left rotation evaluation 1: 300 evaluation 3: 470. Application of Short-Wave Diathermy, Myofascial Release and Stretching can reduce pain and increase the range of motion of joints in patients with Upper Trapezius Myalgia. Conclusion: Physiotherapy management in the Myalgia Upper Trapezius after carrying out the program for 3 weeks with the intensity of 3 times the threat in 1 week reduce pain and increase ring of motion. Ergonomic position and consistency patient during physiotherapy with SWD, Myofascial release and stretching is very helpful in-patient recovery.

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