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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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MANAGEMENT OF TENS AND NEURAL MOBILIZATION EXERCISE IN CASES OF ISCHIALGIA/SCIATIC PAIN DEXTRA AT RSUD SOESELO SLAWI Zain, Dhia Fikri; Susilo, Taufik Eko; Prihati, Eko
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Abstract

Ischialgia/sciatic pain adalah kondisi dimana pasien mengalami nyeri atau paresthesia pada saraf skiatik atau akar saraf lumbosacral.Tujuan yang ingin di capai yakni untuk mengetahui manfaat dari Trans Electrical Nerve Stimulation dan Neural mobilization untuk mengurangi nyeri pada ishialgia/sciatic pain dextra. Hasil yang di peroleh setelah melakukan terapi sebanyak 5 kali pertemuan terdapat penurunan nyeri tekan pada ischiadicus dextra T1: 4 menjadi T5: 2, adanya penurunan paresthesia pada n.ischiadicus dextra T1: 6 menjadi T5: 4.Untuk peningkatan kemampuan aktivitas fugsional didapatkan T1: 40% menjadi T5: 30%. Pemberian modalitas Transcutaneus Electrical Nerve Stimulation dan neural mobilization exercise dapat mengurangi nyeri dan paresthesia n.ischiadicus serta meningkatkan kemampuan aktivitas fungsional pada kasus ishialgia/sciatic pain dextra.
INFLUENCE FITNESS AEROBIC EXERCISE TO INCREASE UPPER BODY STRENGTH AT CADRE POSYANDU ELDERLY UPT PUSKESMAS NGAWI ANVIL DURING COVID-19 PADEMIC Cahyana, Aris Alfaldieka; Rahayu, Umi Budi; Yantini, Sri
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Abstract

Physical fitness is a need that must be met so that we can carry out activities of daily life well. Increasing a person's age will cause a decrease in the function of body cells which can lead to a decrease in physical fitness, one of which is muscle strength. Upper body muscle strength can affect functional activity. To achieve good muscle strength, aerobic exercise is needed. This study aims to determine the effect of aerobic exercise on increasing upper body strength in elderly posyandu cadres.
PHYSIOTHERAPY MANAGEMENT FOR DROP FOOT: A CASE REPORT Pratama, Cafin Surya Putra; Sari, Dwi Rosella Komala; Widiatmi, Sri
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
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Abstract

Introduction: Drop Foot is a gait disorder that drops the foot forward due to weakness, irritation or damage to peroneal nerve, and paralysis of the muscles in the back of the foot. This is usually a symptom of a bigger problem, not the disease itself. It is characterized by inability or impairment to raise the toes or lift the foot from ankle. Based on data quoted from the Agency for Healthcare Research and Quality (AHRQ), throughout 2009 in the United States there were 1.787 patients who experienced drop foot in hospitals. In the UK, there are 126.699 patients will experience unilateral and bilateral foot drop. Case Presentation: A 26-year-old man was involved in a traffic accident on 1 years ago when he worked in a mine located at East Kalimantan, Samarinda. One day he was going to work form home had a traffic accident with fracture arm and with a deep open wound at medial leg. He was unconscious for 3 days after the accident. After 4 months of being treated in Samarinda, the patient moved to Surabaya because he followed his wife worked. He was treated at UNAIR Hospital for 4 months. Thus, he moved to Klaten and stayed at his family’s place and started doing treatment at Klaten Islamic Hospital. Management and Outcome: Functional Electrical Stimulation (FES), Ankle and Foot Orthoses (AFO), Exercise can increase muscle strength and functional activity that measured by Manual Muscle Test (MMT) and Foot and Ankle Disability Index (FADI) Discussion: FES was able increase muscle strength. Its mechanism is based the depolarization of axons by an electric field. A bidirectional action potensial, activating the motor unit direct depolarization of muscle can used to stimulate the general peroneal nerve, activating the dorsiflexor muscles of the foot during the swing phase of the gait. The AFO improved subtalar joint motion, while also providing stability anterior-posterior and medial-lateral. AFO has beneficial effects in term of improving functional mobility, gait quality and decreased fall rates in these subjects. Therapeutic exercise was a systematic and planned performance intended body movement, posture, or physical activity to provide patients/clients with the means to fix or prevent impairment, repairing, restoring or improving physical function, prevent or reduce health-related risk factors, optimize your health status, fitness, or overall sense of wellbeing. Conclusion: The treatment of Functional Electrical Stimulation (FES), Exercise, and Ankle Foot Orthoses (AFO) in this case is to be useful for patients with foot drop cases caused by nerve damage after a traffic accident, increase muscle strength and increase functional activity.
REHABILITATION PROGRAM FOR BELL'S PALSY PATIENTS - CASE REPORT Ningsih, Dwy; Widodo, Agus; Kusumawati, Ana
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
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Abstract

Introduction: Bell's palsy is an idiopathic paralysis that affects more than half of the facial muscles due to injury at the bottom of the seventh cranial nerve, and symptoms of facial muscle weakness or total paralysis . Bell's palsy is an acute peripheral type VII nerve palsy whose cause is unknown. Bell's palsy is one of the most common problems affecting the motor neurons of the facial muscles both unilaterally and bilaterally. It affects function and quality of life. Therefore, physiotherapists focus on restoring facial function with different modalities as well as exercises. Case Presentation: Patients complain thick on the face of the left, unable to close his left eye completely, unable to lift his left eyebrow and lip merot right. On examination of the muscles there is a decrease in muscle strength on the side of the face. The diagnosis for this patient's case was Bell's palsy. Management and Outcome: Patients complain thick on the face of the left, unable to close his left eye completely, unable to lift his left eyebrow and lip merot right. Around 22:00 WIB on January 6, 2021, the patient felt half dizzy on the left side of his head and buzzing in his left ear. Because it is not strong enough to withstand the dizziness, the patient compresses with ice. In the morning when he woke up the patient felt a thick patch on the left side of his face. The patient looks in the mirror and notices changes in the face with drooping lips to the right Discussion: : Physical therapy is given to patients bell's palsy is to increase the strength of the facial muscles. The intervention given in this case is infrared to provide a relaxing effect and to increase metabolism, then electrical stimulation is given to stimulate weak muscles, massage is given with the aim of providing stimulation to the muscles which will later have the effect of increasing muscle strength, and the last is mirror exercise where this exercise is given to increase the functional activity of the patient. Conclusion: In the case of Bell's palsy, physiotherapy programs in the form of infrared, electrical stimulation, massage, and mirror exercises can increase muscle strength and increase functional activity in patients.
POSTPARTUM DIASTASIS SYMPHYSIS PUBIC: A CASE STUDY Sudarmi, S; Wahyuni, W
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
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Abstract

Introduction: Pubic symphysis diastasis is the weakness of the ligaments in the pubis that causes the separation of the pubic bone due to hormonal or normal delivery of a baby that is too large (Naoum, & Garner, 2003). Incidence of cases like this is rare but as reported prevalence in a year can reach 520 to 20,000 per case. Case Presentation: A 25-year-old woman has achieved HPL and delivered normally or spontaneously, then the patient was diagnosed with Diastasis Symphysis Pubis with a distance of 3.42 cm. Management and Outcome: The management is in the form of Tens,mobilization exercises, pain reduction and pelvic floor exercises to reduce the level and intensity of pain, increase muscle strength and increase joint range of motion and restore functional ability. Discussion: pubic symphysis instability can lead to joint inflammation, leading to difficulties in outpatient care. Severe dilation of the pubic symphysis damages the ligaments associated with the bones of the bones. If the distance between the symphysis pubis is greater than 2 cm on radiographs, involvement of the sacroiliac joints is often seen. In our research, almost half (16/33, 48.5%) of patients with PPSD had a pubic symphysis dilation of more than 2 cm according to (Sung et al., 2021), in this case study the patient had a pubic width of 3.42 Cm but after doing a physiotherapy program 2 times a week at the hospital for 3 days and doing the exercises at home to get results for approximately 3 months decreased to 1.85 Cm. Conclusion: handling of Physiotherapy programs given to patients 2 times a day for mobilization exercises and pelvic floor exercises in order to prevent joint stiffness and decrease in abdominal and pelvic muscle strength.
EFFECTS AEROBIC EXERCISE ON VO2 MAX IN PHASE 2 REHABILITATION POST PERCUTANEOUS CORONARY INTERVENTION (PCI) AT DR. MOEWARDI HOSPITAL Nurrahman, Muhammad Rizqa; Naufal, Adnan Faris; Susilo, Ridwan Andi
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Abstract

Introduction Coronary Heart Disease (CHD) is a disease that occurs due to the formation of atherosclerotic plaques in the lumen of blood vessels. Case Presentation: Aerobic exercise was carried out for 2 months and evaluated every month. Aerobic exercise is carried out based on the Cardiovascular Rehabilitation Manual compiled by the Indonesian Association of Cardiovascular Specialists. Based on the Cardiac Rehabilitation Manual, patients who will be given aerobic exercise are examined first using the 6 minute walking test to determine the dose to be used for exercise. Exercise intensity using the target Heart Rate Reserve (HRR). Management and Outcome: Aerobic exercise can increase VO2 Max from before being given aerobic exercise until the second month evaluation. This proves that Aerobic exercise can increase VO2 Max in coronary heart patients after Percutaneous Coronary Intervention. Discussion: The mechanism underlying the increase in VO2Max due to the intensity of aerobic exercise in the elderly is an improvement in the adaptation mechanisms at the central and peripheral levels to exercise. The increase in VO2Max that occurs after endurance training in healthy elderly men is due to an increase in peak stroke volume and a lower CO difference, thereby increasing A-VO2Max.. Conclusion: After the patient on behalf of Mrs. S carried out a phase 2 rehabilitation program with Aerobic exercise or walking exercise for 2 months, the results obtained were a fairly good increase in VO2 Max in post-Percutaneous Coronarry Intervention patients.
THE EFFECT OF MANUAL THERAPY INTERVENTIONS ON SUBJECTIVE COMPLAINTS OF VERTIGO PATIENTS Santoso, Totok Budi; Irfan, Naufal
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
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Abstract

Centrral vertigo is a symptom caused by diseases originating from the central nervous system, both at the center of integration (cerebellum and brain stem). The dangers of central vertigo include increasing the risk of accidents while driving, causing falls due to loss of balance, disturbing hearing, interfering with daily activities, becoming a stroke or other problems in the brain. This physiotherapy treatment for the treatment of central vertigo uses manual therapy techniques, with the aim of freeing up the vertebral artery intratment. This study aims to determine whether there is an influence of manual therapeutic intervention techniques on subjective complaints of central vertigo. Observational research type, research design in this study is A-B-A design which has 3 phases. Research Samples amounted to 13 respondents. The sampling technique used was purposive sampling. central vertigo measuring instrument using Vertigo Symptsom Scale- Short Form (VSS-SF). Analysis of the data in this study is a description of the picture obtained from graph analysis and the ratting scale observation process based on measurement of behavior. Based on the results of interventions with myofascial release, traction and oscillation in 13 respondents, the average VSS-FS score before being given an intervention was 21.23 and after being given an intervention the average VSS-FS score was 2.08, so this therapy was effective in reducing entrapment neck due to vertigo with the results of the VSS-FS score decreased significantly by 19.15. The conclusion of this study is that there is an effect of manual therapy with the Myofascial release, traction and oscillation techniques which are very effective in healing central vertigo.
THE EFFECT OF INFRARED AND MUSCLE ENERGY TECHNIQUE ON INCREASING JOINT RANGE OF MOTION IN PATIENT WITH POST OPEN REDUCTION INTERNAL FIXATION 1/3 DISTAL HUMERUS PATIENTS: A RESEARCH ARTIKEL Hidayati, Atik; Santoso, Totok Budi
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
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Abstract

Introduction: Fractures occur in individuals of all ages. However, the type and location of the body varies greatly depending on different factors, mainly related to the quality of the individual bone and the nature of the trauma. The population over 50 years of age in Sweden is expected to increase by 18% between 2010 and 2025, and it is estimated that the number of faults will increase by 26% during this time. The highest incidence of fractures recorded in the data are fractures of the clavicle, tibia, and fractures of the humerus. Case presentation: Immobilization after a fracture of the distal humerus will cause limited mobility of the elbow joint due to stiffness. A 10-year-old boy named An.AN was diagnosed with joint stiffness and postoperative pain . Implementation and results: The provision of infrared and muscle energy techniques in the case of joint stiffness of the distal 1/3 of the distal humerus is very necessary to reduce pain both at rest, motion, and pressure as well as to increase the range of motion of the joint and improve the limited functional ability of the elbow. Discussion: This study was conducted for 4 weeks and was carried out 2 times a week to receive infrared intervention and muscle energy technique. Infrared is given for 15 minutes in the elbow area and muscle energy technique with post isometric relaxation to reduce pain and increase the range of motion of the elbow joint. This study is expected to provide many advantages for this case. Conclusion: the provision of infrared and muscle energy techniques that are carried out twice a week for 4 weeks can be given to patients with postoperative joint stiffness to increase joint range of motion and improve function.
EXERCISE IN PATIENTS WITH POST OPERATIVE RECONSTRUCTION ACL: A CASE STUDY Mursyida, Luthfa; Herawati, Isnaini
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
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Abstract

Introduction: The ACL is a break or tear in the ligaments in the knee joint. ACL injuries usually cause functional impairment and instability of the knee. The main problems after ACL injury are deficits or weakness of knee muscle strength, joint instability, and proprioception deficits. The annual incidence of ACL injuries increased by 43% (from 54.0 to 77.4 per 100,000 population), and 74% among those under 25 years of age (from 52.6 to 91.4 per 100,000 population). Injuries are more common in men than women. One of the interventions that can be given is exercise. Exercise is able to reduce the value of pain, activate the muscles in the injured leg, increase knee flexion, and improve the patient's functional ability. Case Presentation: A 20-year-old man came to the clinic complaining of pain, aches, and difficulty in bending his right knee in full ROM. sometimes felt in the morning. In addition, pain increases when walking long distances and going up and down stairs, complaints arise after suffering an injury while playing soccer. Then the patient underwent ACL reconstruction on February 3, 2021 and underwent physiotherapy on February 17, 2021. Management and Outcome: Exercise is one of the physiotherapy management that can be done on post-operative reconstruction ACL patients to reduce pain, activate the muscles in the injured leg, increase knee flexion, and improve the patient's functional ability. Discussion: Patients with postoperative reconstruction usually complain of pain, weakness of the injured leg muscles, difficulty in flexing the knee in full ROM, and others. This study states that exercises in the form of stretching, strengthening, and balance can reduce pain scores, activate the muscles in the injured leg, increase knee flexion, and improve the patient's functional ability. Conclusion: Exercises for postoperative ACL reconstruction patients in the form of stretching, strengthening, and balance can be used as a physiotherapy management for ACL postoperative reconstruction.
THE EFFECTIVENESS OF MOBILIZATION IN IMPROVING MOTHER'S FUNCTIONAL STATUS AFTER CAESAREAN SECTION DELIVERY Razan, Aqmarina; Wijianto, W
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
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Abstract

Introduction: Over the past 30 years, the incidence of cesarean section or sectio caesarea (SC) has increased. One of the complications of SC is postoperative pain. Pain can interfere with the patient's quality of life and reducing mother’s the functional status. One of the physiotherapy management that can be done is mobilization. Case Presentation: A 28-year-old pregnant woman came to Hospital in Madiun, East Java, Indonesia with complaints of ruptured membranes and breech presentation. The doctor performed a cesarean section (SC) operation on the patient. After SC the patient complained of pain at the incision site. Postoperatively the patient was in bed with an IV and catheter attached. The patient's vital signs are normal. Management and Outcome: The patient was mobilized for 2 days. This mobilization can be divided into 3 stages. The first stage (0-8 hours postoperatively) the patient sits on the edge of the bed, proceeds to get out of bed then sits in a chair and ambulates according to the patient's tolerance, the second stage (8-24 hours postoperatively) Ambulates according to the patient's tolerance, continues walking 1- 2 minutes (or more), third stage (24-48 hours postoperatively) Walk down the hall 3-4 times (or more), then get out of bed every 8 hours. Discussion: Mobilization has a good impact on patients after cesarean delivery. Ambulation helps reduce most of the complications by ensuring good blood circulation, improving breathing, and increasing physical strength. This is proven by an increase in the patient's Katz index, where the C score changes to A after mobilization Conclusion: Exercises given after cesarean delivery can increase transfer and ambulation activities from sleeping to sitting, sitting independently, sitting to standing, standing independently, and walking independently.

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