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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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PHYSIOTHERAPY MANAGEMENT OF BREATHING EXERCISE AND MOBILIZATION OF THE THORAX CAGE IN CASES OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD): A CASE STUDY Mufidayanti, Arum; Supriyadi, Arin
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Abstract

Introduction : Chronic Obstructive Pulmonary Disease (COPD) is a disease with persistent respiratory symptoms and chronic airflow limitation due to significant exposure to noxious particles or gases combined with a variety of host factors including genetics, airway hyperresponsiveness, and poor lung growth during childhood. The purpose of this study was to determine the effectiveness of breathing exercise combined with mobilization of the thorax cage on increasing activity tolerance. Case Presentation : A 65-year-old man with history of COPD presented with severe shorthness of breath, chest pain and cough with difficulty in expelling phlegm. The patient had smoking history and hypertention. The spirometry examination result showed the FEV1 prediction was 50%. Management and Outcome : The treatment used in this study were breathing exercise combined with mobilization of the thorax cage. The evaluation result showed from day 1 to day 4 there were BORG scale from 5 to 2, CAT scale from 33 to 11, mMRC scale from 4 to 2 and there was significant improvement from thorax expansion. Discussion : Breathing exercise combined with mobilization of the thorax cage decreased the sensation of dyspnea patient with COPD and improved the thorax expansion by loosened the airway and increased the upper-limb joint range of motion. Conclusion: Breathing exercise combined with mobilization of the thorax cage has positive impact on improved exercise/activity tolerance patient with COPD.
PHYSIOTHERAPY MANAGEMENT FOR CRUCIATUM LIGAMENTS INJURY IN PHASE 1: A CASE STUDY Pangestu, Gesang Gede; Perdana, Suryo Saputra; Herman, Dedy
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction : ACL injuries represented more than 50% of injuries in the knee and affected more than 200,000 peoples in the United States each year. The ratio of the incidence of ACL injuries in men and women was 66.7% versus 33.3%. The first phase is a key in post operative rehabilitation of cruciate ligament injury. Rehabilitation in the first phase aims to control inflammation, assist the process of tissue formation, protect injury, reduced pain, and muscle activation with isometric. The Problem at the inflammatory stage (phase 1) are usually in the form of uncontrolled inflammation characterized by redness, heat, pain, swelling, and impaired knee function. Case Presentation: Based on the ACL Reconstruction Guidelines Rehabilitation protocol in Skeletally Mature Athletes. A 30-years-old man is a footballer with a weight of 55 kg and a height of 175 cm, complaining of pain and stiffness in his right knee when performing daily activities. On March 25, 2021 the patient experienced a wrong movement in a pivoting position and a collision occurred with another player on the lateral side of the right knee. Management and Outcome :The Patient received physiotherapy program with exercises focusing on swelling and pain management, increasing the range of motion and muscle strength of the right knee and providing a home exercise program according to phase 1 (0-4 weeks). Measurement of swelling with midline, measurement of pain with Numeric Rating Scale and measurement of Range of Motion with Goneometer. Discussion : The patient did physiotherapy sessions twice a week for four weeks. The measurement results showed an increased in the range of motion, a decreased swelling and pain in the right knee. Factors that affected tissue healing including the location of the graft used, management of the preparation of the rehabilitation program, awareness of the patient doing home exercise programs and avoiding contraindications of therapy. Conclusion : The first phase in management of the ligament injury rehabilitation program is very important to accelerate the tissue healing process as well as the requirements for the next phase. If the first phase is not managed properly, there will be a risk of various problems occurring in the subsequent phases and will slow down the tissue healing process and functional activity.
PHYSIOTHERAPY MANAGEMENT OF ANKLE SPRAIN IN THE ACUTE PHASE: A CASE STUDY Tristian, Deviana; Naufal, Adnan Faris; Maulana, Hakny Kusuma
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
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Abstract

Introduction: Ankle sprain is a condition in which the ligaments in the ankle are injured due to sprains. According to research, injuries to the ankle are less than 10% due to PTFL and CFL, and injuries in an inversion state or to the lateral ligaments of the foot occur in 85% of cases. The meta-analysis found that 13.6 occurred in female athletes and 6.94 occurred in male athletes per 1000 exposures to soccer, basketball, hockey, tennis, and other sports. In the problem of acute ankle sprains will cause symptoms of pain and swelling. Case Presentation: a case study of three databases (PubMed, Pedro, Science Direct) with the aim of knowing the effect of ultra sound, ice packs, exercise therapy and kinesio tape in The purpose of this paper is to influence the effect of giving ice, ultrasound, exercise, and kinesio tape in the acute phase of the right lateral ankle sprain patients.. The keyword used in the search was ankle sprain related to "acute phase exercise". Inclusion criteria were athletes who had a grade 1 ankle sprain and had no fractures. Management and Results: The use of ultrasound and ice packs can reduce pain intensity and can reduce edema, as well as the implementation of exercise therapy prescriptions and the use of kinesio taping can increase functional activity. Discussion: the study showed a decrease in silent pain from 5 to 3, tenderness from 8 to 6, and motion pain from 8 to 6. a decrease in edema from a difference of 3cm to 2cm, an increase in the functional activity of the FADI index, a decrease in the level of limitation after physiotherapy actions from 41.3% to 36.3%. Conclusion: physiotherapy management in the acute phase of ankle sprain cases uses a therapeutic program twice. Ultrasound, ice packs, exercise therapy, and kinesio tape are used to treat pain and swelling in ankle sprains.
THE EFFECT OF NEUROMUSCULAR ELECTRICAL STIMULATION (NMES) AND PROPRIOCEPTIVE NEUROMUSCULAR FACILITATION (PNF) IN INCREASING EXTREMITY MUSCLE STRENGTH OF HEMIPARESIS DEXTRA PATIENT: A CASE STUDY Chodijah, Siti; Herawati, Isnaini
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Abstract

Introduction: Stroke is the second leading cause of death and third disability in the world. Data from the World Stroke Organization shows that every year there are 13.7 million new cases of stroke and about 6.7 million deaths that occur due to stroke. Stroke causes paralysis that worsens, and creates limitations in contractile or non-contractile tissue, and reduces range of motion in joints. Case Presentation: A case study on a 68-year-old man who had his first stroke in August 2020 and found a decrease in muscle strength, pain at the end of movements of shoulder, elbow and knee flexion along with decreased functional ability in the right extremity. Management and outcome: The patient received a therapeutic approach with NMES and PNF for 4 times for 2 weeks. This programs could improve muscle strength and decreased the level of pain among men with Hemiparesis Dextra Discussion: The study states that NMES appears to be an effective physical rehabilitation treatment to initiate skeletal muscle anabolic processes that promote muscle growth and strengthening in hemiparetic and healthy older skeletal muscle. In addition, PNF technique to the non-affected side as well as the affected side, where both had abnormally increased muscle tone and stiffness due to a post-stroke upper motor neuron lesion, had positive effects. Furthermore, the PNF combined pattern is an effective treatment method for increasing the muscle activity. Conclusion: After physiotherapy treatment 4 times for 2 weeks there was an increase in muscle strength and a decrease in pain at the end of passive flexion of the shoulder, elbow and knee.
PHYSIOTHERAPY MANAGEMENT FOR CARPAL TUNNEL SYNDROME: A CASE STUDY Ni'mah, Dita Nurul; Naufal, Adnan Faris; Wijayaningsih, Anteng
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
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Abstract

Introduction: Carpal tunnel syndrome (CTS) is the most common neuropathy caused by compression of the median nerve in the carpal tunnel, which can cause symptoms such as pain, tingling, and numbness,the prevalence is 5.8% in adult women and 0.6% in men. The purpose of this study was to determine the effectiveness of a physiotherapy program using manual therapy, and exercise therapy to reduce pain and increase functional activity in patients with Carpal Tunnel Syndrome (CTS). Case Presentation: Mr. H complained of tingling in his left hand from the wrist to the 4th finger and sometimes felt pain. Complaints are exacerbated at night so that it is difficult to sleep. Mr. H has difficulty driving a motorbike or car, buttoning clothes, opening bottles, and doing activities requiring the left hand. Management and Outcome: The patient attended therapy four times once a week for four weeks with a physiotherapy program manual therapy, stretching exercises and strengthening exercises. Patients were evaluated using the Numerical Rating Scale (NRS), Manual Muscle Testing (MMT), and Boston Carpal Tunnel Syndrome Questionnaire (BCTSQ). Conclusion: Physiotherapy management in the form of manual therapy, stretching exercises and strengthening exercises performed once a week for four weeks can reduce pain and increase the functional activity.
PHYSIOTHERAPY MANAGEMENT FOR CERVICAL RADICULOPATHY: A CASE STUDY Wachidah, Rahayu Noor; Herawati, Isnaini
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
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Abstract

Introduction: Cervical radiculopathy (CR) is a disorder of the peripheral nervous system where the resulting cervical nerve root (CNR) pathology produces chronic pain and disability.11 which is manifested by neurological impairments caused by thightness of neck muscles due to poor postural alignment.13 Cervical radiculopathy(CR) patients demonstrate sensori motor problems radiating along the distribution of a nerve root in the upper limb, multimodal therapeutic program had significant improvement in CR.7,14,21 Case Presentation: A 45-year-old female administration worker presented as direct access to physical therapy with symptoms suggestive of cervical radiculopathy. Her examination revealed strength, tingling sensation, and restriction of rotate her neck to the left side. Following two weeks of conservative treatment, consisting of multimodal intervention, exercise therapy, home program and education. Management and Outcome: A multimodal physical therapy was shown to be effective in reducing pain, functional disability and increasing cervical range of motion in old people with degenerative cervical radiculopathy.22,23 Discussion: In most patients with cervical radiculopathy, nonoperative treatment is effective. In a oneyear cohort study of 26 patients diagnosed with herniated nucleus pulposus and symptomatic radiculopathy, a focused, non-operative treatment program was successful in 92% of patients. Little high- quality evidence supports the use of an individual nonoperative treatment; however, a multimodal approach may lighten symptoms.23,20, Conclusion: Physiotherapy management in the group setting use the two weeks of multimodal intervention and exercise program. The specific technique of multimodal intervention and exercise were used to treat the cervical radiculopathy.23,24,25
AEROBIC EXERCISE INCREASE FUNCTIONAL CAPACITY ON POST ATRIAL SEPTAL DEFECT CLOSURE PATIENT: A CASE STUDY Martani, Laras Rum; Supriyadi, Arin
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
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Abstract

Introduction: Atrial Septal Defect (ASD) are common and present at any age. Atrial septal defect (ASD) is a congenital heart defect that enables blood flow between the left and right atria through a defect in the interatrial septum. ASDs compose 35% to 40% of congenital heart defects, making them the second most common congenital heart defect. The ratio of ASD sufferers is 1:2 male to female. Treatment options are determined based on time of discovery and size and location of defect. Surgical correction is ideal before pulmonary hypertension develops, and has the lowest risk of complications when performed in patients<25y, closure may be performed as open heart surgery. Case Presentation:A female 26 years old with a diagnosis of ASD. Patient complained fatigue, and dyspnea. Echocardiographic before operation showed ASD secundum 20 mm left to right shunt, diastolic dysfunction grade 1 and ejection friction 78.1% probability pulmonary hypertension. Management and Outcome:An aerobic exercise were used in this study. The program performed 3 sessions in a week during 4 weeks. The 6-minutes walking test were used to evaluate functional capacity. Discussion:After giving an aerobic exercise during 1 month obtained the result increase functional capacity. Patients was able to walk as far as 220 meters in 6 minutes. Conclusion: : Physiotherapy management in post ASD closure phase II for 12 sessions of aerobic exercise program showed a good progression.
A PHYSIOTHERAPY STRATEGY IN SHOULDER ADHESIVE CAPSULITIS AFTER BREAST CANCER SURGERY: A CASE REPORT Ulfa, Merinda; Sari, Dwi Rosella Komala; Purbasasana, P
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
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Abstract

Background and Purpose: Breast cancer surgery may cause late effects of pain, range of motion loss, and activity limitation in the upper extremity (UE). The surgical complications was shoulder adhesive capsulitis (AC). AC is a condition of progressive loss of UE range of motion (ROM) and leading to limitations functional mobility. The purpose of this case report is to investigate the implementation of transcutaneous electrical nerve stimulation (TENS) combined with joint mobilization technique and hold relax technique for a patient with post mastectomy surgery and chemotherapy within a year with AC. Method: The patient was a 55-year-old female who was referred to physical therapy, Dr. Sardjito Central General Hospital. The patient had restricted mobility and pain in her left UE with a medical diagnosis of AC. A comprehensive physical treatments have done as well TENS, joint mobilization technique, and hold relax technique for twice a week. The outcomes were measured by goniometer, manual muscle testing (MMT), visual analog scale (VAS) and shoulder pain and disability index (SPADI). Result: The active ROM of shoulder increased significantly, decreased pain intensity (7/10 to 6/10) and increase muscle strength (3/5 to 4/5) and as well better functional performance (73.1% to 66.9%) in patient with AC affected by post mastectomy surgery. Conclusion: A good physiotherapy strategy for post mastectomy, clearly reduced impairments as muscle strength, joint mobility and functional activities of shoulder joint. As well this study could be a reference for clinicians to manage the patients with shoulder problem after breast cancer surgery.
IMPROVING FUNCTIONAL OF FACIAL ABILITY FOR CHRONIC BELLS PALSY'S BY USING MODALITIES MASSAGE AND MIRROR EXERCISE: A CASE REPORT Sofianata, Agung; Susilo, Taufik Eko
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
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Abstract

Introduction: Bell's palsy is a weakness or paralysis of the peripheral facial nerves, is acute, and the cause is unknown (idiopathic). In Indonesia, the exact incidence of Bell's palsy is difficult to determine. Data collected from 4 hospitals in Indonesia in 2010 found that the frequency of Bell's palsy was 19.55% of all neuropathy cases and the highest was at the age of 21-30 years. Problems that arise in right Bell's palsy are facial asymmetry, stiffness and thickness on the affected side of the face, decreased facial muscle strength on the injured side, the potential for tissue spasm and adhesions, and the potential for irritation of the eye on the injured side. Case Presentation: A 23-year-old woman with the status of a student was referred to medical rehabilitation with complaints of slurred speech during a speech, lack of right eyebrow movement, unconscious right eye blinking, inability to chew food, forehead wrinkles, and inability to whistle. Management and Outcome: The Exercise Program is given three times a week for two weeks according to a doctor's referral and each session lasts 30-45 minutes. A home program is recommended to be done every day with a dose of twice a day and each movement is repeated five times. Results were measured using the Ugo Fisch for facial function. After six treatment sessions, the patient showed the improvement are increase in the score on the frown expression by 4 points from 3 points to 7 points and the smiling expression increased by 12 points from 9 points to 21 points. Discussion: Physiotherapy measures in the form of massage and mirror exercise have been given to these patients. massage has a positive effect in improving muscle function and relaxation to improve blood circulation, thereby reducing tension, anxiety and stress. Mirror exercise is a therapeutic intervention in which a mirror is used to convey visual stimuli to the brain by observing the unaffected body part when the individual performs a series of movements. Conclusion: Through our research and previous research, we concluded that massage and mirror exercise can improve the functional ability of facial muscles.
PHYSIOTHERAPY MANAGEMENT POST RECONSTRUCTION ANTERIOR CRUCIATE LIGAMENT: A CASE STUDY Nurhidayah, Indah Suci; Rahayu, Umi Budi; Mardianto, Halim
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
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Abstract

Introduction: Anterior Cruciate Ligament (ACL) is one of the ligaments present in the knee and serves as a stabilizer of the anterior translation of the femur bone. Non-contact injuries are most common in athletes, usually due to sudden shaft changes resulting in tibia translation of the femur. About 60% of sports injuries are most common in the lower limbs, as many as 16% of injuries are caused by torn ligaments from the knee. Post-reconstruction rehabilitation of ACL aims to prevent complications such as swelling, limited scope of joint motion, muscle weakness, decreased balance and restoration of knee functional abilities Case Presentation: A 23-year-old patient came to one of the hospitals in Semarang with a diagnosis of sinistra ACL rupture, underwent reconstruction 2 months ago. Currently the patient undergoes a phase 2 physiotherapy program because he still complains of mild pain, joint stiffness when waking up, limited joint movement. Management and Outcome: Therapy is carried out for 4 weeks, with an exercise program using static bicycle, lunges, single leg, squat, single leg with cone, side step with theraband. Some tests are performed such as pain measurement using NRS (Numeric Rating Scale), measurement of joint sphere of motion using goneometer, and atrophy measurement using meterline. Discussion: Exercises given in patients post ACL reconstruction aim to improve susceptible joint motion, stimulate blood circulation, maintain muscle elasticity and reduce pain. Significant loss of function as well as inhibition of nerves can lead to atrophy. It causes quadriceps to become weak. To train the strength of the hamstring muscles and quadriceps can use close kinetic chain exercises to produce co-contraction of the muscles around the joints. Conclusion: In this case, it shows that close kinetic chain exercises can increase the range of motion of the joints, reduce pain, and prevent atrophy.

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