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PHYSIOTHERAPY MANAGEMENT FOR STROKE PATIENT ON STATIC BALANCE ABILITY: A CASE STUDY Maulidia, Kamila; Wahyuni, W; Rahayu, Umi Budi
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Stroke is a disease that causes damage to the brain due to infarction or bleeding in the blood vessels that supply blood to the brain, resulting in a lack of oxygen and glucose supply to brain tissue. In stroke patients, the general symptom that appears is weakness on one side of the limb which will affect the ability to balance. Handling efforts that can be done are to offer single leg stance and walking training. Case Presentation: The patient is 67 years old, female with a job as a housewife. Currently the patient is able to carry out activities well at home, but the patient often complains that his left side of the limb still feels heavy and his balance decreases when standing or walking. Management and Outcome: The study was conducted 3 times a week in 4 weeks. Mini Mental State Examination (MMSE) was given to determine the cognitive level of respondents. Evaluation is carried out every week using the Functional Reach Test (FRT). Physiotherapy management that used single leg stance and walking training which was carried out for 4 weeks resulted in an increase in static balance in the patient. Discussion: Single leg stance and walking training can increase proprioceptive input which will increase the ability to support on the injured side so as to produce a balanced weight bearing. In addition, the provision of this exercise can train visual, somatosensory, vestibular and proprioceptive which will maintain an upright body position during walking and improve the correct gait pattern so as to improve balance ability.

PHYSIOTHERAPY MANAGEMENT OF KNEE OSTHEOARTHRITIS IN ELDERLY: A Case Study Arizona, Diara; Herawati, Isnaini; Arifin, Akhmad Zainal
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Osteoarthritis (OA) knee is a degenerative and chronic disease of the knee joint due to damage to hyaline cartilage and the most common type of arthritis among individuals over 65 years of age. OA knee is directly related to disability related to physiotherapy problems such as pain, quadriceps dysfunction, and proprioceptive disorders. Therefore, proper management of knee OA is needed to prevent disease progression, reduce pain, and improve knee function in daily functional activities. Case presentation A female patient named MH aged 66 years. The patient had a chief complaint of pain in the right knee. Complaints worsens especially when going up and down stairs and when standing for long periods and walking long distances. The patient also feels stiffness in the knee joint in the morning with a duration of less than 30 minutes. Management and outcomes Giving several optional interventions such as ultrasound, exercise program including static quadriceps exercise, and land base exercise itseffectives for reduce pain, increase muscle strength, increase joint range of motion and improve stability and balance in OA knee. Discussion After being given physiotherapy intervention and exercise programs including static quadruceps exercise and land base exercise, the results were a decrease in motion pain and pressure, and there was an increase in flexor and extensor muscle strength from T1 with a muscle strength value of 4/5 , to 5/5 at T4, There is an increase in the range of motion of the joint at T1the result is 1000 becomes 1300 at T4. and a decrease in risk factors for falls and an increase in balance and stability in the knee joint. Conclusion After physiotherapy intervention in the form of ultrasound and exercise program that includes static quadriceps exercise, land base exercise for 4 therapy sessions can reduce pain levels, increase leg muscle strength, improve balance and reduce the risk of falls and functional activities in the elderly with OA knees.

PHYSIOTHERAPY MANAGEMENT FOR LUMBAL STRETCHING EXERCISE AND LUMBAL CORE STABILIZATION EXERCISE IN CHRONIC LOW BACK PAIN: A CASE STUDY Putri, Yulinda Permata; Naufal, Adnan Faris; Wijayaningsih, Anteng
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Chronic low back pain refers to the low back, lumbosacral and sacroilliac pain over 3 months which is sometimes accompanied by radiating pain in the lower extremities. LBP is one of the most common musculoskeletal disorders with a prevalence rate of 80%. LBP treatment can be done with medication and physiotherapy programs.The purpose of this study was to determine the effectiveness of a physiotherapy program using MWD, Tens, stretching exercise and lumbal core stabilization exercise to reduce pain, improving range of motion and optimizing functional ability in patient with CLBP. CasePresentation: Mr. Y feels pain in the lower back, left buttocks and left hamstring since 1 year ago, sometimes he feels tingling and cramping in his left leg. The patient also complained of pain in the left hip area and was known to have a history of falling from his motorcycle and cracking his left hip. The patient is unable to walk long distances, feels pain in the waist if he sits too long, feels pain when bending his back and unable to lift heavy weights from the floor. The complaints will be reduced when used to rest. Management and Outcome: The patient attended therapy three times once a week with a physiotherapy programs MWD, Tens, Stretching Exercise and Lumbal Core Stabilization Exercise. Patient were evaluated using Numerical Rating Scale (NRS), Meterline, Goneometer, Manual Muscle Testing (MMT), and Oswestry Disability Index (ODI). Conclusion: Physiotherapy program for 1 months with the intensity of patient visits once a week with the intervention of MWD, Tens, Stretching Exercise and Lumbar Core Stabilization Exercise can reduce pain intensity, increasing left hip range of motion and increase the patient's functional ability.

PHYSIOTHERAPY MANAGEMENT IN PATIENT WITH URINARY INCONTINENCE: A CASE STUDY Riani, Kurnia Ade; Supriyadi, Arin; Hayati, Ika
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Urinary incontinence (UI) is the problem of accidental or abnormal loss (leakage) of urine. The physiotherapy management of ES (Electrical Stimulation), Kegel Exercises, and Abdominal Muscle Exercise in increasing the strength of pelvic floor muscle and abdominal muscle strength in patients with urinary incontinence. Case Presentation: A female 25 year old comes to the doctor with complaints of difficulty urinating postpartum for 6 months, the doctor diagnoses the patient with urinary incontinence then referred to physiotherapy for further treatment Management and Outcome: Giving of electrical stimulation, kegel exercise, and abdominal muscle exercise effective to increase the strength of the pelvic floor muscle and abdominal muscle as well as decrease severity of urinary incontinence in patient urinary incontinence Discussion: After physiotherapy exercise interventions were given, the results obtained were an increase in the strength of the pelvic floor muscle from Pre-Test with a strength of the pelvic floor value of 2, an increase in strength of the pelvic floor to 3 at T8, an increase in the abdominal muscle strength at Pre-Test the result is 3 and becomes 4 at T8, and there is a decrease in severity of urinary incontinence at Pre-Test the result is 8 and becomes 6 at T8. Giving of electrical stimulation, kegel exercise, and abdominal muscle exercise effective to increase the strength of the pelvic floor muscle and abdominal muscle as well as decrease severity of urinary incontinence in patient urinary incontinence. Conclusion: After given by physiotherapy modalities and exercise in urinary incontinence it show a good progression. The physiotherapi’s treatment showed that there was an increase pelvic floor muscle strenght and abdominal muscle as well as decrease severity of urinary incontinence.

MANAGEMENT PHYSIOTHERAPY FOR CEREBRAL PALSY (CP) DIPLEGI TO IMPROVE TRUNK CONTROL WITH SATCO (SEGMENTAL ASSESMENT OF TRUNK CONTROL) EXERCISE COMBINATION TOA (TASK ORIENTED ACTIVITY) Hayati, Ika; Supriyadi, Arin
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Physiotherapy treatment in CP diplegi for improved trunk control with satco Exercise combination TOA. to report the results of the FT program on CP diplegi to improve trunk control capabilities with satco exercise combined with TOA. Case Presentation: Patients aged 3 years with the main diagnosis of CP diplegi with less (ugly) trunk control who are currently undergoing therapy using SATco Exercise combination TOA. The implementation of physiotherapy is carried out for approximately 6 weeks with the frequency of therapy a week 3 times. The patient sits 90 degree in stool then installed pelvic straps for pelvic stabilization then given trunk control exercises with satco exercise for approximately 30 min / session into 3 parts namely static control, active control and reactive control each - 10 minutes each .and combined with TOA in the frontal sagittal and transverse fields (reach / grab and insert puzzle ring donut) Management and Outcome: after 18 treatments in the results there was an increase in control trunk which was initially at the upper thoracic control level with the level of support on the axilla currently there is an increase in the upper lumbar control level with a level of support below ribs (L3). Discussion: SATco or these is combined the TOA (Task Oriented of Activity) wich is the therapy that takes stage by stage down through the trunk and then in those children are able through the lower limbs working on their posturalcontrol and from that their function then evolves. TOA (Task Oriented Activity Based) is one of the NDT principles that has been proven effective and efficient in improving performance promoting meaningful and goal-oriented intensive training. Both treatments effectively help improve trunk control in patients. Conclusion: In these cases there was a significant increase in trunk control with SATco exercise combined with TOA.

THE IMPACT OF CORE STABILITY EXERCISE WITH THE NEW BOBATH CONCEPT METHOD ON POST-STROKE PATIENT BALANCE AT RSPAL DR RAMELAN SURABAYA Iqbal, Mohammad; Perdana, Suryo Saputra; Prasetyo, Dedi
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Aim: This research aim to know therapeutic exercise appplication with New Bobath Concept approach combining with Core Stability Exercise to improve balance. Quasi experimental design A-B-A use 2 samples measuring every series at a control grup ar RSPAL Dr Ramelan Surabaya. Data analysis with simple descriptive statistic to get obvious image about intervention outcome, using line graphic as an interpretation of treatment and outcome. Based on the grapic shows there is improvement after Core Stability Exercise and New Bobath Concept approach get improvement in 2 items in first week and 2 items in third week. In second week only 1 item get improvement. Conclusion is there is improvement effect in balance by treatment Core Stability Exercise and New Bobath Concept approach.

THE EFFECT OF PURSED LIP BREATHING EXERCISE ON RESPIRATORY RATE IN PATIENT WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE: A CASE STUDY Nurbaity, Annisa; Sari, Dwi Rosella Komala
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Chronic Obstructive Pulmonary Disease(COPD) is a chronic lung disease accompanied by airflow limitation that is not fully reversible. Airflow obstruction is generally progressive and is associated with an abnormal inflammatory response of the lungs to noxious particles or gases. The most common problems include chronic cough, increased sputum and shortness of breath. This increase in sputum and shortness of breath can affect changes in the respiratory rate of COPD patients. Case Presentations: A 55-year-old male patient complained of shortness of breath and cough. The patient works as a textile factory worker. The patient was diagnosed with COPD by a Lung Specialist and referred for physiotherapy to improve breathing patterns so that the respiratory rate returns to normal. Management and Outcomes: Effect of Pursed Lip Breathing Exercise to determine the respiratory rate in patient with Discussions: After physiotherapy intervention and evaluation were carried out, it was found that there was a decrease in the respiratory rate of 24 times per minute and T1: 19 times per minute. This happens because the pursed lip breathing exercise mechanism itself is a technique that focuses on expiration by deliberately inhibiting the shape of the lips that make it difficult for air to escape, thus requiring the help of diaphragm and abdominal muscle contractions to expel the air so that the volume of air will increase. Conclusion: After the physiotherapy session, the results showed that there was a The effect of pursed lip breathing exercise on respiratory rate in COPD patients is to provide a decrease in respiratory rate.

THE EFFECTIVENESS OF CO-CONTRACTION EXERCISE WITH EXTERNAL CLUE FOR QUALITY RULES IN INDIVIDUAL KNEE OA PATIENTS: SINGLE CASE REPORT Septiani, Icha; Wahyuni, W; Perdana, Suryo Saputra
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Osteoarthritis (OA) is one of the most common conditions that cause disability, especially in the elderly population. Osteoarthritis (OA) is a degenerative and chronic disease of the knee joint. The recommended intervention is Task-Specific Training with Co-Contraction, namely muscle co-activation (coordinated agonist and antagonist muscle activity simultaneously) for joint stability, even in OA knee individuals who function dynamically as a stabilizer, controlling movement during walking. Augmented feedback (External Clue) commonly used in clinical practice and can play an important role in motor learning. 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 , the absence of pes anserinus bursitis and the absence of joint tendenes. Management and Outcome: The patient underwent treatment consisting of Task-Specific Training based on Co-Contraction/ 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 data analysis used in this study is a single case report. The design for this study used the ABA design. The sampling technique is the consecutive method with 1 person who fits the inclusion criteria. The research measurement instrument related to the quality of walking used the 6 Minute Walking Test (6MWT). The data analysis technique used descriptive analytic. This exercise program uses Task- Specific Muscle Co-contraction Training with External Clue for one week starting from January 7 to January 14, 2020, with Ethical Clearance Letter no. 2682/B.2/KEPKFKUMS/ XI/2019 conducted by the Health Research Ethics Commission (KEPK) FK UMS. 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. This is supported by the existence of pain, stiffness, and locomotor which are common symptoms of knee OA that is focused on a functional approach, namely component important in locomotor retriction is running. Task- specific training is understanding how distraction-based exercise can affect certain functional tasks which helps improve exercise protocols for people with knee OA. The concept of muscle coactivation from a specific task is muscle co-activation (coordinated agonist and antagonist muscle activity simultaneously) for joint stability, even in OA knee individuals who function dynamically as a stabilizer, controlling movement during walking. Muscle co-activation to help stabilize the joints in the ligaments and distribute pressure on the joint surfaces. Conclusion: There was a significant increase in individual walking distance of osteoarthritis knee patients.

THE EFFECT OF STRETCHING LOWER EXTREMITY AND CORE STABILITY ON THE DYNAMIC BALANCE OF UMS BASKETBALL PLAYER: A CASE STUDY Ramadhani, Suci Indah; Wahyuni, W; Wijianto, W
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction : The components of physical condition are speed, strength, endurance, flexibility, strength, coordination, balance, and agility in improving the performance of basketball players. one is that the relationship between the ability to balance and the risk of sports injury has been determined in most cases, but the relationship between ability and balance between athletics is less clear. The importance of balance for basketball players itself reduces injuries and improves performance during the game. Case Presentation : Respondents with criteria aged 19-22 years, male and female, work as basketball players. With balance problems who want to follow an exercise program that will be given to improve dynamic balance abilities. Management and outcomes : The patient underwent a treatment consisting of stretching and core stability. Before exercise, patients are asked to perform stretching and core stability independently under the supervision of a physiotherapist. The instrument used is the Y balance test. The results of the paired sample t-test show the mean in pair 1 is 2.35824 with a significant value of 0.000 where p < 0.05 then Ha is accepted and pair 2 is 1.67059 with a significant value of 0.005 where p < 0 0.05 then Ha is accepted, it can be concluded that the lower extremity stretch and core stability affect increasing dynamic balance Discussion : The subjects in this study have dynamic balance disorders because the importance of balance for basketball players can reduce injuries and improve performance during matches. Stretching and core stability can increase flexibility and activate core muscles in athletes to improve balance. Conclusion : Supporting lower severity stretches and core stability can improve the dynamic balance of basketball players.

PHYSIOTHERAPY MANAGEMENT OF WILLIAM FLEXION EXERCISE FOR PAIN REDUCTION IN LOW BACK PAIN MYOGENIC: CASE STUDY Wardianti, Dwi; Wahyuni, W
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Introduction: Low back pain is a major health problem in all developed countries. Myogenic low back pain is defined as pain, muscle tension, or stiffness localized to the lower trunk and above the inferior gluteal folds, with or without pain. The most dominant symptoms of nonspecific low back pain are pain and disability. The prevalence of low back pain in the general US adult population is 10-30%, and the lifetime prevalence of AS adults is as high as 65-80%. The global prevalence of LBP is estimated to be around 31%, and it often occurs in women aged 40-80 years. The prevalence of LBP in the productive age group is almost 40%. The etiology of low back pain can often be distinguished based on the patient's history, physical examination, and some cases. For example, myofascial pain is a musculoskeletal complaint that is often seen, especially after trauma or repetitive motion injuries. Several risk factors that can cause low back pain include; age, body mass index, years of service, work chair, sitting position, and sports activities. Case Presentation: A literature review of several databases (PubMed, Science Direct, Web of Science). A mix of keywords has been used in searches or Medical Subject Heading (MESH) terms related to "William flexion exercise-related low back pain" or "low back pain myogenic and William flexion exercise" and combined with or treatment and "low-income countries and medium". The inclusion criteria of the article were patients with myogenic low back pain and all studies assessed were published in English in the period 2000-2021. The methodological quality of the included studies in terms of internal validity was assessed using the CASP (Critical Appraisal Skills Program). Management and Outcome: William flexion exercise can improve functional status, decrease pain level and intensity, and improve quality of life in low back pain sufferers are the benefits of physiotherapy management to solve myogenic low back pain. .Discussion: Several articles have been selected from three databases with an 80% quality rating for each study. The study states that an exercise program 3 times a week, an exercise program using hamstring stretch techniques, pelvic tilt, double knee to chest, hip flexor stretch can improve functional status, reduce the pain level and intensity, and improve quality of life in patients with low back pain. physiotherapy management to treat myogenic low back pain Conclusion: Physiotherapeutic management using a three to a twelve-week exercise program. The special technique of William flexion is used to treat myogenic low back pain.

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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

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Abstract

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