Academic Physiotherapy Conference Proceeding

Physiotherapy Management of Post Op Recontruction Anterior Cruciate Ligament (ACL) Knee Sinistra Phase I Case Study of Silat Athletes in Boeana Physiotherapy Solo

2023-10-14T13:15:06+07:00

Introduction: Sports injuries refer to injuries that occur as a result of sporting activities, either directly or indirectly. Sports injuries that occur to a person will cause a sensation of pain caused by damage to the structure or function of the body, such as bones, joints, ligaments and muscles. One type of sports injury that often occurs is rupture of the anterior cruciate ligament (ACL). The ACL ligament is an important component in the knee. The main function of the ACL is to maintain stability when anterior tibial movement and internal rotation occur. Rupture is a condition when tissue is damaged or torn due to trauma. Case Presentation: The patient experienced limited movement and pain when flexing and extending the left knee accompanied by pain which made it difficult for the patient to carry out daily activities. The patient suffered an injury caused by an opponent's attack during a silat competition which resulted in a “pop” sound which made his knee ache and made it difficult to bend his knee. The patient was medically diagnosed with left knee ACL rupture. The patient complained of motion pain and tenderness in the left knee area, flexor and extensor muscle weakness, hamstring muscle spasm, decreased joint range of motion, and muscle atrophy. Management and Outcomes: Patients are given intervention in the form of phase I exercise including: quadriceps set, hamstring sets, clump sell, SLR, ankle theraband, slide heels, weight training. Before the exercise, the patient is given tens and given an ice pack after the therapy.After being given the intervention once, the results showed that there was no significant decrease in motion pain, there was no significant increase in muscle strength, there was an increase in the range of motion of the joints, there was no increase in muscle mass. Discussion: Tens aims to help reduce pain, stimulate muscle activity, and reduce swelling, phase 1 exercise therapy, namely strengthening exercises quadriceps set performed to increase strength in the quadriceps muscles, hamstring sets done to increase strength in the hamstring muscles, clump sell performed to increase strength in the gluteus muscles and stabilization of the hips, SLR to strengthen the abductor, adductor, gluteus, and hamstring muscles, ankle theraband to increase the strength of the ankle muscles (m. tibialis anterior, m. gastrocnemius, m. peroneus), slide heels performed to increase knee joint ROM and stretch leg muscles, weight training to add LGS to the knee extension movement and to reduce pain, and ice packs to reduce pain and swelling, so that it can help increase range of motion (ROM).

Physiotherapy Management of Medial Collateral Ligament (MCL) Repair: A Case Study

2023-10-14T13:19:07+07:00

Introduction: The Medial Collateral Ligament (MCL) is a ligament located inside the knee joint that connects the femur to the tibia on the inner or medial side. The MCL's major role is to keep the knee joint stable and to avoid excessive sideways or valgus movements. Injury to the MCL might caused by valgus forces and sudden rotational extension of the knee, which frequently occurs during athletic activities causing the knee to be in a rotational position when the force is applied. As a result, the MCL is sprained or overstretched. If the force applied to the knee is greater, the ligament will rupture. Case Report: The patient is a 30-year-old male who has a ruptured right MCL. He had intraoperative surgery 1 day after his injury for reconstruction. After two weeks, the patient returned to the physiotherapy clinic, where he had difficulties bending and straightening his knee, the quadriceps’ muscle strength appeared to decrease, and he had difficulty in walking. Rehabilitation had been done twice a week and included activities to facilitate the improvement of joint range of motion and muscle strength. Conclusion: The present case concluded that the training program provided can enhance knee joint range of motion following MCL surgery. The findings of this case pointed to the necessity for bigger patient groups to be studied with long-term examination of the safety and efficacy for the MCL’s exercise program.

Physiotherapy Management of Down Syndrome: Case Report

2023-10-14T13:49:02+07:00

Introduction : Down syndrome is a genetic condition or disorder caused by a chromosomal abnormality that occurs threefold in total or part of chromosome 21. Decreased muscle strength and balance are one of the consequences that occur in the condition of down syndrome. In this study the aim was to determine the effect of providing physiotherapy management in cases of Down syndrome. The research method used in this study was a case study involving a 4-year-old girl diagnosed with Down syndrome. Subjects were given physiotherapy interventions for 3 weeks with a frequency of 2 meetings a week. The interventions provided were walking on a textured catwalk, walking on an inclined plane, and jumping on a trampoline based on a stretch-shortening exercise. The examination given for this case is checking muscle strength using the manual muscle testing method and checking balance using the balance beam test. In this study, the results showed that there were changes in the subject's muscle strength and dynamic balance ability.

Physiotherapy Management of Post Operating Achilles Tendon Ruptural (Phase III): A Case Study

2023-10-16T10:33:21+07:00

Introduction: Physical injuries can disrupt the musculoskeletal system which includes muscles, bones, joints, tendons, ligaments, and the connective tissue that supports and binds tissues and organs together. The incidence of achilles tendon rupture has increased due to increased physical activity and sports, especially at the age of 30 and 40 years. Physiotherapy is a form of health service aimed at individuals and/or groups to develop, maintain and restore body movement and function throughout the life span by using manual handling, increased movement, equipment (physics, electrotherapeutic and mechanical), function training, and communication. Case Presentation: The patient was diagnosed with Achilles tendon rupture. The course of the disease was that the patient was playing mini soccer, when the patient ran sprints then his left foot stepped on it and a clicking sound was heard, after the injury the patient was still forced to walk, starting from there the patient felt quite disturbing pain, followed by edema in the left ankle and loss of joint stability. The physiotherapist performed a static inspection with the result that there was an incision along the left Achilles tendon, the patient's postural condition was good, there was visible edema of the left lateral malleolus. The results of a dynamic inspection check are that it can be seen that the running time is still based on the right side of the axle. Management and Outcome: The physiotherapy modality used is to provide cold compresses for 5 minutes. Before being given an exercise program, do a warm-up first. Then proceed with a static cycle for 15 minutes, closed chain exercise, lunges (3 sets), squad (3 sets), calf rises (3 sets), balance exercise, the single-leg brige (3 sets). When finished proceed with cool down. The results of this study were a decrease in edema which was evaluated by a figure of eight, but there was no change in muscle strength which was evaluated by MMT and functional ability which was evaluated by the FADI scale. Discussion: A decrease in edema can occur due to the icing modality or it can also be called a cold compress. Cryotherapy can show a decrease in edema, because cryotherapy can cause cold stimulation to skin tissue which can cause local vasoconstriction causing a decrease in edema fluid and lymph fluid production which can release inflammatory mediators through decreasing the permeability of blood vessel walls resulting in decreased edema. Close Chain Kinetic exercises provide activation of antagonistic groups of several joint group. Examples of closed chain exercises include pushups, pullups, squats, and lunges. All types of closed chain exercises can be performed whether using weights or not. Kinetic Closed Chain training focuses on eccentric muscle work, as it is known that eccentric training can develop higher muscle contractions in the muscles so that a greater training effect can be obtained and followed by increased functional performance. Conclusion: Management of physiotherapy programs given for 2 times resulted in the results that the initial therapy to the final therapy had not shown significant results. So it can be concluded that the left ankle edema has decreased, there is still muscle weakness, and there is no change in the patient's functional ability.

The Effect of Physical Exercise on Muscle Strength in Chronic Rental Failure Patients during Hemodialysis: Article Review

2023-10-16T10:38:03+07:00

Introduction: Chronic kidney failure is a condition in which kidney tissue has progressively decreased function so that it is unable to maintain fluid balance in the body and requires therapy, namely hemodialysis. Improving physical work capacity and reducing functional limitations of muscle strength can be done through regular physical exercise in patients with chronic kidney failure after undergoing hemodialysis. Therefore it is necessary to conduct a systematic review study to determine the effect of physical exercise on chronic kidney failure patients. There are 5 articles used in this research. Based on the articles obtained, it can be concluded that physical exercise in patients with chronic kidney failure during the hemodialysis period greatly influences muscle strength.

Benefits of Ultrasond, Tens and Hold Rilex Streching in Osteoarthritis Genu Dextra: A Case Study

2023-10-16T10:41:50+07:00

Introduction: Osteoarthritis is a progressive, degenerative joint disease in which the cartilage that protects the ends of the bones begins to break down, accompanied by reactive changes at the joint edges and subchondral bone that cause pain and loss of movement.Based on the results of health research on the basis of Riskesdas in 2013, the prevalence of joint disease based on health diagnoses in Indonesia was 11.9% and 24.7% based on symptoms. The highest prevalence based on diagnosis by health workers was in Bali 19.3% while based on symptoms the highest was in East Nusa Tenggara 33.1%, West Java 32.1%, DKI Jakarta 21.8% when viewed from age characteristics, the highest prevalence was at age ≥ 75 years (54.8%) there were also more female patients (27.5%) compared to men (21.8%). Case Presentation: A 56 year old man came to RSJD Dr. Arif Zainuddin Surakarta with complaints of pain in the right knee and could not fully bend because he had experienced a fall and slipped on the right knee. He has hypertension, diabetes and cholesterol. On physical examination with vital signs heart rate 99 beats/minute, respiration 20 beats/minute, blood pressure 170/100 mmHg with a height of 155 cm and a weight of 74 kg. From the static inspection examination found edema and dynamic inspection it was seen that he walked slowly and endured a little pain and seemed to be using a tripod. Results : From the examination of pain using a vase on the right knee, the results were: silent pain (2), motion pain (4), tenderness (4). Measuring muscle strength with MMT on the right knee with flexion extension movement obtained 4 results. Anthropometric examination of the odema using the mid line with the results of the right knee (42 cm), left knee (36.5 cm) which means a difference of 5.5 cm. Then a special examination was carried out on OA using the Jette scale and measuring the LGS with a goniometer Conclusion : After using ultrasound, electrical stimulation, hold rilex in the Osteoarthritis Genu Dextra Case with Ultrasound, Electrical Stimulation and Exercise at RSJD Dr. Arif Zainuddin Surakarta isA patient with a diagnosis of osteoarthritis, male, 56 years old, was given physiotherapy treatment for two treatments from June 26 2023 to July 4 2023. The problems with physiotherapy were found to be pain, decreased strength of the right knee muscles, edema on the knee dextra and decreased functional activity. After being treated twice, the results showed that there was no increase in MMT in the knee flexor-extensor muscles, there was no decrease in tenderness, silent pain, and motion pain, but there was a decrease in dextra knee edema, and there was no increase in functional activity.

Latihan Fisik dan Keseimbangan Cairan Tubuh

2023-10-17T07:40:36+07:00

Sebagian besar komposisi tubuh manusia merupakan cairan, pada tubuh pria komposisi cairan sekitar 60-70% dari berat badan, sedangkan pada wanita 50-60% dari berat badan. Banyak factor yang mempengaruhi volume cairan tubuh total antara lain diet (asupan air dan natrium), suhu lingkungan, penguapan, tingkat aktifitas dan penyakit tertentu. Tubuh manusia memiliki kapasitas yang luar biasa untuk mempertahankan keseimbangan cairan tubuh, namun kehilangan cairan dapat terjadi salah satunya karena Latihan fisik. Selama Latihan fisik, peningkatan produksi panas metabolic menyebabkan peningkatan suhu tubuh, jika konsumsi cairan kurang dari kehilangan cairan akan mengganggu keseimbangan cairan tubuh. Terdapat 5 artikel yang digunakan pada penelitian ini. Berdasarkan artikel yang didapatkan maka dapat disimpulkan bahwa latihan fisik dapat mempengaruhi keseimbangan cairan tubuh.

Blood Sugar Regulation during Physical Exercise: Review Article

2023-10-17T08:46:52+07:00

One of the causes of diabetes mellitus is physical activity. Management of physical exercise is one of the 5 pillars of diabetes management apart from diet, medication, education and monitoring. The purpose of this study was to determine the effect of diabetic exercise on reducing blood sugar levels in diabetics. This research is a simple review article research. There were 5 articles reviewed. All articles are themed on physical exercise and blood sugar control. All articles conclude that physical exercise can control blood sugar in diabetes mellitus patients.

Physiotherapy Management for Early Mobilization after Total Hip Replacement Surgery E.C Secondary Osteoarthritis Hip: A Case Study

2023-10-17T08:54:23+07:00

Introduction: In the lower extremities of the human body, there is a hip joint which is the most proximal part with the type of synovial ball and socket joint. In carrying out the functions, the hip joint often experiences problems both as a result of trauma, degenerative, and post-traumatic hip. Osteoarthritis (90%) contributes the largest problems in hip joint, followed by femoral neck fracture (5%), avascular necrosis (2%), dysplasia (2%), and inflammatory arthritis (1%) (Ferguson et al, 2018). Thus, if conservative treatment did not provide better changes, then a total hip replacement is performed to reduce pain and improve physical function. Total hip replacement is a surgical procedure by replacing the entire hip joint with an implant. Implants themselves can last up to 20 years. Case Presentation: A 58-year-old patient with unable to endure pain and discomfort in his activities and at rest, when consulted by a doctor, patients experience infections around implants and plates & screws. After total hip replacement patient complained of pain in the incision on the side of tight and limited movement in the left leg. Management and Outcome: Early mobilization given in the form of breathing exercises, isometric exercises, and other exercises on the bed, then on the second and third days began to be given transfer-ambulation exercises. Pain is measured using NRS and joint scope of motion is measured using a goniometer. Discussion: From several articles that become supporting in line with the results obtained where the initial mobilization is a major influence in the patient's life in the future. Patients who do initial mobilization are able to return to activity more quickly than patients who do not do initial mobilization. Conclusion: After receiving physiotherapy management for early moilization at three days after surgery, there was a decrease in pain levels, an increase in joint scope of motion, and a decrease in edema in the patient's left leg.

Physiotherapy Rehabilitation Program in Phase-2 Anterior Cruciate Ligament Reconstruction Recovery: A Case Report

2023-10-17T08:56:35+07:00

Background: Anterior cruciate ligament (ACL) injury is a common knee injury in both the general population and athletes. Structured and systematic and progressive rehabilitation is recommended in the post ACL reconstruction and conservative management, the goal of rehabilitation is to overcome neuromuscular related disorders, muscle strength deficits, joint scope of motion deficits, balance, knee stabilization, motor control and return to sports safely Objective: Physiotherapy rehabilitation program for phase 2 anterior cruciate ligament reconstruction recovery. Methods: The study used the Case Report method which was carried out at the K.R.M.T Wongsonegoro Semarang Hospital on a 25-year-old male patient diagnosed with postoperative ACL reconstruction dextra with complaints of pain in the left knee, swelling and limited knee bending. Results: Physiotherapy intervention in the form of Excercise is able to reduce pain, swelling, increase muscle strength and increase the scope of motion of the knee joint and improve functional activities. Conclusion: Based on research using this Case Report, it shows that the physiotherapy rehabilitation program on ACL reconstruction as a whole obtained the results of changes and improvements.

Physiotherapy Management for Shoulder Impingement Syndrome: A Case Report

2023-10-17T09:01:46+07:00

Introduction:Shoulder impingement is a symptom of pain arising from trauma, namely narrowing between the acromion and the humeral head resulting in inflammation or inflammation of the rotator cuff tendon (generally affecting the supraspinatus tendon). The typical symptom of this problem is a painful arc at 60 – 120 degrees of movement in the shoulder joint.
Case Presentation:A 76 year old woman who works as a housewife complains of pain in her right shoulder. The patient has been complaining of pain since 2 years ago, the pain reappeared in November 2022 after the patient did sports activities. Examinations carried out include examination of vital signs, inspection, palpation, specific examination, examination of basic movements, measurement of pain, examination of muscle strength, measurement of joint range of motion, and measurement of functional activity.
Management and Outcomes:The patient undergoes therapy at Esa Unggul Clinic Jakarta, 2 times a week. Interventions provided by physiotherapy include SWD, manual therapy, and exercise therapy
Conclusion:The physiotherapy program provided is in the form of SWD, manual therapy, and exercise therapy for Mrs. A was diagnosed with shoulder impingement syndrome and was treated 4 times and showed quite good results, namely decreased pain, increased range of motion, increased muscle strength, and increased functional ability.

Penatalaksanaan Fisioterapi Kontrol Postural pada Kasus Global Delay Development di School and Therapy Talitakum Semarang

2023-10-17T09:13:32+07:00

Introduction: Pregnancy-related Pelvic Girdle Pain (PGPP) is the most common condition during pregnancy that affects the quality of life, and a previous study has found that between 17% to 64.7% of pregnant women reported PPGP worldwide. The physiotherapy management of PPGP has varieties among countries, especially in the low- and middle-income countries (LMICs) group setting which are dependent on their country’s situations. The topics that need to discover more in the LMICs were the vulnerable maternal and neonatal morbidity and mortality risk factors. This could be the inadequate health service quality, lack of information, limited coverage, and low quality of antenatal care. Case Presentation: A literature review from five databases (PubMed, Pedro, Science Direct, Cochrane, and Web of Science). A mix of keywords has been used in the search or Medical Subject Heading (MESH) terms related to "pregnancy-related pelvic girdle pain" or “Pelvic Girdle Pain AND Pregnancy” and combine with OR treatment and "low and middle-income countries". The inclusion criteria of the articles were that pregnant women aged 18 years old suffered PPGP and all studies assessed the published in English within 2000-2020. The methodological quality of the included studies in terms of internal validity was assessed using CASP (Critical Appraisal Skills Program). Management and Outcome: lumbopelvic belts could improve functional status, decreased the level and intensity of pain, and raise the quality of life among pregnant women were the benefit of physiotherapy management for solving the PPGP problems. Discussion: Four articles have been selected from five databases with 80% of quality assessment for each research. The studies mentioned 3 to 10 weeks exercise program, a specific exercise program (pelvic rocking technique, back care, routine prenatal care, home-based pelvic stabilizing exercise), and lumbopelvic belts could improve functional status, decreased the level and intensity of pain, and raise the quality of life among pregnant women were the benefit of physiotherapy management for solving the PPGP problems. Conclusion: Physiotherapy management in the LMICs group setting use the three to ten weeks of exercise program. The specific technique of exercise and lumbopelvic belts were used to treat the PPGP problems among pregnant women.

Physiotherapy Management in Pneumonia Cases in The ICU: Case Report

2023-10-17T09:15:59+07:00

Introduce: Data from the 2019 Global Burden of Diseases study shows that lower respiratory tract infections including pneumonia and bronchiolitis affect 489 million people worldwide. Children <5 years and adults >70 years are the populations most affected by pneumonia, according to the 2019 GBD study. Purpose: Knowing the physiotherapy management of pneumonia cases in the ICU Methods: using the case report method taken at PKU Yogyakarta Hospital Conclusion: Providing intervention in the form of passive rib torsion in patients in ICU care with the use of ventilators due to pneumonia is considered capable of increasing chest expansion.

Growth and Development Education on Parents' Understanding Level of Gross Motor Development in Children Aged 0-6 Months

2023-10-17T09:32:30+07:00

The growth and development of children aged 0-6 months is an important stage to achieve optimal quality of life. Parents have an important role in stimulating child growth and development early on in child growth and development. Problems that occur in children of this age, one of which is gross motor development due to parents' lack of understanding of child development. Education in the form of health literacy discusses growth and development and how to stimulate according to age so that parents can apply what has been taught. The aim is to determine changes in the level of understanding of parents when given growth and development education about gross motor development of children aged 0-6 months. This study used a quantitative research design with a type of quay experimental research, a one- group pre-test-post-test approach. The number of samples was 44 respondents with the purposive sampling method. The variables of this study are independent, namely parents' understanding of child growth and development measured by questionnaires, and dependent variables, namely gross motor development of children aged 0-6 months measured by ASQ (Ages and stages questionnaire). Data analysis techniques used were univariate test, normality test, and effect test. The effect test using Wilcoxon showed the sig result (2-tailed) was 0.000 <0.05, meaning there is a significant effect. It can be concluded that there is an effect of growth and development education on parents' level of understanding about the gross motor development of children aged 0-6 months.