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Efektivitas Program Aquatic Exercise Terhadap Penurunan Nyeri Pasien Chronic Low Back Pain Cafin Surya Putra Pratama; Arif Pristianto; Isnaini Herawati; Widya Ervianta; Muh Ridhuwan
FISIO MU : Physiotheraphy Evidences Vol.1, No.2, Juli 2020
Publisher : Program Studi Fisioterapi Fakultas Ilmu Kesehatan Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/fisiomu.v1i2.10525

Abstract

Chronic low back pain (CLBP) atau nyeri punggung bawah kronis didefinisikan kurangnya koordinasi dan lemahnya daya tahan otot disekitar tulang belakang dan core muscle yang dapat menyebabkan spasme otot berlangsung selama 12 minggu. Nyeri low back pain terjadi akibat adanya penurunan kekuatan dan daya tahan otot abdominals dan gluteus maximus serta ketegangan otot pada iliopsoas dan erector spine. Memanfaatkan fisika air seperti daya apung untuk mengurangi tekanan pada sendi, viskositas untuk latihan tahanan, tekanan hidrostatik mengurangi tekanan darah ke jantung dan penggunaan suhu air kisaran 33-37 derajat celcius dapat menurunkan tonus otot dan mengurangi muscle guarding. Untuk mengetahui efektivitas program aquatic exercise terhadap penurunan nyeri pada pasien chronic low back pain di RST dr. Soedjono Magelang. Jenis penelitian yang digunakan adalah Quasi Experimental Design dengan pendekatan One Group Pre-Test dan Post-Test. Teknik pengambilan sampel dalam penelitian ini menggunakan purposive sampling. Jumlah sampel sebanyak 11 orang. Hasil Uji Paired Sample t-Test rata-rata pengukuran nyeri sebelum dan sesudah perlakuan sebesar 6,82 dan 4,45. Hasil uji statistik diperoleh p adalah 0,001. Kesimpulan dalam penelitian ini  aquatic exercise efektif terhadap penurunan nyeri pasien chronic low back pain pada RST dr. Soedjono Magelang.
PHYSIOTHERAPY MANAGEMENT FOR DROP FOOT: A CASE REPORT Cafin Surya Putra Pratama; Dwi Rosella Komala Sari; Sri Widiatmi
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (545.831 KB)

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.