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W Wahyuni
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POSTPARTUM DIASTASIS SYMPHYSIS PUBIC: A CASE STUDY S Sudarmi; W Wahyuni
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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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.
PHYSIOTHERAPY MANAGEMENT FOR STROKE PATIENT ON STATIC BALANCE ABILITY: A CASE STUDY Kamila Maulidia; W Wahyuni; Umi Budi Rahayu
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.
THE EFFECTIVENESS OF CO-CONTRACTION EXERCISE WITH EXTERNAL CLUE FOR QUALITY RULES IN INDIVIDUAL KNEE OA PATIENTS: SINGLE CASE REPORT Icha Septiani; W Wahyuni; Suryo Saputra Perdana
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 Suci Indah Ramadhani; W Wahyuni; W Wijianto
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 Dwi Wardianti; W Wahyuni
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.
PHYSIOTHERAPY MANAGEMENT FOR CERVICAL ROOT SYNDROME: A CASE STUDY Alifia Fatimah Zaman; W Wahyuni; Wiek Israwan
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Cervical root syndrome (CRS) is a pain that extends from the vertebrae of the neck to the arms. The occurrence of CRS can be caused by factors related to activity, posture, and degenerative changes of the cervical discs that can be caused by age, trauma, repetitive movements, and work. The appearance of such pain can decrease productivity, quality of life, and social activities. Problems caused by cervical root syndrome are sharp spreading pain, muscle weakness, spasm in the cervical muscles, and a decrease in ROM to decrease the functional ability of the patient Case Presentation: The patient age 54 years old came to the Dempo clinic in Malang with a CT-Scan with the results of hernia nucleus pulposus in C3 and C4 and with complaints of pain radiating from the neck to the left arm since 2 weeks ago. Activities that aggravate complaints are when the patient looks up, turns to the left, when going to sleep, and when typing using a laptop for a long time. Pain will be reduced when sleeping at night. The patient is a lecturer whose activities are a lot of sitting, standing, and using a laptop to teach. Management and Outcome: Patient receive therapy three times in once a week. Ultrasound therapy and cervical traction were used for the patient. The Numeric Rating Scale (NRS), Range of Motion using metline, and Neck Disability Index (NDI) were used to evaluate patient. Discussion: After therapy in three weeks with ultrasound and cervical traction, the pain decreases and ROM increases. The functional ability of the neck decreased the disability rate from 26% to 20%. Conclusion: Physiotherapy program conducted in three times for three weeks’ therapy with physiotherapy modalities used such as ultrasound and mechanical traction is able to reduce pain and restore the body's function to carry out daily activities.
Co-Authors Alifia Fatimah Zaman Dwi Wardianti Icha Septiani Kamila Maulidia S Sudarmi Suci Indah Ramadhani Suryo Saputra Perdana Umi Budi Rahayu W Wijianto Wiek Israwan