Hernia Nucleus Pulposus (HNP) adalah kondisi dimana terjadi protrusi pada diskus intervertebralis karena cedera atau beban mekanik yang salah dalam waktu yang lama. Tujuan penelitian ini adalah untuk mengetahui penatalaksanaan fisioterapi pada kondisi HNP dan apakah ada peningkatan fungsional lumbal setelah diberikan intervensi fisioterapi berupa Transcutaneus Electrical Nerve Stimulation (TENS), Proprioceptive Neuromuscular Facilitation (PNF), dan McKenzie Exercise. Penelitian ini menggunakan metode case study dengan menggunakan satu sampel pasien HNP. Treatment dilakukan sebanyak 12 kali dalam kurun waktu 6 minggu. Alat ukur untuk mengetahui gangguan aktivitas fungsional lumbal yaitu Oswestry Disability Index (ODI). Hasil penelitian yang didapatkan setelah dilakukan evaluasi yaitu adanya peningkatan aktivitas fungsional lumbal setelah diberikan intervensi TENS, PNF dan Mckenzie Exercise.
Stroke merupakan manifestasi klinis dari disfungsi otak, baik lokal maupun global, yang berlangsung dengan cepat bahkan lebih dari 24 jam. Stroke adalah penyakit cerebrovascular yang mengacu pada gangguan neurologis mendadak yang terjadi karena aliran darah yang terbatas atau terhenti melalui suplai arteri otak yang dikenal dengan Cerebro Vascular Accident (VSA). Penderita stroke akan mengalami gangguan keseimbangan, gangguan keseimbangan pada penderita stroke berkaitan dengan ketidakmampuan untuk mengatur perpindahan berat badan dan penurunan mobilitas otot. Penderita stroke berulang memiliki masalah dengan kontrol postur tubuh, sehingga menghambar pergerakan. Keseimbangan juga menjadi parameter bagi penderita stroke atas keberhasilan terapi. Penelitian ini untuk membuktikan bahwa core stability exercise with ball dapat meningkatkan keseimbanagn pada pasien stroke. Penelitian ini merupakan penelitian eksperimental dengan pre-test dan post-test grup. Sampel terdiri dari 22 orang, latihan diberikan 3 kali seminggu selama 6 minggu. Keseimbangan diukur dengan Berg Balance Scale Questionnaire (BBS questionnaire). Hasil penelitian ini menunjukkan bahwa core stability exercise with ball meningkatkan keseimbangan pasien stroke secara signifikan (p=0.001). Sehingga disarankan fisioterapis untuk mengaplikasikannya pada pasien stroke untuk meningkatkan keseimbangan.
ABSTRAKPendahuluan: Chronic Ankle Instability (CAI) merupakan suatu kondisi dimana terjadi ketidakstabilan pergelangan kaki lateral serta gejala sisa seperti nyeri dan keterbatasan luas gerak sendi setelah cedera berulang pada ligament pergelangan kaki lateral. Tujuan: Untuk membandingkan kombinasi plyometric training dengan Mobilization with Movement (MWM) dan kombinasi plyometric training dengan Strain Counter Strain (SCS) terhadap peningkatan keseimbangan, Range of Motion (ROM), dan fungsional ankle pada kasus CAI. Metode: Penelitian ini merupakan studi eksperimental dengan rancangan penelitian pre-test and post-test group design. Sampel berjumlah 22 orang yang terdiri dari 11 orang di setiap kelompok. Kelompok 1 diberikan plyometric training dan MWM dan kelompok 2 diberikan plyometric training dan SCS. Latihan diberikan 3x seminggu selama 6 minggu. Teknik pengambilan sampel dengan random sampling. Keseimbangan diukur dengan Star Excursion Balance Test (SEBT), ROM diukur dengan Dorsiflexion Range of Motion (DFROM), fungsional ankle diukur dengan Foot and Ankle Ability Measure (FAAM). Hasil: Uji Paired sample t-test pada kedua kelompok didapatkan hasil signifikan untuk SEBT, DFROM, FAAM (p=0,001). Hasil sama pada uji Independent sample t-test nilai SEBT dan DFROM (p=0,001), namun nilai FAAM (p>0,05). Simpulan: Kombinasi plyometric training dengan MWM dan kombinasi plyometric training dengan SCS samasama meningkatkan keseimbangan, ROM, dan fungsional ankle. Namun, untuk meningkatkan keseimbangan dan ROM kombinasi plyometric training dengan MWM lebih baik. Kata kunci: Mobilization with movement, Strain counter strain, Star excursion balance test, Dorsiflexion range of motion, Chronic ankle instability ABSTRACT Introduction: Chronic Ankle Instability (CAI) is a condition in which lateral ankle instability occurs and sequelae such as pain and limited area of joint motion after repeated injuries to the lateral ankle ligament. Objective: To compare the combination of plyometric training with Mobilization with Movement (MWM) and the combination of plyometric training with Strain Counter Strain (SCS) to increase balance, Range of Motion (ROM), and functional ankle in CAI cases. Method: This study is an experimental study with a pre-test and post-test group design research design. The sample consisted of 22 people consisting of 11 people in each group. Group 1 was given plyometric training and MWM and group 2 was given plyometric training and SCS. Exercise is given 3 times a week for 6 weeks. The sampling technique was random sampling. Balance is measured by the Star Excursion Balance Test (SEBT), ROM is measured by Dorsiflexion Range of Motion (DFROM), functional ankle is measured by Foot and Ankle Ability Measure (FAAM).
Rheumatoid arthritis (RA) is the most common autoimmune inflammatory arthritis in adults. Pharmacological treatment is quite effective to overcome it, but in some cases, especially in elderly RA sufferers, pharmacological treatment such as non-steroidal anti-inflammatory drugs (NSAIDs), corticosteroids and DMARD (Disease Modifying Antirheumatic Drugs) have an impact on drug side effects, namely gastrointestinal disorders that cause toxic effects on liver and kidney. The developed natural medicine treatment has been supported by several previous studies that provide anti-inflammatory benefits, namely, ginger (Zingiber Officinale Rosc.). Ginger (Zingiber Officinale Rosc.) The method used is descriptive. The purpose of this study was to determine the characteristics of respondents who suffer from rheumathoid arthritic therapy with essential ginger oil and resisted active movement. The results of the study showed that as many as 20 respondents who suffered from rheumatoid arthritis, based on their characteristics, the most were female, namely 16 people (80%, ages 60-75 years, as many as 15 people (75%), the most part of the joints experiencing rheumathoid arthritis. occurred in the knee as many as 9 people (45%), work history, at most not working as many as 8 people (40%), history of injury, there were most injuries as many as 12 people (60%)
Characteristics of weaver was done by sitting on a chair in front of the loom. Sitting position for ± 8 working hours, monotonous movement, shoulders slightly raised, causing workers to balance body position. Work posture cause a static contraction to the shoulder and neck muscles. This study aims to show that the application of cervical stabilization through active exercise every 2 hours after work increase functional ability seen from decreasing musculoskeletal complaints, fatigue, increasing neck disability index and productivity among workers in weaving industry. This experimental study has been done, with treatment by subject design. Period 1 subject is not treated ie weaving as usual. Period 2 subjects were treated with the application of cervical stabilization through active exercise every 2 hours after work. Between the two stages, washing out period and adaptation. Musculoskeletal complaints were measured by Nordic Body Map questionnaire, work fatigue with 30 item of rating scale, neck functional ability measured with neck disability index and productivity based on output and input ratio. Analysis of the collected data is started with the descriptive analysis and the normality data tested using Shapiro-Wilk. Further, the data that has normal distribution are analyzed using t-paired and the data that has not a normal distribution are analyzed using Wilcoxon test. This study show that the application of cervical stabilization through active exercise increase functional ability seen from decreasing of musculoskeletal complaint 17.05%, fatigue 19.78%, increasing of neck disability index 15.13% and productivity 66.67%. It can be concluded that the application of cervical stabilization through active exercise increase functional ability seen from musculoskeletal complaints, work fatigue, neck disability index and work productivity. So it is suggested to apply to weavers in the weaving industry, to increase the functional ability of workers.
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