Penatalaksanaan infrared pada fraktur cruris
74189007
Penatalaksanaan Fisioterapi Pada Kasus Post Operasi Fraktur Cruris Sinistra Di RST. DR. Soedjono Magelang
Background: Scientific paper physiotherapy management in cases of post operative fracture in the left cruris RST dr, SoedjonoMagelang intended to provide information, knowledge, and understanding on condition of postoperative fracture cruris that cause physical problems such as pain, limitation of motion, edema, and decreased muscle strength and modality that is given in these conditions is infrared, free movemen active, passive movement, static contraction and hold relax Objective: Paper this scientifically to determine the benefits of infrared and exercise therapy on fracture cases cruris to help reduce pain, improve ankle motion, reduce swelling, increase muscle strength and improve functional ability. Methods: A case study of infrared, active movement, passive movement, static contraction and hold relex after 6 X therapeutic treatment obtained results Result: pain reduction motion in ankle measured by VAS scale at the start of physiotherapy (T1):5 to the end of the physiotherapy (T6):2 and tenderness in the ankle measured by VAS scale at the start of physiotherapy (T1):3 into the end fisioterai (T6):1 an increase in ankle motion (T1):S 50 00 150 being the end of physiotherapy (T6):S 180 00 300 decrease edema were initially (T1) 56 to the end of physiotherapy menjad (T6):50 increasing muscle of such power that initially (T1) 3 until the end of the physiotherapy into (T6):4 Conclusions and suggestions: it can be concluded that there is success in helping to reduce pain and tenderness of motion, increase ankle range of motion, increase muscle strength and improve funsional certainly in the right direction. The next suggestion is to maintain the health and be more careful to avoid accidents. Keywords: frakurcruris, infrared, free movemen active, passive movement, static contraction and hold relex
Dherian Mufty Rivaldi
214279959
PENATALAKSANAAN FISIOTERAPI PADA GANGGUAN FUNGSIONAL BERJALAN AKIBAT FRAKTUR 1/3 DISTAL CRURIS DEXTRA POST PEMASANGAN PLATE AND SCREW DI RSUP DR.WAHIDIN SUDIROHUSODO MAKASSAR 2013
Fraktur 1/3 distal cruris adalah suatu patahan pada kontinuitas struktur tulang cruris atau terputusnya hubungan tulang tibia dan fibula pada bagian 1/3 distalnya, yang mana terjadi akibat trauma langsung atau tidak langsung, faktor tekanan atau kelelahan dan faktor patologik.Tujuan dilaksanakannya penelitian ini adalah untuk mengetahui prosedur Penatalaksanaan Fisioterapi Pada gangguang Fungsional Berjalan Akibat Fraktur 1/3 Distal Cruris Dextra Post Pemasangan Plate and Srew. Penelitian ini dilakukan Di RSUP.Wahidin Sudirohusodo Makassar pada bulan Mei s/d Juni 2013. Jenis penelitian ini adalah studi kasus yaitu dengan menggunakan sampel tunggal.Pemeriksaan fisioterapi yang baik dilakukan dengan pemeriksaan yang lengkap yaitu dimulai dari anamnesis, inspeksi, palpasi, pemeriksaan fungsi gerak dasar, serta pemeriksaan spesifik seperti VAS tes, ROM tes, MMT tes dan tes kemampuan ADL. Dan adapun problematik fisioterapi yang muncul berupa Nyeri, keterbatasan ROM, Kelemahan otot dan gangguan ADL berjalan maka diberikan intervensi fisioterapi adalah electro therapy berupa Infra Red Rays (IRR) manual therapy berupa massage dengan menggunakan teknik efflurage, exercise therapy berupa relaxed passive exc, hold relax stretching, assisted active exercise serta latihan transver ambulasi pada penderita dengan intensitas terapi 3x seminggu selama 12x penaganan didapatkan hasil berupa nyeri menurun, ROM bertambah, dan kemampuan melakukan ADL meningkat.Dari hasil yang diperoleh, disimpulkan bahwa dengan menggunakan modalitas fisioterapi yang telah disebutkan dapat mengurangi permasalahan yang timbul akibat fraktur 1/3 distal cruris dextra post pemasangan plate and screw. Diantaranya, nyeri dari skala 4 menjadi 1, ROM S:30 0 60 menjadi S:30 0 77 dan terakhir kemampuan ADL dari 3 menjadi 2.Kata kunci:fraktur 1/3 distal cruris, gangguan fungsional berjalan, IRR, massage, relaxed passive exc, hold relax stretching, assisted active exercise
Media Fisioterapi Politeknik Kesehatan Makassar
Siti Muthiah Hendrik Hendrik Suharto Suharto
81137318
Penatalaksanaan Fisioterapi Pada Kasus Post Operasi Fraktur Radius 1/3 Distal Dekstra Dengan Modalitas Infrared Dan Terapi Latihan Di RSUD Dr. Loekmono Hadi Kudus
PENATALAKSANAAN FISIOTERAPI PADA KASUS POST OPERASI FRAKTUR RADIUS 1/3 DISTAL DENGAN MODALITAS INFRARED DAN TERAPI LATIHAN DI RSUD dr. LOEKMONO HADI KUDUS (Budi Prasetyo Nugroho, 2018) Background: Fractures or better known as fractures are loss of bone continuity, joint cartilage, epifise cartilage, both total and partial. Radius fracture is the breakdown of bone continuity that occurs in the radius bone. Fracture of the radius is divided into 3 parts of fracture that is proximal, medial and distal. Objective: to know the benefits of infrared and exercise therapy in the form of static contraction, hold relax, and active resisted exercise in reducing pain, reduce swelling, increase muscle strength and increase the scope of wrist joint motion. Result: after therapy 6 times got the result of assessment of silent pain T1: 3 (mild pain) to T6: 2 (very mild pain) tendency T1: 4 (pain not so heavy) to T6: 3 (mild pain) motion pain T1: 5 (severe pain) to T6: 4 (pain not severe enough) increased scope of motion of the active wrist joint T1: S: 50 00 250, F: 70 00 100 to T6: S 150 00 400, F: 200 00 250 and increased flexor strength wrist wavelength T1: 3 to T6: 4, extensor wrist T1: 2 to T6: 3, radial deviation T1: 2 to T6: 3, ulnar deviation T1: 2 to T6: 3, as well as decreased edema. At T1 the circumference value of the segment on the hand is 20 cm, at a distance of 3 cm towards the proximal of the stiloid process 19.7 cm, at a distance of 6 cm by 20.7 cm, at a distance of 9 cm by 21.5 cm, and at a distance of 12 cm of 24.5 cm. Then on examination T6 edema decreased, in the circumference of the hand segment to 17.7 cm, at a distance of 3cm towards proximal to 18 cm, at 6 cm to 18.5 cm, at a distance of 9 cm to 19 cm, and at a distance of 12 cm to 22 cm. Conclusion: Infrared and exercise therapy pain in incision area, increase range of motion of wrist, increase muscle strength of extensor and flexor wrist, and reduce swelling in right hand patient.
Budi Nugroho SSt Ft M Sc Isnaini Herawati
70946992
Penatalaksanaan Terapi Latihan Pada Kasus Post Open Reduction Internal Fixation Fraktur Cruris 1/3 Distal Dengan Pemasangan Plate And Screw Di Rso Prof. Dr. Soeharso Surakarta
Background: A fracture is a break of continuity of bone fragments of bone tissue structure may be shifted or complete fracture. Cruris are two long bones tibia and fibula.Namely the location of the distal third of bone fracture in the bone below 1/3. While the left is the left or the left leg that suffered fraktur. So cruris fracture is a fracture that occurs in the tibia and fibula. In these conditions needed for internal mounting plate and screw fixation form. Interventions used by the author of exercise therapy, in the form of active exercise, passive exercise, static contraction, and practice using crutches road Methods: This paper uses the case study method to management therapy 3 times Results: After therapy 3 times the result to a decrease in the degree of pain, pain silent T1 T3 48 mm to 30 mm, tenderness T1 61 mm to 42 mm, 82 mm motion pain to 68 mm. There is an increasing range of motion active ROM T1 S 0 0 20 0 0 0 to T3 S 5 0 20 0 0 0, ROM passive S 5 0 20 0 5 0 to S 10 0 20 0 5 0 Decrease edema T1 63 cm to 60 cm. an increase in the functional activity of the road, of which have not been able to walk until he could walk using crutches. Has not obtained an increase in muscle strength Conclusion: From the research that has been done, as evidenced by the use of exercise therapy for 3 days modalities US and exercise therapy for 6 times obtained an increase in impairment therapy, functional limitation.
Rinta Rizkya
73896605
Penatalaksanaan Fisioterapi Pada Kasus Post Orif Fraktur Cruris 1/3 Distal Sinistra Di RSUD Salatiga
Background: Fracture cruris 1/3 distal sinistra is a break of continuity of bone tissue structures that occur in the tibia and fibula bones are located in the lower 1/3 of the left leg. While ORIF is an internal mounting plate and screw fixation form. The issues that arise include: the presence of pain arises in the former installation operation ORIF, the LGS limitations on the left ankle, decreased muscle strength, and the presence of edema in the left ankle. To solve the problems that arise, physiotherapy modalities used are infra red and exercise therapy in the form of forced passive exercise, free of active exercise, as well as active resisted exercise. The purpose of these modalities is to reduce pain, increase LGS, reduce edema and improve muscle strength. Methods: This research paper uses a case study method salvage therapy six times Results: Examination of reduced pain seen from the results of measurements with VAS, reduced edema examination with midline, LGS increases with goneometer examination and examination of muscle strength increased with Manual Muscle Testing. Conclusions: The decrease of the management of pain, the addition of LGS, decrease edema, and increase muscle strength. On the issues that arise in the case of post ORIF fracture of the left distal 1/3 cruris using Infra red and exercise therapy.
Ega Doviana Akbar
214059115
Asuhan keperawatan pada tn. e dengan fraktur terbuka cruris tengah dalam pemeberian intervensi inovasi terapi asmaul husna dengan masalah keperawatan nyeri akut diruang kelas i dahlia rsud h. hanafiee muara bungi tahun 2019
MARCY ZULELA WATI, S. Kep 1814901640 (56) Pembimbing: Ns. Lisa Mustika Sari, M.Kep Ns. Yenty Gusrita, S.Kep ABSTRAK Fraktur merupakan hilangnya kontinuitas tulang. Fraktur di Indonesia penyebab kematian terbesar ketiga. Salahsatu manifestasi klinis fraktur adalah nyeri. Penatalaksanaan nyeri dilakukan secara non farmakologis. Bentuk metode non farmakologi adalah distraksi, merupakan mendengarkan dan membaca bacaan Asmaul Husna. Tujuan dari karya ilmiah adalah menganalisis intervensi terapi Asmaul Husna terhadap penurunan skala nyeri pada pasien fraktur di RSU H. Hanafie Muara Bungo. Metode penulisan adalah studi kasus dengan quasy eksperimen. Intervensi terapi Asmaul Husna dilakukan pada pasien fraktur masalah nyeri akut untuk penurunan skala nyeri. Diberikan 1 kali sehari selama 15 menit dalam waktu 3 hari berturut turut. Dari hasil analisa kasus didapatkan penurunan skala nyeri. Tenaga kesehatan khususnya perawat untuk memberikan intervensi lebih intensif sehingga mendapatkan hasil yang lebih optimal untuk waktu pemberiannya. Karya ilmiah ini dapat menjadi masukan bagi perawat untuk menjadikan terapi Asmaul husna sebagai salahsatu intervensi keperawatan mandiri di RSU H. Hanafie Muara Bungo dan intervensi dalam penatalaksanaan fraktur.
Marcy Zulela Wati Marcy Zulela Wati M Kep Ns Lisa Mustika Sari M Kep Ns Lisa Mustika Sari S Kep Ns Yenty Gusrita S Kep Ns Yenty Gusrita
196555385
Penatalaksanaan Terapi Latihan Pada Kasus Paska Operasi Fraktur Cruris Sepertiga Proksimal Sinistra Di RSO Dr. Soeharso Surakarta
Latar Belakang Fraktur Cruris merupakan hilangnya diskontinuitas tulang tibia fibula yang menimbulkan gangguan pada daerah persendian di atas nya maupun di bawah nya. Tujuan Untuk mengetahui manfaat static contraction dalam mengurangi oedem, relaxed passive execise dalam mengurangi nyeri, free active exercise dalam memelihara lingkup gerak sendi (LGS) resisted active exercise dapat meningkatkan kekuatan otot, mengetahui manfaat hold relax dapat menambah lingkup gerak sendi (LGS) mengetahui manfaat latihan jalan dengan metode non weight bearing dapat meningkatkan aktifitas fungsional jalan Hasil Setelah di lakukan terapi selama 6 kali di dapat hasil penurunan nyeri diam T1: 3 dan T6 2. Nyeri tekan T1 2, T6 1. Nyeri gerak T1 4, T6 3. Peningkatan LGS hip T1 S 250 _ 00 500, menjadi T6 S 300 00 800, T1 F 450 00 200 menjadi T6 F 450 00 300, untuk LGS knee T1 S 00 00 750 menjadi T6 S 00 00 1000. Peningkatan kekuatan otot fleksor hip T1 4, T6 5, ekstensor hip T1 4, T6 5, abduktor hip T1 5, T6 5, adduktor hip T1: 4, T6 4, fleksor knee T1: 4 T6 4, ekstensor knee T1 4, T6 4, dorsi fleksi ankle T1 4, T6 5, plantar fleksi T1: 4, T6 5, inversi T1 4, T6 5, eversi T1: 4, T6 5. Penurunan odema 5cm ke distal maleolus medial T1 28cm, T6 27 cm, 5cm proksimal T1 25cm, T6 23cm, 10cm ke distal dari maleolus medial T1 25cm, T6 24cm, 10cm ke proksimal T1: 26cm, T6 24,5cm. Peningkatan kemampuan aktifitas fungsional jalan T4 3,6 meter, T6 10,2 meter. Kesimpulan Static kontraksi dapat mengurangi odema, Relax Passive Exercise dapat mengurangi nyeri, Free Active Exercise dapat memelihara LGS, Resisted Active Exercise dapat meningkatkan kekuatan otot, Hold Relax dapat menambah LGS dan Latihan jalan dengan metode NWB (Non Weight Bearing) dapat meningkatkan aktifitas fungsional jalan.
Ricky Fauzi Zakaria
219261986
Penatalaksanaan Infra Red dan Hold Relax untuk Mengurangi Nyeri, Meningkatkan Lingkup Gerak Sendi, Meningkatkan Kekuatan Otot Shoulder pada Kasus Post Orif Fraktur Humerus 1/3 Distal Dextra di RSUD Panembahan Senopati Bantul
Background: Prevelention of fraktur included high one of them is fraktur humerus, fraktur usually occur because fall accident, traffic accident, trauma object sharp and blunt Purpose: Knowing the benefits of Infrared and Hold Rilex in cases of post ORIF fracture humerus 1/3 distal in reducing pain, increasing range of motion Results: after getting 3 times the therapy, the result was a reduction in tenderness T1 3 to T3 1, and a decrease in motion pain T1 5 to T3 3. Increased range of motion for active movement T1 S 20 0 30, F 100 0 30, T 20 0 100, R 50 0 90 menjadi T3 S 30 0 40, F 110 0 40, T 30 0 110, 60 0 100. For strength of muscle not yet increased strength of muscle until measure 3 with value 4 on all motion Conclusion: The modality of infrared and hold relax is able to deal with disorders that occur in post orif fracture humerus 1/3 distal.
M Izza Zulfana Faqih Ft M Or Wijianto Sst
86440755
Penatalaksanaan Fisioterapi pada Kasus Fraktur Olekranon Sinistra di Rumah Sakit Pandan Arang Boyolali
Background: Olecranon fracture is a disconnection of the olecranon bone which causes pain in the elbow, limited range of joint motion, and decreased muscle strength, so that the patient experiences disruption in functional activity. Physiotherapy modalities used to overcome these problems are InfraRed (IR) Hold Relax, and Resisted exercise. Purpose: To determine the level of pain felt using a VAS scale, limited range of joint motion with goniometer, and muscle strength with MMT. To find out the benefits of physiotherapy management with InfraRed (IR) modality, exercise with hold relax, and resisted exercise in reducing pain, increasing the range of joint motion, and increasing muscle strength. Result: Provision of an IR, hold relax, and resisted exercise modality has been shown to reduce pain both silent pain, tenderness, and motion pain, increase the range of joint motion in flexion and extension, and increase the strength of the left elbow drive muscle in cases of olecranon fracture sinistra. Keywords: Fracture, Olecranon, Elbow Joint, Hold Relax and Resistance Exercise
Duwi Puspitoningrum SST FT M Or Wijianto
108860343
PENATALAKSANAAN FISIOTERAPI PADA KONDISI POST FRAKTUR COLLES 1/3 DISTAL DEKSTRA dengan MODALITAS INFRARED dan TERAPI LATIHAN
Colles' fracture is a fracture due to trauma that occurs in the wrist where the fracture is shaped like a spoon, caused by the patient fell and rested on one hand stretched in the open and pronation, and their body into the rotating arm (endorotasi) Problems on postoperative Colles' fracture is often the case, namely: pain, limitation of LGS, atrophy, decreased functional ability. To provide effective and efficient handling, then was examined for pain, limitation of LGS, muscle strength, atrophy and functional ability. In addressing these issues is given in the form Infrred modalities and exercise therapy. Having given over 6 times the action can be obtained significant results, namely: silent pain 1.5cm to be 0cm, tender 5.5cm to 2.6cm, motion pain 8.5cm to 5.4cm, LGS on elbow: R=30deg 0deg 15deg to R=65deg 0deg 45deg, wrist: S=30deg 0deg 30deg to S=45deg 0deg 55deg, F=5deg 0deg 20deg to F=15deg 0deg 25deg, MCP I: S=0deg 0deg 30deg to the S=0deg 0deg 55deg, MCP II V: S=0deg 0deg 35deg to S=20deg 0deg 70deg, MMT on the flexor extensor elbow: 3 to 4, pronator elbow supinator: 2 to 3, flexor extensor wrist: 1 to 3, radial ulnar deviator wrist: 2 to 4, MCP flexor I: 2 to 4, extensor MCP I: 3 to 4, flexor MCP II V: 2 to 4, and extensor MCP II V: 3 to 4, Antopometri the atrophy remains Proc. Styloideus ulna 17cm, 5cm to 19cm distal, proximal to the 13.5 cm 5cm, 17cm and 10cm proximal to, and functional ability in Duruoz Hand Index from 56 to 30. Keywords: Colles Fracture, pain, LGS, MMT, antopometri, Duruoz Hand Index.
Eko Budi Prasetyo