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Physiotherapy plays an important role in promotive and preventive efforts through education for the community, including children’s health posts (posyandu). Children aged 1–5 years often experience eating difficulties that reduce appetite, increasing the risk of malnutrition and growth retardation. Low appetite is often related to oral-motor function disorders, such as difficulty chewing or swallowing. This activity aimed to increase mothers’ knowledge about oral-motor-sensory stimulation as an effort to improve children’s appetite. The community service program was conducted at Posyandu RW 02, Kota Lama Subdistrict, Malang City, involving 15 mothers or caregivers of toddlers. The method included physiotherapy counseling using interactive discussions and poster media, with knowledge evaluation through pre-test and post-test. The results showed a significant improvement in participants’ knowledge, from 0% in the pre-test to 85% in the post-test. This counseling effectively enhanced mothers’ understanding and practical skills in performing oral-motor-sensory stimulation independently at home. With regular implementation, this stimulation is expected to increase children’s appetite, improve nutritional status, and support optimal growth and development. Moreover, it reinforces the role of physiotherapy in preventing nutritional problems and improving the quality of life of children from an early age.

Low Back Pain (LBP) is often caused by spondylolisthesis, which causes pain, limited mobility, and disability. Conservative physiotherapy is the primary option to reduce symptoms and improve function. This study aims to evaluate the effectiveness of multimodal physiotherapy interventions in patients with LBP and spondylolisthesis. A case report study was conducted on a 59-year-old female patient diagnosed with LBP and spondylolisthesis. The patient underwent three physiotherapy intervention sessions: Infrared (IR), Short-Wave Diathermy (SWD), Transcutaneous Electrical Nerve Stimulation (TENS), William Flexion Exercise, Core Stability, and Strengthening. Evaluation was performed using the Numeric Rating Scale (NRS) for pain, a goniometer for joint range of motion (LGS), Manual Muscle Testing (MMT) for muscle strength, and the Oswestry Disability Index (ODI) for function. The results of the therapy showed a significant reduction in pain, namely silent pain from a score of 5 to 1 and pain on movement from a score of 6 to 3. Lumbar ROM increased with flexion from 70 degrees to 85 degrees. Lumbar muscle strength also improved, flexors from a score of 4 to 5 and extensors from a score of 3 to 5. ODI decreased from 55.5% (severe disability category) to 12% (minimal disability category). Multimodal physiotherapy interventions have been proven effective in reducing pain, improving LGS, muscle strength, and function in patients with LBP et causa spondylolisthesis.

Background: Knee osteoarthritis is one of the most common degenerative conditions in older adults, often causing pain and limited range of motion (ROM), which negatively affects quality of life. Physiotherapy management plays an important role in reducing pain, improving flexibility, and maintaining joint function. Objective: This study aims to evaluate the effectiveness of physiotherapy interventions in reducing pain and improving ROM in elderly patients with knee osteoarthritis. Method: A case study was conducted on a 63-year-old patient at Dr. Soedjono Level II Hospital, Magelang, who underwent three therapy sessions consisting of Infrared (IR), Transcutaneous Electrical Nerve Stimulation (TENS), Proprioceptive Neuromuscular Facilitation (PNF) with the hold-relax technique, and static cycling. Assessments were carried out using the Numeric Rating Scale (NRS), Likert Gait Scale (LGS), and the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Results: The findings showed a significant reduction in pain on palpation (from 4/10 to 1/10), improvement in knee flexion ROM (from 110° to 135°), and functional enhancement indicated by a decrease in WOMAC scores from 39.58% to 27.08%. Conclusion: These results suggest that structured physiotherapy interventions provide therapeutic benefits in reducing pain, improving joint flexibility, and enhancing functional ability in elderly patients with knee osteoarthritis.

Tennis elbow, or lateral epicondylitis, is an inflammatory condition of the lateral epicondyle commonly caused by repetitive overuse of the forearm extensor muscles. It is characterized by pain, limited joint range of motion, decreased muscle strength, and reduced functional capacity. Physiotherapy interventions, particularly ultrasound and exercise therapy, have been widely applied to reduce pain and restore functional performance. This study employed a case study design involving a 42-year-old female patient diagnosed with left-sided tennis elbow. The intervention was conducted over four therapy sessions. The modalities consisted of ultrasound, providing thermal and micromassage effects to reduce pain, combined with exercise therapy, including passive stretching to increase soft tissue flexibility and eccentric exercise to improve tendon strength and function. After four sessions, the patient showed significant improvement, including reduced pain during movement and palpation, increased joint range of motion in elbow flexion-extension, forearm pronation-supination, and wrist dorsiflexion-palmarflexion. Muscle strength, particularly in the extensors, pronators, supinators, and wrist dorsiflexors, also improved. Functional activity, measured using the PRTEE scale, demonstrated notable enhancement from mild disability to better functional independence. The combination of ultrasound, passive stretching, and eccentric exercise is effective in reducing pain, enhancing range of motion, strengthening muscles, and improving functional ability in patients with left-sided tennis elbow.

Asthma is a non-communicable lung disease, with symptoms such as shortness of breath, wheezing and repeated coughing. Attacks can last for only a few minutes, hours, days or up to several weeks. The therapy given in this case using Infra red aims to relax the respiratory muscles and also improve blood circulation. Chest physiotherapy includes a nebulizer which aims to deliver drugs in the form of gas that can be inhaled by the patient's respiratory tract. Postural Drainage aims to drain mucus from various segments in the lungs to the larger airways with the help of gravity. Tappotement aims to divert sputum from the lungs. Works This Scientific Writing is a case study, raising patient cases and collecting data through the physiotherapy process. The modality provided is Infra red and Chest physiotherapy. The results showed significant improvements after six therapy sessions. Cough intensity decreased from frequent to no cough, while shortness of breath reduced from moderate to none. Auscultation revealed that wheezing and ronchi sounds, initially present in both lungs, eventually disappeared. Additionally, thoracic expansion improved, and the respiratory rate, initially 32 breaths per minute, decreased to 24 breaths per minute, approaching normal levels. In conclusion the combination of Infrared therapy and Chest physiotherapy is effective in managing Bronchial Asthma, particularly in reducing sputum production, improving thoracic expansion, and normalizing breathing patterns. This therapy can serve as a supportive approach in pediatric physiotherapy for respiratory disorders caused by inflammation and mucus accumulation.

Growth and development have similarities in change. And these changes involve all physical members, motor skills and language development. If there are abnormalities in the child's growth and development process, then the child will experience delays in growth and development which is usually called Developmental Delay. This study aims to determine the effect of play therapy on the growth and development of children with developmental delay conditions. This research uses the case study method. After carrying out therapy 8 times, the results showed that play therapy had an effect on improving gross motor skills and improving balance in children with developmental delay. Examination of children's motor skills using the DDST (Denver Development Screening Test) revealed an increase in several stages of ability development in gross motor aspects. Examination of the child's balance using the PBS (Pediatric Balance Scale) showed an increase in balance in several categories, such as the child being able to stand independently and turning 360°.

Ankle sprain is a musculoskeletal injury caused by excessive stretching or tearing of the ankle ligaments. This injury often occurs in the ligament due to sudden inversion and plantarflexion movements during activities, resulting in overstretching of the ligament. Objective: aims to determine the benefits of providing theraband exercise and ultrasound in treating ankle sprain patients. Method: This research used a case report method which was carried out at Bung Karno Hospital, Surakarta by taking a sample of one of the sprain patients by observing and providing therapy for 3 sessions. Then, measurements were taken every time therapy was carried out. Results: in this study, the results obtained from the physiotherapy intervention were an increase in muscle strength, a decrease in pain, an increase in Range of Motion and an increase in functional activity. Conclusion: physiotherapy management by providing a program in the form of electrotherapy in the form of ultrasound and exercise therapy using thera-band exercise for ankle sprained patients which was carried out in 3 training sessions gave positive results with a decrease in pain, an increase in muscle strength, and an increase in Range of Motion.

Pneumonia ialah penyakit Infeksi Saluran Pernapasan Bawah yang bersifat akut pada parenkim paru meliputi alveolus dan jaringan interential yang dikarenakan mikroorganisme seperti jamur, virus dan bakteri. Mikroorganisme yang masuk ke saluran pernafasan bagian bawah dapat mengganggu proses pernapasan serta membuat saluran pernapasan tidak berfungsi secara optimal, sehingga proses keluar masuk oksigen juga terhambat dan mengakibatkan gangguan pada pola napas. Beberapa permasalahan lain yang ditimbulkan dari pneumonia seperti adanya penumpukan sputum, otot bantu pernapasan, penurunan ekspansi thoraks dan juga nyeri dada. Dalam perawatanya, tenaga medis berperan dalam pemberian antibiotik selama 8 jam setelah pasien mengalami perawatan serta fisioterapi berperan dalam pemberian intervensi penyinaran Infrared, Chest physiotherapy, dan Myofascial release. Penelitian ini bersifat studi kasus yang mengangkat satu kasus pasien serta mengumpulkan data melalui proses fisioterapi. Intervensi fisioterapi dilakukan sebanyak 4 kali pertemuan di Rumah Sakit dr. Ario Wirawan, Salatiga dengan menggunakan Infrared, Chest physiotherapy yang meliputi Postural Drainage, Clapping, Vibrasi, Latihan Batuk Efektif, Pursed Lip Breathing dan Myofascial release. Setelah menjalani 4 kali terapi, diperoleh hasil kondisi pasien yang mengalami penurunan nyeri dada, penurunan tingkat sesak napas, peningkatan ekspansi thoraks, berkurangnya spasme otot bantu pernapasan dan retensi sputum.

Kualitas pelayanan kesehatan merupakan faktor penting dalam menentukan kepuasan pasien, maka industri kesehatan perlu terus melakukan transformasi untuk memenuhi kebutuhan yang terus meningkat. Kepuasan pasien adalah tingkat perasaan atau kepuasan seseorang setelah membandingkan kinerja atau hasil yang dirasakan dengan harapan. Kualitas pelayanan kesehatan yang baik dirumah sakit dapat memberikan kepuasan kepada pasien, dari pelayanan yang diterima oleh pasien apabila hasil yang dirasakan oleh pasien sama atau meleihi harapan makan akan timbul perasaan puas dan tidak puas. Untuk mengetahui ada atau tidaknya hubungan kualitas pelayanan fisioterapi terhadap tingkat kepuasan pasien di poli fisioterapi, RSU Astrini Wonogiri. Penelitian ini menggunakan metode deskriptif kuantitatif dengan pendekatan analitik observasional. Populasi pada penelitian ini merupakan seluruh pasien di poli fisioterapi RSU Astrini Wonogiri. Teknik pengambilan sampel menggunakan teknik convenience sampling.  Jumlah sampel 120 responden yang diambil berdasarkan kriteria inklusi dan ekslusi, dengan membagikan kuesioner Service Quality (Servqual) dan  Measuring Patient Satisfaction With Physical Theraphy Care (MRPS/Medrisk). Setelah semua data didapatkan, peneliti mengolah data menggunakan SPSS version 23.0.0 yaitu dengan uji chi-square. uji korelasi menggunakan uji chi-square pada program SPSS. Berdasarkan hasil uji korelasi signifikansi (2-tailed) 0.000 menunjukan nilai <0,05 dengan keterangan H0 ditolak dan H1 diterima. Hal ini dapat diartikan bahwa servqual mempunyai korelasi dengan medrisk. Maka dapat disimpulkan bahwa terdapat hubungan antara kualitas pelayanan dengan kepuasan pasien. Berdasarkan hal ini diharapkan pelayanan Fisioterapi dapat lebih ditingkatkan baik disegala aspek untuk dapat memberikan pelayanan yang terbaik sehingga kepuasan pasien terpenuhi.

Efforts to realize the implementation of good medical records require supporting elements in the form of medical record folders with a design that meets standards. Medical record folders protect patient documents and simplify the process of identifying, storing, and managing health data. Based on the results of observations at the UMSIDA Physiotherapy Clinic, the medical record folder used is still simple, only made of ordinary paper without a logo, name, clinic address, or columns for writing patient identity and medical record number. This condition has the potential to cause obstacles in the administration and security of patient data. The purpose of this research is to redesign (redesign) medical record folders based on anatomical, physical, and content aspects to make them more professional and functional. The methods used include needs analysis through interviews with users, evaluation of old designs, and the creation of new designs. The redesign was carried out by adding heading elements in the form of the name and address of the clinic, introduction in the form title or medical record folder, and instructions in the form of the text "Confidential Documents." On the body, the patient's identity is contained such as full name and medical record number. From the physical aspect, the folder is designed in the form of a portrait with a size of 21.5 cm × 33.0 cm, using white 260 grams of ivory paper with a blue background. Meanwhile, the content aspects include the identity of the health service facility, the writing "Confidential Document," the patient's name, medical record number, and year of visit. The results of the study concluded that the redesign of the medical record folder has met the anatomical, physical, and content standards needed to support more organized health services.

Radius fracture and supracondylar joint stiffness are common post-traumatic complications that can reduce upper extremity function and limit daily activities. These problems are generally accompanied by pain, decreased range of motion (LGS), and muscle strength, thus disrupting the patient's functional independence. This study aims to evaluate the effectiveness of multimodal physiotherapy interventions in improving the clinical condition of patients with post-ORIF radius fractures and supracondylar joint stiffness. This study is a case study of a 47-year-old male patient treated at Panembahan Senopati Bantul Regional Hospital. Physiotherapy interventions were carried out twice, with modalities consisting of infrared therapy, muscle release techniques, assisted active exercises, strengthening exercises, and hold-relax techniques. Clinical evaluation was carried out using the Numerical Rating Scale (NRS) for pain, Manual Muscle Testing (MMT) for muscle strength, goniometer for LGS, and Mayo Elbow Score for joint function. The results of the study showed a decrease in pain levels, an increase in LGS and muscle strength, and an improvement in daily activity function. The synthesis of these findings indicates that multimodal physiotherapy interventions have a positive clinical impact on postoperative joint stiffness and musculoskeletal disorders. In conclusion, a combination of various physiotherapy techniques is effective in addressing pain, mobility limitations, and functional impairment in patients with post-ORIF radius fractures and supracondylar joint stiffness, and underscores the importance of a comprehensive and individualized rehabilitation approach.

Femur fracture is a condition where there is discontinuity or loss of part of the femur bone, To overcome this, physiotherapy can contribute to reducing pain, reducing edema, increasing joint range of motion, and strengthening muscles. Objectives: physiotherapy can contribute to reducing pain, reducing edema, increasing joint range of motion, and strengthening muscles. Physiotherapy modalities that are often used for this condition include Transcutaneous Electrical Nerve Stimulation (TENS), Ultrasound, and exercise. Results: after 6 times of therapy, a decrease in tenderness T1:5 and T6: 4, motion pain T1: 7 and T6: 2. ROM knee extension/flexion T1: S: 5°-0°-40°, T6: S: 0°-0°-100°. Conclusion: Administration of TENS, ultrasound and exercise can reduce pain, increase ROM in post fracture of 1/3 Distal femur.

Pulmonary contusion is a common complication of blunt chest trauma that leads to parenchymal damage, edema, and bleeding, resulting in impaired respiratory function. Thoracotomy procedures to manage rib fractures are often accompanied by complaints of chest pain and dyspnea. This study aimed to evaluate the effect of physiotherapy interventions, specifically breathing exercises and early mobilization, in reducing pain and shortness of breath in a patient diagnosed with pulmonary contusion post-thoracotomy. A case report method was employed with six sessions of breathing exercises and assisted active mobilization over a seven-day period. Assessment was conducted using pain scores, Borg dyspnea scale, and thoracic expansion measurements. Results indicated a reduction in pain and dyspnea scores as well as improved thoracic expansion in the fracture area. Physiotherapy interventions were shown to be effective in promoting respiratory recovery and reducing postoperative complications.

Knee stiffness is one of the most common complications experienced by patients with tibial fractures. It can weaken and limit accessory joint movement, inhibit muscle activation, impair gait pattern, and reduce the overall physiological range of motion. Surgical procedures may also affect functional capacity and decrease quality of life due to limitations in the patient's activities of daily living (ADL).This case report aims to explore the management and effectiveness of physiotherapy interventions in a case of knee stiffness. A single-subject research design was used to observe a patient, Mr. JP, aged 53 years, who complained of stiffness, pain, and muscle weakness in the left knee (genu sinistra) following trauma. The study was conducted in February 2025. Physiotherapy sessions were carried out every three days, for a total of four sessions. Interventions included Infrared therapy, Transcutaneous Electrical Nerve Stimulation (TENS), and exercise therapy in the form of passive forced exercises, hold-relax techniques, and active resisted exercises.Progress was observed from session T1 to T4, assessed through various parameters: pain levels measured by the Numerical Rating Scale (NRS), muscle strength evaluated using Manual Muscle Testing (MMT), range of motion (ROM) assessed with a goniometer, and functional ability measured using the International Knee Documentation Committee (IKDC) questionnaire. The physiotherapy intervention using Infrared, TENS, and therapeutic exercises (passive forced, hold-relax, and active resisted) showed improvements in reducing pain, increasing muscle strength, enhancing joint ROM, and improving ADL performance in a patient with post-tibial fracture knee stiffness.

Latar Belakang: Osteoartritis (OA) lutut merupakan salah satu masalah kesehatan utama pada lansia yang menyebabkan nyeri dan keterbatasan fungsi gerak. Di wilayah pesisir Kalimantan Timur, akses terhadap layanan fisioterapi masih terbatas. Tujuan: Mengoptimalkan manajemen nyeri dan peningkatan fleksibilitas melalui intervensi fisioterapi berupa stretching dan Transcutaneous Electrical Nerve Stimulation (TENS) pada lansia dengan OA lutut. Metode: Program pengabdian masyarakat ini menggunakan desain pre-test dan post-test yang melibatkan tiga lansia di Posbindu pesisir. Intervensi dilakukan secara rutin selama beberapa minggu, dengan pengukuran nyeri menggunakan Visual Analog Scale (VAS) dan fleksibilitas menggunakan Sit and Reach Test. Hasil: Terjadi penurunan nyeri rata-rata sebesar 3 poin VAS dan peningkatan fleksibilitas 2–5 cm pada Sit and Reach Test. Kesimpulan: Intervensi stretching dan TENS efektif dalam menurunkan nyeri dan meningkatkan fungsi gerak lansia dengan OA lutut. Program ini menunjukkan bahwa layanan fisioterapi berbasis komunitas di Posbindu merupakan pendekatan yang efisien, aplikatif, dan berkelanjutan di wilayah dengan keterbatasan layanan kesehatan.

Acute Myocardial Infarction (AMI) is a critical medical condition that requires comprehensive rehabilitation to restore cardiac function and quality of life. This study presents a case report of a 54-year-old female patient post-PCI following subendocardial myocardial infarction. The physiotherapy intervention was conducted during phase 2 of cardiac rehabilitation in four sessions, consisting of warm-up (cardiac exercise), main training (walking and treadmill), and cool-down (ergocycle). Evaluation included the 6-Minute Walk Test (6MWT), Borg Scale, vital signs, and thoracic cage measurements. Results showed an increase in walking distance from 462 meters to 500 meters, improved METs, decreased Borg Scale score, and greater thoracic expansion. These findings suggest that phase 2 physiotherapy intervention effectively enhances functional capacity and physical activity tolerance in post-AMI patients.

Frozen shoulder is a musculoskeletal disorder of the glenohumeral joint characterized by pain, stiffness, and decreased range of motion, generally occurring at the age of 45-60 years and often associated with low physical activity or comorbid diseases. This study aims to evaluate the effectiveness of physiotherapy interventions in the form of a combination of ultrasound, Transcutaneous Electrical Nerve Stimulation (TENS), muscle release, and exercise therapy in a 72-year-old male patient with left frozen shoulder. The method used is a case study with interventions including ultrasound, TENS, muscle release, and active, passive, isometric, pendulum, walking finger, and passive stretching exercises given during three meetings. The results showed a decrease in silent, pressure, and motion pain, as well as a decrease in the SPADI score indicating an increase in shoulder function. The implications of this study indicate that the combination of electrotherapy and exercise therapy modalities can provide positive results in reducing pain and increasing functional activity in cases of frozen shoulder, although further research is needed with more varied intervention designs and durations to strengthen these findings.

COPD is a condition characterized by airflow obstruction that cannot be completely corrected. This limitation generally worsens over time and is associated with abnormal permeability to noxious particles or gases, resulting in narrowing of the airways, increased mucus secretion, and changes in the vascular system. The increase in chest expansion capacity is caused by the activity of respiratory muscle contraction. The activity of the respiratory muscles plays a role in chest expansion, which also affects lung growth. It is stated that the strength of the respiratory muscles decreases with age. Loss of intercostal muscle mass and strength are factors that reduce the ability of chest wall presence or development. This study used a case report design research method. Physiotherapy management for COPD is increasingly focused on exercise-based rehabilitation, both in outpatient and inpatient settings. Some therapies such as breathing exercises, thoracic expansion exercises and muscle release.

A burn or combustio is a tissue trauma characterized by skin damage due to heat, chemicals, electricity or radiation. Patients with severe root injuries (such as grade IIb-III) often develop serious functional complications. Hypertrophic scarring can lead to contractures and joint movement limitations. In addition, scars often experience itching and pain, especially in superficial partial wounds and skin withdrawal areas. Patients perform therapy 2 times with the aim of physiotherapeutic intervention is to optimize LGS in the lower extremities (knee and ankle dextra), Reduce motion pain AGB dextra, Increase muscle strength AGB dextra, Increase LGS joint Knee and ankle dextra), Increase scar tissue elasticity. Multimodal physiotherapy interventions provided in the form of ROM Exercise, Strengthening, Ankle Pumping, Gait Training. The result is a difference in measurement results in the form of an increase before and after receiving the intervention.

Introduction: Chronic Obstructive Pulmonary Disease or often referred to as COPD, is a disease that occurs due to limited airflow, this is caused by abnormalities of the airways and/or damage to the alveoli, abnormalities or damage that occurs are caused by significant exposure to hazardous particles or gases, not only due to exposure, COPD is also influenced by lung abnormalities. Dyspnea is a condition that describes a sensation of shortness of breath, which is characterized by obstruction of airflow, or difficulty breathing and chest tightness which is often associated with heart or respiratory disease. Purpose: This study is to determine the management of physiotherapy in cases of right chronic obstructive pulmonary disease. Method: This study uses a case report approach in patients with right chronic obstructive pulmonary disease by providing interventions in the form of nebulizers, pulsed lip breathing and muscle release for 4 weeks 5x meetings with doses of 3 times a day every week. Evaluation is carried out using the vital sign index, auscultation, borg scale, MMRC scale and thorax cage mobilization examination. Results: evaluation measurements using vital sign index, auscultation, borg scale, MMRC scale and thorax cage examination. Thus, the results show an increase and decrease in the degree of shortness of breath before and after intervention. Conclusion: there is an increase and decrease in shortness of breath before and after intervention.