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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.

Carpal Tunnel Syndrome (CTS) is a condition that causes pain, tingling or weakness in the hands and fingers. CTS is caused by the depressed median nerve inside the carpal tunnel due to connective tissue. The implementation of therapy has an effect on reducing symptoms caused by CTS, including the implementation of Ultrasound, Tens and Exercise therapy. This study aims to evaluate the effectiveness of Ultrasound, Tens and Exercise therapy in the treatment of CTS. The method used in this study was a case study in a 54-year-old female patient diagnosed with CTS. Evaluation using NRS (Numerical Rating Scale) for pain, goniometer for LGS (Joint Range of Motion) and WHDI (Wrist Hand Disability Index) for functional activities. Therapy was carried out twice a week, patients showed a decrease in palm pain and tingling in the fingertips accompanied by an increase in LGS. The combination of Ultrasound, Tens and Exercise therapy is effective in reducing the symptoms of CTS so that it can be the right choice for this case.

Plantar fasciitis is a common cause of heel pain that is often found in the population aged 40-60 years, especially women with prolonged standing activities and high body mass index. This case report discusses physiotherapy management in a 41-year-old female patient with plantar fasciitis dextra who underwent therapy at Panembahan Senopati Hospital. The physiotherapy interventions provided included ultrasound, gastrocnemius muscle massage, stretching (Towel Stretch), and exercises (Calf Raise and Towel Toe Curl) for three sessions in three weeks. Evaluation was performed using Wong Baker Scale, Manual Muscle Testing (MMT), Goniometer, and Foot and Ankle Disability Index (FADI). The results showed a decrease in tenderness and pain during movement, increased plantar fascia flexibility, and an increase in FADI score from 63.28% to 77.88%, indicating improved function. Physiotherapy interventions proved to be effective in managing plantar fasciitis symptoms conservatively and improving the patient's quality of life.

Background: Bell's Palsy is a condition of facial muscle weakness due to inflammation or damage to the VII cranial nerve (facial nerve), which is classified as a primary acute idiopathic lower motor neuron (LMN) type. This condition is characterized by unilateral facial paralysis and pain in the mastoid area, which can affect the patient's quality of life. Method: This study design used a case report method which observed one patient with a case of Bell Palsy Right. Physiotherapy intervention was carried out during four meetings at Dr. Moewardi Hospital, with therapy modalities including Transcutaneous Electrical Nerve Stimulation (TENS), massage, and mirror exercise. Evaluation was carried out using the Numeric Rating Scale (NRS) for pain, Manual Muscle Testing (MMT) for facial muscle strength, and the Ugo Fisch scale for functional ability. Results: This study shows that physiotherapy treatment during 4 meetings resulted in decreased pain, increased muscle strength, and increased functional ability with Bell palsy. Conclusion: Physiotherapy interventions in the form of TENS, massage, and mirror exercise are effective in reducing pain, increasing muscle strength, and improving functional abilities in patients with Bell's Palsy Right.

Carpal Tunnel Syndrome (CTS) is a peripheral neuropathy disease that occurs due to compression or pressure on the median nerve which causes narrowing of the carpal tunnel. Common symptoms of CTS are pain, numbness, and paresthesia which usually spread to the fingers, especially the thumb, index finger, and middle finger. To determine the effectiveness of non-operative therapy in cases of Carpal Tunnel Syndrome using modalities of tools and exercise therapy in the form of nerve gliding exercise, free exercise with resistance, hand grip, and manual therapy techniques. Case report study is used as a research method by taking samples from 1 patient with a case of Carpal Tunnel Syndrome (CTS). The measuring instruments used are Visual Analog Scale (VAS) for the pain scale, Manual Muscle Testing (MMT) to measure muscle strength, Goniometer to measure Range Of Motion (ROM), and Wrist Hand Disability Index (WHDI) to measure functional activity ability. After the implementation of the 3rd therapy there were changes, namely decreased pain, increased muscle strength, increased ROM and increased functional activity.  This case study shows that there is effectiveness in providing exercise therapy, manual therapy and electrotherapy in cases of Carpal Tunnel Syndrome (CTS).

Appendicitis ranks highest among emergency cases in the abdomen if not treated immediately will cause severe infection until the intestinal lumen can rupture. Pain will appear as a nursing problem for patients who have undergone appendectomy surgery because it is an act of removing the infected appendix through surgery. Pain can be minimized, one of which is with autogenic relaxation training. Activities start from measuring vital signs, pain scale, assessing anxious expressions, then autogenic relaxation training. Education is carried out to assess the knowledge of the community with a history of post-appendectomy surgery about autogenic relaxation and is carried out in collaboration with local village officials. The method used in this activity is counseling about autogenic relaxation training from a team of nursing lecturers and nursing students as many as 36 respondents. The results obtained from respondents before being given education were 36 people who stated that they did not know about autogenic relaxation training and the pain scale felt was above 6 after appendectomy surgery. The output of the PkM that has been implemented is expected to increase knowledge about autogenic relaxation training after autogenic relaxation training is implemented in the community.

Postherpetic neuralgia (PHN) is a chronic neuropathic pain complication following herpes zoster infection. PHN often leads to persistent pain and facial muscle dysfunction, affecting patients' quality of life. This study aimed to evaluate the physiotherapy management using electrical stimulation and facial exercises in a case of facial PHN. A case report design was used to observe a 36-year-old male patient presenting with facial pain and muscle weakness after herpes zoster infection. The physiotherapy intervention, consisting of electrical stimulation and facial exercises, was conducted over three sessions within two weeks. Assessment tools included NPRS, MMT, and Ugo Fisch Scale. There was a significant reduction in pain from NPRS 5/10 to 0, and improvement in frontal muscle strength from MMT 0 to 3. The Ugo Fisch score increased from 62 to 66, indicating functional improvement of facial muscles, though not yet optimal. Electrical stimulation and facial exercises were effective in reducing pain and improving facial muscle function in a PHN patient. Further research with larger samples is needed to validate these findings.

Background: Low back pain (LBP) is one of the most common musculoskeletal problems that affect the quality of life and productivity of individuals. LBP lasting more than 12 weeks is categorized as chronic LBP and often has no specific cause. Core stability exercise (CSE) is one of the effective rehabilitation methods in managing pain and disability in chronic LBP patients. Objective: This review aims to evaluate the effectiveness of CSE in reducing pain in patients with chronic LBP based on a literature review. Methods: This study used the literature review method by reviewing various relevant studies related to CSE and chronic LBP. Data sources were obtained from databases such as PubMed, ScienceDirect, Google Scholar, and PEDro. Articles used had inclusion criteria in the form of randomized controlled trial (RCT) studies published in the last 10 years (2014-2024), in English, and involving patients with non-specific chronic LBP. Article quality assessment was conducted using the PEDro scale. Results: From the analysis of eight articles that met the inclusion criteria, it was found that CSE has significant effectiveness in reducing pain in patients with chronic LBP. The mean visual analogue scale (VAS) score showed a greater reduction in the group undergoing CSE compared to the control group or other therapeutic methods. Moreover, the combination of CSE with adjunctive therapies such as pain neuroscience education (PNE), interferential therapy (IFC), and myofascial release technique (MRT) showed better results in reducing pain and improving postural stability and physical function. Conclusion: CSE can be an effective rehabilitation method to reduce pain and improve core muscle stability in patients with chronic LBP. Combination with other therapies may provide more optimal results.

This study aims to examine the effect of appliying the Recovery Ice Bath on reducing fatigue in female outdoor hockey athletes of Universitas Negeri Surabaya. The research employes a pre-experimental method with a One Group Pretest- Posttest Desing. A total of 12 female athletes from Universitas Negeri Surabaya were selected as the study sample. Data were collected through RPE (Rate of Percevied Exertion) quistionnaires, Vas (Visual Analogue Scale) questionnaires,and heart rate meassurements. The analysis of pretest and posttest heart rate values yielded a significant result (0,000 <0,05). Indicating a statistically significant effect of the Recovery Ice Bath. Similarly, the RPE and VAS questionnaire results showed significant values (0,002<0,05 for RPE and VAS), suggesting a substantial impact of the Recovery Ice Bath on reducing fatigue levels and pain in female outdoor hockey athletes at Universitas Negeri Surabaya.  In conclusion, the application of the Recovery Ice Bath significantly influences fatigue reduction in outdoor hockey athletes.athletes who underwent ice baths experienced a faster decline in physical fatigue and muscle soreness. Moreover, ice baths proved effective in accelerating muscle recovery, as evidenced by the reduced Delayed Onset Muscle Soreness (DOMS) after engaging in intense physical activity.

Cesarean section (Sectio Caesarea) is a surgical procedure performed by making an incision in the anterior wall of the uterus to assist the childbirth process. This study aims to examine the application of Benson relaxation technique in reducing the intensity of pain scale in post-cesarean section mothers at Bengkalis Regional General Hospital (RSUD Bengkalis). This research is a quantitative study using a quasi-experimental design. The study was conducted from November to December 2024, involving a sample of 15 respondents. Data were analyzed using univariate and bivariate analysis, with the Chi-Square test applied. All respondents were post-cesarean section mothers. The findings showed that before the intervention, all 15 respondents (100%) experienced severe pain. After receiving the Benson relaxation intervention for 10–15 minutes, a decrease in pain scale was reported. The data indicated that the majority of respondents (86.7% or 13 respondents) experienced a reduction from severe to moderate pain. The statistical test results yielded a p-value of 0.000, indicating a significant effect of Benson relaxation therapy on pain reduction in post-cesarean section patients in the Mawar Ward of RSUD Bengkalis. It is recommended that RSUD Bengkalis consider adopting this technique as an innovation in health services, particularly in nursing care, to help reduce pain in post-cesarean section mothers.

Sectio Saesarea is a way of delivering a fetus by making an incision in the uterine wall through the front wall of the abdomen or vagina or SC is a hysterotomy to deliver a fetus in the uterus (Batara, 2022, p.1). SC is known as one of the procedures that can save both mother and baby. SC can effectively prevent death and disability in mothers and newborns. SC is performed on 3 indication factors, namely maternal, fetal and obstetric factors themselves. The problem that usually arises after SC is pain. Patients after sectio caesarea surgery will feel pain when the effects of anesthetic drugs have disappeared (Solehati & Kosasih, 2015). Postoperative pain after anesthesia is a common complication and will appear 1-3 hours (Saputra, at, al.2023). Pain appears due to the release of pain receptors due to the disconnection of tissue continuity due to the incision process during surgery. Post SC patients usually complain of pain in the abdominal incision area (Wahyuningsih et al., 2022). Pain in patients must be treated immediately so as not to interfere with the mother's activities. There are 2 pain management, namely pharmacological and non-pharmacological. Pharmacological therapy is carried out by administering drug therapy to reduce pain. Non-pharmacological therapy that can be done to reduce pain is one of them early mobilization. Early mobilization after cesarean section is a movement, position or activity carried out by the mother several hours after giving birth by cesarean section (Mawarni, 2018). Early mobilization techniques are very effective in relieving pain. Early mobilization is recommended for post-SC mothers, because it can increase the independence of post-SC patients, as well as support the wound healing process, and reduce pain (Dirgahayu, 2019). Early mobilization interventions can help patients reduce the pain scale felt postoperatively. Case studies using descriptive methods with a nursing process approach were carried out on 3 respondents of post op pregnant women using the One Group Pretest Posttest research design which was measured using the NRS instrument for 3 days. The results showed a decrease in the pain scale in respondents after being given early mobilization interventions. 

Pain and inflammation are two clinical conditions that often occur together, especially in musculoskeletal disorders. Non-steroidal anti-inflammatory drugs (NSAIDs) are often used because they have dual effects as analgesics and anti-inflammatories. This study aims to compare the effectiveness of several types of NSAIDs in reducing pain intensity and inflammatory responses. This study used an experimental design with test animal subjects divided into several groups, each receiving treatment with different NSAIDs, namely ibuprofen, diclofenac sodium, and mefenamic acid. Pain assessment was carried out using the visual analog scale (VAS) method, while inflammation was measured by observing edema and inflammatory biomarker levels. The results showed that all three types of NSAIDs had a significant effect on reducing pain and inflammation compared to negative controls, but there were differences in effectiveness between drugs. Ibuprofen showed higher potential in relieving pain, while diclofenac was more effective in suppressing the inflammatory process.

Dysmenorrhea is one of the most common reproductive health problems experienced by adolescent girls, significantly affecting daily activities and academic performance. Non-pharmacological approaches such as abdominal stretching offer a safe, simple, and cost-effective alternative for reducing menstrual pain. This community service activity was conducted at SMPN 8 Lubuklinggau from April 11 to 17, 2022, aiming to enhance students’ knowledge and skills in managing dysmenorrhea through abdominal stretching exercises. The program included education, demonstration, independent practice, and pre- and post-test evaluations. The results showed that most participants experienced a reduction in menstrual pain intensity and improved understanding of dysmenorrhea management. The intervention proved to be effective and feasible to be integrated into regular school health programs. Additionally, the activity empowered adolescents to take a more active role in maintaining their reproductive health. Further research is recommended to evaluate the effectiveness of abdominal stretching on a broader scale.

Intercondylar fractures of the femur are complex intra-articular injuries involving the medial and lateral condyles at the distal end of the femur bone, just above the knee joint. These injuries are commonly caused by high-energy trauma, such as motor vehicle accidents or falls from significant heights. This study presents a case report of a 23-year-old unemployed female patient. The assessment tools used included the Numeric Pain Rating Scale (NPRS) for evaluating pain intensity, a goniometer for measuring the range of motion (ROM), Manual Muscle Testing (MMT) for assessing muscle strength, and the Lysholm Knee Scoring Scale for evaluating functional activity. After three physiotherapy sessions conducted over three weeks, the patient demonstrated a reduction in pain, an improvement in muscle strength, an increased joint range of motion, and enhanced functional activity. A rehabilitation program consisting of Transcutaneous Electrical Nerve Stimulation (TENS), forced knee flexion with a quadriceps board, active knee flexion and extension exercises with a gym ball, stretching exercises, and active functional training was found to be effective in improving the patient's post-operative outcomes following malunion intercondylar femur fracture (right) post-ORIF.

Pain is one of the main problems often experienced by patients during treatment in hospitals, including in the Zam-Zam 1 Ward of Sultan Hadlirin Hospital, Jepara. High levels of pain can affect comfort, quality of rest, and slow the patient's healing process. Various non-pharmacological interventions have been developed to help reduce pain, one of which is music therapy, which works through distraction and relaxation mechanisms. This study aims to analyze the effectiveness of music therapy in reducing pain levels in patients in the Zam-Zam 1 Ward of Sultan Hadlirin Hospital, Jepara. The research method used a quasi-experimental design with a pretest-posttest approach without a control group. The study sample consisted of 47 patients who met the inclusion criteria and were selected using a purposive sampling technique. The research instrument used a Numerical Rating Scale (NRS) to measure the patient's pain levels before and after the intervention. The music therapy process was carried out by playing relaxation music for a certain period according to the research procedure. Data analysis was carried out using a paired t-test to determine the difference in pain levels before and after music therapy. The results showed an average decrease in pain levels of 1.79 with a standard deviation of 1.05. The t-test results yielded a t-value of 9.017 with a p-value of 0.000 (p < 0.05), indicating a significant difference between pain levels before and after the intervention. These findings demonstrate that music therapy is effective in reducing pain perception in hospitalized patients. In conclusion, music therapy can be used as an alternative non-pharmacological intervention that is easily implemented by healthcare professionals to improve patient comfort and quality of care in hospitals.  

Menstrual pain or dysmenorrhea is a common complaint experienced by adolescent girls throughout the world has shown that the incidence of dysmenorrhea is quite high, namely 43-93% of women experience dysmenorrhea and 5-10% of them experience very severe dysmenorrhea and leave their activities 1-3 days a month, where 8% of them have to leave school or work during menstruation The purpose of this study is to examine the effect of giving turmeric and tamarind with pineapple juice on reducing primary dysmenorrhea pain in TPMB "M".This study uses a qualitative research strategy, with a case study, which is a series of scientific activities carried out intensively, in detail and in depth about a program, event, and activity, both at the individual level, a group of people, institutions, or organizations to obtain in-depth knowledge about the event, this case study was conducted directly to adolescents who were menstruating and experiencing primary dysmenorrhea. The results of the study were conducted in Case 1, an adolescent who was experiencing Primary Dysmenorrhea pain with a pain scale of 9 after being given Turmeric Acid, the NRS value at Visit 1 was 7, Visit 2 was 5, Visit 3 was 3. While in Case 2 after being given Pineapple juice, the NRS value at Visit 1 was 7, Visit 2 was 4, Visit 3 was 2. both were the same in reducing pain, but consuming Turmeric Acid was more effective in reducing pain by 1 on the 2nd visit and the difference in pain reduction was 1 on the 3rd visit. It is hoped that this study can be used to add new knowledge about the treatment of dysmenorrhea pain in adolescents in a non-pharmacological way, namely by using turmeric acid and pineapple juice. as an alternative.

Introduction: Cocoa farmers are prone to experiencing neck muscle pain due to repetitive physical activities with prolonged duration. Neck muscle pain can reduce productivity and quality of life. This study aimed to analyze the effect of static stretching exercises on reducing neck muscle pain among cocoa farmers in Candikusuma Village. Methods: This research used a pre-experimental design with a pre-test and post-test approach. The sampling technique was consecutive sampling with a total of 62 respondents. The static stretching exercise intervention was conducted for 1 week with a frequency of 2 sessions and a duration of 30 minutes per session. The research instrument used the Numeric Rating Scale (NRS). Results: Data were analyzed using the Wilcoxon Signed Rank Test, resulting in a p-value of 0.001 (p<0.05), indicating a significant effect of static stretching exercises on reducing neck muscle pain among cocoa farmers. Discussion: Static stretching exercises can be recommended as a non-pharmacological therapy to reduce neck muscle pain in the cocoa farmer population.    

Myogenic low back pain is a complaint of pain in the lower back area caused by disorders of muscle tissue or tendons, without nerve involvement. This complaint is often experienced by individuals who perform repetitive physical activities or maintain a hunched sitting position for long periods, resulting in muscle fatigue and discomfort. This study aims to analyze the effectiveness of McKenzie Exercise and infrared therapy in reducing myogenic low back pain. The study design used a one-group pre- and post-test with control design, with a total of 20 employees in the rehabilitation unit of RSU Medika Tanjung Mulia who had met the inclusion criteria. Subjects were randomly divided into two groups: Group I received McKenzie Exercise and infrared therapy interventions along with standard hospital therapy, while Group II only received standard hospital therapy. Pain levels were measured using a Numeric Rating Scale before and after the intervention. The results of statistical analysis showed a significant reduction in pain in both groups after the intervention, with a p value = 0.000 (p < 0.05). In addition, the results of the comparison between groups showed that the group receiving McKenzie Exercise and infrared therapy experienced a greater reduction in pain than the control group. This suggests that the combination of McKenzie Exercise and infrared therapy is more effective in reducing myogenic low back pain. This study recommends the use of both interventions as part of the physiotherapy management of low back pain caused by muscle disorders.  

Gout is a condition where high levels of uric acid in the blood that causes pain, and pain in the joints. One of the measures to lower joint pain is non- pharmacologically with ergonomic Gymnastics and warm compresses of lemongrass decoction. The purpose of this study is to analyze the effectiveness of ergonomic gymnastics and warm compresses of lemongrass decoction on the scale of joint pain in patients with gout in Alassumur lor village. This type of research was quasi-experimental with cross over group design approach. A population was 38 people selected by purposive sampling technique obtained 34 respondents who meet the inclusion requirements. This research used the numeric pain scale (NRS) observation sheet Instrument. The normality of the data had been tested with Kolmogorov-smirnov. The results of the study obtained ergonomic gymnastics pain scale period I pre-test was 6.94 and post-test was 2.94, stew period II pre-test was 5.18 post-test was was 2.59. In the warm compress group lemongrass stew period I pre-test was 3.18, post-test 1.82, period II pre-test was 3.76, post-test was 1.94. The results of data analysis obtained the value of pV 0.000 with a significant level of p value <a = 0.005, the value of Z prepost period I ergonomic exercise -3.695, warm compress of lemongrass stew -3.676, in period II ergonomic exercise -3.580 and warm compress lemongrass stew -3.531, so that it can be stated that ergonomic exercise is more effective to decrease the joint pain scale in patients with gout in Alassumur lor village. Ergonomic Gymnastics turns out to be more effective to reduce joint pain in gout and is expected to be one of the alternative interventions to reduce joint pain in people with gout.      

Low back pain is still a trigger for health problems that interfere with activities. If not treated properly, it can reduce lumbar mobility so that there is limited movement. There are several treatment strategies for low back pain, namely pharmacology and non-pharmacology. Non-pharmacology therapy that can be done is cupping therapy. The cupping therapy that is carried out is Al Warik point cupping therapy. This study aims to determine the effect of Al Warik point cupping on reducing the pain scale in low back pain sufferers at the Probolinggo holistic nursing therapy clinic. The type of research used a pre-experiment with a one group pre-post test design. The population was 38 low back pain sufferers at the Probolinggo holistic nursing therapy clinic, the sample determination used the accidental sampling technique that met the criteria of 34 respondents. The instrument used the cupping therapy module, data management with the editing, coding, scoring, and tabulating processes. Furthermore, it was analyzed using the Wilcoxon test. The results of this study indicated that the average pain scale value that occurred before cupping therapy at the Al Warik point was 7.00, standard deviation 1.073, and the average pain scale value after cupping therapy at the Al Warik point was 4.74, standard deviation 1.024, the analysis test using the Wilcoxon test showed a decrease in the Low Back Pain Pain Scale at the Holistic Nursing Therapy Clinic in Probolinggo (ρ = 0.000 <α = 0.005). Cupping therapy can be a traditional alternative treatment that can be done routinely for the healing process of low back pain by performing cupping therapy at the Al Warik point.