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Type 2 diabetes mellitus (DM type 2) is a chronic metabolic disorder marked by elevated blood glucose due to insulin resistance and impaired insulin secretion. Its prevalence continues to rise worldwide, including in Indonesia. Psychological stress is known to worsen glycemic control by activating the sympathetic nervous system and increasing cortisol levels, which can cause fluctuations in blood glucose. This case report aims to describe the effect of combining Benson relaxation techniques with warm foot soaking on blood glucose regulation in a type 2 DM patient. The subject was Mrs. M, a 52-year-old woman diagnosed with type 2 DM. The intervention was conducted for seven consecutive days and consisted of daily Benson relaxation followed by warm foot soaking for 15–20 minutes. Blood glucose levels were measured before and after each session using a glucometer and analyzed descriptively. After seven days, the patient’s blood glucose level decreased from 248 mg/dL to 186 mg/dL. She also reported improved relaxation, better sleep quality, reduced anxiety, and decreased fatigue. These findings suggest that Benson relaxation helps activate the parasympathetic response and reduce stress hormones, while warm foot soaking supports improved circulation and metabolic processes. In conclusion, the combination of Benson relaxation and warm foot soaking is a simple, safe, and effective complementary therapy to support blood glucose regulation in type 2 DM patients. This intervention can be integrated into self-care routines and community nursing practice as part of evidence-based non-pharmacological management.

Background: Posterior tooth loss can impact masticatory function, aesthetics, and quality of life. Bridges are a restorative solution, but conventional pontic designs often make it difficult to maintain periodontal hygiene and health. Sanitary pontics offer a design that minimizes tissue contact, facilitates cleaning, and reduces plaque accumulation. Case report: A 23-year-old male patient lost his mandibular right first molar and sought to restore chewing function. After clinical and radiographic examinations, it was decided to restore the edentulous area of tooth 46 using a PFM bridge with a sanitary pontic design. Teeth 45 and 47 underwent abutment preparation, impressions, and fabrication of the bridge. Discussion: The sanitary pontic design has been shown to facilitate oral hygiene, especially under the pontic. The space between the pontic and the alveolar mucosa facilitates effective brushing or flossing, reducing plaque and the risk of gingival inflammation. PFM materials provide appropriate strength and durability for posterior restorations. Conclusion: A Porcelain Fused Metal (PFM) bridge with a sanitary pontic design is an effective restorative alternative for posterior tooth loss, improving hygiene and supporting long-term periodontal health.

Emesis gravidarum experienced by pregnant women can affect both maternal and fetal health, particularly in terms of nutrition and quality of life. One non-pharmacological approach that can be applied is peppermint aromatherapy, which should be implemented through safe and comprehensive midwifery care tailored to the mother’s needs. This case report aims to evaluate the effectiveness of peppermint aromatherapy in reducing symptoms of emesis gravidarum. The subject is Mrs. S, a 25-year-old pregnant woman at 7–8 weeks of gestation who received care at Melayu Kota Piring Public Health Center, Tanjungpinang, from February to March 2025. Data were collected through interviews, observations, physical and laboratory examinations, and documentation using the SOAP format. The results showed that peppermint aromatherapy effectively reduced the frequency and severity of nausea and vomiting, helping the mother maintain better food intake. In conclusion, peppermint aromatherapy can serve as an effective non-pharmacological alternative for managing emesis gravidarum in primary healthcare settings.

A 64-year-old male patient presented to the emergency department (ED) of RS Cut Meutia with complaints of left-sided chest pain radiating to both arms, which had been occurring for two days prior to his hospital admission. The chest pain was described as sharp, sudden, and progressively worsening, and it persisted without relief from positional changes. The pain intensity was rated as 9/10 and was accompanied by cold sweats and nausea. The patient had a history of type 2 diabetes mellitus for 15 years and had been on antidiabetic medications, although he could not recall the names of the medications. The patient was a smoker but had quit smoking upon being diagnosed with diabetes. Vital signs and general status were within normal limits upon examination. Local examination of the heart revealed a murmur on auscultation. Laboratory results showed anemia, leukocytosis, hyperglycemia, and hypercholesterolemia. Electrocardiography (EKG) indicated signs of inferior STEMI (ST-Elevation Myocardial Infarction). The patient was treated with furosemide 1 amp/12 hours, atorvastatin 1x20 mg, arixtra 1x0.25 mg, aspilet 1x8 mg, clopidogrel 1x75 mg, nitrokaf retard 2x2.5 mg, and bisoprolol 1x2 mg, along with non-pharmacological management, including three-way catheter insertion and oxygen therapy at 2-4 liters per minute. Acute Coronary Syndrome (ACS) carries a poor prognosis if not managed promptly and correctly. Understanding the appropriate management of ACS is crucial in preventing further myocardial occlusion and improving patient outcomes. Therefore, rapid and accurate intervention is vital in improving the prognosis for patients with ACS.

Tuberculosis is one of world health problem, especially in developing countries. Treatment regimen with multiple first-line anti-tuberculosis drugs (ATD) such as Isoniazid, Rifampicin, Pyrazinamide, Ethambutol, And Streptomycin remains the most effective for treatment of tuberculosis. Adverse drug reactions (ADRs) to antituberculosis drugs may range from mild gastrointestinal disturbances to serious hepatotoxicity, peripheral neuropathy, and cutaneous adverse effects. We report a 65 year old male patient with a  complaint of yellowish discoloration of sclera, nausea and vomitting after three days of initiation of ATD theraphy. The patient has been diagnosed with Tuberculosis relaps and has been taking ATD since June 2024. Patient noted epigastric pain. Laboratory examination found an increase in bilirubin level and imbalance electrolyte. The treatment is in the form of discontinuation of ATD, supportive therapy and followed by hepatoprotective supplements. ATD should be discontinued in patients with hepatotoxicity and fixed drug eruption until liver function and clinical symptoms improve. Initiation of ATD administration is carried out by administering one by one regimen. The patient is currently experiencing antituberculosis drug-induced hepatotoxicity, which is managed by providing supportive care and  different AT regimen was prescribed.

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.

Type 2 diabetes mellitus (T2DM), hypertension, anemia, nephrotic syndrome, and urinary tract infection (UTI) are interrelated clinical conditions frequently encountered in patients with chronic kidney disease (CKD). This case report presents a 33-year-old woman who was admitted with complaints of generalized weakness, accompanied by headache, generalized edema, and pruritus. Laboratory findings revealed hyperglycemia (>300 mg/dL), elevated blood pressure (210/120 mmHg), increased urea and creatinine levels, 2+ proteinuria, and microcytic hypochromic anemia (hemoglobin ranging from 7.9 to 9.9 g/dL). Urinalysis showed leukocyturia, hyaline casts, and bacteriuria. The patient was diagnosed with uncontrolled T2DM, hypertensive urgency, microcytic hypochromic anemia, nephrotic syndrome, and UTI. Management included basal-bolus insulin regimen, combined antihypertensive therapy, packed red cell transfusions, and supportive treatments. Throughout the hospitalization, improvements were observed in hemoglobin levels and blood pressure, although subjective symptoms such as fatigue and headache remained fluctuating. This case highlights the importance of comprehensive and multidisciplinary management in patients with complex multisystem chronic conditions to prevent complications and improve clinical outcomes.

Bronchiolitis is an acute inflammatory injury to the bronchioles usually caused by a viral infection (most commonly respiratory syncytial virus). This condition can occur in people of any age, but severe symptoms are usually only seen in young babies.

Diastasis Recti Abdominis (DRA) is a common postpartum condition in women, characterized by separation of the rectus abdominis muscles due to a weekend linea alba. This case study aimed to evaluate the effectiveness of e combined core activation.and curl-up exercise program in reducing intra-recti distance in a postpartum patient.The subject was a spontaneous postpartum woman at 39 weeks of gestation. Initial assessment revealed intra-recti distance of 28 mm above and 17 mm below the umbilicus, exceeding normal limits. The intervention consisted of a 4-day program including curl-up and five core activation excercises : diaphragmatic breathing, abdominal drawing-in manuver, supine pelvic tilt, heel slide and knee fall out. Measurements showed no significant reducyion in intra-recti distance; however, the patient reported improved abdominal tightness and core stability. The study concludes that although measurable changes were not significant within a short evaluation period, the intervention had positive subjective effects. Longer-term assessment is recommended for more conclusive results.    

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.

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.

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.

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.

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.

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).

Adolescent Idiopathic Scoliosis (AIS) is the most common progressive musculoskeletal disorder among adolescents, characterized by a lateral curvature of the spine with an unknown cause. This condition often results in postural asymmetry, chronic low back pain, and reduced mobility. This case report involves a 17-year-old female high school student diagnosed with AIS, presenting with lower back pain and functional limitations. The physiotherapy intervention included three sessions over two weeks, utilizing Microwave Diathermy (MWD) as a physical modality, along with Schroth method and strengthening exercises. The outcomes demonstrated a reduction in pain intensity, improved muscle strength, increased spinal mobility, and enhanced thoracic expansion. Additionally, the patient showed an improvement in quality of life as measured by the Scoliosis Research Society-22 (SRS-22) questionnaire. These findings suggest that structured conservative physiotherapy, combining physical modalities and specific exercises, is effective in alleviating clinical symptoms, improving postural awareness, and supporting the functional well-being of AIS patients. This case highlights the importance of early and consistent physiotherapeutic intervention to manage symptoms and potentially slow curve progression.

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.

Cerebral palsy (CP) is a permanent, non-progressive motor disorder that occurs due to brain damage experienced before, during, or after birth. This condition is generally characterized by activity limitations and can be accompanied by various other disorders, such as delayed cognitive development, visual impairment, speech disorders, and neuromuscular disorders. Management of cerebral palsy is usually multidisciplinary, including physiotherapy, behavioral therapy, speech therapy, nutritional management, pharmacotherapy, and surgical intervention, with the aim of improving the patient's quality of life. This case report discusses a male patient, An. AZ, aged 4 years and 6 months, who was brought by his parents to the Emergency Department of Cut Meutia General Hospital, North Aceh with the chief complaint of seizures that had occurred two days before admission and had worsened in the past day. The patient had been diagnosed with cerebral palsy since early childhood and regularly underwent physiotherapy. From the anamnesis, it was revealed that the patient experienced weakness on the left side of the body, which was more dominant than the right side. This condition is consistent with the manifestation of hemiplegia in cerebral palsy patients. Physical examination revealed delayed motor development, increased muscle tone on the left side, and enhanced pathological reflexes. Acute seizure management included administering anticonvulsant medication according to protocol, monitoring vital signs, and close observation in the inpatient ward. In addition to pharmacological therapy, the patient was advised to continue regular physiotherapy to maintain motor function, prevent contractures, and support the development of daily activities. This case emphasizes the importance of a comprehensive approach to the management of cerebral palsy, particularly when complicated by seizures. Integration of acute medical care, rehabilitative therapy, and family support plays a crucial role in improving the patient's quality of life.