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Post section caesarea (SC) and method of operative female sterilization (MOW) are surgical procedures that may cause various problems, such as pain, limited mobility, decreased muscle strength, and risk of postoperative complications. Physiotherapy management through exercise therapy is an important intervention to accelerate the recovery process. Objective this study aimed to determine the effectiveness of exercise therapy in improving the functional condition of patients post SC and MOW in Annisa Ward 32 A at PKU Muhammadiyah Karanganyar Hospital. Method: used was a case report on a 33-year-old female patient following SC and MOW procedures. The physiotherapy interventions included deep breathing exercises, active range of motion exercises of the extremities, light abdominal muscle contractions, gradual early mobilization, as well as breast massage and oxytocin stimulation. The results showed a reduction in pain from a scale of 4–5 to 2–3 based on the Numeric Rating Scale (NRS), improvement in mobility such as independent position changes, and increased activity tolerance, including sitting and walking with minimal assistance. In addition, the patient showed increased confidence in performing daily functional activities. Conclusion: exercise therapy has a positive effect on improving mobility, reducing pain, and accelerating functional recovery in post SC and MOW patients. Therefore, exercise therapy is recommended as an essential component of postoperative physiotherapy management to improve patients' quality of life.

Background: Knee osteoarthritis is a degenerative joint disease that often occurs in the geriatric population and causes pain, limited movement, and decreased function. In advanced conditions, management is carried out with Total Knee Replacement (TKR). However, post-surgery patients still experience functional limitations so that physiotherapy intervention is needed. Objective: To determine the effectiveness of static bicycle and quadriceps strengthening exercises on pain, range of motion, muscle strength, functional mobility, and quality of life in post-TKR patients. Methods: This study used a case study design in one patient with post-TKR dextra et causa bilateral knee osteoarthritis. The intervention was given for 3 weeks with a frequency of 2 times per week. Evaluation was carried out using the Numeric Rating Scale (NRS), goniometer, Manual Muscle Testing (MMT), Timed Up and Go Test (TUG), and the Knee Osteoarthritis Outcome Score (KOOS). Results: Results showed a decrease in motion pain from NRS 6 to 4 and stationary pain from 3 to 2. Knee range of motion increased from 75° to 90° of flexion and from -5° to 0° of extension. Muscle strength increased from MMT 3 to 4 in the quadriceps muscle. Functional mobility also improved, with TUG time decreasing from 22 seconds to 18 seconds. However, the KOOS score remained relatively unchanged at 38.84. Conclusion: Static bicycle and quadriceps strengthening exercises were effective in reducing pain, increasing ROM, muscle strength, and functional mobility in post-TKR patients. However, the improvement in quality of life as measured by the KOOS was not significant, requiring a longer rehabilitation period.

Frozen  shoulder or adhesive capsulitis is a chronic condition that causes pain and limited movement in the shoulder joint. Intervention in the early phase (freezing stage) is crucial to prevent more severe functional disabilities, especially in the elderly population. This case study was conducted on a 60-year-old female patient with complaints of pain and stiffness in the right shoulder for one month. Clinical assessment was conducted using the Numeric Rating Scale (NRS) for pain, Manual Muscle Testing (MMT) for muscle strength, goniometry for joint range of motion, and the Shoulder Pain and Disability Index (SPADI) for functional ability. The therapy program was administered in three intervention sessions. After undergoing three therapy sessions, there was a significant reduction in pain intensity, where movement pain decreased from a score of 7 to 5 and pressure pain from 5 to 2. Muscle strength improved from a value of 3 to 4 on the MMT scale. Additionally, the total SPADI score decreased from 66.1% to 50%, indicating an improvement in the patient's functional capacity in daily activities. The multimodal physiotherapy approach has proven effective in reducing pain, increasing muscle strength, and improving shoulder function in elderly patients with early-stage frozen  shoulder. The combination of electro-physical modalities and manual therapy provides more comprehensive clinical outcomes compared to single interventions.

Background: Carpal Tunnel Syndrome (CTS) is a condition caused by compression of the median nerve at the wrist, resulting in pain, paresthesia, and decreased hand function. This condition is commonly experienced by individuals who perform repetitive wrist activities. Objective: To determine the effectiveness of a combination of neural mobilization exercises and electrotherapy modalities in improving hand function, increasing muscle strength, and reducing pain in a patient with Carpal Tunnel Syndrome. Methods: This study used a case report design involving a 57-year-old female patient (Mrs. Q) who presented with pain and sensory disturbances in the right hand. The intervention was administered for four weeks and consisted of ultrasound therapy, Transcutaneous Electrical Nerve Stimulation (TENS), grip strengthening exercises, and nerve gliding exercises. Outcome measures included pain intensity assessed using the Numeric Rating Scale (NRS), muscle strength evaluated using Manual Muscle Testing (MMT), and functional ability measured using the Wrist Hand Disability Index (WHDI). Results: The evaluation showed a reduction in pain intensity, with resting pain at 0/10, tenderness at 4/10, and movement pain at 4/10. Muscle strength improved from grade 3 to grade 4 based on MMT. Functional ability also improved, as indicated by a 20% reduction in the WHDI score. The combination of these interventions proved effective as a conservative management approach for Carpal Tunnel Syndrome. Conclusion: The administration of ultrasound, TENS, grip strengthening exercises, and nerve gliding exercises over four therapy sessions in Mrs. Q resulted in decreased pain, increased muscle strength, and improved hand functional ability.

Developmental Dysplasia of the Hip (DDH) in children often results in joint stiffness, muscle weakness, limited range of motion, and gait impairment following surgical management and immobilization. Early physiotherapy intervention is essential to restore hip function and walking ability. This study aimed to evaluate the effectiveness of active exercise on functional walking in outpatient children aged 3–5 years after DDH surgery. A case study design was conducted on three female patients who completed a five-week rehabilitation program consisting of ten active exercise sessions, including hip strengthening, mobility training, and balance exercises, combined with a home program. Outcome measures included hip range of motion, Manual Muscle Testing, and Modified McKay and Harris Hip Score assessed at baseline, mid-intervention, and post-intervention. The results showed improvements in hip range of motion, particularly in flexion, extension, abduction, adduction, and external rotation, while internal rotation improved but did not reach normal values. Muscle strength increased from grade 1–2 to grade 3 in most hip muscle groups. Functional walking scores improved from poor to good and excellent, with patients achieving independent, symmetrical gait without pain. These findings indicate that active exercise is an effective rehabilitation approach to reduce impairments and enhance functional walking in children after DDH surgery. The study highlights the importance of structured physiotherapy and caregiver involvement to optimize recovery and participation in daily activities.

Non-hemorrhagic stroke occurs due to blockage of blood flow to the brain by a thrombus or embolus. The blockage results in focal neurological disorders that affect the musculoskeletal system, namely weakness in the extremities, which gives rise to nursing problems of impaired physical mobility. To overcome the problem of impaired physical mobility, rubber ball grip exercises (ball squeezing) are given. These exercises have been shown to increase muscle strength, prevent joint stiffness, and improve blood circulation. This scientific paper was conducted to determine the description of nursing care for non-hemorrhagic stroke patients with nursing problems of impaired physical mobility. During the meeting, the nurse provided rubber ball grip exercises (ball squeezing) for 10-15 minutes for 3 times in 24 hours. Evaluation of these actions showed that the patient who initially experienced weakness in the upper extremities with muscle strength 2-3 and after being given rubber ball grip exercises (ball squeezing), the problem of impaired physical mobility was resolved, as evidenced by the patient being able to perform therapy, the extremities feeling slightly lighter, and muscle strength 4. Therefore, it is recommended that non-hemorrhagic stroke patients be given rubber ball grip exercises (ball squeezing) to overcome impaired physical mobility.

The 50 meter freestyle is a sprint event that requires explosive strength, efficient technique, and optimal body stability. Arm muscle strength contributes directly to propulsion, while core muscle strength supports stability and force transfer. This study aimed to analyze the influence of arm and abdominal muscle strength on 50-meter freestyle swimming performance among athletes of the Science Swimming Team (SST) Sidoarjo. A quantitative correlational design was employed with a sample of 10 athletes aged 10–12 years (5 males, 5 females). Arm muscle strength was measured using the pull-up test, abdominal strength with a 30-second sit-up test, and swimming performance with the best time in a 50-meter freestyle trial. Data were analyzed using Spearman correlation and multiple linear regression with a 0.05 significance level. Results indicated a significant correlation between arm strength and swimming performance (r = 0.773; p = 0.009), while abdominal strength showed a positive but non-significant correlation (r = 0.609; p = 0.062). Regression analysis revealed that both variables together explained 57.7% of the variance in swimming speed. It is concluded that arm muscle strength has a dominant influence on freestyle sprint performance, whereas core muscles serve as supporting factors for stability and efficiency. These findings highlight the importance of integrated training programs combining arm and core strengthening to optimize sprint performance in young swimmers.

Knee osteoarthritis (OA) is one of the leading causes of disability among the elderly population. This degenerative joint disease is characterized by progressive damage to the articular cartilage and structural alterations of the knee joint, resulting in pain, reduced mobility, and diminished quality of life. This Community Service Program (PKM) aimed to promote early detection of knee OA through simple radiological screening as a preventive strategy to reduce the risk of musculoskeletal disability. The activity was conducted at Asisi Church, South Jakarta, involving 87 participants aged 54–87 years (mean 70.77 ± 7.32 years). Radiological examination was performed using standard anteroposterior knee X-rays, and results were classified according to the Kellgren–Lawrence grading system. Findings revealed that 98.9% of participants exhibited radiological signs of OA, predominantly grade II (60.9%), followed by grade III (21.8%), grade I (11.5%), and grade IV (4.6%), while only 1.1% showed normal results. Female participants (74.7%) predominated across all OA grades, indicating hormonal and biomechanical influences on disease progression. The mean age increased with OA severity, supporting the degenerative theory that aging leads to decreased chondrocyte function and cartilage elasticity. In addition to screening, participants received education on weight management, muscle strengthening exercises, and injury prevention. The results demonstrate that simple radiological screening is an effective, practical, and cost-efficient community-based approach for early detection of knee OA. Integrating such preventive strategies within primary care systems could significantly reduce the burden of disability among the elderly population.

Diabetes Mellitus (DM) is disease metabolic chronic which causes various complications including decline strength muscle extremities below , which impacts mobility and risk falls in the elderly . Research This aim analyze effectiveness of Resistance Exercise with combination of Tai Chi gymnastics against improvement strength leg muscles in the elderly with DM. Research design use quasi experimental one group pretest –posttest with amount sample of 32 elderly in the Community Seroja Cahya Kawaluyan Hospital . Intervention done for 3 months with frequency 3 times/ week , intensity moderate (50–70%), and duration 45 minutes . Strength muscle legs measured use leg dynamometer . Data not normally distributed (Shapiro-Wilk p < 0.05), so that analysis using the Wilcoxon test. The results showed 26 elderly experience improvement strength muscles , 3 experienced decrease , and 3 remains , with mark Asymp . Sig. 0.000 (< 0.05), so proven there is improvement strength significant leg muscles after intervention . Exercise program This can recommended as intervention safe and effective for elderly with DM for increase strength muscles and function mobility .

Gross motor development is an important aspect of an infant’s growth. Infants aged 6–12 months are in a golden period where physical stimulation plays a vital role in supporting coordination, balance, and muscle strength. Hydrotherapy provides an experience of free movement in water with light resistance, which can strengthen muscles and improve body control. This study aimed to determine the effect of hydrotherapy on the gross motor development of infants aged 6–12 months at Posyandu Dahlia, Palembang City. This research used a quasi-experimental design with a pretest–posttest control group involving 30 infants (15 intervention and 15 control). The intervention was conducted twice a week for four weeks in water with temperatures of 36–37°C. The Denver II instrument was used for assessment. Data were analyzed using paired t-tests and independent t-tests with a significance level of 0.05The average gross motor development score increased significantly in the intervention group from 45.2 to 60.4 (p = 0.001), while the control group showed no significant change (p = 0.094). Hydrotherapy has a significant effect on improving the gross motor development of infants aged 6–12 months. Health workers are encouraged to use this therapy as an alternative stimulation for early childhood development in community health centers.

The purpose of this discussion is to examine the expression of dynamic sports movements in deformative sculpture. Humans naturally produce various movements that have aesthetic value, both consciously and unconsciously. These movements appear in static daily activities and in structured physical activities such as sports, which are classified as dynamic movements. Dynamic movements have patterns, rhythms, and intensities that create strong, harmonious, and meaningful body expressions. Sports provide physical benefits while displaying beauty through variations in tempo, space, energy, and time. In sports such as swimming, running, and pole vaulting, athletes' movements demonstrate a combination of muscle strength, body flexibility, and balance that create high visual aesthetics. The beauty of these movements inspires the creation of works of art, particularly in deformative sculpture. Deformative styles are used to express human body movements at certain moments in sports. This sculpture aims to convey that sports are not only physical activities, but also as an expression of the beauty of body movements that can be appreciated artistically. Through this work, the author hopes to demonstrate that sports as a visual art has aesthetic value that deserves to be appreciated and interpreted more deeply.

Background : Appendectomy is a surgical procedure to remove the appendix which is done as soon as possible to reduce the risk of perforation. Nursing problems that arise after appendectomy is acute pain. Objectives: Gaining real experience and knowledge and being able to document the application of deep breathing relaxation techniques is an appropriate non-pharmacological action in reducing pain scale. Method: this type of scientific paper uses a descriptive method with a descriptive case study approach with a case study approach to explore the problem of nursing care carried out on two patients carried out on June 15 - 20 2021. Results: from the results of nursing care to Mrs "S" and Mr "M" with a nursing diagnosis in the first patient, namely acute pain related to physical injury agents (eg abscess, amputation, burns, cuts, heavy lifting, surgical procedures, trauma, excessive physical exercise), impaired sense of comfort related to symptoms of the disease ( pain), impaired physical mobility related to decreased muscle strength (pain), and the second patient's diagnosis was acute pain related to physical injuring agents (eg abscess, amputation, burns, cuts, heavy lifting, surgical procedures, trauma, excessive physical exercise), discomfort related to symptoms of disease (pain), anxiety related to situational crises, lack of exposure to information, impaired physical mobility associated with decreased muscle strength (pain). The interventions in both patients were: identification of location, characteristics, duration, frequency, quality and intensity of pain, identification of pain scale, identification of non-verbal pain responses. The evaluation of the first patient had a pain intensity scale of 6 (moderate), and the second patient a pain scale of 7 (severe). The results of the study in the Surgery Room of the Palembang Bari Regional General Hospital after the deep breathing relaxation technique was carried out in the first patient on a pain scale of 6 (moderate) to 3 (mild), and the second patient pain scale of 7 (severe) to 4 (moderate). Conclusion: Progress notes to both patients on the application of deep breathing relaxation techniques to reduce pain intensity. The results of the nursing evaluation of the problem were partially resolved.

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.

This study aims to examine the role of the traditional rope jumping game in stimulating the development of gross motor skills and social skills of early childhood at Kiddi Care Kindergarten. The method used is descriptive qualitative, with data collection techniques through direct observation and interviews with accompanying teachers. The results of the observation indicate that the rope jumping game can enhance children's motor coordination, balance, agility, and muscle strength, which are crucial components of gross motor development. In addition, this game also strengthens children's abilities in concentration, discipline, and cooperation. Children appear enthusiastic, can follow the rules, and show positive social interactions during the activity. Interviews with teachers support these findings, where teachers state that the rope jumping game is an effective means of training physical skills while shaping children's character. Based on these results, it can be concluded that the traditional rope jumping game is a worthy addition to early childhood learning as a fun and holistic educational medium.

This study aims to examine the role of biomechanics in preventing injuries in karate athletes through a systematic review. The research method follows the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) framework with a literature search in the Science Direct database, Google Scholar, and the use of tools such as VOSviewer and Publish or Perish. Studies that met the inclusion criteria (10 articles) were analyzed to identify injury patterns, biomechanical factors, and prevention strategies. The results showed that the most common injuries in karate athletes were contusions, calf muscle strains, and finger sprains, which were related to force distribution, extreme joint angles, and postural control. Biomechanical analysis (motion capture, EMG, force plate) proved that technique correction, proprioception training, stabilizing muscle strengthening, and balance training could reduce the risk of injury by up to 20%. Significant differences were found between novice and elite athletes in terms of movement consistency and neuromuscular control. The integration of biomechanical principles with karate philosophy (mushin, zanshin, kime) was also emphasized to maintain a balance between performance and cultural values. Limitations of the study include heterogeneity of measurement instruments and potential publication bias. Future recommendations include longitudinal studies, development of portable devices (IMUs), and personalization of training programs based on individual biomechanical profiles

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.

Kabaddi is a traditional outdoor game played with slight variations across India. Prevention of hamstring injuries in kabaddi athletes requires a multifaceted approach, including a balanced muscle strengthening program, regular flexibility training, thorough warm-up before the match, and adequate recovery after intense activity. This study aims to analyze the effect of sports massage on muscle flexibility and pain threshold in the hamstring muscles of Surabaya Kabaddi athletes. The research method used was quantitative with a pretest-posttest design in two groups, namely the experimental group given sports massage intervention and the control group. The sample in this study was 12 Surabaya Kabaddi athletes who were divided into 2 groups, namely the treatment group and the control group using the Total Sampling technique. The results of the Paired t-test showed that there was a significant effect on the hamstring muscles after being given sports massage and a decrease in the pain threshold in the experimental group compared to the control group, as evidenced by the results of the t-test which showed a significant value <0.05. It can be concluded that sports massage can have an effect on hamstring muscle flexibility and pain threshold.

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.

Taekwondo is a martial arts sport that requires a combination of technique, tactics, and optimal physical condition to support athletes' performance. In the kyorugi category, components of physical conditions such as strength, speed, endurance, flexibility, and explosiveness are elements in determining the success of athletes in competitions. many athletes have not reached maximum performance due to the lack of targeted physical condition development. This study aims to analyze the needs of the physical condition components of taekwondo athletes in the kyorugi category in the Gresik Regency team. The research method used is an ex-post facto  with a descriptive approach. The research subjects consisted of 8 athletes, athletes with measurements including sit-up, abdominal rollers, single leg squats, splits, standing broad jumps, and multistage fitness tests. The results showed that physical components such as speed, abdominal muscle strength, leg strength, muscle explosiveness, core strength, and endurance had a significant influence on athlete performance. flexibility was not found to be the main distinguishing factor between medal-winning and non-medal-winning athletes. The conclusion of this study is that the development of training programs that focus on increasing strength, endurance, and explosiveness is essential to support the achievements of taekwondo athletes in the kyorugi category.

Art cannot be separated from human life, including in the stages of childhood development. In addition to having aesthetic values, art also plays an important role in inspiring children's creativity and imagination. Early Childhood Education (PAUD), as a pioneer in the national education process, has a role in developing children's potential from various aspects, such as cognitive, language, art, morals, religion, movement, and socio-emotional. One important aspect in children's physical development is motor development, both gross and fine motor skills. One form of effective stimulus in developing children's motor skills is through learning dance. Dance provides space for children to practice body movement coordination, balance, and muscle strength, while stimulating self-expression. The basic elements in dance, such as movement, energy, space, and time, play an important role in supporting children's creativity in expressing themselves through body movements. Therefore, dance is one of the effective media in supporting children's motor development and creativity as a whole.