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Pneumonia is a lung infection that causes the air sacs to fill with fluid or pus. This disease can be caused by bacteria, viruses, fungi, or parasites, with varying degrees of severity depending on the cause and condition of the sufferer. Symptoms include cough, fever, and shortness of breath. Data obtained from the Batam City Health Office of pneumonia in 2023, there were 1,509 cases of pneumonia, the most cases were found in Batam City (1,182 cases), while the fewest cases were recorded in Lingga Regency (5 cases). This Professional Scientific Paper aims to provide medical-surgical nursing care with the application of chest physiotherapy to Ms. N to reduce the amount of sputum for pneumonia sufferers in the inpatient room at Harapan Bunda Hospital, Batam City in 2025. The method used in this Professional Scientific Paper is a case study conducted based on the stages of nursing care including assessment, data analysis, diagnosis, intervention, implementation, and nursing evaluation. The results showed a decrease in sputum production on the third day, a decrease in fever, and an improvement in sleep patterns. Patients are expected to understand that chest physiotherapy can reduce sputum production.

Low back pain is a discomforting condition that can cause various disorders and potentially disrupt a person's quality of life, such as causing decreased work productivity. Therefore, it is important for the community, especially farmers in Bulakrejo Hamlet, Ngawi Regency. To improve understanding of low back pain, efforts are needed to expand farmers' knowledge regarding this condition, including its definition, prevention, and treatment in Bulakrejo Hamlet. The method applied was providing physiotherapy education through health promotion about low back pain using leaflets as a medium for information delivery. A question and answer session was also conducted to measure the level of understanding of farmers in Bulakrejo Hamlet and provide exercises that can address problems of weakness, stiffness, limitations and pain in the back muscles. The activity ran smoothly and the material was easily understood by farmers in Bulakrejo Hamlet. Evaluation results showed an increase in farmers' knowledge, from 40% to 90%. The extension activity proved effective in increasing farmers' understanding of low back pain cases.

Work activities in workshops often require static and repetitive body positions, such as bending over, lifting heavy loads, or reaching into narrow areas of vehicles. These habits can gradually cause muscle tension and lead to neck and lower back pain. Given the high risk, physiotherapy counseling on occupational safety and health (OSH) and ergonomics was conducted to provide practical understanding to B-Garage, Batu City workshop workers. The counseling was delivered interactively through material presentations, direct discussions, and demonstrations of stretching exercises that can be easily applied in daily activities. The results of the activity showed a very significant increase in knowledge; participants who initially did not understand the principles of ergonomics and musculoskeletal pain prevention were able to identify work risks and practice stretching exercises correctly after the education session. This change was clearly evident from the post-test results, which showed a significant overall improvement compared to the pre-test. These findings indicate that physical therapy education not only enhances knowledge but also promotes behavioral changes toward safer, more comfortable, and more productive work patterns.

Sports injuries in adolescents are a common aspect that is often experienced by the average adolescent, both male and female. Ankle sprain or ankle injury is an injury that is often experienced by teenagers when doing heavy or light sports activities. One of the treatments for sports injuries is using the PRICE method Protect (protect), Rest (rest), Ice (ice), Compress (bandage), Elevate (elevate). The purpose of this study was to increase understanding related to proper handling of sports injuries in adolescents by conducting socialization activities to deliver the material for handling these injuries, to measure the level of understanding of these students by using a pre-test questionnaire at the beginning of the activity and a post-test after the end of the activity. The results of the research that has been conducted on students and schoolgirls show an increased level of understanding with an average percentage of 5.12% and the post-test value after the delivery of the material increases with a percentage of 90%, the results of this percentage are a calculation of all questions ranging from 1-10 between the results of the post test and pre-test.

Osteoarthritis (OA) is one of the most common degenerative diseases of the joints experienced by the elderly, characterized by damage to cartilage that causes pain, stiffness, and decreased joint function. This disease usually occurs in joints that support body weight, such as the knees, which can interfere with the mobility and quality of life of the elderly. To overcome this, one approach that can be done is physiotherapy, which focuses on strengthening exercises to improve joint stability and function. Exercises such as straight leg raise, heel raise, and wall squat can help strengthen the muscles around the knee joint, reduce pain, and improve mobility in the elderly. This physiotherapy counseling was carried out at the Sawojajar Posyandu on October 20-24, 2024, with the aim of educating the elderly about Osteoarthritis and providing strengthening exercises. During the activity, pre-tests and post-tests were carried out to measure the effectiveness of the counseling. The results of the evaluation showed an increase in the elderly's knowledge about OA and their ability to perform the strengthening exercises that had been taught. The education delivered using leaflets also helps the elderly better understand ways to prevent and manage OA with proper physical exercise. In conclusion, this activity succeeded in improving the knowledge and skills of the elderly in dealing with Osteoarthritis through structured and easy-to-understand physiotherapy interventions.

Osteoarthritis of the knee is a degenerative condition of the knee joint characterized by the thinning of cartilage, leading to friction between the femur and tibia. This condition results in pain, limited joint mobility, and reduced strength of the quadriceps and hamstring muscles. Physiotherapy plays a crucial role in reducing these symptoms through modality-based approaches and structured exercise therapy. This study is a case study involving a single patient with right knee osteoarthritis. Data were collected through direct observation and evaluation of therapeutic outcomes. Interventions were conducted over four sessions using Transcutaneous Electrical Nerve Stimulation (TENS) to reduce pain, Ultrasound to enhance blood circulation and reduce inflammation, and exercise therapy focusing on improving muscle strength and joint range of motion. After four therapy sessions, there was a reduction in pain intensity, improved strength of the quadriceps and hamstrings, and increased joint range of motion. These results demonstrate that the combination of TENS, ultrasound, and exercise therapy is effective in improving function and quality of life for patients with right knee osteoarthritis. This study emphasizes the importance of a multimodal physiotherapy approach in managing chronic musculoskeletal disorders.

Shuttlecock industry workers in Arjosari Village perform many repetitive activities that involve intensive use of their upper extremities, putting them at high risk of musculoskeletal disorders, particularly frozen shoulder. This condition is characterized by pain, limited movement, and decreased shoulder function, which can interfere with work productivity. This community service activity was carried out through community physiotherapy counseling with a promotive and preventive approach, using leaflets, ergonomic education, and demonstrations of simple exercises such as cross-body arm stretches, pendulum exercises, arm circles, finger walk exercises, and towel exercises. The methods used included pre-tests, material delivery, exercise practice, discussions, and post-tests to assess knowledge improvement. The results of the activity showed that the majority of workers had experienced initial shoulder complaints, with a predominance of female respondents (93.33%). Average knowledge increased from 0% on the pre-test to 100% on the post-test. The counseling proved effective in increasing workers' understanding of frozen shoulder prevention, thereby reducing the risk of shoulder pain and increasing work productivity

Osteoarthritis is a degenerative joint disease whose exact cause is not yet fully understood. This condition is characterized by damage to the articular cartilage, resulting in pain, joint stiffness, decreased muscle strength, muscle spasms, and reduced functional activity of the patient. Several factors contribute to the development of osteoarthritis, including age, gender, race, genetic factors, smoking habits, history of trauma, type of occupation or physical activity, exercise habits, and obesity. The prevalence of osteoarthritis increases with age; among individuals aged 65–74 years, approximately 39% experience knee osteoarthritis and 23% experience hip osteoarthritis. In those over 70 years old, almost all individuals, both men and women, show symptoms of this condition. Osteoarthritis is a chronic progressive disease characterized by inflammation of the articular cartilage and synovial membrane, which causes persistent pain, joint stiffness, decreased muscle strength, and reduced mobility. Physiotherapy management for this condition aims to reduce pain, improve muscle strength, and enhance joint function. Common therapeutic modalities used include Shortwave Diathermy (SWD), Transcutaneous Electrical Nerve Stimulation (TENS), and the Hold Relax exercise technique, which helps relax muscles and increase joint range of motion

Prenatal exercise plays a vital role in maintaining the physical and mental well-being of pregnant women. This activity helps reduce common discomforts such as back pain, enhances stamina, and strengthens pelvic muscles in preparation for childbirth. However, knowledge among pregnant women regarding safe and effective exercises remains limited. The lack of structured information often leads to uncertainty and discourages participation in physical activities during pregnancy. This condition highlights the need for well-directed and comprehensive physiotherapy education. This community service program was conducted in Building B of the Kedungkandang Community Health Center and involved 15 participants. A holistic approach was employed, combining interactive counseling to convey the theoretical benefits and safety of exercise, group discussions to share experiences, and practical demonstrations. The exercises demonstrated were carefully selected to be simple, safe, and easy to perform independently at home, ensuring continuity beyond the educational sessions. The results indicated a significant improvement in participants’ knowledge, as evidenced by the comparison between pre-test and post-test scores. This improvement reflects the growing awareness among pregnant women of the importance of maintaining fitness through structured and safe physical activity. Continuous education through a community physiotherapy approach is necessary to ensure consistent implementation of prenatal exercise and to support long-term behavioral changes toward better maternal health.

Introduction: Pregnancy is a natural process that every woman experiences. During pregnancy, pregnant women experience many changes, both physiological and psychological. These changes can cause various symptoms in each pregnant woman. Some common complaints during pregnancy include nausea and vomiting, back pain, edema, and shortness of breath. Method: This activity was conducted through counseling aimed at explaining the condition and understanding it to pregnant women. This activity used leaflets and live demonstrations so that participants could perform exercises correctly. Conclusion: After conducting counseling on the role of physiotherapy in pregnancy problems at the integrated health posts (Posyandu) for pregnant women in Sempulang Village, Janju Village, and Keluang Lolo Village, it can be concluded that education is important regarding understanding good exercises to do during pregnancy, such as child pose, cat and camel exercise or yoga for pregnant women, and breathing exercises. This is useful for reducing and preventing symptoms during pregnancy by always paying attention to signs of when to stop the exercise.

Bell's Palsy is a sudden onset of peripheral facial nerve paralysis that is generally unilateral. This condition is characterized by facial muscle weakness, asymmetry, difficulty closing the eyes, and facial expression disorders. Associated risk factors include exposure to cold temperatures and the habit of chewing ice cubes, which can trigger vasospasm of the blood vessels and inflammation of the facial nerve.  Physiotherapy management is important to accelerate recovery, prevent complications such as synkinesis and contractures, and improve the patient's quality of life. This study aims to describe the implementation of physiotherapy in cases of Bell's Palsy at PKU Muhammadiyah Selogiri Hospital and evaluate the effectiveness of physiotherapy intervention on the recovery of facial function in patients. A case report was conducted on a 41-year-old female patient diagnosed with right-sided Bell's Palsy. The examination included anamnesis, static and dynamic inspection, palpation, basic movement examination, sensory examination, and assessment using the House-Brackmann Facial Grading System (HBGS). Physiotherapy interventions were given three times a week, including Infra Red (IR), Transcutaneous Electrical Nerve Stimulation (TENS), light massage, facial exercises (raising eyebrows, closing eyes, blowing, smiling), and education on preventing exposure to cold. Evaluation was performed using Manual Muscle Testing (MMT) and Ugo Fisch. The implementation of physiotherapy with a combination of IR, TENS, massage, and facial exercises is effective in gradually improving the facial function of patients with Bell's Palsy. Physiotherapy also plays a role in educating patients about the prevention of recurrence related to environmental risk factors and lifestyle.

Trigger finger is a condition where the flexor tendons stiffen from excess pressure, causing pain, stiffness, and limited range of motion when straightening a bent finger. The purpose of this study was to evaluate the effects of three weeks of physiotherapy interventions, including TENS, massage, stretching, and strengthening, on patient recovery. One patient with trigger finger disease in the right third digiti was the subject of this case study. The results obtained were a decrease in pain on movement T0: 9 to T2: 6, pain on pressure T0: 8 to T2: 5, an increase in the strength of the right wrist and hand muscles from T0: 3 to T2: 4 and the left part from T0: 4 to T2: 5, and an increase in the range of motion of the metacarpohalangeal joint of the right finger III from T0: S = 30 ̊ - 0 ̊ - 50 ̊ to T2: S = 30 ̊ - 0 ̊ - 60 ̊ and the proximal interphalangeal of the right finger III from T0: S = 0 ̊ - 0 ̊ - 90 ̊ to T2: S = 30 ̊ - 0 ̊ - 105 ̊. Thus, the provision of physiotherapy intervention to patient Mr. S is said to be effective in reducing the condition of the problem experienced.

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.