BEDA PENGARUH PEMBERIAN MICROWAVE DIATHERMY DENGAN ULTRASOUND PADA PENERAPAN TRAKSI TRANSLASI TERHADAP PERUBAHAN LUAS GERAK ABDUKSI SENDI BAHU AKIBAT FROZEN SHOULDER DI RUMAH SAKIT UMUM HIKMAH MAKASSAR

Gangguan pada sendi bahu seperti capsulitis adhesive yang terlambat penanganannya akan menimbulkan kondisi yang lebih berat yang ditandai dengan keterbatasan gerakan baik aktif maupun pasif pada seluruh gerakan sendi bahu.Penelitian ini bertujuan untuk membandingkan pengaruh pemberian microwave diathermy dengan ultrasound pada penerapan traksi translasi terhadap perubahan luas gerak abduksi sendi bahu akibat frozen shoulder. Penelitian ini adalah quasy eksperimen menggunakan pretest-posttest two group design. Populasi penelitian adalah semua pasien yang mengalami gangguan gerak abduksi bahu akibat frozen shoulder yang berkunjung di Poliklinik Fisioterapi Rumah Sakit Umum Hikmah Makassar selama penelitian.. Sampel penelitian Pasien frozen shoulder yang berkunjung di Poliklinik Fisioterapi Rumah Sakit Umum Hikmah Makassar selama penelitian yang memenuhi kriteria inklusi yang telah ditentukan oleh peneliti.Hasil penelitian diperoleh adanya perbedaan yang signifikan sebelum dan sesudah pemberian MWD dan traksi-translasi dengan selisih rata-rata nilai ROM abduksi sendi bahu sebesar 13.800 + 1.460 dengan hasil uji wilcoxon p=0.005 < α= 0.05. Sedangkan pada intervensi ultrasound dan traksi-translasi diperoleh selisih rata-rata nilai ROM sebesar 10.800 + 3.150 dengan hasil uji wilcoxon p= 0.005 < α= 0.05. Pada uji Mann-Whitney tidak diperoleh adanya perbedaan yang signifikan ROM abduksi sendi bahu diantara kedua perlakuan, dengan p= 0.684 > α= 0.05.Kesimpulan penelitian ini adalah ada perubahan jarak gerak sendi (ROM) abduksi sendi bahu sebelum dan sesudah pemberian MWD dan traksi-translasi serta ultrasound dan traksi-translasi pada pasien gangguan gerak abduksi bahu akibat frozen shoulder. Tidak ada perbedaan perubahan jarak gerak sendi (ROM) abduksi sendi bahu diantara kedua kelompok perlakuan.

Role of shortwave and microwave diathermy in peripheral neuropathy

Objective This study was performed to review the current evidence for the efficacy of shortwave and microwave diathermy in promoting nerve regeneration after peripheral nerve injuries in both animal models and human patients. Methods An extensive literature search was conducted without publication data restrictions. Studies including the intervention and outcome in animal or human models were selected. Non-English studies, reviews, letters, and case reports were excluded. Results Eleven articles were included in this study. Shortwave diathermy at the frequency of 27.12 or 40.68 MHz was used in six of seven animal studies, while only one study utilized microwave diathermy at 915 MHz. Seven animal experiments demonstrated that shortwave or microwave diathermy produces an increased myelinated nerve fiber number, myelin sheath thickness, and axon diameter as well as improved electrophysiological parameters and locomotion. A total of 128 patients (207 wrists) were enrolled in four clinical studies. The clinical use of diathermy in human patients with carpal tunnel syndrome showed positive effects on pain, hand function, and electrophysiological findings. Conclusions Shortwave or microwave diathermy can improve the electrophysiological parameters, myelinated fiber number, and axon diameter of the injured nerve.

Comparison of Anti-Microbial Effects of Low-Level Laser Irradiation and Microwave Diathermy on Gram-Positive and Gram-Negative Bacteria in an In Vitro Model

Background and Objectives: The aim of this study was to compare the effects of low-level laser therapy and continuous microwave diathermy on the growth of Gram-negative and Gram-positive bacteria and to establish their efficacy as an alternative therapeutic modality. Materials and methods: Laser fluence of 13 Joules (J)/cm2, 18 J/cm2 and 30 J/cm2 were used against several bacterial strains. Microwave dosages of 25, 50 and 100 watts (W) were used, respectively. Results: A significant difference between the three groups was observed using repeated analysis of variance (RANOVA) (F value: 0.74, and p value: 0.001). The Greenhouse–Geisser correction (GG) revealed significant results for laser irradiation alone. However, effect size calculation showed effects with microwave diathermy as well as laser fluence. Conclusions: Low-level laser therapy appears to be an effective modality of treatment when compared with continuous microwave diathermy on the Gram-negative and the Gram-positive bacterial strains tested. Microwave diathermy revealed large and medium effects on the bacterial cell counts with dominant effects on Gram-negative strains.

PERBEDAAN EFEKTIVITAS INTERVENSI MICROWAVE DIATHERMY DAN DEEP TISSUE MASSAGE LEBIH EFEKTIF DARIPADA MICROWAVE DIATHERMY DAN MCKENZIE NECK EXERCISE UNTUK KOREKSI POSTUR PADA PENDERITA FORWARD HEAD POSTURE

Background: Forward Head Posture (FHP) is a posture deviation consisting of an increase in angular excursion in the upper and lower aspects of the cervical spine. A popular method used by physiotherapists to reduce muscle tightness is massage. The massage used is Deep Tissue Massage (DTM) with deeper pressure and slow motion. As an effort to correct posture, physiotherapists can use the McKenzie Neck Exercise method. The standard for managing physiotherapy at the clinic provides a modality, namely Microwave Diathermy (MWD).Method: Research with experimental pre and post-test two groups design. The study was divided into 2 groups, consisting of group 1 with Microwave Diathermy and Deep Tissue Massage exercises and group 2 with Microwave Diathermy and McKenzie Neck Exercise. The number of samples in this study were 16 samples each group, so that the total sample in the two groups amounted to 32 respondents.Results: Group 1 with a value of p = 0.001 (p <0.05) which means an increase in perspective before and after the intervention of microwave diathermy and deep tissue massage. Group 2 obtained a value of p = 0.001 (p <0.05) which means an increase in the craniovertebra viewpoint which means the cervical joint before and after the intervention of microwave diathermy and McKenzie's neck training. Calculation results of mean differences Increased craniovertebra angle obtained p value = 0.001 (p <0.05) on the difference between before and after intervention. Microwave diathermy and deep tissue massage compared with microwave diathermy and McKenzie neck exercise against craniovertebral angleConclusion: Intervention of Microave Diathermy and Deep Tissue Massage better than Microave Diathermy and McKenzie Neck Cervical Exercises in correcting posture in patient with Forward Head Posture.Keywords: Forward head posture, Microwave Diathermy, Deep Tissue Massage, McKenzie Neck Exercise, posture