N o TGL Nama Alamat Keluhan Diagnosa Fisioterapi Intervensi Impairment: Streching Fleksi Dan

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N Tgl Nama Alamat Keluhan Diagnosa Intervensi


o Fisioterapi
1 3 Des Elok Br. Sakit Impairment : Streching
2021 Wahyu Pasut pada Body structure : Fleksi dan
Purnama pinggang structur of the ekstensi knee
wati nervous system F= 1x1
unspecified(S19 sehari
9). Muscles of I= 2 set/8
pelvic regium epetisi
(S7402). T= 10 menit
T= pasif
Body functions : stretching
Pain in back
(b28015) Abduksi hip
F= 1x1
Activity sehari
limitation : I= 2 set/8
walking repetisi
(d4501) T= 10 menit
T= Pasif
Participations stretching
restriction :
kneeling (D
28013)

2 3 Des Ni Made Br. Sakit Impairment : Stretching


2021 Seni Tibu pada Body structure : F= 1x1
Biu paha mucles of lower sehari
kelod kanan leg (s75012) I= 2 set/8
repitifi
Body functions : T= 5 menit
Pain in joint T= Pasif
(b28016)
Tens
Activity F= 1x1
limitation : sehari
lying down I=
(d4501) disesuaikan
dengan
Participations toleransi
restriction : klien
informal T= 10 menit
associations : T= continue
sport (d9201)
3 3 Des Wayan Br. Sakit Impairment : Infrared
2021 Agus Tibu pada Body structure : F= 1x1
Gunastra Biu punggun Muscle of lower sehari
Kelod g leg (s75012) I= 1,5 w/cm2

Body functions : Masaage


paint in joint F= 1x1
(b28016) sehari
I=
Activity T= 5 menit
limitation : T= Eflurage
lying down
(d4100) Stretching
F= 1x1
Participations sehari
restriction : I= 2 set/8
Informal refitisi
associations: T= 5 menit
sport (d9201) T=
Thomas,patri
ck’s

4 3 Des Nengah Br. Sakit Impairment : IR


2021 Renda Tibu pada Body structure : F= 1x1
Biu lutut knee joint sehari
Kelod kanan (s7504) I= 1,5 w/cm2
T= 10 menit
Body functions : T= non
Pain in luminous
joint(b28016)
TENS
Activity F= 1x1
limitation : sehari
Maintaining a I= sesuaikan
squatting dengan
posiyion (d4151) kondisi klien
Maintaining a T= 10 menit
kneeling T= continue
position(d4152)
Resistance
Participations fleksi,eksten
restriction : si knee
walking long F= 1x1
distances sehari
(d4501) I= 2 set/8
Religion and repitisi
spirituality(d971 T= 5 menit
) T= active
resisted
exercise

5 3 Des Ni Ketut Br. Sakit Impairment : Infrared


2021 Sunatri Tibubiu pada Body structure : F= 1x1
Kaja bahu kiri structure of sehari
sholder I= 1,5 w/cm2
regiun(s7208) T= 10 menit
T= non
Body functions : luminous
pain in lipper
limb (b28014), Stretching
mobility of a F= 1x1
single joint sehari
(b7100) I= 2 set/8
repetisi
Activity T= 5 menit
limitation : T= active
Lifting (d4300) exercise

Massage
F= 1x1
I=
T= 5 menit
T= eflurage

6 3 Des I Nengah Br. Sakit Impairment : IR


2021 Mada Tibubiu pada Body F= 1x1
Kelod punggun structure :muscle sehari
g of head and neck I= 1,5 w/cm2
regoin (s7104) T= 5 menit
T= non
Body functions : luminous
Pain in head and
neck (b28010) Massage
Rhomboid
Activity F= 1x1
limitation : sehari
Maintenance of I=
sleep (b1342) T= 12 menit
T= Efluarge
Participations
restriction :
Discussion with
one person
(d3550)
7 3 Des Nyoman Br. Sakit Impairment : Infrared
2021 sudiarse Tibubiu pada Body structure : F:1x1
Kelod betis knee joint sehari
kanan (s9704) I : 1,5 w/cm2
T : 5 menit
Body functions : T: non
pain in joint luminous
(b28016)
TENS
Activity F:1x1
limitation : sehari
Maintaining a I:
squatting disesuaikan
position dengan
(d4131) kondisi
pasien
Participations T : 5 Menit
restriction : T : continue
religion and
spirituality Massage
(d930) F: 1 x 1
sehari
T : 5menit
T : Eflurage
8 3 Des I Wayan Br. Sakit Impairment : Infrared
2021 Sidep Tibubiu pada Body structure : Frekuensi : 1
Yudana Kelod leher muscles of head x 1 sehari
bawah and neck region Intensitas :
(s7104) 1,5 w/cm2
Tipe : non
Body functions : luminous
pain in head and Time : 5
neck (b28010) menit

Activity streching
limitation : Frekuensi : 1
Mainrenance of x 1 sehari
sleep (b1342) Intensitas : 2
set / 8 kali
Participations Tipe : aktif
restriction : exercise
religion and Time : 5
spirituality menit
(d930)

9 4 Des Ketut Br. Sakit Impairment : TENS


2021 Mayun Tegal pada Body structure : Frekuensi : 1
temu betis kiri m. of lower leg x 1 sehari
kaje (s75012) Intensitas :
disesuaikan
Body functions : dengan
pain in joint toleransi
(b28016) klien
Tipe : DD
Activity Time : 10
limitation : menit
Lying down
(d4100) Stretching
Frekuensi : 1
Participations x 1 sehari
restriction : Intensitas : 2
informal set / 8
association : 3 repetisi
ports (d9201) Time : 5
menit
Tipe :Pasif

10 4 Des Nyoman Br. Sakit Impairment : TENS


2021 Gebor Tegal pada Body structure : Frekuensi : 1
Temu pantat M. of lower leg x 1 sehari
Kaje (buttock) (S75012) Intensitas :
disesuaikan
Body functions : dengan
pain in joint toleransi
(b28016) klien
Tipe : DD
Activity Time : 15
limitation : menit
Lying down
(d4100) Stretching
piriformis
Participations Frekuensi : 1
restriction : x 1 sehari
informal Intensitas : 8
associations : x repetisi/2
sports (d9201) set
Time : 5
menit
Tipe : pasif
11 4 Des Ayu Br. Sakit Impairment : Infrared
2021 Adyanas Tegal pada Body structure : Frekuensi : 1
ari Temu kaki kiri lumbosacral x 1 sehari
Kaja spinal cord Intensitas :
(s12002) 1,5 w/cm2
Tipe : non
Body functions : luminous
sensitivity of a Time : 10
naxious stimulus menit
(b2703)
streching
Activity Frekuensi : 1
limitation : x 1 sehari
Pasien tidak Intensitas : 2
mengalami set / 8 kali
keterbatasan Tipe : pasif
fungsionalnya exercise
Time : 10
Participations menit
restriction :
fungsional klien
normal aktifitas
12 4 Des Gejir Br. Sakit Impairment : TENS
2021 Tegal pada Body structure : Frekuensi : 1
Temu betis kiri ligament and x 1 sehari
Kaja fasciae of ankle Intensitas :
and foot disesuaikan
dengan
Body functions : kondisi klien
pain in lower Tipe :
limb continue
Time : 15
Activity menit
limitation :
berjalan (d450) Stretching
ankle
Participations Frekuensi : 1
restriction : x 1 sehari
walking long Intensitas : 8
distances (d450) x repetisi/2
set
Time : 5
menit
Tipe : pasif
exercise

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