KEMENTERIAN KESIHATAN MALAYSIA HOSPITAL SULTAN IDRIS SHAH, SERDANG PHYSIOTHERAPY AND ARTHRITIS IN CONJUCTION WITH WORLD PHYSIOTHERAPY DAY 2023 HOSPITAL SULTAN IDRIS SHAH, SERDANG 8 SEPTEMBER 2023 LOBI UTAMA DAN AUDITORIUM HSIS SERDANG
PENGENALAN Semenjak tahun 1996 , 8 september telah dipilih sebagai ‘world physiotherapy day’. Ini merupakan hari bagi menghargai peranan dan jasa ahli fisioterapi di kalangan komuniti dan bersama pesakit- pesakit . Fisioterapi merupakan cabang kerjaya dalam professional kesihatan dimana peranan utama mereka adalah membantu pesakit / pelanggan yang berhadapan masalah penyakit dalam jangka panjang mencapai matlamat dan memenuhi potensi mereka didalam kehidupan. Fisioterapi bersama – sama dengan mereka memaksimumkan pergerakan dan fungsi didalam kehidupan seharian. Oleh hal yang demikian, pada tahun ini, ,tema WPD 2023 adalah Exercing With Arthritis . Arthritis adalah kondisi kesakitan akut dan kronik terjadi akibat keradangan sendi. Symptom arthritis termasuk , sakit , bengkak , kemerahan dan stiffness yang menyebabkan aktiviti fungsi harian boleh terganggu dan membolehkan kualiti hidup menurun. Fisioterapipenting dalam membantu dalam proses rawatan ahli fisioterapi akan membantu menerankan kebaikan senaman yang selamat mengikut kemampuan pesakit , menetapkan goal dan mencapai kestabilan yang tepat di antara waktu rehat dan aktiviti
ATURCARA 8.00 PAGI : SESI SENAMROBIK DAN ZUMBA tempat : auditorium PERSEDIAAN TAPAK BOOTH tempat : lobi utama 9.00 pagi : ARTHRITIS AWARANESS ( EXERCING WITH ARTHRITIS) by Puan Kala a/p Murugayah ( Physiotherapist U38) 9.30 PAGI : MAJLIS PERASMIAN _ Bacaan Doa - tayangan Montaj - Ucapan aluan daripada Wakil Unit Fisioterapi - Ucapan aluan daripada Ketua Jabatan Rehabilitasi - Ucapan Perasmian oleh Pengarah HSIS Serdang - Gimik Perasmian - Penyampaian Hadiah ( online kuiz) 10.15 PAGI : LAWATAN KE BOOTH OLEH PENGARAH HOSPITAL 12.15 T/HARI : BERSURAI 8 SEPTEMBER 2023 JUMAAT
SENAMAN
EXERCISING WITH ARTHRITIS www.world.physio/wptday 8 SEPTEMBER #WorldPTDay Regular physical activity and exercise are important in the management of all forms of inflammatory arthritis (IA), including rheumatoid arthritis (RA) and axial spondyloarthritis (axial SpA), and offer numerous health benefits. Physiotherapy is an important part of your overall treatment. A physiotherapist will guide you on how to exercise safely, increase your activity levels, and set goals.
OVERCOMING BARRIERS TO EXERCISE www.world.physio/wptday 8 SEPTEMBER #WorldPTDay There are times when symptoms can increase – joints may swell more, be more painful and may be warm to touch. This is known as a “flare”. This may happen if you have overdone things, including over-exercising. It’s important that during flares you modify (not stop) your physical activity and allow your body to recover. A physiotherapist will be able to advise you on how to modify your activity levels during a flare, as well as how to exercise safely to reduce the risk of causing a flare. Movement, physical activity and exercise may help to reduce the amount of pain. Experiencing some pain is usually a normal part of symptom management. A physiotherapist will be able to guide you on how to start moving and exercising in a safe paced way. Avoiding movement may make symptoms worse. Remember, lack of physical activity is also associated with several other conditions such as heart disease, pulmonary disease, diabetes and obesity, so there is much to gain from getting moving. Regular physical activity and exercise are important in the management of all forms of inflammatory arthritis (IA), including for rheumatoid arthritis (RA) and axial spondyloarthritis (axial SpA), and offer numerous health benefits. Despite this, people with IA are often inactive, and express many concerns and fears about engaging in physical activity. Pain and exhaustion can make it hard to be physically active, particularly at first when your body isn’t used to it. However, exercise and physical activity improve physical fitness and strength, and can also help reduce disease-related exhaustion and boost your mood. A physiotherapist will be able to advise you on how to start exercising, as well as how to gradually increase it as your body gets stronger. Exercise, including weight lifting and high intensity types of exercise, have been shown to be beneficial and safe for people with arthritis. Although exercise can sometimes cause pain, this is usually a sign of adaptation to a new activity, or if the pain persists that the activity might be too much for your current capacity. It is not a sign that further damage has occurred to the joints. It hurts too much to exercise Exercise might cause a “flare” Physiotherapy is an important part of your overall treatment. A physiotherapist will guide you on how to exercise safely, increase your activity levels, set goals, and find the right balance between rest and activity. As part of a healthcare team, physiotherapists will help you resume or maintain an active and independent life, both at home and work. Exercise will make me more tired Exercise might damage my joints further
About JIA Symptoms of JIA Physiotherapy for JIA Exercising with JIA Physiotherapy forms an important role in the management of the symptoms of JIA and will help you/your child do the activities you like doing. There are several different subtypes of JIA and symptoms vary between them. Knowing which subtype you/your child has helps the medical team provide the best treatment. You should see a doctor if you/your child has any of these symptoms for more than a couple of weeks: • painful, swollen or stiff joint(s), particularly in the mornings • back pain that is particularly worse in the morning • joint(s) that are warm to touch • increased tiredness • a fever that keeps returning • a limp but no injury The earlier someone is diagnosed with JIA, the better. This is so that effective treatment can be started to improve symptoms and return to all activities. Physiotherapists work with children and their families (and sometimes schools and sports coaches) to co-develop a plan to: • improve physical function (mobility, dexterity, strength, endurance) • support you and your family to implement rehabilitation exercises into a normal routine • support knowledge and skills in pain management • help you/your child work towards meaningful life goals related to activity (eg sports or other physical hobbies) • provide advice, guidance or prevention strategies to avoid or reduce future musculoskeletal (sports) injury • build you/your child’s confidence in their own physical abilities • help problem solve and manage difficult situations that may arise Arthritis is often associated with older people, but it can also affect children. Most types of childhood arthritis are known as juvenile idiopathic arthritis (JIA). JIA causes swelling, inflammation, and pain in one or more joints. There are a variety of triggers for JIA and sometimes the trigger is unknown. For some children, JIA goes into remission over time, but with good management from a multidisciplinary team, most young people with JIA can lead a normal life. If you/your child is diagnosed with inflammatory arthritis, lasting more than six weeks, before their 16th birthday, it’s called JIA. It most commonly occurs between ages 2-6 and 12-14, and is slightly more common in girls. It is important to keep exercising if you/your child has JIA. It will help maintain general fitness and make muscles stronger and more flexible. This will help prevent damage to joints, improve movement, coordination, confidence, and quality of life. A physiotherapist will create an exercise plan to suit you/ your child’s needs. As the arthritis becomes controlled and general fitness improves, you/your child can slowly start to make the exercises harder. www.world.physio/wptday 8 SEPTEMBER JIA AFFECTS APPROXIMATELY 1 IN 1000 CHILDREN #WorldPTDay JUVENILE IDIOPATHIC ARTHRITIS
RHEUMATOID ARTHRITIS www.world.physio/wptday 8 SEPTEMBER Symptoms of RA Physical activity and exercise Cardiovascular disease and RA There are a number of symptoms that may suggest RA, these vary from person to person. The most common include: • swollen and painful joints for more than 6 weeks • swelling and stiffness in joints in the morning (lasting more than 30 minutes) • severe tiredness (fatigue) • a general feeling of being unwell and possible loss of weight • loss of stamina • loss of muscle bulk • reduced ability to do daily activities, eg at work, home, and leisure • skin lumps (nodules), eye dryness or redness Healthy lifestyle choices, including regular physical activity, are important in the management of RA to reduce the risk of CVD. Physical inactivity and sedentary behaviour are more frequent in people with RA. Less than 14% of people with RA perform physical activity to the recommended levels. However, being physically active improves health outcomes and is recommended for people with RA. Types of exercise Physical activity and exercise can help: Physical activity and exercise are important for keeping joints as mobile as • physical fitness – strengthen your heart and lungspossible and strengthening muscles. It can also reduce the risk of • muscle strength and endurancedeveloping other diseases such as CVD, high blood pressure, osteoporosis • flexibility and range of joint motionand diabetes. • balanceThere are different types of exercises you can do that are suitable for people with RA. You should aim to do a mixture of the following: • pain and fatigue • mobility exercises • aerobic exercises (exercise that • depression • muscle strengthening exercisesmakes you breathe harder) • prevent a loss of bone density• balance exercises Even if you can at first only manage 10 minutes at a time, it is important to start somewhere. Aim to reduce your physical inactivity and time spent sitting, and slowly increase the amount of time you are active. Your physiotherapist can guide you in an activity programme that is right for you. FlaresExercise is a key management The symptoms of RA can vary from day to day. They can go strategy for reducing disability from your joints feeling quite good one day, to feeling and improving overall health extremely painful the next, often accompanied with a in people with RA. significant feeling of fatigue. Experiencing an acute A physiotherapist will be able escalation in symptoms is called a flare. to assess your condition, guide you how to manage your The fear of causing a flare, or if you are experiencing a flare, symptoms and on exercises can discourage physical activity and exercise. A that are right for you, and how physiotherapist will give you different exercises that you can to start increasing your adapt, depending on the symptoms you are experiencing. physical activity safely. People with RA and other inflammatory joint disorders have an increased risk of cardiovascular disease (CVD). People with RA experience a 1.5- to 2-fold increased risk of coronary artery disease and twice the risk of developing heart failure compared with the general population. Rheumatoid arthritis (RA) is a type of inflammatory arthritis and one of the most common. It is an autoimmune disease that most commonly affects the joints of the hands, wrists, shoulders, elbows, knees, ankles and feet. It can affect adults of any age, but most commonly starts among people between the ages of 40 and 60. It’s more common in women than men. #WorldPTDay
AHLI JAWATANKUASA PENASIHAT : PUAN LIM KHEE LI PENGERUSI : PUAN SITI HASMAH BINTI JOHARI NAIB PENGERUSI : EN MOHD ANIS BIN ZULKEFLI AMIN SETIAUSAHA : PN NURSYAHADAH BT OSMAN NAIB SETIAUSAHA : PN SITI ZUBAIDAH BT MASHKOR BENDAHARI : PN ILI KAMILAH BT TAHIR AJK PRASARANA : EN MOHAMAD ABBAS B MUSTAFA AJK MAKANAN : PN NURHEDAYAH BT LAILI AJK MULTIMEDIA : EN MOHD NORSHARIZAL B MD NARSEDIN AJK PROTOKOL / CENDERAHATI : PN HAFIFFA BT HAMZAH DAN SEMUA AHLI FISIOTERAPI HSIS SERDANG
PHYSIOTHERAPY TERIMA KASIH KEMENTERIAN KESIHATAN MALAYSIA HOSPITAL SULTAN IDRIS SHAH, SERDANG KEPADA KELAB SUKAN REKREASI HSIS , KELAB PENOLONG PEGAWAI PERUBATAN HSIS SERDANG , SUMBANGAN - SUMBANGAN PERIBADI DAN AHLI FISIOTERAPI HSIS SERDANG YANG TERLIBAT SECARA LANSUNG DAN TIDAK LANSUNG