UNDERLYING PROCESS

Post Open Surgery Kidney Luka Incisi Lateral  External Abdominal Oblique
Stones Abdominal Dextra  Internal Abdominal Oblique
 Tranversus Abdominis

Tipe Otot Scar Tissue Mobilization

↓Tonus Abdominal
Scar Tissue
Phasic Muscle Tonic Muscle Janda’s Approach Intervention
Sherrington's Law of reciprocal
Muscle Imbalance
Fleksibilitas ↓ inhibition
Agonis x Antagonis

Cross Syndrome I:
↑Thoracolumbal –Abdominal↓
↓Gluteus–Hip Flexor↑
Ground Potential
Reaction Force Problem
Cross Syndrome II:
↑Hamstring – Quadriceps↓
Cross Syndrome III:
↑Gastroc – Tibialis Ant↓
↑Gastroc – Tibialis Ant↓
↑Plantar Intrinsik Muscle

Sustained
Multifidus tidak Anterior Kurva Vertebra Perubahan Pressure Kesemutan Plantar Fascitis
aktif Pelvic Tilt Hiperlordosis Kinematic

Vasokontriksi Posterior Tibial

Iskemik Artery
Thoracolumbal
ambil alih fungsi Movement
Disfunction Neuropati Nervus Tibialis
Perifer

Spasme Trendelenburg Kesemutan  Lasegue (-)

Gait  Bragart (-)
 Neri (-)
 Valsava (-)
Medikamentosa:
Palpasi Nyeri Core Strength Test (+)  Provokasi (+)
- Mecobalamin
Side SLR - Abduksi  Defisit Neurologis (-)
- Myonal