1)       Memberi pengetahuan dan kefahaman mengenai isu stress dalam kehidupan dan pekerjaan

2)       Meningkatkan kesedaran tentang pentingnya mengurus stress dalam menjamin kesejahteraan dan kualiti kehidupan.

3)       Mengaplikasikan pendekatan ergonomik dan kesihatan pekerjaan  dalam mengurus stress di tempat kerja.

4)       Membolehkan peserta mempelajari beberapa teknik ergonomik dan fisioterapi dalam mengurus stress untuk meningkatkan kualiti kehidupan kerja.


1)       Peserta kursus akan dibekalkan dengan modul/bahan berkaitan dengan perkara perkara yang dibincangkan.

2)       Peserta akan diberi pendedahan tentang pengetahuan dan kefahaman mengenai isu stress dan kesannya terhadap kualiti kehidupan.

3)       Peserta kursus akan menyedari pentingnya ergonomic dalam mengurus stress di tempat kerja

4)       Peserta akan menghayati sesi latihan ini melalui ceramah, perbincangan, tayangan video dan terapi fisioterapi/ergonomik stres.

PENDAFTARAN              :           Hubungi 0169281581 atau  0389410926 atau 0193790145

& INFO LANJUT                         atau emel putramedic2u@gmail.com atau www.putramedic.com

PEMBAYARAN                :           CASH/BANK TRANSFER ATAU CEK KE AKAUN MAYBANK : 562807500362



what is patelofemoral pain syndrome?

 Patellofemoral pain syndrome is pain in the front of the knee. It frequently occurs in teenagers, manual laborers, and athletes. It sometimes is caused by wearing down, roughening, or softening of the cartilage under the kneecap.

causes patelofemoral pain syndrome?

 Patellofemoral pain syndrome may be caused by overuse, injury, excess weight, a kneecap that is not properly aligned (patellar tracking disorder), or changes under the kneecap.

how is treated?

  • Avoid sitting or kneeling in the bent-knee position for long periods of time.
  • Adjust a bicycle or exercise bike so that the resistance is not too great and the seat is at an appropriate height. The rider should be able to spin the pedals of an exercise bike without shifting weight from side to side, and the legs should not be fully extended at the lowest part of the pedal stroke.
  • Avoid bent-knee exercises, such as squats, deep knee bends, or 90-degree leg extensions

to relieve pain 

  • Ice and rest. 
  • Physical therapy exercises. Exercises may include stretching to increase flexibility and decrease tightness around the knee, and straight-leg raises and other exercises to strengthen the quadriceps muscle.
  • Taping or using a brace to stabilize the kneecap.
  • surgery


 What is therapeutic ultrasound?

Therapeutic ultrasound as a treatment modality that has been used by therapists over the last 50 years to treat soft tissue injuries. Ultrasonic waves (sound waves of a high frequency) are produced by means of mechanical vibration of the metal treatment head of the ultrasound machine. This treatment head is then moved over the surface of the skin in the region of the injury. When sound waves come into contact with air it causes a dissipation of the waves, and so a special ultrasound gel is placed on the skin to ensure maximal contact between the treatment head and the surface of the skin.


Effects on the Inflammatory and Repair Processes:

One of the greatest proposed benefits of ultrasound therapy is that it is thought to reduce the healing time of certain soft tissue injuries.

  • Ultrasound is thought to accelerate the normal resolution time of the inflammatory process by attracting more mast cells to the site of injury. This may cause an increase in blood flow which can be beneficial in the sub-acute phase of tissue injury. As blood flow may be increased it is not advised to use ultrasound immediately after injury.

  • Ultrasound may also stimulate the production of more collagen- the main protein component in soft tissue such as tendons and ligaments. Hence ultrasound may accelerate the the proliferative phase of tissue healing.

  • Ultrasound is thought to improve the extensibility of mature collagen and so can have a positive effect to on fibrous scar tissue which may form after an injury.



Application of Ultrasound:

  • Ultrasound is normally applied by use of a small metal treatment head which emits the ultrasonic beam. This is moved continuously over the skin for approximately 3-5 mins. Treatments may be repeated 1-2 times daily in more acute injuries and less frequently in chronic cases.

  • Ultrasound dosage can be varied either in intensity or frequency of the ultrasound beam. Simply speaking lower frequency application provides a greater depth of penetration and so is used in cases where the injured tissue is suspected to be deeply situated. Conversely, higher frequency doses are used for structures that are closer to the surface of skin.

  • Contraindications For Use:

    As ultrasound is thought to affect the tissue repair process and so it is also highly possible that it may affect diseased tissue tissue in an abnormal fashion. In addition the proposed increase in blood may also function in spreading malignancies around the body. Therefore a number of contraindications should be followed when using therapeutic ultrasound:

    Do not use if the patient suffers from:

    • Malignant or cancerous tissue

    • Acute infections

    • Risk of haemorrhage

    • Severely ischeamic tissue

    • Recent history if venous thrombosis

    • Exposed neural tissue

    • Suspicion of a bone fracture

    • If the patient is pregnant

    • Do not use in the region of the gonads (sex organs), the active bone growth plates of children, or the eye.



 Application of TENS:

TENS machines can now be purchased quite readily from certain retail specialists
and are easy to apply. However a certain amount of care should be taken as a small proportion of patients suffer from an allergic reaction to the conductive gel, the electrodes themselves or the tape used to secure them in place. Most newer machines come with self-adhesive electrodes that can be changed after each application to decrease the risk of cross infection if more than one person is using the machine.

TENS relieves pain mainly by stimulating the pain gate mechanism. When tissue becomes damaged, the pain nerve fibres in the area become irritated and increasingly sensitive which leads to a heightened perception of pain in that area. However, in that region there are also a number of mechanoreceptors which respond to touch. Stimulation of these nerve fibres can override the pain impulses from that area- this is known as the pain gate mechanism. These mechanoreceptors can stimulated by an electrical current at certain frequency (usually 90-130 Hz) as provided by the TENS machine which in turn causes a pain relieving effect.


  • Transcutaneous electrical nerve stimulation (TENS) is a method of providing pain relief. As the name suggests, it involves the application of electrical current to the affected area. This is achieved via a number of electrodes that can be fixed to the skin.
  •   The use of TENS is an extremely popular method of pain relief. It is relatively cheap, easy to use and the side effects are minimal when compared to some oral pain killers. It is thought that TENS can provide pain relief in the region of almost 70% of cases suffering from an acute injury.