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All Journal Jurnal Kesehatan Islam : Islamic Health Journal Journal of Pain, Vertigo and Headache
Yudiansyah, Anggi Gilang
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Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Environmental Science Medicine & Pharmacology Neuroscience Public Health

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COMPREHENSIVE REHABILITATION APPROACH FOR MEDIAN NERVE NEUROPATHY COMPLICATED BY CERVICAL RADICULOPATHY: CASE REPORT IN A YOUNG GAME Yudiansyah, Anggi Gilang; Kurniawan, Shahdevi Nandar; Lestari, Dwi Indriani; Pringga, Gutama Arya
Journal of Pain, Headache and Vertigo Vol. 6 No. 1 (2025): March
Publisher : PERDOSNI (Perhimpunan Dokter Spesialis Neurologi Indonesia Cabang Malang) - Indonesian Neurological Association Branch of Malang cooperated with Neurology Residency Program, Faculty of Medicine Brawijaya University, Malang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jphv.2025.006.01.02

Abstract

Background: Median nerve neuropathy, particularly associated with repetitive strain activities such as gaming, is increasingly recognized in clinical practice. This condition often necessitates a multidisciplinary and holistic approach for effective management, aiming to prevent long-term complications and improve functional outcomes. Case: A 21-year-old male presented with progressive weakness, paresthesia, and atrophy in the first three digits of both hands, attributed to excessive gaming, exceeding 12 hours daily. Neurological examination revealed marked weakness in muscles innervated by the median nerve, and electromyography (EMG) confirmed bilateral median nerve compression, compounded by cervical radiculopathy at the C6-7-8-T1 levels. Discussion: This case underscores the necessity of evaluating both peripheral nerve pathology and potential cervical radiculopathy in patients with extensive upper limb use. Intensive gaming, characterized by poor ergonomic practices, can exacerbate nerve compression, leading to significant neuropathic changes. The implemented multidisciplinary rehabilitation approach involved patient education on ergonomic modifications, targeted physical therapy to strengthen affected muscle groups, and strategies to optimize posture and reduce repetitive strain. This comprehensive intervention aimed to alleviate symptoms, restore function, and prevent further deterioration. Conclusion: The case highlights the complexities involved in managing median nerve neuropathy exacerbated by cervical radiculopathy in individuals engaged in repetitive, high-intensity activities. A comprehensive, evidence-based rehabilitation strategy is crucial for achieving optimal recovery, minimizing recurrence, and enhancing the patient’s quality of life. Further research is warranted to explore the long-term efficacy of such interventions and to develop tailored rehabilitation protocols for similar cases in the gaming community.
Evaluation of Wheelchair Fit and Its Impact on Physical Comfort in a Community-Based Program in Malang Firnanda, Sani Widya; Fajarningtyas, Mia; Yudiansyah, Anggi Gilang; Lestari, Dwi Indriani; Anggraini, Vivid Prety; Nugroho, Muhammad Barlian
Jurnal Kesehatan Islam : Islamic Health Journal Vol. 14 No. 1 (2025): Jurnal Kesehatan Islam : Islamic Health Journal
Publisher : Publikasi oleh Fakultas Kedokteran Universitas Islam Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33474/jki.v14i1.24164

Abstract

Background: Proper wheelchair fit is essential to ensure comfort, postural stability, and to prevent secondary health complications in individuals with disabilities. In community-based programs, mismatches between wheelchair dimensions and users' anthropometric characteristics often go unnoticed, potentially leading to long-term issues. Objective: This study aims to evaluate the alignment between users’ body dimensions and the wheelchairs distributed through a community-based program in Malang, and to examine the potential ergonomic and clinical implications of mismatched fit. Methods: A descriptive quantitative design was employed, involving 20 full-time wheelchair users selected purposively. Anthropometric measurements (seated height, popliteal length, hip width, elbow height) and wheelchair dimensions (seat height, seat depth, seat width, backrest height, armrest height) were directly measured. Normality was tested using the Shapiro–Wilk test, followed by Pearson correlation analysis. Outliers were identified using z-score thresholds. Results: Significant positive correlations were found between seat height and armrest height (r = 0.65, p < 0.01), and between backrest height and seat width (r = 0.58, p < 0.05). No correlation was found involving seat depth. Two participants showed notable mismatches requiring individual adjustments, highlighting risks such as discomfort, postural imbalance, and mobility limitation. Conclusion: Mismatch between wheelchair dimensions and user anthropometry can contribute to preventable discomfort and postural strain. Personalized assessments and ergonomic adjustments are crucial in community wheelchair programs. These findings support the implementation of anthropometric-based distribution strategies and training for service providers.
Co-Authors Anggraini, Vivid Prety Fajarningtyas, Mia Firnanda, Sani Widya Lestari, Dwi Indriani Nugroho, Muhammad Barlian Pringga, Gutama Arya Shahdevi Nandar Kurniawan, Shahdevi Nandar