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All Journal SURABAYA PHYSICAL MEDICINE AND REHABILITATION JOURNAL
Masduchi, Reni Hendrarati
Department Of Physical Medicine And Rehabilitation, Faculty Of Medicine, Universitas Airlangga, Dr. Soetomo Academic General Hospital, Surabaya, East Java, Indonesia; Department Of Physical Medicine And Rehabilitation, Jemursari Islamic Hospital, Sur
Chemical Engineering, Chemistry & Bioengineering Health Professions Medicine & Pharmacology

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Rheumatoid Arthritis Nurul Kusuma Wardani; Reni Hendrarati Masduchi
Surabaya Physical Medicine and Rehabilitation Journal Vol. 1 No. 1 (2019): SPMRJ, Februari 2019
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (471.058 KB) | DOI: 10.20473/spmrj.v1i1.16169

Abstract

Rheumatoid arthritis (RA) is a chronic, systemic, inflammatory disorder that primarily affects small peripheral joints.  The average annual incidence of RA in the United States is 0.5 per 1000 persons per year. Female : male ratio of 3:1. Onset of the disease can occur at age ranging 20–60 years old. The precise cause of RA is unknown.Major theories mention it’s caused by environmental factors, genetic predisposition or immunogenic.Diagnosis of RA include morning stiffness at least one hour before maximal improvement, arthritis of three or more joints, arthritis of the hand joints, symmetric arthritis, rheumatoid nodules, positive serum rheumatoid factor and radiographic changes (hand and wrist). Rheumatoid arthritis is defined by the presence of four or more criteria and criteria 1 through 4 must be present for at least six weeks.A 44 year-old woman with pain and stiffness in her hand on and off since 10 years ago. She had difficulty doing her daily living activities (ADL) such as taking a bath and vocational activities such as cooking and washing clothes. On examination there were range of motion (ROM) limitation of the elbow, wrist and fingers, boutonnière deformity on left middle finger and right little finger. On X-ray examination we found erosion on finger joints.The rehabilitation program given were ROM exercises, gentle stretching exercises, finger splint and ADL modifications. We advised her to take the rheumatoid medication regularly (meloxicam, methylprednisolon and chloroquin), do exercises, wear the splint, and do the joint protection program. The goals of treatment were pain relief, maintenance of joint range of motion and mobility, further deformity prevent with joint motion modification therefore improving the quality of life.
Immediate Effect of Kinesio Taping Application on Joint Proprioception Function in Knee Osteoarthritis Patients Inggar Narasinta; Reni Hendrarati Masduchi; Patricia Maria Kurniawati
Surabaya Physical Medicine and Rehabilitation Journal Vol. 1 No. 1 (2019): SPMRJ, Februari 2019
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (292.736 KB) | DOI: 10.20473/spmrj.v1i1.16170

Abstract

Background: Osteoarthritis (OA) is the most common form of arthritis. Pathologic process of osteoarthritis are changes of joint structures and surrounding structures. Injury on articular structure cause mechanical disturbance and reduce joint sensation. Proprioception has an important role in joint stabilization through sensorimotor system. Decrease of proprioception lead to decrease of functional ability on OA patients. Kinesio taping (KT) is one option of therapy in musculoskeletal injury.  Kinesio taping can reduce pain and inflammation, facilitate muscle activity and stimulate mechanoreceptor. This study aimed to evaluate the effect of KT application on proprioception in knee OA patients.Method: This study was an experimental pre-post study. We measured the proprioception function of eight participants with knee OA (mean age 59,3 ± 6,22 years) before and 30 minutes after KT application. Joint position sense (JPS) and time to detect passive movement (TTDPM) using Cybex Isokinetic Dynamometer were used as proprioception function measurement. Technique of KT used was superior and inferior Y with 25% stretch.Result: All of JPS and TTDPM from 8 participants, before and 30 minutes after KT application, both on affected and unaffected sides, showed no significant difference (p>0.05).Conclusion: Kinesio taping with superior and inferior Y 25% stretch did not improve JPS and TTDPM in knee OA patients.
Cardiovascular Responses, Physical Activity Intensity, and Enjoyment Level of Nintendo Switch™ Exergaming, Comparing Different Tempos and Playing Modes: A Pilot Study Bayu Aji Mayogya Putra; Reni Hendrarati Masduchi; Martha Kurnia Kusumawardani
Surabaya Physical Medicine and Rehabilitation Journal Vol. 3 No. 2 (2021): SPMRJ, AUGUST 2021
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v3i2.21549

Abstract

Background: Physical activity (PA) has been associated with multiple health benefits. However, the global population does not meet the PA recommendations. Virtual reality exergaming (VR EXG) can become an option to increase PA because it is fun, relatively easy to access and affordable through popular commercial devices.Aim: To investigate the immediate cardiovascular responses(blood pressure, heart rate), quantification of PA intensity(percentage of maximum heart rate (%HRmax), Borg’s rating of perceived exertion (RPE), and the level of enjoyment using visual analog scale (VAS) while playing VR EXG.Material and Methods: Fifteen healthy men (aged 31.87±3.14 years old, body mass index 23.77±2.47 kg/m2) undergone three“Fitness Boxing” Nintendo Switch™ playing modes in the same order: (1) single player-normal tempo, (2) single player-fast tempo and (3) versus. During playing, participant’s HR was monitored using Polar H10 heart rate sensor. Blood pressure was measured before and after playing. Borg’s RPE and VAS were collected after playing.Results: Our results showed significant heart rate and systolic blood pressure increase (p = 0.001) in all three playing conditions, whereas diastolic blood pressure was relatively constant (p > 0.05). The Borg’s RPE were in 12-13 range (moderate) and %HRmax range between 72- 81% (vigorous). The enjoyment level was found greatest in versus mode compared to other playing modes.Conclusion: VR EXG Nintendo Switch™ “Fitness Boxing” can elicit immediate cardiovascular responses and provides an enjoyable moderate to vigorous PA intensity in healthy male adults, and can be used to meet the weekly PA recommendations. 
Effect of Anodal Transcranial Direct Current Stimulation to Flexor Digitorum Superficialis Muscle Activities in Stroke Subjects Ana Mursyida; Reni Hendrarati Masduchi; Imam Subadi
Surabaya Physical Medicine and Rehabilitation Journal Vol. 4 No. 1 (2022): SPMRJ, FEBRUARY 2022
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v4i1.25119

Abstract

Background: Stroke is the main causes of upper extremity weakness that may affect physicalindependency resulting in long-term disability. Previous studies showed that A-tDCS can improve neurological damage. A-tDCS causes depolarization and inducesbrainsynapticplasticity in strokesubjects.Aim: To analyze the effect of Anodal-tDCS to the flexor digitorum superficialis muscles activities in stroke subjects.Material and Methods: This experimental study was conducted from April to September 2020. Eightpatients who suffered first attack ischemic stroke, aged 40 to 70 years old, were recruited from PMR out patient clinic at Dr.Soetomo General Hospital Surabaya. Subjects were randomized in to experimental and control group. The control group was given occupational therapy for 30 minutes, while the experimental group was given A-tDCS with intensity 2 mA for 20 minutes and occupational therapy for 30 minutes in 5 consecutive days. Measurement of FDS muscle activities using sEMG were performed before and after interventionin both groups. Results: There was an increase of FDS muscles activities after treatment incontrol group (p=0,048) while there was no similar result in treatment group (p=0,188). Thechangeofmuscles activities was notdifferent betweengroups(p=0,974).Conclusion: tDCS provides no significant benefit in terms of muscle activities in patients with stroke. Small number of samples and other several factors might limit the significancy of current study. Further study is needed to determine the benefit of A-tDCS as a rehabilitation modality in patient with stroke.
Comparison of the Effects of Repetitive Transcranial Magnetic Stimulation and Aerobic Exercise as an Adjunct Therapy in Depressed Patients on Activity of Daily Living and Quality of Life Muhammad Yusuf; Sri Mardjiati Mei Wulan; Reni Hendrarati Masduchi; Agustina Konginan
Surabaya Physical Medicine and Rehabilitation Journal Vol. 5 No. 1 (2023): SPMRJ, FEBRUARY 2023
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v5i1.25196

Abstract

Background: Depression is one of the most common causes of disabilities and poor quality of life worldwide. One-fifth of patients fail to respond to antidepressant therapy. Hence, adjunct therapy is urgently needed. Aim: This study aims to compare the effectiveness of repetitive transcranial magnetic stimulation (rTMS) and aerobic exercise as adjunct therapy on activity of daily living and quality of life in depressed patients. Material and Methods: A randomized-controlled experiment was conducted between May 2019 and January 2020. Twenty-seven depressed patients were divided into three groups for two weeks: antidepressant-only, antidepressant-and-aerobic exercise, and antidepressant-and-rTMS. The Barthel Index and SF-36 were used to assess the activity of daily living and quality of life. Results: After the intervention, there were no appreciable changes in the Barthel Index scores in any of the three groups (p>0.05). Following therapy, SF-36 results for physical function, bodily discomfort, public health, vitality, social function, emotional role functioning, and mental health all showed substantial improvements across groups (p 0.05). Patients in the antidepressant and rTMS groups improved more than those in the other two groups in the areas of overall health (15.71±6.075, p=0.009), emotional role functioning (20.29±11.940, p=0.049), and mental health (14.29±6.075, p=0.041). However, the Barthel Index score changes did not differ between groups (p=0.664). Conclusion: Better quality of life improvement in the rTMS group compared to the other two groups supports the use of rTMS as an additional therapy. It aims to enhance quality of life in patients with moderate and severe first-episode depression.
Upper Limb Muscles Activity during Punches in Virtual Reality Exergame on Standing and Sitting Position Putra, Bayu Aji Mayogya; Masduchi, Reni Hendrarati; Tinduh, Damayanti; Pawana, I Putu Alit
Surabaya Physical Medicine and Rehabilitation Journal Vol. 3 No. 1 (2021): SPMRJ, FEBRUARY 2021
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v3i1.21550

Abstract

Background: Physical activity (PA) provides various health benefits. Unfortunately, individuals with disabilities may experience health problems and greater obstacles to PA participation. Boxing exergame (EXG) based on virtual reality (VR) can be an alternative option to increase physical activity level because it is fun, relatively affordable and accessible. Punching in boxing requires complex movements, wherein the lower limbs are contributor for effective punches. An understanding of muscles activity is important to uncover the potential benefits of VR EXG.Aim: To evaluate the differences in upper limb muscles activity of the dominant side in standing compared to sitting position during punches.Material and methods: This was a cross-sectional study involving 15 healthy adult men. Surface electromyography examinations was performed on four upper limb muscles of the dominant side (upper trapezius, anterior deltoid, biceps, triceps) when delivering straight, hook and uppercut punches while playing VR EXG "Fitness Boxing" Nintendo Switchâ„¢ in standing and sitting position.Results: Fifteen healthy men (age 31.87±3.14 years old, BMI 23.77±2.47 kg.m-2) were participated in this study. No significant difference found in the percentage of maximum voluntary isometric contraction (%MVIC) values of the upper trapezius, anterior deltoid, biceps and triceps muscles of the dominant sides when the subjects delivered straight, hook and uppercut punches (p>0.05), except for upper trapezius muscle during uppercut punch in standing compared to sitting position (p=0.041).Conclusion: The VR EXG "Fitness Boxing" Nintendo Switchâ„¢ can be done in a standing or sitting position to get similar effect on the upper limb muscles.
Co-Authors Ana Mursyida Bayu Aji Mayogya Putra Damayanti Tinduh Imam Subadi Inggar Narasinta Konginan, Agustina Martha Kurnia Kusumawardani Mei Wulan, Sri Mardjiati Muhammad Yusuf Nurul Kusuma Wardani Patricia Maria Kurniawati Pawana, I Putu Alit Putra, Bayu Aji Mayogya