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All Journal SURABAYA PHYSICAL MEDICINE AND REHABILITATION JOURNAL
Juatmadja, Bastianus Alfian
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Chemical Engineering, Chemistry & Bioengineering Health Professions Medicine & Pharmacology

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Physical Medicine and Rehabilitation of Knee Osteoarthritis Grade 3-4 with Valgus Deformity Annisa Nadia Utami; Juatmadja, Bastianus Alfian
Surabaya Physical Medicine and Rehabilitation Journal Vol. 7 No. 2 (2025): SPMRJ, AUGUST 2025
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v7i2.50212

Abstract

Introduction: Osteoarthritis is an arthritic disease caused by joint cartilage damage that affects an estimated 302 million people worldwide. Factors that increase the risk of OA include being a woman, aged over 45, obesity, bone deformities, joint injuries, and repetitive strain on specific joints. Osteoarthritis is the leading cause of disability among older adults and needs a high health care and rehabilitation cost. The primary focus of treatment is symptom management and maintenance or restoration of functional capacity. The PMR programs include therapeutic exercises, modality uses, education and lifestyle modification (knee joint conservation). We aimed to determine the impact of PMR program combined with pharmacological therapy on 3rd-4th grade OA patients.  Methods: Case report of a woman, aged 62 years, diagnosed with right knee OA grade 3-4 with valgus deformity. Subject has chronic and progressive knee pain by visual analog scale (VAS) was 4-5, limited range of movement (ROM) in the right knee, and low back pain. The patient performed medical rehabilitation program combined with pharmacological therapy at Mitra Husada Pringsewu Hospital for 6 weeks and it was evaluated.  Results: Patient in comparison before and after treatment, pain was reduced from VAS score 4-5 to 3-4, ROM from extentiont-flexion angle 15-90o to 5-110o, Q angle remained the same, and The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score was decreased from 11-5-34 to 9-3-30.  Conclusion: A nonpharmacological and pharmacological therapy combination in medical rehabilitation programs  is needed to reduce pain, improve ROM, and improve the patient's quaity of life.
Effect of High Frequency Transcranial Magnetic Stimulation (TMS) on Extensor Digitorum Communis Muscle Strength in Ischemic Stroke Patients Juatmadja, Bastianus Alfian; Andriana, Meisy; Satyawati, Rwahita
Surabaya Physical Medicine and Rehabilitation Journal Vol. 2 No. 1 (2020): SPMRJ, Februari 2020
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (511.145 KB) | DOI: 10.20473/spmrj.v2i1.17014

Abstract

Abstract Background: Stroke may disrupt a patient's motor function, consequently affecting the quality of life. A stroke surviving brain has the ability to repair itself through neuroplasticity mechanism. Transcranial Magnetic Stimulation (TMS) is a non-invasive device which can be used to stimulate the lesioned part of the brain in hope of triggering neuroplasticity.Aims: To find prove of the repetitive Transcranial Magnetic Stimulation (rTMS) effect on extensor digitorum communis muscle strength improvement in ischemic stroke patients.Methods: Subjects suitable with the inclusion criteria (N=18) were divided into two groups,  control group and intervention group. The control group underwent conventional therapy exclusively every day for 5 days in a row, while the intervention group underwent rTMS therapy and conventional therapy every day for 5 days in a row. Extensor digitorum communis muscle strength was measured using surface electromyography (sEMG) before and after treatment.Result: Significant increase of sEMG numbers were found on control group (p=0,003) and intervention group (p=0,001). The increase from the intervention group was not different when compared to the control group (p=0,067).Conclusion: TMS can increase extensor digitorum communis muscle strength but with no difference with a conventional therapy.
Co-Authors Annisa Nadia Utami Meisy Andriana, Meisy Rwahita Satyawati Dharmanta