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Comparison of Sling Suspension Versus Balance and Proprioceptive Exercise for Patients with Knee Osteoarthritis Vivi Mariani; Lanny Indriastuti
Indonesian Journal of Physical Medicine & Rehabilitation Vol 1 No 1 (2012): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Objectives: To compare the difference between sling suspension versus balance and proprioceptive exercise’s effect on pain and functional capacity of knee osteoarthritis patients before, 2 weeks after and 4 weeks after exercise.Methods: This longitudinal study with case series design was done on 34 subjects with knee osteoarthritis grade II and III in Outpatient Clinic of Medical Rehabilitation Installation in Dr. Kariadi General Hospital Semarang from November 2009 to February 2010. They were randomly assigned into ‘sling suspension’ and ‘balance and proprioceptive’ exercise group. Each group contains 17 subjects. Subjects conducted their exercise 3 times a week for four weeks. Assesment of VAS, WOMAC modification index, TUG test were done before, 2 weeks after and 4 weeks after exercise.Results: There were statistically significant changes in pain (measured by VAS category) and functional capacity (measured by WOMAC modification index subscale of pain, stiffness and functional activity, and TUG test) before, 2 weeks after and 4 weeks after exercise in both groups (p<0.05). However, there were no statistically significant difference in pain and functional capacity between groups (p>0.05).Conclusions:There were no significant diffrences between sling suspension and balance and proprioceptive exercise, although both exercise gave significant improvement in vas category, WOMAC modification index and walking time on TUG test.Keywords: knee osteoarthritis, sling suspension exercise, balance and proprioceptive exercise, VAS,

Comparison of Sling Suspension Versus Balance and Proprioceptive Exercise for Patients with Knee Osteoarthritis Vivi Mariani; Lanny Indriastuti
Indonesian Journal of Physical Medicine & Rehabilitation Vol 1 No 1 (2012): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Objectives: To compare the difference between sling suspension versus balance and proprioceptive exercise’s effect on pain and functional capacity of knee osteoarthritis patients before, 2 weeks after and 4 weeks after exercise.Methods: This longitudinal study with case series design was done on 34 subjects with knee osteoarthritis grade II and III in Outpatient Clinic of Medical Rehabilitation Installation in Dr. Kariadi General Hospital Semarang from November 2009 to February 2010. They were randomly assigned into ‘sling suspension’ and ‘balance and proprioceptive’ exercise group. Each group contains 17 subjects. Subjects conducted their exercise 3 times a week for four weeks. Assesment of VAS, WOMAC modification index, TUG test were done before, 2 weeks after and 4 weeks after exercise.Results: There were statistically significant changes in pain (measured by VAS category) and functional capacity (measured by WOMAC modification index subscale of pain, stiffness and functional activity, and TUG test) before, 2 weeks after and 4 weeks after exercise in both groups (p<0.05). However, there were no statistically significant difference in pain and functional capacity between groups (p>0.05).Conclusions:There were no significant diffrences between sling suspension and balance and proprioceptive exercise, although both exercise gave significant improvement in vas category, WOMAC modification index and walking time on TUG test.Keywords: knee osteoarthritis, sling suspension exercise, balance and proprioceptive exercise, VAS,

Comparasion Of The Therapeutic Effect Between SWD And Tens On Relieving Pain In Mechanical Low Back Pain Petients Robby Kartadinata; Lanny Indriastuti
Medica Hospitalia : Journal of Clinical Medicine Vol. 1 No. 2 (2012): Med Hosp
Publisher : RSUP Dr. Kariadi

Background : Low back pain (LBP) is the second cause of pain after headache and remains one of the most common symptoms for seeing a physician. About 90% of LBP is caused by mechanical factor. There are various physical modalities to relieve pain, such as, Short Wave Diathermy (SWD) and Transcutaneus Electrical Nerve Stimulation (TENS) which are proved to be useful to relieve pain. The aim of the study is to compare SWD and TENS on relieving pain in mechanical LBP patients. Methods : A pre-posttest study in 36 outpatients, with subacute mechanical LBP, ranging from 30–55 years old, were randomly divided into two even groups, the SWD group and TENS group. The subjects received either SWD or TENS on lumbosacral area for 15 minutes, 3 times a week, with the interval of 2–3 days during 2 weeks. Visual Analogue Scale (VAS) was applied for pain assessments to all subjects before and 24 hours after the sixth therapy session. Results : There was a reduction on VAS score in the SWD group from 4.56 ± 0.62 cm to 1.90 ± 0.51 cm (p<0.001). There was a reduction on VAS score in the TENS group from 4.64 ± 0.59 cm to 2.03 ± 0.50 cm (p<0.001). There was no significant difference on VAS score reduction between SWD and TENS group (p = 0.643). Conclusion : TENS therapy relieves pain in subacute mechanical LBP patients as good as SWD Therapy. Keywords : Mechanical low back pain, SWD, TENS.

Combining square-stepping exercise and strengthening exercise improve frailty status in pre-frail community-dwelling older adults Ira Adventia; Lanny Indriastuti; Hari Peni Julianti
Indonesian Journal of Biomedicine and Clinical Sciences Vol 57 No 2 (2025)
Publisher : Published by Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/inajbcs.v57i2.14599

Frailty is a complex syndrome affecting older people, characterized by unintentional weight loss, low muscle strength, feelings of exhaustion, reduced physical activity capacity, and slow walking speed. A decrease of muscle strength has been shown to be a major cause of frailty. The studies further agreed that frailty is a treatable condition. Intervention at the pre-frail state may offer the best opportunity to prevent, delay, or reverse existing symptoms of physical frailty. The evidence that multicomponent exercise (particularly resistance exercise) can have marked effects on frailty and sarcopenia is now forceful. Thus, we combine strengthening exercise and square-stepping exercise (SSE), a popular balance exercise, in community-dwelling pre-frail older adults. To evaluate the effectiveness of additional lower extremity strengthening exercise on frailty phenotype scores in pre-frail older adults who receive SSE. This study used an experimental, randomized control trial on pre-frail older adults aged between 60 and 70 yr. The participants were divided into 2 groups of 19 people each. The control group received SSE 3 x /wk, while the treatment group received SSE 3 x /wk plus lower extremity strengthening exercises 2 x /wk for 6 wk. The analysis of each group revealed an improvement in frailty phenotype scores in both the treatment and control groups. Ten participants (55.56%) in the control group experienced an improvement in the frailty phenotype status to robust (non-frail). Eleven participants (64.71%) in the treatment group experienced an improvement in frailty phenotype status to robust (non-frail). These findings suggest that SSE can improve frailty phenotype scores in pre-frail older adults, and that adding lower extremity strengthening exercises to SSE significantly improves frailty phenotype score compared to SSE alone.

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