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Relationship between Calcium Deposit Size with the Pain Intensity in Patients with Calcified Rotator Cuff Tendinitis Indri Wijayanti; I Nyoman Murdana; Tirza Z. Tamin
Indonesian Journal of Physical Medicine & Rehabilitation Vol 5 No 02 (2016): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Background: Calcified tendinitis is a disease characterized by calcification of multifocal cells mediated byliving tissue. Calcified tendinitis may occur due to the collection of calcium in the supraspinatus tendon pouchor may be spread between rotator cuff muscle fibers and bursa, it may not cause pain or may cause mild painor discomfort. The aim is to determine the correlation of calcium deposit size to the pain intensity in patientswith calcified tendinitis.Methods: Methods in this study was a cross-sectional study, twenty subjects, aged 50-70 years old, diagnosedwith calcified tendinitis rotator cuff through musculoskeletal ultrasonography examination.Results: No significant correlations were found between calcium deposit size and pain intensity using VAS,r=0.238, p=0.312.Conclusion : The size of the calcium deposit was not correlated with the pain intensity in rotator cuff calcifiedtendinitis patients. But further research is needed whether the location and form of calcium deposits affect thepain intensity in calcified tendinitis rotator cuff patients.Keywords: calcified tendinitis; calcium deposit size; pain intensity.

Severe Degree of The Obesity Has More Comorbid Factors and more Severe of The Knee Osteoarthritis Natalia Loekito; Tirza Z. Tamin; I Nyoman Murdana
Indonesian Journal of Physical Medicine & Rehabilitation Vol 5 No 02 (2016): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Background : Obesity is a risk factor for knee osteoarthritis (OA). The major problem of OA are pain and decreased of knee muscle strength cause a decline of functional capacity, and lead to disability. Aim of this study is to describe the profile of obese patients with knee OA to prevent disability. Methods : A descriptive study was conducted from September 2016 - March 2017. Subjects were obese patients with knee OA, age ranging from 40-80 years with sedentary lifestyle, with Physical level (PAL)<1.4. Results : Most of the subjects have age>60 y.o(58.8%) anf were female (92.7%). The frequency of Obesity grade II (56.1%) and OA knee grade III (56.1%) were the most frequent. There were higher prevalence of comorbid factors on subjects with grade II of obesity i.e, hypertension, dyslipidemia, and diabetes mellitus (32 vs 27, 18 vs 5, 7 vs 2) respectively. THis study found 41 subjects has knee OA, consist grade II was 18 (43,9%), grade II was 23 (56,1%), Besides, there were higher prevalence of more severe knee OA on grade II than grade I of obesity subjects (29 vs 12).Conclusions : Higher grading of obesity has more prevalence of comorbid factors, as well as has more severe of knee OA Keyword : obesity, comorbid factors, knee osteo arthritis

Changes in Craniovertebral Angle and Sagittal Shoulder Angle: Comparation between Modified Backpack and Conventional Backpack Users in 11- 12 Aged Boys Theresia D Arini Leman; Ferial H Idris; I Nyoman Murdana
Indonesian Journal of Physical Medicine & Rehabilitation Vol 2 No 01 (2013): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Objectives: to develop a better design of ergonomic backpack and to evaluate the effect of wearing conventional and modified backpack on CVA and SSA changes.Methods: 34 male students of grade 5 and 6 elementary school who met the inclusion criteria (boys, 11-12 years old, normoweight, normoposture, and able to follow instruction) were included in theexperimental and cross sectional studies to evaluate duration, time of complaint, and changes in CVA and SSA between the conventional and modified backpack groups; and subject preference to backpackdesign. This study was statistically analysed through Mann-Whitneym Wilcoxon, and Mc Nemar tests.Results: The modified backpack with two compartments, hip strap, compartment strap and wide shoulder strap gives more benefits. Majority of students preferred the modified design to conventionaldesign. The modified design also gave students the ability to stand up longer. Narrowing CVA while wearing backpack was evident in conventional group (n=25) in comparison with modified group (n=15,p= 0.022). Moreover, narrowing SSA was also found more (n=18) in the conventional group than the modified group (n=4, p=0.000).Conclusions: Modified backpack design with two compartments, hip straps, wide shoulder straps, and compartment straps provides less CVA and SSA changes in comparison to conventional beckpackgroup. Minimal changes of CVA and SSA contributes to the development of a more ergonomic model of modified backpack to maintain postural stability.Key Words: posture, craniovertebral angle, backpack, ergonomics.

Hamstring Muscle Flexibility among KONI Volleyball Players of DKI Jakarta Province – A Pilot Study for Sport Injury Prevention. Hendriko; Tirza Z Tamin; I Nyoman Murdana; Aria Kekalih
Indonesian Journal of Physical Medicine & Rehabilitation Vol 2 No 01 (2013): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Objectives: To find hamstring muscle flexibility among KONI Propinsi DKI Jakarta’s volleyball players,based on age, sex and playing position particularly.Methods: A cross sectional study performed in 25 female and 24 male athletes using Sit and Reach Test (SRT) box had done 3 times trial with the best score was recorded.Results: Hamstring muscle’s mean value score was 18.21 (SD 6.5) cm, male athletes was 17.6 (SD 6.5) cm, female athletes was 18.8 (SD 6.6) cm, middle adolescence 14-16 years old was 15.55 (SD 6.1) cm,late adolescence 17-20 years old was 19.91 (SD 6.9) cm, young adulthood 21-24 years old was 18.79 (SD 4.6) cm, hitter was 18.8 (SD 6.6) cm, center was 15.5 (SD 6.3) while allround players was 20.4 (SD5.9).Conclusions: Average value of hamstring flexibility among volleyball athletes of KONI DKI Jakarta based on SRT was 18.21 ± 6.5 cm, particularly within middle adolescence (14-16 years old) was 15.55± 6.1 cm, late adolescence (17-20 years old) was 19.91 ± 6.9 cm, and young adulthood (21-24 year old) was 18.79 ± 4.6 cm. While by sex was 17.6 ± 6.5 cm among male and 18.8 ± 6.6 cm among female.Based on playing position, hitters were 18.8 ± 6.6, setters were 15.5 ± 6.3 and all-round player were 20.4 ± 5.9 cm.Keywords: Flexibility, Hamstring muscle, SRT

Relationship between Calcium Deposit Size with the Pain Intensity in Patients with Calcified Rotator Cuff Tendinitis Indri Wijayanti; I Nyoman Murdana; Tirza Z. Tamin
Indonesian Journal of Physical Medicine & Rehabilitation Vol 5 No 02 (2016): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Background: Calcified tendinitis is a disease characterized by calcification of multifocal cells mediated byliving tissue. Calcified tendinitis may occur due to the collection of calcium in the supraspinatus tendon pouchor may be spread between rotator cuff muscle fibers and bursa, it may not cause pain or may cause mild painor discomfort. The aim is to determine the correlation of calcium deposit size to the pain intensity in patientswith calcified tendinitis.Methods: Methods in this study was a cross-sectional study, twenty subjects, aged 50-70 years old, diagnosedwith calcified tendinitis rotator cuff through musculoskeletal ultrasonography examination.Results: No significant correlations were found between calcium deposit size and pain intensity using VAS,r=0.238, p=0.312.Conclusion : The size of the calcium deposit was not correlated with the pain intensity in rotator cuff calcifiedtendinitis patients. But further research is needed whether the location and form of calcium deposits affect thepain intensity in calcified tendinitis rotator cuff patients.Keywords: calcified tendinitis; calcium deposit size; pain intensity.

Severe Degree of The Obesity Has More Comorbid Factors and more Severe of The Knee Osteoarthritis Natalia Loekito; Tirza Z. Tamin; I Nyoman Murdana
Indonesian Journal of Physical Medicine & Rehabilitation Vol 5 No 02 (2016): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Background : Obesity is a risk factor for knee osteoarthritis (OA). The major problem of OA are pain and decreased of knee muscle strength cause a decline of functional capacity, and lead to disability. Aim of this study is to describe the profile of obese patients with knee OA to prevent disability. Methods : A descriptive study was conducted from September 2016 - March 2017. Subjects were obese patients with knee OA, age ranging from 40-80 years with sedentary lifestyle, with Physical level (PAL)<1.4. Results : Most of the subjects have age>60 y.o(58.8%) anf were female (92.7%). The frequency of Obesity grade II (56.1%) and OA knee grade III (56.1%) were the most frequent. There were higher prevalence of comorbid factors on subjects with grade II of obesity i.e, hypertension, dyslipidemia, and diabetes mellitus (32 vs 27, 18 vs 5, 7 vs 2) respectively. THis study found 41 subjects has knee OA, consist grade II was 18 (43,9%), grade II was 23 (56,1%), Besides, there were higher prevalence of more severe knee OA on grade II than grade I of obesity subjects (29 vs 12).Conclusions : Higher grading of obesity has more prevalence of comorbid factors, as well as has more severe of knee OA Keyword : obesity, comorbid factors, knee osteo arthritis

Changes in Craniovertebral Angle and Sagittal Shoulder Angle: Comparation between Modified Backpack and Conventional Backpack Users in 11- 12 Aged Boys Theresia D Arini Leman; Ferial H Idris; I Nyoman Murdana
Indonesian Journal of Physical Medicine & Rehabilitation Vol 2 No 01 (2013): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Objectives: to develop a better design of ergonomic backpack and to evaluate the effect of wearing conventional and modified backpack on CVA and SSA changes.Methods: 34 male students of grade 5 and 6 elementary school who met the inclusion criteria (boys, 11-12 years old, normoweight, normoposture, and able to follow instruction) were included in theexperimental and cross sectional studies to evaluate duration, time of complaint, and changes in CVA and SSA between the conventional and modified backpack groups; and subject preference to backpackdesign. This study was statistically analysed through Mann-Whitneym Wilcoxon, and Mc Nemar tests.Results: The modified backpack with two compartments, hip strap, compartment strap and wide shoulder strap gives more benefits. Majority of students preferred the modified design to conventionaldesign. The modified design also gave students the ability to stand up longer. Narrowing CVA while wearing backpack was evident in conventional group (n=25) in comparison with modified group (n=15,p= 0.022). Moreover, narrowing SSA was also found more (n=18) in the conventional group than the modified group (n=4, p=0.000).Conclusions: Modified backpack design with two compartments, hip straps, wide shoulder straps, and compartment straps provides less CVA and SSA changes in comparison to conventional beckpackgroup. Minimal changes of CVA and SSA contributes to the development of a more ergonomic model of modified backpack to maintain postural stability.Key Words: posture, craniovertebral angle, backpack, ergonomics.

Hamstring Muscle Flexibility among KONI Volleyball Players of DKI Jakarta Province – A Pilot Study for Sport Injury Prevention. Hendriko; Tirza Z Tamin; I Nyoman Murdana; Aria Kekalih
Indonesian Journal of Physical Medicine & Rehabilitation Vol 2 No 01 (2013): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Objectives: To find hamstring muscle flexibility among KONI Propinsi DKI Jakarta’s volleyball players,based on age, sex and playing position particularly.Methods: A cross sectional study performed in 25 female and 24 male athletes using Sit and Reach Test (SRT) box had done 3 times trial with the best score was recorded.Results: Hamstring muscle’s mean value score was 18.21 (SD 6.5) cm, male athletes was 17.6 (SD 6.5) cm, female athletes was 18.8 (SD 6.6) cm, middle adolescence 14-16 years old was 15.55 (SD 6.1) cm,late adolescence 17-20 years old was 19.91 (SD 6.9) cm, young adulthood 21-24 years old was 18.79 (SD 4.6) cm, hitter was 18.8 (SD 6.6) cm, center was 15.5 (SD 6.3) while allround players was 20.4 (SD5.9).Conclusions: Average value of hamstring flexibility among volleyball athletes of KONI DKI Jakarta based on SRT was 18.21 ± 6.5 cm, particularly within middle adolescence (14-16 years old) was 15.55± 6.1 cm, late adolescence (17-20 years old) was 19.91 ± 6.9 cm, and young adulthood (21-24 year old) was 18.79 ± 4.6 cm. While by sex was 17.6 ± 6.5 cm among male and 18.8 ± 6.6 cm among female.Based on playing position, hitters were 18.8 ± 6.6, setters were 15.5 ± 6.3 and all-round player were 20.4 ± 5.9 cm.Keywords: Flexibility, Hamstring muscle, SRT

Applicability of Acu-TENS in Patients with Chronic Obstructive Pulmonary Disease Melinda Harini; I Nyoman Murdana
Indonesian Journal of Physical Medicine & Rehabilitation Vol 4 No 01 (2015): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Asthma and Chronic Obstructive Pulmonary Disease (COPD) are the most global prevalence disease.Accupunture has been proved to be the adjuvant therapy for both airway obstructive diseases. Butinvasive technique that were used in accupunture, is not comfortable for some patients and dependsso much to operator’s skill. Acu-TENS is an electrical stimulation therapy with low frequency,in which transcutaneous electrodes are placed over acupuncture points, Dingchuan (EX-B1). It isless invasive, easy to apply and offer advantages to patient with COPD. The Acu-TENS therapymechanism in COPD were related to lung function, functional capacity, quality of life improvement.Moreover, higher blood ß-endorphin is produced and in fact, it is found to be moderately correlatedwith reduction of respiratory rate, improvement of forced expiratory volume in one second (FEV1).Therefore, Acu-TENS could be used as alternative electrodes placement in order to improve symptoms, muscle function, and functional capacity in patients with COPD. However, long-termstudy to evaluate the application of Acu-TENS is highly recommended.Keywords: Acu-TENS, COPD, ß-endorphin

Applicability of Acu-TENS in Patients with Chronic Obstructive Pulmonary Disease Melinda Harini; I Nyoman Murdana
Indonesian Journal of Physical Medicine & Rehabilitation Vol 4 No 01 (2015): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Asthma and Chronic Obstructive Pulmonary Disease (COPD) are the most global prevalence disease.Accupunture has been proved to be the adjuvant therapy for both airway obstructive diseases. Butinvasive technique that were used in accupunture, is not comfortable for some patients and dependsso much to operator’s skill. Acu-TENS is an electrical stimulation therapy with low frequency,in which transcutaneous electrodes are placed over acupuncture points, Dingchuan (EX-B1). It isless invasive, easy to apply and offer advantages to patient with COPD. The Acu-TENS therapymechanism in COPD were related to lung function, functional capacity, quality of life improvement.Moreover, higher blood ß-endorphin is produced and in fact, it is found to be moderately correlatedwith reduction of respiratory rate, improvement of forced expiratory volume in one second (FEV1).Therefore, Acu-TENS could be used as alternative electrodes placement in order to improve symptoms, muscle function, and functional capacity in patients with COPD. However, long-termstudy to evaluate the application of Acu-TENS is highly recommended.Keywords: Acu-TENS, COPD, ß-endorphin

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