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Comparison in Wrist Splints and Wrist-­Metacarpophalangeal Splints Use for Patients with Carpal Tunnel Syndrome Evi Evi Yuliani; Widjajalaksmi Kusumaningsih; Vitriana; Hadyana Sukandar
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

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (284.242 KB) | DOI: 10.36803/ijpmr.v1i1.213

Abstract

Objectives : To compare the effect of both wrist splint and wrist-­metacarpophalangeal splint at night using Symptom Severity Scale (SSS) and Functional Status Scale (FSS) and to know the validity andreliability of Indonesian version of SSS dan FSS.Methods : This study enrolled 19 subjects in each of the two groups that were given neutral wrist splint and exercise in one group (group A) and neutral wrist-­metacarpophalangeal splint and exercise in theother group (group B).Results : Indonesian version of SSS and FSS have been proven valid with rs lowest = 0.360 and highest 0.810(>0.3) and relable with α SSS=0.762 dan FSS=0.781 (>0.7). There were significant improvement score of SSS and FSS in each group with p value <0.001. There were greater functional improvement in group treated with wrist-­metacarpophalangeal splint (group B) with p value = 0.036 (p<0.05) Conclusions: There was improvement of SSS and FSS in both groups of study with greater improvement of in wrist-­hand splint group.Keywords: Carpal Tunnel Syndrome, wrist splint, wrist-­hand splint,,nerve and tendon gliding, SSS, FSS.
Shaker Exercise in Dysphagia Rehabilitation for Myasthenia Gravis Patients Andreas Wardono Santoso; Vitriana
Indonesian Journal of Physical Medicine & Rehabilitation Vol 3 No 01 (2014): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (213.646 KB) | DOI: 10.36803/ijpmr.v3i01.235

Abstract

Objective: To evaluate whether Shaker Exercise can improve dysphagia in MG patients.Methods: Pre-Post test design. Ten patients with a confirmed diagnosis of MG (Osserman class IIB) were recruited for this study. All patients did Shaker exercise an hour after taking their medication,with holding time and repetition which increased gradually for 6 weeks. Examinations using Fiber Optic Endoscopic Evaluation of Swallowing (FEES) and Eating Assessment Tool (EAT-10) wereconducted in between.Results: All patients completed 6 weeks of exercise with increased holding time (pre 14±6.11; post 27.5±4.25) and repetition (pre 12.7±6.9; post 20.7±7.75). Only one patient experienced discomfortin their neck muscles. Pre intervention FEES Examination showed that all ten patients have residue (100%), two have spillage (20%), three have penetration risk (30%) and two have aspiration risk(20%). Post intervention showed no residue in seven patients, while three showed decreased residue (70%; 30%; 100%). There was no spillage, penetration risk or aspiration risk in all patients. Pre(11.1±9.386) and post (2.2±2.573) intervention EAT-10 scores show significant improvement (p=0.002).Conclusion: Shaker Exercise can be used safely to improve dysphagia in Myasthenia Gravis patients.Keywords: Myasthenia Gravis, Shaker Exercise, Dysphagia
Comparison in Wrist Splints and Wrist-­Metacarpophalangeal Splints Use for Patients with Carpal Tunnel Syndrome Evi Evi Yuliani; Widjajalaksmi Kusumaningsih; Vitriana; Hadyana Sukandar
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

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (284.242 KB) | DOI: 10.36803/ijpmr.v1i1.213

Abstract

Objectives : To compare the effect of both wrist splint and wrist-­metacarpophalangeal splint at night using Symptom Severity Scale (SSS) and Functional Status Scale (FSS) and to know the validity andreliability of Indonesian version of SSS dan FSS.Methods : This study enrolled 19 subjects in each of the two groups that were given neutral wrist splint and exercise in one group (group A) and neutral wrist-­metacarpophalangeal splint and exercise in theother group (group B).Results : Indonesian version of SSS and FSS have been proven valid with rs lowest = 0.360 and highest 0.810(>0.3) and relable with α SSS=0.762 dan FSS=0.781 (>0.7). There were significant improvement score of SSS and FSS in each group with p value <0.001. There were greater functional improvement in group treated with wrist-­metacarpophalangeal splint (group B) with p value = 0.036 (p<0.05) Conclusions: There was improvement of SSS and FSS in both groups of study with greater improvement of in wrist-­hand splint group.Keywords: Carpal Tunnel Syndrome, wrist splint, wrist-­hand splint,,nerve and tendon gliding, SSS, FSS.
Shaker Exercise in Dysphagia Rehabilitation for Myasthenia Gravis Patients Andreas Wardono Santoso; Vitriana
Indonesian Journal of Physical Medicine & Rehabilitation Vol 3 No 01 (2014): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (213.646 KB) | DOI: 10.36803/ijpmr.v3i01.235

Abstract

Objective: To evaluate whether Shaker Exercise can improve dysphagia in MG patients.Methods: Pre-Post test design. Ten patients with a confirmed diagnosis of MG (Osserman class IIB) were recruited for this study. All patients did Shaker exercise an hour after taking their medication,with holding time and repetition which increased gradually for 6 weeks. Examinations using Fiber Optic Endoscopic Evaluation of Swallowing (FEES) and Eating Assessment Tool (EAT-10) wereconducted in between.Results: All patients completed 6 weeks of exercise with increased holding time (pre 14±6.11; post 27.5±4.25) and repetition (pre 12.7±6.9; post 20.7±7.75). Only one patient experienced discomfortin their neck muscles. Pre intervention FEES Examination showed that all ten patients have residue (100%), two have spillage (20%), three have penetration risk (30%) and two have aspiration risk(20%). Post intervention showed no residue in seven patients, while three showed decreased residue (70%; 30%; 100%). There was no spillage, penetration risk or aspiration risk in all patients. Pre(11.1±9.386) and post (2.2±2.573) intervention EAT-10 scores show significant improvement (p=0.002).Conclusion: Shaker Exercise can be used safely to improve dysphagia in Myasthenia Gravis patients.Keywords: Myasthenia Gravis, Shaker Exercise, Dysphagia
Refleksi Implementasi Peraturan Gubernur Lampung Nomor 33 Tahun 2020 yang Menjadi Kontroversi Pemerintah Pusat dari Perspektif Teori George C. Edwards III Vitriana; Hartuti Purnaweni
Prosiding Seminar Hukum Aktual Fakultas Hukum Universitas Islam Indonesia Vol. 2 No. 6 NOVEMBER 2024
Publisher : Fakultas Hukum Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

The issue of forest and land fires continues to be suppressed by the Government of Indonesia to achieve the target of 2030 FOLU Net Sink in order to realize the commitment to reduce greenhouse gas (GHG) emissions and sustainable development goal (SDG) No. 13: Climate Action. However, on the other hand, the Lampung Government issued a controversial regulation in 2020, was Lampung Governor Regulation Number 33 of 2020 concerning Management of Sugarcane Harvest and Productivity, which legalizes the practice of burning. With the case study method and literature review with the perspective of George C. Edwards III Theory, the implementation of the regulation is effective from the bureaucratic structure factor, but not the communication, resources, and disposition factors. After a request for formal and material objections, finally on March 19, 2024, by the Supreme Court Decision Number: 1P/HUM/2024, ordered the Governor of Lampung to revoke the regulation.