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All Journal E-Jurnal Medika Udayana Majalah Ilmiah Fisioterapi Indonesia ISM (Intisari Sains Medis) : Jurnal Kedokteran SURABAYA PHYSICAL MEDICINE AND REHABILITATION JOURNAL

Dedi Silakarma

Physical And Medical Rehabilitation Department, Faculty Of Medicine, Universitas Udayana, Sanglah General Hospital, Bali, Indonesia

Author-ID : 2936078

Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Decision Sciences, Operations Research & Management Health Professions Medicine & Pharmacology Neuroscience Public Health

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HUBUNGAN CHRONIC ANKLE INSTABILITY DENGAN KESEIMBANGAN DINAMIS PADA PEMAIN SKATEBOARD DI DENPASAR BALI Dewa Alit Kamayoga; Dedi Silakarma; I Nyoman Adiputra
Majalah Ilmiah Fisioterapi Indonesia Vol 3 No 3 (2015): Majalah Ilmiah Fisioterapi Indonesia
Publisher : Bachelor of Physiotherapy and Physiotherapy Profession Study Program, Faculty of Medicine, Udayana University in collaboration with Indonesian Physiotherapy Association (IPA)

Skateboarders often ignore repetitive injuries that occurred while they were playing.Repetitive injuries that are not handled properly will lead to chronic ankle instability.Chronic ankle instability will lead to a condition where skateboarders will experience anunbalanced dynamic equilibrium as they are skateboarding or while doing dailyactivities. The purpose of this study was to determine the relationship of chronic ankleinstability with dynamic balance of skateboarders in Denpasar, Bali. This study was ananalytical descriptive study with a cross sectional study design. The population of thisstudy was all skateboarders that joined Persatuan Skateboarder Bali (PSB) in Denpasar.Sampling techniques in this study was Non Probability Sampling. Sample size wasobtained using saturation sampling technique. In this study, the number of samples thatmet the inclusion criteria was 60 people. Data analysis using chi-square test obtained aresult p = 0,000 (p<0,05). It can be concluded that there was a significant relationshipbetween chronic ankle instability with dynamic balance.

THE LATIHAN SENAM AEROBIK MENINGKATKAN KUALITAS TIDUR PADA MAHASISWI PROGRAM STUDI FISIOTERAPI FAKULTAS KEDOKTERAN UNIVERSITAS UDAYANA Made Meita Malini; IGN Dedi Silakarma; Luh Putu Ratna Sundari
Majalah Ilmiah Fisioterapi Indonesia Vol 3 No 2 (2015): Majalah Ilmiah Fisioterapi Indonesia
Publisher : Bachelor of Physiotherapy and Physiotherapy Profession Study Program, Faculty of Medicine, Udayana University in collaboration with Indonesian Physiotherapy Association (IPA)

Daily habits and activities of students may affect their quality of sleep. The purpose of this study is to know whether aerobic exercise can improve sleep quality for female students. The method of this study is pre experimental which used one group pre-test and post-test design. Nineteen students of physiotherapy had volunteered in this study, they were at the age of 18-21 (mean 19,68 ± 1,06) years old. Participants joined to do aerobic exercise for 6 weeks which was 3 times a week and 60 minutes duration for each exercise. Measurement of sleep quality used the Pittsburgh Sleep Quality Index (PSQI) before exercise and 6 weeks after doing the exercises. The result of this study was the average of global score before exercise was 7,89 (SD ± 1,82) and the mean value after 6 weeks of exercise was 3,89 (SD ± 1,79). Statistical analysis of the data used non-parametric wilcoxon test, the result was (p=0,001). It can be concluded that the global score decrease before and after aerobic exercise, which means an increase in the quality of sleep on the female students after doing aerobic exercise for 6 weeks.

Telerehabilitation as a physical therapy solution for post-stroke patient in COVID-19 pandemic situations: a review I Made Yoga Prabawa; Dedi Silakarma; M. Widnyana
Intisari Sains Medis Vol. 12 No. 1 (2021): (Available online : 1 April 2021)
Publisher : DiscoverSys Inc.

Background: Stroke is one of the leading causes of disability among the adult population. One-third of post-stroke patients require ongoing physical rehabilitation to improve their motoric function. But in this COVID-19 pandemic situation, all outpatient visits or non-emergency cases, including in-clinic physical rehabilitation therapy, have been postponed and limited to maintain physical distancing to prevent the spreading of infection. Telerehabilitation can be the answer to overcome this circumstance.Methods: We conducted a comprehensive search for online literature or studies in 2020. We explored evidence using the following database Cochrane Library, PubMed, and Google Scholar. The keywords used to obtain the relevant research include “telerehabilitation” OR “telemedicine” AND “physical rehabilitation” AND “stroke patient” AND “COVID-19 pandemic”. The literature was analyzed based on the results of previous studies.Results: Telerehabilitation delivers rehabilitation services via communication technologies involving the patient and the physical therapist communicate using telehealth platform and video-teleconference. Several telerehabilitation techniques can be used for stroke patients' physical exercise, such as portable transcutaneous electrical stimulation (TENS), mirror therapy, home exercise program, and virtual reality exercise. Several studies have shown that telerehabilitation is not inferior than in-clinic physical exercise, and both showed significant improvement in post-stroke patients' motor function.Conclusions: Telerehabilitation can be the solution for post-stroke patient’s physical rehabilitation in the COVID-19 pandemic. This novel health innovation allowed the post-stroke patient to exercise at home and prevent them from the risk of COVID-19 infection.

Effect of prone positioning for improving oxygenation in awake non-intubated COVID-19 patient: a systematic review I Made Yoga Prabawa; Dedi Silakarma; Sisca Susantio
Intisari Sains Medis Vol. 12 No. 3 (2021): (Available online: 1 December 2021)
Publisher : DiscoverSys Inc.

Background. The rapid rise of COVID-19 cases in many regions impacted on increasing needs of intensive care units and oxygen supplementation. The exponential COVID-19 infection with moderate to severe hypoxia that needs oxygen supplementation causes medical oxygen shortage in most hospitals and swamped the health care system. Prone positioning can be an alternate way for non-hospitalized COVID-19 patients, especially in the region facing oxygen and ward shortage in hospitals. This systematic review will describe the impact of the prone positioning method for improving oxygenation in awake non-intubated COVID-19 patients.Method. A systematic review using PubMed and Google Scholar was conducted based on PRISMA guidelines. We used inclusion criteria such as observational study with cross sectional, cohort, case-control or clinical trial study design regarding the effect of prone positioning for improving oxygenation in COVID-19 patients. Exclusion criteria were a letter to the editor, commentary reports, systematic review or meta-analysis, study involving non-awake and or intubated patients and study not available in full-text. Result. We gathered eleven studies consisting of six retrospective observational studies, three prospective observational studies and two clinical trials comprised of one randomized controlled trial and one interventional study. There are 791 awake non-intubated COVID-19 patients as the study sample. The measured outcomes are changes in SaO2, P/F ratio, S/F ratio, ROX index, intubation and mortality rate. The prone positioning duration varies between 29 minutes until 12 hours and helps improve oxygenation, reducing intubation and mortality. Conclusion. Prone positioning is feasible to apply in awake non-intubated COVID-19 patients. It can improve oxygenation, reduce intubation, mortality rate and be beneficial to overcome oxygen and mechanical intubation shortage during the COVID-19 pandemic.

The Effectiveness of Pulmonary Rehabilitation in COVID-19 Patients Putu Diva Dharma Suta; Dedi Silakarma
Surabaya Physical Medicine and Rehabilitation Journal Vol. 4 No. 2 (2022): SPMRJ, AUGUST 2022
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v4i2.24756

Background: Patients with COVID-19 have experienced numerous symptoms prior to and after hospitalization, particularly in the respiratory system. The symptoms vary widely. Based on symptoms occurring through patients’ airways, most patients who have recovered from COVID-19 still have enduring symptoms of breathlessness. Pulmonary rehabilitation can be an option of rehabilitation programs directed to the patients. Aim: Explore the effectiveness of pulmonary rehabilitation specifically in COVID-19 patients. This literature review seeks to provide an agenda for further research related to adjusted treatment on pulmonary rehabilitation based on the patients’ needs. Material and Methods: The author synthesized, reviewed, and analyzed 10 literatures employing semi-systematic review technique. Results: The short-term aim of pulmonary rehabilitation is to reduce dyspnea and anxiety as well as depression, meanwhile the long-term aim is to maintain patients’ functional status to the maximum extent, improve quality of life and facilitate patients to return to performing daily activities. In addition, a 6-minute walking test and sit-to-stand test might be the alternative exercise to improve respiratory functions. Conclusion: Pulmonary rehabilitation should be provided during the treatment process, including inpatients or outpatients phase to ensure returning patients’ recovery of respiratory function. Moreover, exercise recommendations should be tailored based on patients’ specific needs.

Co-Authors A.A. Istri Agung Siswandewi Andryanto - Arya Wiguna Cok Dalem Kurniawan Dewa Agung Gina Andrini Gde Rabi Rahina Soethama Govinda Vittala I Dewa Gede Alit Kamayoga I Gd Mediastama I Made Niko Winaya I Made Yoga Prabawa I Made Yoga Prabawa I Nyoman Adi Putra I Nyoman Oka Yuliartha I Putu Adiartha Griadhi I Putu Sutha Nurmawan I Wayan Gede Sutadarma Ida Ayu Dewi Wiryanthini Luh Kamiati Luh Putu Ratna Sundari M Widnyana Made Bisma Wibawa Made Meita Malini Niko Winaya NYOMAN AGUS BAGIADA Putu Diva Dharma Suta Sayu Made Ardhia Pramayanti Putri Sisca Susantio

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