Erna Setiawati
Department Of Physical Medicine & Rehabilitation, Universitas Diponegoro, Semarang, Indonesia

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Journal : Indonesia Journal Physical Medicine and Rehabilitation

Improvement of Hand Motor Function after Radial Shock Wave Therapy in Chronic Stroke Patients M. Kamaluddin K; Erna Setiawati; Tanti Ajoe Kesoema
Indonesian Journal of Physical Medicine & Rehabilitation Vol 7 No 01 (2018): 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 (280.408 KB) | DOI: 10.36803/ijpmr.v7i01.115

Abstract

Introduction: The Radial Shock Wave Therapy (RSWT) expected could improve spasticity and hand function in chronic stroke patients. This study aimed to find out the improvement of hand function after RSWT as an additional therapy in chronic stroke patients. Methods: Design study was a randomized controlled trial, in December 2018. The patients were assigned randomly to the experimental group (Infrared, Stretching, and RSWT) and control group (Infrared and Stretching) for six weeks. Hand motor function was measured using Fugl-Meyer Motor Assesment (FMA) before and after intervention. Results: The median values of wrist FMA scores in the experimental and control group before and after intervention were 2 vs 5 (p=0.001) and 3 vs 4 (p<0.001) respectively. The median values of hand FMA scores in the experimental and control group before and intervention were 4 vs 6 (p=0,.001) and 4 vs 5 (p<0.001). However, the delta between before and after intervention was higher in experimental group. Conclusion: The improvement of wrist and hand FMA scores after added treatment by RSWT was tend to higher.Keywords: Spasticity, Hand Function, Stroke, Radial Shock Therapy, Fugl-Meyer Motor Assesment
Improvement of VO2 max in Patient with Restrictive Pulmonary Disorder after Deep Breathing Exercise Lisa Nurhasanah; Erna Setiawati; Rahmi Isma AP
Indonesian Journal of Physical Medicine & Rehabilitation Vol 7 No 01 (2018): 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 (267.219 KB) | DOI: 10.36803/ijpmr.v7i01.129

Abstract

Introduction: Restrictive pulmonary disorder is reducing VO2 max values. It can be caused by lung can’t take oxygen from outside air freely. Pulmonary rehabilitation is known to increase the VO2 max. One of the pulmonary rehabilitation is deep breathing exercise. In this study aimed to know the improvementVO2 max after deep breathing exercise.Methods: This was an experimental without control pre and post-experimental study. The Six Minutes Walking Test (6MWT) was measured in patients with restrictive pulmonary disorder, after deep breathing exercise two times a day, for four weeks in May 2018.Results: Fifteen subjects were recruited, with the mean age was 70,76 ± 5,33 years old, 6MWT was 375,13 ± 44,19 m and VO2 Max 31,61±0,86 ml/kg/minute. After four weeks intervention, 6MWT value was 401±44,57 m (p=0.000) and VO2 Max score was 32,11±0,87 ml/kg/minute (p=0.000).Conclusion: Four weeks of deep breathing exercise can improve the VO2 max in restrictive lung disorder.Keywords: Deep breathing exercise, Restrictive pulmonary disorder, VO2 max.