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Role of Physical Medicine and Rehabilitation in Phantom Pain Management Yudith Dian Prawitri; Ratna Darjanti Haryadi
Indonesian Journal of Physical Medicine & Rehabilitation Vol 5 No 01 (2016): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Limb amputation often results in the alteration of painful (phantom and stump pain) and nonpainful sensoryexperiences (phantom sensation). It is important to know the characteristics of sensory experiences to avoidmistakes in identifying phantom pain. Phantom pain can cause disability for patient, disturbance in mobility,and deteriorate the quality of post-amputated patient. Management of phantom pain include pharmacologytreatment, surgery, anasthesia also psychotherapy. Physical medicine and rehabilitation program such asphysical therapy, biofeedback, desensitization, occupational therapy, mirror therapy, and applying prosthesisshould be performed not only to manage the pain, but also to improve functional level to increase patient’squality of life.Key Words: Amputation; Phantom limb pain; Stump pain; Sensation; Rehabilitation.

Role of Physical Medicine and Rehabilitation in Phantom Pain Management Yudith Dian Prawitri; Ratna Darjanti Haryadi
Indonesian Journal of Physical Medicine & Rehabilitation Vol 5 No 01 (2016): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Limb amputation often results in the alteration of painful (phantom and stump pain) and nonpainful sensoryexperiences (phantom sensation). It is important to know the characteristics of sensory experiences to avoidmistakes in identifying phantom pain. Phantom pain can cause disability for patient, disturbance in mobility,and deteriorate the quality of post-amputated patient. Management of phantom pain include pharmacologytreatment, surgery, anasthesia also psychotherapy. Physical medicine and rehabilitation program such asphysical therapy, biofeedback, desensitization, occupational therapy, mirror therapy, and applying prosthesisshould be performed not only to manage the pain, but also to improve functional level to increase patient’squality of life.Key Words: Amputation; Phantom limb pain; Stump pain; Sensation; Rehabilitation.

Foot orthoses improve kinematic measurement in young women with biomechanical abnormality Maria Regina Rachmawati; Angela BM Tulaar; Muctarudin Mansyur; Ferial Hadipoetro Idris; Ismail Ismail; Ratna Darjanti Haryadi
Universa Medicina Vol. 32 No. 3 (2013)
Publisher : Faculty of Medicine, Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2013.v32.187-196

BACKGROUNDFoot pronation causes biomechanical abnormalities in the form of functional leg-length disparity. Foot orthoses are often used in the treatment of abnormal pronation. The aim of the study was to evaluate the effect of foot orthoses on abnormal kinematic chain the differences of pelvic height, step length, and walking distance on walking test in young women with biomechanical abnormality.METHODS A randomized double blind controlled clinical trial was conducted on 27 young adult women having abnormal biomechanical abnormalities. By random allocation the subjects were divided into the intervention group (14 subjects) receiving correction of foot pronation using foot orthoses, and the control group (13 subjects) receiving no orthoses. Before and during use of foot orthoses, we determined pelvic height difference (mm), step length difference (cm), and walking distance at maximal walking speed for 15 minutes. RESULTS Correction of foot pronation resulted in decreased pelvic height difference from 4.7 ± 2.1 mm to 1.7 ± 1.3 mm (p<0.001) and in a reduction in step length difference, from 4.9 ± 2.9 cm to 2.1 ± 1.5 cm (p=0.002). Walking test distance of the intervention group was 1318.5 ± 46.3 m, as compared with that of the control group of 1233 ± 114.7 m (p = 0.05). Walking distance of the intervention group rose steadily in the second test to 1369.3 ± 27 m, and in the third test to 1382.14 ± 10.5 m (p<0.001). CONCLUSIONS Foot orthoses improved the kinematic chain, resulting in a more symmetrical pelvic height, reduced step length difference, and increased functional walking ability.

Moderate Intensity Physical Exercise Decreases Gastrocnemius Caspase-3 Expression on Mus musculus with Statin Treatment Junita Jeanne Paliman; Ratna Darjanti Haryadi; Rwahita Satyawati Darmanta; Willy Sandhika; Martha Kurnia Kusumawardani
Indonesian Journal of Physical Medicine & Rehabilitation Vol 10 No 01 (2021): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

ABSTRACTIntroduction: Dyslipidemia is a lipid metabolism abnormality marked by increase or decrease of lipid fraction in the plasma. Statin or 3-Hydroxy-3-Methylglutaryl coenzyme A (HMG-CoA) reductase inhibitor is an important dyslipidemia medication that may induce apoptosis of the skeletal muscle.Decrease of Bcl-2 and Bax ratio causing caspase-9 activation followed by caspase-3 activation occur in apoptosis. Moderate intensity physical exercise (MIPE) decreases DNA fragmentation, increases Bcl-2 protein level and decreases Bax transcript level.Methods: Thirty healthy BALB/C strain Mus musculus divided into 3 groups: first intervention group with statin only treatment (S), second intervention group with statin treatment plus MIPE using motorized treadmill (ST), and control (C) group with no statin and nor exercise. The duration of treatmentwas 28 days. Statin treatment dose was 2.06mg/kg bodyweight. Measurement caspase-3 was done by immunohistochemistry evaluation and the expression of capase-3 was calculated by cells count which expressing caspase-3.Results: There were more muscle cells expressing caspase-3 in the S group (47.00±12.92cells) than the C group (2.70±1.94 cells); p=0.000, the ST group (21.44±10.13 cells) than the C group (p=0.001), as well as S group and the ST group (p=0.000).Conclusion: Moderate intensity physical exercise can decrease caspase-3 expression in statin treated subject.Keywords: apoptosis, caspase-3, dyslipidemia, moderate intensity physical exercise, statin.

Moderate Intensity Physical Exercise Decreases Gastrocnemius Caspase-3 Expression on Mus musculus with Statin Treatment Junita Jeanne Paliman; Ratna Darjanti Haryadi; Rwahita Satyawati Darmanta; Willy Sandhika; Martha Kurnia Kusumawardani
Indonesian Journal of Physical Medicine & Rehabilitation Vol 10 No 01 (2021): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

ABSTRACTIntroduction: Dyslipidemia is a lipid metabolism abnormality marked by increase or decrease of lipid fraction in the plasma. Statin or 3-Hydroxy-3-Methylglutaryl coenzyme A (HMG-CoA) reductase inhibitor is an important dyslipidemia medication that may induce apoptosis of the skeletal muscle.Decrease of Bcl-2 and Bax ratio causing caspase-9 activation followed by caspase-3 activation occur in apoptosis. Moderate intensity physical exercise (MIPE) decreases DNA fragmentation, increases Bcl-2 protein level and decreases Bax transcript level.Methods: Thirty healthy BALB/C strain Mus musculus divided into 3 groups: first intervention group with statin only treatment (S), second intervention group with statin treatment plus MIPE using motorized treadmill (ST), and control (C) group with no statin and nor exercise. The duration of treatmentwas 28 days. Statin treatment dose was 2.06mg/kg bodyweight. Measurement caspase-3 was done by immunohistochemistry evaluation and the expression of capase-3 was calculated by cells count which expressing caspase-3.Results: There were more muscle cells expressing caspase-3 in the S group (47.00±12.92cells) than the C group (2.70±1.94 cells); p=0.000, the ST group (21.44±10.13 cells) than the C group (p=0.001), as well as S group and the ST group (p=0.000).Conclusion: Moderate intensity physical exercise can decrease caspase-3 expression in statin treated subject.Keywords: apoptosis, caspase-3, dyslipidemia, moderate intensity physical exercise, statin.

The Outcome of Biofeedback Muscle Re-Education after Brachial Plexus Reconstruction: a Case Series Arfianti, Lydia; Haryadi, Ratna Darjanti
Surabaya Physical Medicine and Rehabilitation Journal Vol. 2 No. 1 (2020): SPMRJ, Februari 2020
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v2i1.17621

The purpose of this report was to evaluate the outcome of biofeedback muscle re-education after brachial plexus reconstruction. A case series was conducted based on registry data of Rehabilitation Outpatient Clinic. A total of 20 subjects underwent surgical reconstruction to restore elbow flexion in the period of 2012-2014 were included in the study. All 20 subjects received biofeedback muscle re-education until end June 2015 (data extraction). Oucome measures were time to recovery (months) after surgical reconstruction and patients' compliance. Recovery is considered when muscle contraction of biceps (nerve transfer) and gracilis (free functional muscle transfer/ FFMT) are â‰¥ 100Î¼V, recorded using EMG-surface electrode. Of 4 subjects underwent nerve transfer, all showed recovery with median time of 9 months. Of 16 subjects underwent FFMT, 5 showed recovery with median time of 9 months. The majority of subjects in both groups could comply with once in 2 weeks rehabilitation program.

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