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All Journal BALI MEDICAL JOURNAL (BMJ) Jurnal VOK@SINDO Jurnal NERS MNJ (Malang Neurology Journal) Health Notions Journal Orthopaedi and Traumatology Surabaya (JOINTS) SURABAYA PHYSICAL MEDICINE AND REHABILITATION JOURNAL Majalah Biomorfologi (Biomorphology Journal) Indian Journal of Forensic Medicine & Toxicology Journal of Social Research Journal of Pain, Vertigo and Headache Folia Medica Indonesiana
Imam Subadi
Department Of Physical And Rehabilitative Medicine, Faculty Of Medicine, Universitas Airlangga, Surabaya/ Dr. Soetomo General Academic Hospital, Surabaya
Humanities Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Computer Science & IT Dentistry Economics, Econometrics & Finance Education Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

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Effect of Aerobic Exercise on Brain-derived Neurotrophic Factor (BDNF) Serum Level in Stroke Subjects with Cognitive Function Impairment Vanydia Aisyah; Subagyo Subagyo; Imam Subadi
Surabaya Physical Medicine and Rehabilitation Journal Vol. 2 No. 2 (2020): SPMRJ, AGUSTUS 2020
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v2i2.17669

Abstract

Background: Cognitive impairment is the most frequent complication of stroke. However, erobic exercise is considered to have potential effect in inhibiting the post-stroke cognitive degradation and increasing cognitive performance through neuroplasticity-influenced long term potentiation in hippocampus.Aim: To determine the effect of aerobic exercise on brain-derived neurotrophic factor (BDNF) serum level in stroke subjects with cognitive function impairment.Material and Methods: Experimental pre-post study on sub-acute stroke male and female, 12 subjects on each group. Intervention group given standard therapy and aerobic exercise using static cycle. Control group treated with standard therapy 30 minutes/session 3x/week, for 6 weeks. Parameter being evaluated was BDNF serum level.Result: No significant difference (p=0.21) in BDNF serum level in both control group (246.03±40.81 pg/ml) and intervention group (280.98±73.53 pg/ml) after treated with treatment. Although there was a significant increase of BDNF serum level in the intervention group (p<0.001) with pre-intervention mean value of 1.96±60.69 pg/ml and post-intervention mean value of 280.98±73.53 pg/ml. Similar to the intervention group, there was a significant increase in BDNF serum level (p<0,001) in control group, with pre-intervention mean value of 136.39±76.32 pg/ml and post-intervention mean value of 246.03±40.81 pg/ml.Conclusion: No significant difference in BDNF serum levels in intervention group after aerobic exercise program with a static cycle and standard therapy 3x/week for 6 weeks, when compared to the control group that only received standard therapy, although both control and intervention groups showed significant difference before and after the intervention.
The Influence of Elastic Taping on Dynamic Muscular Control (Dynamic Control Ratio) Evertor-Invertor Ankle in Type 2 Diabetes Mellitus Male with Complications of Peripheral Neuropathy Yuli Indah Kurnia; Imam Subadi; I Putu Alit Pawana; Sony Wibisono
Surabaya Physical Medicine and Rehabilitation Journal Vol. 2 No. 2 (2020): SPMRJ, AGUSTUS 2020
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v2i2.17673

Abstract

Background: Type 2 Diabetes Mellitus (DM) with Peripheral Neuropathy often have impared control of muscle strength that increases the risk of fall. Elastic taping (ET) is a special elastic band that can stretch up to 140% and could facilitate muscle contraction.Aim: To prove the influence of ET on the dynamic muscular control balance between evertor and invertor muscles of the ankle in type 2 DM male with peripheral neuropathy.Material and methods: This study used a pre-post one grup study, with10 type 2 DM male with peripheral neuropathy. All subjects were examined for ankle evertor-invertor dynamic control ratio (DCR) with isokinetic dynamometer at 600/sec and 1200/sec before elastic taping (ET), 30 minutes after ET, at the third day of ET aplication and 3 days after ET was released. Elastic taping was applied with functional tehniques on the both ankles.Result: There were no significant differences between with and without the application of KT in the ankle evertor-invertor DCR in both side. The p value were same in both sides, at 600/sec after 30 minute ET (p=0.72), at the third day of ET aplication (p=0,24), 3 days after released ET (p= 0,88) and at 1200/sec after 30 minute ET (p=0,17).Conclusion: Elastic taping did not improve the ankle evertor-invertor DCR in type 2 DM male patients with peripheral neuropathy.
Non-Pharmacological Balance Therapy on Diabetic Peripheral Neuropathy Patients with Balance Disorders Jeremy Nicolas Sibarani; Kristanti Wanito Wigati; Imam Subadi
Surabaya Physical Medicine and Rehabilitation Journal Vol. 4 No. 1 (2022): SPMRJ, FEBRUARY 2022
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v4i1.24982

Abstract

ABSTRACTBackground: Patients with diabetic peripheral neuropathy (DPN) suffers from propioceptive ability and mobility disturbance which can potentially affects balance. There are various balance therapy options for DPN patients. The purpose of this study was to determine the effectiveness of various non-pharmacological therapies (surgery, traditional medicine, exercise and assistive devices) in DPN patients with balance disorders.Aim(s): To determine the effectiveness of non-pharmacological balance therapy in people with diabetic peripheral neuropathyMaterial and methods: A systematic review was conducted using randomized controlled trial study articles found using PICO characteristics in ScienceDirect and PubMed in the last 10 years. All articles were selected based on PRISMA and descriptive analysis was carried out on the selected articles.Result: Significant balance improvement found in traditional Thai massage, physical exercise therapy, assistive device therapy with whole-body vibration, and assistive device therapy with electrical stimulation. Surgical therapy with unilateral nerve decompression did not provide a significant measurable balance improvement.Conclusions: Physical exercise therapy, traditional Thai foot massage, WBV and electrical stimulation therapy (with the exception of TENS on the knee) significantly improve balance. Meanwhile, unilateral nerve decompression surgical therapy did not improve the balance significantly.
Effect of Anodal Transcranial Direct Current Stimulation to Flexor Digitorum Superficialis Muscle Activities in Stroke Subjects Ana Mursyida; Reni Hendrarati Masduchi; Imam Subadi
Surabaya Physical Medicine and Rehabilitation Journal Vol. 4 No. 1 (2022): SPMRJ, FEBRUARY 2022
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v4i1.25119

Abstract

Background: Stroke is the main causes of upper extremity weakness that may affect physicalindependency resulting in long-term disability. Previous studies showed that A-tDCS can improve neurological damage. A-tDCS causes depolarization and inducesbrainsynapticplasticity in strokesubjects.Aim: To analyze the effect of Anodal-tDCS to the flexor digitorum superficialis muscles activities in stroke subjects.Material and Methods: This experimental study was conducted from April to September 2020. Eightpatients who suffered first attack ischemic stroke, aged 40 to 70 years old, were recruited from PMR out patient clinic at Dr.Soetomo General Hospital Surabaya. Subjects were randomized in to experimental and control group. The control group was given occupational therapy for 30 minutes, while the experimental group was given A-tDCS with intensity 2 mA for 20 minutes and occupational therapy for 30 minutes in 5 consecutive days. Measurement of FDS muscle activities using sEMG were performed before and after interventionin both groups. Results: There was an increase of FDS muscles activities after treatment incontrol group (p=0,048) while there was no similar result in treatment group (p=0,188). Thechangeofmuscles activities was notdifferent betweengroups(p=0,974).Conclusion: tDCS provides no significant benefit in terms of muscle activities in patients with stroke. Small number of samples and other several factors might limit the significancy of current study. Further study is needed to determine the benefit of A-tDCS as a rehabilitation modality in patient with stroke.
MEDICAL REHABILITATION MANAGEMENT OF CARPAL TUNNEL SYNDROME Imam Subadi; Hanik Hidayati; Fidiana Fidiana; Nur Sulastri
Journal of Pain, Headache and Vertigo Vol. 2 No. 2 (2021): September
Publisher : Journal of Pain, Headache and Vertigo

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (239.043 KB) | DOI: 10.21776/ub.jphv.2021.002.02.3

Abstract

Carpal tunnel syndrome (CTS), the most common entrapment neuropathy in the upper extrimity, is a clinical syndrome characterized by a tingling sensation, numbness, pain, or weakness in the hand and wrist radiating up to the arm. This condition is a major cause of absenteeism, reduced productivity, and financial loss among various neuropathy due to median nerve compression. This paper, medical rehabilitation of CTS is viewed. Medical rehabilitation of CTS aimed to reduce pain, reduce clamping of the carpal tunnel, sensory and motor reeducation so that hand function improves and can perform activities of daily living. Treatment options can be given includes exercise therapy, ultrasound diathermy, low level laser therapy (LLLT), and shock wave therapy (SWT).
MEDICAL REHABILITATION MANAGEMENT OF CARPAL TUNNEL SYNDROME Imam Subadi; Hanik Hidayati; Fidiana Fidiana; Nur Sulastri
Journal of Pain, Headache and Vertigo Vol. 2 No. 2 (2021): September
Publisher : Journal of Pain, Headache and Vertigo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jphv.2021.002.02.3

Abstract

Carpal tunnel syndrome (CTS), the most common entrapment neuropathy in the upper extrimity, is a clinical syndrome characterized by a tingling sensation, numbness, pain, or weakness in the hand and wrist radiating up to the arm. This condition is a major cause of absenteeism, reduced productivity, and financial loss among various neuropathy due to median nerve compression. This paper, medical rehabilitation of CTS is viewed. Medical rehabilitation of CTS aimed to reduce pain, reduce clamping of the carpal tunnel, sensory and motor reeducation so that hand function improves and can perform activities of daily living. Treatment options can be given includes exercise therapy, ultrasound diathermy, low level laser therapy (LLLT), and shock wave therapy (SWT).
PATTERN OF RHEUMATIC DISEASES IN THE DIVISION OF RHEUMATOLOGY, DR. SOETOMO GENERAL ACADEMIC HOSPITAL, SURABAYA, INDONESIA, BETWEEN NOVEMBER 2021 AND MARCH 2022 Afifur Rafi Hilmi Aziz; Yuliasih; Imam Subadi
Majalah Biomorfologi Vol. 33 No. 2 (2023): MAJALAH BIOMORFOLOGI
Publisher : Universitas Airlangga, Surabaya, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mbiom.v33i2.2023.82-91

Abstract

Highlights: Rheumatic diseases, like many others, are often misdiagnosed and treated late in life, resulting in the increase of rheumatic diseases incidence. Gender, age, level of education, and occupation all play crucial roles in the onset of rheumatic disorders. Abstract Background: The epidemiology of rheumatic diseases plays an important role in the spread of rheumatic diseases worldwide. Epidemiology data of rheumatology diseases in Dr. Soetomo General Academic Hospital remains unclear as there are some problems such as rheumatic drug depletion and imperfect medical recording.  Objective: This study aimed to analyze the pattern of rheumatic diseases at the Division of Rheumatology, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia.  Material and Method: This prospective descriptive study used secondary data from medical records between November 2021 and March 2022 at the Division of Rheumatology, Dr. Soetomo General Academic Hospital. The variables of this study were gender, age, occupation, education level, disease duration, and clinical manifestations. Results: Secondary data was provided by 109 patients in this study. Gender was dominated by women as much as 96 (88%), age was dominated by age groups 26-35 years and 46-55 years, each as much as 26 (23.8%), educational level was dominated by senior high school as much as 24 (22%), and employment was dominated by housewives as much as 39 (35.7%) in the Divison of Rheumatology, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia. Based on disease incidence, 42 patients (38.5%) had systemic lupus erythematosus, and 38 patients (34.8%) had ankylosing spondylitis. Conclusion: Rheumatology patients at Dr. Soetomo General Academic Hospital Surabaya are predominantly female, aged 26-55, with senior high school education. The diseases mostly affect housewives and have a higher frequency of systemic lupus erythematosus and ankylosing spondylitis.
Early Application of Neuromuscular Electrical Stimulation Prevents Excessive Muscle Wasting in Critically Ill Patients in the Intensive Care Unit Utama Hutapea, Johannes Diandra Indra; Subadi, Imam; Arfianti, Lydia; Semedi, Bambang Pujo; Melaniani, Soenarnatalina
(JOINTS) Journal Orthopaedi and Traumatology Surabaya Vol. 14 No. 2 (2025): October 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/joints.v14i2.2025.77-83

Abstract

Background: Intensive Care Unit-Acquired Weakness (ICU-AW) is a common neuromuscular complication in critically ill patients, leading to muscle atrophy, prolonged mechanical ventilation and impaired functional recovery. Effective rehabilitation strategies play crucial role in maintaining muscle strength. Neuromuscular electrical stimulation (NMES) had shown potential in preserving quadriceps femoris muscle thickness. This study aimed to examine the effect of NMES to quadriceps femoris muscle thickness in patient with ICU-AW.Methods: Patients that stayed in ICU more than 48 hours and used mechanical ventilation for at least 24 hours enrolled in one-group pretest-posttest design. Neuromuscular electrical stimulation applied to bilateral quadriceps femoris for 30 minutes daily over five consecutive days. Bilateral quadriceps femoris muscle thickness were assessed with USG day before and after therapy.Results: Twenty ICU-AW patients were enrolled from December 2023 to June 2024, and 13 of them completed the study. There were no significant changes in the thickness of the right and left quadriceps femoris muscle before and after 5-days of NMES therapy (p = 0.910 and p = 0.519, respectively). However, we preserved less than 5% decreased of muscle thickness.Conclusions: Early 5-days of NMES therapy did not increase quadriceps femoris muscle thickness but effectively prevented further muscle degradation in ICU-AW patients. The potential benefits of rehabilitation therapy in ICU-AW patients should be further explored in future studies with controlled indicators and larger sample sizes.
Anticipatory Balance in Athletes Cerebral Palsy After 6-Month Intervention of Proprioceptive Neuromuscular Facilitation Stretching Techniques Martino, Nieko Caesar Agung; Subadi, Imam; Satyawati, Rwahita; Indriani, Diah
(JOINTS) Journal Orthopaedi and Traumatology Surabaya Vol. 14 No. 2 (2025): October 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/joints.v14i2.2025.84-91

Abstract

Background: The effect of Proprioceptive Neuromuscular Facilitation (PNF) stretching, in addition to standard stretching, improves anticipatory balance in athletes with Cerebral Palsy (CP). We aimed to analyze the effects of PNF stretching to standard training over 4 weeks on anticipatory balance in Cerebral Palsy athletes at 6-month post-intervention evaluation. Methods: The subjects of this study are 24 athletes with Cerebral Palsy at the Indonesian National Paralympic Committee (NPC) training facility. Subjects divided into the treatment group (n = 12) received standard stretching exercises along with PNF stretching, and the control group (n = 12) performed only standard stretching exercises. Both groups received intervention 3 times per week for 4 weeks and evaluation 6 months post-intervention. Y balance tests (YBT) were measured in three directions: anterior (A), posterolateral (PL), and posteromedial (PM), pre- and post-intervention.Results: There was significant improvement of YBT in the treatment group after 4 weeks of intervention. For the right and left limbs, marked increases were observed in all directions (p < 0.05). No significant improvements in YBT were observed at 6 months post-intervention in all directions (p > 0.05).Conclusions: Significant improvements in the Y Balance Test were observed after 4 weeks, but no differences between the two groups at the 6-month evaluation. These findings suggest that while short-term gains in dynamic stability are achievable with PNF, sustained benefits require ongoing reinforcement to maintain neuromuscular adaptations over time.
PROFILE OF BRAIN INJURY PATIENTS WITH COVID-19 INFECTION AT DR. SOETOMO HOSPITAL SURABAYA FOR THE PERIOD 2020 TO 2022 Mulyana, Darian; Turchan, Agus; Subadi , Imam; Apriawan, Tedy
Journal of Social Research Vol. 3 No. 2 (2024): Journal of Social Research
Publisher : International Journal Labs

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55324/josr.v3i2.1928

Abstract

In 2019, a previously unidentified coronavirus was named COVID-19. This virus can infect everyone without exception, including brain injury patients. Because this virus is relatively new, there have not been many studies examining the interaction of COVID-19 with brain injury. The purpose of this study was to examine the profile of brain injury patients with COVID-19 at Dr. Soetomo Hospital. Method This study was conducted with a descriptive observational method with a retrospective approach. The data taken came from the medical records of Dr. Soetomo Hospital. The results of 56 brain injury patients with COVID-19, the majority of whom were male, most of whom were in the age range of 40 – 59 years, mild brain injury cases were the most dominant, the average length of patient stay was 16.4 days and patient mortality was 30.4%.
Co-Authors Afifur Rafi Hilmi Aziz Ahmad Arif Ridha Ana Mursyida Andre Triade Desnantyo Andriana, RA Meisy Andriati Andriati Andriati Andriati Benni Azhari Damayanti Tinduh Dewi Septiani M K Sintia Diah Indriani Fauza Alfin Fidiana Fiequria Asri Ersyana Ganing, Sirly Nabireta Maharani Hanik Hidayati HARJANTO HARJANTO Harjanto JM Harjanto JM Hening Laswati Putra Islam, Mohamad Saiful J. A. Pangkahila Jeremy Nicolas Sibarani Kusumawardhany Airlangga Rijanti Langgeng Gunariadi Lydia Arfianti Mangestuti Agil Martino, Nieko Caesar Agung Masduchi, Reni Hendrarati Mulyana, Darian Nugraheni S. Nuniek Nuniek Nugraheni Nur Sulastri Nur Sulastri Patricia Maria Kurniawati Paulus Sugianto, Paulus Pawana, I Putu Alit Poerwandari, Dewi Putri, Nila Novia Raden Argarini Rejeki, Purwo Sri Retno Widyowati Rijanti, Kusumawardhany Airlangga Rwahita Satyawati Dharmanta Semedi, Bambang Pujo Sirly Nabireta Maharani Ganing, Sirly Nabireta Soenarnatalina Melaniani Soenarnatalina Melaniani Sony Wibisono Subagyo Subagyo Tedy Apriawan Turchan, Agus Utama Hutapea, Johannes Diandra Indra Vanydia Aisyah Wardhani, Indrayuni Lukitra Wigati, Kristanti Wanito Yuanita, Ida Yuli Indah Kurnia Yuliasih Yuliasih