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All Journal Sari Pediatri Paediatrica Indonesiana Jurnal Plastik Rekonstruksi Medica Hospitalia ASEAN Journal of Community Engagement Indonesia Journal of Physical Medicine and Rehabilitation Indonesia Journal Physical Medicine and Rehabilitation JKKI : Jurnal Kedokteran dan Kesehatan Indonesia Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Luh Karunia Wahyuni, Luh Karunia
Departemen Ilmu Kesehatan Fakultas Kedokteran Universitas Indonesia Anak/Rumah Sakit Cipto Mangunkusumo, Jakarta
Civil Engineering, Building, Construction & Architecture Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Health Professions Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Other

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Rehabilitation of A Child with Low Endurance in the Recovery Phase of Guillain-Barré Syndrome Laksmitasari, Budiati; Putra, Johanes; Wahyuni, Luh Karunia; Wardhani, Rizky Kusuma
Medica Hospitalia : Journal of Clinical Medicine Vol. 11 No. 1 (2024): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36408/mhjcm.v11i1.1020

Abstract

BACKGROUND: Guillain-Barré Syndrome (GBS) usually has a good prognosis of recovery. However, some patients can have remaining disabilities due to low cardiorespiratory fitness or endurance and needs to be managed. AIMS: This study reports the rehabilitation assessment and management of a child with low cardiorespiratory endurance in the recovery phase of GBS. CASE: A 12-year-old girl with a history of hospitalization due to Acute Motor and Sensory Axonal Neuropathy (AMSAN)-type of GBS was referred to the Physical Medicine and Rehabilitation (PMR) outpatient clinic with tiredness that restricted her school participation. She had low cardiorespiratory endurance, which was confirmed by a six-minute walk test (6-MWT). After the rehabilitation program, her endurance level was increased, and she can return to school. DISCUSSION: A comprehensive assessment showed that the muscle weakness, accompanied by obesity, anemia, and inactivity, led to low cardiorespiratory endurance that restricted the activity and participation. A rehabilitation program that consisted of aerobic and strengthening exercises improved cardiorespiratory endurance, walking ability, and school participation. CONCLUSION: Rehabilitation management in children with low cardiorespiratory endurance due to the sub-acute phase of GBS could help them regain their activity and participation during the recovery phase.
Speech Outcome Evaluation Of Cleft Palate Patients Underwent Palatoplasty In Plastic Surgery Division Cipto Mangunkusumo Hospital Indonesia Kreshanti, Prasetyanugraheni; Sari, Vania Aramita; Wangge, Grace; Wahyuni, Luh Karunia
Jurnal Plastik Rekonstruksi Vol. 5 No. 1 (2018): Jurnal Plastik Rekonstruksi
Publisher : Lingkar Studi Bedah Plastik Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (934.278 KB) | DOI: 10.14228/jpr.v5i1.248

Abstract

Background: Speech is the primary goal of palatoplasty, however, there is no current data available about the long term speech evaluation after palatoplasty in our hospital which is the national referral hospital that has the only cleft craniofacial center in Indonesia. The initial data of speech outcome is required for further research which assessment should be standardized and applicable to Indonesian children that mostly speak bahasa. This study aims to get initial data by evaluating speech outcome of patients that underwent palatoplasty with adapted perceptual assessment words in Indonesian language, and describe factors influencing speech. Method: This research is a cross-sectional study to evaluate speech outcome of patients underwent palatoplasty in Cipto Mangunkusumo Hospital from October 2010–December 2012 conducted from December 2017 – July 2018. Result: Total 23 samples were measured for articulation rating where 17 (74%) patients had normal production of majority of phonemes, while there were 6 (26%) patients had predominantly distortion of phonemes. The hypernasality rating were normal in 12 (52%) patients, mild in 5 (22%) patients and moderate in 6 (26%) patients. The speech intelligibility rating were dominantly normal which all speech is understood in 17 (74%) patients and the rest of 6 (26%) patients were listeners attention needed. The velopharyngeal competence were good in 16 (70%) patients, fair in 1 (4%) patients and poor in 6 (26%) patients. Conclusion: Management of cleft palate patients will be achieved by well integrated services including speech pathologist and orthodontist. By giving the long term follow up to the patients, the optimal outcomes will be achieved. This research can be used as a reference for speech outcome evaluation in cleft palate patients in Indonesia.
The Influence and Feasibility of Therapeutic Exercise Videos at Home on the Functional Status of Post-COVID-19 Hospitalization Wahyuni, Luh Karunia; Harini, Melinda; Sunarjo, Peggy; Ramadhany, Mellisya; Fitriana, Ika; Hidemi, Octaviany; Wijayanti, Indri; Nugraha, Boya; Tedjasukmana, Deddy; Tamin, Tirza Z
Kesmas Vol. 18, No. 5
Publisher : UI Scholars Hub

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

Abstract

The COVID-19 pandemic pushed physicians to modify conventional practices to reduce the exposure and risk of infection among patients and health workers. Telemedicine is one of the safest methods, and telerehabilitation could prevent the sequelae of COVID-19. A quasi-experimental study with randomized sampling without masking/blinding was conducted. The study was conducted from August 2021 to March 2022 at Hospital A in Pekanbaru, Hospital B in Jayapura, and Hospital C in Jakarta, Indonesia. A total of 27 patients were recruited and divided into control and intervention groups. The control group was given conventional education on therapeutic exercise at home, while the intervention group was shown educational videos about therapeutic exercise at home. The comparison of all functional outcomes between the two groups after the intervention showed a significant difference. The intervention group improved more than the control group, except for the fatigue severity scale. Most of the responses showed that this video was feasible and useful and did not need to be supervised by health workers. Therapeutic exercise educational videos can be an option to deliver rehabilitation programs for post-COVID-19 hospitalized patients.
Co-Authors Adrian Prasetya Sudjono Agatha Geraldyne Aldri Frinaldi Aryono Hendarto Bangun, Kristaninta Bani, Anna Puspitasari Boya Nugraha Budiati Laksmitasari Clements Clements Damayanti Rusli Syarif Dini Prima Utami Djoenaedi, Intania Edbert Wreksoatmojo Elfrida Ratnawati fitriana, ika Grace Wangge, Grace Harini, Melinda Hidemi, Octaviany Hikari Ambara Sjakti, Hikari Ambara Ika Fitriana Indri Wijayanti Inez Ayuwibowo Sangwidjojo Irawan Mangunatmadja Irawan Mangunatmadja Irawati, Yunia Kreshanti, Prasetyanugraheni Kurniawardhani, Dewinta Retno Lindrawati Tjuatja lmral Chair Melinda Harini Melinda Harini Melinda Harini Melinda Harini Mellisya Ramadhany Nugraha, Boya Octaviany Hidemi Peggy Sunarjo Primo Parmato Putra, Johanes Rachmawati, Elvie Zulka Kautzia Ramadhany, Mellisya Risma Kerina Kaban Risma Kerina Kaban Rizky Kusuma Wardhani Sari, Vania Aramita Satyanaya Widyaningrum Siti Handayani Skolastika Mitzy Benedicta Sri L. Menaldi Sri Linuwih Susetyo Wardhani, Sri Linuwih Susetyo Steven Setiono Sunarjo, Peggy Tedjasukmana, Deddy Tirza Z Tamin Tirza Z Tamin Tirza Z Tamin Victor Prasetyo Poernomo Wardhani, Rizky Kusuma Wijayanti, Indri Yeni Dwi Lestari