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All Journal Majalah Kedokteran Bandung Althea Medical Journal Pendidikan Biologi Folia Medica Indonesiana Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia Revitalisasi : Jurnal Ilmu Manajemen SURABAYA PHYSICAL MEDICINE AND REHABILITATION JOURNAL Indonesia Journal of Physical Medicine and Rehabilitation Indonesia Journal Physical Medicine and Rehabilitation
Dian Marta Sari
Physical Medicine And Rehabilitation Department, Hasan Sadikin General Hospital, Faculty Of Medicine Universitas Padjadjaran Bandung, Indonesia
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Health Professions Medicine & Pharmacology Neuroscience Physics Public Health Other

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Effect Combination of Inspiratory Muscle Training and Aerobic Exercise on Cardiopulmonary Endurance and Pulmonary Function in Systemic Lupus Erythematosus Irsan Agung Ramdhani; Irma Ruslina Defi; Dian Marta Sari; Rachmat Gunadi Wachjudi
Indonesian Journal of Physical Medicine & Rehabilitation Vol 10 No 02 (2021): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36803/ijpmr.v10i02.306

Abstract

ABSTRACTIntroduction: Systemic Lupus Erythematosus (SLE) is a chronic autoimmune disease which decreasedcardiopulmonary endurance and pulmonary function are the clinical manifestations. Inspiratory MuscleTraining (IMT) has never been studied before, but aerobic exercise is commonly studied in SLE patients.This study was conducted to know the combination ef fect of IMT and aerobic exercise in SLE patients.Materials and methods: This study use quasi experimental design with pre and post-test approach.Fourteen SLE patients that included in the Lupus Low Disease Activity State (LLDAS) were givenIMT and aerobic exercise for 8 weeks. Cardiopulmonary endurance is measured by 6-minute walk test(6MWT) and Metabolic Equivalents (METs), pulmonary function by Maximal Inspiratory Pressure(MIP), Forced Expiratory Volume in 1 second (FEV1), and Forced Vital Capacity (FVC).Results: There is significant increase in pre and post intervention data, 397.45 ± 49.34 vs 427.50 ± 48.67for 6MWT; 5.25 ± 1.14 vs 5.84 ± 1.08 for METs; 56.20 ± 14.24 vs 86.36 ± 20.73 for MIP; 68.00 ± 10.71vs 72.90 ± 11.30 for FEV1; and 1.81 ± 1 1.14 vs 77.36 ± 11.80 for FVC.Conclusion: The combination of IMT and aerobic exercise can increase cardiopulmonary endurance andpulmonary function in SLE patients.Keywords: aerobic, inspiratory muscle training, lupus low disease activity state, maximal inspiratorypressure, metabolic equivalents, six-minute walk test.
Leg Length Discrepancy Berianto Agustian; Tertianto Prabowo; Dian Marta Sari
Indonesian Journal of Physical Medicine & Rehabilitation Vol 11 No 01 (2022): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36803/ijpmr.v11i01.322

Abstract

ABSTRACT Leg length discrepancy (LLD) is a condition of length differences in the lower extremity, caused by variety of factors, both congenital and acquired. Measurement using measuring tape, block test, and supine-tositting test based on bony landmarks is considered less accurate than imaging techniques. Measuring LLD can be difficult in certain cases such as obesity, leg deformities, and post arthroplasty. Individuals will develop biomechanical strategies to compensate inequality of leg when standing, walking, andrunning on their feet, ankles, knees, hip, and or pelvis to minimize energy consumption. It can causes several complications, including osteoarthritis, functional scoliosis, intervertebral disc degeneration, stress fractures, cardiovascular and neuromuscular problems. Management varies from wearing a shoelift, relieve muscle and joint contracture, and surgical procedures. This paper was written to review measurement technique, biomechanical compensation strategies, complication, and management of LLD from Physical Medicine and Rehabilitation point of view .Keyword: biomechanical compensation strategies, leg length discrepancy, lower extremity, management, measurement
ANALISIS KINERJA KEUANGAN BADAN LAYANAN UMUM (BLU) DALAM RANGKA PENERAPAN SEBAGAI SATKER BADAN LAYANAN UMUM RS. BHAYANGKARA KEDIRI DI ERA BPJS Dian Martasari; Abu Talkah; Arisyaidin Arisyaidin
REVITALISASI : Jurnal Ilmu Manajemen Vol 6 No 4 (2017): REVITALISASI : Jurnal Ilmu Manajemen
Publisher : Universitas Islam Kadiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (705.075 KB) | DOI: 10.32503/revitalisasi.v6i4.423

Abstract

Quality of service is the overall characteristics of the service which is demonstrated in satisfying of consumers’s needs , and BPJS Health Care is a statutory body that set up to organize the health insurance program, as well as patient satisfaction is a feeling of the patient’s level arising as a result of the performance of health service obtained after comparing with what patient’s expected. According to DJSN after doing the monitoring and evaluation of BPJS Health Care program, many participants complained with tiered referral service system that applied by BPJS Health Care, especially in Class II Inpatient Sekayu Regional General Hospital. The purpose of this study was to determine the relationship of BPJS Health Care service quality with patient’s satisfaction in Class II Inpatient Sekayu Regional General Hospital. This study using Analytical research design. The independent variable is the BPJS Health Care service quality and the dependent variable is patient’s satisfaction. Samples taken using Proportional Stratified Random Sampling technique that found 146 patients in Class II Inpatient Sekayu Regional General Hospital. The research instrument used questionnaire. The data were analyzed using Chi Square statistical tests with significance level of p Value ≤ 0,05. The results showed as many as 65 respondents (44,5%) stated the BPJS Health Care service quality is not good, and patient’s satisfaction as many as 69 respondents (47,3%) said not satisfied with the BPJS Health Care service. Results of statistical test Chi Square stating there is a relationship between BPJS Health Care service quality with level of patient satisfaction in Class II Inpatient Sekayu Regional General Hospital (p Value = 0,000).
The Impact of Periodized Sit-to-Stand Exercises on Enhancing Gross Motor Skills and Balance in Children with Down Syndrome Prananta, Marietta Shanti; Sari, Dian Marta; Paramita, Ika Ayu; Trianasari, Nurvita; Wijaya, Laurentia Cindy Gani; Santoso, Patricia Helena Christiani
Surabaya Physical Medicine and Rehabilitation Journal Vol. 7 No. 2 (2025): SPMRJ, AUGUST 2025
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v7i2.66296

Abstract

Background: Down syndrome (DS) is a congenital disorder with multiple chromosomal disorders. That causes growth disorders and changes the structure of the brain, like physical growth retardation, inability to learn, and other ailments of the cardiovascular system, thyroid glands, and blood cancer. The brain diminishes in size and maturation problems, and pathophysiological processes cause delayed motor development. Disorders often found in children with DS include hypotonia, ligamentous laxity, decreased muscle strength, postural control, proprioception, and cognitive disorders. Strengthening exercises in Down Syndrome children is thought to improve their motor and balance skills. The objective of this study was to assess the effect of periodic sit-to-stand strengthening exercises on Down Syndrome.Material and Methods: Children aged 7-12 years with Down Syndrome from Perhimpunan Orang Tua Anak Down Syndrome (POTADS) in Bandung participated in a seven-week sit-to-stand exercise intervention using a quasi-experimental design with a Pretest-Posttest Group approach (n=16). The initial load was 30% of body weight at 1 RM, progressively increasing to 70% by the seventh week, with adjustments based on re-measurements at week four. The intervention incorporated unloading and overloading phases and was performed thrice weekly at participants' homes. GMFM dimensions D and E and PBS were used to assess outcomes.Result: The result showed an increase in the D and E dimensions from the GMFM and PBS scores.Conclusion: Standing, walking, running, jumping motor, and balance skills in children with DS administered sit-to-stand exercise intervention with increased periodization.
Mobilisasi Dini di Intensive Care Unit (ICU): Tinjauan Pustaka Sari, Dian Marta; Widjanantie, Siti Chandra; Poerwandari, Dewi; Paulus, Anitta Florence Stans; Tedjasukmana, Deddy; Nusdwinuringtyas, Nury; Ratnawati, Anita; Putra, Hening Laswati
Majalah Kedokteran Indonesia Vol 72 No 1 (2022): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.72.1-2022-315

Abstract

Patients in the intensive care unit (ICU) usually have muscle weakness problems that are not related to their primary diseases when admitted ICU. This problem may become a clinical syndrome that we called ICU-Acquired Weakness (ICU-AW). There is currently no specific treatment for ICU-AW, therefore preventing patients from ICU-AW by controlling associated risk factors such as immobility, becoming a critical approach. Early mobilization (EM) has many benefits in the ICU setting for patients with or without mechanical ventilation. Besides that, the realization of EM needs consider the safety criteria and the barriers to their application. Thus, there are guidelines for the realization of EM to give the best outcomes while minimalizing the adverse events.
Co-Authors Abu Talkah Anita Ratnawati Arisyaidin Arisyaidin Aryo Windaru Berianto Agustian Dany Hilmanto Dewi Nur Fiana Farida Arisanti Fifi Veronica Hening Laswati Putra Irma Leilani Eka Putri Irma Ruslina Defi Irsan Agung Ramdhani Leonardo Lubis Marietta Shanti Mutia Nur Maulida Nurvita Trianasari Nury Nusdwinuringtyas Paramita, Ika Ayu Paulus, Anitta Florence Stans Poerwandari, Dewi Prananta, Marietta Shanti Rachmat Gunadi Wachjudi Rizki Rizki Santoso, Patricia Helena Christiani Sunaryo B Sastradimadja Sunaryo B. Sastradimaja Tedjasukmana, Deddy Tertianto Prabowo Vitriana Vitriana Widjanantie, Siti Chandra Wijaya, Laurentia Cindy Gani Windaru, Aryo