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All Journal Majalah Kedokteran Bandung Althea Medical Journal Pendidikan Biologi Indonesian Journal of Cardiology 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 KESANS : International Journal of Health and Science Indonesia Journal of Physical Medicine and Rehabilitation Indonesia Journal Physical Medicine and Rehabilitation Folia Medica Indonesiana
Dian Marta Sari
Departemen Ilmu Kedokteran Fisik Dan Rehabilitasi Medik, Fakultas Kedokteran, Universitas Padjadjaran, Bandung
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Health Professions Medicine & Pharmacology Neuroscience Physics Public Health

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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.
Physical activity profile of the professors of padjadjaran university based on global physical activity questionnaire Maulida, Mutia Nur; Lubis, Leonardo; Sari, Dian Marta
Folia Medica Indonesiana Vol. 53, No. 4
Publisher : Folia Medica Indonesiana

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

Abstract

Physical activity is one of the factors which determines one's health and fitness, including the professors of Padjadjaran University, as it might support their academic performances. Global Physical Activity Questionnaire (GPAQ) may describe physical activity. The purpose of this study was to describe physical activity profile of the professors of Padjadjaran University based on GPAQ. Physical activity profile which was classified as gender, age group, recommendation fulfillment, and intensity variables by present-ing quantity (n) and percentage (%) was obtained from 141 professors who fulfilled the inclusion criteria. The result of this des-criptive-quantitative study showed that 109 of the respondents were male, and 32 were female. According to WHO age group cate-gories, 35 respondents were middle aged, 78 were elderly, and 28 were late elderly. Fifty-eight respondents (41.1%) did not fulfill minimal recommendation for physical activity, 114 respondents (80.8%) underwent moderate activity and 29 respondents (20.6%) underwent vigorous activity. Therefore, it can be concluded that professors of Padjadjaran University, which were mostly middle-aged men, did not fulfill minimal recommendation for physical activities, although many of them underwent moderate activities in their daily routines.
Mobilisasi Dini di Intensive Care Unit (ICU): Tinjauan Pustaka Dian Marta Sari; Siti Chandra Widjanantie; Dewi Poerwandari; Anitta Florence Stans Paulus; Deddy Tedjasukmana; Nury Nusdwinuringtyas; Anita Ratnawati; Hening Laswati Putra
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.
Functional Independence Through Compensatory Neurorehabilitation in a Young Adult After Severe Intracerebral Hemorrhage: A Case Report Ani Purwati Paligar; Farida Arisanti; Dian Marta Sari
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 7 (2026): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i7.613

Abstract

Introduction: Intracerebral hemorrhage (ICH) in young adults is associated with high morbidity, particularly involves extensive lobar areas and necessitates surgical intervention. Although increased neuroplasticity is associated with younger age, the functional recovery following craniotomy can differ significantly even neuroplasticity increased in young adults. Limited evidence available on rehabilitation-focused outcomes in this population. Objective: This study aimed to describe functional recovery following a structured rehabilitation program in a young adult patient after severe intracerebral hemorrhage and craniotomy Methods: A 39-year-old man had a large left frontotemporoparietal ICH with intraventricular extension had emergency craniotomy and hematoma evacuation. Two months later, severe right-sided paralysis (Brunnstrom stage 1), shoulder subluxation, poor functional speech, and total dependence on everyday activities (Barthel Index 40/100) were evident. A structured, goal-directed rehabilitation programme was implemented over four weeks, focusing on endurance training, mobility control, compensatory strategies using the unaffected limb, cognitive stimulation and caregiver education. Results: After a month of rehabilitation, the patient achieved independent bed-to-sit mobility, increased unsupported sitting tolerance from 10 to 60 minutes, partially comprehensible speech, and improved independence in basic activities of daily living using compensatory strategies. The Barthel Index improved to 65/100 with Burnnstrom increase from 2 to 3 for right extremities and Burnnstrom 2 to 5 for left extremities. Conclusion: Young adults with severe intracerebral haemorrhage (ICH) can achieve meaningful functional independence through endurance-focused and compensatory rehabilitation strategies, even neurological motor recovery is limited. Significant functional outcomes beyond motor restoration may be achieved through rehabilitation goals targeting activity and participation.
The Role of Inspiratory Muscle Training for Enhancing Functional Capacity in Post Heart Valve Surgery Patients: A Scoping Review Heru Wahyudi; Dian Marta Sari; Farida Arisanti; Muhammad Luthfi Dharmawan
Jurnal Kardiologi Indonesia Vol 47 No 1 (2026): January - March, 2026
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.1885

Abstract

Background: Valvular Heart Disease (VHD), particularly Rheumatic Heart Disease (RHD), is a major health burden in Indonesia, often requiring heart valve surgery. Post-operative respiratory muscle dysfunction and reduced functional capacity hinder recovery. Inspiratory Muscle Training (IMT) is a non-invasive intervention that improves respiratory muscle strength and functional outcomes. This scoping review evaluates the role of IMT in enhancing functional capacity among patients after heart valve surgery.Methods: A systematic search of PubMed and Scopus identified Randomized Controlled Trials (RCTs) and cohort studies involving adult patients who underwent IMT interventions after heart valve surgery. The search strategy combined controlled vocabulary (Medical Subject Headings [MeSH]) Key terms included: (“heart valve surgery” OR “valve replacement” OR “valvular heart disease”) AND (“inspiratory muscle training” OR “respiratory muscle training”) AND (“functional capacity” OR “exercise capacity” OR “respiratory muscle strength” OR “pulmonary function”). Outcomes included functional capacity, respiratory muscle strength, pulmonary function, Post-operative Pulmonary Complications (PPCs), and hospital Length of Stay (LOS). Data were synthesized narratively.Results: Four RCTs (273 patients) showed IMT significantly improved Maximal Inspiratory Pressure (MIP), Six-Minute Walk Distance (6MWD), and pulmonary function [Forced Vital Capacity (FVC), Forced Expiratory Volume in 1 second (FEV₁)]. Interventions of 4–12 weeks reduced PPCs and LOS. Optimal benefits were observed with 8–12-week protocols.Conclusion: IMT enhances functional capacity, respiratory muscle strength, and pulmonary function post-heart valve surgery, with the potential to reduce complications and costs. Its integration into rehabilitation programs is recommended, particularly in regions with high RHD prevalence, such as Indonesia. Further studies should standardize protocols and assess long-term outcomes.
Co-Authors Abu Talkah Ani Purwati Paligar Anita Ratnawati Anitta Florence Stans Paulus Arisyaidin Arisyaidin Aryo Windaru Berianto Agustian Dany Hilmanto Dewi Nur Fiana Farida Arisanti Farida Arisanti Farida Arisanti Fifi Veronica Hening Laswati Putra Heru Wahyudi Irma Leilani Eka Putri Irma Ruslina Defi Irsan Agung Ramdhani Leonardo Lubis Marietta Shanti Maulida, Mutia Nur Muhammad Luthfi Dharmawan Mutia Nur Maulida Nurvita Trianasari Nury Nusdwinuringtyas Paramita, Ika Ayu Poerwandari, Dewi Prananta, Marietta Shanti Rachmat Gunadi Wachjudi Rizki Rizki Santoso, Patricia Helena Christiani Siti Chandra Widjanantie Sunaryo B Sastradimadja Sunaryo B. Sastradimaja Tedjasukmana, Deddy Tertianto Prabowo Vitriana Vitriana Wijaya, Laurentia Cindy Gani Windaru, Aryo