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All Journal BALI MEDICAL JOURNAL (BMJ) Jurnal Kedokteran Syiah Kuala SURABAYA PHYSICAL MEDICINE AND REHABILITATION JOURNAL Indonesia Journal of Physical Medicine and Rehabilitation Indonesia Journal Physical Medicine and Rehabilitation AKSONA Pemberdayaan Masyarakat: Jurnal Aksi Sosial Folia Medica Indonesiana
Andriana, RA Meisy
Department Of Physical Medicine And Rehabilitation, Faculty Of Medicine, Universitas Airlangga, Dr. Soetomo Academic General Hospital, Surabaya, East Java, Indonesia
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Engineering Health Professions Medicine & Pharmacology Neuroscience Physics

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Effect of High Frequency Transcranial Magnetic Stimulation (TMS) on Extensor Digitorum Communis Muscle Strength in Ischemic Stroke Patients Juatmadja, Bastianus Alfian; Andriana, Meisy; Satyawati, Rwahita
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 | Full PDF (511.145 KB) | DOI: 10.20473/spmrj.v2i1.17014

Abstract

Abstract Background: Stroke may disrupt a patient's motor function, consequently affecting the quality of life. A stroke surviving brain has the ability to repair itself through neuroplasticity mechanism. Transcranial Magnetic Stimulation (TMS) is a non-invasive device which can be used to stimulate the lesioned part of the brain in hope of triggering neuroplasticity.Aims: To find prove of the repetitive Transcranial Magnetic Stimulation (rTMS) effect on extensor digitorum communis muscle strength improvement in ischemic stroke patients.Methods: Subjects suitable with the inclusion criteria (N=18) were divided into two groups,  control group and intervention group. The control group underwent conventional therapy exclusively every day for 5 days in a row, while the intervention group underwent rTMS therapy and conventional therapy every day for 5 days in a row. Extensor digitorum communis muscle strength was measured using surface electromyography (sEMG) before and after treatment.Result: Significant increase of sEMG numbers were found on control group (p=0,003) and intervention group (p=0,001). The increase from the intervention group was not different when compared to the control group (p=0,067).Conclusion: TMS can increase extensor digitorum communis muscle strength but with no difference with a conventional therapy.
The effects of physical exercises on c-reactive protein in patients with post ischemic stroke Laswati, Hening; Andriana, Meisy; Subadi, Imam; Yuanita, Ida
Folia Medica Indonesiana Vol. 52, No. 3
Publisher : Folia Medica Indonesiana

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Several studies have recently highlighted the important role of physical exercise in regulation inflammatory status, but there is relatively little known about markers of inflammation levels after physical exercise in post ischemic stroke patients. The aims of this study to provide the effects of physical exercise using Partial Body-Weight Supported Treadmill Training –Audio Cues (PBWSTT-AC) and Traditional method on the level of inflammatory markers C-Reactive Protein (CRP). This study using pretest-postest control group design, 14 post ischemic stroke patients were randomized and allocate to two groups: Group1 (control group) received traditional walking exercise and group 2 received PBWSTT-AC. The walking exercise study were conducted for 20 minute 3 times a week for 12 sessions (4 weeks). Before and after 12 session of exercises, the serum levels of CRP were determined using immunoserology. All statistical test were carried out using SPSS 17 and statistical significance was set at p<0.05 for all analysis. The CRP levels between group were compared using Student t test or Mann-Whitney test. From multiple comparisons statistic result, no significant difference between groups (p=0.898), that seem in this study the levels of CRP of poststroke patients is not influenced by the Traditional training and PBWSTT-AC. The conclusion of this study that both traditional method and PBWTT-AC in 4 weeks exercise training seem have no effect on CRP levels.
AMRTA-X: Grasp Kinematic Analysis during Myoelectric Prehension Orthosis and Body Powered Prehension Orthosis's Usage on Brachial Plexus Injury Patients Fundhi, Khrisna Adi Pinardi; Andriana, RA Meisy; Masduchi, Reni H; Pawana, IP Alit
Folia Medica Indonesiana Vol. 57, No. 1
Publisher : Folia Medica Indonesiana

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Brachial Plexus Injury (BPI) results in decreased motor function in upper extremity and leads to reduced hand grasping movement. Orthotic prehension is designed to create artificial grasp movements in paralyzed hand. This study was to compare grasp kinematic improvement between body powered and myoelectric prehension orthosis usage in patients with BPI. This study was a single group without control and post test with experimental study. The subjects of the study (n = 11) were brachial plexus injury patients with non-functional hand strength. Joint motion and angular velocity of metacarpophalangeal (MCP) and proximal interphalangeal (PIP) joint of index finger were evaluated. There was an improvement in joint motion and angular velocity after both orthosis usage. Joint motion in MCP and PIP, Angular velocity in MCP were not significantly different between myoelectric and body powered and myoelectric prehension orthosis usage. PIP angular velocity improvement were better after body powered prehension orthosis usage (p= 0.03).In conclusion, body powered and myolectric prehension orthosis usage improved kinematic parameter of index finger's MCP and PIP joint. PIP angular velocity was better after body powered prehension orthosis usage.
Carpal Tunnel Syndrome (CTS) at the Neurology Clinic of Dr. Soetomo General Academic Hospital Hegemur, Ratih Dewi Anggraini Jubair; Fidiana, Fidiana; Andriana, Meisy; Basuki, Mudjiani
AKSONA Vol. 6 No. 1 (2026): JANUARY 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/aksona.v6i1.55031

Abstract

Highlight: CTS is a frequent peripheral neuropathy that causes a variety of debilitating symptoms, underscoring the importance of understanding its clinical characteristics for better diagnosis and treatment. The study conducted at the Neurology Clinic of Dr. Soetomo General Academic Hospital, Surabaya, highlights consistent patterns in CTS patient characteristics. This provides valuable insights into CTS demographics and symptoms, which may contribute to the development of effective management strategies.   ABSTRACT Introduction: Carpal Tunnel Syndrome (CTS) is a common neuropathy of the upper extremities, with a higher prevalence in women, particularly those aged 40 to 60 years. It is characterized by compression of the median nerve within the carpal tunnel, most frequently caused by hypertrophy of surrounding synovial tissue or inflammatory responses from extensive wrist use or trauma. Clinical symptoms include pain, tingling, numbness, and weakness, which often worsen at night. Diagnosis is typically based on clinical evaluation using the Phalen and Tinel tests, and is confirmed by electromyography (EMG) and nerve conduction studies (NCS). Recognizing CTS traits is essential for accurate diagnosis and appropriate management, which motivated this study. Objective: To describe the characteristics of patients with CTS treated at the Neurology Clinic of Dr. Soetomo General Academic Hospital, Surabaya. Methods: This is a descriptive cross-sectional study conducted using secondary data collected between January 2019 and December 2020. The study used electronic medical records (EMRs), comprising 44 CTS cases that met the predefined criteria. Data were processed using statistical software. Results: Among the 44 patients diagnosed with CTS, the majority were aged 45-64 years (63.7%), and were predominantly women (88.6%), with housewives comprising the largest occupational group (29.5%). Paresthesia was the most reported symptom (97.7%), and hypertension was the most common comorbidity (92.9%). All patients received non-operative therapy (100%). Conclusion: This study revealed that CTS predominantly affects early elderly individuals, particularly women and housewives, with paresthesia as the main symptom and hypertension as the common comorbidity. Non-operative treatment was the primary management strategy, yielding insights for future therapeutic strategies.
Co-Authors Alivery Raihanada Armando Alviona Nurul Huda Andriati Andriati Annisya Adinda Febriyanti Basuki, Mudjiani Deni Riani Fidiana, Fidiana Fundhi, Khrisna Adi Pinardi Gadiza Raiznintha Permatasari Gutama Arya Pringga Hegemur, Ratih Dewi Anggraini Jubair Hening Laswati Putra Hermina Novida, Hermina Ida Yuanita Imam Subadi IP Alit Pawana J. A. Pangkahila Juatmadja, Bastianus Alfian Khamim Hariyadi Khrisna Adi Pinardi Fundhi Lydia Arfianti M. Rasyidin Alamsyah Siregar Martha Kurnia Kusumawardani Masduchi, Reni H Nuniek Nugraheni Sulistiawaty Nurul Bashirah Aminy Patricia Maria Kurniawati Pawana, I Putu Alit Pawana, IP Alit Prisna Aura Rahma Putri Reni H Masduchi Rwahita Satyawati Dharmanta Sarah Izdihar Septi Tiaradinar Soenarnatalina Melaniani Soenarnatalina Melaniani Soenarnatalina Melaniani Subagyo Subagyo Tri Rahayu Septyaningrum Turchan, Agus Wardhani, Indrayuni Lukitra Windy Amelia Wahyuni Yuanita, Ida Yusuf, Muhtarum