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Siti Chandra Widjanantie
Department of Physical Medicine and Rehabilitation, Persahabatan General Hospital
Decision Sciences, Operations Research & Management Neuroscience Physics

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The improvement on Respiratory Muscle, Trunk Stability, and health status after Abdominal Drawing-in Maneuver in COPD Patients Winny W; Siti Chandra Widjanantie; Maryastuti M; Nury Nusdwinuringtyas
Indonesian Journal of Physical Medicine & Rehabilitation Vol 6 No 02 (2017): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (295.619 KB) | DOI: 10.36803/ijpmr.v6i02.156

Abstract

Background: Chronic Obstructive Pulmonary Disease (COPD) patients experienced respiratory muscledysfunction, postural instability, and decreasing in health status. Abdominal drawing-in maneuver (ADIM) hasbeen studied in many cases of low back pain for lumbar stabilization, moreover this maneuver is also designedto activate the transversus abdominalis (TA) muscle that involved in expiration. But this exercise has not beenconsidered as a respiration exercise in COPD patients. The purpose of this study was to determine whether theapplication of ADIM to COPD patients would affect the strength of respiratory muscle, improve core musclestability, and health status of COPD patients.Methods:All clinically stable COPD patients who visited PMR clinic at Persahabatan General Hospital wererecruited in the study. They received exercise interventions 2 times a week for 4 weeks. ADIM as a mainprogram is using pressure transducer (Chattanooga, Australia). Each exercise was held 10 repetitions, 10 setswith 2 minutes rest. Strength of respiratory muscle measured by peak cough flow (PCF) and peak flow rate(PFR). Core muscle stability measured by functional reach test (FRT) and the health status measured with CATscore. The measurements were done before and immediately after intervention.Results: Subjects were 8 patients with mean age 62 years old, consisted of 7 men and 1 woman, with 1 patienteach with COPD grade A, B, and C, and 5 patients with COPD grade D. There were increasing of PCF (268.75± 59.146 L/min to 285.00 ±59.522 L/min; p=0.061), PFR (251.3±96.3 L/min to 286.3±92 L/min; p=0.028),FRT (20.2±3.8 cm to 22±3.9 cm; p=0.011), and decreasing of CAT score (14 ±8.685 to 11.50 ±8.848; p=0.027)after ADIM.Conclusion: There were an improvement in respiratory muscle, trunk stability, and CAT after ADIM, so themaneuver is effective for COPD management.Keywords: Abdominal drawing-in maneuver (ADIM), Chronic Obstructive Pulmonary Disease (COPD),COPD Assessment Test (CAT), Functional reach test (FRT), Peak cough flow (PCF), Peak flow rate (PFR)
Improvement of the Functional Parameter in Patient with Chronic Obstructive Pulmonary Disease after Pulmonary Rehabilitation Arifin SWA; Indra R; Siti Chandra Widjanantie; Nury Nusdwinuringtyas
Indonesian Journal of Physical Medicine & Rehabilitation Vol 6 No 02 (2017): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (382.215 KB) | DOI: 10.36803/ijpmr.v6i02.161

Abstract

Background: Functional parameter in Chronic Obstructive Pulmonary Disease (COPD) can be evaluated withPeak Cough Flow (PCF), as an effective tool to measure cough ability. Patients with COPD can not do cougheffectively, that leads to sputum retention and finally functional capacity. The aimed of the study to foundimprovement of cough ability (PCF) and COPD symptom.Methods:This was a retrospective cohort study. The researcher did the measurement for PCF, COPD assesmenttool (CATTM ) score and the sixt minute walking test (6MWT) on COPD patients, after rehabilitation programthree times a week, for four weeks. The program consisted of infrared diathermy, breathing exercise, chestmobility exercise, the active cycle breathing technique and static cycle or treadmill exercise program betweenJanuary-June 2018.Results: Subjects are ten COPD patients, the mean of age was 70 years old. The data of PCF, CATTM, anddistance of 6MWT before intervention were 246± 57.19 L/ minute, 13.1± 6.36, and 296.4± 79.30. Thereforethe PCF, CATTM, and distance in 6MWT after four weeks intervention were 269 ± 70.78 (p< 0.05), 15.2 ± 8.56(p> 0.05), and 339.3 ± 62.55 (p> 0.05).Conclusion: Rehabilitation program on COPD patient along four weeks improve the PCF, however did notimprove the CATTM score and the distance of 6MWT.Keywords: 6 Minute Walk Test (6MWT), Chronic Obstructive Pulmonary Disease (COPD), COPD Assesment Test(CAT) Score, Functional Parameter, Peak Cough Flow (PCF).
The improvement on Respiratory Muscle, Trunk Stability, and health status after Abdominal Drawing-in Maneuver in COPD Patients Winny W; Siti Chandra Widjanantie; Maryastuti M; Nury Nusdwinuringtyas
Indonesian Journal of Physical Medicine & Rehabilitation Vol 6 No 02 (2017): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (295.619 KB) | DOI: 10.36803/ijpmr.v6i02.156

Abstract

Background: Chronic Obstructive Pulmonary Disease (COPD) patients experienced respiratory muscledysfunction, postural instability, and decreasing in health status. Abdominal drawing-in maneuver (ADIM) hasbeen studied in many cases of low back pain for lumbar stabilization, moreover this maneuver is also designedto activate the transversus abdominalis (TA) muscle that involved in expiration. But this exercise has not beenconsidered as a respiration exercise in COPD patients. The purpose of this study was to determine whether theapplication of ADIM to COPD patients would affect the strength of respiratory muscle, improve core musclestability, and health status of COPD patients.Methods:All clinically stable COPD patients who visited PMR clinic at Persahabatan General Hospital wererecruited in the study. They received exercise interventions 2 times a week for 4 weeks. ADIM as a mainprogram is using pressure transducer (Chattanooga, Australia). Each exercise was held 10 repetitions, 10 setswith 2 minutes rest. Strength of respiratory muscle measured by peak cough flow (PCF) and peak flow rate(PFR). Core muscle stability measured by functional reach test (FRT) and the health status measured with CATscore. The measurements were done before and immediately after intervention.Results: Subjects were 8 patients with mean age 62 years old, consisted of 7 men and 1 woman, with 1 patienteach with COPD grade A, B, and C, and 5 patients with COPD grade D. There were increasing of PCF (268.75± 59.146 L/min to 285.00 ±59.522 L/min; p=0.061), PFR (251.3±96.3 L/min to 286.3±92 L/min; p=0.028),FRT (20.2±3.8 cm to 22±3.9 cm; p=0.011), and decreasing of CAT score (14 ±8.685 to 11.50 ±8.848; p=0.027)after ADIM.Conclusion: There were an improvement in respiratory muscle, trunk stability, and CAT after ADIM, so themaneuver is effective for COPD management.Keywords: Abdominal drawing-in maneuver (ADIM), Chronic Obstructive Pulmonary Disease (COPD),COPD Assessment Test (CAT), Functional reach test (FRT), Peak cough flow (PCF), Peak flow rate (PFR)
Improvement of the Functional Parameter in Patient with Chronic Obstructive Pulmonary Disease after Pulmonary Rehabilitation Arifin SWA; Indra R; Siti Chandra Widjanantie; Nury Nusdwinuringtyas
Indonesian Journal of Physical Medicine & Rehabilitation Vol 6 No 02 (2017): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (382.215 KB) | DOI: 10.36803/ijpmr.v6i02.161

Abstract

Background: Functional parameter in Chronic Obstructive Pulmonary Disease (COPD) can be evaluated withPeak Cough Flow (PCF), as an effective tool to measure cough ability. Patients with COPD can not do cougheffectively, that leads to sputum retention and finally functional capacity. The aimed of the study to foundimprovement of cough ability (PCF) and COPD symptom.Methods:This was a retrospective cohort study. The researcher did the measurement for PCF, COPD assesmenttool (CATTM ) score and the sixt minute walking test (6MWT) on COPD patients, after rehabilitation programthree times a week, for four weeks. The program consisted of infrared diathermy, breathing exercise, chestmobility exercise, the active cycle breathing technique and static cycle or treadmill exercise program betweenJanuary-June 2018.Results: Subjects are ten COPD patients, the mean of age was 70 years old. The data of PCF, CATTM, anddistance of 6MWT before intervention were 246± 57.19 L/ minute, 13.1± 6.36, and 296.4± 79.30. Thereforethe PCF, CATTM, and distance in 6MWT after four weeks intervention were 269 ± 70.78 (p< 0.05), 15.2 ± 8.56(p> 0.05), and 339.3 ± 62.55 (p> 0.05).Conclusion: Rehabilitation program on COPD patient along four weeks improve the PCF, however did notimprove the CATTM score and the distance of 6MWT.Keywords: 6 Minute Walk Test (6MWT), Chronic Obstructive Pulmonary Disease (COPD), COPD Assesment Test(CAT) Score, Functional Parameter, Peak Cough Flow (PCF).
Co-Authors Arifin SWA Indra R Maryastuti M Nury Nusdwinuringtyas Nury Nusdwinuringtyas Winny W