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All Journal Indonesian Journal of Cardiology Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia SURABAYA PHYSICAL MEDICINE AND REHABILITATION JOURNAL Indonesia Journal of Physical Medicine and Rehabilitation Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Tedjasukmana, Deddy
Departemen Ilmu Kedokteran Fisik Dan Rehabilitasi Medik, Fakultas Kedokteran, Universitas Indonesia, Jakarta
Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Decision Sciences, Operations Research & Management Education Health Professions Medicine & Pharmacology Neuroscience Physics Public Health

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 1 
Distance of 6-­Minute Walking Test in Acute Myocardial Infarction and Its Influecing Factors Putu Karsiani; Deddy Tedjasukmana; Marulam M Panggabean
Indonesian Journal of Physical Medicine & Rehabilitation Vol 1 No 1 (2012): 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 (218.057 KB) | DOI: 10.36803/ijpmr.v1i1.219

Abstract

Objectives: To know the result of a 6 minute walking distance (MWD) test in patients with acute myocardial infarction, characteristic of the subjects and the relationship between the 6 MWD test and factors such as age, body weight, body height and type of the infarct.Methods: The subjects of this study were stable acute myocardial infarction patients. Baseline data which included age, body weight, body height, blood pressure, heart rate, saturated oxygen, dyspnea scale measured with Borg scale and chest pain (numeric rating scale) were collected before doing the 6MWD test. After doing the test without warming up, the blood pressure, heart rate,oxygen saturation,dyspnea scale (Borg scale) and chest pain (numeric rating scale) were recorded.Results: From 49 subjects enrolled in this study, three dropped out (n=46). The mean of 6 MWD test was 208.50 (100-­400) meter or 44.31% from predicted. There was a correlation between distance of 6 MWD and body height with r=0.302; p=0.04 (p<0.05) and also between female gender and type of infarct which was NSTEMI with B=-92.3; p=0.02 (p<0.05) and B= -77.004; p=0.01 (p<0.05).Conclusions:The mean distance of 6 MWD test was 208.5 m. There was significant correlation body height, female gender and NSTEMI type of infarction.Keywords : 6 minute walking distance test, distance of 6 minute walking, functional test, acute
Hubungan Fungsi Seksual dengan Kecemasan Pasien Pasca-Infark Miokard Akut Melinda Harini; Deddy Tedjasukmana; Tresia Fransiska U Tambunan; Muhammad Yamin; Petrin Redayani Lukman S; Hamzah Shatri; Melinda Harini
Jurnal Kardiologi Indonesia Vol. 37, No. 2 April - Juni 2016
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v37i2.568

Abstract

Background: Sexual dysfunction and anxiety frequently happens on patients after acute myocardial infarction (AMI) and can affect patients’ quality of life. The purpose of this study was to examine the assosiation of sexual function post-AMI patients with anxiety. Methods: It was a cross-sectional study. Respondents are patients in Integrated Cardiac Clinic of Cipto Mangunkusumo Hospital that meet inclusion and exclusion criteria. They signed informed consent. Sexual function was assessed using International Index of Erectyle Function (IIEF) and anxiety was assessed using Hamilton Anxiety Rating Scale (HAM-A). Results: Post-AMI patients had erectile dysfunction (82.5%), orgasm dysfunction (72.5%) and libido dysfunction (93.8%). Respondents expressed sexual intercourse dissatisfaction (97.5%) and overall dissatisfaction (90%). The proportion of post-AMI anxiety was 52.5%. There was no assosiation between sexual function post-AMI with anxiety. Conclusion: Anxiety and sexual dysfunction post-AMI is a considerable problem. Factors that affect anxiety and sexual dysfunction post-AMI needs to be explored further so that an integrated management guidelines could be proposed.
Advantages of Exercise Training In Hypertrophic Cardiomyopathy: Considering risks and benefits Deddy Tedjasukmana
Jurnal Kardiologi Indonesia Vol 40 No 4 (2019): Indonesian Journal of Cardiology: October-December 2019
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.v40i4.839

Abstract

Background. Hypertrophic cardiomyopathy (HCM) is one of the most common cardiac genetic disorders. The prevalence of this disease is 1 in 500 live births. It is stated to be the most frequent cause of sudden death in young adults. Therefore, some guidelines recommend to restrict physical activity and exercise. On the contrary, latest data show that active lifestyle and exercise in HCM patient provide significant benefits in cardiovascular function with no significant adverse reactions. Following to that, some experts might be reveal that its benefits might be outweigh risks. Summary. There is a paucity of studies that examine the effectiveness of exercise for HCM. American Heart Association (AHA) and (European Society of Cardiology) ESC established exercise recommendations for HCM individuals based on discussion and consensus of experts. We found three studies that investigate the efficacy of exercise in HCM individuals. Outcomes of our interest were differences in cardiovascular function, quality of life and safety issues. All studies found positive significant differences in main outcomes measure in which the HCM subjects on exercise had better or improved outcomes. None reported adverse reaction such as fatal arrhythmia or sudden death related to exercise. Brief Conclusion. Old belief regarding exercise restrictions on HCM need to be reconsidered, given that at present exercise have been shown to provide significant benefits for reducing cardiovascular risk factors. Nevertheless, exercise in patients with HCM must be specifically considered regarding the risk and benefit. Practicing active lifestyle and exercise on HCM individual is an exciting possibility that need further study. Keywords: hypertrophic cardiomyopathy, exercise training, risks and benefit, physical activity
Return to Work in Patients with Acute Coronary Syndrome Deddy Tedjasukmana
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 (341.447 KB) | DOI: 10.36803/ijpmr.v6i02.159

Abstract

Acute coronary syndrome (ACS) is a medical term used to describe problems that occur when there isn’tenough blood flow to the heart, can lead to chronic heart disease (CHD). In Indonesia, 17.3 million deaths werecaused by CHD in 2008, it can be increased to 23.3 million deaths in 2030. A recent study states that ACS wasincreased among worker age. Therefore, the ability to return to work is important, because it can impact on theeconomic status of patients and their families, the patients’ quality of life, and also psychosocial factors.Patients who are hospitalized due to coronary heart disease need to have a cardiac rehabilitation program thatis divided into three phases. The patients are given a program that suits with their individual risk stratificationto achieve their vocational needs. The ability to work, work risk, work capacity, and work tolerance needs toevaluated by exercise test.After a comprehensive evaluation of coronary patients, it is important to determine suitability for work. Ingeneral, post-Percutaneous Coronary Intervention (PCI) ACS can return to previous jobs with some adjustmentsif needed. Energy expenditure monitoring during working can be measured by indirect and direct measurements.Keywords: Acute Coronary Syndrome, Cardiac Rehabilitation, Return to Work, Coronary Heart Disease.
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.
Uji Jalan Enam Menit Sebagai Indikator Prognosis Pada Pasien CHF Kronik Stabil Pada Rehabilitasi Jantung Fase II Deddy Tedjasukmana Basuni; Fitria Fitria
Majalah Kedokteran Indonesia Vol 73 No 2 (2023): 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.73.2-2023-786

Abstract

Intorduction: Congestive heart failure is a complex clinical syndrome that may result from disturbances in myocardial function (systolic and diastolic function) leading to decreased perfusion of cardiac blood flow. The main goals in treating patients with heart failure are to improve functional capacity and quality of life, as well as to reduce mortality and morbidity. Cardiac rehabilitation is one of many forms of treatment recommended by the American Heart Association and has been proven safe and effective in patients with heart failure. Case: This case report consists of three patients undergoing phase two cardiac rehabilitation. Case Discussion: Each patient underwent several examinations consisting of recollection of previous medical history and current complaints. Vital signs and Borg Scale were checked before and after the walking test. The 6-Minute Walk Test was carried out according to the standard protocol on a 30-meter flat track. Conclusion: From a series of 6-minute walking trials conducted on three patients, there was a significant increase in mileage since cardiac rehabilitation phase I, early phase II, and four weeks of phase II exercise.
Telerehabilitation for Geriatric with Dementia and Long Covid-19 Melinda Harini; Ika Fitriana; Satyanaya Widyaningrum; Deddy Tedjasukmana; Yunisa Trivarsary; Intan Savitri; Siti Dwi Astuti
Surabaya Physical Medicine and Rehabilitation Journal Vol. 6 No. 2 (2024): SPMRJ, AUGUST 2024
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v6i2.53248

Abstract

Rehabilitation is crucial for individuals who have survived COVID-19, particularly those who are older and have pre-existing health conditions. These survivors may experience long covid symptoms up to four months after infection. Elderly individuals suffering from long covid face difficulties in undergoing conventional rehabilitation methods due to limitations in mobility, lack of social interaction, and inadequate healthcare accessibility. As a result, telerehabilitation has arisen as an alternate form of care. This case report intends to present empirical evidence on the enhancement of functional status in a geriatric long covid patient following telerehabilitation. We present a case of an elderly woman with underlying dementia who developed long covid. The symptoms included of dyspnea and mobility impairment. We provide a telerehabilitation program for three weeks with an active-assisted range of motion exercises. Following three sessions of telerehabilitation, we could see improvement in her Physical Mobility Scale (PMS). After 20 days, the patient's PMS score increased by 3 points.
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 Anita Ratnawati Anitta Florence Stans Paulus Boya Nugraha Dian Marta Sari E. Mudjaddid A. Siswanto Deddy N.W.Achadiono Hamzah Shatri Fitria Fitria fitriana, ika Harini, Melinda Hening Laswati Hidemi, Octaviany Ika Fitriana Ika Fitriana Indri Wijayanti Intan Savitri Luh Karunia Wahyuni, Luh Karunia Marulam M Panggabean Melinda Harini Melinda Harini Melinda Harini Mellisya Ramadhany Muhammad Yamin Nugraha, Boya Nury Nusdwinuringtyas Octaviany Hidemi Peggy Sunarjo Petrin Redayani Lukman S Poerwandari, Dewi Putu Karsiani Ramadhany, Mellisya Satyanaya Widyaningrum Siti Chandra Widjanantie Siti Dwi Astuti Sunarjo, Peggy Tirza Z Tamin Tirza Z Tamin Tresia Fransiska U Tambunan Wijayanti, Indri Yunisa Trivarsary