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All Journal Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia SURABAYA PHYSICAL MEDICINE AND REHABILITATION JOURNAL Respiratory Science
Evi Rachmawati Nur Hidayati
Department Of Physical Medicine And Rehabilitation, Universitas Indonesia Hospital, Universitas Indonesia, Depok, 16424, Indonesia
Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Education Health Professions Medicine & Pharmacology Public Health

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Sonography and EMG Biofeedback’s Role in PIN Syndrome After Rehabilitation? A Case Report Evi Rachmawati Nur Hidayati; Zuliza Adha; Hafizia Asri Yusviani; Savira Widha Alifprilia
Surabaya Physical Medicine and Rehabilitation Journal Vol. 4 No. 2 (2022): SPMRJ, AUGUST 2022
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v4i2.32836

Abstract

The radial nerve divides into two terminal branches the superficial radial nerve and the posterior interosseous nerve. Posterior interosseous nerve entrapment is associated with weakness in the extension of fingers, atrophy of the forearm muscles, and localized pain in the lateral aspect of the elbow and proximal forearm without sensory deficits. A 37-year-old man complained of difficulty of right finger extension (MMT 2) and persistent pain (VAS 5) at the forearm after a fall from a motorcycle six months before admission. We treated the patient with a physical rehabilitation program for three months and a total of 12 visits. Sonography and electromyography (EMG) biofeedback were performed to evaluate improvement after the physical rehabilitation program. After three months, the pain was relieved, and forearm extensor muscle strength increased. This showed that sonography and EMG biofeedback play a role in the detection and evaluation of muscle and nerve abnormality due to posterior interosseous nerve (PIN) syndrome.
Gambaran Ekspansi Toraks Dan Kemampuan Mobilisasi Pada Pasien Covid-19 Di Ruang Isolasi Amien Suharti; Evi Rachmawati Nurul Hidayati; Hafizia Asri Yusviani; Zuliza Adha
Majalah Kedokteran Indonesia Vol 72 No 4 (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.72.4-2022-679

Abstract

Introduction. COVID-19 patient not only experienced respiratory manifestation, but they also generate generalized muscle weakness. This manifestation results in deterioration of physical capacity. Methods. This cross-sectional study identified the characters of COVID-19 patient based on their age, gender, severity of disease and whether they have comorbidities or not. This study also described the functional capacity using a modified 30-Second Sit-to-Stand Test (m30STS) and chest expansion measured at three levels (axillary, nipple, and xiphisternum). Result. M30STS was one of reliable measure that used for physical or functional capacity. Chest wall expansion determines lung volume and functional capacity as well. Eighty-five subjects in isolation ward were enrolled. This study shows there is reduction of functional capacity in COVID-19 patients. Majority of subjects tend to reached lower number of repetitions in m30STS or about 10.37 times in average. Clonclusion. The thoracic expansion was reduced below normal range in all subjects.
Peningkatan Akurasi Skrining Disfagia Fase Faringeal Menggunakan Ultrasonografi pada Pasien Stroke Iskemik Akut: Sebuah Studi Kasus Hidayati, Evi Rachmawati Nur; Yusviani, Hafizia Asri; Solecha, Dewi Listiani
Majalah Kedokteran Indonesia Vol 73 No 3 (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.73.3-2023-735

Abstract

Introduction: Dysphagia is a common complication in acute stroke patients that require early screening to reduce the risk of aspiration pneumonia, disability, and mortality. Bedside examinations such as the Gugging Swallowing Screen (GUSS) test and ultrasonography are non-invasive methods that may improve early diagnosis of dysphagia after stroke. Case Report: We report a 49-year-old man with a history of cerebrovascular event that had difficulty swallowing, followed by coughing and choking after drinking. Discussion Case: The GUSS score indicated moderate dysphagia with a high risk of aspiration. The swallowing ultrasonography showed conformity to the GUSS score and improved the screening accuracy for silent aspiration risk in the pharyngeal swallowing phase. Conclusion: In conclusion, ultrasonography examination may improve the screening accuracy of the GUSS test, particularly for the detection of silent aspiration in pharyngeal dysphagia.
Improving Physical Endurance in Palliative Stage IV Lung Cancer: A Case Report Hidayati, Evi Rachmawati Nur; Akhir, Choirunnisa Yaumal; Zatirah, Irvi Addini
Respiratory Science Vol. 5 No. 3 (2025): Respiratory Science
Publisher : Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/respirsci.v5i3.174

Abstract

Background: Lung cancer remains the leading cause of cancer-related mortality worldwide, with advanced stages often causing fatigue, reduced endurance, and impaired lung function. Pulmonary rehabilitation, including incentive spirometry exercise (ISE) and aerobic exercise, has been proven effective in improving functional capacity in patients with lung cancer, even in palliative care settings. This case report examines the effects of ISE and aerobic exercise on a stage IV lung cancer patient. Case: A 58-year-old male with stage IV lung cancer and spinal metastases experienced increased fatigue, especially after walking 500 meters. He underwent a four-weeks palliative rehabilitation program that included individualized supportive exercises (ISE) and moderate aerobic activity. Discussion: Following the completion of the program, the patient showed improvements in respiratory function, thoracic expansion, walking ability and overall performance status. His walking distance increased from 450 meters to 522 meters, and his MET score improved, indicating an enhancement in cardiovascular fitness. Despite a decline in forced vital capacity (FVC), other indicators show significant improvements in his physical function and quality of life. Conclusion: The combination of ISE and aerobic exercise proves to be an effective rehabilitation approach in improving respiratory function, physical endurance, and quality of life with stage IV lung cancer, even within the palliative care phase.
Co-Authors Akhir, Choirunnisa Yaumal Amien Suharti Hafizia Asri Yusviani Hafizia Asri Yusviani Savira Widha Alifprilia Solecha, Dewi Listiani Yusviani, Hafizia Asri Zatirah, Irvi Addini Zuliza Adha Zuliza Adha