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All Journal Jurnal Kesehatan Islam : Islamic Health Journal Journal of Pain, Vertigo and Headache
Anggraini, Vivid Prety
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Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Environmental Science Medicine & Pharmacology Neuroscience Public Health

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SEVERE POSTURE AND GAIT DISTURBANCE IN LUMBAR SPINAL STENOSIS: A CASE REPORT Lestari, Dwi Indriani; Anggraini, Vivid Prety; Pringga, Gutama Arya; Kurniawan, Shahdevi Nandar; Misnasari, Putri Priela
Journal of Pain, Headache and Vertigo Vol. 5 No. 1 (2024): March
Publisher : PERDOSNI (Perhimpunan Dokter Spesialis Neurologi Indonesia Cabang Malang) - Indonesian Neurological Association Branch of Malang cooperated with Neurology Residency Program, Faculty of Medicine Brawijaya University, Malang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jphv.2024.005.01.4

Abstract

One of the causes of low back pain is lumbar spinal stenosis (LSS). LSS is defined as a disorder resulting from degenerative processes leading to narrowing of the spinal canal. The nature of pain in LSS—the neurogenic claudication—was aggravated by upright or extended trunk positions, such as during walking, descending stairs, or simply standing. Patient self-adjustments in response to pain can induce further muscle disturbance and worsen the condition. A 56-year-old male suffering from poor posture with antalgic and Trendelenburg gait. The MRI showed multiple spinal canal stenosis with compression of the L4-S1 nerve roots affected the gait and worsened posture. Physical medicine rehabilitation (PMR) program—including the use of ultrasound diathermy for severe muscle spasm followed by muscle stretching, Transcutaneous Electrical Stimulation (TENS) for pain relief, Neuromuscular Electrical Stimulation (NMES) for muscle strength improvement and several therapeutic exercises—has proven beneficial in reducing patient’s symptoms thus correcting the posture and gait. At this point spinal canal narrowing is not only causing pain with neurological deficit but may lead to posture and gait disturbance that increasing the patient's disability. The use of physical modalities combined with exercise has been shown to benefit patients similarly to surgery but without invasive approach.
Evaluation of Wheelchair Fit and Its Impact on Physical Comfort in a Community-Based Program in Malang Firnanda, Sani Widya; Fajarningtyas, Mia; Yudiansyah, Anggi Gilang; Lestari, Dwi Indriani; Anggraini, Vivid Prety; Nugroho, Muhammad Barlian
Jurnal Kesehatan Islam : Islamic Health Journal Vol. 14 No. 1 (2025): Jurnal Kesehatan Islam : Islamic Health Journal
Publisher : Publikasi oleh Fakultas Kedokteran Universitas Islam Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33474/jki.v14i1.24164

Abstract

Background: Proper wheelchair fit is essential to ensure comfort, postural stability, and to prevent secondary health complications in individuals with disabilities. In community-based programs, mismatches between wheelchair dimensions and users' anthropometric characteristics often go unnoticed, potentially leading to long-term issues. Objective: This study aims to evaluate the alignment between users’ body dimensions and the wheelchairs distributed through a community-based program in Malang, and to examine the potential ergonomic and clinical implications of mismatched fit. Methods: A descriptive quantitative design was employed, involving 20 full-time wheelchair users selected purposively. Anthropometric measurements (seated height, popliteal length, hip width, elbow height) and wheelchair dimensions (seat height, seat depth, seat width, backrest height, armrest height) were directly measured. Normality was tested using the Shapiro–Wilk test, followed by Pearson correlation analysis. Outliers were identified using z-score thresholds. Results: Significant positive correlations were found between seat height and armrest height (r = 0.65, p < 0.01), and between backrest height and seat width (r = 0.58, p < 0.05). No correlation was found involving seat depth. Two participants showed notable mismatches requiring individual adjustments, highlighting risks such as discomfort, postural imbalance, and mobility limitation. Conclusion: Mismatch between wheelchair dimensions and user anthropometry can contribute to preventable discomfort and postural strain. Personalized assessments and ergonomic adjustments are crucial in community wheelchair programs. These findings support the implementation of anthropometric-based distribution strategies and training for service providers.
Co-Authors Fajarningtyas, Mia Firnanda, Sani Widya Lestari, Dwi Indriani Misnasari, Putri Priela Nugroho, Muhammad Barlian Pringga, Gutama Arya Shahdevi Nandar Kurniawan, Shahdevi Nandar Yudiansyah, Anggi Gilang