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All Journal Jurnal Kesehatan Islam : Islamic Health Journal SURABAYA PHYSICAL MEDICINE AND REHABILITATION JOURNAL Journal of Pain, Vertigo and Headache
Anggraini, Vivid Prety
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Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Environmental Science Health Professions 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.
Overcoming Rehabilitation Challenges in Managing Multiple Fractures and Thalassemia-Induced Osteoporosis: A Comprehensive Case Report Pratiwi, Ayu candra; Anggraini, Vivid Prety; Rahmad; Lisnaini; Zaini, Achmad
Surabaya Physical Medicine and Rehabilitation Journal Vol. 8 No. 1 (2026): SPMRJ, FEBRUARY 2026
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v8i1.56450

Abstract

The osteoporosis caused by thalassemia provides a complex challenge as they have a number of fractures, which makes rehabilitation more complicated in terms of mobilization and safety aspects. This is a case report of the management of a patient with multiple fractures and osteoporosis due to thalassemia using comprehensive rehabilitation to prove that multidisciplinary teamwork can help such difficult cases. Multiple fractures in patients with pre-existing conditions, such as thalassemia-induced osteoporosis, are a challenge for the medical field. A 26-year-old man with beta-thalassemia major and osteoporosis experienced wrist, hip, and unstable spine fractures after falling. After doing a closed reduction of arm and femur screw fixation, he was presented with pain, limited range of motion at both surgical sites, inability to perform any ADL, and unable to work. Multi-disciplinary case management with internist, orthopedist, and physiatrist. The treatment methods were pharmacological treatment, internal fixation, cast, orthosis, walking aids, exercise, and fall prevention strategies. The team managed the multiple fractures, pain, instability, and mobility issues. Internal fixation, arm box immobilization, orthotics, and ambulation aids are valid treatment options. The exercise and fall prevention strategies were established to increase the patient’s Quality of Life (QoL). The integrated rehabilitation program implemented used crutches as the main mobility aid to obtain better support, weight distribution, fall prevention, mobilize safely, and use crutches to improve functional independence. This event emphasizes the importance of a multi-disciplinary approach in managing a patient with multiple fractures with already a background of osteoporosis due to thalassemia. Our specialized rehabilitation program’s selection and adaptation to the patient's needs play a significant role in determining successful outcomes and considerable quality of life improvement.
The The Effects of Vitamin D Supplementation on Geriatric Patients with Chronic Low Back Pain Nugroho, Mohammad Barlian; Anggraini, Vivid Prety; Hapsari, Rosalyna Pudji; Musthafa, Ferdian; Kurniani, Nadia; Ulfah, Nisa
Surabaya Physical Medicine and Rehabilitation Journal Vol. 8 No. 1 (2026): SPMRJ, FEBRUARY 2026
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v8i1.67400

Abstract

Background: Low back pain (LBP) is pain or discomfort occurring in the area below the costal margin and above the gluteal fold. Previous studies showed that vitamin D supplementation can alleviate complaints of chronic LBP. Aim: This study investigated the effect of vitamin D supplementation on pain and quality of life in elderly patients with chronic LBP. Material and methods: This study uses the experimental method of randomized controlled trial pre- and posttest design on 16 geriatric patients who were divided into two research groups (intervention and control group). The intervention group had usual rehabilitation therapy and vitamin D3 supplementation at a dose of 5000 IU, whereas the control group only had usual rehabilitation therapy. Pain was measured by the Numerical Rating Scale (NRS), level of vitamin D, and quality of life was assessed by the Short Form (SF-36) before and after 4 weeks.   Result: Both groups, rehabilitation only and rehabilitation combined with vitamin D3, had significant pain reduction after 4 weeks of treatment (p < 0.002 and 0.006 consecutively), but no significant difference between groups (p = 0.893). Conversely, there was statistically significant improvement in the level of vitamin D ( p = 0.026 (p < 0.05)) and SF-36 component vitality ( p = 0.014 (p < 0.05)), mental health ( p =  0.014 (p < 0.05)), social function ( p = 0.006 (p < 0.05)), and pain in the body ( p = 0.002 (p < 0.05)). Conclusions: The administration of vitamin D supplements in patients with chronic LBP has the potential to alleviate symptoms and provide significant benefits in enhancing the patient's quality of life.
Co-Authors Achmad Zaini Fajarningtyas, Mia Firnanda, Sani Widya Hapsari, Rosalyna Pudji Kurniani, Nadia Lestari, Dwi Indriani Lisnaini Misnasari, Putri Priela Musthafa, Ferdian Nugroho, Mohammad Barlian Nugroho, Muhammad Barlian Pratiwi, Ayu candra Pringga, Gutama Arya Rahmad Shahdevi Nandar Kurniawan, Shahdevi Nandar Ulfah, Nisa Yudiansyah, Anggi Gilang