Article Per Year (5 Year)
p-Index From 2021 - 2026
0.444
P-Index
This Author published in this journals
All Journal Medika Kartika : Jurnal Kedokteran dan Kesehatan SURABAYA PHYSICAL MEDICINE AND REHABILITATION JOURNAL
Goesasi, Rachmat Zulkarnain
Unknown Affiliation
Chemical Engineering, Chemistry & Bioengineering Dentistry Health Professions Medicine & Pharmacology Veterinary

Published : 2 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 2 Documents
Search

 1 
REHABILITASI CHRONIC ANKLE INSTABILITY Goesasi, Rachmat Zulkarnain; Shanti, Marietta; Sungkar, Ellyana; Lim, Andry Setiawan
Medika Kartika : Jurnal Kedokteran dan Kesehatan Vol 7 No 4 (2024): Medika Kartika : Jurnal Kedokteran dan Kesehatan
Publisher : Fakultas Kedokteran Universitas Jenderal Achmad Yani

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Ankle sprain merupakan salah satu cedera muskuloskeletal yang paling umum terjadi. Sekitar 30% kasus dapat berkembang menjadi chronic ankle instability yang dapat membatasi aktivitas penderita secara signifikan. Chronic ankle instability (CAI) didefinisikan sebagai episode instabilitas ankle yang berulang dan terjadi 6-12 bulan pasca cedera awal. Anamnesis, pemeriksaan klinis dan pemeriksaan penunjang radiologis sangat diperlukan untuk mendapatkan diagnosa dan membedakan instabilitas ankle anatomis dan fungsional. Perbedaan antara keduanya sangat esensial untuk menentukan tata laksana yang sesuai. Apabila terjadi kegagalan tata laksana konservatif, maka tindakan operatif diperlukan untuk mengembalikan stabilitas ankle. Rehabilitasi pada kasus CAI dapat mengoptimalkan proses normalisasi stabilitas sendi serta merestorasi fungsi ambulasi dan keseimbangan. Kata kunci: ankle instability, rehabilitasi, sprain DOI : 10.35990/mk.v7n4.p420-431
Effects of a Combination of Resistance and Aerobic Exercise on Cardiorespiratory Fitness, Muscular Fitness, and Body Composition in a High-risk Patient with Inflammatory Cardiomyopathy, Potentially Malignant Arrhythmia, and Morbid Obesity Nazir, Arnengsih; Miguna, Vindy Margaretha; Goesasi, Rachmat Zulkarnain; Tanuwidjaja, Deta
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.v8i1.52276

Abstract

Cardiomyopathy with concomitant heart failure and potentially malignant arrhythmia in patients with morbid obesity and mild restrictive lung disease causes significant functional impairment. Low-grade systemic inflammation accompanies the presence of these diseases. A 48-year-old woman undergoing phase II cardiac rehabilitation complained of easy fatigue. Cardiac rehabilitation consisting of moderate-intensity continuous training (MICT) 3 times 60 minutes with treadmill, arm, and leg ergometer, and resistance training was given. During MICT, the patient developed bigeminy without subjective complaint. After 6 weeks of exercise, an increase in VO2 max predicted by a 6-minute walking test (14.33 to 16.67), improvement in physical activity (low to moderate activity), and improvement in fatigue severity scale (43 to 27) were seen. Muscular fitness was also improved; muscle thickness showed an average increase of 0.25 centimeters with an increase in muscle strength. Body composition (2% decrease in body fat percentage and 4-level decrease in visceral fat) was also noted. Previous studies found that exercise increases VO2 max, improves endothelial function, and improves myocardial reserve flow. Muscle fiber adaptations also occur and include increased cross-sectional area of muscle, selective hypertrophy of fast-twitch fibers, decreased or maintained mitochondrial number and capillary density of muscle, and possible changes in energy sources. Combined exercise results in higher peak work capacity and VO2 peak than resistance or aerobic exercise alone. Although precautions must be taken due to the high risk of cardiovascular events as seen in this case, combined aerobic and resistance exercises can be prescribed to increase cardiorespiratory and muscular fitness and improve body composition.
Co-Authors Ellyana Sungkar Lim, Andry Setiawan Marietta Shanti Miguna, Vindy Margaretha Nazir, Arnengsih Tanuwidjaja, Deta