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EFFECT OF PELVIC FLOOR MUSCLE BIOFEEDBACK ON IMPROVED ERECTILE FUNCTION IN PATIENTS WITH LOWER URINARY TRACT SYMPTOMS: PRELIMINARY STUDY Meilinda, Astrid; Purba, Herdiman Bernard; Birowo, Ponco; Kekalih, Aria
Indonesian Journal of Urology Vol 32 No 1 (2025)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v32i1.901

Abstract

Objective: This study aims to determine the effect of giving pelvic floor muscle biofeedback on improving erectile function in patients with LUTS. Improvement in erectile function was assessed by IIEF (International Index of Erectile Function), EHS (Erectile Hardness Score), and pelvic floor muscle strength. Improvement in LUTS symptoms was assessed by an IPSS (International Index of Prostate Symptoms). Material & Methods: This research was a randomized controlled trial study on outpatients at Cipto Mangunkusumo General Hospital. The research subjects were divided into 2 groups, the treatment group received 10 sessions of pelvic floor muscle biofeedback and home exercise. The control group only received home exercise. Results: There were 21 LUTS patients with ED. A total of 10 subjects (50%) had mild ED, 4 subjects (20%) had moderate ED, and 6 subjects (30%) had severe ED. From the results of the study, it was found that the scores for IIEF, IPSS, EHS, slow twitch, and fast twitch were improved in the treatment group (p-value <0.05), whereas in the control group there were only improvements in IIEF and IPSS scores (p-value <0.05). Conclusion: There was an improvement in erectile function (increased IIEF score, EHS score, decreased IPSS score, and increased pelvic floor muscle strength) after pelvic floor muscle biofeedback in ED patients with LUTS for 10 sessions. Keywords: Biofeedback, erectile dysfunction, pelvic floor muscle exercises, lower urinary tract symptoms (LUTS).
Effect of Community-Based Rehabilitation on Caregivers of Palliative Stroke and Geriatric Patients: Pilot Study Harini, Melinda; Nathania, Eugene; Meilinda, Astrid; Gandra, Agus Suwandi; Ghassani, Atika; Ayuningtyas, Putu Duhita; Hasanah, Wenny Wirdatul; Kusumaningsih, Widjajalaksmi; Sukmana, Deddy Tedja; Tamin, Tirza Zainuddin; Setiani, Maina; Yuliandra, Rofi; Lauvita, Jenny; Kweri, Kazya; Nadobudskaya, Syifa Muzalifa
Acta Neurologica Indonesia Vol. 4 No. 3 (2026): Acta Neurologica Indonesia
Publisher : Departemen Neurologi Fakultas Kedokteran Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69868/ani.v4i3.136

Abstract

Introduction : Community-based rehabilitation (CBR) effectively supports palliative care patients, including those with cerebrovascular disease (CVD/stroke), though impacts vary by local resources. Caregiver burden is common among families of palliative patients with cardiovascular and geriatric conditions. This study evaluated a primary health center–based CBR programme’s effects on both caregiver & patient. Objective : To describe and assess the clinical and statistical significance of CBR in reducing caregiver burden, improving quality of life (QoL), knowledge, and patient functional outcomes in palliative care. Material and methods : This retrospective study analyzed CBR data from Universitas Indonesia. Four validated tools were used: Zarit Burden Interview (ZBI), EQ-5D-5L/EQ-VAS (caregiver and patient QoL), caregiver knowledge questionnaire, Barthel Index (BI). Paired pre-post analyses were performed. Result : Most caregivers cared for post stroke patients. Caregiver EQ-VAS improved significantly (+30.56±39.25; p=0.048). Non-significant but clinically meaningful trends were observed in ZBI reduction (−4.33±8.38; p=0.159) and caregiver knowledge gain (median +7; p=0.050). Patient BI improvement (+1.78±1.30; p=0.073) and patient EQ-VAS increase (median +10; p=0.089). Discussion : CBR training enhanced caregiver QoL and produced consistent positive trends across functional and psychosocial measures for palliative patients in resource-limited community settings, suggesting clinical benefit and feasibility for primary care implementation despite limited statistical significance. Conclusion : CBR showed potential benefit in improving caregiver QoL and patient outcomes in primary palliative care. Larger prospective studies are needed.