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All Journal Biology, Medicine, & Natural Product Chemistry Journal Of Applied Multidisciplinary Studies (JAMS)
Whida Rahmawati
Institut Ilmu Kesehatan Bhakti Wiyata
Religion Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Education Energy Medicine & Pharmacology Public Health

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OPTIMIZATION OF EXERCISE THERAPY TO INCREASE THORACIC CAGE EXPANSION IN TUBERCULOUS MENINGITIS CASES Ahmad Akbar Pamungkas; Dinda Dwi Anggari; Isna Rahma Septiana; Enitha Gamganora; Amalga Tri Gusta Nanda; Arshy Prodyanatasari; Whida Rahmawati
Journal Of Applied Multidisiplinary Studies Vol 2 No 1 (2025): November 2025
Publisher : LPPM Sekolah Tinggi Ilmu Ekonomi Ganesha

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Abstract

Tuberculous meningitis (TBM) is the most severe form of tuberculosis, causing significant neurological impairment and respiratory complications in children. The novelty of this research (a) lies in demonstrating the application of a simple, practical physiotherapy protocol within a resource-limited healthcare setting. The objective of this study (b) is to report the effectiveness of this physiotherapy intervention for a 9-year-old boy with TBM. The methods employed (c) included a series of interventions over three sessions, comprising positioning to optimize ventilation and prevent pressure sores, passive breathing exercises to support lung capacity, and passive mobilization to maintain joint range of motion and control spasticity. Evaluation was based on thoracic expansion measurements, the Glasgow Coma Scale (GCS), and spasticity assessment. The empirical results (d) indicated notable clinical improvements, including increased thoracic expansion, enhanced level of consciousness, and stabilized spasticity. The study's implications (e) confirm that a consistent regimen of straightforward physiotherapy techniques can significantly support the recovery process of pediatric TBM patients, offering a viable and accessible supportive care model for hospitals with constrained resources.
Neuromuscular Electrical Stimulation as Prehabilitation for Bilateral Total Knee Arthroplasty: A Pilot Within-Patient Case Series Nita Damayanti; Whida Rahmawati; Rina Puspasari Suryana; Jeremmy Sebastian
Biology, Medicine, & Natural Product Chemistry Vol 15, No 1 (2026)
Publisher : Sunan Kalijaga State Islamic University & Society for Indonesian Biodiversity

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14421/biomedich.2026.151.1391-1397

Abstract

Quadriceps muscle strength loss after total knee arthroplasty remains a major barrier that impairs functional recovery. Pre-operative rehabilitation has been proposed to enhance this problem, yet existing evidence is inconsistent. Neuromuscular electrical stimulation may offer a feasible option for patients limited by pre-operative pain. This pilot study explored the feasibility and observed recovery trends of a structured NMES-based prehabilitation program before the second TKA in staged bilateral cases. Seven female patients undergoing staged bilateral TKA participated in this prospective within-patient comparative case series. Each patient served as their own control. The first TKA received standard post-operative rehabilitation only, while the in-contralateral knee received a 10-week NMES prehabilitation program before the second TKA. Outcomes included pain intensity (VAS), knee range of motion (ROM), quadriceps muscle strength (MMT), and functional performance (TUG, 6 MWT) were tracked descriptively at baseline, 3,6,12 weeks and 12 months post-operative. Given the pilot nature, data are presented descriptively with individual trajectories. Results showed that from 12 months on prehabilitation knee demonstrated clinically meaningful improvements over postoperative rehabilitation, showed lower pain score, greater knee flexion ROM (112.14 vs 109.29), and quadriceps strength was higher (MMT 4.57 vs 3.57). Six of seven participants showed consistent within-trajectories favoring prehabilitation. The protocol was well-tolerated without adverse events. In this small exploratory pilot case series study, NMES-based prehabilitation before the second TKA was feasible and was associated with a more favorable recovery pattern within the same patients at 12 months. While causal conclusions cannot be made, the within-patient design helps limit inter-individual variability and support further research in larger controlled trials of prehabilitation in TKA recovery.
Co-Authors Ahmad Akbar Pamungkas Amalga Tri Gusta Nanda Arshy Prodyanatasari Dinda Dwi Anggari Enitha Gamganora Isna Rahma Septiana Jeremmy Sebastian Nita Damayanti Rina Puspasari Suryana