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Martha Kurnia Kusumawardani
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SURABAYA PHYSICAL MEDICINE AND REHABILITATION JOURNAL
Published by Universitas Airlangga
ISSN : -     EISSN : 26560895     DOI : https://doi.org/10.20473/spmrj.v2i1.16875
Core Subject : Health, Engineering,
Chemical Engineering, Chemistry & Bioengineering Health Professions Medicine & Pharmacology
Surabaya Physical Medicine and Rehabilitation Journal focused on both basic science and clinical study, with following topics: Neuromuscular rehabilitation Musculoskeletal rehabilitation Pediatric rehabilitation Cardiorespiratory rehabilitation Sport rehabilitation Geriatric rehabilitation This Journal also invites contributors from all associated disciplines.
Arjuna Subject : Kedokteran - Rehabilitasi
Articles 112 Documents
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From Frozen Shoulder to Nerve Injury: Recognizing Suprascapular Neuropathy in Adhesive Capsulitis Steven Nanda; Stephanie Theodora Yulinda; Vonny Fibrianty Goenawan
Surabaya Physical Medicine and Rehabilitation Journal Vol. 8 No. 2 (2026): SPMRJ, AUGUST 2026
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v8i2.84853

Abstract

Introduction: Adhesive capsulitis (AC), or frozen shoulder, is a chronic condition characterized by progressive pain and restricted movement due to capsular fibrosis. While its impact is primarily articular, long-standing biomechanical alterations can predispose to secondary complications. Suprascapular neuropathy is an uncommon complication, presenting with weakness and atrophy of supraspinatus and infraspinatus muscles. Case: A 48-year-old man with a 3-month history of left-sided AC presented to the neurology clinic for electrophysiologic evaluation due to weakness and shrinking of left upper back muscle. Initially, he reported severe shoulder pain which has subsided with physiotherapy and pain intervention. Physical examination revealed marked left infraspinatus muscle atrophy and external rotation weakness. Electromyography (EMG) revealed suspected left suprascapular neuropathy. Discussion: Although studies on the direct causation between AC and suprascapular neuropathy are rare, this case illustrates the potential for long-standing AC to cause neuropathy via secondary mechanisms of chronic altered shoulder biomechanics leading to possible entrapment at anatomical narrowings. Restricted glenohumeral motion in AC causes compensatory reliance on scapulothoracic movement, imposing abnormal tension on the suprascapular nerve (SSN) at the spinoglenoid notch. Absence of sensory abnormality and normal supraspinatus muscle in EMG implies isolated distal SSN compression at the notch. Conclusion: Recognition of muscle atrophy and weakness with targeted electrophysiological assessment for suprascapular neuropathy in AC are essential, as clinical presentation may be overshadowed by the primary joint pathology. This report showcases a rare occurrence of EMG-confirmed suprascapular neuropathy in AC, emphasizing that timely management of inflammation reduction, physical and occupational therapy will not only restore shoulder mobility but also prevent secondary complications like suprascapular neuropathy.
Comparison Between Back Exercise and Yoga on Pain Intensity, Trunk Muscle Strength, and Functional Disability (Intervention Studies in Obesity with Chronic Mechanical Low Back Pain) Winny; Tirza Z. Tamin; Dewi Friska
Surabaya Physical Medicine and Rehabilitation Journal Vol. 8 No. 2 (2026): SPMRJ, AUGUST 2026
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v8i2.88169

Abstract

Background: Obesity is an important risk factor for chronic mechanical low back pain (LBP) due to altered spinal biomechanics and reduced core stability. Exercise therapy such as back exercise and yoga is commonly used; however, comparative evidence in overweight and obese patients is limited. Aim(s): To compare the effectiveness of back exercise and yoga on pain intensity, trunk muscle strength, and functional disability in overweight and obese patients with chronic mechanical LBP. Materials and Methods: A randomized controlled trial was conducted involving overweight and obese patients with chronic mechanical LBP. Subjects were divided into back exercise and yoga groups. Both groups received standard aerobic exercise using an ergocycle, twice weekly for six weeks. The back exercise group performed structured back exercises, while the yoga group attended 45-minute yoga sessions twice weekly for six weeks. Outcomes included pain intensity (Visual Analogue Scale), trunk muscle strength (handheld dynamometer), and functional disability (Oswestry Disability Index). Results: After six weeks, no significant differences were found between groups. Reductions in pain intensity, increases in trunk muscle strength, and improvements in functional disability were comparable between the back exercise and yoga groups (p > 0.05). Conclusions: Back exercise and yoga have similar effectiveness in reducing pain, improving trunk muscle strength, and decreasing functional disability in overweight and obese patients with chronic mechanical low back pain.

Page 12 of 12 | Total Record : 112

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