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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 94 Documents
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Comparison of Hamstrings and Quadriceps Femoris Muscle Thickness Increment between Agonist-Antagonist Paired Set and Traditional Set Resistance Training in Untrained Healthy Subjects Gutama Arya Pringga; R. A. Meisy Andriana; Indrayuni Lukitra Wardhani; Lydia Arfianti
Surabaya Physical Medicine and Rehabilitation Journal Vol. 3 No. 2 (2021): SPMRJ, AUGUST 2021
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v3i2.20976

Abstract

Background: Resistance training is an effective way to increase muscle mass. Resistance training with agonist-antagonist paired set method can be an alternative to increase muscle mass within a relatively short training time.Aim: To compare the increase in hamstrings and quadriceps femoris muscle thickness between agonist-antagonist paired set (APS) and traditional set (TS) resistance training in untrained healthy subjects.Material and Methods: This study was an experimental study on 16 untrained healthy men which were randomly assigned to the APS and the TS group. Each group got leg curl and leg extension exercises with equal training volume for 6 weeks. For the APS group, 1 set of leg curls was followed by 1 set of leg extensions, repeated for 3 sets. For the TS group, 3 sets of leg curls were followed by 3 sets of leg extensions. Muscle thickness was compared from pre- to post-training and between the intervention groups using B-mode ultrasound.Results: Muscle thickness of the hamstrings and quadriceps femoris increased significantly from pre- to post-training in both groups (p<0.05). The increase in muscle thickness between the two groups was not significantly different (p> 0.05).Conclusion: Resistance training with the APS method did not give a higher increment of hamstrings and quadriceps femoris muscle thickness compared to the TS method in healthy untrained subjects.
Cardiovascular Responses, Physical Activity Intensity, and Enjoyment Level of Nintendo Switch™ Exergaming, Comparing Different Tempos and Playing Modes: A Pilot Study Bayu Aji Mayogya Putra; Reni Hendrarati Masduchi; Martha Kurnia Kusumawardani
Surabaya Physical Medicine and Rehabilitation Journal Vol. 3 No. 2 (2021): SPMRJ, AUGUST 2021
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v3i2.21549

Abstract

Background: Physical activity (PA) has been associated with multiple health benefits. However, the global population does not meet the PA recommendations. Virtual reality exergaming (VR EXG) can become an option to increase PA because it is fun, relatively easy to access and affordable through popular commercial devices.Aim: To investigate the immediate cardiovascular responses(blood pressure, heart rate), quantification of PA intensity(percentage of maximum heart rate (%HRmax), Borg’s rating of perceived exertion (RPE), and the level of enjoyment using visual analog scale (VAS) while playing VR EXG.Material and Methods: Fifteen healthy men (aged 31.87±3.14 years old, body mass index 23.77±2.47 kg/m2) undergone three“Fitness Boxing” Nintendo Switch™ playing modes in the same order: (1) single player-normal tempo, (2) single player-fast tempo and (3) versus. During playing, participant’s HR was monitored using Polar H10 heart rate sensor. Blood pressure was measured before and after playing. Borg’s RPE and VAS were collected after playing.Results: Our results showed significant heart rate and systolic blood pressure increase (p = 0.001) in all three playing conditions, whereas diastolic blood pressure was relatively constant (p > 0.05). The Borg’s RPE were in 12-13 range (moderate) and %HRmax range between 72- 81% (vigorous). The enjoyment level was found greatest in versus mode compared to other playing modes.Conclusion: VR EXG Nintendo Switch™ “Fitness Boxing” can elicit immediate cardiovascular responses and provides an enjoyable moderate to vigorous PA intensity in healthy male adults, and can be used to meet the weekly PA recommendations. 
Dysvascular Transtibial Amputation Due To Artery Stenosis: A Case Report Study Kurnia Imanawanto; Ditaruni Asrina Utami
Surabaya Physical Medicine and Rehabilitation Journal Vol. 4 No. 1 (2022): SPMRJ, FEBRUARY 2022
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v4i1.22755

Abstract

Below-knee (BK) amputation is one of the most commonly performed actions in dysvascular cases, but rare caused by arterial stenosis. Those had significant impacts on clinical functions and affect the contralateral limb, so its need adequate supervision during rehabilitation programs. The report are to describe the stump wound healing of the patient after amputation surgery, stump preparation at pre-prosthetic phase, prevention of knee contracture, prosthetic preparation and use, gait training and evaluation of unaffected limb. A 44-years old female with right below-knee amputation caused by stenosis of right peroneal and dorsalis pedis artery, and the wound in the residual limb was not healed within 4 weeks. She got rehabilitation to accelerate stump healing and stump shaping, maintain knee flexibility, muscle strengthening, cardiovascular endurance, transfer and ambulation. She had good compliance to the programs and achieved independent ambulation using the prosthetic within 6 months. Improvement in residual limb healing within 6 weeks, pain reduction from VAS score 3 to zero, and stump shape changes from buldging to conical. And also in knee joint range of motion, transfer ability, gait pattern using BK prosthetic (by modifying shoe components), and the patient's ability to carry out ADL (BI score 75 to 100). Laser therapy, stump shaping, flexibility exercise, strengthening exercise, endurance exercise, ambulation exercise and prosthetic use on transtibial dysvascular amputation showed good results for ADL. Careful examination to the unaffected limb could identify early occurence of stenosis. Early intervention could prevent future ischaemia and amputation.
Effect of Acute Persadia Gymnastic on The Ability to Concentrate in Diabetic Patients Desi Rianti Rahmadhani; Lilik Herawati; Sony Wibisono Mudjanarko; Kristanti Wanito Wigati; Laylatul Fitriah Mukarromah; Winna Adelia Amru
Surabaya Physical Medicine and Rehabilitation Journal Vol. 4 No. 1 (2022): SPMRJ, FEBRUARY 2022
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v4i1.23465

Abstract

Background: Diabetes Mellitus (DM) can affect the peripheral and central nervous system. It can affect cognitive function, one of which can be seen from the decrease in the concentration ability. The concentration ability can be assessed by measuring the reaction time. Reaction time is the time interval between the onset of a stimulus and the initiations of a response. One of the important treatments for DM is physical exercises. Persadia gymnastic is one example of physical exercise that is specially designed for people with DM.Aim: The purpose of this study was to identify the effect of acute Persadia gymnastic on the concentration ability of people with DM.Material and methods: This was an experimental study in type 2 DM patients. Fourteen subjects who met the inclusion criteria were analyzed and randomly grouped into the control (without performing Persadia gymnastic) and the intervention group (performing Persadia gymnastic). The subject’s reaction times were measured before and after the intervention. The mean results of the reaction time of all subjects were then compared between the control and the intervention groups using the Independent-T test and Mann-Whitney tests.Result: The analyzed data were only 7 subjects per group with a total of 14 subjects. The mean value of reaction time in the intervention group was decreased, both audio (-0.04 ± 0.85) and visual (-0.09 ± 0.56). However, there was no significant difference of the reaction time between control and intervention groups (p > 0.05).Conclusions: Many factors can affect reaction time and some still cannot be controlled in this study due to a lot of limitations. Further research is still needed to figure out the effect of persadia gymnastics on the ability to concentrate in people with Diabetes Mellitus.
Normal Walking Speed According to Age and Gender in Preliminary Students in Surabaya Ananda, Naoval Diza; Laswati, Hening; Rejeki, Purwo Sri; Suyoko, Andri
Surabaya Physical Medicine and Rehabilitation Journal Vol. 4 No. 1 (2022): SPMRJ, FEBRUARY 2022
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v4i1.24186

Abstract

Background: Studies on walking have been developed recently because the speed of walking plays an important role in making predictions related to physical health. However, studies of walking speed in children are still relatively few even though the need for such data is quite high considering that walking speed can be used as a parameter to measure physicalhealth.Aim: The purpose of this study is to know the difference in walking speed based on age and gender in elementary school students.Methods: This study used an analytic observational study with a cross-sectional approach. All samples are students from Mojo VI State Elementary School Surabaya aged 7 to 12 years who meet the inclusion criteria using 10-meter walk test. The variable studied was walking speed. Method of sampling was conducted at Mojo VI State Elementary School Surabaya. Walking speed analysis was carried out by using the Kruskal-Wallis test for walking speed based on age and an unpaired T test for walking speed based on gender.Results: This research included 170 subjects that are 90 males and 80 males. Based on age, seven years old students have anaveragewalkingspeedof(1.30±0.21)m/s, eightyearsold students with(1.23±of0.18)m/s, nine yearsold  students with (1.24 ± 0.17) m/s, ten years old students with (1.24 ± 0.19) m/s. eleven years old students with (1.31 ± 0.22) m/s, and twelve years old students with (1.27 ± 0.20) m/s. Based on gender, the average walking speed obtained in male was (1.26 ± 0.19) m/s, while the average walking speed obtained in female was (1.26 ± 0,20)m/s.Conclusion: There is no difference in the speed of walking based on age (p=0.440) at the age of 7 to 12 years and in both genders (p=0.910).
The Relationship between Physical Activity and FEV1/FVC in Asthmatics Andis Putri Nawangasri; Budiono Budiono; Arief Bakhtiar; Budi Sutikno; Esti Maulidya Suryaningrum; Dahlia Damayanti
Surabaya Physical Medicine and Rehabilitation Journal Vol. 4 No. 1 (2022): SPMRJ, FEBRUARY 2022
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v4i1.24726

Abstract

Background: Physical activity is any body movement that requires energy expenditure. Minimum physical activities per day can bring good impact for asthmatic patients (e.g.,reduce asthma symptoms). Many asthmatic patients limit their physical activity, so they tend to be inactive.Aim: To analyze the relationship between physical activity level and FEV1/FVC in asthmatics.Material and methods: This was an analytic observational study with a cross-sectional design. The number of participants in this study was 16 respondents (13 females and 3 males) who were recruited based on inclusion and exclusion criteria. The independent variable in this study is levels of physical activity and the dependent variable is FEV1/FVC values. This study study used the International Physical Activity Questionnaire (IPAQ) short form and spirometry test. The data were analyzed with Spearman's rho test.Result: There was a strong association between levels of physical activity with FEV1/FVC values (p=0,012).Conclusions: Increasing level of physical activity in asthmatics can improve their lung function showed by increased FEV1/FVC values.
Non-Pharmacological Balance Therapy on Diabetic Peripheral Neuropathy Patients with Balance Disorders Jeremy Nicolas Sibarani; Kristanti Wanito Wigati; Imam Subadi
Surabaya Physical Medicine and Rehabilitation Journal Vol. 4 No. 1 (2022): SPMRJ, FEBRUARY 2022
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v4i1.24982

Abstract

ABSTRACTBackground: Patients with diabetic peripheral neuropathy (DPN) suffers from propioceptive ability and mobility disturbance which can potentially affects balance. There are various balance therapy options for DPN patients. The purpose of this study was to determine the effectiveness of various non-pharmacological therapies (surgery, traditional medicine, exercise and assistive devices) in DPN patients with balance disorders.Aim(s): To determine the effectiveness of non-pharmacological balance therapy in people with diabetic peripheral neuropathyMaterial and methods: A systematic review was conducted using randomized controlled trial study articles found using PICO characteristics in ScienceDirect and PubMed in the last 10 years. All articles were selected based on PRISMA and descriptive analysis was carried out on the selected articles.Result: Significant balance improvement found in traditional Thai massage, physical exercise therapy, assistive device therapy with whole-body vibration, and assistive device therapy with electrical stimulation. Surgical therapy with unilateral nerve decompression did not provide a significant measurable balance improvement.Conclusions: Physical exercise therapy, traditional Thai foot massage, WBV and electrical stimulation therapy (with the exception of TENS on the knee) significantly improve balance. Meanwhile, unilateral nerve decompression surgical therapy did not improve the balance significantly.
Effect of Anodal Transcranial Direct Current Stimulation to Flexor Digitorum Superficialis Muscle Activities in Stroke Subjects Ana Mursyida; Reni Hendrarati Masduchi; Imam Subadi
Surabaya Physical Medicine and Rehabilitation Journal Vol. 4 No. 1 (2022): SPMRJ, FEBRUARY 2022
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v4i1.25119

Abstract

Background: Stroke is the main causes of upper extremity weakness that may affect physicalindependency resulting in long-term disability. Previous studies showed that A-tDCS can improve neurological damage. A-tDCS causes depolarization and inducesbrainsynapticplasticity in strokesubjects.Aim: To analyze the effect of Anodal-tDCS to the flexor digitorum superficialis muscles activities in stroke subjects.Material and Methods: This experimental study was conducted from April to September 2020. Eightpatients who suffered first attack ischemic stroke, aged 40 to 70 years old, were recruited from PMR out patient clinic at Dr.Soetomo General Hospital Surabaya. Subjects were randomized in to experimental and control group. The control group was given occupational therapy for 30 minutes, while the experimental group was given A-tDCS with intensity 2 mA for 20 minutes and occupational therapy for 30 minutes in 5 consecutive days. Measurement of FDS muscle activities using sEMG were performed before and after interventionin both groups. Results: There was an increase of FDS muscles activities after treatment incontrol group (p=0,048) while there was no similar result in treatment group (p=0,188). Thechangeofmuscles activities was notdifferent betweengroups(p=0,974).Conclusion: tDCS provides no significant benefit in terms of muscle activities in patients with stroke. Small number of samples and other several factors might limit the significancy of current study. Further study is needed to determine the benefit of A-tDCS as a rehabilitation modality in patient with stroke.
Comprehensive Rehabilitation of Severe Tuberculous Meningitis: A Case Series Yohan Christian Suisan; Khamim Thohari
Surabaya Physical Medicine and Rehabilitation Journal Vol. 4 No. 1 (2022): SPMRJ, FEBRUARY 2022
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v4i1.29389

Abstract

Tuberculous Meningitis (TBM) is a severely disabling condition that often leads to death. It requires the right intensive treatment to minimize disability, speed up recovery, and reduce the risk of death. Rehabilitation is one of the key components in managing TBM. Rehabilitation is expected to speed up recovery and prevent disabilities. The purpose of this case series was to highlight the effectiveness of a comprehensive rehabilitation program in severe TBM patients at Intensive Care Unit (ICU) settings. We present two cases of severe TBM that showed significant changes after the rehabilitation program started. Both patients were at GCS 111. Rehabilitation program was a therapist-based multimodal sensory stimulation in a comprehensive ICU setting with approximately 2 weeks duration. After 5 days of rehabilitation, the first patient’s consciousness began to improve. The second patient’s consciousness began to improve after 1 week of rehabilitation. After approximately 2 weeks, both of them were already at GCS 456 and then transferred to the High Care Unit (HCU). There were only minor disabilities as they were transferred. The rehabilitation program was adapted and continued at HCU. After 1 month, both of them got discharged to home. These cases highlight the importance of rehabilitation programs to be included in the management of TBM patients.
Sun Bathing Affects Overweight-Obese Subjects Vitamin D Deficiency Rio yudistira christanto; Andriati; Dwikora Novembri Utomo; Indrayuni Lukitra Wardhani
Surabaya Physical Medicine and Rehabilitation Journal Vol. 4 No. 2 (2022): SPMRJ, AUGUST 2022
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v4i2.23815

Abstract

Background: There are increasing number of studies that discuss the effect of sun exposure to overweight and obese individuals with vitamin D deficiency (which is UVB exposure can increase serum 25-Hydroxyvitamin D levels). However, until now there is no a literature review about these studies. This shows a weak correlation between sun bathing and serum 25-Hydroxyvitamin D elevation in overweight and obese people. Aim: Describe the effect of the sun bathing for overweight-obese patient with vitamin D deficiency. Material and Methods: Electronic searching tools (ScienceDirect, Pubmed, and Google Scholar) were conducted from the 1990s until the recent literature. A sensitive search strategy uses specific terms. Studies were included if the population with BMI > 25 Kg/m2; Sun Exposure intervention, the studies provided the comparison of implementation method, the studies provided 25-Hydroxyvitamin D status as the outcome. For the exclusion criteria: studies that included subjects metabolics syndrome. MMAT was used for eliminating biased research. Results: Two studies were fulfilled our inclusion criteria. The studies, were excluded, mainly because they lacked data, biased reseach, and failure to answer any authors questions. Conclusion: The sun exposure method has a positive corellation for increasing serum 25-Hydroxyvitamin D level in overweight and obese subjects with vitamin D deficiency, but internal factors (age and skin color) and external factors (season, temperature, dose, and duration) need to be considered to get effective result. Keywords: Obese, Overweight, Sun bathing, Vitamin D deficiency, 25-Hydroxyvitamin D.

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