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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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Feeding Therapy in Preterm Infants Ida Ayu Wulan Kartika Dewi Manuaba; Bagus Diva Indra Dharma
Surabaya Physical Medicine and Rehabilitation Journal Vol. 5 No. 1 (2023): SPMRJ, FEBRUARY 2023
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v5i1.33905

Abstract

Low Birth Weight (LBW) or Very Low Birth Weight (VLBW) infants often have feeding difficulty issues that impact feeding abilities, leading to complications such as difficulty gaining weight and prolonged length of stay (LOS) in the hospital. Early feeding therapy interventions have good outcomes for LBW or VLBW preterm in accelerating feeding goals, gaining weight, and reducing LOS. This article reported two cases of VLBW patients who were referred from the Pediatric Department to the Physical Medicine and Rehabilitation Department because of feeding difficulties that led to prolonged LOS, in order to achieve better outcomes in spontaneous oral feeding. The feeding therapy intervention was given to the infants every day by the speech therapist. Feeding therapy intervention shows promising results in provoking the proper sucking reflex in VLBW preterm infants, which helps them to achieve better oral feeding ability that accelerates weight gain and reduces LOS in the hospital.
Profile of Patients’ Osteoarthritis at Tertiary and Teaching in Aceh, Indonesia Alex Kurniawan Gan; Safrizal Rahman; Armia Indra Nur Alam; Bellinda Paterasari
Surabaya Physical Medicine and Rehabilitation Journal Vol. 5 No. 1 (2023): SPMRJ, FEBRUARY 2023
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v5i1.36881

Abstract

Background: Osteoarthritis is a degenerative joint disease characterized by damage of cartilage in the joints and subchondral bones that cause pain in a joint. Aim: To describe the patients’ profile of osteoarthritis at the Dr Zainoel Abidin Hospital Banda Aceh. Material and Methods: A retrospective observational descriptive study on osteoarthritis patients who were treated at the Orthopaedic Clinic of RSUDZA Banda Aceh for the period March 2020 to February 2022. Results: Two years of observation yielded a total of 397 osteoarthritis patients. Most cases are in female patients (63.4%), with the majority of those in the age bracket >55 years (61.9%), with the majority of patients being from Banda Aceh City (37.2%). The most diagnoses are knee OA, which is 330 patients (82.9%) and hip OA, which is 39 patients (9.9%). Only 108 patients received surgery, operations for knee OA, total knee replacement were 78 patients (23.63%), while for hip OA patients who needed total hip teplacement surgery there were were 26 patients (66.66%) and partial hip replacement was 4 patients (10.25%). Conclusion: Osteoarthritis often occurs in female patients and mostly in the patient age group >55 years. Indications for surgery in OA are based on symptoms, stage of OA, and patient-related factors such as age, level of physical activity, and patient comorbidities.
Orthosis Treatment for Patients with Congenital Hip Dislocation Rakotonandrianina, Manohisoa Nomena Harisambatra; MG.,, Ando Tatiana Ranaivondrambola,; Tata, Tsiahoana Jean Floris; Solofomalala, Gaítan Duval
Surabaya Physical Medicine and Rehabilitation Journal Vol. 5 No. 1 (2023): SPMRJ, FEBRUARY 2023
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v5i1.36926

Abstract

Background: Congenital dislocation of the hip is currently a public health and socioeconomic problem. Delayed treatment impairs the functional prognosis of the affected hip and increases the need for surgical treatment. Aim: To evaluate the therapeutic results of the treatment by orthosis and the cost of the treatment. Material and Methods: This retroprospective descriptive study was carried out at the CHUAM of Antananarivo and the CRMM of Antsirabe on patients with congenital hip dislocation treated with braces; from January 2017 to August 2021. Results: Forty-eight cases were retained during this study. A female predominance was mentioned with a sex ratio of 0.45 and an average age of 7.8 ± 5.5 months at the beginning of the treatment. A left dislocation was observed in 27.1% of cases. Twenty-nine patients were treated with abduction pants. A recentered femoral head showing a good result was present in 37 patients. Five dislocations were observed at follow-up, and 5 residual subluxations. No cases of avascular necrosis of the femoral head have been reported. The total cost of orthosis treatment was on the average of 138.554,5 ± 51.678,8 Ariary. Conclusion: The age at the start of treatment and the duration of treatment influence the therapeutic outcome. The cost of orthosis treatment was affordable. If the treatment started earlier, the functional prognosis would be better.
Comparison of the Effects of Repetitive Transcranial Magnetic Stimulation and Aerobic Exercise as an Adjunct Therapy in Depressed Patients on Activity of Daily Living and Quality of Life Muhammad Yusuf; Sri Mardjiati Mei Wulan; Reni Hendrarati Masduchi; Agustina Konginan
Surabaya Physical Medicine and Rehabilitation Journal Vol. 5 No. 1 (2023): SPMRJ, FEBRUARY 2023
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v5i1.25196

Abstract

Background: Depression is one of the most common causes of disabilities and poor quality of life worldwide. One-fifth of patients fail to respond to antidepressant therapy. Hence, adjunct therapy is urgently needed. Aim: This study aims to compare the effectiveness of repetitive transcranial magnetic stimulation (rTMS) and aerobic exercise as adjunct therapy on activity of daily living and quality of life in depressed patients. Material and Methods: A randomized-controlled experiment was conducted between May 2019 and January 2020. Twenty-seven depressed patients were divided into three groups for two weeks: antidepressant-only, antidepressant-and-aerobic exercise, and antidepressant-and-rTMS. The Barthel Index and SF-36 were used to assess the activity of daily living and quality of life. Results: After the intervention, there were no appreciable changes in the Barthel Index scores in any of the three groups (p>0.05). Following therapy, SF-36 results for physical function, bodily discomfort, public health, vitality, social function, emotional role functioning, and mental health all showed substantial improvements across groups (p 0.05). Patients in the antidepressant and rTMS groups improved more than those in the other two groups in the areas of overall health (15.71±6.075, p=0.009), emotional role functioning (20.29±11.940, p=0.049), and mental health (14.29±6.075, p=0.041). However, the Barthel Index score changes did not differ between groups (p=0.664). Conclusion: Better quality of life improvement in the rTMS group compared to the other two groups supports the use of rTMS as an additional therapy. It aims to enhance quality of life in patients with moderate and severe first-episode depression.
Comparing the Effect of Repetitive Transcranial Magnetic Stimulation Therapy and Aerobic Exercise as an Add-on Therapy on the Cognitive Function of Patients with Depression Ikhwan Muhammad; Hening Laswati Putra; Martha Kurnia Kusumawardani; Agustina Konginan; Fazia
Surabaya Physical Medicine and Rehabilitation Journal Vol. 5 No. 2 (2023): SPMRJ, AUGUST 2023
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v5i2.25367

Abstract

Background: Cognitive disturbances are a major cause of disability in depression. The antidepressant medication effectively improves cognitive function. However, its adverse effect limits its use, so add-on treatment is needed to support its effectiveness. Aim: This study aims to compare the efficacy of aerobic exercise and repetitive transcranial magnetic stimulation (rTMS) as an add-on treatment for improving cognitive function. Material and Methods: Twenty-seven patients with first episodes of moderate and severe depression were recruited from the outpatient psychiatry clinic to join this randomized controlled trial. Participants were allocated to three groups: antidepressant only, antidepressant with add-on aerobic exercise, and antidepressant with add-on rTMS therapy. All participants received 2 weeks of intervention. Cognitive functions were assessed using Montreal Cognitive Assessment (MOCA). Results: No differences were found in baseline characteristic data between groups. Total MOCA score increased after intervention in a group with no add-on treatment (p=0.007), with add-on aerobic exercise (p=0.011), and with add-on rTMS therapy (p=0.017). Hence, there was no between-group difference (p=0.222). The MOCA subtest analysis revealed between-group differences in changes in delayed recall subtest score (p=0.01). The group with add-on rTMS therapy improved better than the group with antidepressants only (p=0.005). Conclusion: The addition of rTMS therapy resulted in better improved delayed recall function than the addition of aerobic exercise or without any add-on treatment. This finding supports the application of rTMS therapy as an add-on treatment to improve the cognitive function of patients with depression.
Role of exercise in severe COVID-19 case Arnengsih Nazir; Witri Septiani
Surabaya Physical Medicine and Rehabilitation Journal Vol. 5 No. 2 (2023): SPMRJ, AUGUST 2023
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v5i2.30984

Abstract

Abstract Severe COVID-19 infection can lead to prolonged recovery and troublesome symptoms. The symptoms reported in those patients were dyspnea, fatigue, weakness, anxiety, and activity intolerance. Patients showed limited exercise capacity and interfered with daily activities, as well as the quality of life. We report the role of exercise in improving activity tolerance in a survivor of a COVID-19 severe case. A male patient, 51 years, came to outpatient pulmonary rehabilitation after hospitalization due to a severe case of COVID-19. The patient had a low activity tolerance presented as fatigue, dyspnea, activity-induced oxygen desaturation, and inability to perform exercise testing, in addition to mild anxiety. A set of exercises consisting of breathing, flexibility, muscular, and cardiorespiratory endurance were given for 4 weeks along with psychological counseling. Barthel Index, cardiorespiratory fitness, sit-to-stand test, Fatigue Severity Scale, Medical Research Council Dyspnea Scale, and maximum breathing capacity were recorded as outcome measures. A Zung Self-rating Anxiety Scale and insomnia severity index were also measured. After 4 weeks, the symptoms of activity intolerance decreased. There were improvements in all outcomes except for the insomnia severity scale. Experts recommend that COVID-19 patients should carry out regular daily activities and low to moderate-intensity exercise in the first 6-8 weeks after discharge. Resuming daily physical activities as early as possible can affect functional recovery. It is also beneficial for general fitness, fatigue, emotional disturbance, and lack of confidence. In this patient, low-intensity exercises as recommended by experts were given to improve activity tolerance.
The effect of physical therapy and modalities on frozen shoulder patients at Baptist Hospital Batu: a retrospective study Nadia Ovianti; Nurdiana Adwi Nugrahani
Surabaya Physical Medicine and Rehabilitation Journal Vol. 5 No. 2 (2023): SPMRJ, AUGUST 2023
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v5i2.38052

Abstract

Introduction: Frozen shoulder was one of top 10 diseases with frequent visits at Baptist Hospital's rehabilitation clinic in 2020. Treatment for this condition includes physical therapy and modalities. This study aims to compare the range of motion and pain scale before and after treatments on frozen shoulder patients in Baptist Hospital Batu. Material and Methods: This is a retrospective study using the data from medical records of patients known to have frozen shoulder who came to outpatient physical rehabilitation clinic at Baptist Hospital, Batu, for at least a month period of treatment. The parameters used are range of motions after interventions, pain scale using VAS, sex, and age. Result: Twenty-two patients were diagnosed with frozen shoulder, 16 patients were included in further analyses, 9 of 16 were women, and the most common age presentation was between 50-60 years. There were improvements in 12 patients being recorded for their shoulder flexion and abduction. The flexion ROM increased from 115 to 156 degrees, while abduction ROM increased from 95 to 144 degrees, on average. About 9 out of 13 patients had decreasing pain scale according to VAS, declining from 5.5 to 4.7. Conclusion: The combination of physical exercises as well as SWD / ultrasound with TENS (transcutaneous electrical nerve stimulation) has a positive impact on the improvement of frozen shoulder. There was an increase in the range of motion of the joint flexion and abduction, and a decrease in pain scores in the majority of the patients after treatment.
Effect of Adding Kinesiotaping to Median Nerve Gliding Exercise Toward Hand Performance of Patients with Carpal Tunnel Syndrome by Using Michigan Hand Outcomes Questionnaire Ratih Dwiratna Hakim; Tanti Ajoe Kesoema; Rahmi Isma Asmara Putri; Endang Sri Mariani
Surabaya Physical Medicine and Rehabilitation Journal Vol. 5 No. 2 (2023): SPMRJ, AUGUST 2023
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v5i2.40623

Abstract

Background: CTS occurs due to local compression of the median nerve with manifestations of neuropathy, mostly in the productive population. Many conservative treatments have been observed to reduce the degree of pain and quality of life in CTS patients. Kinesiotaping is a new therapy that has been widely used for various musculoskeletal conditions and is known for reducing median nerve compression. Aim: To determine the effect of adding kinesiotaping to median nerve gliding exercise on hand function in CTS patients by using the Michigan Hand Outcomes Questionnaire. Methods: This research was an experimental randomized pre-and post-test group design. A sample of 24 patients from the Medical Rehabilitation Outpatient in RSUP Dr. Kariadi were divided into two groups randomly. The intervention group (n=12, dropout 1) got kinesiotaping application and median nerve gliding exercise. The control group (n=12, dropout 1) did the median nerve gliding exercise only. Hand performance has been evaluated before and at the end of the 4th week of treatment by using the Michigan Hand Outcomes Questionnaire. Result: There were significant improvements in the intervention group's right-hand function (p<0,001), activities of daily living (ADLs) or the ability of the right hand to do certain tasks (p<0,001), work performance (p<0,001), pain (p=0,024), and satisfaction (p<0,001), as compared to the control group. Meanwhile, the intervention and the control group did not show significant differences in left-hand function score (p=0.884), left-hand ability score (p=0.884), and aesthetics score (p=1,000). Conclusion: There was a positive effect on improving hand performance in CTS patients by adding kinesiotaping to median nerve gliding exercises.
Spinal Dural Arteriovenous Fistula in a Pediatric Patient with History of Endovascular Therapy Failure: A Case Report Primadenny Ariesa Airlangga, M.D, M.Sc; Rizal Alexander Lisan; Aries Rakhmat Hidayat
Surabaya Physical Medicine and Rehabilitation Journal Vol. 5 No. 2 (2023): SPMRJ, AUGUST 2023
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v5i2.41525

Abstract

Spinal Dural Arteriovenous Fistula (SDAVF) cases in children are extremely rare and pose a high risk for intraoperative hemorrhage. The clinical manifestation and imaging results may be vague and deceptive, frequently mistaken for other conditions such as demyelinating or spinal degenerative illnesses. SDAVF's cause is not well understood. Here, we present the case of a 10-year-old male patient with SDAVF who did not improve after endovascular therapy. The patient complained of weakness in the lower extremities, skin thickness, tingling sensations, and painful bowel movements and urination. The patient underwent endovascular embolization due to spinal AVF from the 9th thoracic vertebrae until the sacral vertebrae one month earlier. But no significant clinical improvement was found. The vital signs of the patient were within normal limits. An MRI showed a flow-void lesion with tortuosity in the dorsal spinal area at the 9th and 10th thoracic vertebrae. Because an embolization procedure was performed on the patient, which resulted in no significant improvement, it was planned for the patient to undergo an MRI and MRA evaluation. An MRI and MRA later showed the formation of an extramedullary intradural cyst at levels T9 to T10 of the thoracic vertebrae. Decompression surgery (left hemilaminectomy) and tumor extirpation were thereafter carried out on the patient after the routine laboratory test was performed. After the procedure, the patient showed improvement and could carry out everyday activities independently at 10 months post-operatively. The failure of endovascular therapy can be attributed to several factors, such as the surgeon's experience, tools, and embolization technique, and follow-up treatment by surgery.
The Effects of Additional Radial Shock Wave Therapy on Spasticity of Upper Extremity Muscle Go Linda Sugiarto; Tanti Ajoe Kesoema
Surabaya Physical Medicine and Rehabilitation Journal Vol. 5 No. 2 (2023): SPMRJ, AUGUST 2023
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v5i2.44017

Abstract

Background: Spasticity is one of the most common problems and greatly interferes with the functional capacity of chronic stroke patients. The most commonly used treatments are infrared therapy and stretching exercises, but they have not reduced spasticity effectively. The addition of Radial Shock Wave Therapy (RSWT) was expected to be more effective in reducing spasticity in chronic stroke patients.  Aim: The purpose of this study is to prove that the addition of RSWT is more effective reducing spasticity of chronic stroke patients. Material and methods: This study was a simple randomized controlled pre- and post-experimental design. The total sample of 30 chronic spastic stroke patients with the Modified Asworth Scale 2-3 was divided into 2 groups: the study group and the control group. RSWT was provided once a week to the muscle belly of the flexor wist muscle on the ventral aspect of the forearm, the intrinsic muscle of the hand, and flexor digitorum tendon. They were added to infrared therapy and stretching exercises in the upper extremities which are provided three times a week for six weeks consecutively. The level of spasticity was measured by the Tardieu Scale, which measures quality and angle of resistance at the beginning and end of the study. Results: A significantly greater reduction was obtained (p<0.05) from the level of spasticity measured by the Tardieu Scale, both on the quality and angle of resistance, in the study group. Conclusion: The addition of RSWT has been shown to have a greater reduction in spasticity in upper extremity muscle in chronic stroke patients.

Page 6 of 10 | Total Record : 94

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