Indonesia Journal of Physical Medicine and Rehabilitation
Indonesian Journal of Physical Medicine and Rehabilitation publishes peer reviewed original articles, literature review and case report. This journal is published two times a year with 6 articles. Subjects suitable for publication include but are not limited to the following fields of Acute and chronic musculoskeletal disorders and pain, Neurologic conditions involving the central and peripheral nervous system, Rehabilitation of impairments associated with disabilities in adults and children neurophysiology and electrodiagnosis. Emphasizes principles of injury function and rehabilitation rehabilitation services which is orthotics or prosthetics exercise exercise for physiotherapy also referred to as physical therapy concerned with diagnosing and treating physical dysfunction of movement and occupational therapy help to solve the problems that interfere with a persons ability
Articles
141 Documents
<![CDATA[The Challenging of Rehabilitation Medicine in Covid-19 ]]>
<![CDATA[Retno Setianing]]>
<![CDATA[ Indonesian Journal of Physical Medicine & Rehabilitation Vol 9 No 01 (2020): Indonesian Journal Of Physical Medicine and Rehabilitation ]]>
Publisher : <![CDATA[Indonesian Journal of Physical Medicine & Rehabilitation ]]>
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DOI: 10.36803/ijpmr.v9i1.250
<![CDATA[The WHO declared a pandemic due to the serious health risk posed by Coronavirus disease (COVID-19). The number of infected cases is on the rise globally with escalating human, economic and societal costs. COVID-19 survivors may suffer a range of clinical, functional and psychological impairments, resulting in disabilities. It was confirmed to have spread to Indonesia on 2 March 2020. Many are amenable to rehabilitation intervention because the current focus of COVID-19 management is on public health measures and acute management. As patients transfer to sub-acute care or discharged to the community, rehabilitation services need to have a number of organizational and operational models in place to provide safe effective care for patients and health professionals. The post-acute management and rehabilitation of the current COVID-19 survivors will be the focus in the coming months, given the range of functional, psychological and clinical impairments reported in many patients. Early rehabilitation intervention in the critical care environments after comprehensive assessment by an interdisciplinary team is safe and essential. Therefore, it is necessary to knowledge and prepare a health service standard to optimize quality of life in disaster victims through holistic and comprehensive approach. New scientific information is emerging and clinical care is driven by rapidly accumulating knowledge.]]>
<![CDATA[Value of Peak Cough Flow (PCF) in Healthy Middle Adulthood and Late Adulthood and the Affecting Factors ]]>
<![CDATA[Nury Nusdwinuringtyas]]>;
<![CDATA[Roy Dwi Indra]]>;
<![CDATA[Tresia Fransiska Ulianna Tambunan]]>;
<![CDATA[Aria Kekalih]]>
<![CDATA[ Indonesian Journal of Physical Medicine & Rehabilitation Vol 9 No 01 (2020): Indonesian Journal Of Physical Medicine and Rehabilitation ]]>
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DOI: 10.36803/ijpmr.v9i1.251
<![CDATA[ABSTRACTIntroduction: Cough is a symptom that is felt by all humans and it is important for the protection which maintains mucus secretion, foreign substances, and infections of the larynx, trachea and bronchi. Thepurpose of this study is to find out the PCF value in healthy middle adulthood and late adulthood and the factors that influence it.Methods: This study is a cross-sectional study involving 99 subjects. Subjects were patients in the clinic for medical rehabilitation of middle adulthood and late adulthood healthy respiration. Subjects whofulfilled the inclusion and exclusion criteria were examined with spirometry to ensure healthy respiration and after that, the PCF examination was carried out with a peakflowmeter device and the correlation wasobserved with age, gender and, height. Results: The PCF value in healthy middle adulthood is 190-540 L / minute (41-50 years 465 L / minute, ages 51-60 years 405 L / minute) and healthy late adulthood is 245-520 L / minute with median 352.5L / minute. Men have a greater PCF value than women, but at the age of 61 years and over there not significantly different. The higher age, the lower the PCF value obtained and there was a statisticallysignificant decrease in the PCF value at 61-70 years of age compared to 41-50 years of age. Subjects with high height have a tendency for a lar ger PCF value and height will af fect the PCF value. Conclusion: Obtained PCF values in middle adulthood and late adulthood with healthy respiration and there is a relationship between sex, age and height factors for the PCF value. Keywords: Age, height, Peak Cough Flow, peakflow meter, sex.]]>
<![CDATA[Pengaruh Jacobson’s Progressive Muscular Relaxation terhadap Kualitas Tidur Pada Lansia Di UPT Kesejahteraan Sosial Lanjut Usia Budi Agung ]]>
<![CDATA[Dyah G. R. Kareri]]>;
<![CDATA[Derri R. Tallo Manafe]]>;
<![CDATA[Maria Kurniati Ester Payon]]>
<![CDATA[ Indonesian Journal of Physical Medicine & Rehabilitation Vol 9 No 01 (2020): Indonesian Journal Of Physical Medicine and Rehabilitation ]]>
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DOI: 10.36803/ijpmr.v9i1.252
<![CDATA[ABSTRACT Background: The quality of sleep in elderly tend to decline. This occurs as a result of certain changes such as physical, biological, mental and socio-economic. The quality of sleep may influence the healthcondition for short or long terms. Poor quality of sleep may cause difficulty in concentrating, slow response, memory disturbance and decrease of performance in daily life. The decline of sleep qualitymay be resolved with Jacobson’s Progressive Muscular Relaxation (JPMR) exercise. Objective: To analyze the effect of Jacobson’s Progressive Muscular Relaxation on sleep quality inelderly at Budi Agung Social Institution. Methods: This study is a pre experimental study with one group pretest-posttest design. The subject ofthis study were the 19 elderly at Budi Agung Social Institution. In this study, JPMR exercise was done in5 days. Sleep quality before and after JPMR exercise was measured using Pittsburgh Sleep Quality Index(PSQI) questionnair. The data obtained was analyzed using McNemar test. Results: From a total of 19 subjects, 3 subjects had good sleep quality while 16 subjecst had poor sleepquality. On the other hand, after the JPMR excercise, improved sleep qualiy was found in the 16 subjectswhile the 3 subjects still had poor sleep quality; bivariate analysis p value = 0.002 (p <0.05). Conclusion: Jacobson’s Progressive Muscular Relaxation (JPMR) has a significant effect on sleepquality in elderly at Budi Agung Social Institution. Keywords: elderly, sleep quality, Jacobson’s Progressive Muscular Relaxation, Pittsburgh Sleep QualityIndex.]]>
<![CDATA[Pengaruh Penambahan Threshold Inspiratory Muscle Training Praoperasi Terhadap Postoperative Pulmonary Complication Pasca Bedah Ganti Katup Jantung ]]>
<![CDATA[Erna Setiawati]]>;
<![CDATA[Ronni Untung Handayanto]]>;
<![CDATA[Sri Wahyudati]]>
<![CDATA[ Indonesian Journal of Physical Medicine & Rehabilitation Vol 9 No 01 (2020): Indonesian Journal Of Physical Medicine and Rehabilitation ]]>
Publisher : <![CDATA[Indonesian Journal of Physical Medicine & Rehabilitation ]]>
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DOI: 10.36803/ijpmr.v9i1.253
<![CDATA[ABSTRACT Introduction: Cardiac surgery has been improved patient’s outcome with cardiac valve anomaly. There was 111 cardiac valve replacement surgery performed in Kariadi General Hospital Semarang in 2018.Postoperative pulmonary complication (PPC) is the most common complication in this procedure compared to cardiac complication which are thought caused by the disruption of normal respiratory function as a result from surgical and anesthetic procedure. Additional preoperative threshold inspiratory muscle training (Threshold IMT) has been considered as an ef fective intervention to reduce PPC. Methods: This is a quasi experimental study with main reason to know the role of Threshold IMT on PPC incidences. Subjects in the intervention group were given routine conventional rehabilitationexercises according to Clinical Practice Guide (PPK) with additional of Threshold IMT, which applied based on research protocols, while control group did convention al rehabilitation exercises only. Results: 18 subjects were divided into intervention group (n=9), and control group (n=9), PPC incidences (Intervention group n=2, control group n=7) were analyzed statistically using Chi-squared test andshowed significant differences (Fisher exact test p=0.02 with α=0.05). Conclusion: Additional of Threshold IMT preoperative may reduce the incidence of PPC on heart valve replacement surgery.Keywords: Postoperative pulmonary complication (PPC), Threshold inspiratory muscle training (Threshold IMT)]]>
<![CDATA[Efek Prehabilitation Exercise dengan Resistance Band terhadap Kualitas Hidup Pasien yang Menjalani Total Knee Replacement ]]>
<![CDATA[Erna Setiawati]]>;
<![CDATA[Juwita Kusumadewi]]>;
<![CDATA[Robby Tjandra]]>
<![CDATA[ Indonesian Journal of Physical Medicine & Rehabilitation Vol 9 No 01 (2020): Indonesian Journal Of Physical Medicine and Rehabilitation ]]>
Publisher : <![CDATA[Indonesian Journal of Physical Medicine & Rehabilitation ]]>
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DOI: 10.36803/ijpmr.v9i1.254
<![CDATA[ABSTRACT Introduction: An exercise program like prehabilitation exercise is expected to contribute in improving outcomes in Osteoarthritis (OA) postoperatively such as Total Knee Replacement (TKR). Elastic resistance products in prehabilitation exercise programs have been widely used in rehabilitation and are an effective method. Resistance band is one of elastic resistance products that have several advantages. The purpose of this study was to determine the effect of prehabilitation exercise intervention with a resistance band on the quality of life of patients under going TKR using the SF-36 questionnaire. Methods: This study was a randomized controlled trial pre-test and post-test control group design knowing the effects of prehabilitation exercise in patients underwent TKR. 16 subjects were allocated to treatment group (n = 8) which received additional prehabilitation exercise using resistance band and control group (n = 8) with conventional therapy (ergocycle and Transcutaneous Electrical Nerve Stimulation (TENS)) preoperatively. Quality of life assessment using SF-36 score was carried out 4 weeks preoperatively and 8 weeks postoperatively. Results: The mean baseline value of SF-36 in the treatment group is 41.18 ± 9.40 and control group with mean 43.78 ± 5.66, did not differ significantly with p > 0.05. Both groups experienced a significantincrease in their SF-36 post-test scores for the control group (p <0.05) and the treatment group (p <0.05). Comparison between groups showed a significant difference (p <0.05) between the pretest and posttestSF-36 scores where the control group (6.32±3.21) and treatment group (23.95±9.75). Discussion: The SF-36 pre-test score between groups showed no significant d ifference. While the posttest results had significantly increased in SF-36 mean score in both groups. This might be caused byalthough the exercises performed by the two groups were different, they still did exercises that had an effect on joints. Despite of that, treatment group post-test results still had significantly betterimprovement than those of the control group. Conclusion: Prehabilitation exercise intervention using resistance bands improving the quality of life of patients undergoing TKR. The quality of life improving more in those who do prehabilitation exercisethan those who do conventional therapy.Keywords: Prehabilitation exercise, quality of life, total knee replacement.]]>
<![CDATA[The Comparison of Post Coronary Artery Bypass Graft Functional Capacity between High Intensity Interval Training and Moderate Continuous Intensity Aerobic Exercise in Phase II Cardiac Rehabilitation Patients ]]>
<![CDATA[Dini Fitriani]]>;
<![CDATA[Irma Ruslina Defi]]>;
<![CDATA[Sunaryo B Sastradimaja]]>;
<![CDATA[Badai B Tiksnadi]]>
<![CDATA[ Indonesian Journal of Physical Medicine & Rehabilitation Vol 9 No 01 (2020): Indonesian Journal Of Physical Medicine and Rehabilitation ]]>
Publisher : <![CDATA[Indonesian Journal of Physical Medicine & Rehabilitation ]]>
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DOI: 10.36803/ijpmr.v9i1.255
<![CDATA[ABSTRACT Introduction: Increased aerobic exercise capacity appears to reduce all-cause mortality and cardiovascular mortality. Aerobic exercise improves functional capacity (FC) is strongly recommended.However, evidence regarding the most efficient exercise intensity for patients post Coronary Artery Bypass Surgery (CABG) is still limited. This study aimed to assess the effects of high-intensity intervalexercise (HIIT) compared to moderate-continous intensity exercise (MCT) for increasing FC in patients post CABG. Methods: True experimental pre-post study included 6 men post CABG participating in a phase II cardiac rehabilitation (CR) with age ≤ 65 years old, ejection fraction ≥ 40%, no heart failure, no valve disease.Each group had 3 participants. HIIT group exercise at 80-90% Heart Rate Reserve (HRR) followed by 60-70% HRR active rest periods, MCT group exercised at 60-80% HRR. Both groups trained 3 days/week for 4 weeks. FC measured at baseline and after 4 weeks of rehabilitation. FC was assessed by maximal exercise testing through indirect VO2 max measurement. Results: After training, FC increased significantly in both group HIIT: 0,98±0,48 METs (8.07±1.51 METs to 9.05±1.21 METs), p=0.03 and MCT : 0,79±1,03 METs (5.74±2.24 to 6.53±1.69 METs), p=0.04).Differences in FC improvement between the two groups are p=0.792. Conclusion: HIIT exercise had no difference with MCT in increasing FC in patients post CABG. Keywords: CABG, cardiac rehabilitation, continuous moderate training, functional capacity, highintensity interval training]]>
<![CDATA[Aquatic Therapy Following Total Knee Replacement ]]>
<![CDATA[E. Endang Sri Mariani]]>
<![CDATA[ Indonesian Journal of Physical Medicine & Rehabilitation Vol 9 No 01 (2020): Indonesian Journal Of Physical Medicine and Rehabilitation ]]>
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DOI: 10.36803/ijpmr.v9i1.256
<![CDATA[ABSTRACTTotal knee replacement (TKR) has revolutionized the care of pati ents with end-stage knee joint disease. Rehabilitation of TKR commonly consists of land-based exercises as a primary mode, but it may notalways be an optimal approach. Water provides a unique environment. The level of exertion is a function of water properties and the physical laws of motion. Aquatic therapy allows fine gradations of exercise, increase control over thepercentage of weight bearing, increase ROM and strength, decrease pain and swelling, and increase confidence in functional movements.Although there is inconsistency in research results, of all studies aquatic therapy is not said to be worst than land-based therapy. Moreover, it has a positive influence on social behavior and mood. This may bemore advantageous in the early postoperative phase when patient s are limited by pain. As a tool, aquatic therapy has desirable and undesirable effects. So, it is important to screen the patientsbefore undergoing aquatic therapy and to assess patient’s condition during and after it. However, so far there has been no agreement in post TKR aquatic protocols. The obstacle also may occur on the cost forfacility maintenance and hygiene, as well as the availability o f competent human resources.Keywords: aquatic therapy, total knee replacement]]>
<![CDATA[The Effect of Wrist Kinesiotaping on Hand Motor Exercise in Fine Motor Skill for Children with Cerebral Palsy ]]>
<![CDATA[Erna Setiawati]]>
<![CDATA[ Indonesian Journal of Physical Medicine & Rehabilitation Vol 10 No 01 (2021): Indonesian Journal Of Physical Medicine and Rehabilitation ]]>
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DOI: 10.36803/ijpmr.v10i1.278
<![CDATA[ABSTRACTIntroduction: Kinesiotaping (KT) is one of current method that being used for hands problems in cerebral palsy. The purpose of this study was to evaluate the effect of kinesiotaping at wrist combined with hand motor exercise in fine motor skill for children with cerebral palsy.Methods: The design was simple randomized controlled study pre and post intervention. There were 18 children who divided into kinesiotaping and control group. Subjects in the KT group received hand motor exercise and wrist kinesiotaping. Subjects in control group received only hand motor exercise.Both groups received the exercise for 4 weeks. There were difference in the MACS score which is used to measure fine motor skills in this study. Pre and posttest scores were collected before applying kinesiotaping and after 4 weeks of intervention.Results: Both groups showed an increase in MACS score after 4 weeks intervention. For MACS score, there was statistically significant difference in KT group (p = 0.025), but not statistically significant in control group (p = 0.083).Conclusion: Wrist kinesiotaping can be used for adjunct therapy combined with conventional hand motor exercise for improving manual ability in the hand and fin e motor skill in cerebral palsy.Keywords: Cerebral palsy, fine motor skill, wrist kinesiotaping.]]>
<![CDATA[Physiological Effects and Prescription of Exercise in Patients with Peripheral Artery Disease ]]>
<![CDATA[Arnengsih Nazir]]>
<![CDATA[ Indonesian Journal of Physical Medicine & Rehabilitation Vol 10 No 01 (2021): Indonesian Journal Of Physical Medicine and Rehabilitation ]]>
Publisher : <![CDATA[Indonesian Journal of Physical Medicine & Rehabilitation ]]>
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DOI: 10.36803/ijpmr.v10i1.279
<![CDATA[ABSTRACTIntroduction: Peripheral artery disease (PAD) is a disease with atherosclerotic process in blood vessels which results in impairment of blood flow to the lower limbs. The prevalence escalates with advancing age and resulting in typical symptoms of intermittent claudication, ischemic pain at rest, non-healingwound, and atypical symptoms associated with PAD. These symptoms can lead to impaired walking, activity restrictions, and low quality of life. Regular exercise has been known as an effective intervention to reduce symptoms and improve exercise performance.Methods: Literature published from 2011-2021 was searched using the PubMed and Google Scholar as the search engine. The keywords used were exercise, physiological effect, recommendation, peripheral artery disease, and intermittent claudication.Results: Forty-four literature matched with the topic and 1 1 were used to explain sub-topics.Conclusion: The physiological effects of regular exercise include increased of oxygen extraction from blood vessels and muscle enzyme activity, as well as decreased of inflammatory mediators associated with endothelial damage. The recommended form of exercise for PAD is walking both under supervisionand without supervision at home and community. Prescription of aerobic exercise vary based on intensity targeted. Another forms of exercise recommended for PAD patients are resistance and flexibility exercises.Keywords: exercise, peripheral artery disease, physiological ef fects, supervised-exercise.]]>
<![CDATA[Kinesiotaping Effects on Shoulder Pain, Mobilization and Functional Capacity in Leisure Basketball Athlete ]]>
<![CDATA[Vitriana Biben]]>
<![CDATA[ Indonesian Journal of Physical Medicine & Rehabilitation Vol 10 No 01 (2021): Indonesian Journal Of Physical Medicine and Rehabilitation ]]>
Publisher : <![CDATA[Indonesian Journal of Physical Medicine & Rehabilitation ]]>
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DOI: 10.36803/ijpmr.v10i1.280
<![CDATA[ABSTRACTIntroduction: Shoulder pain is a common issue among basketball players and it can decrease their range of motion (ROM) and overall upper limb functional ability. Kinesiotaping modulates pain mechanoreceptors on the skin and thus can reduce pain and impro ve shoulder ROM.Methods: This study aims to evaluate the effects of KT application on the severity of pain, shoulder mobilization, and functional ability of the upper limb in leisure basketball players. Quantitative quasiexperimental method with intervention design in 32 basketball leisure athletes was used. Pain was assessed by using the 100mm Numeric Rating Scale instrument, shoulder flexion and abduction were measured using a goniometer and the Shoulder Pain & Disability Index (SPADI) instrument was used to assess upper limb functional ability.Results: There was a significant decrease in shoulder pain (4.78±0.79 to 2.90±1.42 on day 5, p= 0.05), and an increase in flexion and abduction (on day 5, p=0.05 for flexion and p=0.05 for abduction). There was also a significant increase (p =0.05) in upper limb functional ability after the intervention.Conclusion: KT application shows benefits in decreasing shoulder pain and increasing shoulder mobilization and functional ability of upper limb during first 3rd day until 5th day application.Keywords: functional abilities, kinesiotaping, mobilization, pain, should er joint]]>
