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INDONESIA
Indonesia Journal of Physical Medicine and Rehabilitation
Published by PB PERDOSRI
ISSN : 22528199     EISSN : 26217678     DOI : https://doi.org/10.36803/ijpmr.v10i02
Core Subject : Science,
Decision Sciences, Operations Research & Management Neuroscience Physics
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
Arjuna Subject : Kedokteran - Rehabilitasi
Articles 141 Documents
 1   2   3   4   5 
Foot Posture Characteristics in Medial Knee Osteoarthritis Patients Leni Kopen; Angela BM. Tulaar; Nyoman Murdana
Indonesian Journal of Physical Medicine & Rehabilitation Vol 7 No 02 (2018): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (276.288 KB) | DOI: 10.36803/ijpmr.v7i02.139

Abstract

Introduction: Alteration of foot posture may influence the knee loading, particularly in medial compartment. The purpose of this study was to find the relation of foot postures with clinical finding in medial knee osteoarthritis (KOA).Methods: Subjects with medial KOA who met inclusion criteria were recruited consecutively, in Nursing home on August to October 2018. The foot posture has determined by Foot Posture Index (FPI). The severity of KOA has measured by Kelgreen-Lawrence (KL) grading system, and pain level using numeric rating score (NRS).Results: There were 37 subjects consisted of male and female with normal foot subsequently 17(8.5%) and 3(15%), male and female with abnormal food subsequently 3(15%) and 1(16%). There were 12 (32.43%) of pronated foot, 5 (13.51%) of supinated foot, and 20 (54.06%) of normal foot subjects. The subjects with abnormal foot posture have severe medial KOA (p<0.001), while the pain sensation similar between groups (p=0.321, p=0.688).Conclusion: There was a correlation between foot posture and the severity of medial KOA.Keywords: Foot posture, Knee osteoarthritis, Foot posture index, Numeric rating score
Six-minute Walk Test in Children with Cerebral Palsy: Comparing the Walking Distance between Different Level of Communication Function Budiati Laksmitasari; Luh Karunia Wahyuni; Tirza Z Tamin
Indonesian Journal of Physical Medicine & Rehabilitation Vol 7 No 02 (2018): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (299.084 KB) | DOI: 10.36803/ijpmr.v7i02.140

Abstract

Introduction: Children with cerebral palsy (CP), six-minute walk test (6MWT) is more difficult to perform because some children have communication impairment. The objective to study the distance of 6MWT among different level of communication in children with CP.Methods: This study was cross-sectional study , in a Rehabilitation Clinic, on Juli to December 2018. The subjects were children aged 7-18 years old with cerebral palsy with Gross Motor Function Classification System (GMFCS) I-III, Communication Function Classification System (CFCS) I-III, able to walkindependently with or without aid, and understand the instruction of 6MWT. All the subjects performed 6MWT. Level of communication function was evaluated by CFCS. The 6MWD between CFCS groups were compared.Results: There were 23 subjects mean aged 9 years old, consisted of 17(73.9%) male and 6(26.1%) female, with GMFCS level I-III in sequence were 3(13%), 11(47.8%), and 9(39.1%), also with CFCS level I-III in sequence were 5(21.7%), 7(30.4%), and 11(47.8%). Subjects with verbal communicationwere 14(60.9%) and nonverbal communication were 9(39.1%). The median of 6MWD in group with CFCS level I, II, and III respectively were 115 (60-282), 161 (17.5-281), and 135 (23-280) m. There was no significant difference in 6MWD between different groups of CFCS (p=0.960).Conclusion: There were no difference in walking distance on 6MWT among different level of communication function in children with CP.Keywords: Cerebral palsy, Six-minute walk-test, Six-minute walking-distance, Communication Function Classification System (CFCS)
Active Cycle Breathing Exercise on Post Tuberculosis Bronchiectasis Ricky Gustian Halim; Siti Chandra Widjanantie; Selly C Anggoro
Indonesian Journal of Physical Medicine & Rehabilitation Vol 7 No 02 (2018): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (261.195 KB) | DOI: 10.36803/ijpmr.v7i02.141

Abstract

Introduction: Tuberculosis (TB) has remained as a major global health issue in Indonesia. Bronchiectasisfrequently occurs in healing process, followed by excessive phlegm and low physical activity.Methods: A case presentation of 49 years old female diagnosed as bronchiectasis post tuberculosis,difficulty to clear the phlegm, and inactive. Patient has undergone pulmonary rehabilitation by activecycle breathing exercise, 5 days a week, 30 minute/session, for 2 weeks.Results: There was no dyspnea, patient easily remove phlegm, and can be more active, after cyclebreathing exercise program.Conclusion: Active cycle breathing exercise effective to relieve dyspnea, improving patient ability toclearance the phlegm, and increase physical activity.Keywords: Bronchiectasis, active cycle breathing exercise, phlegm clearance, physical activity
Pulmonary Rehabilitation After Lobectomy On Pulmonary Aspergilloma: Case Report Andwi Setiawan Kokok; Selly Christina Anggoro; Siti Chandra Widjanantie
Indonesian Journal of Physical Medicine & Rehabilitation Vol 7 No 02 (2018): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (286.104 KB) | DOI: 10.36803/ijpmr.v7i02.142

Abstract

Introduction: Complete resection of aspergilloma in chronic pulmonary aspergillosis (CPA), may hasseveral health problem after surgery berupa sesak napas, batuk yang tidak efektif.Methods: A case presentation of 45 years old woman, after lobectomy on right upper of lung dueto aspergilloma, with history of cough and haemoptysis for 3 months. Pulmonary Rehabilitation werebreathing retraining exercise (BE), mobilization technique (MT), chest mobility exercise (CM), activecycle breathing technique (ACBT), postural correction exercise (PC) for three weeks.Results: There were dyspnea, peak flow rate (PFR:60-70-60), peak cough flow (PCF: 70-90-60 L/m),and abnormal chest expansion (CE: 2.5 – 3 – 2) cm. After three weeks of Pulmonary Rehabilitation,there were no dyspnea, increased the PCF: 193L/m, and CE: 2.5-4 -3.Conclusion: Pulmonary Rehabilitation programs for three weeks were relieved dyspnea, increasedcough capacity and CEKeywords: Aspergilloma, Lobectomy, Bell’s Palsy, Rehabilitation program, Cough capacity, Chestexpancy
Rehabilitation Medicine in Pellegrini-Stieda Syndrome with Myositis Ossificans and Neglected Patella Fracture Ronni Untung Handayanto; Tanti Ajoe Kesoema; Rahmi Isma AP
Indonesian Journal of Physical Medicine & Rehabilitation Vol 7 No 02 (2018): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (527.647 KB) | DOI: 10.36803/ijpmr.v7i02.143

Abstract

Introduction: Pellegrini-Stieda Syndrome (PSS) is calcification of the medial collateral ligament(MCL). The manifestation are restricted motion and pain of the knee. PSS usually associated withtrauma or repeated strain.Methods: A case report of 30 year old physically active men has a severe stiffness and pain on the leftknee while walking for six months. He had neglected trauma 9 years ago. There were antalgic gait,mild swelling, warm, and tenderness on medial aspect, restricted range of motion (ROM) by pain on theleft knee; flexion 150. The knee X-Ray has shown the myositis ossificans and Pellegrini-Stieda lesion.Subject had undergone Rehabilitation Program, i.e. progressive gradual motion exercise and cryotherapyResults: There were reduced of pain, and increase the Left knee PROM were 15º restricted of extensionand 30º flexion, became 8ºrestricted of extension and 55º flexion, after one month of program.Conclusion: Pellegrini-Stieda Syndrome (PSS) is a possible complication in major knee trauma. Thepatient showed improvements in pain, and ROM after one month of rehabilitation programs.Keywords: Pellegrini-Stieda Syndrome (PSS), Range-of-Motion (ROM), Medial Collateral Ligament(MCL).
The Changes of Nerve Growth Factor Serum Levels After External Muscle Stimulation and The Correlation with Diabetic Neuropathy Symptom in Diabetic Peripheral Neuropathy Dian Herdiansyah; Marina Annete Moeliono; Tertianto Prabowo
Indonesian Journal of Physical Medicine & Rehabilitation Vol 6 No 01 (2017): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (291.574 KB) | DOI: 10.36803/ijpmr.v6i01.146

Abstract

Background: Diabetic Peripheral neuropathy (DPN) is a common complication of diabetes mellitus. Recentstudies have demonstrated the involvement of Nerve growth factor (NGF) in the occurrence of DPN. TheDiabetes Mellitus was caused reduced the number and disruption of the function of the NGF. External MuscleStimulation (EMS) might be induced the NGF synthesis. The study objective has to found the effect of EMSon the NGF.Methods: Study design was before and after treatment without control on subjects with DPN. The bloodsample was taken before and after an intervention, as well as the Diabetic Neuropathy symptom (DNSym) andscore (DNSc). The EMS treated all of the participants within three times a week for four weeks.Results: There were 35 subjects were participated. Paired t-test showed a significant increase in NGF serumlevels and decrease both DNSym and DNSc with the difference value 12.64 ± 16.09 (p=0.000), 1.23 ± 0.82(p=0.000), 1.20 ± 0.85 (p=0.000). There was a significant negative correlation between NGF serum level withthe DNS- INA (r= -0.56; p=0.001) and the DNE-INA (r= -0.48; p=0.007).Conclusion: EMS treatment can increase serum NGF level. EMS has a strong correlation with a decrease inthe value of the DNS-INA and DNE-INA.Keywords: Diabetic Peripheral neuropathy, External Muscle Stimulation, Nerve Growth Factor.
The Relationship Between The Body Mass Index and The Pain Threshold in Myofascial Pain Syndrome: A Cross-sectional Study Ibrahim Agung; Nyoman Murdana; Herdiman Purba
Indonesian Journal of Physical Medicine & Rehabilitation Vol 6 No 01 (2017): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (348.59 KB) | DOI: 10.36803/ijpmr.v6i01.147

Abstract

Introduction: The obesity on the myofascial pain syndrome (MPS) was reduced the pain thresholds, leads todecreasing of physical functioning and quality of life. The obese group was more sensitive to pain due to the proinflammatorycondition. This study aimed to examined the relationship between the Body Mass Index (BMI)and the pain threshold in MPS patients.Methods and Materials: This study was a cross-sectional study, conducted in an outpatient clinic of MedicalRehabilitation Department of Dr. Cipto Mangunkusumo Hospital, Jakarta. The subjects recruited consecutively.The pain intensity was assessed subjectively by the Visual Analogue Scale (VAS) score from 0 to 10. Thenumber of the trigger points (TP) were examined palpation manually. The pain threshold was evaluated by thealgometer (Kg) on the upper trapezius muscles.Results: The study has recruited 30 patients, aged 40,5 (20-54). The BMI was 24.97 ± 3.39 Kg/M2. The VASscore was 6 (5-8). The number of the TP was 5.83 ± 1.74. The pain threshold was 2.48 ± 0.52 Kg/ cm2. Most ofthe subjects have overweight (20%) and obesity (47%). There was no correlation between the BMI with the painintensity (r=-0.076, p=0.689), with the number of trigger points (r=0.256, p=0.171) and with the pain threshold(r=0.189, p=0.316).Conclusions: Therefore the BMI was not related to the pain intensity, the number of trigger points as wellas with the threshold of pain in the MPS patients. However, the number of the TP tends to increase, and thethreshold of pain has the tendency to reduced in the obese subjects.Keywords: Obesity; Myofascial Pain Syndrome; VAS; Pain Threshold
A Relationship between Calcium Deposit Size with the Pain Intensity on The Patients with Calcified Tendinitis in The Rotator Cuff Indri Wijayanti; I Nyoman Murdana; Tirza Z. Tamin
Indonesian Journal of Physical Medicine & Rehabilitation Vol 6 No 01 (2017): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (289.413 KB) | DOI: 10.36803/ijpmr.v6i01.148

Abstract

Background: Calcified tendeinitis is a disease characterized by calcification of multifocal cells mediated byliving tissue. Calcified tendeinitis may occur due to the collection of calcium in the pouch of supraspinatustendon or may spread between rotator cuff muscle fibers and bursa. This deposit may or may not cause pain ofdiscomfort. The study aim is to determine the correlation of calcium deposit size to the pain intensity in patientswith calcified tendinotis.Methods: A cross-sectional study, on subjects, were diagnosed with calcified tendinitis rotator cuff bymusculoskeletal ultrasonography examination.Results: The twenty subjects, aged 50-70 years old, No significant correlations were found between calciumdeposit size with the pain intensity using VAS, r=0.238, p=0.32.Conclusion. The size of the calcium deposit has not correlated with the pain intensity in rotator cuff calcifiedtendinitis patients. But further research is needed whether the location and form of calcium deposits affect thepain intensity in calcified tendinitis rotator cuff patients.Keywords: calcified tendinitis; calcium deposit size; pain intensity.
Pain Intensity and Function Improvement in Shoulder Impingement Syndrome with Kinesio Taping without Specific Technique Andhitya Dwi Ananda; Tirza Z. Tamin; I Nyoman Murdana
Indonesian Journal of Physical Medicine & Rehabilitation Vol 6 No 01 (2017): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (277.117 KB) | DOI: 10.36803/ijpmr.v6i01.149

Abstract

Background: Shoulder Impingement Syndrome (SIS) can occur in three age groups according to the stage ofits disease. The First stage of SIS mostly occurs in below 25 years old, while the second stage occurs in 25-40years old and third stage occur above 40 years old. The effectiveness of Kinesio Taping in SIS using Kaze’stechnique or modification of the technique has been proven to have positive benefits according to the previousstudies. However, the Kinesio taping have some challenges, like it has to replaced after some days application,it cannot apply by the patient, and it has some contraindications like an infection in the affected area, deep veinthrombosis, allergy to the tape, wound, and some other conditionsMethods: This study used pre and post-trial without control on subjects with SIS. The “sham” Kinesio Tapingapplication consists of three I-strips that applied with no tension for one week, with reapplication in three days.The outcomes were Pain intensity that was measured by Visual Analog Scale (VAS), flexion, abduction, andscaption range of motion, and quality of life that scored by the Quick Disability of Arm, Shoulder, and Hand(DASH) measurement tool.Result: Study subjects were 16 people with mean age is 59-year-old. There was a significant improvement in painintensity, both with movement and nocturnal pain (p<0.05). The range of motion also showed significant improvementin all three measurements: pain-free shoulder abduction, flexion, and scaption compared to the pre-test values(p<0.05).Quick DASH score also showed significant improvement compared to the pre-test values (p<0.05).Conclusion: Kinesio Taping may represent a useful adjunct therapy in the management of SIS. Results of thepresent study may challenge the suggested mechanisms for the effectiveness of Kinesio Taping.Keywords: Kinesio taping, Kaze technique, Shoulder impingement syndrome(SIS), allergy, deep vein thrombosis,Visual Analog Scale (VAS), Quick Disability of Arm, Shoulder, and Hand (DASH)
The Differences requency of Lower Extremities Muscle Strength and Functional Capacity on the difference Supervised Exercise Frequency in Post Cardiac Bypass Graft Surgery Dewi Nur Fiana; Sunaryo B Sastradimaja; Badai Bhatara Tiksnadi
Indonesian Journal of Physical Medicine & Rehabilitation Vol 6 No 01 (2017): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (285.184 KB) | DOI: 10.36803/ijpmr.v6i01.150

Abstract

Introduction: The optimal time to do exercise in adaptation phase was 36 to 72 hours. Patients with cardiovasculardisease may have an extended adaptation phase to 96 hours and above. It was necessary to know the mosteffective supervised exercise in phase II cardiac rehabilitation between three times/week for 36-hours, and twotimes/week for 96-hours.Method: This study involved 30 patients post-Cardiac Bypass Graft Surgery (CABG) participated in phase IIcardiac rehabilitation at Hasan Sadikin Hospital, Bandung. Subjects divided into two groups; that have done twotimes/week (group 1) and three times/week of the supervised exercised (group 2) for four weeks. The Lowerextremity muscle strength (LEMS) examined by conducting a chair standing test, while functional capacity (FC)evaluated by the 6-minute walking test.Result:Subjects were 58,54±5,90 y.o (group 1) and 61,66±6,36(group 2). The FC and the LEMS before andafter exercise were 10,98 and 15,96 ml/kg(<0,001) on the FC; 7,8 and 12,9 times (<0,001) on the LEMS in group1, besides 9,6 and 14,9 ml/kg(<0,001) on the FC; 8,7 and 13,0 times (<0,001) on group 2,Conclusion. Both groups have increased of the FC and the LEMS after exercise. There were no differencebetween 2 times and 3 times of supervised exercises a week on post CABG pasientsKeywords: coronary artery bypass graft, the frequency of exercise, functional capacity, muscle strength =

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