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Indonesia Journal of Physical Medicine and Rehabilitation

IJPMR
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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

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Effect of Music Therapy in Improving Non-verbal Communication Ability in Autism Children Intan K Dewi; Setyowati BU; I Made Widagda; Dwi Pudjonarko
Indonesian Journal of Physical Medicine & Rehabilitation Vol 1 No 1 (2012): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Objectives: To observe the effect of music therapy in non-verbal communication ability of autism children.Methods : Study design was pre and post test design. Nineteen subjects - 9 was mild-moderate autism (1 girl and 8 boys ) and 10 was severe autism (2 girls and 8 boys), age was between 3-15 years- were applied music therapy by listening 3 children songs from tape recorder,for 15 minutes daily. Childhood Autism Rating Scale (CARS) was conducted to assess severity of autism (mild, moderate, severe) and Early Social Communication Scale (ESCS) to assess ability of non verbal communication with IJA (Initial Joint Attention) and Responding to Joint Attention (RJA). Descriptive statistic and homogeneity test was performed to evaluate the change on CARS and ESCS score in pre and post music therapy p<0.05Results: There was no change on the severity of autism in pre and post test music therapy with 45,394 ± 11.318 become 46.763 ± 10.915 ( p=1.000). There was a significant difference on Early Social Communication Scale (ESCS) pre and post music therapy in group with mild-moderate autism from 2.194 ± 0.496 became 3.833 ± 1.000 ( p = 0.007 ).Conclusions: Music therapy is a supporting therapy that can be given for autism child with mild to moderate autism to improve the ability of non-verbal communicationKeywords: Autism, Music Therapy, Ability of non-verbal communication

Relationship Between Flexed Posture, Physical Performance and the Functional Status Level in the Elderly Halfi Farmasari; Wanarani Alwin
Indonesian Journal of Physical Medicine & Rehabilitation Vol 1 No 1 (2012): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Objectives : To provide a description of the severity of flexed posture, physical performance and functional status level in the elderly and to investgate the relationship between flexed posture (FP),physical performance and the functional status level in the elderly.Methods : One hundred and eight elders (60-90 year-old) with flexed posture were assesed in Geriatric and Physical Medicine and Rehabilitation Outpatient Clinics Hasan Sadikin Hospital Bandung from July until August 2010. Clinical assessment included the severity of FP( standing occipital to wall distance - OWD, demographic (age, gender, education, marital status, occupation), Body Mass Index (BMI), clinical profile(Mini-Mental State examination, Geriatric Depression Scale), Physical performance ( Short Physical Performance Battery – SPPB) and evaluation of disability ( Barthel index and Nottingham Extended Activities of Daily Living index - NADL index ) Study design is: crosssectional study.Results : The mean age of the subjects was 72.21 (6.69) and 68 (63.0%) were women. The severity of FP was classified as mild in 31 (28.7%), moderate in 50 (46.3%) and severe in 27 patients (25.05%).Physical performance was measured by SPPB median 8 (3-12). Disability or functional status level were measured by the Barthel index median 95 (65-100) and NADL index median 53 (12-63). The severe FP group was significantly different the from mild and moderate group in the clinical profile (greater depression and MMSE). Increased severity of FP was related to decline physical performance(SPPB)( p<0.001) and disability, Barthel index (p<0.001) and NADL index (p<0.001) in the elderly.Conclusions : Severity of flexed posture is realted to declined physical performance and functional status level in elderly.Keywords: Elderly, Flexed posture, SPPB, Barthel index, NADL index.

Correlations of Elderly Fitness Exercise with Fitness and Balance Anna; Sri Wahyudati; Tri Nur Kristina
Indonesian Journal of Physical Medicine & Rehabilitation Vol 1 No 1 (2012): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Objectives : To analyze the correlations of elderly fitness exercise with fitness measured by 6-minute walk test (6-MWT) and balance measured by Berg Balance Scale (BBS) of geriatrics in nursing home.Methods: Cross- sectional observational study of 51 elderly who lived in nursing home that conducted in December 2009 to January 2010.Attendance of subject doing elderly fitness exercise was rated by 2 months previously recorded to one month after trial. We recorded the weekly frequency of doing the exercise for 12 weeks (the 3 months). At the observation, fitness was measured by 6-MWT, balance was measured by BBS.Results: A positive and an significant correlation between number of exercise in 12 weeks of observation to 6-MWT was analyzed by Pearson correlation 0.418, p=0.002, and also positive and significant correlation to BBS was found 0.353, p=0.011. There were also positive and significant correlation between exercise frequency to 6-MWT which analyzed by Spearman’s correlation 0.408, p=0.003 andto BBS as well Spearman’s correlation 0.404, p=0.003.Conclusions:The Elderly fitness exercise improves geriatric fitness that measured by 6-MWT and also improves balance measured by BBS in nursing home. The frequent exercise perfomed also correlates to elderly fitness which measure by 6-MWT and to balance that measured by BBS.Keywords:Fitness,balance, eld erly, 6 minute walk test, berg balance scale, ecercise, geriatric fitness exercise

Effects of Ergo-Cycle Exercise on Lung Function and Physical Fitness of Chronic Obstructive Pulmonary Disease Lister Napitupulu; Sri Wahyudati
Indonesian Journal of Physical Medicine & Rehabilitation Vol 1 No 1 (2012): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Objectives : To observe the effect of ergo-cycle exercise on lung functional capacity and physical fitness level of COPD patients, to observe relationship between lung functional capacity and physical fitness level of COPD patients before and after regular ergo-cycle exercise.Methods : Quasi-experimental research of twenty eight subjects with mild and moderate COPD who came to Medical Rehabilitation Instalation. They conducted ergo-cycle exercise for 30 minutes 3 times a week, by one day interval, for 4 weeks. This research was a pre and post test design.Results :There was significant increase on some lung function parameters such as % FEV1, % FVC, but it didn’t happen with FEV1/FVC ratio (p<0.001; p<0.001; p = 0.3). The result of measurement 6-MWD indicated a significant increase score (p<0.001).There was a significant change on severity of COPD before and after ergo-cycle exercise for 4 weeks. Mild COPD as 8 subjects at the initial study became 15 subjects after the exercise, and moderate COPD as 20 subjects became 13 subjects after the exercise (p=0.002). Relationship of lung functional capacity with 6-MWD indicated significant correlation on % FEV1 and % FVC, but not on % FEV1/ %FVC ratio.Conclusions : Thirty minutes ergo-cycle exercise for 3 times a week within 4 weeks is respectively able to increase lung functional capacity and physical fitness level of mild and moderate COPD patients. There is positive correlation between lung functional capacity with physical fitness level on COPD patients.Keywords: COPD; Lung Functional Capacity; Physical Fitness Level; Ergo-static Bicycle Exercise;6-MWT.

Distance of 6-Minute Walking Test in Acute Myocardial Infarction and Its Influecing Factors Putu Karsiani; Deddy Tedjasukmana; Marulam M Panggabean
Indonesian Journal of Physical Medicine & Rehabilitation Vol 1 No 1 (2012): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Objectives: To know the result of a 6 minute walking distance (MWD) test in patients with acute myocardial infarction, characteristic of the subjects and the relationship between the 6 MWD test and factors such as age, body weight, body height and type of the infarct.Methods: The subjects of this study were stable acute myocardial infarction patients. Baseline data which included age, body weight, body height, blood pressure, heart rate, saturated oxygen, dyspnea scale measured with Borg scale and chest pain (numeric rating scale) were collected before doing the 6MWD test. After doing the test without warming up, the blood pressure, heart rate,oxygen saturation,dyspnea scale (Borg scale) and chest pain (numeric rating scale) were recorded.Results: From 49 subjects enrolled in this study, three dropped out (n=46). The mean of 6 MWD test was 208.50 (100-400) meter or 44.31% from predicted. There was a correlation between distance of 6 MWD and body height with r=0.302; p=0.04 (p<0.05) and also between female gender and type of infarct which was NSTEMI with B=-92.3; p=0.02 (p<0.05) and B= -77.004; p=0.01 (p<0.05).Conclusions:The mean distance of 6 MWD test was 208.5 m. There was significant correlation body height, female gender and NSTEMI type of infarction.Keywords : 6 minute walking distance test, distance of 6 minute walking, functional test, acute

Case Report A Comprehensive Rehabilitation Management of Post Operative Idiopathic Adolescent Scoliosis Didik Febriyanto; Damayanti Tinduh
Indonesian Journal of Physical Medicine & Rehabilitation Vol 2 No 01 (2013): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Objective: Reporting a comprehensive management of physical medicine and rehabilitation of post operative high S curve-idiopathic scoliosis in adolescent.Methods: Patient was assessed for balance contraction of back muscles with biofeedback (BF), chest expansion and endurance capacity with conversed 6 minute walking test (6 MWT) results to metabolicequivalents (METs), pre and post spinal corrective surgery with Harrington’s rod and pedicle screw.Results: Pre and post surgical and rehabilitation integration programs showed improvements in Cobb’s angle (thoracal/lumbar angle was 64o/32o became 20o/5o), chest expansion, spinal muscular balance andstrength, and endurance capacity reflected by METS (5.5; 5.78; and 6.2 respectively).Conclusion: There were improvements in Cobb’s angle, chest expansion, spinal muscular balance and strength, and endurance capacity 6 months post therapy.Keywords: scoliosis, Cobb’s angle, biofeedback, chest expansion, METs

Functional Outcome of Carpal Tunnel Syndrome After Exercise versus Ultrasound Diathermy Irma Ruslina Defi; Marina Annette Moeliono; Widjaja Laksmi Kusumaningsih
Indonesian Journal of Physical Medicine & Rehabilitation Vol 2 No 01 (2013): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Objective: to compare the effectiveness of Tendon and Nerve Gliding Technique (TNGT) exercise with ultrasound diathermy.Methods: Twenty Carpal Tunnel Syndrome (CTS) hands meet the inclusion criteria and divided into2 groups: TNGT exercise and Ultrasound group. The subjects’ characteristics in the two groups are homogenous.Results: The statistical analysis results using Friedman test on pain/paresthesia complaint and hand functional status in each group is significant. Using the ANOVA, results of pain/paresthesia complaintbetween two groups shows a significant difference in the 4th measurement and results of functional status between two groups show a significant difference in the 9th measurement.Conclusions: Our study emphasized the TNGT exercise combined with splinting will be a good alternative treatment for CTS beside ultrasound diathermy combined with splinting, since TNGTexercise group has the same effectiveness with ultrasound diathermy group in decreasing VAS and has better effectiveness in improvement of FSS.Keywords: CTS, TNGT, Ultrasound Diathermy, VAS, FSS.

The Effect of Nuhonni-Tulaar Rheumatic Exercise on Pain Reduction of Knee Osteoarthritis Patients Ferius Soewito; Siti Annisa Nuhonni; Elida Ilyas; Muchtaruddin Mansyur; Angela BM Tulaar
Indonesian Journal of Physical Medicine & Rehabilitation Vol 2 No 01 (2013): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Objectives: Knee osteoarthritis patient has the risk for ambulation disability as a result of knee pain. Nuhonni-Tulaar rheumatic exercise was designed to prevent complications of rheumatic diseasesincluding knee osteoarthritis. The purpose of this study is to investigate the effectivity of Nuhonni-Tulaar rheumatic exercise to reduce pain of knee osteoarthritis patient.Methods: Twenty two subjects did the rheumatic exercise thrice a week in the gymnasium of medicalrehabilitation department Cipto Mangunkusumo hospital. Twenty other subjects, the control group, didthe standard hamstring stretching exercise at home. Each group performed the exercise for 8 weeks.Pain was measured using Visual Analog Scale (VAS) each week and analyzed before and after theintervention.Results: After 8 weeks VAS was reduced 1.5 in the intervention group while in the control group the reduction was 0.9. VAS was then transformed into no pain, mild pain, moderate pain and severepain. VAS was significantly reduced in the intervention group (p=0.002) but not in the control group (p=0.059). VAS changes between the two groups was significantly different (p=0.004).Conclusions: Rheumatic exercise has greater benefit in reducing pain than standard stretching exercise.Warming up, core exercise II and cooling down is safe and comfortable for knee osteoarthritis patientwith grade I-II Kellgren Lawrence radiographic grading.Keywords: Nuhonni-Tulaar Rheumatic exercise, Knee osteoarthritis, Visual Analog Scale

Efficacy of McConnell’s Medial Patellar Taping Application for Pain Management and Walking Velocity of Osteoarthritis Patients Wahju Hidajati1,; Angela BM Tulaar; Yoga Iwanoff Kasjmir; Sumariyono; Surjanto M.A
Indonesian Journal of Physical Medicine & Rehabilitation Vol 2 No 01 (2013): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Objectives: to evaluate the efficacy of medial patellar taping in addition to exercise for pain relief and 15 meters walking time, and to find any correlation between the pain improvement and functional outcome.Methods: This study was a randomized controlled trial of knee patellar taping in combination with the isometric and stretching exercise in comparison to taping free- exercise. The inclusion criteria includesknee osteoarthritis patients with VAS score ranges four to eight of each knee, with or without tolerable pain on the other knee. The treatment group received knee tapping and isometric and stretching exercise of thequadriceps, iliotibial band, hamstring and gastrocnemius muscles. Both treatment and control group were assessed for about three weeks (day 1/week 0, day 2, day 28/week 4, and day 49/week 7). A visual analoguescale (VAS) was used to assess knee pain severity whereas 15 m walking time assessed to measure functional gait performance. On day 2, both measurements were done for study group only, with assumption the resultwould be the same with 1 day exercise only. A Lequesne index measured functional outcome.Results: There were 24 participants, twelve patients were in the tapped group while the remaining twelve were in the control group. Significant pain differences were visible during the treatment period at day 1, day2 and at the beginning of week 7. At day 2 and week 4, the study group showed significant pain reduction in comparison to the control group (p < 0.007).The walking time also showed significant improvement in the study group at day 2 (p < 0.000) but there were no significant difference at week 4 and week 7. At week 7, the study group experienced pain (p < 0.037) andoutcome improvement significantly. In addition, for about 75% of them had none to moderate disability post intervention. Meanwhile, from the total of eight patients in the control group who had severe to very severedisability, four of them had moderate (50%) and the rest had mild disability (50%). There was significant correlation between the pain and functional outcome on day two.Conclusions: Medial Patellar Taping in addition to isometric and stretching exercise of quadriceps, iliotibial band, hamstrings and gastrocnemius muscles showed significant improvement of disability superior to theuntapped group. Benefits of Medial Patellar Taping remained three weeks after removal.Keywords: Osteoarthritis, Knee Pain Severity, exercise, Medial Patellar Taping, Visual Analogue Scale, 15 Meter Walking Time, Functional Gait Performance, Lequesne Index.

Development of ‘16-Holes Manual Dexterity Pegboard’ and the Normal Value of 6 Years Old Children Fanny Aliwarga; Ferial Hadipoetro; Angela BM Tulaar; Surjanto H
Indonesian Journal of Physical Medicine & Rehabilitation Vol 2 No 01 (2013): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Objectives: Obtaining the standard normal value of 6 years old children aged six year, and testing our hypothesis if girls’ dexterity is higher than boys.Methods: The design of this study was a cross sectional study of six years old students of public elementary school in South Jakarta. Inclusion criteria included age six years old, no neurological andorthopedic problem, normal nutritional status and right handed. Location based-random sampling was performed. Dependent variables comprised of age, sex and nutritional status. Independent variable wasthe result of ‘16-Holes Three-Jaw Chuck Manual Dexterity Pegboard’ test. Statistical analysis was done by descriptive analysis and Mann Whitney Test.Results: There were 191 girls and 191 boys who fulfilled the criteria. The ‘16-Holes Three-Jaw Chuck Manual Dexterity Pegboard’ test allowed subjects to be assessed for their ability to put numbers of pegwithin 15 seconds. The mean number of pegs placed for girls was 6.92 pegs (CI 95% 6.76 – 7.08) and boys was 6.49 pegs (CI 95% 6.33 – 6,65)Conclusions: Girls are able to place more pegs than boys in a given time. Furthermore, girls’ manual dexterity is superior to boys (p 0,000).Keywords: Manual dexterity, standard normal value, pegboard, sex differences.

Page 8 of 15 | Total Record : 141

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editor@indojournalpmr.org

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Jl. Betok I No.37, RW 6, Jati, Kec. Pulo Gadung, Kota Jakarta Timur, Daerah Khusus Ibukota Jakarta 13220

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