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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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Standard Value of Lower Extremity Muscle Strength of 8 Years Old Children and Its Correlation with Body Weight and Height Sarifitri FH Hutagalung; Ferial Hadipoetro Idris,; Luh K Wahyuni
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 know the standard value of lower extremity muscle strength of eight year old children and furthermore to explore the correlation of the muscle strength and body height and weight.Methods: The study design is cross sectional. The target is eight year old children in public elementary school in Jakarta Pusat. The subjects’ characteristics are normal nutritional state, and no neurological normusculoskeletal disorders. Sampling was done by cluster randomization to determine the location and simple randomization on site to determine subjects. There were 171 boys and 180 girls in this tudy. Independentvariables are age, sex, body weight, body height and nutritional state that was determine with Z-score of body mass index. Dependent variables are lower extremity muscle strength that classify as torque. This study usedhand-held dynamometer for muscle strength measurement. Statistical analysis was done with descriptive statistic and Pearson and Spearman correlation test.Results: Standard values of eight year old boy’s lower extremity muscle strength are: right hip flexor 21.86 Nm (SD 3.40), left hip flexor 19.64 Nm (SD 3.19), right hip extensor 17.05 Nm (SD 3.66), left hip extensor16.08 Nm (SD 3.56), right knee extensor 18.19 Nm (SD 3.60), left knee extensor 16.09 Nm (SD 3.55), right knee flexor 15.18 Nm (SD 4.23), left knee flexor 14.48 Nm (SD 3.97), right ankle dorsiflexor 6.58 Nm (SD1.53), left ankle dorsiflexor 6.05 Nm (SD 1.42), right ankle plantarflexor 10.08 Nm (SD 1.69), left ankle plantar flexor 9.13 Nm (SD 1.90).Standard values of eight year old girl’s lower extremity muscle strength are: right hip flexor 21.60 Nm (SD 3.62), left hip flexor 19.62 Nm (SD 3.37), right hip extensor 16.66 Nm (SD 4.06), left hip extensor 15.81 Nm(SD 3.94), right knee extensor 17.43 Nm (SD 3.79), left knee extensor 15.20 Nm (SD 3.38), right knee flexor 14.61 Nm (SD 4.28), left knee flexor 13.51 Nm (SD 4.00), right ankle dorsiflexor 6.34 Nm (SD 1.45), leftankle dorsiflexor 5.97 Nm (SD 1.52), right ankle plantarflexor 9.55 Nm (SD 1.98), left ankle plantar flexor 8.69 Nm (SD 1.83). The boy’s lower extremity muscle strength are stronger than the girl’s in left knee extensor,left knee flexor, right ankle plantarflexor and left ankle plantarflexor. The boy’s muscle strength are moderately correlated to body height except for right hip extensor, left hip extensor and right ankle dorsiflexorthat weakly correlated. The boy’s muscle strength are moderately correlated to body weight except for left hip extensor that weakly correlated. The girl’s muscle strength are moderately correlated to body height. Thegirl’s muscle strength are moderately correlated to body weight except for left hip flexor and left hip extensor that weakly correlated.Conclusions: The muscle strength pattern of boys and girls is similar; the strongest are right hip flexor and the weakest are left ankle dorsiflexor.Keywords: Muscle strength, standard values of eight year old children, torque, hand-held dynamometer

Effects of Inspiratory Muscle Training with Incentive Spirometry to Maximum Inspiratory Capacity and Quality of Life on Chronic Obstructive Pulmonary Disease Patients Tresia Fransiska Ulianna Tambunan; Moerdjajati Angka; Anita Ratnawati; Zulkifi Amin
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 determine whether the incentive spirometry respiratory muscle training can increase the maximum inspiratory capacity, decrease difficulty of breathing, functional lung capacity and quality oflife according to St. George’s Respiratory Questionnaire on Chronic Obstructive Pulmonary Disease patients.Methods: an intervention pre-post and case control group of twenty subjects with mild COPD who came to Medical Rehabilitation Department. They divided into two groups: control group (10 subjects)and study group (10 subjects). All subjects underwent pre interventional test which are : maximum inspiratory capacity, dyspnoea rating scale, pulmonary functional test (PFT) and questionnaire forquality of life. The study group were given respiratory muscle training with incentive spirometry and breathing control exercise while the control group only given the breathing control exercise. After 8weeks, all participant underwent post interventional test. Every subject still using the basic medication.Results: There are statistically improvement of maximum inspiratory capacity, dyspnoea rating scale and quality of life in study group compare with the control group (p<0,05). Mean difference of SGRQbetween pre and post intervention shows significant results in activity, impact and total component (p<0,05) and there is no significant results on symptoms components (p>0,05). No changes were foundin FEV1% value with the study or control group (p>0,05).Conclusions: Combination between incentive spirometry respiratory muscle training and breathing control exercise can improve maximum inspiratory capacity, dyspnoea rating scale and quality of life inCOPD patients within 8 weeks.Keywords: COPD, Incentive spirometry muscle training, Maximum inspiratory capacity, Quality of life.

The Validity and Reliability Test of Modified Picture Vocabulary Test IV in 48-59 Months Old Children Sumarni; Amendi Nasution; Luh K Wahyuni; Trevino Pakasi
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 investigate the validity and reliability of Modified Picture Vocabulary Test IV (PPVTIV) in 48-59 months old child. Methods 228 items in 19 sets of PPVT IV were translated in Indonesian language and revised according to Indonesian culture. One hundred and five 48-59 months old children were tested. The results wereanalyzed for its construct validity and reliability. The construct validity was valued by the correlation coefficient between the set score and the total score and the correlation coefficient between the itemscore and the set score. The reliability was valued by intra-class correlation coefficient, standard error of measurement (SEM) and Cronbach alpha.Results: The construct validity of Modified PPVT IV was good (r>0.256; α=0.01 n=100) and the reliability was high (internal consistency with Cronbach alpha= 0.938, inter-rater reliability= 0.957-0,985 and standard error of measurement (SEM) = 6.4).Conclusions: Modified PPVT IV was a valid instrument with satisfactory reliability. To increase the construct validity, there were 36 items that should be substituted.Key Words: Modified PPVT IV, construct validity, internal consistency reliability, inter-rater reliability, standard error of measurement Received in

The Effect of Dual Task-Exercise to Walking Ability in Chronic Stroke Patients Novita Ingried Kumolontang; Joudy Gesal
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

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36803/ijpmr.v2i01.229

Objective: To investigate the effectiveness of dual-task-based ball exercise program to improve walking ability for executing a dual task.Methods: Experimental research, pretest – posttest design. Sixteen subjects, 1 woman and fifteen men, meanage 61 years old that come in Rehabilitation outpatient clinic BLU. RSUP. Prof. dr.R. D. Kandou Manado. Subjects were intervened with dual task-exercise using one or two balls while walking for about 10 m in length within 30 minutes. The frequency of exercise was three times a weekfor about four weeks. Subjects were assessed throught their walking velocity changes in single task and dual task exercises. The evaluation scores were noted on the questionnaire of walking ability.Results: The walking ability value in single task condition has significant change with p<0.001, and the walking ability in dual task condition has significant change also with p<0.001. These indicatethat subjects’ walking ability after intervention is faster than walking ability before the intervention. Walking ability based on walking ability questionnaire has significant change with p<0.001, showswalking ability after intervention has significant change.Conclusions: Dual task-exercise can improve walking ability of stroke chronic patient in singla task condition and dual task condition.Keywords: Chronic stroke, Dual task-exercise.

The 400-Meter Walk Test to Evaluate Walking Performance between Diabetics and Healthy Females Ronald Pakasi; Angela BM Tulaar; Sarwono Waspadji; Corrie Wawolumaya
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 evaluate walking performance in female with type 2 diabetes mellitus (DM2) with the 400-meters walk test (400-MWT) compared to healthy individuals.Methods: two groups of female subjects with DM2 and healthy individuals were matched by the age. The 400-MWT parameters to be compared were walking speed (WS) and predicted maximum oxygenconsumption (pVO2max). Baseline examination included body mass index (BMI), random blood glucose (RBG), and ankle-brachial index (ABI). All subjects performed 2 minutes warm up before thetest. Heart rate (HR) was recorded every 30 seconds, and blood pressure (BP) was measured before warm up and within 60 seconds after test. The test was performed twice on a different day.Results: Nineteen subjects on each group participated in the study. The mean WS was significantly different (p<0.0001) between the study group (1.26 + 0.19 and 1.31 + 0.17 m/s) and the control group(1.70 + 0.20 and 1.78 + 0.24 m/s) for the first and second tests respectively. There was a significant difference of mean pVO2max (p<0.0001) between the study group (17.22 + 2.94 and 17.99 + 2.36 ml/kg/min) and the control group (23.68 + 3.79 and 24.44 + 3.74 ml/kg/min).Conclusion: the 400-MWT demonstrated lower walking performance in female subjects with DM2 compared to healthy individuals.Keywords: Type 2 DM, healthy individuals, 400 meter walk test, walking speed, VO2max.

Effect of Low Impact Aerobic Exercise on Functional Balance and Quality of Life in Type 2 Diabetes Mellitus Patients. Peni Hardjanti; Bayu Santoso; Nuniek Nugraheni; Agung Pranoto
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 determine the effect of low impact aerobic exercise on functional balance and the quality of life in type 2 Diabetes Mellitus (DM) patientsMethods: This is an experimental study. Participants were recruited from outpatient Diabetes Clinic in Dr. Soetomo General Hospital, Surabaya, Indonesia. Subjects of this study are men and women aged 30-70 years whose diagnosed with type 2 DM, with A1c less than 10%, have been using oral anti diabetic drug or subcutaneous insulin less than 30 IU daily, blood glucose level before exercise less than 250mg%, and Berg Balance Scale between 41-56. Subjects were randomized into 2 groups with 38 subjects in the exercise group and 37 in the control group. The exercise group followed 25-30 minutes diabeticaerobic low impact exercise 3 times a week for 3months, while the control group did not. Functional balance and quality of life before and after exercise were assessed using Berg Balance Scale (BBS) andthe Sickness Impact Profile (SIP) questionnaire. Difference in BBS and quality of life improvement measured by SIP questionnaire were analyzed after 3 months of exercise.Results: Mann Whitney test showed significant difference of the total score of BBS in the exercise group (p 0.02; α < 0.05). Chi Square test revealed significant improvement in four of the twelve parameters ofthe quality of life: sleep and rest (SR) (p 0.044), body care and movement (BCM) (p 0.017), ambulation (A) (p 0.001), and work (W) (p 0.000) in the exercise group.Conclusions: Low impact aerobic exercise in type 2 Diabetes Mellitus patients may improve functional balance and the SR, BCM, A, and W parameters of the quality of life.Key words: Low impact aerobic exercise, type 2 diabetic mellitus, functional balance, quality of life.

Changes in Craniovertebral Angle and Sagittal Shoulder Angle: Comparation between Modified Backpack and Conventional Backpack Users in 11- 12 Aged Boys Theresia D Arini Leman; Ferial H Idris; I Nyoman Murdana
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 develop a better design of ergonomic backpack and to evaluate the effect of wearing conventional and modified backpack on CVA and SSA changes.Methods: 34 male students of grade 5 and 6 elementary school who met the inclusion criteria (boys, 11-12 years old, normoweight, normoposture, and able to follow instruction) were included in theexperimental and cross sectional studies to evaluate duration, time of complaint, and changes in CVA and SSA between the conventional and modified backpack groups; and subject preference to backpackdesign. This study was statistically analysed through Mann-Whitneym Wilcoxon, and Mc Nemar tests.Results: The modified backpack with two compartments, hip strap, compartment strap and wide shoulder strap gives more benefits. Majority of students preferred the modified design to conventionaldesign. The modified design also gave students the ability to stand up longer. Narrowing CVA while wearing backpack was evident in conventional group (n=25) in comparison with modified group (n=15,p= 0.022). Moreover, narrowing SSA was also found more (n=18) in the conventional group than the modified group (n=4, p=0.000).Conclusions: Modified backpack design with two compartments, hip straps, wide shoulder straps, and compartment straps provides less CVA and SSA changes in comparison to conventional beckpackgroup. Minimal changes of CVA and SSA contributes to the development of a more ergonomic model of modified backpack to maintain postural stability.Key Words: posture, craniovertebral angle, backpack, ergonomics.

Hamstring Muscle Flexibility among KONI Volleyball Players of DKI Jakarta Province – A Pilot Study for Sport Injury Prevention. Hendriko; Tirza Z Tamin; I Nyoman Murdana; Aria Kekalih
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 find hamstring muscle flexibility among KONI Propinsi DKI Jakarta’s volleyball players,based on age, sex and playing position particularly.Methods: A cross sectional study performed in 25 female and 24 male athletes using Sit and Reach Test (SRT) box had done 3 times trial with the best score was recorded.Results: Hamstring muscle’s mean value score was 18.21 (SD 6.5) cm, male athletes was 17.6 (SD 6.5) cm, female athletes was 18.8 (SD 6.6) cm, middle adolescence 14-16 years old was 15.55 (SD 6.1) cm,late adolescence 17-20 years old was 19.91 (SD 6.9) cm, young adulthood 21-24 years old was 18.79 (SD 4.6) cm, hitter was 18.8 (SD 6.6) cm, center was 15.5 (SD 6.3) while allround players was 20.4 (SD5.9).Conclusions: Average value of hamstring flexibility among volleyball athletes of KONI DKI Jakarta based on SRT was 18.21 ± 6.5 cm, particularly within middle adolescence (14-16 years old) was 15.55± 6.1 cm, late adolescence (17-20 years old) was 19.91 ± 6.9 cm, and young adulthood (21-24 year old) was 18.79 ± 4.6 cm. While by sex was 17.6 ± 6.5 cm among male and 18.8 ± 6.6 cm among female.Based on playing position, hitters were 18.8 ± 6.6, setters were 15.5 ± 6.3 and all-round player were 20.4 ± 5.9 cm.Keywords: Flexibility, Hamstring muscle, SRT

Improving Functional Ability of Neurologically Disabled Patients Rosiana Pradanasari Wirawan
Indonesian Journal of Physical Medicine & Rehabilitation Vol 3 No 01 (2014): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

The success of stroke rehabilitation, is not merely depending on the need of interventional therapy methods,but also influenced by other factors such as, learning capability, motivation of the patients, facilities, skilledtherapists and a team management approach.

Shaker Exercise in Dysphagia Rehabilitation for Myasthenia Gravis Patients Andreas Wardono Santoso; Vitriana
Indonesian Journal of Physical Medicine & Rehabilitation Vol 3 No 01 (2014): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Objective: To evaluate whether Shaker Exercise can improve dysphagia in MG patients.Methods: Pre-Post test design. Ten patients with a confirmed diagnosis of MG (Osserman class IIB) were recruited for this study. All patients did Shaker exercise an hour after taking their medication,with holding time and repetition which increased gradually for 6 weeks. Examinations using Fiber Optic Endoscopic Evaluation of Swallowing (FEES) and Eating Assessment Tool (EAT-10) wereconducted in between.Results: All patients completed 6 weeks of exercise with increased holding time (pre 14±6.11; post 27.5±4.25) and repetition (pre 12.7±6.9; post 20.7±7.75). Only one patient experienced discomfortin their neck muscles. Pre intervention FEES Examination showed that all ten patients have residue (100%), two have spillage (20%), three have penetration risk (30%) and two have aspiration risk(20%). Post intervention showed no residue in seven patients, while three showed decreased residue (70%; 30%; 100%). There was no spillage, penetration risk or aspiration risk in all patients. Pre(11.1±9.386) and post (2.2±2.573) intervention EAT-10 scores show significant improvement (p=0.002).Conclusion: Shaker Exercise can be used safely to improve dysphagia in Myasthenia Gravis patients.Keywords: Myasthenia Gravis, Shaker Exercise, Dysphagia

Page 9 of 15 | Total Record : 141

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