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Indonesia Journal Physical Medicine and Rehabilitation

IJPMR
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Published by Indonesia Journal Physical Medicine and Rehabilitation

ISSN : 22528199 EISSN : 26217678 DOI : https://doi.org/10.36803/ijpmr.v10i1

Core Subject : Science,

Decision Sciences, Operations Research & Management Neuroscience Physics

Indonesia Journal of Physical Medicine and Rehabilitation publishes peer review original article, literature review and case report. This journal is published two times a year with 6 article. Subjects suitable for publication include but are not limited to the following fields of acute and chronic musculockeletal 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 anf 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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Pott’s Disease during Pregnancy – A Physical Medicine and Rehabilitation Approach to Improve Function: A Case Report Agus Prasetyo; Fatchur Rochman
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 assess the role of physical medicine and rehabilitation (PM&R) in an interdisciplinaryteam approach in managing a pregnant woman with Pott’s disease.Methods: A 24 year-old female in her 31st week of pregnancy (G2P0A1) with a diagnosis ofC4 tetraplegia AIS C and accompanying problems such as, premature ruptured of membrane,spondylitis tuberculous, cardiovascular compliance changes, weakness of all limbs, sensory deficit,severely dependent ADL (Barthel Index 60), and moderate depression. She was managed by aninter-disciplinary team. The short-term goals were saving the infant, protecting the spinal cordand its function and improving the psychological condition. The ultimate rehabilitation goals wereindependent ambulation, independent ADL, which increases the quality of life and helping her getback to work. Rehabilitation management included cervico-thoracal orthoses with FELR control forvertebral immobilization, mobilization exercises, active breathing exercises, ROM exercises of allof her limbs, improving cardiovascular endurance and sensory re-education.Results: During conservative therapy, the patient used a cervical collar brace and tuberculous drugscategory 1 except streptomycin. A caesarean section was performed on May 24th, 2013, followedby operative decompression and vertebral stabilization procedure with a pedicle and screw 1 weekafter (May 31st, 2013). Afterwards, the patient used cervico-thoracal orthoses with FELR control forvertebral immobilization. The histologic examination showed granulomatous inflamation supportedSpondylitis tuberculous. Within 3 months of physical medicine and rehabilitation management,the Barthel Index, which was initially 60 (Severe dependent Activity Daily Living/ ADL), became100 (independent ADL). Physical Medicine and Rehabilitation management included mobilizationexercises, active breathing exercises, ROM exercises of all of her limbs, improving cardiovascularendurance and sensory re-education. Overall, the increased quality of life of this patient reflected thesuccessful inter-disciplinary team management.Conclusion: The PM&R approach in the interdisciplinary team resulted in an optimal functionalrecovery of the patient with Pott’s disease during pregnancy.Keywords: Pott’s disease, pregnancy, physical medicine and rehabilitation, function

Nerve Transfers for an Upper Brachial Plexus Injury: A Case Report Ferry Senjaya
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 demonstrate multiple nerve transfers as primary surgical management for an upperplexus injury.Methods: A 6-year-old boy who suffered a preganglionic upper brachial plexus injury following a motor vehicle accident, exhibited complete biceps, deltoids, suprapinatus, and infraspinatus palsies.Multiple nerve transfers, which consist of spinal accessory nerves to suprascapular nerve transfer, median and ulnar motor fascicles to biceps and brachialis motor branches transfers, and long head oftriceps motor branch to axillary nerve transfer were performed 6 months after injury.Results: 13 months post multiple nerve transfer, the patient has regained M4+/5 elbow flexion, M4/5 external rotation, and M4/5 shoulder abduction.Conclusion: Nerve transfer is a viable option for upper plexus palsy management. With a sound surgical technique and good case selection, the results can be very rewarding. This case showedquite robust re-innervation with significant functional recovery at a one-year follow-up following multiple nerve transfers.Keywords: Brachial Plexus Injury, Upper Plexus Injury, Nerve Root Avulsion, Nerve Transfers, Functional Recovery.

The Role of Pelvic Floor Muscles Exercises with Biofeedback as Adjuvant Treatment in Men with Erectile Dysfunction Guido O Vianney; Ratna D Haryadi; Rwahita Satyawati; Onny P Sono
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 the efficacy of pelvic floor muscle exercise programs for men with erectile dysfunction problems.Methods: A randomized controlled group designed study. Sixteen men with erectile dysfunction who had undergone pharmacological treatment from the Andrology Clinic and were referred to thePhysical Medicine and Rehabilitation Department Dr. Soetomo Hospital were divided into 2 groups. The first group was treated with pelvic floor muscle exercises for 12 weeks, while the second groupacted as control. The parameters of this study were evaluated in weeks 4, 8 and 12. This consisted of an evaluation of pelvic floor muscle strength, which was performed by digital anal assessment, and pressurebiofeedback Myomed 932. The evaluation of erectile function was based on the IIEF-5 (International Index of Erectile Function – 5) questionnaire and the EHS (Erectile Hardness Score).Results: An increase in the maximum contraction of pelvic floor muscles was seen in the intervention group after 8 weeks of treatment (p=0.011). Six subjects in the intervention group (75%) gained anormal anal strength based on digital anal assessment at the end of study. The IIEF-5 score of the intervention group improved after 8 weeks of treatment (p=0.012). Threesubjects (37.5%) in the intervention group got a maximum hardness score and 4 subjects (50%) gained an improvement of the hardness score.Conclusion: Comparing of the results of the protocol reported here shows that pelvic floor muscle exercises improve erectile function in men with erectile dysfunction problems.Keywords: pelvic floor muscle exercises, biofeedback, erectile dysfunction

The Challenging of Medical Rehabilitation Irma Ruslina Defi
Indonesian Journal of Physical Medicine & Rehabilitation Vol 8 No 02 (2019): 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.v8i02.243

Rehabilitation aims to enhance and restore functional ability and quality of life from the variety of medical conditions experiences or likely experience disability. The function status associated with physical activity is a health indicator. Human functioning is a major target of the rehabilitation program.

Validity and Reliability of the Indonesia version St. George’s Respiratory Questionnaire Nury Nusdwinuringtyas; Gunawan Kurniadi; Anita Ratnawati; Peggy Sunarjo
Indonesian Journal of Physical Medicine & Rehabilitation Vol 8 No 02 (2019): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Introduction: St. George’s Respiratory Questionnaire (SGRQ) is a measuring tool to assess the quality of life of people with chronic obstructive pulmonary disease or various respiratory disorders. This study aimed to assess whether The Indonesian version of SGRQ was valid and reliable for subjects with chronic obstructive pulmonary disease (COPD). Methods: The Indonesian version of SGRQ was analyzed using a correlation test between SGRQ and sixminute walk distance (6 MWD) for validity. The reliability test was done using the test re-test reliability test by Spearman’s rank correlation, and Cronbach’s alpha for internal consistency. Results: Twenty-two patients eligible COPD patients were included in this study. There is a correlation between SGRQ’s component and 6MWD on activity (r= 0.49), impact (r= -0.58) and total SGRQ (r=-0.56). The SGRQ re-measurement test shows a strong correlation on the symptom (r = 0.76), activity (r = 0.58), impact (r = 0.51), total (r=0.58) and Wilcoxon test result shows there were no significantdifferences among subscales except total value p = 0.049. High internal Cronbach’s alpha consistency was approximately 0.73 to 0.86. Conclusion: The Activities and Impacts of Indonesian version of SGRQ component provides a picture of the validity to functional capacity. The Indonesia version of SGRQ is also proven to have good repeatability with high internal consistency.

The Comparison of Functional Capacity Improvement after Pulmonary Rehabilitation between COPD Groups with Different Exacerbation History Budiati Laksmitasari; Siti Chandra Widjanantie; Nury Nusdwinuringtyas
Indonesian Journal of Physical Medicine & Rehabilitation Vol 8 No 02 (2019): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Backgrounds: Pulmonary rehabilitation may improve functional capacity in chronic obstructive pulmonary disease (COPD). This study aimed to know the effect of 2-month pulmonary rehabilitation in the functional capacity of the patient with stable COPD and compare the functional capacity change based on exacerbation history. Methods: This was retrospective cohort study. The subjects were patients with stable COPD who underwent pulmonary rehabilitation in Persahabatan National Respiratory Hospital, between February 2018 and January 2019. Functional capacity was evaluated by 6-minute walking distance (6MWD) before and after 2-month pulmonary rehabilitation. The 6MWD change was compared between COPD group A-B and group C-D. Results: Of the 14 subjects, the 6MWD was significantly improved in all subjects (p=0.001). The median of 6MWD change was 32 (6-235) m. The 6MWD improvement was 35 (7-84) m in COPD group A-B and29 (6-235) m in COPD group C-D. There was no significant difference in 6MWD improvement between both groups (p=1.000). Conclusion: Two-month pulmonary rehabilitation may improve functional capacity in the patient with stable COPD regardless of the exacerbation history.

Effect of Kinesiotaping on Quality of Life of Knee Osteoarthritis Patients Aditya Paramitha; Rahmi Isma
Indonesian Journal of Physical Medicine & Rehabilitation Vol 8 No 02 (2019): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Introduction: Knee osteoarthritis (OA) causes pain which limits functional activity and quality of life. Quadriceps femoris muscle strengthening with weight-pulley system is effective in improving functional activity. Kinesiotaping is known in reducing pain thus improving activity and quality of life. This study was to determine the effect of kinesiotaping in addition to weight-pulley system exercise on quality oflife in grade II and III knee OA patients. Methods: Participants were randomly assigned to intervention group (n=13) and control group (n=14). All participants were treated with weight-pulley system exercise for nine sessions meanwhile participants in intervention group received additional kinesiotaping. Pre- and post-intervention quality of life were evaluated using Medical Outcome Study Short Form-36 (SF-36). Results: There were differences in total score of SF-36, bodily pain, general health, vitality, and role emotional between intervention and control group; (90.53±8.23, 76.98±11.88; p=0.002), (83.75±16.86,67.31±17.3; p=0.022), (88.57±10.27, 72.69±12.18; p=<0.001), (93.93±7.64, 80.77±10.18; p=0.002) and (92.86±14.18, 74.37±24.17; p=0.027), respectively. Conclusion: Application of kinesiotaping in addition to weight-pulley system exercise improved quality of, particularly in bodily pain, general health, vitality and role emotional in grade II and III knee OApatients.

Post Surgical Neglected Idiopathic Triple Curve Scoliosis with Neuromuscular and Respiratory Disorders Rahmatika; Rudy Handoyo; Tanti Ajoe Kesoema
Indonesian Journal of Physical Medicine & Rehabilitation Vol 8 No 02 (2019): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Introduction: About 75-85% of cases of scoliosis are idiopathic, with unknown cause whose ratio between men and women is 1: 8. In severe scoliosis, many disorders may occur such as muscle imbalance, pain, muscle weakness, degenerative joint disease, decreased cardiovascular capacity, and neurological disorders.Case Presentation: We reported a 14-year-old boy patient post posterior instrumentation and fusion surgery e.c neglected idiopathic triple curve scoliosis with neuromuscular complications such as weakness in upper and lower limbs causing disruption in hand functions and ambulation disorders, and respiration disorders such as shortness of breath, especially when walking in long-distance or running.The rehabilitation program consisting of exercise in the pool, fine motor exercise, activity of daily living (ADL) exercise, chest expansion exercise, and orthotic administration, which aims to support therecovery of patients to full function as early as possible.Conclusion: After 2 months, the patient showed slight improvement in functional, ambulation, and hand function due to non-routine exercise at the hospital.

Rehabilitation Program for Spinal Cord Injury Neurological Level C2 due to Foramen Magnum Meningioma Soracca Fellicita Sugiarto; Tanti Ajoe Kesoema
Indonesian Journal of Physical Medicine & Rehabilitation Vol 8 No 02 (2019): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Introduction: Foramen magnum meningioma is a rare case. The incidence is 0.3% - 3.2% of all meningiomas. Clinical manifestations of foramen magnum meningioma are atypical and unpredictable. The main therapy for foramen magnum meningioma is surgery. The role of rehabilitation becomes important in the process after surgery. Case Presentation: A 46 years old female had weakness and loss of sensory of her upper and lower limbs, accompanied by urinary retention and constipation in the last 2 month, categorized by ASIAimpairment scale (AIS) C neurological level of injury at C2. Cervical MRI with contrast showed the impression of an extramedullary intradural mass as high as the inferior aspect of the pons to the corpusvertebrae cervical 1 supports the picture of meningiomas. The rehabilitation programs after surgery were active assistive range of motion exercise progressing to active range of motion, neuromuscular electrical stimulation, sensory stimulation and bladder and bowel training. Conclusion: The patient’s expectation for returning to independency is a long-term goal of the rehabilitation program. After definitive therapy (surgery) is conducted, medical rehabilitation management can be done as early as possible to achieve the optimum functional recovery. Muscle strengthening, sensory stimulation and bladder/bowel training improved motor , sensory and autonomic function.

Biomechanical Impacts of Forward Head Posture on the Respiratory Function Kevin Triangto; Siti Chandra Widjanantie; Nury Nusdwinuringtyas
Indonesian Journal of Physical Medicine & Rehabilitation Vol 8 No 02 (2019): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Introduction: Forward head posture (FHP) is a very common problem among the working population. Being one of the most subconscious function in humans, respiratory function utilizes both the diaphragmand external intercostal muscles for quiet breathing. However during labored breathing, many other muscles will be recruited, and mostly these muscles have attachments in the cervical, thoracic ribcage,and even lumbar vertebrae. By the nature of attachments of these muscles on the cervical vertebra and thoracic cage, it is then plausible that FHP would affect the respiratory function. Methods: Thorough searches were done through international journals for the last ten years regarding the topic of FHP and its impacts to the respiratory biomechanics. Discussion: Previous studies have reported how prolonged FHP will result in kyphotic posture, reducing the mobility of ribcage, and modifies all respiratory muscular attachments such as sternocleidomastoids, intercostals, and to a certain extent, the diaphragm. All these result in a restrictive lung disorder, signified by reducing spirometry values, such as Forced Vital Capacity, Sniff Nasal Inspiratory Pressure, and Peak Flow Rate. Conclusion: Forward head posture disturb the respiratory biomechanics.

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

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Contact Name
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editor.indonesiapmr@gmail.com

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+622247866390

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editor.indonesiapmr@gmail.com

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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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Kota adm. jakarta timur,

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