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INDONESIA
Indonesia Journal Physical Medicine and Rehabilitation
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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Case Report of Speech and Ambulation Ability After Five Years Therapy in a Six-Year-Old Boy with Habilitation Sixth Lumbar Spina Bifida with Meningocele Post Resection and Hydrocephalus Post VP Shunt Naela Munawaroh; Lisa Nurhasanah; Rahmi Isma AP
Indonesian Journal of Physical Medicine & Rehabilitation Vol 11 No 01 (2022): 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.v11i01.324

Abstract

ABSTRACT Introduction: Spina bifida, a congenital spinal cord injury, is a complex disability that results from a failure of the caudal neural tube to fuse early in embryonic development. Spina bifida affects about 300.000 newborns each year worldwide. Hydrocephalus is common in children with spina bifida, developing in 80% to 90% of children with myelomeningocele. Anatomical abnormalities in which the myelomeningocele sac occurs is associated with neurological, motor and sensory deficits. They showimpaired speech and ambulation.Case presentation: We report a six-year-old boy was taken to the hospital by his parents because he could not stand and walk since he was born. At birth there was a lump on the lower back, and the patient also had hydrocephalus, then surgery had been performed. The patient was diagnosed with sixth lumbar spina bifida and hydrocephalus with meningocele. He had some delay in gross motor, fine motor and language development. The patient had history of seizures. He received trunk control exercise, pelvic stabilityexercise, positioning and handling, coordination exercises and fine motor skills to increase independence in activities of daily life. The patient obtained 4 years exercises of speaking, comprehension, vocabulary and articulation. The child also received attention and concentration enhancement exercises.Conclusion: A patient with spina bifida requires a lifelong commitment by the patient, family, and the health care personnel involved in the treatment. The medical goal is to maintain stable neurological functioning throughout the patient’s lifetime. The wide range of extensive speech and ambulation impairments and long-term disabilities in patients with spina bifida present a considerable challenge to the management of these patients.Keywords: ambulation, hydrocephalus, meningocele, speech, spina bifida
Pre-Operative Depression and Anxiety in Patients Undergoing Open-Heart Surgery Arnengsih Nazir; Lynna Lidyana; Faresha Nadia Amanda; M. Maulana Efry
Indonesian Journal of Physical Medicine & Rehabilitation Vol 11 No 01 (2022): 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.v11i01.325

Abstract

ABSTRACT Introduction: Cardiac disease and mental health are two related disorders and often co-exist together. As one of the interventions to manage patients with cardiac diseases, the heart surgical procedure also correlated with depression and anxiety which will interfere with the prognosis. This study aimed to know the incidence of depression and anxiety in patients before undergoing open-heart surgery at Dr. Hasan Sadikin General Hospital (RSHS) Bandung. Methods: This study was a case series using primary data from patients and secondary data from medical records. Subjects were adult patients who will undergo open-heart surgery at RSHS Bandung. Data collection was started from November to December 2019. Variables assessed were depression and anxiety. Demographic profiles (age, gender, occupation, education, and marital status), as well as medical profiles (underlying disease, comorbidity, and type of surgical procedure), were also obtained. Results: Seven subjects will undergo open-heart surgery during the study period. One subject was excluded for returning an incomplete questionnaire. Subjects’ age was ranged from 28–58 years with a 1:1 male to female ratio. Subjects were dominated by those who will undergo mitral valve replacement(4 of 6). No subject had depression and anxiety in this study. Discussion: In this study, no incidence of depression and anxiety were found among subjects. The possible explanation for this result was the dominant underlying disease of valvular heart disease which was known to have a lower incidence of psychological disorders compared to coronary artery disease. Conclusion: Depression and anxiety were not found among the subjects of th is study.Keywords: anxiety, coronary artery disease, depression, heart disease, open-hear t surgery
Comparison of Neutrophyl Lymphocyte Ratio and Nerve Conduction Study Between Male Type 2 Diabetes Mellitus With or Without Peripheral Neuropathy Complication Martha Kurnia Kusumawardani; Surdiana; I Putu Alit Pawana; Sony Wibisono
Indonesian Journal of Physical Medicine & Rehabilitation Vol 11 No 01 (2022): 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.v11i01.326

Abstract

ABSTRACT Background: Diabetic Peripheral Neuropathy (DPN) is one of the type 2 Diabetes Melitus (T2DM) complication, which may lead to diabetic foot ulcer and lower extremity amputation. Inflammation plays a role in the pathogenesis of this type 2 DM complication. Recent studies showed neutrophyl-lymphocyte ratio (NLR) is a potential inflammation marker. Early screening for neuropathy is an important part of the medical rehabilitation management of this condition. Material and methods: This study uses data analysis independent sample T-2 test with a significant (p<0.05). This study is a analytic observation cross-sectional study with type 2 diabetic male subjects, screened with Michigan Neuropathy Screening Instrument then divided into 2 groups, with DPN group (11 subjects) and without DPN group (7 subjects). This was followed with complete blood count laboratory testing (neutrophyl and lymphocyte level) and NCS to measure distal latency, amplitudo, and NCV of the tibial, peroneal, and suralnerve on both lower extremities. Result: There were 18 subjects in this study. Independent T-2 test showed that there was no significant difference in neutrophils (p=0.679), lymphocytes (p=0.127), and NLR (p=0.190) in the DM group without or with neuropathy. NCS showed that there were significant differences on the amplitude of the three nerves peroneal (p=0.003), tibial (p=0.017), sural (p=0.033), also in NCV of peroneal (p=0.001) and tibial (p=0.008). There were no significant differences found on the three distal latency of peroneal (p=0.074), tibial (p=0.151), sural(p=0.294), and NCV of sural (p=0.262). Conclusions: This study shows that there is no significant difference in NLR on both groups. There were significant differences in the amplitude of the three peroneal, tibial, and sural nerves and the conduction velocity of the peroneal and tibial nerves. However, there was no significant difference in the distal latency of the threeperoneal, tibial, sural, and the NCV of the sural nerves.Keywords: diabetes melitus, diabetic peripheral neuropathy, nerve conduction studies, neutrophyl-lymphocyte ratio, rehabilitation management.
Gastrocnemius Muscle Histopathology In Spastic Rats Marina Indriasari, MD,Phd; Ferial Hadipoetro; Bambang Pontjosoeryanto
Indonesian Journal of Physical Medicine & Rehabilitation Vol 11 No 01 (2022): 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.v11i01.327

Abstract

ABSTRACT Introduction: Spasticity caused by the injury of the central nervous system. Muscle with spasticity causes muscle fibers to change in size and distribution. Methods: To analyze the structure of the spasticity of the muscles, study use the excisional biopsy of the gastrocnemius muscle of spastic rats. Experimental study was conducted on 42 spastic rats in 6 groups with different doses of calcium. Staining of gastrocnemius muscle tissue fibers using hematoxylin-eosin.Calcium staining using alizerin red. Results: Hematoxylin-eosin staining shown the muscle cell nucleus, cytoplasm or endoplasm appears roseate. Analysis of the spastic condition found that the distance between the muscle fibers dilated and the diameter smaller. Calcium deposits appear in spastic muscle tissue, by purplish-blue. The pearson correlation test showed a significant correlation between muscle fiber distance and spasticity after intervention (p<0.05). The spearman correlation test showed a significant correlation between spasticity after intervention (p=0.008) and each changes in spasticity (p=0.015). Conclusions: HE staining used to determine the arrangement of muscle tissue in spastic gastrocnemius muscles and alizerin red determined calcium deposits in spasticity muscle tissue. There is a significant correlation between the distance between muscle fibers with spasticity and between changes in spasticity after the intervention.Keywords: alizerin red staining, gastrocnemius muscle, hematoxylin-eosin staining, histopathology, spastic rats
Administration of Oral Curcumin to Resistance Exercise after Immobilization Does Not Affect Skeletal Muscle Fiber Diameter in Rattus Norvegicus I Putu Alit Pawana; Martha Kurnia Kusumawardani; Lydia Arfianti
Indonesian Journal of Physical Medicine & Rehabilitation Vol 11 No 01 (2022): 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.v11i01.328

Abstract

ABSTRACTIntroduction: The aim of this study was to explore the effect of adding oral curcumin to resistance exerciseafter immobilization on the diameter of skeletal muscle fiber in Rattus Norvegicus.Methods: This was a post-test only study design on animal model. Subjects of the study were male Rattusnorvegicus strain Wistar, age 10-12 weeks old, weigh between 150-300 g, were immobilized at soleusmuscle for 2 weeks, then randomly allocated to 3 groups: (i) control group, (ii) resistance exercise, (iii)oral curcumin + resistance exercise. After 4 weeks of intervention, the diameter of the muscle fibers wasmeasured.Result: The results of this study showed a significant difference on the diameter of skeletal muscle fiberbetween control group and resistance exercise, as well as control group and resistance exercise + oralcurcumin (p<0.05). There was no significant difference between resistance exercise only and resistanceexercise + oral curcumin (p>0.05).Conclusion: Administration of oral curcumin to resistance exercise after immobilization does not affectskeletal muscle fiber diameter in Rattus Norvegicus.Keywords : curcumin, good health and well-being, immobilization, resist ance exercise, skeletal muscle.
Stigma and Prosthetic Rehabillitation Chalange for Leprosy Survivor in Pandemic Situation Melinda Harini; Steven Setiono; Luh Karunia Wahyuni; Sri Linuwih Menaldi; Satyanaya Widyaningrum; Edbert Wreksoatmojo
Indonesian Journal of Physical Medicine & Rehabilitation Vol 11 No 02 (2022): 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.v11i02.258

Abstract

Indonesia ranks third in terms of countries with the highest number of leprosy in the world. This fact hasn't changed since 20 years ago. This shows the magnitude of leprosy management problems, both at the world level and national level. These problems range from the problem of finding new cases, continuity of the provision of various drug regimens, and control of the spread. In addition to problems related to the detection and handling of new cases, there are also problems in leprosy survivors. Survivors generally have disabilities due to the disease. The disability can continue to be aggravated over time, even though leprosy itself has healed long since. These disabilities vary from numbness, paralysis, shortened and claw-like fingers on the hands and feet, wounds resulting in amputations of the nose, ears, fingers and limbs. Such problems require a complete and continues management. Meanwhile, the management of leprosy, both in patients and survivors, has challenges both in terms of medical, policy, financing, and culture. Not to mention the challenges related to low socialistism, not many Indonesians know the problem of leprosy, especially knowing the magnitude of the problem. Pandemic conditions make things worse. This case report will explain the journey of leprosy survivor who has been amputated and has rehabilitation related to the maintenance and replacement of leg prosthetic in pandemic situation. It will describe the stigma, medical, and socioeconomic challenges that he has to go through. This case report is expected to be an inspiration in improving public, academics, policy makers, and stakeholder awareness, related to leprosy handling problems in Indonesia, both problems for patient and survivors. Thus, it is ultimately expected to reduce the level of disability, promote equal rights for people with disabilities, and support the realization of leprosy elimination nationally and internationally.
Disfagia pada Lansia Rapuh Vina Megitasari; Rachmat Zulkarnain Goesasi; Irma Ruslina Defi
Indonesian Journal of Physical Medicine & Rehabilitation Vol 11 No 02 (2022): 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.v11i02.262

Abstract

Effective and safe swallowing is one of the basic needs for human survival. Dysphagia or swallowing disorders often occur in the elderly and increase with age. Patients often do not complain of dysphagia and compensate by modifying the texture of the food. Frailty is associated with an increased prevalence of dysphagia. Difficulty of chewing, formation and positioning bolus are associated with dysphagia. In addition, dysphagia can cause weakness because there is a disturbance due to decrease nutritional status, muscle function, and can cause recurrent aspiration pneumonia. Frailty and dysphagia can be described as a cycle and affect each other. Several interventions were carried out to overcome dysphagia, either compensatory, rehabilitative, or a combination of both.
Hubungan antara Indeks Massa Tubuh dan Frailty terhadap Activities of Daily Living pada Lanjut Usia di Panti Jompo Zuhal Darwis; Imran Safei
Indonesian Journal of Physical Medicine & Rehabilitation Vol 11 No 02 (2022): 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.v11i02.314

Abstract

Introduction: High Body Mass Index (BMI) is associated with mortality and morbidity in the elderly. High BMI is also associated with limited physical function. Another issue faced by the elderly is frailty, frailty is associated with decreased exercise capacity, reduced muscle strength, and decreased bone mass leading to adverse health outcomes such as disability, falls, hospitalization and death. Physical frailty is highly prevalent for the elderly who is living in nursing homes. The aim of this study is to determine the association between body mass index and frailty to Activities of Daily Living (ADL) among the elderly in the nursing home. Methods: This study was conducted in 3 nursing homes in South Sulawesi. BMI and frailty were measured. Frailty was assessed by Edmonton Frail Scale (EFS), while activities of daily living was examined by Barthel Index (BI) Results: There were 30 participants, consisting of males 10 (33.3%), and females 20 (66.7%) with a median age of 72 years old, included in this study. The median BMI result was 20.4 (13.3-29.2). The median result of EFS was 5.5 (2-12). The median BI result was 92.5 (45-100). BMI have insignificant correlation with ADL (r = 0.196; p = 0.298), frailty have negative strong correlation with ADL (r = -0.738; p=0.000). Conclusion: There was no significant correlation between BMI and ADL. Otherwise, frailty and ADL have a strong correlation among the elderly in the nursing home.
Hubungan Tingkat Aktivitas Fisik dan Performa Fisik dengan Kondisi Sarkopenia pada Penderita Obesitas Usia Lanjut di Komunitas Annisa Budi Prayuni; Tirza Z Tamin; Wanarani Alwin; Dewi Friska
Indonesian Journal of Physical Medicine & Rehabilitation Vol 11 No 02 (2022): 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.v11i02.334

Abstract

Introduction: Sarcopenic obesity (SO) is a condition in which sarcopenia and obesity occur simultaneously. This condition will lead to risk of higher morbidity, mortality, and reduced quality of life. This study aimed to examine the proportion of SO patients in community and investigate the association between physical activity level and physical performance with sarcopenia in elderly obese patient in community Methods: An analytic observation cross-sectional study with consecutive sampling. Inclusion criteria included subjects with age ≥ 60 years old, body mass index ≥ 25 Kg / m2, able to walk at least 10 meters, and has a good cognitive function. Subjects with pacemaker, have metal implants, history of cancer, acute cardiovascular and respiratory disorders, deformities, or pain in extremities and receive regular therapeutic exercise were excluded from this research. Measurement of physical activity level using Physical Activity Scale for Elderly (PASE) questionnaire and physical performance using 6meter walking speed test and timed up and go test (TUG). Sarcopenia is based on criteria from Asian Working Group of Sarcopenia 2019 with body composition assessment using Bioelectric Impedance Analysis (BIA) Results: There were 119 subjects in this study. Proportion of sarcopenia obesity in all subjects was 23,5% with 71,4% was female. The results showed that there was no significant association on physical activity level (p > 0,05) and a significant association on walking speed and TUG test (p < 0,05). Conclusion: This research concluded that there was a significant association between physical performance with sarcopenia in elderly obese patient in the community.
Open Versus Closed Kinetic Chain Exercise: a Comparison of Walking Capacity in Chronic Post-Stroke Phase Kukuh Wibisono; Rahmi Isma
Indonesian Journal of Physical Medicine & Rehabilitation Vol 11 No 02 (2022): 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.v11i02.335

Abstract

Introduction: The chronic post-stroke phase is often accompanied by various sensory, cognitive, motoric, coordination, and balance impairments. Decreased strength and motoric control contribute to walking capacity in patients with stroke. This study aims to evaluate the effect of Open Kinetic Chain (OKC) vs Closed Kinetic Chain (CKC) exercise on walking capacity in the chronic post-stroke phase. Open Kinetic Chain (OKC) and Closed Kinetic Chain (CKC) were reported to improve functional mobility and balance in the chronic post-stroke phase. However, there is a lack of studies emphasizing the effect of OKC and CKC on walking capacity. Methods: This study is a quasi-experimental pre- and post-controlled trial group design. Twenty subjects were randomized into two groups of equal size: the CKC group (n=10) and the OKC group (n=10). There was one subject from each group who dropped out at the end of the study. CKC and OKC groups were trained for 6 weeks. The walking capacity was measured with 2 Minutes Walking Test (2WMT). Results: 2WMT results showed improvement in both groups after 6 weeks of intervention, 56,17 ± 10,95 ± to 57,43 ± 11,29 in CKC group (p<0.001) and 57,04 ± 8,58 to 58,19 ± 8,77 in OKC group (p<0.002). Conclusion: CKC and OKC exercise significantly improve the 2WMT results after 6 weeks of intervention. Keywords: Chronic post-stroke phase, walking capacity, open kinetic chain exercise, closed kinetic chain exercise

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