Indonesian Journal of Physical Medicine & Rehabilitation

Journal Information
ISSN / EISSN: 22528199 / 26217678
Total articles ≅ 171

Latest articles in this journal

Irma Ruslina Defi, Deta Tanuwidjadja, Jennie Jennie
Indonesian Journal of Physical Medicine & Rehabilitation, Volume 11, pp 93-104; https://doi.org/10.36803/ijpmr.v11i02.320

Abstract:
Introduction: Ramadhan fasting increases mental and physical health. The study aims to evaluate the effect of Ramadhan fasting on fatigue, sleepiness, depression and anxiety mood, quality of life (QoL), and Brain-derived neurotrophic factor (BDNF) serum level. Methods: Twenty participants are included in the fasting group (FG), and nineteen participants are included in the non-fasting group (NFG). Fatigue severity scales (FSS), fatigue VAS, Epworth sleepiness scale (ESS), hospital depression and anxiety score (HADS), Beck depression inventory (BDI)-II, Short form 12 (SF-12), and BDNF in both groups were assessed at five-time points: one week before Ramadhan (T1), in the middle of Ramadhan (T2), the last days of Ramadhan (T3), one week after Ramadhan fasting (T4) two weeks after Ramadhan (T5). Results: We found no significant differences across the time points between FG and NFG groups in all variables (p>0.05). There is a significant correlation between fatigue VAS with BDNF serum levels (r > r table), SF-12 PCS (r>r table) with BDNF, SF-12 MCS (r>r table). There is no correlation between fatigue, depression and anxiety intensity, sleepiness, QoL, BDI-II, and BDNF serum levels with calories, BDI-II, and BDNF of fasting group in Ramadhan (r < r table). Conclusions: Ramadhan fasting has positive effects on fatigue and mood. Ramadhan fasting does not have a significant effect on sleepiness, physical exercise, and calories consumed. Fatigue VAS and SF-12 PCS can replace the serum BDNF.
Kukuh Wibisono, Rahmi Isma
Indonesian Journal of Physical Medicine & Rehabilitation, Volume 11, pp 105-112; https://doi.org/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
Zuhal Darwis, Imran Safei
Indonesian Journal of Physical Medicine & Rehabilitation, Volume 11, pp 86-92; https://doi.org/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.
Annisa Budi Prayuni, Tirza Z Tamin, Wanarani Alwin, Dewi Friska
Indonesian Journal of Physical Medicine & Rehabilitation, Volume 11, pp 76-85; https://doi.org/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.
Melinda Harini, Steven Setiono, Luh Karunia Wahyuni, Sri Linuwih Menaldi, Satyanaya Widyaningrum, Edbert Wreksoatmojo
Indonesian Journal of Physical Medicine & Rehabilitation, Volume 11, pp 66-75; https://doi.org/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.
Vina Megitasari, Rachmat Zulkarnain Goesasi, Irma Ruslina Defi
Indonesian Journal of Physical Medicine & Rehabilitation, Volume 11, pp 59-65; https://doi.org/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.
Kukuh Wibisono, Rahmi Isma
Indonesian Journal of Physical Medicine & Rehabilitation, Volume 11, pp 105-112; https://doi.org/10.36803/ijpmr.v11i02.366

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 walkingcapacity in patients with stroke. Open Kinetic Chain (OKC) and Closed Kinetic Chain (CKC) were reported to improve strength, functional mobility and balance in the chronic post-stroke phase. However, there is aphysiologically differences between CKC and OKC exercise. This study aims to compare the result of two methods of progressive resistant training (PRT) on walking capacity in the chronic post-stroke phase.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). Therewas 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, while CKC group show greater improvement in walking distance 56,17 ± 10,95  to 57,43 compared to OKC group57,04 ± 8,58 to 58,19 ± 8,77 (p<0.002).Conclusions: This study shows CKC group showed slightly better improvement in walking capacity after 6 weeks of progressive resistance training compare to OKC group. However, there were no statisticallydifferences between the groups
Irma Ruslina Defi, Deta Tanuwidjadja, Jennie Jennie
Indonesian Journal of Physical Medicine & Rehabilitation, Volume 11, pp 93-104; https://doi.org/10.36803/ijpmr.v11i02.365

Abstract:
Introduction: Ramadhan fasting increases mental and physical health. The study aims to evaluate the effect of Ramadhan fasting on fatigue, sleepiness, depression and anxiety mood, quality of life (QoL), caloriesconsumed and Brain-derived neurotrophic factor (BDNF) serum level.Methods: Twenty participants are included in the fasting group (FG), and nineteen participants are included in the non-fasting group (NFG). Fatigue severity scales (FSS), fatigue VAS, Epworth sleepiness scale (ESS),hospital depression and anxiety score (HADS), Beck depression inventory (BDI)-II, Short form 12 (SF-12), and BDNF in both groups were assessed at five-time points: one week before Ramadhan (T1), in the middleof Ramadhan (T2), the last days of Ramadhan (T3), one week after Ramadhan fasting (T4) two weeks after Ramadhan (T5).Results: We found no significant differences across the time points between FG and NFG groups in all variables (p>0.05). There is a significant correlation between fatigue VAS with BDNF serum levels (r > rtable), SF-12 PCS (r>r table) with BDNF, SF-12 MCS (r>r table). There is no correlation between fatigue, depression and anxiety intensity, sleepiness, QoL, BDI-II, and BDNF serum levels with calories consumed,BDI-II, and BDNF of fasting group in Ramadhan (r < r table).Conclusions: Ramadhan fasting has positive effects on fatigue and mood. Ramadhan fasting does not have a significant effect on sleepiness, physical exercise, and calories consumed. Fatigue VAS and SF-12 PCScan replace the serum BDNF examinationKeywords: BDNF, depression, fatigue, quality of life, ramadhan fasting
Martha Kurnia Kusumawardani, Surdiana, I Putu Alit Pawana, Sony Wibisono
Indonesian Journal of Physical Medicine & Rehabilitation, Volume 11, pp 33-40; https://doi.org/10.36803/ijpmr.v11i01.326

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.
Naela Munawaroh, Lisa Nurhasanah, Rahmi Isma AP
Indonesian Journal of Physical Medicine & Rehabilitation, Volume 11, pp 13-23; https://doi.org/10.36803/ijpmr.v11i01.324

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
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