ABSTRACTIntroduction: Carpal Tunnel Syndrome (CTS) is one of the most common entrapment neuropathies found in the upper extremities. Patients with moderate and severe CTS usually experience disturbances in motor strength. A non-invasive therapeutic method that has recently emerged in the treatment of CTSis Radial Shock Wave Therapy (RSWT). RSWT is a therapy using shock waves and can be added to other forms of exercise. The addition of RSWT in CTS is expected to increase the grip strength. Research that directly assesses the effect of adding RSWT and median nerve gliding exercises on hand grip strength inCTS patients has not been conducted.Methods: This study was a pre-test/post-test control group design. There were 22 moderate grade CTS subjects divided into 2 groups, the control group was received median nerve gliding exercise (n=11) and the treatment group was received additional RSWT on median nerve gliding exercise (n=11). Assessmentof grip strength by Jamar hand dynamometer was performed before and after 4 weeks of treatment. The mean differences before and after treatment, as well as between groups was compared statistically using an unpaired t-test.Results: There was no significant difference in the handgrip strength of the control group (p = 0.094), and a significant difference in the treatment group (p = 0.009) before and after the intervention. However, there were no significant differences in grip strength between the two groups (p=0.065).Conclusion: There was no significant effect of adding RSWT on improving handgrip strength in CTS patients who received a median nerve gliding exercise.Keywords: carpal tunnel syndrome, entrapment neuropathies, grip strength, nerve gliding exercise,radial shockwave therapy
{"title":"Effects of Additional Radial Shockwave Therapy to Median Nerve Gliding Exercises on Hand Grip Strength in Carpal Tunnel Syndrome Patients","authors":"Cornelia Arina Pradipta, Rudy Handoyo, H. Julianti, Hindun Zuhdiana, Noviolita Dwi Kusumawati","doi":"10.36803/ijpmr.v10i02.290","DOIUrl":"https://doi.org/10.36803/ijpmr.v10i02.290","url":null,"abstract":"ABSTRACTIntroduction: Carpal Tunnel Syndrome (CTS) is one of the most common entrapment neuropathies found in the upper extremities. Patients with moderate and severe CTS usually experience disturbances in motor strength. A non-invasive therapeutic method that has recently emerged in the treatment of CTSis Radial Shock Wave Therapy (RSWT). RSWT is a therapy using shock waves and can be added to other forms of exercise. The addition of RSWT in CTS is expected to increase the grip strength. Research that directly assesses the effect of adding RSWT and median nerve gliding exercises on hand grip strength inCTS patients has not been conducted.Methods: This study was a pre-test/post-test control group design. There were 22 moderate grade CTS subjects divided into 2 groups, the control group was received median nerve gliding exercise (n=11) and the treatment group was received additional RSWT on median nerve gliding exercise (n=11). Assessmentof grip strength by Jamar hand dynamometer was performed before and after 4 weeks of treatment. The mean differences before and after treatment, as well as between groups was compared statistically using an unpaired t-test.Results: There was no significant difference in the handgrip strength of the control group (p = 0.094), and a significant difference in the treatment group (p = 0.009) before and after the intervention. However, there were no significant differences in grip strength between the two groups (p=0.065).Conclusion: There was no significant effect of adding RSWT on improving handgrip strength in CTS patients who received a median nerve gliding exercise.Keywords: carpal tunnel syndrome, entrapment neuropathies, grip strength, nerve gliding exercise,radial shockwave therapy","PeriodicalId":247519,"journal":{"name":"Indonesian Journal of Physical Medicine & Rehabilitation","volume":"150 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123307830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ABSTRACTIntroduction: Low back pain (LBP) interferes with daily activities, which is why monitoring of functional disability is important. Non-urgent hospital visits are reduced due to the COVID-19 pandemic. Functional disability questionnaires serve as an alternative fo r patients to self-monitor their condition.Methods: This case-based study aimed to compare the Quebec Back Pain Disability Scale (QBPDS) with the Oswestry Disability Index (ODI) on their responsiveness in assessing functional disability of patients with LBP. Four databases (PubMed, Scopus, Cochrane, and Embase) were searched for literature. Two eligible studies were included in this report. The studies were assessed using the Centre for Evidence-Based Medicine critical appraisal tool for diagnostic studies. Data collected on the responsiveness of ODI and QBPDS were measured using the area under the curve (AUC) of a receiver operating curve (ROC), sensitivity, and specificity.Result: Both studies reported higher AUC values for ODI than QBPDS. One study reported higher sensitivity in ODI and identical specificity values for both ODI and QBPDS. QBPDS has comparable responsiveness to ODI in assessing functional disability of pat ients with LBP.Conclusion: Therefore, patients with low back pain can self-monitor their condition with QPBDS, as it is comparable to ODI and suitable for self-monitor during the C OVID-19 pandemicKeywords: assessment, disability evaluation, low back pain, musculoskeletal pain, surveys andquestionnaires
{"title":"Disability Self-evaluation for Low Back Pain in COVID-19 Pandemic","authors":"Listya Tresnanti Mirtha, Diandra Amandita Priambodo, Dinda Nisrina, Evita Stephanie, Kharisma Zatalini Giyani","doi":"10.36803/ijpmr.v10i02.293","DOIUrl":"https://doi.org/10.36803/ijpmr.v10i02.293","url":null,"abstract":"ABSTRACTIntroduction: Low back pain (LBP) interferes with daily activities, which is why monitoring of functional disability is important. Non-urgent hospital visits are reduced due to the COVID-19 pandemic. Functional disability questionnaires serve as an alternative fo r patients to self-monitor their condition.Methods: This case-based study aimed to compare the Quebec Back Pain Disability Scale (QBPDS) with the Oswestry Disability Index (ODI) on their responsiveness in assessing functional disability of patients with LBP. Four databases (PubMed, Scopus, Cochrane, and Embase) were searched for literature. Two eligible studies were included in this report. The studies were assessed using the Centre for Evidence-Based Medicine critical appraisal tool for diagnostic studies. Data collected on the responsiveness of ODI and QBPDS were measured using the area under the curve (AUC) of a receiver operating curve (ROC), sensitivity, and specificity.Result: Both studies reported higher AUC values for ODI than QBPDS. One study reported higher sensitivity in ODI and identical specificity values for both ODI and QBPDS. QBPDS has comparable responsiveness to ODI in assessing functional disability of pat ients with LBP.Conclusion: Therefore, patients with low back pain can self-monitor their condition with QPBDS, as it is comparable to ODI and suitable for self-monitor during the C OVID-19 pandemicKeywords: assessment, disability evaluation, low back pain, musculoskeletal pain, surveys andquestionnaires","PeriodicalId":247519,"journal":{"name":"Indonesian Journal of Physical Medicine & Rehabilitation","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114709032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-30DOI: 10.36803/ijpmr.v10i02.291
Irsan Agung Ramdhani, Irma Ruslina Defi, Dian Marta Sari, Rachmat Gunadi Wachjudi
ABSTRACTIntroduction: Systemic Lupus Erythematosus (SLE) is a chronic autoimmune disease which decreased cardiopulmonary endurance and pulmonary function are the clinical manifestations. Inspiratory Muscle Training (IMT) has never been studied before, but aerobic exercise is commonly studied in SLE patients.This study was conducted to know the combination ef fect of IMT and aerobic exercise in SLE patients. Materials and methods: This study use quasi experimental design with pre and post-test approach. Fourteen SLE patients that included in the Lupus Low Disease Activity State (LLDAS) were givenIMT and aerobic exercise for 8 weeks. Cardiopulmonary endurance is measured by 6-minute walk test (6MWT) and Metabolic Equivalents (METs), pulmonary function by Maximal Inspiratory Pressure (MIP), Forced Expiratory Volume in 1 second (FEV1), and Forced Vital Capacity (FVC).Results: There is significant increase in pre and post intervention data, 397.45 ± 49.34 vs 427.50 ± 48.67 for 6MWT; 5.25 ± 1.14 vs 5.84 ± 1.08 for METs; 56.20 ± 14.24 vs 86.36 ± 20.73 for MIP; 68.00 ± 10.71 vs 72.90 ± 11.30 for FEV1; and 1.81 ± 1 1.14 vs 77.36 ± 11.80 for FVC.Conclusion: The combination of IMT and aerobic exercise can increase cardiopulmonary endurance and pulmonary function in SLE patients.Keywords: aerobic, inspiratory muscle training, lupus low disease activity state, maximal inspiratorypressure, metabolic equivalents, six-minute walk test.
摘要简介:系统性红斑狼疮(SLE)是一种慢性自身免疫性疾病，临床表现为心肺耐力和肺功能下降。吸气肌训练(IMT)以前从未被研究过，但有氧运动通常被研究在SLE患者中。本研究旨在了解IMT与有氧运动在SLE患者中的联合作用。材料与方法:本研究采用准实验设计，采用前测与后测相结合的方法。14例狼疮低疾病活动状态(LLDAS)的SLE患者给予imt和有氧运动8周。心肺耐力通过6分钟步行试验(6MWT)和代谢当量(METs)测量，肺功能通过最大吸气压(MIP)， 1秒用力呼气量(FEV1)和用力肺活量(FVC)测量。结果:干预前后数据明显增加，6MWT组为397.45±49.34 vs 427.50±48.67;5.25±1.14 vs 5.84±1.08;MIP为56.20±14.24 vs 86.36±20.73;FEV1为68.00±10.71 vs 72.90±11.30;FVC为(1.81±1.14)vs(77.36±11.80)。结论:IMT联合有氧运动可提高SLE患者心肺耐力和肺功能。关键词:有氧，吸气肌训练，狼疮低疾病活动状态，最大吸气压力，代谢当量，六分钟步行试验。
{"title":"Effect Combination of Inspiratory Muscle Training and Aerobic Exercise on Cardiopulmonary Endurance and Pulmonary Function in Systemic Lupus Erythematosus","authors":"Irsan Agung Ramdhani, Irma Ruslina Defi, Dian Marta Sari, Rachmat Gunadi Wachjudi","doi":"10.36803/ijpmr.v10i02.291","DOIUrl":"https://doi.org/10.36803/ijpmr.v10i02.291","url":null,"abstract":"ABSTRACTIntroduction: Systemic Lupus Erythematosus (SLE) is a chronic autoimmune disease which decreased cardiopulmonary endurance and pulmonary function are the clinical manifestations. Inspiratory Muscle Training (IMT) has never been studied before, but aerobic exercise is commonly studied in SLE patients.This study was conducted to know the combination ef fect of IMT and aerobic exercise in SLE patients. Materials and methods: This study use quasi experimental design with pre and post-test approach. Fourteen SLE patients that included in the Lupus Low Disease Activity State (LLDAS) were givenIMT and aerobic exercise for 8 weeks. Cardiopulmonary endurance is measured by 6-minute walk test (6MWT) and Metabolic Equivalents (METs), pulmonary function by Maximal Inspiratory Pressure (MIP), Forced Expiratory Volume in 1 second (FEV1), and Forced Vital Capacity (FVC).Results: There is significant increase in pre and post intervention data, 397.45 ± 49.34 vs 427.50 ± 48.67 for 6MWT; 5.25 ± 1.14 vs 5.84 ± 1.08 for METs; 56.20 ± 14.24 vs 86.36 ± 20.73 for MIP; 68.00 ± 10.71 vs 72.90 ± 11.30 for FEV1; and 1.81 ± 1 1.14 vs 77.36 ± 11.80 for FVC.Conclusion: The combination of IMT and aerobic exercise can increase cardiopulmonary endurance and pulmonary function in SLE patients.Keywords: aerobic, inspiratory muscle training, lupus low disease activity state, maximal inspiratorypressure, metabolic equivalents, six-minute walk test.","PeriodicalId":247519,"journal":{"name":"Indonesian Journal of Physical Medicine & Rehabilitation","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131818023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-30DOI: 10.36803/ijpmr.v10i02.294
Ellyana Sungkar
Disability is an impaired condition in physical, mental, cognitive, or developmental aspect that interfereswith, or limits a person’s ability to engage in certain tasks or actions or participate in activities dailyliving and interactions. Based on International Classification Functional Perception, an interactionbetween individuals with a health condition, such as cerebral palsy, spina bifida, neuromusculardisease etc with personal and environmental factors will result in a disability condition including,limited social support and education, inaccessible transportati on as well.
{"title":"Disability in post Covid-19 Era","authors":"Ellyana Sungkar","doi":"10.36803/ijpmr.v10i02.294","DOIUrl":"https://doi.org/10.36803/ijpmr.v10i02.294","url":null,"abstract":"Disability is an impaired condition in physical, mental, cognitive, or developmental aspect that interfereswith, or limits a person’s ability to engage in certain tasks or actions or participate in activities dailyliving and interactions. Based on International Classification Functional Perception, an interactionbetween individuals with a health condition, such as cerebral palsy, spina bifida, neuromusculardisease etc with personal and environmental factors will result in a disability condition including,limited social support and education, inaccessible transportati on as well.","PeriodicalId":247519,"journal":{"name":"Indonesian Journal of Physical Medicine & Rehabilitation","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127863663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-30DOI: 10.36803/ijpmr.v10i02.292
Rian Dewi Auriani, Vitriana, Farida Arisanti
ABSTRACTIntroduction: Approximately 60-75% of chronic kidney disease (CKD) patients have a uremic syndrome that may cause damage to muscle cells, including the diaphragm as respiratory muscle, which is known involved in maintaining postural stability and balance. This study aims to see the effects ofinspiratory muscle training on postural control and functional performance in CKD patients undergoing hemodialysis twice a week.Methods: This single-blind randomized controlled trial enrolled 36 participants (45±9 years) allocated randomly into the intervention and control group, receiving intensity of 50% and 10% Maximum Inspiratory Pressure (MIP), respectively. Postural sway (95% ellipse area, anteroposterior (AP), and mediolateral (ML) sway) measured using a force platform in static standing with feet apart (FP1) and together (FP2), and functional performance by Short Physical Performance Battery (SPPB), assessed at pre-and postintervention.Results: After 8-week, intervention group demonstrated greater improvements on MIP (233.45% vs 141.65%; p=0.0001). Postural sway FP1 and FP2 not significantly improved in intervention group (p > 0.05). The control group showed a significant increase (p = 0.007) in the SPPB score.Conclusion: The inspiratory muscle training has not significantly improved postural control nor functional performance in patients with chronic kidney disease on hemodialysis. Further research is needed.Keywords: chronic kidney disease, hemodialysis, inspiratory muscle training, physical performance,postural control
摘要:大约60-75%的慢性肾脏疾病(CKD)患者有尿毒症综合征，可能导致肌肉细胞损伤，包括膈肌和呼吸肌，膈肌参与维持姿势的稳定性和平衡。本研究旨在观察呼吸肌肉训练对每周进行两次血液透析的CKD患者姿势控制和功能表现的影响。方法:采用单盲随机对照试验，36例受试者(45±9岁)随机分为干预组和对照组，分别给予最大吸气压力(MIP)强度50%和10%。在干预前和干预后，分别用力平台测量两脚分开(FP1)和两脚一起(FP2)静态站立时的体位摇摆(95%椭圆面积、前后位(AP)和中外侧(ML)摇摆)，并通过短物理性能电池(SPPB)评估功能表现。结果:8周后，干预组在MIP方面表现出更大的改善(233.45% vs 141.65%;p = 0.0001)。干预组体位摇摆FP1、FP2无明显改善(p > 0.05)。对照组患者SPPB评分显著升高(p = 0.007)。结论:吸气肌训练对慢性肾病血液透析患者的姿势控制和功能表现没有明显改善。需要进一步的研究。关键词:慢性肾病，血液透析，吸气肌训练，体能表现，体位控制
{"title":"Postural Control and Functional Performance Changes with Inspiratory Muscle Training in Chronic Kidney Disease Patient","authors":"Rian Dewi Auriani, Vitriana, Farida Arisanti","doi":"10.36803/ijpmr.v10i02.292","DOIUrl":"https://doi.org/10.36803/ijpmr.v10i02.292","url":null,"abstract":"ABSTRACTIntroduction: Approximately 60-75% of chronic kidney disease (CKD) patients have a uremic syndrome that may cause damage to muscle cells, including the diaphragm as respiratory muscle, which is known involved in maintaining postural stability and balance. This study aims to see the effects ofinspiratory muscle training on postural control and functional performance in CKD patients undergoing hemodialysis twice a week.Methods: This single-blind randomized controlled trial enrolled 36 participants (45±9 years) allocated randomly into the intervention and control group, receiving intensity of 50% and 10% Maximum Inspiratory Pressure (MIP), respectively. Postural sway (95% ellipse area, anteroposterior (AP), and mediolateral (ML) sway) measured using a force platform in static standing with feet apart (FP1) and together (FP2), and functional performance by Short Physical Performance Battery (SPPB), assessed at pre-and postintervention.Results: After 8-week, intervention group demonstrated greater improvements on MIP (233.45% vs 141.65%; p=0.0001). Postural sway FP1 and FP2 not significantly improved in intervention group (p > 0.05). The control group showed a significant increase (p = 0.007) in the SPPB score.Conclusion: The inspiratory muscle training has not significantly improved postural control nor functional performance in patients with chronic kidney disease on hemodialysis. Further research is needed.Keywords: chronic kidney disease, hemodialysis, inspiratory muscle training, physical performance,postural control","PeriodicalId":247519,"journal":{"name":"Indonesian Journal of Physical Medicine & Rehabilitation","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127063145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-30DOI: 10.36803/ijpmr.v10i02.284
Nury Nusdwinuringtyas, Kevin Triangto, Idrus Alwi, Faisal Yunus
ABSTRACTIntroduction: Endurance is one of the key fitness measure that should be evaluated daily. Clinical assessment of endurance in daily practice is usually hurdled by limitation of hospital spaces. Another obstacle arise that shorter six-minute walk test (6MWT) track will lead to more turning motion, yieldingshorter straight walking distance with increased ener gy expenditure.Methods: This cross sectional study compares 6MWT on a 15 meter corridor, to the gold standard Biodex® gait trainer for healthy adults aged 18-50 years. Subjects without any anatomical abnormalities or systemic disorders were recruited, and instructed to turn in a three-step method at track ends tomaximize walking distance. Furthermore, validity and reliability assessments to obtain both Pearson correlation and Cronbach Alpha values were performed respectively.Results: Among 123 subjects, 58 males aged ranging from 18 to 45 years, and females between 18 to 42 years were recruited. Anthropometrical values were similar between gender. Significant difference in walking distance and walking speed was observed. Comparison of walking distance between the twomodalities were seen to be statistically similar (p=0.693). Pearson validity test was proven significant (p<0.001) with a correlation coefficient of r = 0.998, while reliability test obtained Cronbach’s Alpha value of 0.999, hence showing that these are both valid and reliable.Conclusion: Good validity and reliability of 6MWT in 15 meter track as compared to the gold standard Biodex® gait trainer was demonstrated in this study. Moreover, shorter track is a potential modification adhering to the limitation of operational space. The three-step turning method could significantlyimproves total walk distance, and thus is suggested.Keywords: six-minute walk test, walk distance, walking speed
{"title":"The Validity and Reliability of Six Minute Walk Test in a 15 Meter Track","authors":"Nury Nusdwinuringtyas, Kevin Triangto, Idrus Alwi, Faisal Yunus","doi":"10.36803/ijpmr.v10i02.284","DOIUrl":"https://doi.org/10.36803/ijpmr.v10i02.284","url":null,"abstract":"ABSTRACTIntroduction: Endurance is one of the key fitness measure that should be evaluated daily. Clinical assessment of endurance in daily practice is usually hurdled by limitation of hospital spaces. Another obstacle arise that shorter six-minute walk test (6MWT) track will lead to more turning motion, yieldingshorter straight walking distance with increased ener gy expenditure.Methods: This cross sectional study compares 6MWT on a 15 meter corridor, to the gold standard Biodex® gait trainer for healthy adults aged 18-50 years. Subjects without any anatomical abnormalities or systemic disorders were recruited, and instructed to turn in a three-step method at track ends tomaximize walking distance. Furthermore, validity and reliability assessments to obtain both Pearson correlation and Cronbach Alpha values were performed respectively.Results: Among 123 subjects, 58 males aged ranging from 18 to 45 years, and females between 18 to 42 years were recruited. Anthropometrical values were similar between gender. Significant difference in walking distance and walking speed was observed. Comparison of walking distance between the twomodalities were seen to be statistically similar (p=0.693). Pearson validity test was proven significant (p<0.001) with a correlation coefficient of r = 0.998, while reliability test obtained Cronbach’s Alpha value of 0.999, hence showing that these are both valid and reliable.Conclusion: Good validity and reliability of 6MWT in 15 meter track as compared to the gold standard Biodex® gait trainer was demonstrated in this study. Moreover, shorter track is a potential modification adhering to the limitation of operational space. The three-step turning method could significantlyimproves total walk distance, and thus is suggested.Keywords: six-minute walk test, walk distance, walking speed","PeriodicalId":247519,"journal":{"name":"Indonesian Journal of Physical Medicine & Rehabilitation","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124718741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-30DOI: 10.36803/ijpmr.v10i02.285
Andre Sugiyono, Siti Chandra Widjanantie
ABSTRACTDuring the outbreak of Covid-19, the policy of working from home for employees and studying from Neuromuscular disease in childhood result in dysfunction of chest wall and lung movement that interfere ventilation function and gas exchange. Without vital respiratory pump, ventilation, gas exchange function and cough ability would be compromised and could result in complications such as pneumonia, atelectasis, and respiratory failure. Comorbid factors in cardiovascular, musculoskeletal, nutrition, and gastrointestinal could aggravate respiratory morbidity and mortality if not adequately treated. This paper was written to review anatomy and physiology of neurorespiratory system, pathophysiology of respiratory complication in neuromuscular disease, clinical assessment and respiratory monitoring of childhood neuromuscular disease from Physical Medicine and Rehabilitation point of view.Keywords: assessment, neuromuscular disease, pediatric, respiratory
{"title":"Respiratory Monitoring in Pediatric Neuromuscular Disease","authors":"Andre Sugiyono, Siti Chandra Widjanantie","doi":"10.36803/ijpmr.v10i02.285","DOIUrl":"https://doi.org/10.36803/ijpmr.v10i02.285","url":null,"abstract":"ABSTRACTDuring the outbreak of Covid-19, the policy of working from home for employees and studying from Neuromuscular disease in childhood result in dysfunction of chest wall and lung movement that interfere ventilation function and gas exchange. Without vital respiratory pump, ventilation, gas exchange function and cough ability would be compromised and could result in complications such as pneumonia, atelectasis, and respiratory failure. Comorbid factors in cardiovascular, musculoskeletal, nutrition, and gastrointestinal could aggravate respiratory morbidity and mortality if not adequately treated. This paper was written to review anatomy and physiology of neurorespiratory system, pathophysiology of respiratory complication in neuromuscular disease, clinical assessment and respiratory monitoring of childhood neuromuscular disease from Physical Medicine and Rehabilitation point of view.Keywords: assessment, neuromuscular disease, pediatric, respiratory","PeriodicalId":247519,"journal":{"name":"Indonesian Journal of Physical Medicine & Rehabilitation","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129981734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ABSTRACTIntroduction: In patients with Chronic Obstructive Pulmonary Disease (COPD), due to shared-riskfactors, concomitant chronic cardiovascular diseases include Congestive Heart Failure (CHF) arecommon and resulting in increase overall morbidity and mortalit y.Case Report: A female patient, 52 years, came for pulmonary rehabilitation 2 weeks after hospitalizationdue to acute exacerbation of COPD. One week before the exacerbation, she showed symptoms of CHF.Physical examination showed signs of right and left heart failure, oxygen desaturation, and limitedchest expansion. Functional assessment showed disability in self-care, instrumental activities ofdaily living (ADL), deconditioning, depression, and anxiety. Supporting examination confirmed verysevere restriction and obstruction, bronchopneumonia, cardiomegaly, and pulmonary hypertension.Rehabilitation problems include cardiorespiratory, ADL, and psychological problems. The Covid-19pandemic causing prohibition of supervised cardiorespiratory rehabilitation. Home-based exerciseprogram was given for 5 months. Monitoring was done via video call before and after each exercise andthrough analysis of exercise diary. Psychological counseling also given at the beginning of the program.Patient did all of prescribed exercises. At the end, symptoms decreased, patient can do ADL and hobbies,no exacerbation or exercise intolerance, patient does not look anxious and consents to leisure activities.Conclusion: Monitored-home based exercise programs can be used as safely alternative to hospitalbased,if done according to the prescription. However , monitoring by physician is mandatory.Keywords: chronic obstructive pulmonary disease, congestive heart failure, covid-19 pandemic, homebasedexercise, rehabilitation
{"title":"Monitored Home-based Exercise Rehabilitation for Patient with Chronic Respiratory and Cardiovascular Diseases During Covid-19 Pandemic: A Case Report","authors":"Arnengsih Nazir, Marina Annette Moeliono","doi":"10.36803/ijpmr.v9i2.300","DOIUrl":"https://doi.org/10.36803/ijpmr.v9i2.300","url":null,"abstract":"ABSTRACTIntroduction: In patients with Chronic Obstructive Pulmonary Disease (COPD), due to shared-riskfactors, concomitant chronic cardiovascular diseases include Congestive Heart Failure (CHF) arecommon and resulting in increase overall morbidity and mortalit y.Case Report: A female patient, 52 years, came for pulmonary rehabilitation 2 weeks after hospitalizationdue to acute exacerbation of COPD. One week before the exacerbation, she showed symptoms of CHF.Physical examination showed signs of right and left heart failure, oxygen desaturation, and limitedchest expansion. Functional assessment showed disability in self-care, instrumental activities ofdaily living (ADL), deconditioning, depression, and anxiety. Supporting examination confirmed verysevere restriction and obstruction, bronchopneumonia, cardiomegaly, and pulmonary hypertension.Rehabilitation problems include cardiorespiratory, ADL, and psychological problems. The Covid-19pandemic causing prohibition of supervised cardiorespiratory rehabilitation. Home-based exerciseprogram was given for 5 months. Monitoring was done via video call before and after each exercise andthrough analysis of exercise diary. Psychological counseling also given at the beginning of the program.Patient did all of prescribed exercises. At the end, symptoms decreased, patient can do ADL and hobbies,no exacerbation or exercise intolerance, patient does not look anxious and consents to leisure activities.Conclusion: Monitored-home based exercise programs can be used as safely alternative to hospitalbased,if done according to the prescription. However , monitoring by physician is mandatory.Keywords: chronic obstructive pulmonary disease, congestive heart failure, covid-19 pandemic, homebasedexercise, rehabilitation","PeriodicalId":247519,"journal":{"name":"Indonesian Journal of Physical Medicine & Rehabilitation","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131619792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ABSTRACTIntroduction: In patients with Chronic Obstructive Pulmonary Disease (COPD), due to shared-risk factors, concomitant chronic cardiovascular diseases include Congestive Heart Failure (CHF) are common and resulting in increase overall morbidity and mortality.Case Report: A female patient, 52 years, came for pulmonary rehabilitation 2 weeks after hospitalization due to acute exacerbation of COPD. One week before the exacerbation, she showed symptoms of CHF. Physical examination showed signs of right and left heart failure, oxygen desaturation, and limited chest expansion. Functional assessment showed disability in self-care, instrumental activities of daily living (ADL), deconditioning, depression, and anxiety. Supporting examination confirmed very severe restriction and obstruction, bronchopneumonia, cardiomegaly, and pulmonary hypertension. Rehabilitation problems include cardiorespiratory, ADL, and psychological problems. The Covid-19 pandemic causing prohibition of supervised cardiorespiratory rehabilitation. Home-based exercise program was given for 5 months. Monitoring was done via video call before and after each exercise and through analysis of exercise diary. Psychological counseling also given at the beginning of the program. Patient did all of prescribed exercises. At the end, symptoms decreased, patient can do ADL and hobbies, no exacerbation or exercise intolerance, patient does not look anxious and consents to leisure activities.Conclusion: Monitored-home based exercise programs can be used as safely alternative to hospitalbased, if done according to the prescription. However , monitoring by physician is mandatory.Keywords: chronic obstructive pulmonary disease, congestive heart failure, covid-19 pandemic, homebased exercise, rehabilitation
{"title":"Monitored Home-based Exercise Rehabilitation for Patient with Chronic Respiratory and Cardiovascular Diseases During Covid-19 Pandemic: A Case Report ABSTRACT","authors":"Arnengsih Nazir, M. Moeliono","doi":"10.36803/ijpmr.v9i2.271","DOIUrl":"https://doi.org/10.36803/ijpmr.v9i2.271","url":null,"abstract":"ABSTRACTIntroduction: In patients with Chronic Obstructive Pulmonary Disease (COPD), due to shared-risk factors, concomitant chronic cardiovascular diseases include Congestive Heart Failure (CHF) are common and resulting in increase overall morbidity and mortality.Case Report: A female patient, 52 years, came for pulmonary rehabilitation 2 weeks after hospitalization due to acute exacerbation of COPD. One week before the exacerbation, she showed symptoms of CHF. Physical examination showed signs of right and left heart failure, oxygen desaturation, and limited chest expansion. Functional assessment showed disability in self-care, instrumental activities of daily living (ADL), deconditioning, depression, and anxiety. Supporting examination confirmed very severe restriction and obstruction, bronchopneumonia, cardiomegaly, and pulmonary hypertension. Rehabilitation problems include cardiorespiratory, ADL, and psychological problems. The Covid-19 pandemic causing prohibition of supervised cardiorespiratory rehabilitation. Home-based exercise program was given for 5 months. Monitoring was done via video call before and after each exercise and through analysis of exercise diary. Psychological counseling also given at the beginning of the program. Patient did all of prescribed exercises. At the end, symptoms decreased, patient can do ADL and hobbies, no exacerbation or exercise intolerance, patient does not look anxious and consents to leisure activities.Conclusion: Monitored-home based exercise programs can be used as safely alternative to hospitalbased, if done according to the prescription. However , monitoring by physician is mandatory.Keywords: chronic obstructive pulmonary disease, congestive heart failure, covid-19 pandemic, homebased exercise, rehabilitation","PeriodicalId":247519,"journal":{"name":"Indonesian Journal of Physical Medicine & Rehabilitation","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122145889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ABSTRACTIntroduction: The Regulation of the Ministry of Defense No. 106 of 2016 regulates the process ofwhether a disabled soldier should retire or continue their career. Some soldiers can continue afterundergoing a rehabilitation program and fitness test called Uji Kesamaptaan. Unfortunately, the currentscoring system in Uji Kesamaptaan only fits for normal soldiers. The purpose of this study was todescribe the profile of normal and disabled soldiers who underwent physical fitness tests. The equalityvalue “Kesamaptaan table” with the running test can be used to assess the ability for disabilities by usinga wheelchair test?Methods: This preliminary study used a cross-sectional method and involved 46 soldiers who weredivided into two groups, disabled (n=16) and normal (n=30). All participants underwent a 12-minuterun or wheel test in a 400-meter track, to record the distance covered according to their ability. VO2Maxassessed using the Cardio-Pulmonary Exercise Test (CPET). Results were analyze using SPSS program;Independent T-test.Results: No significant difference was observed in the characteristics (age, body weight, height, andmass index) between the two groups. The VO2Max difference between normal soldiers and disabledsoldiers was highly significant. The highest score among disabled and normal soldiers was 38 L/min/kgBW and 64 L/min/kg BW, respectively. Normal soldiers covered 465m farther in a 12-minute run test.Conclusion: Kesamaptaan, the current scoring system for soldiers, can be considered unfair for thedisabled soldiers. The scoring system only includes for 12-minutes running test. Differences in theinvolvement of muscles and muscle type, affecting energy use and oxygen consumption between the12-minute run test and wheelchair pedal test. Therefore, value conversion is required for disabledsoldiers.Keywords: disabled persons, exercise test, physical fitness, VO2Max
{"title":"Physical Fitness Profile of Wheelchair-Bound Soldier: A Preliminary Study","authors":"Endang Ernandini, Trevino A. Pakasi","doi":"10.36803/ijpmr.v9i2.297","DOIUrl":"https://doi.org/10.36803/ijpmr.v9i2.297","url":null,"abstract":"ABSTRACTIntroduction: The Regulation of the Ministry of Defense No. 106 of 2016 regulates the process ofwhether a disabled soldier should retire or continue their career. Some soldiers can continue afterundergoing a rehabilitation program and fitness test called Uji Kesamaptaan. Unfortunately, the currentscoring system in Uji Kesamaptaan only fits for normal soldiers. The purpose of this study was todescribe the profile of normal and disabled soldiers who underwent physical fitness tests. The equalityvalue “Kesamaptaan table” with the running test can be used to assess the ability for disabilities by usinga wheelchair test?Methods: This preliminary study used a cross-sectional method and involved 46 soldiers who weredivided into two groups, disabled (n=16) and normal (n=30). All participants underwent a 12-minuterun or wheel test in a 400-meter track, to record the distance covered according to their ability. VO2Maxassessed using the Cardio-Pulmonary Exercise Test (CPET). Results were analyze using SPSS program;Independent T-test.Results: No significant difference was observed in the characteristics (age, body weight, height, andmass index) between the two groups. The VO2Max difference between normal soldiers and disabledsoldiers was highly significant. The highest score among disabled and normal soldiers was 38 L/min/kgBW and 64 L/min/kg BW, respectively. Normal soldiers covered 465m farther in a 12-minute run test.Conclusion: Kesamaptaan, the current scoring system for soldiers, can be considered unfair for thedisabled soldiers. The scoring system only includes for 12-minutes running test. Differences in theinvolvement of muscles and muscle type, affecting energy use and oxygen consumption between the12-minute run test and wheelchair pedal test. Therefore, value conversion is required for disabledsoldiers.Keywords: disabled persons, exercise test, physical fitness, VO2Max","PeriodicalId":247519,"journal":{"name":"Indonesian Journal of Physical Medicine & Rehabilitation","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130323933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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