ABSTRACTIntroduction: The presence of anxiety and depression in patients with Chronic Obstructive Pulmonary Disease (COPD) is often associated with greater disability, higher rates of exacerbations, increasedhospitalization and mortality. Many types of breathing exercises, such as Pursed Lips Breathing (PLB), Diaphragmatic Breathing (DBE), Respiratory Muscle Training (RMT), have been reported positivephysiological effects to reduces breathlessness, anxiety and depression in patients with COPD. This study aims to determine the effect in anxiety and depression after intervention of Inspiratory MuscleTraining (IMT) in COPD patients that received PLB.Methods: An experimental pre and post randomly study design, in August – September 2019. Control group and experimental group each performed PLB exercises while the experimental group got additionalIMT. To evaluate anxiety and depression status, Hospital Anxiety and Depression Scale (HADS) was used.Results: Twenty subjects with COPD were recruited, no significant differences of HADS score between both groups. After 6 weeks of intervention, the HADS score in each group decreased significantly, withdelta of HADS score in experimental group was greater than the control group (p<0.05).Conclusion: Improvement of HADS scores after additional IMT was better than PLB only in COPD patients.Keywords: chronic obstructive pulmonary disease; hospital anxiety and depression scale; inspiratory muscle training; pursed lips breathing.
{"title":"Effect of Inspiratory Muscle Training on Anxiety and Depression in Patient with COPD that Received Pursed Lip Breathing ABSTRACT","authors":"Yeanita, Rahmi Isma Ap","doi":"10.36803/ijpmr.v9i2.269","DOIUrl":"https://doi.org/10.36803/ijpmr.v9i2.269","url":null,"abstract":"ABSTRACTIntroduction: The presence of anxiety and depression in patients with Chronic Obstructive Pulmonary Disease (COPD) is often associated with greater disability, higher rates of exacerbations, increasedhospitalization and mortality. Many types of breathing exercises, such as Pursed Lips Breathing (PLB), Diaphragmatic Breathing (DBE), Respiratory Muscle Training (RMT), have been reported positivephysiological effects to reduces breathlessness, anxiety and depression in patients with COPD. This study aims to determine the effect in anxiety and depression after intervention of Inspiratory MuscleTraining (IMT) in COPD patients that received PLB.Methods: An experimental pre and post randomly study design, in August – September 2019. Control group and experimental group each performed PLB exercises while the experimental group got additionalIMT. To evaluate anxiety and depression status, Hospital Anxiety and Depression Scale (HADS) was used.Results: Twenty subjects with COPD were recruited, no significant differences of HADS score between both groups. After 6 weeks of intervention, the HADS score in each group decreased significantly, withdelta of HADS score in experimental group was greater than the control group (p<0.05).Conclusion: Improvement of HADS scores after additional IMT was better than PLB only in COPD patients.Keywords: chronic obstructive pulmonary disease; hospital anxiety and depression scale; inspiratory muscle training; pursed lips breathing.","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":"126113156","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}
Since this issue on the COVID-19 pandemic started, the entire world is still in the middle of thecrisis, although less intensely so than during the earlier period of tremendous lockdown. We haveall been affected by the crisis in some way and have been forced to adapt. While it remains to beseen whether the markers of social experiences will become part of the “new normal,” one thing iscertain for intellectual work: researchers will need to record and analyze how different societies havebeen managed inability to respond to the COVID-19 problematics, to learn from one another and topinpoint the working logics of various social formations.
{"title":"Still Strugling with COVID-19 Pandemi","authors":"Irma Ruslina Defi","doi":"10.36803/ijpmr.v9i2.295","DOIUrl":"https://doi.org/10.36803/ijpmr.v9i2.295","url":null,"abstract":"Since this issue on the COVID-19 pandemic started, the entire world is still in the middle of thecrisis, although less intensely so than during the earlier period of tremendous lockdown. We haveall been affected by the crisis in some way and have been forced to adapt. While it remains to beseen whether the markers of social experiences will become part of the “new normal,” one thing iscertain for intellectual work: researchers will need to record and analyze how different societies havebeen managed inability to respond to the COVID-19 problematics, to learn from one another and topinpoint the working logics of various social formations.","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":"122103530","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}
Since this issue on the COVID-19 pandemic started, the entire world is still in the middle of the crisis, although less intensely so than during the earlier period of tremendous lockdown. We have all been affected by the crisis in some way and have been forced to adapt. While it remains to be seen whether the markers of social experiences will become part of the “new normal,” one thing is certain for intellectual work: researchers will need to record and analyze how different societies havebeen managed inability to respond to the COVID-19 problematics, to learn from one another and to pinpoint the working logics of various social formations.
{"title":"Still Strugling with COVID-19 Pandemi Since","authors":"I. R. Defi","doi":"10.36803/ijpmr.v9i2.265","DOIUrl":"https://doi.org/10.36803/ijpmr.v9i2.265","url":null,"abstract":"Since this issue on the COVID-19 pandemic started, the entire world is still in the middle of the crisis, although less intensely so than during the earlier period of tremendous lockdown. We have all been affected by the crisis in some way and have been forced to adapt. While it remains to be seen whether the markers of social experiences will become part of the “new normal,” one thing is certain for intellectual work: researchers will need to record and analyze how different societies havebeen managed inability to respond to the COVID-19 problematics, to learn from one another and to pinpoint the working logics of various social formations.","PeriodicalId":247519,"journal":{"name":"Indonesian Journal of Physical Medicine & Rehabilitation","volume":"12 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":"124538803","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 of whether a disabled soldier should retire or continue their career. Some soldiers can continue after undergoing a rehabilitation program and fitness test called Uji Kesamaptaan. Unfortunately, the current scoring system in Uji Kesamaptaan only fits for normal soldiers. The purpose of this study was to describe the profile of normal and disabled soldiers who underwent physical fitness tests. The equality value “Kesamaptaan table” with the running test can be used to assess the ability for disabilities by using a wheelchair test?Methods: This preliminary study used a cross-sectional method and involved 46 soldiers who were divided 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. VO2Max assessed 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, and mass index) between the two groups. The VO2Max difference between normal soldiers and disabled soldiers was highly significant. The highest score among disabled and normal soldiers was 38 L/min/kg BW 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 the disabled soldiers. The scoring system only includes for 12-minutes running test. Differences in the involvement of muscles and muscle type, affecting energy use and oxygen consumption between the 12-minute run test and wheelchair pedal test. Therefore, value conversion is required for disabled soldiers.Keywords: disabled persons, exercise test, physical fitness, VO2Max
{"title":"Physical Fitness Profile of Wheelchair-Bound Soldier: A Preliminary Study to Propose a New Standard for Disabled Soldier","authors":"Endang Ernandini, Trevino A. Pakasi","doi":"10.36803/ijpmr.v9i2.268","DOIUrl":"https://doi.org/10.36803/ijpmr.v9i2.268","url":null,"abstract":"ABSTRACTIntroduction: The Regulation of the Ministry of Defense No. 106 of 2016 regulates the process of whether a disabled soldier should retire or continue their career. Some soldiers can continue after undergoing a rehabilitation program and fitness test called Uji Kesamaptaan. Unfortunately, the current scoring system in Uji Kesamaptaan only fits for normal soldiers. The purpose of this study was to describe the profile of normal and disabled soldiers who underwent physical fitness tests. The equality value “Kesamaptaan table” with the running test can be used to assess the ability for disabilities by using a wheelchair test?Methods: This preliminary study used a cross-sectional method and involved 46 soldiers who were divided 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. VO2Max assessed 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, and mass index) between the two groups. The VO2Max difference between normal soldiers and disabled soldiers was highly significant. The highest score among disabled and normal soldiers was 38 L/min/kg BW 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 the disabled soldiers. The scoring system only includes for 12-minutes running test. Differences in the involvement of muscles and muscle type, affecting energy use and oxygen consumption between the 12-minute run test and wheelchair pedal test. Therefore, value conversion is required for disabled soldiers.Keywords: disabled persons, exercise test, physical fitness, VO2Max","PeriodicalId":247519,"journal":{"name":"Indonesian Journal of Physical Medicine & Rehabilitation","volume":"13 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":"123999800","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: To determine the effect of adding elastic taping to conventional rehabilitation therapy on the improvement of shoulder pain and motor function of the upper limbs in patients with subacute strokewith shoulder subluxation.Methods: Research subjects who met the inclusion criteria were recruited from medical rehabilitation clinic in RSUD Dr, Soetomo. The total research subjects were 20 people (10 in treatment group and 10 incontrol group). The parameters were Visual Analoque Scale (VAS) for assessing shoulder pain and Fugl Meyer Assessment (FMA) for assessing motor function in the upper limbs.Results: There were significant differences before and after therapy for 3 weeks for VAS (p value = 0.00) in the treatment and control groups, there were significant differences in FMA in the treatment group (p value = 0.04), there were no significant difference in FMA in the control group (p value = 0.06). There was no significant difference in changes of VAS (p value = 0.23) and FMA (p value = 0.32) between the treatment and control groups before and after therapy for 3 weeks.Conclusion: The treatment group and the control group gave the same results on improvement of shoulder pain and motor function of the upper limbs before and after therapy for 3 weeks. There was an improvement in motor function of the upper limbs in the treatment group and there was no improvement in motor function of the upper limbs in the control group befor e and after therapy for 3 weeks.Keywords: conventional rehabilitation therapy, elastic taping, Fugl Meyer Assessment (FMA), Glenohumeral subluxation (GHS), Hemiplegic shoulder pain (HSP), Visual Analoque Scale (VAS).
{"title":"Effects of Elastic Taping Application Added on Conventional Rehabilitation Therapy to Improve Shoulder Pain and Upper Extremity Motor Function on Subacute Phase Stroke Patients with Shoulder Subluxation","authors":"Bimo Sutomo, Martha Kurnia Kusumawardani","doi":"10.36803/ijpmr.v9i2.270","DOIUrl":"https://doi.org/10.36803/ijpmr.v9i2.270","url":null,"abstract":"ABSTRACTIntroduction: To determine the effect of adding elastic taping to conventional rehabilitation therapy on the improvement of shoulder pain and motor function of the upper limbs in patients with subacute strokewith shoulder subluxation.Methods: Research subjects who met the inclusion criteria were recruited from medical rehabilitation clinic in RSUD Dr, Soetomo. The total research subjects were 20 people (10 in treatment group and 10 incontrol group). The parameters were Visual Analoque Scale (VAS) for assessing shoulder pain and Fugl Meyer Assessment (FMA) for assessing motor function in the upper limbs.Results: There were significant differences before and after therapy for 3 weeks for VAS (p value = 0.00) in the treatment and control groups, there were significant differences in FMA in the treatment group (p value = 0.04), there were no significant difference in FMA in the control group (p value = 0.06). There was no significant difference in changes of VAS (p value = 0.23) and FMA (p value = 0.32) between the treatment and control groups before and after therapy for 3 weeks.Conclusion: The treatment group and the control group gave the same results on improvement of shoulder pain and motor function of the upper limbs before and after therapy for 3 weeks. There was an improvement in motor function of the upper limbs in the treatment group and there was no improvement in motor function of the upper limbs in the control group befor e and after therapy for 3 weeks.Keywords: conventional rehabilitation therapy, elastic taping, Fugl Meyer Assessment (FMA), Glenohumeral subluxation (GHS), Hemiplegic shoulder pain (HSP), Visual Analoque Scale (VAS).","PeriodicalId":247519,"journal":{"name":"Indonesian Journal of Physical Medicine & Rehabilitation","volume":"53 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":"130121288","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}
N. Nusdwinuringtyas, Johan Talesu, A. Ratnawati, S. Prasetyo
ABSTRACTIntroduction: Therapeutic exercise is the main rehabilitation program in patients with Chronic Obstructive Pulmonary Disease (COPD). Shortness of breath due to persistent obstruction causes disability in the form of decreased functional capacity. Hairmyers is an isolated group of exercise to recondition the limb muscles without weights. The purpose of this study was to assess the efficacy of low-intensity Hairmyres exercise in improving Six-Minute Walk Distance (6MWD).Methods: This is a pre-post interventional study held from January to April 2005. Hairmyres exercises were given to the patients (n=14) with moderate and severe COPD for eight weeks, five times a week with two exercises performed in front of the researcher. Six-Minute Walk Distance was measured before, at the end of the 4 th week, and after the exercise program.Results: Compared to the beginning, the 6MWD increased by 27 meters at the end of the 4th week and 62.29 meters at the end of the program in moderate COPD patients, while the increase in severe COPDpatients were 39.71 and 76 meters, respectively. There was a significant difference (p <0.05) between the first and the last measurement in both groups. This difference also surpassed the minimal clinicallyimportant difference (MCID) of 6MWD.Keywords: COPD, Hairmyers, Low-Intensity Exercise, 6MWD
{"title":"The Effect of Low-Intensity Hairmyres Exercises on Six-Minute Walk Distance in Patients with Chronic Obstructive Pulmonary Disease: A Preliminary Study ABSTRACT","authors":"N. Nusdwinuringtyas, Johan Talesu, A. Ratnawati, S. Prasetyo","doi":"10.36803/ijpmr.v9i2.267","DOIUrl":"https://doi.org/10.36803/ijpmr.v9i2.267","url":null,"abstract":"ABSTRACTIntroduction: Therapeutic exercise is the main rehabilitation program in patients with Chronic Obstructive Pulmonary Disease (COPD). Shortness of breath due to persistent obstruction causes disability in the form of decreased functional capacity. Hairmyers is an isolated group of exercise to recondition the limb muscles without weights. The purpose of this study was to assess the efficacy of low-intensity Hairmyres exercise in improving Six-Minute Walk Distance (6MWD).Methods: This is a pre-post interventional study held from January to April 2005. Hairmyres exercises were given to the patients (n=14) with moderate and severe COPD for eight weeks, five times a week with two exercises performed in front of the researcher. Six-Minute Walk Distance was measured before, at the end of the 4 th week, and after the exercise program.Results: Compared to the beginning, the 6MWD increased by 27 meters at the end of the 4th week and 62.29 meters at the end of the program in moderate COPD patients, while the increase in severe COPDpatients were 39.71 and 76 meters, respectively. There was a significant difference (p <0.05) between the first and the last measurement in both groups. This difference also surpassed the minimal clinicallyimportant difference (MCID) of 6MWD.Keywords: COPD, Hairmyers, Low-Intensity Exercise, 6MWD","PeriodicalId":247519,"journal":{"name":"Indonesian Journal of Physical Medicine & Rehabilitation","volume":"45 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":"127376728","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}
Nury Nusdwinuringtyas, Johan Talesu, Anita Ratnawati, Sabarinah B. Prasetyo
ABSTRACTIntroduction: Therapeutic exercise is the main rehabilitation program in patients with ChronicObstructive Pulmonary Disease (COPD). Shortness of breath due to persistent obstruction causesdisability in the form of decreased functional capacity. Hairmyers is an isolated group of exercise torecondition the limb muscles without weights. The purpose of this study was to assess the efficacy oflow-intensity Hairmyres exercise in improving Six-Minute Walk Distance (6MWD).Methods: This is a pre-post interventional study held from January to April 2005. Hairmyres exerciseswere given to the patients (n=14) with moderate and severe COPD for eight weeks, five times a weekwith two exercises performed in front of the researcher. Six-Minute Walk Distance was measured before,at the end of the 4 th week, and after the exercise program.Results: Compared to the beginning, the 6MWD increased by 27 meters at the end of the 4th week and62.29 meters at the end of the program in moderate COPD patients, while the increase in severe COPDpatients were 39.71 and 76 meters, respectively. There was a significant difference (p <0.05) betweenthe first and the last measurement in both groups. This difference also surpassed the minimal clinicallyimportant difference (MCID) of 6MWD.Keywords: COPD, Hairmyers, Low-Intensity Exercise, 6MWD
{"title":"The Effect of Low-Intensity Hairmyres Exercises on Six-Minute Walk Distance in Patients with Chronic Obstructive Pulmonary Disease: A Preliminary Study","authors":"Nury Nusdwinuringtyas, Johan Talesu, Anita Ratnawati, Sabarinah B. Prasetyo","doi":"10.36803/ijpmr.v9i2.296","DOIUrl":"https://doi.org/10.36803/ijpmr.v9i2.296","url":null,"abstract":"ABSTRACTIntroduction: Therapeutic exercise is the main rehabilitation program in patients with ChronicObstructive Pulmonary Disease (COPD). Shortness of breath due to persistent obstruction causesdisability in the form of decreased functional capacity. Hairmyers is an isolated group of exercise torecondition the limb muscles without weights. The purpose of this study was to assess the efficacy oflow-intensity Hairmyres exercise in improving Six-Minute Walk Distance (6MWD).Methods: This is a pre-post interventional study held from January to April 2005. Hairmyres exerciseswere given to the patients (n=14) with moderate and severe COPD for eight weeks, five times a weekwith two exercises performed in front of the researcher. Six-Minute Walk Distance was measured before,at the end of the 4 th week, and after the exercise program.Results: Compared to the beginning, the 6MWD increased by 27 meters at the end of the 4th week and62.29 meters at the end of the program in moderate COPD patients, while the increase in severe COPDpatients were 39.71 and 76 meters, respectively. There was a significant difference (p <0.05) betweenthe first and the last measurement in both groups. This difference also surpassed the minimal clinicallyimportant difference (MCID) of 6MWD.Keywords: COPD, Hairmyers, Low-Intensity Exercise, 6MWD","PeriodicalId":247519,"journal":{"name":"Indonesian Journal of Physical Medicine & Rehabilitation","volume":"72 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":"129487450","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 : 2021-06-01DOI: 10.36803/ijpmr.v10i1.277
Irma Ruslina Defi
The COVID-19 outbreak has been declared a public health emergency of worldwide concern by the World Health Organization. The direct and indirect effects of COVID-19 on health and well-being are still being investigated. In addition to the direct impacts of COVID-19 disease, social distancing and lockdown measures have had a significant and unequal effect on individuals, households, and communities through restrictions imposed on our daily social an d economic activities.
{"title":"COVID-19’s Direct and Indirect Impact","authors":"Irma Ruslina Defi","doi":"10.36803/ijpmr.v10i1.277","DOIUrl":"https://doi.org/10.36803/ijpmr.v10i1.277","url":null,"abstract":"The COVID-19 outbreak has been declared a public health emergency of worldwide concern by the World Health Organization. The direct and indirect effects of COVID-19 on health and well-being are still being investigated. In addition to the direct impacts of COVID-19 disease, social distancing and lockdown measures have had a significant and unequal effect on individuals, households, and communities through restrictions imposed on our daily social an d economic activities.","PeriodicalId":247519,"journal":{"name":"Indonesian Journal of Physical Medicine & Rehabilitation","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116676861","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}
ABSTRACT Introduction: An exercise program like prehabilitation exercise is expected to contribute in improving outcomes in Osteoarthritis (OA) postoperatively such as Total Knee Replacement (TKR). Elastic resistance products in prehabilitation exercise programs have been widely used in rehabilitation and are an effective method. Resistance band is one of elastic resistance products that have several advantages. The purpose of this study was to determine the effect of prehabilitation exercise intervention with a resistance band on the quality of life of patients under going TKR using the SF-36 questionnaire. Methods: This study was a randomized controlled trial pre-test and post-test control group design knowing the effects of prehabilitation exercise in patients underwent TKR. 16 subjects were allocated to treatment group (n = 8) which received additional prehabilitation exercise using resistance band and control group (n = 8) with conventional therapy (ergocycle and Transcutaneous Electrical Nerve Stimulation (TENS)) preoperatively. Quality of life assessment using SF-36 score was carried out 4 weeks preoperatively and 8 weeks postoperatively. Results: The mean baseline value of SF-36 in the treatment group is 41.18 ± 9.40 and control group with mean 43.78 ± 5.66, did not differ significantly with p > 0.05. Both groups experienced a significantincrease in their SF-36 post-test scores for the control group (p <0.05) and the treatment group (p <0.05). Comparison between groups showed a significant difference (p <0.05) between the pretest and posttestSF-36 scores where the control group (6.32±3.21) and treatment group (23.95±9.75). Discussion: The SF-36 pre-test score between groups showed no significant d ifference. While the posttest results had significantly increased in SF-36 mean score in both groups. This might be caused byalthough the exercises performed by the two groups were different, they still did exercises that had an effect on joints. Despite of that, treatment group post-test results still had significantly betterimprovement than those of the control group. Conclusion: Prehabilitation exercise intervention using resistance bands improving the quality of life of patients undergoing TKR. The quality of life improving more in those who do prehabilitation exercisethan those who do conventional therapy.Keywords: Prehabilitation exercise, quality of life, total knee replacement.
{"title":"Effect of Prehabilitation Exercise Using Resistance Bands on Quality of Life in Patients Undergoing Total Knee Replacement","authors":"Erna Setiawati, Juwita Kusumadewi, Robby Tjandra","doi":"10.36803/ijpmr.v9i1.254","DOIUrl":"https://doi.org/10.36803/ijpmr.v9i1.254","url":null,"abstract":"ABSTRACT \u0000Introduction: An exercise program like prehabilitation exercise is expected to contribute in improving outcomes in Osteoarthritis (OA) postoperatively such as Total Knee Replacement (TKR). Elastic resistance products in prehabilitation exercise programs have been widely used in rehabilitation and are an effective method. Resistance band is one of elastic resistance products that have several advantages. The purpose of this study was to determine the effect of prehabilitation exercise intervention with a resistance band on the quality of life of patients under going TKR using the SF-36 questionnaire. \u0000Methods: This study was a randomized controlled trial pre-test and post-test control group design knowing the effects of prehabilitation exercise in patients underwent TKR. 16 subjects were allocated to treatment group (n = 8) which received additional prehabilitation exercise using resistance band and control group (n = 8) with conventional therapy (ergocycle and Transcutaneous Electrical Nerve Stimulation (TENS)) preoperatively. Quality of life assessment using SF-36 score was carried out 4 weeks preoperatively and 8 weeks postoperatively. \u0000Results: The mean baseline value of SF-36 in the treatment group is 41.18 ± 9.40 and control group with mean 43.78 ± 5.66, did not differ significantly with p > 0.05. Both groups experienced a significantincrease in their SF-36 post-test scores for the control group (p <0.05) and the treatment group (p <0.05). Comparison between groups showed a significant difference (p <0.05) between the pretest and posttestSF-36 scores where the control group (6.32±3.21) and treatment group (23.95±9.75). \u0000Discussion: The SF-36 pre-test score between groups showed no significant d ifference. While the posttest results had significantly increased in SF-36 mean score in both groups. This might be caused byalthough the exercises performed by the two groups were different, they still did exercises that had an effect on joints. Despite of that, treatment group post-test results still had significantly betterimprovement than those of the control group. \u0000Conclusion: Prehabilitation exercise intervention using resistance bands improving the quality of life of patients undergoing TKR. The quality of life improving more in those who do prehabilitation exercisethan those who do conventional therapy.Keywords: Prehabilitation exercise, quality of life, total knee replacement.","PeriodicalId":247519,"journal":{"name":"Indonesian Journal of Physical Medicine & Rehabilitation","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133370920","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}
Erna Setiawati, Ronni Untung Handayanto, Sri Wahyudati
ABSTRACT Introduction: Cardiac surgery has been improved patient’s outcome with cardiac valve anomaly. There was 111 cardiac valve replacement surgery performed in Kariadi General Hospital Semarang in 2018.Postoperative pulmonary complication (PPC) is the most common complication in this procedure compared to cardiac complication which are thought caused by the disruption of normal respiratory function as a result from surgical and anesthetic procedure. Additional preoperative threshold inspiratory muscle training (Threshold IMT) has been considered as an ef fective intervention to reduce PPC. Methods: This is a quasi experimental study with main reason to know the role of Threshold IMT on PPC incidences. Subjects in the intervention group were given routine conventional rehabilitationexercises according to Clinical Practice Guide (PPK) with additional of Threshold IMT, which applied based on research protocols, while control group did convention al rehabilitation exercises only. Results: 18 subjects were divided into intervention group (n=9), and control group (n=9), PPC incidences (Intervention group n=2, control group n=7) were analyzed statistically using Chi-squared test andshowed significant differences (Fisher exact test p=0.02 with α=0.05). Conclusion: Additional of Threshold IMT preoperative may reduce the incidence of PPC on heart valve replacement surgery.Keywords: Postoperative pulmonary complication (PPC), Threshold inspiratory muscle training (Threshold IMT)
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