Pub Date : 2024-02-29DOI: 10.20473/spmrj.v6i1.46064
Easy Orient Dewantari, Arini Putriheryanti
Scoliosis frequently causes problems in geriatrics, particularly pain. Pain that persists for a long time can result in a decreased quality of life and disability. Thus, pain management is needed in patients with scoliosis. We report the case of a 71-year-old man referred from the Neurology Department with pain due to scoliosis and an old compression fracture, making him incapable of walking, became dependent, and had a high risk of falling, thus resulting in a decreased quality of life. Physical examination revealed hyperkyphotic thoracal, tenderness and spasms on the paralumbar muscles, with no weakness in the extremities but decreased sensory function on both dorsum of the feet. The patient also had decreased chest expansion. The patient was conservatively managed. The goals of this treatment are to relieve pain, improve sensory function, and improve the quality of life. He underwent a staged rehabilitation program, starting from a combination of Transcutaneous Electrical Nerve Stimulation (TENS) and microwave diathermy, breathing, and core muscle strengthening exercises. After 10 weeks, there was an improvement in pain, risk of falls, chest expansion, and quality of life. Improving the quality of life of geriatric patients requires a multi-dimensional approach. Relieving pain, enhancing cardiorespiratory endurance and preventing falls were the main goals of this patient. Each exercise must be safe considering the patient’s age, health condition, and vertebral fractures. Family support is important to monitor and encourage patient during the program.
{"title":"Improving Quality of Life in Geriatric with Pain due to Scoliosis and Old Compression Fracture: A Case Report","authors":"Easy Orient Dewantari, Arini Putriheryanti","doi":"10.20473/spmrj.v6i1.46064","DOIUrl":"https://doi.org/10.20473/spmrj.v6i1.46064","url":null,"abstract":"Scoliosis frequently causes problems in geriatrics, particularly pain. Pain that persists for a long time can result in a decreased quality of life and disability. Thus, pain management is needed in patients with scoliosis. We report the case of a 71-year-old man referred from the Neurology Department with pain due to scoliosis and an old compression fracture, making him incapable of walking, became dependent, and had a high risk of falling, thus resulting in a decreased quality of life. Physical examination revealed hyperkyphotic thoracal, tenderness and spasms on the paralumbar muscles, with no weakness in the extremities but decreased sensory function on both dorsum of the feet. The patient also had decreased chest expansion. The patient was conservatively managed. The goals of this treatment are to relieve pain, improve sensory function, and improve the quality of life. He underwent a staged rehabilitation program, starting from a combination of Transcutaneous Electrical Nerve Stimulation (TENS) and microwave diathermy, breathing, and core muscle strengthening exercises. After 10 weeks, there was an improvement in pain, risk of falls, chest expansion, and quality of life. Improving the quality of life of geriatric patients requires a multi-dimensional approach. Relieving pain, enhancing cardiorespiratory endurance and preventing falls were the main goals of this patient. Each exercise must be safe considering the patient’s age, health condition, and vertebral fractures. Family support is important to monitor and encourage patient during the program.","PeriodicalId":260387,"journal":{"name":"Surabaya Physical Medicine and Rehabilitation Journal","volume":"32 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140408720","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}
Postural low back pain (LBP) is a non-specific LBP defined as pain or discomfort in low back areas caused by incorrect posture for ages. Most patients only experience mild and moderate pain from low back pain, however, it can cause chronic pain and disability for several groups. This case report aims to investigate the effect of therapeutic exercise on posture and pain in postural LBP. A 37-year-old male presented with LBP for 4 months with Numeric Rating Scale (NRS) 7. Physical examination showed impaired posture, wide base gait, limitation ROM of trunk, reduced breathing count test, muscle spasm at upper and lower back areas, positive in Thomas test, Ely test, and hamstring tightness test. The back pain functional scale (BPFS) was 7. The therapeutic exercise program consisted stretching exercises (neck, upper and lower back, hamstring, rectus femoris, iliopsoas muscle), core strengthening, William’s flexion, McKenzie’s, breathing and chest expansion exercise, alongside proprioceptive exercise. One cycle (eight times) of physical modalities, TENS at paralumbal and USD at paracervical, upper and middle trapezius, rhomboid, sternocleidomastoideus, paralumbal, and insertion of hamstring were given. We evaluated the patient’s condition for about 4 months, and the patient showed a good compliance with improvement in pain score, ROM of the trunk, reduced muscle spasm and tightness, improved posture, gait, breathing, and BPFS. The patient can return to do his job again. This case report is able to demonstrate that therapeutic exercise improves clinical and functional conditions. These findings suggest the clinical implications of therapeutic exercise in patients with postural LBP are beneficial.
{"title":"Effect of Therapeutic Exercise in Postural Low Back Pain: A Case Report","authors":"Vivid Prety Anggraini, Sheilla Elfira San Pambayun, Rosalyna Pudji Hapsari, Gutama Arya Pringga","doi":"10.20473/spmrj.v6i1.47433","DOIUrl":"https://doi.org/10.20473/spmrj.v6i1.47433","url":null,"abstract":"Postural low back pain (LBP) is a non-specific LBP defined as pain or discomfort in low back areas caused by incorrect posture for ages. Most patients only experience mild and moderate pain from low back pain, however, it can cause chronic pain and disability for several groups. This case report aims to investigate the effect of therapeutic exercise on posture and pain in postural LBP.\u0000A 37-year-old male presented with LBP for 4 months with Numeric Rating Scale (NRS) 7. Physical examination showed impaired posture, wide base gait, limitation ROM of trunk, reduced breathing count test, muscle spasm at upper and lower back areas, positive in Thomas test, Ely test, and hamstring tightness test. The back pain functional scale (BPFS) was 7. The therapeutic exercise program consisted stretching exercises (neck, upper and lower back, hamstring, rectus femoris, iliopsoas muscle), core strengthening, William’s flexion, McKenzie’s, breathing and chest expansion exercise, alongside proprioceptive exercise. One cycle (eight times) of physical modalities, TENS at paralumbal and USD at paracervical, upper and middle trapezius, rhomboid, sternocleidomastoideus, paralumbal, and insertion of hamstring were given. We evaluated the patient’s condition for about 4 months, and the patient showed a good compliance with improvement in pain score, ROM of the trunk, reduced muscle spasm and tightness, improved posture, gait, breathing, and BPFS. The patient can return to do his job again.\u0000This case report is able to demonstrate that therapeutic exercise improves clinical and functional conditions. These findings suggest the clinical implications of therapeutic exercise in patients with postural LBP are beneficial.","PeriodicalId":260387,"journal":{"name":"Surabaya Physical Medicine and Rehabilitation Journal","volume":"11 20","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140410765","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 : 2024-02-29DOI: 10.20473/spmrj.v6i1.51182
Christopher Lampah
Background: Stroke is a serious health condition that can cause physical and cognitive impairment, affecting a person's ability to perform daily activities. Important factor that affect the quality of life of stroke patients is the ability to mobilize, especially walking. Virtual Reality is expected to increase walking speed and dynamic balance which are important to improve patient mobility and independence. Aim(s) : Analyse the effect of Virtual Reality (VR) game training using Xbox 360° and KinectTM devices on post-stroke walking speed and balance Material and methods: An experimental study involving 18 ischemic post-stroke patients at the Rehabilitation Installation of Prof. Dr. R. D. Kandou Hospital Manado (from June to July 2023). The intervention was a 30 minutes VR game exercises with three sessions per week (a total of 8 sessions for each subject). This subject was assessed using the 10-meter Walk Test (10 MWT) and the Berg Balance Scale (BBS). Result: There were significant improvements in both walking speed and dynamic balance. Wilcoxon Signed Ranks test results on Walking Speed (10 MWT) obtained a value of Z = -3,754 with a value of (p = 0.000 <0.05). Similar results were obtained in testing the dynamic balance function where the paired t test results were obtained at t = -14.750. The results indicate significant differences in the mean value of Subacute Post-Stroke BBS before and after training (p < 0.05). Conclusions: Virtual Reality (VR) game training using Xbox 360° and KinectTM devices significantly increased walking speed and balance in post-stroke patients.
背景：脑卒中是一种严重的健康问题，可导致身体和认知障碍，影响患者的日常活动能力。影响中风患者生活质量的重要因素是行动能力，尤其是行走能力。虚拟现实技术有望提高步行速度和动态平衡能力，这对改善患者的活动能力和独立性非常重要。目的分析使用 Xbox 360° 和 KinectTM 设备进行虚拟现实（VR）游戏训练对中风后步行速度和平衡能力的影响：这项实验研究涉及万鸦老教授康杜医院康复中心的 18 名缺血性中风后患者（2023 年 6 月至 7 月）。干预措施是进行 30 分钟的 VR 游戏练习，每周三次（每位受试者共 8 次）。受试者使用 10 米步行测试（10 MWT）和伯格平衡量表（BBS）进行评估。结果步行速度和动态平衡均有明显改善。步行速度（10 米步行测试）的 Wilcoxon Signed Ranks 检验结果为 Z = -3 754，数值为（p = 0.000 <0.05）。在测试动态平衡功能时也得到了类似的结果，配对 t 检验结果为 t = -14.750。结果表明，训练前后脑卒中亚急性期后 BBS 的平均值存在明显差异（p < 0.05）。 结论使用 Xbox 360° 和 KinectTM 设备进行虚拟现实（VR）游戏训练可显著提高中风后患者的行走速度和平衡能力。
{"title":"Effect of Virtual Reality Game Training on Improving Walking Speed and Dynamic Balance Function After Stroke","authors":"Christopher Lampah","doi":"10.20473/spmrj.v6i1.51182","DOIUrl":"https://doi.org/10.20473/spmrj.v6i1.51182","url":null,"abstract":"Background: Stroke is a serious health condition that can cause physical and cognitive impairment, affecting a person's ability to perform daily activities. Important factor that affect the quality of life of stroke patients is the ability to mobilize, especially walking. Virtual Reality is expected to increase walking speed and dynamic balance which are important to improve patient mobility and independence. \u0000Aim(s) : Analyse the effect of Virtual Reality (VR) game training using Xbox 360° and KinectTM devices on post-stroke walking speed and balance \u0000Material and methods: An experimental study involving 18 ischemic post-stroke patients at the Rehabilitation Installation of Prof. Dr. R. D. Kandou Hospital Manado (from June to July 2023). The intervention was a 30 minutes VR game exercises with three sessions per week (a total of 8 sessions for each subject). This subject was assessed using the 10-meter Walk Test (10 MWT) and the Berg Balance Scale (BBS). \u0000Result: There were significant improvements in both walking speed and dynamic balance. Wilcoxon Signed Ranks test results on Walking Speed (10 MWT) obtained a value of Z = -3,754 with a value of (p = 0.000 <0.05). Similar results were obtained in testing the dynamic balance function where the paired t test results were obtained at t = -14.750. The results indicate significant differences in the mean value of Subacute Post-Stroke BBS before and after training (p < 0.05). \u0000Conclusions: Virtual Reality (VR) game training using Xbox 360° and KinectTM devices significantly increased walking speed and balance in post-stroke patients.","PeriodicalId":260387,"journal":{"name":"Surabaya Physical Medicine and Rehabilitation Journal","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140416014","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 : 2024-02-29DOI: 10.20473/spmrj.v6i1.50164
Yirozounlomian Tiaho, Tinni Ismael Ayouba, Charles Sougué, Gouzé-Wend Louis Tougma, F. Kaboré, Salifou Gandema, W. J. Zabsonre/Tiendrebeogo, D. Ouédraogo
Background: Our aim was to determine the predictive factors of the level of physical activity (PA) in patients with gonarthrosis in the city of Ouagadougou (Burkina Faso). Methods: This was a cross-sectional, descriptive and analytical study based on clinical records, conducted from January 9 to 27, 2023. Using the International Physical Activity Questionnaire (IPAQ), we assessed the level of PA in patients followed at CHU-Bogodogo for gonarthrosis. The significance threshold p<0.05 was retained. Results: Sixty-seven patients were included. Fifty-six were women (83.58%). The mean age was 59.87± 12.53 years. Hypertension was noted in 34 patients (50.75%), diabetes in 16 (23.88%). The mean BMI was 28.70kg/m2± 6.73. Gonarthrosis was bilateral in 49 patients (73.13%). Gonarthrosis patients had a moderate level of PA, with a mean IPAQ score equal to 635.24±135 MET-minutes/week. 45 patients (67.16%) had a low level of physical activity (˂ 600 MET-minutes/week). In bivariate analysis, low PA was associated with age over 65 [OR=5.62, (CI=1.45-21.73), p<0.001], hypertension [OR=2.83, (CI=1.27-6.31), p<0.001], diabetes [OR=2.14, (CI=1.13-5.89), p<0.031], and overweight [OR=2.43, (CI=1.17-6.12), p<0.026]. Moderate PA was associated with age under 65 [OR=1.71, (CI=1.25-2.34), p<0.005] and absence of hypertension [OR=1.86, (CI=1.19-2.89), p<0.012]. Conclusion : Gonarthrosis patients have a moderate level of PA. Factors associated with low PA were advanced age and sedentary comorbidities. Key words: Gonarthrosis, physical activity, Ouagadougou/Burkina Faso
{"title":"Factors Predictive of the Level Of Physical Activity (PA) in Patients with Gonarthrosis in Sub-Saharan Africa","authors":"Yirozounlomian Tiaho, Tinni Ismael Ayouba, Charles Sougué, Gouzé-Wend Louis Tougma, F. Kaboré, Salifou Gandema, W. J. Zabsonre/Tiendrebeogo, D. Ouédraogo","doi":"10.20473/spmrj.v6i1.50164","DOIUrl":"https://doi.org/10.20473/spmrj.v6i1.50164","url":null,"abstract":"Background: Our aim was to determine the predictive factors of the level of physical activity (PA) in patients with gonarthrosis in the city of Ouagadougou (Burkina Faso). \u0000Methods: This was a cross-sectional, descriptive and analytical study based on clinical records, conducted from January 9 to 27, 2023. Using the International Physical Activity Questionnaire (IPAQ), we assessed the level of PA in patients followed at CHU-Bogodogo for gonarthrosis. The significance threshold p<0.05 was retained. \u0000Results: Sixty-seven patients were included. Fifty-six were women (83.58%). The mean age was 59.87± 12.53 years. Hypertension was noted in 34 patients (50.75%), diabetes in 16 (23.88%). The mean BMI was 28.70kg/m2± 6.73. Gonarthrosis was bilateral in 49 patients (73.13%). Gonarthrosis patients had a moderate level of PA, with a mean IPAQ score equal to 635.24±135 MET-minutes/week. \u000045 patients (67.16%) had a low level of physical activity (˂ 600 MET-minutes/week). In bivariate analysis, low PA was associated with age over 65 [OR=5.62, (CI=1.45-21.73), p<0.001], hypertension [OR=2.83, (CI=1.27-6.31), p<0.001], diabetes [OR=2.14, (CI=1.13-5.89), p<0.031], and overweight [OR=2.43, (CI=1.17-6.12), p<0.026]. Moderate PA was associated with age under 65 [OR=1.71, (CI=1.25-2.34), p<0.005] and absence of hypertension [OR=1.86, (CI=1.19-2.89), p<0.012]. \u0000Conclusion : Gonarthrosis patients have a moderate level of PA. Factors associated with low PA were advanced age and sedentary comorbidities. \u0000Key words: Gonarthrosis, physical activity, Ouagadougou/Burkina Faso","PeriodicalId":260387,"journal":{"name":"Surabaya Physical Medicine and Rehabilitation Journal","volume":"83 8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140414852","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 : 2024-02-29DOI: 10.20473/spmrj.v6i1.41427
Nunung Nugroho, B. Andriani
Iliotibial Band (ITB) Syndrome is common among athletes, such as runners and cyclists. There are several theories regarding the etiology of ITB Syndrome, including friction, compression, and chronic inflammation. We report a rare case of ITB Syndrome induced by traditional massage after a history of chronic knee pain. A 63-year-old female visited our Pysical Medicine and Rehabilitation Department with the pain of the lateral side of the right knee for four months after traditional massage. The physical examination showed a positive Ober test and Noble compression test. We performed an ultrasonography on the lateral right knee and found fluid effusion beneath the ITB confirming the diagnosis of ITB Syndrome. A pain intervention was performed with ultrasound-guided aspiration and injection of steroid beneath the ITB. After the procedure and rehabilitation program of cryotherapy and ultrasound therapy, the pain was reduced greatly and there was no need for further management.
{"title":"Traditional Massage-Induced Iliotibial Band Syndrome: A Case Report","authors":"Nunung Nugroho, B. Andriani","doi":"10.20473/spmrj.v6i1.41427","DOIUrl":"https://doi.org/10.20473/spmrj.v6i1.41427","url":null,"abstract":"Iliotibial Band (ITB) Syndrome is common among athletes, such as runners and cyclists. There are several theories regarding the etiology of ITB Syndrome, including friction, compression, and chronic inflammation. We report a rare case of ITB Syndrome induced by traditional massage after a history of chronic knee pain. A 63-year-old female visited our Pysical Medicine and Rehabilitation Department with the pain of the lateral side of the right knee for four months after traditional massage. The physical examination showed a positive Ober test and Noble compression test. We performed an ultrasonography on the lateral right knee and found fluid effusion beneath the ITB confirming the diagnosis of ITB Syndrome. A pain intervention was performed with ultrasound-guided aspiration and injection of steroid beneath the ITB. After the procedure and rehabilitation program of cryotherapy and ultrasound therapy, the pain was reduced greatly and there was no need for further management.","PeriodicalId":260387,"journal":{"name":"Surabaya Physical Medicine and Rehabilitation Journal","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140410139","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 : 2024-02-29DOI: 10.20473/spmrj.v6i1.50232
Ida Ayu Wulan Kartika Dewi Manuaba, Bagus Diva Indra Dharma, D. Silakarma
Cardiovascular disease is one of the highest causes of death and disability in the world. Cardiac Rehabilitation has an important role in the management of patients with heart diseases. This article reported a Cardiac Rehabilitation for a 22-year-old male patient with Cardiovocal Syndrome, a rare condition characterized by heart failure accompanied by hoarseness. The Cardiac Rehabilitation in this case was a phase 2 Cardiac Rehabilitation that carried out as Home based Cardiac Rehabilitation. We performed the 6MWT for the patient to assess his physical endurance. After 3 months of Cardiac Rehabilitation program, patient has physical endurance was improved, his voice was back to normal and he was able to return to work.
{"title":"Home Based Cardiac Rehabilitation in Cardiovocal Syndrome","authors":"Ida Ayu Wulan Kartika Dewi Manuaba, Bagus Diva Indra Dharma, D. Silakarma","doi":"10.20473/spmrj.v6i1.50232","DOIUrl":"https://doi.org/10.20473/spmrj.v6i1.50232","url":null,"abstract":"Cardiovascular disease is one of the highest causes of death and disability in the world. Cardiac Rehabilitation has an important role in the management of patients with heart diseases. This article reported a Cardiac Rehabilitation for a 22-year-old male patient with Cardiovocal Syndrome, a rare condition characterized by heart failure accompanied by hoarseness. The Cardiac Rehabilitation in this case was a phase 2 Cardiac Rehabilitation that carried out as Home based Cardiac Rehabilitation. We performed the 6MWT for the patient to assess his physical endurance. After 3 months of Cardiac Rehabilitation program, patient has physical endurance was improved, his voice was back to normal and he was able to return to work.","PeriodicalId":260387,"journal":{"name":"Surabaya Physical Medicine and Rehabilitation Journal","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140413352","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 : 2024-02-29DOI: 10.20473/spmrj.v6i1.42513
Arnengsih Nazir, Gabriela Anggraini
Background: Intensive Care Unit-acquired weakness (ICU-AW) is one of the most common neuromuscular disorders affecting intensive care unit (ICU) patients' outcomes and clinical course. ICU-AW is found in 30-50% of patients and increases to 67% in sepsis-critically ill patients. Prolonged ICU stay, the difficulty of weaning from the ventilator, higher hospitalization costs, and an increase in mortality, as well as long-term morbidity, are associated with ICU-AW. ICU-AW causes skeletal muscle weakness, including respiratory muscles, which results in complications that continue even years after being discharged from the hospital. Aim: To describe the rehabilitation management of ICU-AW and provide the information needed clinically to manage these patients. Methods: The authors reviewed all types of articles without time filtering using PubMed and Google Scholar databases with “ICU-AW”, “ICU-related weakness”, “rehabilitation”, and “early mobilization” used as keywords. Results: Rehabilitation management can be done as early as possible, beginning while the patient is still in the ICU. Early mobilization programs require teamwork consisting of doctors, therapists, and nurses. Physical activity and early mobilization in the ICU must be carried out with consideration for safety. Monitoring patient safety before and during mobilization is an essential factor to be considered. Any mobilization program should be the decision of the ICU care team. Implementation of rehabilitation programs and early mobilization improves outcomes for patients with ICU-AW and should be continued until the follow-up period. Conclusion: The rehabilitation management aiming at preventing and treating ICU-AW should be done since the patient was still in the ICU and under careful consideration of safety aspects.
{"title":"Rehabilitation Management of Intensive Care Unit-acquired Weakness (ICU-AW): A Narrative Review","authors":"Arnengsih Nazir, Gabriela Anggraini","doi":"10.20473/spmrj.v6i1.42513","DOIUrl":"https://doi.org/10.20473/spmrj.v6i1.42513","url":null,"abstract":"Background: Intensive Care Unit-acquired weakness (ICU-AW) is one of the most common neuromuscular disorders affecting intensive care unit (ICU) patients' outcomes and clinical course. ICU-AW is found in 30-50% of patients and increases to 67% in sepsis-critically ill patients. Prolonged ICU stay, the difficulty of weaning from the ventilator, higher hospitalization costs, and an increase in mortality, as well as long-term morbidity, are associated with ICU-AW. ICU-AW causes skeletal muscle weakness, including respiratory muscles, which results in complications that continue even years after being discharged from the hospital.\u0000Aim: To describe the rehabilitation management of ICU-AW and provide the information needed clinically to manage these patients.\u0000Methods: The authors reviewed all types of articles without time filtering using PubMed and Google Scholar databases with “ICU-AW”, “ICU-related weakness”, “rehabilitation”, and “early mobilization” used as keywords.\u0000Results: Rehabilitation management can be done as early as possible, beginning while the patient is still in the ICU. Early mobilization programs require teamwork consisting of doctors, therapists, and nurses. Physical activity and early mobilization in the ICU must be carried out with consideration for safety. Monitoring patient safety before and during mobilization is an essential factor to be considered. Any mobilization program should be the decision of the ICU care team. Implementation of rehabilitation programs and early mobilization improves outcomes for patients with ICU-AW and should be continued until the follow-up period.\u0000Conclusion: The rehabilitation management aiming at preventing and treating ICU-AW should be done since the patient was still in the ICU and under careful consideration of safety aspects.","PeriodicalId":260387,"journal":{"name":"Surabaya Physical Medicine and Rehabilitation Journal","volume":"13 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140411401","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 : 2024-02-28DOI: 10.20473/spmrj.v6i1.49595
Peggy Sunarjo, Budiati Laksmitasari, Fitri Anestherita, Rizky Kusuma Wardhani, Melinda Harini, Steven Setiono, Ibrahim Agung
Background: Some bad postures resulting from bad habits that had lasted since childhood, especially posture while accessing internet using gadget, might lead to some complications in adolescence. Aim: In this community engagement program, we tried to explore internet addiction and musculoskeletal pain proportions in some students. Material and methods: This is a cross-sectional study conducted in a senior high school at Jonggol, West Java, in February 2023. Students were gathered to have an education class about good posture. Before the education session, we asked the students to explore whether they had internet addiction and musculoskeletal pain by filling out the Indonesian Internet Addiction Diagnostic Questionnaire and Cornell Musculoskeletal Discomfort Questionnaire. Results: Thirty-nine students were involved in this study. As many as 19 (48.7%) students have an internet addiction. More than 50% of the addicted students often have moderate-severe pain in their neck, back and right wrist and reported that the pain interferes with their daily activities. Conclusions: Almost half of students attending posture education class had internet addiction and musculoskeletal pain. A further study with a larger sample size needs to be conducted to show the correlation between internet addiction and musculoskeletal pain in adolescence and other factors that correlate with them.
{"title":"Musculoskeletal Pain Description in Adolescence with Internet Addiction: Community Engagement in Senior High School","authors":"Peggy Sunarjo, Budiati Laksmitasari, Fitri Anestherita, Rizky Kusuma Wardhani, Melinda Harini, Steven Setiono, Ibrahim Agung","doi":"10.20473/spmrj.v6i1.49595","DOIUrl":"https://doi.org/10.20473/spmrj.v6i1.49595","url":null,"abstract":"Background: Some bad postures resulting from bad habits that had lasted since childhood, especially posture while accessing internet using gadget, might lead to some complications in adolescence. \u0000Aim: In this community engagement program, we tried to explore internet addiction and musculoskeletal pain proportions in some students. \u0000Material and methods: This is a cross-sectional study conducted in a senior high school at Jonggol, West Java, in February 2023. Students were gathered to have an education class about good posture. Before the education session, we asked the students to explore whether they had internet addiction and musculoskeletal pain by filling out the Indonesian Internet Addiction Diagnostic Questionnaire and Cornell Musculoskeletal Discomfort Questionnaire. \u0000Results: Thirty-nine students were involved in this study. As many as 19 (48.7%) students have an internet addiction. More than 50% of the addicted students often have moderate-severe pain in their neck, back and right wrist and reported that the pain interferes with their daily activities. \u0000Conclusions: Almost half of students attending posture education class had internet addiction and musculoskeletal pain. A further study with a larger sample size needs to be conducted to show the correlation between internet addiction and musculoskeletal pain in adolescence and other factors that correlate with them.","PeriodicalId":260387,"journal":{"name":"Surabaya Physical Medicine and Rehabilitation Journal","volume":"50 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140419512","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 : 2023-08-28DOI: 10.20473/spmrj.v5i2.30984
Arnengsih Nazir, Witri Septiani
Abstract Severe COVID-19 infection can lead to prolonged recovery and troublesome symptoms. The symptoms reported in those patients were dyspnea, fatigue, weakness, anxiety, and activity intolerance. Patients showed limited exercise capacity and interfered with daily activities, as well as the quality of life. We report the role of exercise in improving activity tolerance in a survivor of a COVID-19 severe case. A male patient, 51 years, came to outpatient pulmonary rehabilitation after hospitalization due to a severe case of COVID-19. The patient had a low activity tolerance presented as fatigue, dyspnea, activity-induced oxygen desaturation, and inability to perform exercise testing, in addition to mild anxiety. A set of exercises consisting of breathing, flexibility, muscular, and cardiorespiratory endurance were given for 4 weeks along with psychological counseling. Barthel Index, cardiorespiratory fitness, sit-to-stand test, Fatigue Severity Scale, Medical Research Council Dyspnea Scale, and maximum breathing capacity were recorded as outcome measures. A Zung Self-rating Anxiety Scale and insomnia severity index were also measured. After 4 weeks, the symptoms of activity intolerance decreased. There were improvements in all outcomes except for the insomnia severity scale. Experts recommend that COVID-19 patients should carry out regular daily activities and low to moderate-intensity exercise in the first 6-8 weeks after discharge. Resuming daily physical activities as early as possible can affect functional recovery. It is also beneficial for general fitness, fatigue, emotional disturbance, and lack of confidence. In this patient, low-intensity exercises as recommended by experts were given to improve activity tolerance.
{"title":"Role of exercise in severe COVID-19 case","authors":"Arnengsih Nazir, Witri Septiani","doi":"10.20473/spmrj.v5i2.30984","DOIUrl":"https://doi.org/10.20473/spmrj.v5i2.30984","url":null,"abstract":"Abstract\u0000Severe COVID-19 infection can lead to prolonged recovery and troublesome symptoms. The symptoms reported in those patients were dyspnea, fatigue, weakness, anxiety, and activity intolerance. Patients showed limited exercise capacity and interfered with daily activities, as well as the quality of life. We report the role of exercise in improving activity tolerance in a survivor of a COVID-19 severe case. A male patient, 51 years, came to outpatient pulmonary rehabilitation after hospitalization due to a severe case of COVID-19. The patient had a low activity tolerance presented as fatigue, dyspnea, activity-induced oxygen desaturation, and inability to perform exercise testing, in addition to mild anxiety. A set of exercises consisting of breathing, flexibility, muscular, and cardiorespiratory endurance were given for 4 weeks along with psychological counseling. Barthel Index, cardiorespiratory fitness, sit-to-stand test, Fatigue Severity Scale, Medical Research Council Dyspnea Scale, and maximum breathing capacity were recorded as outcome measures. A Zung Self-rating Anxiety Scale and insomnia severity index were also measured. After 4 weeks, the symptoms of activity intolerance decreased. There were improvements in all outcomes except for the insomnia severity scale. Experts recommend that COVID-19 patients should carry out regular daily activities and low to moderate-intensity exercise in the first 6-8 weeks after discharge. Resuming daily physical activities as early as possible can affect functional recovery. It is also beneficial for general fitness, fatigue, emotional disturbance, and lack of confidence. In this patient, low-intensity exercises as recommended by experts were given to improve activity tolerance.","PeriodicalId":260387,"journal":{"name":"Surabaya Physical Medicine and Rehabilitation Journal","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126639330","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 : 2023-08-28DOI: 10.20473/spmrj.v5i2.38052
Nadia Ovianti, Nurdiana Adwi Nugrahani
Introduction: Frozen shoulder was one of top 10 diseases with frequent visits at Baptist Hospital’s rehabilitation clinic in 2020. Treatment for this condition includes physical therapy and modalities. This study aims to compare the range of motion and pain scale before and after treatments on frozen shoulder patients in Baptist Hospital Batu. Material and Methods: This is a retrospective study using the data from medical records of patients known to have frozen shoulder who came to outpatient physical rehabilitation clinic at Baptist Hospital, Batu, for at least a month period of treatment. The parameters used are range of motions after interventions, pain scale using VAS, sex, and age. Result: Twenty-two patients were diagnosed with frozen shoulder, 16 patients were included in further analyses, 9 of 16 were women, and the most common age presentation was between 50-60 years. There were improvements in 12 patients being recorded for their shoulder flexion and abduction. The flexion ROM increased from 115 to 156 degrees, while abduction ROM increased from 95 to 144 degrees, on average. About 9 out of 13 patients had decreasing pain scale according to VAS, declining from 5.5 to 4.7. Conclusion: The combination of physical exercises as well as SWD / ultrasound with TENS (transcutaneous electrical nerve stimulation) has a positive impact on the improvement of frozen shoulder. There was an increase in the range of motion of the joint flexion and abduction, and a decrease in pain scores in the majority of the patients after treatment.
{"title":"effect of physical therapy and modalities on frozen shoulder patients at Baptist Hospital Batu: a retrospective study","authors":"Nadia Ovianti, Nurdiana Adwi Nugrahani","doi":"10.20473/spmrj.v5i2.38052","DOIUrl":"https://doi.org/10.20473/spmrj.v5i2.38052","url":null,"abstract":"Introduction: Frozen shoulder was one of top 10 diseases with frequent visits at Baptist Hospital’s rehabilitation clinic in 2020. Treatment for this condition includes physical therapy and modalities. This study aims to compare the range of motion and pain scale before and after treatments on frozen shoulder patients in Baptist Hospital Batu.\u0000Material and Methods: This is a retrospective study using the data from medical records of patients known to have frozen shoulder who came to outpatient physical rehabilitation clinic at Baptist Hospital, Batu, for at least a month period of treatment. The parameters used are range of motions after interventions, pain scale using VAS, sex, and age.\u0000Result: Twenty-two patients were diagnosed with frozen shoulder, 16 patients were included in further analyses, 9 of 16 were women, and the most common age presentation was between 50-60 years. There were improvements in 12 patients being recorded for their shoulder flexion and abduction. The flexion ROM increased from 115 to 156 degrees, while abduction ROM increased from 95 to 144 degrees, on average. About 9 out of 13 patients had decreasing pain scale according to VAS, declining from 5.5 to 4.7.\u0000Conclusion: The combination of physical exercises as well as SWD / ultrasound with TENS (transcutaneous electrical nerve stimulation) has a positive impact on the improvement of frozen shoulder. There was an increase in the range of motion of the joint flexion and abduction, and a decrease in pain scores in the majority of the patients after treatment.","PeriodicalId":260387,"journal":{"name":"Surabaya Physical Medicine and Rehabilitation Journal","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122855317","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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