Spinal Dural Arteriovenous Fistula (SDAVF) cases in children are extremely rare and pose a high risk for intraoperative hemorrhage. The clinical manifestation and imaging results may be vague and deceptive, frequently mistaken for other conditions such as demyelinating or spinal degenerative illnesses. SDAVF's cause is not well understood. Here, we present the case of a 10-year-old male patient with SDAVF who did not improve after endovascular therapy. The patient complained of weakness in the lower extremities, skin thickness, tingling sensations, and painful bowel movements and urination. The patient underwent endovascular embolization due to spinal AVF from the 9th thoracic vertebrae until the sacral vertebrae one month earlier. But no significant clinical improvement was found. The vital signs of the patient were within normal limits. An MRI showed a flow-void lesion with tortuosity in the dorsal spinal area at the 9th and 10th thoracic vertebrae. Because an embolization procedure was performed on the patient, which resulted in no significant improvement, it was planned for the patient to undergo an MRI and MRA evaluation. An MRI and MRA later showed the formation of an extramedullary intradural cyst at levels T9 to T10 of the thoracic vertebrae. Decompression surgery (left hemilaminectomy) and tumor extirpation were thereafter carried out on the patient after the routine laboratory test was performed. After the procedure, the patient showed improvement and could carry out everyday activities independently at 10 months post-operatively. The failure of endovascular therapy can be attributed to several factors, such as the surgeon’s experience, tools, and embolization technique, and follow-up treatment by surgery.
{"title":"Spinal Dural Arteriovenous Fistula in a Pediatric Patient with History of Endovascular Therapy Failure: A Case Report","authors":"Primadenny Ariesa Airlangga, M.D, M.Sc, Rizal Alexander Lisan, Aries Rakhmat Hidayat","doi":"10.20473/spmrj.v5i2.41525","DOIUrl":"https://doi.org/10.20473/spmrj.v5i2.41525","url":null,"abstract":"Spinal Dural Arteriovenous Fistula (SDAVF) cases in children are extremely rare and pose a high risk for intraoperative hemorrhage. The clinical manifestation and imaging results may be vague and deceptive, frequently mistaken for other conditions such as demyelinating or spinal degenerative illnesses. SDAVF's cause is not well understood. Here, we present the case of a 10-year-old male patient with SDAVF who did not improve after endovascular therapy. The patient complained of weakness in the lower extremities, skin thickness, tingling sensations, and painful bowel movements and urination. The patient underwent endovascular embolization due to spinal AVF from the 9th thoracic vertebrae until the sacral vertebrae one month earlier. But no significant clinical improvement was found. The vital signs of the patient were within normal limits. An MRI showed a flow-void lesion with tortuosity in the dorsal spinal area at the 9th and 10th thoracic vertebrae. Because an embolization procedure was performed on the patient, which resulted in no significant improvement, it was planned for the patient to undergo an MRI and MRA evaluation. An MRI and MRA later showed the formation of an extramedullary intradural cyst at levels T9 to T10 of the thoracic vertebrae. Decompression surgery (left hemilaminectomy) and tumor extirpation were thereafter carried out on the patient after the routine laboratory test was performed. After the procedure, the patient showed improvement and could carry out everyday activities independently at 10 months post-operatively. The failure of endovascular therapy can be attributed to several factors, such as the surgeon’s experience, tools, and embolization technique, and follow-up treatment by surgery.","PeriodicalId":260387,"journal":{"name":"Surabaya Physical Medicine and Rehabilitation Journal","volume":"15 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":"115365431","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.v5i2.47921
I. D. A. S. Dewi, Nurmawati Fatimah, Sutji Kuswarini
Background: Diabetes mellitus (DM) can have a number of consequences, one of which is diabetic neuropathy, which can cause sores, notably in patients' feet. Wound therapy with synthetic drugs in diabetes is still not functioning as well as expected. Centella Asiatica (L.) Urban has been demonstrated to promote wound healing through a variety of mechanisms, including collagen synthesis stimulation, fibroblast proliferation stimulation, antiulcer, antibacterial, and antioxidant activity. Pharmaceutical treatments for wound healing are routinely utilized upon the assumption that a moist wound is a gel. Aims: The purpose of this study was to see how a topical gel ethanol extract of gotu kola (Centella Asiatica (L.) Urban) promoted wound healing in streptozotocin (STZ)-induced white male rats (Rattus Norvegicus). Methods: This is an experimental study using twenty white male rats (Rattus Norvegicus) caused by STZ. The rats were placed into four groups, each with five rats. These four groups are the control group, the treatment group P1 (ethanol gel gotu kola leaf at 2.5% concentration), the treatment group P2 (ethanol gel gotu kola leaf at 5% concentration), and the treatment group P3 (ethanol gel gotu kola leaf at 10% concentration). STZ was used to promote blood sugar elevation in the rats. The wound healing rate was estimated by comparing the wound healing rates of each group using macroscopic observation. Result: The findings of this study revealed that extract gel gotu kola leaf concentration applied to the wound on days 4, 7, 11, and 14 has a statistically significant influence on wound healing (p=0.000). Conclusion: Based on the research conducted, it can be concluded that gotu kola extract gel has a significant influence on the rats’ wound healing.
{"title":"Effect of Topical Gel Ethanol Extract of Gotu Kola Leaf (Centella Asiatica (L.) Urban) on Wound Healing in a White Male Rat (Rattus Norvegicus) Induced by Streptozotocin","authors":"I. D. A. S. Dewi, Nurmawati Fatimah, Sutji Kuswarini","doi":"10.20473/spmrj.v5i2.47921","DOIUrl":"https://doi.org/10.20473/spmrj.v5i2.47921","url":null,"abstract":"Background: Diabetes mellitus (DM) can have a number of consequences, one of which is diabetic neuropathy, which can cause sores, notably in patients' feet. Wound therapy with synthetic drugs in diabetes is still not functioning as well as expected. Centella Asiatica (L.) Urban has been demonstrated to promote wound healing through a variety of mechanisms, including collagen synthesis stimulation, fibroblast proliferation stimulation, antiulcer, antibacterial, and antioxidant activity. Pharmaceutical treatments for wound healing are routinely utilized upon the assumption that a moist wound is a gel.\u0000Aims: The purpose of this study was to see how a topical gel ethanol extract of gotu kola (Centella Asiatica (L.) Urban) promoted wound healing in streptozotocin (STZ)-induced white male rats (Rattus Norvegicus).\u0000Methods: This is an experimental study using twenty white male rats (Rattus Norvegicus) caused by STZ. The rats were placed into four groups, each with five rats. These four groups are the control group, the treatment group P1 (ethanol gel gotu kola leaf at 2.5% concentration), the treatment group P2 (ethanol gel gotu kola leaf at 5% concentration), and the treatment group P3 (ethanol gel gotu kola leaf at 10% concentration). STZ was used to promote blood sugar elevation in the rats. The wound healing rate was estimated by comparing the wound healing rates of each group using macroscopic observation.\u0000Result: The findings of this study revealed that extract gel gotu kola leaf concentration applied to the wound on days 4, 7, 11, and 14 has a statistically significant influence on wound healing (p=0.000).\u0000Conclusion: Based on the research conducted, it can be concluded that gotu kola extract gel has a significant influence on the rats’ wound healing.","PeriodicalId":260387,"journal":{"name":"Surabaya Physical Medicine and Rehabilitation Journal","volume":"27 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":"126372080","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.v5i2.40623
Ratih Dwiratna, Tanti Ajoe Kesoema, Rahmi Isma, Asmara Putri, Endang Sri Mariani, TA Kesoema, Endang Ap, Sri Mariani
Background: CTS occurs due to local compression of the median nerve with manifestations of neuropathy, mostly in the productive population. Many conservative treatments have been observed to reduce the degree of pain and quality of life in CTS patients. Kinesiotaping is a new therapy that has been widely used for various musculoskeletal conditions and is known for reducing median nerve compression. Aim: To determine the effect of adding kinesiotaping to median nerve gliding exercise on hand function in CTS patients by using the Michigan Hand Outcomes Questionnaire. Methods: This research was an experimental randomized pre-and post-test group design. A sample of 24 patients from the Medical Rehabilitation Outpatient in RSUP Dr. Kariadi were divided into two groups randomly. The intervention group (n=12, dropout 1) got kinesiotaping application and median nerve gliding exercise. The control group (n=12, dropout 1) did the median nerve gliding exercise only. Hand performance has been evaluated before and at the end of the 4th week of treatment by using the Michigan Hand Outcomes Questionnaire. Result: There were significant improvements in the intervention group’s right-hand function (p<0,001), activities of daily living (ADLs) or the ability of the right hand to do certain tasks (p<0,001), work performance (p<0,001), pain (p=0,024), and satisfaction (p<0,001), as compared to the control group. Meanwhile, the intervention and the control group did not show significant differences in left-hand function score (p=0.884), left-hand ability score (p=0.884), and aesthetics score (p=1,000). Conclusion: There was a positive effect on improving hand performance in CTS patients by adding kinesiotaping to median nerve gliding exercises.
{"title":"Effect of Adding Kinesiotaping to Median Nerve Gliding Exercise Toward Hand Performance of Patients with Carpal Tunnel Syndrome by Using Michigan Hand Outcomes Questionnaire","authors":"Ratih Dwiratna, Tanti Ajoe Kesoema, Rahmi Isma, Asmara Putri, Endang Sri Mariani, TA Kesoema, Endang Ap, Sri Mariani","doi":"10.20473/spmrj.v5i2.40623","DOIUrl":"https://doi.org/10.20473/spmrj.v5i2.40623","url":null,"abstract":"Background: CTS occurs due to local compression of the median nerve with manifestations of neuropathy, mostly in the productive population. Many conservative treatments have been observed to reduce the degree of pain and quality of life in CTS patients. Kinesiotaping is a new therapy that has been widely used for various musculoskeletal conditions and is known for reducing median nerve compression.\u0000Aim: To determine the effect of adding kinesiotaping to median nerve gliding exercise on hand function in CTS patients by using the Michigan Hand Outcomes Questionnaire.\u0000Methods: This research was an experimental randomized pre-and post-test group design. A sample of 24 patients from the Medical Rehabilitation Outpatient in RSUP Dr. Kariadi were divided into two groups randomly. The intervention group (n=12, dropout 1) got kinesiotaping application and median nerve gliding exercise. The control group (n=12, dropout 1) did the median nerve gliding exercise only. Hand performance has been evaluated before and at the end of the 4th week of treatment by using the Michigan Hand Outcomes Questionnaire.\u0000Result: There were significant improvements in the intervention group’s right-hand function (p<0,001), activities of daily living (ADLs) or the ability of the right hand to do certain tasks (p<0,001), work performance (p<0,001), pain (p=0,024), and satisfaction (p<0,001), as compared to the control group. Meanwhile, the intervention and the control group did not show significant differences in left-hand function score (p=0.884), left-hand ability score (p=0.884), and aesthetics score (p=1,000).\u0000Conclusion: There was a positive effect on improving hand performance in CTS patients by adding kinesiotaping to median nerve gliding exercises.","PeriodicalId":260387,"journal":{"name":"Surabaya Physical Medicine and Rehabilitation Journal","volume":"54 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":"126650776","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}
Background: Sudden cardiac arrest (SCA) is the most common cause of sudden death in athletes, accounting for 75% of all deaths during activity and sports. In order to preserve athletes' lives, cardiopulmonary resuscitation (CPR) and on-site defibrillation with an Automated external defibrillator (AED) should be undertaken immediately. Thus, observers ought not to hesitate in performing cardiac compression to restore circulation. Aim: to increase the number of coaches or teams commencing CPR and so improve the opportunities of survival after sudden cardiac arrest. Material and Methods: By collecting a total of ten studies, this article implements a literature review methodology to evaluate CPR administration in occurrences of SCA among field athletes. CPR administration, on-field sports, SCA, and athletes as subjects are the study's main objectives. Results: In accordance with the study's results, administering AEDs earlier is more effective. The majority of cardiac arrests in the field aren't treated immediately and accurately, which leads to fatalities. Because a cardiac arrest occurring during the first 10 minutes is critical for the athlete's survival, each minute lowers the athlete's chances of surviving by 7-10%. Conclusion: SCA in athletes is a serious medical condition that frequently results in death. To save athletes' lives, CPR and on-site defibrillation using an AED must be performed immediately.
{"title":"Cardiopulmonary Resuscitation Management for Sudden Cardiac Arrest on Field Sport Activity","authors":"Arni Kusuma Dewi, Cahyaning Retno Indriani Santosa, Firazanti Firdaus Wahyu Putri, Maulana Taufikul Hakim, Rega Sugandi Putri, Cahyaning Retno Indriani Santosa, Aisha Muhti Jannata, Maria Tektonika Wardhani, Meilysan Sintikhe Rut Permatasari, Ervina Ayu Permata Sari","doi":"10.20473/spmrj.v5i2.48316","DOIUrl":"https://doi.org/10.20473/spmrj.v5i2.48316","url":null,"abstract":"Background: Sudden cardiac arrest (SCA) is the most common cause of sudden death in athletes, accounting for 75% of all deaths during activity and sports. In order to preserve athletes' lives, cardiopulmonary resuscitation (CPR) and on-site defibrillation with an Automated external defibrillator (AED) should be undertaken immediately. Thus, observers ought not to hesitate in performing cardiac compression to restore circulation.\u0000Aim: to increase the number of coaches or teams commencing CPR and so improve the opportunities of survival after sudden cardiac arrest.\u0000Material and Methods: By collecting a total of ten studies, this article implements a literature review methodology to evaluate CPR administration in occurrences of SCA among field athletes. CPR administration, on-field sports, SCA, and athletes as subjects are the study's main objectives.\u0000Results: In accordance with the study's results, administering AEDs earlier is more effective. The majority of cardiac arrests in the field aren't treated immediately and accurately, which leads to fatalities. Because a cardiac arrest occurring during the first 10 minutes is critical for the athlete's survival, each minute lowers the athlete's chances of surviving by 7-10%.\u0000Conclusion: SCA in athletes is a serious medical condition that frequently results in death. To save athletes' lives, CPR and on-site defibrillation using an AED must be performed immediately.","PeriodicalId":260387,"journal":{"name":"Surabaya Physical Medicine and Rehabilitation Journal","volume":"10 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":"125406393","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}
Background: Cognitive disturbances are a major cause of disability in depression. The antidepressant medication effectively improves cognitive function. However, its adverse effect limits its use, so add-on treatment is needed to support its effectiveness. Aim: This study aims to compare the efficacy of aerobic exercise and repetitive transcranial magnetic stimulation (rTMS) as an add-on treatment for improving cognitive function. Material and Methods: Twenty-seven patients with first episodes of moderate and severe depression were recruited from the outpatient psychiatry clinic to join this randomized controlled trial. Participants were allocated to three groups: antidepressant only, antidepressant with add-on aerobic exercise, and antidepressant with add-on rTMS therapy. All participants received 2 weeks of intervention. Cognitive functions were assessed using Montreal Cognitive Assessment (MOCA). Results: No differences were found in baseline characteristic data between groups. Total MOCA score increased after intervention in a group with no add-on treatment (p=0.007), with add-on aerobic exercise (p=0.011), and with add-on rTMS therapy (p=0.017). Hence, there was no between-group difference (p=0.222). The MOCA subtest analysis revealed between-group differences in changes in delayed recall subtest score (p=0.01). The group with add-on rTMS therapy improved better than the group with antidepressants only (p=0.005). Conclusion: The addition of rTMS therapy resulted in better improved delayed recall function than the addition of aerobic exercise or without any add-on treatment. This finding supports the application of rTMS therapy as an add-on treatment to improve the cognitive function of patients with depression.
{"title":"Comparing the Effect of Repetitive Transcranial Magnetic Stimulation Therapy and Aerobic Exercise as an Add-on Therapy on the Cognitive Function of Patients with Depression","authors":"Ikhwan Muhammad, Hening Laswati Putra, Martha Kurnia Kusumawardani, Agustina Konginan, Fazia","doi":"10.20473/spmrj.v5i2.25367","DOIUrl":"https://doi.org/10.20473/spmrj.v5i2.25367","url":null,"abstract":"Background: Cognitive disturbances are a major cause of disability in depression. The antidepressant medication effectively improves cognitive function. However, its adverse effect limits its use, so add-on treatment is needed to support its effectiveness.\u0000Aim: This study aims to compare the efficacy of aerobic exercise and repetitive transcranial magnetic stimulation (rTMS) as an add-on treatment for improving cognitive function.\u0000Material and Methods: Twenty-seven patients with first episodes of moderate and severe depression were recruited from the outpatient psychiatry clinic to join this randomized controlled trial. Participants were allocated to three groups: antidepressant only, antidepressant with add-on aerobic exercise, and antidepressant with add-on rTMS therapy. All participants received 2 weeks of intervention. Cognitive functions were assessed using Montreal Cognitive Assessment (MOCA).\u0000Results: No differences were found in baseline characteristic data between groups. Total MOCA score increased after intervention in a group with no add-on treatment (p=0.007), with add-on aerobic exercise (p=0.011), and with add-on rTMS therapy (p=0.017). Hence, there was no between-group difference (p=0.222). The MOCA subtest analysis revealed between-group differences in changes in delayed recall subtest score (p=0.01). The group with add-on rTMS therapy improved better than the group with antidepressants only (p=0.005).\u0000Conclusion: The addition of rTMS therapy resulted in better improved delayed recall function than the addition of aerobic exercise or without any add-on treatment. This finding supports the application of rTMS therapy as an add-on treatment to improve the cognitive function of patients with depression.","PeriodicalId":260387,"journal":{"name":"Surabaya Physical Medicine and Rehabilitation Journal","volume":"25 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":"131478261","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.v5i2.44017
Go Linda Sugiarto, Tanti Ajoe K
Background: Spasticity is one of the most common problems and greatly interferes with the functional capacity of chronic stroke patients. The most commonly used treatments are infrared therapy and stretching exercises, but they have not reduced spasticity effectively. The addition of Radial Shock Wave Therapy (RSWT) was expected to be more effective in reducing spasticity in chronic stroke patients. Aim: The purpose of this study is to prove that the addition of RSWT is more effective reducing spasticity of chronic stroke patients. Material and methods: This study was a simple randomized controlled pre- and post-experimental design. The total sample of 30 chronic spastic stroke patients with the Modified Asworth Scale 2-3 was divided into 2 groups: the study group and the control group. RSWT was provided once a week to the muscle belly of the flexor wist muscle on the ventral aspect of the forearm, the intrinsic muscle of the hand, and flexor digitorum tendon. They were added to infrared therapy and stretching exercises in the upper extremities which are provided three times a week for six weeks consecutively. The level of spasticity was measured by the Tardieu Scale, which measures quality and angle of resistance at the beginning and end of the study. Results: A significantly greater reduction was obtained (p<0.05) from the level of spasticity measured by the Tardieu Scale, both on the quality and angle of resistance, in the study group. Conclusion: The addition of RSWT has been shown to have a greater reduction in spasticity in upper extremity muscle in chronic stroke patients.
{"title":"Effects of Additional Radial Shock Wave Therapy on Spasticity of Upper Extremity Muscle","authors":"Go Linda Sugiarto, Tanti Ajoe K","doi":"10.20473/spmrj.v5i2.44017","DOIUrl":"https://doi.org/10.20473/spmrj.v5i2.44017","url":null,"abstract":"Background: Spasticity is one of the most common problems and greatly interferes with the functional capacity of chronic stroke patients. The most commonly used treatments are infrared therapy and stretching exercises, but they have not reduced spasticity effectively. The addition of Radial Shock Wave Therapy (RSWT) was expected to be more effective in reducing spasticity in chronic stroke patients. \u0000Aim: The purpose of this study is to prove that the addition of RSWT is more effective reducing spasticity of chronic stroke patients.\u0000Material and methods: This study was a simple randomized controlled pre- and post-experimental design. The total sample of 30 chronic spastic stroke patients with the Modified Asworth Scale 2-3 was divided into 2 groups: the study group and the control group. RSWT was provided once a week to the muscle belly of the flexor wist muscle on the ventral aspect of the forearm, the intrinsic muscle of the hand, and flexor digitorum tendon. They were added to infrared therapy and stretching exercises in the upper extremities which are provided three times a week for six weeks consecutively. The level of spasticity was measured by the Tardieu Scale, which measures quality and angle of resistance at the beginning and end of the study.\u0000Results: A significantly greater reduction was obtained (p<0.05) from the level of spasticity measured by the Tardieu Scale, both on the quality and angle of resistance, in the study group.\u0000Conclusion: The addition of RSWT has been shown to have a greater reduction in spasticity in upper extremity muscle in chronic stroke patients.","PeriodicalId":260387,"journal":{"name":"Surabaya Physical Medicine and Rehabilitation Journal","volume":"59 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":"126699947","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 : 2023-02-17DOI: 10.20473/spmrj.v5i1.30245
Naela Munawaroh, Rahma Isma A.P
Arthrogryposis multiplex congenita (AMC) is a genetic disease typified by non-progressive and multiple congenital limb contractures. The incidence of AMC is 1 in 3,000 live births, occurring in two or more areas of the body. The etiology of the syndrome is largely unknown and is multifactorial. The aim of this article is to report a patient diagnosed with arthrogryposis multiplex congenita who received physical medical rehabilitation intervention. We report a seven-year-old girl who frequently had symptoms of joint deformities, movement limitation, and walking difficulties. The patient's fingers and toes also had muscle hypoplasia and pterygium. She was diagnosed with arthrogryposis when she was born. Several surgical interventions had been performed. Since four years old the patient started the physical medical rehabilitation programs. Owing to the integrated orthopedic and medical rehabilitation therapy, it showed some improvements. The patient could walk by holding onto a bench and eat or drink by herself. The patient had obtained the daily living exercises using the correct compensation technique using modified tools. Physical medical rehabilitation programs can improve the functional condition of AMC patients. The goals of a physical medical rehabilitation treatment are to gain the walking ability and improve the ability to independently perform activities of daily living. Stretching exercises, ROM exercises, splints, modified tools, and orthopedic surgery are essential for arthrogryposis patients.
{"title":"Arthrogryposis Multiplex Congenita (AMC): Functional Improvement of a Seven-Year-Old Girl after 3 Years of Physical Medical Rehabilitation Intervention","authors":"Naela Munawaroh, Rahma Isma A.P","doi":"10.20473/spmrj.v5i1.30245","DOIUrl":"https://doi.org/10.20473/spmrj.v5i1.30245","url":null,"abstract":"Arthrogryposis multiplex congenita (AMC) is a genetic disease typified by non-progressive and multiple congenital limb contractures. The incidence of AMC is 1 in 3,000 live births, occurring in two or more areas of the body. The etiology of the syndrome is largely unknown and is multifactorial. The aim of this article is to report a patient diagnosed with arthrogryposis multiplex congenita who received physical medical rehabilitation intervention. We report a seven-year-old girl who frequently had symptoms of joint deformities, movement limitation, and walking difficulties. The patient's fingers and toes also had muscle hypoplasia and pterygium. She was diagnosed with arthrogryposis when she was born. Several surgical interventions had been performed. Since four years old the patient started the physical medical rehabilitation programs. Owing to the integrated orthopedic and medical rehabilitation therapy, it showed some improvements. The patient could walk by holding onto a bench and eat or drink by herself. The patient had obtained the daily living exercises using the correct compensation technique using modified tools. Physical medical rehabilitation programs can improve the functional condition of AMC patients. The goals of a physical medical rehabilitation treatment are to gain the walking ability and improve the ability to independently perform activities of daily living. Stretching exercises, ROM exercises, splints, modified tools, and orthopedic surgery are essential for arthrogryposis patients.","PeriodicalId":260387,"journal":{"name":"Surabaya Physical Medicine and Rehabilitation Journal","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130248779","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 : 2023-02-17DOI: 10.20473/spmrj.v5i1.36881
Alex Kurniawan Gan, Safrizal Rahman, Armia Indra Nur Alam, Bellinda Paterasari
Background: Osteoarthritis is a degenerative joint disease characterized by damage of cartilage in the joints and subchondral bones that cause pain in a joint. Aim: To describe the patients’ profile of osteoarthritis at the Dr Zainoel Abidin Hospital Banda Aceh. Material and Methods: A retrospective observational descriptive study on osteoarthritis patients who were treated at the Orthopaedic Clinic of RSUDZA Banda Aceh for the period March 2020 to February 2022. Results: Two years of observation yielded a total of 397 osteoarthritis patients. Most cases are in female patients (63.4%), with the majority of those in the age bracket >55 years (61.9%), with the majority of patients being from Banda Aceh City (37.2%). The most diagnoses are knee OA, which is 330 patients (82.9%) and hip OA, which is 39 patients (9.9%). Only 108 patients received surgery, operations for knee OA, total knee replacement were 78 patients (23.63%), while for hip OA patients who needed total hip teplacement surgery there were were 26 patients (66.66%) and partial hip replacement was 4 patients (10.25%). Conclusion: Osteoarthritis often occurs in female patients and mostly in the patient age group >55 years. Indications for surgery in OA are based on symptoms, stage of OA, and patient-related factors such as age, level of physical activity, and patient comorbidities.
背景:骨关节炎是一种以关节软骨和软骨下骨损伤为特征的退行性关节疾病，可引起关节疼痛。目的:描述在班达亚齐Zainoel Abidin医生医院骨关节炎患者的概况。材料和方法:对2020年3月至2022年2月期间在RSUDZA Banda Aceh骨科诊所接受治疗的骨关节炎患者进行回顾性观察性描述性研究。结果:经过2年的观察，共发现骨关节炎患者397例。大多数病例为女性患者(63.4%)，大多数患者年龄>55岁(61.9%)，大多数患者来自班达亚齐市(37.2%)。诊断最多的是膝关节OA, 330例(82.9%)，髋关节OA 39例(9.9%)。只有108例患者接受了手术，其中膝关节OA患者行全膝关节置换术78例(23.63%)，髋关节OA患者行全髋关节置换术26例(66.66%)，部分髋关节置换术4例(10.25%)。结论:骨关节炎多见于女性患者，且多见于年龄>55岁的患者。骨性关节炎的手术适应症是基于症状、骨性关节炎分期和患者相关因素，如年龄、身体活动水平和患者合并症。
{"title":"Profile of Patients’ Osteoarthritis at Tertiary and Teaching in Aceh, Indonesia","authors":"Alex Kurniawan Gan, Safrizal Rahman, Armia Indra Nur Alam, Bellinda Paterasari","doi":"10.20473/spmrj.v5i1.36881","DOIUrl":"https://doi.org/10.20473/spmrj.v5i1.36881","url":null,"abstract":"Background: Osteoarthritis is a degenerative joint disease characterized by damage of cartilage in the joints and subchondral bones that cause pain in a joint.\u0000Aim: To describe the patients’ profile of osteoarthritis at the Dr Zainoel Abidin Hospital Banda Aceh.\u0000Material and Methods: A retrospective observational descriptive study on osteoarthritis patients who were treated at the Orthopaedic Clinic of RSUDZA Banda Aceh for the period March 2020 to February 2022.\u0000Results: Two years of observation yielded a total of 397 osteoarthritis patients. Most cases are in female patients (63.4%), with the majority of those in the age bracket >55 years (61.9%), with the majority of patients being from Banda Aceh City (37.2%). The most diagnoses are knee OA, which is 330 patients (82.9%) and hip OA, which is 39 patients (9.9%). Only 108 patients received surgery, operations for knee OA, total knee replacement were 78 patients (23.63%), while for hip OA patients who needed total hip teplacement surgery there were were 26 patients (66.66%) and partial hip replacement was 4 patients (10.25%).\u0000Conclusion: Osteoarthritis often occurs in female patients and mostly in the patient age group >55 years. Indications for surgery in OA are based on symptoms, stage of OA, and patient-related factors such as age, level of physical activity, and patient comorbidities.","PeriodicalId":260387,"journal":{"name":"Surabaya Physical Medicine and Rehabilitation Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130903515","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 : 2023-02-17DOI: 10.20473/spmrj.v5i1.25196
Muhammad Yusuf, S. M. Mei Wulan, R. H. Masduchi, Agustina Konginan
Background: Depression is one of the most common causes of disabilities and poor quality of life worldwide. One-fifth of patients fail to respond to antidepressant therapy. Hence, adjunct therapy is urgently needed. Aim: This study aims to compare the effectiveness of repetitive transcranial magnetic stimulation (rTMS) and aerobic exercise as adjunct therapy on activity of daily living and quality of life in depressed patients. Material and Methods: A randomized-controlled experiment was conducted between May 2019 and January 2020. Twenty-seven depressed patients were divided into three groups for two weeks: antidepressant-only, antidepressant-and-aerobic exercise, and antidepressant-and-rTMS. The Barthel Index and SF-36 were used to assess the activity of daily living and quality of life. Results: After the intervention, there were no appreciable changes in the Barthel Index scores in any of the three groups (p>0.05). Following therapy, SF-36 results for physical function, bodily discomfort, public health, vitality, social function, emotional role functioning, and mental health all showed substantial improvements across groups (p 0.05). Patients in the antidepressant and rTMS groups improved more than those in the other two groups in the areas of overall health (15.71±6.075, p=0.009), emotional role functioning (20.29±11.940, p=0.049), and mental health (14.29±6.075, p=0.041). However, the Barthel Index score changes did not differ between groups (p=0.664). Conclusion: Better quality of life improvement in the rTMS group compared to the other two groups supports the use of rTMS as an additional therapy. It aims to enhance quality of life in patients with moderate and severe first-episode depression.
{"title":"Comparison of the Effects of Repetitive Transcranial Magnetic Stimulation and Aerobic Exercise as an Adjunct Therapy in Depressed Patients on Activity of Daily Living and Quality of Life","authors":"Muhammad Yusuf, S. M. Mei Wulan, R. H. Masduchi, Agustina Konginan","doi":"10.20473/spmrj.v5i1.25196","DOIUrl":"https://doi.org/10.20473/spmrj.v5i1.25196","url":null,"abstract":"Background: Depression is one of the most common causes of disabilities and poor quality of life worldwide. One-fifth of patients fail to respond to antidepressant therapy. Hence, adjunct therapy is urgently needed.\u0000Aim: This study aims to compare the effectiveness of repetitive transcranial magnetic stimulation (rTMS) and aerobic exercise as adjunct therapy on activity of daily living and quality of life in depressed patients.\u0000Material and Methods: A randomized-controlled experiment was conducted between May 2019 and January 2020. Twenty-seven depressed patients were divided into three groups for two weeks: antidepressant-only, antidepressant-and-aerobic exercise, and antidepressant-and-rTMS. The Barthel Index and SF-36 were used to assess the activity of daily living and quality of life.\u0000Results: After the intervention, there were no appreciable changes in the Barthel Index scores in any of the three groups (p>0.05). Following therapy, SF-36 results for physical function, bodily discomfort, public health, vitality, social function, emotional role functioning, and mental health all showed substantial improvements across groups (p 0.05). Patients in the antidepressant and rTMS groups improved more than those in the other two groups in the areas of overall health (15.71±6.075, p=0.009), emotional role functioning (20.29±11.940, p=0.049), and mental health (14.29±6.075, p=0.041). However, the Barthel Index score changes did not differ between groups (p=0.664).\u0000Conclusion: Better quality of life improvement in the rTMS group compared to the other two groups supports the use of rTMS as an additional therapy. It aims to enhance quality of life in patients with moderate and severe first-episode depression.","PeriodicalId":260387,"journal":{"name":"Surabaya Physical Medicine and Rehabilitation Journal","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127490545","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 : 2023-02-17DOI: 10.20473/spmrj.v5i1.33905
Ida Ayu Ratih Wulansari Manuaba, Bagus Diva Indra Dharma
Low Birth Weight (LBW) or Very Low Birth Weight (VLBW) infants often have feeding difficulty issues that impact feeding abilities, leading to complications such as difficulty gaining weight and prolonged length of stay (LOS) in the hospital. Early feeding therapy interventions have good outcomes for LBW or VLBW preterm in accelerating feeding goals, gaining weight, and reducing LOS. This article reported two cases of VLBW patients who were referred from the Pediatric Department to the Physical Medicine and Rehabilitation Department because of feeding difficulties that led to prolonged LOS, in order to achieve better outcomes in spontaneous oral feeding. The feeding therapy intervention was given to the infants every day by the speech therapist. Feeding therapy intervention shows promising results in provoking the proper sucking reflex in VLBW preterm infants, which helps them to achieve better oral feeding ability that accelerates weight gain and reduces LOS in the hospital.
{"title":"Feeding Therapy in Preterm Infants","authors":"Ida Ayu Ratih Wulansari Manuaba, Bagus Diva Indra Dharma","doi":"10.20473/spmrj.v5i1.33905","DOIUrl":"https://doi.org/10.20473/spmrj.v5i1.33905","url":null,"abstract":"\u0000\u0000Low Birth Weight (LBW) or Very Low Birth Weight (VLBW) infants often have feeding difficulty issues that impact feeding abilities, leading to complications such as difficulty gaining weight and prolonged length of stay (LOS) in the hospital. Early feeding therapy interventions have good outcomes for LBW or VLBW preterm in accelerating feeding goals, gaining weight, and reducing LOS. This article reported two cases of VLBW patients who were referred from the Pediatric Department to the Physical Medicine and Rehabilitation Department because of feeding difficulties that led to prolonged LOS, in order to achieve better outcomes in spontaneous oral feeding. The feeding therapy intervention was given to the infants every day by the speech therapist. Feeding therapy intervention shows promising results in provoking the proper sucking reflex in VLBW preterm infants, which helps them to achieve better oral feeding ability that accelerates weight gain and reduces LOS in the hospital.\u0000\u0000","PeriodicalId":260387,"journal":{"name":"Surabaya Physical Medicine and Rehabilitation Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130796520","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：