{"title":"Rehabilitation Perioperative Cardiac Surgery","authors":"D. Tedjasukmana","doi":"10.5220/0009087401680171","DOIUrl":"https://doi.org/10.5220/0009087401680171","url":null,"abstract":"Cardiac rehabilitation is a multidisciplinary program of exercise program, education, risk factor modification, and psychosocial counseling resulted in reduces mortality and hospital stay, improves quality of life in patients with heart disease. In Indonesia, 1.5% Indonesian suffer from coronary heart disease and approximately one million of patients worldwide underwent revascularization program every year. Perioperative cardiac rehabilitation helps patients to overcome the stress of surgery, prevention of complication caused by prolonged bed rest. It also promotes physical and psychological readiness for surgery, reduces length of stay, and improves the transition from the hospital to the community. In most current guidelines of cardiovascular societies, cardiac rehabilitation is a class I recommendation.","PeriodicalId":258037,"journal":{"name":"Proceedings of the 11th National Congress and the 18th Annual Scientific Meeting of Indonesian Physical Medicine and Rehabilitation Association","volume":"65 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126266817","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}
{"title":"Feasibility of Rehub Web Application as an Exercise Prescription Method for Office Workers with a Neck Muscle Spasm","authors":"Daniel Hadimartana, Fitri Anestherita","doi":"10.5220/0009089102590264","DOIUrl":"https://doi.org/10.5220/0009089102590264","url":null,"abstract":": Background: Routine home exercise will provide better benefits than just training at the health center, especially for chronic conditions. Exercise adherence and accuracy are important to achieve therapeutic goals. This study is designed to evaluate the feasibility of Rehub, a web application for personalized exercise prescription in Bahasa Indonesia. Methods: A questionnaire was asked to 10 doctors after using Rehub and 10 office workers (OW) after getting a printed prescription to evaluate Rehub's feasibility. Result: All doctors state that Rehub is easy to use and will use it. Eighty percent of doctors agree it will help them to explain, save time, and help the patient. Eighty percent of doctors agree, it has a proper description and will increase adherence. Ninety percent of doctors agree that they are satisfied and will increase health service quality. All OW agree that Rehub printed exercise (RPE) will help them to remember. Sixty percent of OW prefers to get RPE over-exercise demonstration. Eighty percent of OW agree that they are more motivated after getting RPE and will ask to get RPE. Eighty percent of OW agree that RPE is easy to understand. Conclusion: Rehub is feasible to be used as an exercise prescription option.","PeriodicalId":258037,"journal":{"name":"Proceedings of the 11th National Congress and the 18th Annual Scientific Meeting of Indonesian Physical Medicine and Rehabilitation Association","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131895537","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}
{"title":"The Correlation of Instrumental Activity Daily Living (IADL) Score with Functional Outcome Status and Long-Term Rehospitalization amongst Geriatric Patients","authors":"L. Dwiyani, M. Harini","doi":"10.5220/0009089002520258","DOIUrl":"https://doi.org/10.5220/0009089002520258","url":null,"abstract":": Rehospitalizations amongst geriatric patients are increasing the health care burden. Nonetheless, we have limited information on unplanned long-term rehospitalization. IADL is the more complex functional capacity that usually decreasing before deficits in basic ADL. The aim of this study is to correlate the IADL score before the first admission with functional outcome status and long-term rehospitalization amongst geriatric patients. It is a cross-sectional study. Twenty-one database of geriatric patients with a history of rehospitalization within one-year was included, which set in the geriatric inpatient ward in Cipto Mangunkusumo Hospital. The decline of IADL was measured with Lawton’s score before first hospital admission, the number of rehospitalizations was recorded during history taking, and functional outcome status was assessed with modified Barthel Index (mBI) at discharge. Lower IADL decline before first hospital admission was significantly correlated with higher mBI at rehospitalization discharge (r= -0.647; p= 0.002), but poor correlated with the number of long-term rehospitalization (r = -0.09, p > 0.05). This finding suggests that the independence of ADL at hospital discharge will be achieved if patients have a higher IADL score before admission. Further study needs to be constructed about factors contributing to long-term rehospitalization amongst geriatric patients.","PeriodicalId":258037,"journal":{"name":"Proceedings of the 11th National Congress and the 18th Annual Scientific Meeting of Indonesian Physical Medicine and Rehabilitation Association","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130791345","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}
H. Julianti, A. Tulaar, T. Tamin, Tanti Ajoe Kesuma, Endang Ambarwati, S. Wahyudati
{"title":"Factors Related to the Knowledge of Physical Disabilities, Individual Health Service and Public Health Service Practice of General Practitioners in Primary Health Care","authors":"H. Julianti, A. Tulaar, T. Tamin, Tanti Ajoe Kesuma, Endang Ambarwati, S. Wahyudati","doi":"10.5220/0009088702380241","DOIUrl":"https://doi.org/10.5220/0009088702380241","url":null,"abstract":"The purpose of this study was to determine factors related to the level of knowledge about physical disabilities and the practice of individual health services (IHS) and public health services (PHS) for patient with physical disabilities of General Practitioner (GP) in Primary Health Care. The design of this study was cross sectional. Participants of this study were 23 Primary Health Care GP in Wonosobo District. Data were tested with chi-square, significance level <0.05. Most of the participants were women (65.20%); the average length of work was 7.48 years, 60.90% worked more than 5 years; 56.0% were civil servants, 34.80% were BLUD employees, 8.70% were temporary contract employees; 56.50% have a lack of knowledge; 69.60% lack in IHS practices and 95.70% lack in PHS practices. Gender (Prevalence Ratio (PR) = 3.43, 95% CI = 0.52-22.80, p = 0.19); length of work (PR = 0.20, 95% CI = 0.03-1.21, p = 0.07), employment status (PR = 0.63, 95% CI = 0.12-3.31, p = 0.58) not related to the level of knowledge about physical disabilities. Gender (PR = 4.67, 95% CI = 0.45-48.26, p = 0.17); length of work (PR = 0.80, 95% CI = 0.13-4.87, p = 0.81), employment status (PR = 2.50, 95% CI = 0.37-16.89, p = 0.34) not related to IHS and PHS practice. Level of knowledge (PR = 5.50, 95% CI = 0.78-38.69, p = 0.07) not related to IHS practice. Level of knowledge (PR = 1.11, 95% CI = 0.90-1.37, p = 0.24) not related to PHS practice. Most of Primary Health Care GP have a lack of knowledge about physical disabilities; lack in IHS and PHS practices.. There were no relationship between the level of knowledge and the practice of IHS and PHS.","PeriodicalId":258037,"journal":{"name":"Proceedings of the 11th National Congress and the 18th Annual Scientific Meeting of Indonesian Physical Medicine and Rehabilitation Association","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123876965","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}
{"title":"Insignificant Difference of Mucociliary Clearance in Middle-Aged and Elderly Patients","authors":"Febrian Mulya Santausa, N. Nusdwinuringtyas","doi":"10.5220/0009088102040208","DOIUrl":"https://doi.org/10.5220/0009088102040208","url":null,"abstract":": Aging has always been assumed to have negative effect on mucociliary clearance, but studies are in fact limited. Nasal mucociliary clearance (NMC) is a mirror image of bronchial clearance. This study aims to evaluate the difference of NMC, measured by saccharin test, in middle-aged (40-59 years) and elderly (>60 years) patients which are the most common age groups in our clinical settings. It is a cross-sectional study involving middle-aged (n=18) and elderly (n=12) patients. Smokers and patients having respiratory symptoms were excluded. Data of age, sex, history of diabetes, malignancy, forced vital capacity (FVC), forced expiratory volume in one second (FEV1)/FVC ratio, and saccharin transit time were taken. There is no significant difference in baseline characteristics, except FVC. Saccharin transit time (STT) was not statistically different between middle-aged and elderly patients (11.9+5.8 vs 12.8+6.3 mins, p=0.696). A patient with Bechet’s disease had abnormally prolonged STT (26.13 mins). With this patient excluded, history of malignancy was the only factor associated with STT (p=0.026) after linear regression. In fact, only subjects with history of chemotherapy had prolonged STT. The findings suggest that there are other factors to be aware of while evaluating mucociliary clearance, such as history of chemotherapy and autoimmune disease.","PeriodicalId":258037,"journal":{"name":"Proceedings of the 11th National Congress and the 18th Annual Scientific Meeting of Indonesian Physical Medicine and Rehabilitation Association","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117070319","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}
{"title":"The Correlation between Physical Activity with Body Mass Index in Obesity Patient with Knee Osteoarthritis","authors":"Ricky Fakhrazi, T. Tamin","doi":"10.5220/0009090103160320","DOIUrl":"https://doi.org/10.5220/0009090103160320","url":null,"abstract":": Obesity in Indonesia has significantly increased every year. Obesity occurs due to an imbalance of input and output of energy, causing the accumulation of body fat. Weight gain causes stress to knee joints and prone to osteoarthritis that will lead to pain during walking. Decreasing the level of physical activity (PAL) in obese patients with osteoarthritis will risk them to deconditioning syndrome which will aggravate obesity. The purpose of this study is to correlate the level of physical activity in obese patients with osteoarthritis of the knee who was treated at the obesity clinic at Cipto Mangunkusumo Hospital. A cross-sectional method with thirty-eight consecutive samples. Inclusion criteria are: early elderly patients, male and female, who were diagnosed with obesity with knee osteoarthritis, can walk independently without assistance, can communicate well. Anamnesis is conducted for one full day activity for three days a week, and the average energy expenditure is calculated. The basal metabolic rate is calculated by the Harris-Benedict equation and then the level of physical activity of the patient is determined. The results of this study are that there is a weak positive correlation between PAL and body mass index (BMI) in obese patients with knee osteoarthritis.","PeriodicalId":258037,"journal":{"name":"Proceedings of the 11th National Congress and the 18th Annual Scientific Meeting of Indonesian Physical Medicine and Rehabilitation Association","volume":"60 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121066658","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}
{"title":"Observational Study of Recurrent Heart Attacks and Barriers to Participation in Exercise Training Cardiac Rehabilitation: A Serial Case Report","authors":"L. Miranda, D. Tedjasukmana","doi":"10.5220/0009066001350138","DOIUrl":"https://doi.org/10.5220/0009066001350138","url":null,"abstract":": Acute coronary syndrome (ACS) is the most common cause of mortality in Coronary Artery Disease (CAD) patients, 20% of ACS survivors will experience a recurrent heart attack. Exercise training as a part of cardiac rehabilitation increases the quality of life, functional capacity, prevents recurrent heart attack and reduces mortality but the participation rate is still very low. Among 36 patients who were admitted in July 2019 in ICCU Ward, RSCM, 14 patients had recurrent heart attacks where 11 patients did not follow phase II cardiac rehabilitation while 2 patients took part in cardiac rehabilitation. Recurrent heart attacks are influenced by modifiable and unmodifiable factors and exercise training as a core of cardiac rehabilitation is important to prevent this cardiac event because it has cardioprotective mechanisms. Patients who got recurrent heart attacks had barriers to participate in exercise training included lack of education, difficulty to arrange schedule, transportation or distance, no rehabilitation center and lack of awareness. Exercise training in cardiac rehabilitation has beneficial effects in preventing recurrent heart attacks and barriers to participate in it are challenges that we must overcome.","PeriodicalId":258037,"journal":{"name":"Proceedings of the 11th National Congress and the 18th Annual Scientific Meeting of Indonesian Physical Medicine and Rehabilitation Association","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116335032","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}
{"title":"Allostasis, Homeostasis, and Fluidomechanic Effect of Exercise in Maintaining Health Condition","authors":"D. Tinduh","doi":"10.5220/0009090203210330","DOIUrl":"https://doi.org/10.5220/0009090203210330","url":null,"abstract":"Noncommunicable diseases (NCDs) are responsible for more than 68-75% of deaths. Leading risk factors for premature death include physically inactivity, obesity, hypertension and smoking. Health related physical fitness (Hr-Pf) is the way to prevent these comorbidities, consist of cardiorespiratory endurance, body composition, muscular strength, muscular endurance and flexibility. The principle of maintaining HrPf are maintaining homeostasis state, stabilizing the body system during changes, strengthening body system to bear the allostatic load and achieving the better homeostasis state. This article will discuss about how the body response to the changes of homestasis, allostatic state and allostatic load during life and the role of fluidomechanic adaptation during exercise affects the allostatic state in cellular to tissue level.","PeriodicalId":258037,"journal":{"name":"Proceedings of the 11th National Congress and the 18th Annual Scientific Meeting of Indonesian Physical Medicine and Rehabilitation Association","volume":"69 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116167079","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}
{"title":"The Effects of Rehabilitation Programs on Spinal Cord Injury Patients at Dr. Soetomo General Hospital","authors":"Agustina Mufidah, Martha Kurnia Kusumawardani","doi":"10.5220/0009088502270230","DOIUrl":"https://doi.org/10.5220/0009088502270230","url":null,"abstract":": Acute medical management of people with SCI focuses on minimising further neurological damage to the spinal cord and optimising recovery. Dr Soetomo Hospital Surabaya as a referral center in eastern Indonesia often gets referral of patients with spinal cord injury severely cases. This research is a descriptive study. Sample of study were all inpatients who were consulted at the medical rehabilitation, from January 2018 until Desember 2018. All patients received rehabilitation programs while in care (± 17,73 days). Level of injury severity of SCI (AIS criteria),changes barthel index (BI) and discharge condition were investigated. Therewere 1264 inpatients, 166 patients(13,13%) were SCI patients who were consulted at the department of medical rehabilitation. The most cases are caused by tumor 31,32 %, AIS A 37,95%, location of injury at thoracal region 51,20 %. Complications were bladder disturbance at 77 patients, bowel disturbance 74 patients, and ulcus decubitus there were 31 patients, home return rate 68,07% , death 19,28%, and discharge against medical advice 12,6%. From Neurology ward that received rehabilation programs 68,57% increased Barthel index. Management SCI patients with multidisciplinary teams between neurologi, surgery and rehabilitation department at Dr. Soetomo Hospital can increased barthel index and home return rate.","PeriodicalId":258037,"journal":{"name":"Proceedings of the 11th National Congress and the 18th Annual Scientific Meeting of Indonesian Physical Medicine and Rehabilitation Association","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132136990","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}
{"title":"Exercise Training after Cardiac Surgery","authors":"S. Wahyudati","doi":"10.5220/0009062800760081","DOIUrl":"https://doi.org/10.5220/0009062800760081","url":null,"abstract":"Exercise training is one important part of cardiac rehabilitation after cardiac surgery. This training is aimed at improving exercise capacity and optimizing daily physical functioning concerning individual physical activity limitations and participation restrictions. Exercise training should be started as early as possible after cardiac surgery, which must be prescribed and supervised under medical guidance. In the case of rehabilitation after cardiac surgery exercise training should be individually tailored according to the clinical condition. Exercise training for patients after cardiac surgery has benefits in improving exercise capacity, increasing muscular strength, improving graft patency and recovery of cardiac function after surgery. Exercise training is a major component in cardiac rehabilitation programs has been proven to be safe and effective in improving cardiac surgery patients' outcomes. Each cardiac rehabilitation programs are tailored individually according to the clinical condition.","PeriodicalId":258037,"journal":{"name":"Proceedings of the 11th National Congress and the 18th Annual Scientific Meeting of Indonesian Physical Medicine and Rehabilitation Association","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130395395","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}