Proceedings of the 11th National Congress and the 18th Annual Scientific Meeting of Indonesian Physical Medicine and Rehabilitation Association最新文献

{"title":"Physical Medicine and Rehabilitation Role in Pre-Operative Management of Patient with Giant Bullae of Right Lung with Scoliosis and a History of Systemic Lupus Erythematosus: A Case Report","authors":"A. Ricky, T. F. Tambunan","doi":"10.5220/0009087501720176","DOIUrl":"https://doi.org/10.5220/0009087501720176","url":null,"abstract":"Giant bullae refers to the enlargement of one or more bullae occupying more than one-third of the hemithorax. It creates larger and less efficient lung sacs that can’t properly manage the normal gas exchange during breathing. Systemic Lupus Erythematosus (SLE) is a chronic inflammatory disease with pulmonary manifestations is giant bullae due to excessive surface tension secondary to surfactant failure. Female patient with history of SLE presenting with shortness of breath during moderate-intensity activities. CT Scan showed giant emphysematous bullae in her right hemithorax. Patient had double curve scoliosis which may affect her chest expansion. Evaluation of respiratory functions showed lung restrictive disease and its predictive post-operative value of forced expiratory volume in one second (ppoFEV1) below 30%. During 8 weeks pulmonary rehabilitation program patient’s clinical state is improved and associated with increase in forced expiratory volume in one second (FEV1). Home based aerobic exercise consisted of walk 15 minutes/day, 5 days a week. Due to her limited chest expansion, active breathing exercise and scoliosis program exercise administered in the rehabilitation program. This case report elaborates on the effect of the pre-operative pulmonary rehabilitation program in improving respiratory function and its readiness to undergo surgical treatment.","PeriodicalId":258037,"journal":{"name":"Proceedings of the 11th National Congress and the 18th Annual Scientific Meeting of Indonesian Physical Medicine and Rehabilitation Association","volume":"38 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":"115857625","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":"Effects of Quadriceps Muscle Taping Application on Quadriceps Muscle Strength and Walking Speed in Obese Patients with Knee Osteoarthritis","authors":"Intan Sari Maharani, T. Tamin","doi":"10.5220/0009089202650269","DOIUrl":"https://doi.org/10.5220/0009089202650269","url":null,"abstract":": Obesity is well-known as a risk factor for knee osteoarthritis (OA). In such patients, weak quadriceps muscle and decreased walking speed are commonly found. The study aimed to prove whether taping application on quadriceps muscle in obese patients with knee OA affects quadriceps muscle strength and walking speed. This study is a single-blind randomized controlled trial. Subjects are overweight or grade-1 obese, knee OA (Kellgren-Lawrence 1-3) patients with Visual Analog Scale (VAS) of 1-4 who were admitted to our obesity clinic on August-September 2019. One group received aerobic exercise with static cycle and taping on quadriceps muscle, while the other received the same exercise, but with sham taping. Taping was changed regularly 2 times a week for 4 weeks. The pain scale was assessed before, regularly according to tape changed, and at the end of the study. While, quadriceps muscle strength and walking speed were assessed before, at 2 weeks, and the end of the study. The taping group showed significant improvement in pain, muscle strength, and walking speed (p<0.05). Improvement in pain also found in the sham taping group. Taping application on quadriceps muscle improves muscle strength and walking speed in obese patients with knee OA.","PeriodicalId":258037,"journal":{"name":"Proceedings of the 11th National Congress and the 18th Annual Scientific Meeting of Indonesian Physical Medicine and Rehabilitation Association","volume":"5 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":"123675555","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":"Pattern of Muscle Activation During Sit to Stand Task in Feet Forward with 80° Knee Flexion using Surface EMG","authors":"Taufiq Nashrulloh, Vitriana Biben, Farida A. Santi, Rachmat Gz, M. Moeliono, D. H. Wicaksono, N. Hasnaoui","doi":"10.5220/0009064000820087","DOIUrl":"https://doi.org/10.5220/0009064000820087","url":null,"abstract":"The sit-to-stand (STS) in feet forward is one type of STS with a characteristic of delayed contraction of Tibialis anterior. Surface EMG (sEMG) signals are recorded by non-invasive electrodes and are preferably used to obtain information about the time or intensity of superficial muscle activation. This study aims to find the pattern of muscle activation when STS in feet forward. This is a retrospective study using sEMG for the pattern of muscle activation of 14 males and 14 females in Hasan Sadikin General Hospital Bandung Indonesia, in March 2019. The average height, weight, body fat, and fat-free mass in men were significantly different from women participants. The muscle activation of muscle group stabilizer (Rectus Femoris (RF) and Biceps femoris lateral (BFL)) is bigger than muscle group sequence (Tibialis anterior (TA) and Gastrocnemius medialis (GM) during STS in this research. Rectus femoris was the muscle that had the highest mean maximum force in every STS phase. The mean maximum force of RF, BFL, and GM in Phase II was the highest compared to another phase. On the other hand, the mean maximum force of TA was the highest in Phase V. Feet Forward with 80° knee flexion is the strategy foot positioning during sit to stand to increase the force of sequence muscle group than stabilizer muscle group","PeriodicalId":258037,"journal":{"name":"Proceedings of the 11th National Congress and the 18th Annual Scientific Meeting of Indonesian Physical Medicine and Rehabilitation Association","volume":"77 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":"121740702","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":"Long Term Effect of Contralaterally Controlled EMG-Modulated Electrical Stimulation Combined with Training and Botulinum Toxin A (BONT-A) Motor Point Block on Hand Function in Patients with Stroke","authors":"R. D. Haryadi, Lydia Arfianti, Meisy Andriana","doi":"10.5220/0009064901240129","DOIUrl":"https://doi.org/10.5220/0009064901240129","url":null,"abstract":"Objective: This study describes the long term effect of contralaterally controlled EMG modulated electrical stimulation combined with Botulinum Toxin A (BONT-A) motor point block and hand function training in stroke. Methods: Three stroke patients, onset ≥ 6 months, with paresis of wrist and fingers extensors (MRC 2/5), flexor spasticity >3 (MAS), were given BONT-A injections before training. The training consisted of 40 minutes electrical stimulation on the affected side, proportional to the EMG signal picked-up from the unaffected side, simultaneously doing hand function training, for 3-5 days/ week. Outcome measures were Box and Block Test (BBT) and Nine Hole Peg Test (NHPT) scored before, after training, and at follow-up of 4 and 9 months. After 18 sessions, grasp function (BBT) improved in 3 patients, pinch grip (NHPT) improved in 2 patients. One patient was lost to follow-up. At 4 and 9 months, BBT improved further in 1 patient, deteriorated in 1 patient, while NHPT deteriorated in both patients. Conclusion: Grasp function improved at long term follow-up in 1 chronic stroke patient who consistently used the affected dominanthand. No improvement was seen in 1 patient affected at the non-dominant hand. Improvement in pinch grip was lost at long term follow-up.","PeriodicalId":258037,"journal":{"name":"Proceedings of the 11th National Congress and the 18th Annual Scientific Meeting of Indonesian Physical Medicine and Rehabilitation Association","volume":"5 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":"128203775","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":"Principle of Orthosis Correction in Gait Problem","authors":"T. Tamin","doi":"10.5220/0009062400620066","DOIUrl":"https://doi.org/10.5220/0009062400620066","url":null,"abstract":"Abnormal gait or gait abnormality occurs when the body systems are unable to aid walking in the usual way. Gait abnormality can be caused by musculoskeletal and neuromuscular problems. It can occur among every population from pediatric, adult and geriatric cases. If this abnormal pattern persists, it can alter the biomechanics of the body resulting in more complications such as pain, deformity, and balance problem. One way to facilitate the gait pattern is by using lower extremity orthosis.","PeriodicalId":258037,"journal":{"name":"Proceedings of the 11th National Congress and the 18th Annual Scientific Meeting of Indonesian Physical Medicine and Rehabilitation Association","volume":"104 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":"134517268","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":"How to Applicate Comprehensive Geriatric Assessment in Geriatric Rehabilitation","authors":"W. Aries","doi":"10.5220/0009062100480053","DOIUrl":"https://doi.org/10.5220/0009062100480053","url":null,"abstract":": Comprehensive Geriatric Assessment (CGA) is a multidimensional, multidisciplinary diagnostic instrument designed to collect data on the medical, psychosocial-economy, enviromental, spiritual and places high value on functional status. Measurement of functional is an essential components, and the patient’s ability to function can be viewed as a summary measure of the overall impact of elderly health conditions. This geriatric models of assessment used in patient first visit to assess geriatric patients who have complicated condition and need special approach. CGA has several essential aspects of evaluating elderly patients, so it is known for it’s costly and time consuming. This caused by difficulties in taking histories of geriatric patients, and systematically reviewing the patients. CGA aimed to integrates the functional and medical goals of care, allowing physicians to improve clinical outcomes and patients satisfaction. This tools can be used in primary care (e.g puskesmas), clinic, hospital, long term care or home, and as a strategy to make evaluation process more efficient. Prognosis is focused on medical and function information. CGA can be applied in 4 step process, used by individual clinician but more refers to an interdisciplinary team.","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":"129485355","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":"Immediate Effect of Quadriceps Elastic Taping Application as a Supplementary Treatment on Gait Performance in Patients with Knee Osteoarthritis: A Serial Case Report","authors":"Andwi Setiawan Kokok, Fitri Anestherita","doi":"10.5220/0009090403370342","DOIUrl":"https://doi.org/10.5220/0009090403370342","url":null,"abstract":": Quadriceps strength is an important determinant of walking in subjects with knee OA (KOA). Quadriceps Elastic Taping (ET) application might immediately improve gait performance while other modalities may need time to show improvement. Case Description: Seven patients with KOA (9 knees) presented with pain during weight bearing. ET was prescribed as a supplementary treatment to improve gait performance. Increased gait performance such as walking speed and reduced excessive knee flexion during loading response was seen in 77% and 66% of subjects respectively. In order to evaluate changes in muscle contraction immediately after ET application, surface EMG examination was done and we found only 55% of subjects have increased percentage of maximum voluntary contraction (MVC). Discussion: Increased cutaneous input during ET application in the afferent nerves may activate a loop via afferent and efferent nerve fibres which eventually increasing quadriceps muscle activation that may reduce joint load during gait. Unexpectedly, increased quadriceps contraction after ET application was inconsistent, therefore placebo effect may also play an important role in developing the findings in this study. Conclusion: ET application have potential to improve gait performance in patients with KOA. Further studies are needed to prove ET effect on gait performance.","PeriodicalId":258037,"journal":{"name":"Proceedings of the 11th National Congress and the 18th Annual Scientific Meeting of Indonesian Physical Medicine and Rehabilitation Association","volume":"32 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":"121352983","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":"Factors Associated with Functional Outcome Improvement in Hospitalized-Ischemic Stroke Patients","authors":"Martha Kurnia Kusumawardani, Syeda Noor, Putri Ayu Madedi Budiawan, Meisy Andriana","doi":"10.5220/0009089702960300","DOIUrl":"https://doi.org/10.5220/0009089702960300","url":null,"abstract":": Aim: to identify factors associated with the improvement of functional outcome among hospitalized ischemic stroke patients who had received rehabilitation program. Methods: A retrospective study of stroke patient's medical records. Functional outcome improvement was measured by evaluating the Barthel Index (BI) score on the first day of rehabilitation treatment and the last day in the hospital. Factors that were thought to associate with BI changes were analyzed using SPSS 23, including door-to-rehabilitation time, length of hospital stay, hemiparetic side, aphasia, and spasticity. Results: A total of 208 medical records, 121 data were included. Subjects were 52.1% male with a mean age was 57.36 (SD=11.03). There were 33.1% of subjects who had at least one comorbidity. Most of the subjects experienced paresis unilateral (90.3%). Stroke-related complications were spasticity (19.8%), dysarthria (19%), aphasia (14.9%) and others. The median time of door-to-rehabilitation treatment and length of stay was 2 days and 9 days. The increase of the BI score was ranging between 5 to 70. Among the factors analyzed with BI score improvement, only spasticity that was statistically significant (p=0.002). Conclusion: Spasticity was significantly associated with functional outcome improvement after stroke rehabilitation program in hospitalized-ischemic stroke 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":"36 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":"126207012","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 Relation between Sitting Duration and Suspected Hernia Nucleus Pulposus among Cardboard Factory Workers in Tangerang","authors":"Christian Shiady, Tjie Haming Setiadi","doi":"10.5220/0009089402810284","DOIUrl":"https://doi.org/10.5220/0009089402810284","url":null,"abstract":"Low back pain (LBP) has been the leading cause of disability in the world. One of the most frequent is a disease named hernia nucleus pulposus (HNP) that triggering the low back pain sensation. There are various factors that lead to the occurrence of the disease. One of those is sitting in prolonged duration (≥5hours)/day. This study aims to determine whether prolonged sitting duration influences the incidence of hernia nucleus pulposus among the factory workers. The method of this study is analytical-cross sectional and used non-random consecutive sampling. The study was in Tangerang city, on March 2019. There were 75 factory workers, each subject underwent the Laseque and Bragard test to assess for suspicion of hernia nucleus pulposus. 48 respondents were categorized as those who sit in prolonged duration and 27 respondents were categorized as those who sit in normal duration. Nine people were suspected of having the hernia nucleus pulposus, seven of which admitted having prolonged sitting duration, while the remaining two sit in a normal period (p= 0.48) by Fischer test. The prevalence ratio was 2.11 (confidence interval 95%). Prolonged sitting duration has no correlation with suspected HNP, but has 2.11 times higher risk to LBP.","PeriodicalId":258037,"journal":{"name":"Proceedings of the 11th National Congress and the 18th Annual Scientific Meeting of Indonesian Physical Medicine and Rehabilitation Association","volume":"103 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":"115802911","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":"Overcoming Physical Medicine and Rehabilitation Challenges in the Future","authors":"T. Tamin","doi":"10.5220/0009062600670069","DOIUrl":"https://doi.org/10.5220/0009062600670069","url":null,"abstract":"Medical sciences development was growing continually and fast, including in Physical Medicine and Rehabilitation (PM&R). Besides the development in medical science, the health care system also faces changes in conceptual and administration models which rise challenges to PM&R better services in the future. several indicators can be used to assessed PM&R service improvement, these indicators include ease of access for PM&R care, the ratio between population and PM&R specialist, also the availability of PM&R facilities following hospital standardization. Proper strategies and steps of anticipation must be prepared to tackle this rising challenge. Medical sciences development was growing continually and fast, including in Physical Medicine and Rehabilitation (PM&R). Currently, and also in the future, findings in biomedicine and technology of assistive devices for disabled people are one of the best inventions in PM&R. this advancement results in the improvement of care and the disabled's quality of life, however, it can also raise challenges for a physiatrist to develop their skills and explore the latest science following the advancement of science and technology to provide the best care for patients. In general, several indicators can be used to assessed PM&R service improvement, these indicators include ease of access for PM&R care, the ratio between population and PM&R specialist, also the availability of PM&R facilities following hospital standardization. Proper strategies and steps of anticipation must be prepared to tackle this rising challenge Currently, the health care system faces challenges that require conceptual changes and organization administration model to ease access to health care service, maintain a high quality of care, and maintain financial viability simultaneously. As a part of the health care system, PM&R service faces equivocal challenges so improvements are required to provide better service in the future. Demographic change in society was one of the changes occur in our health care system. Increased in the geriatric population were seen in many developing countries. This results in two consequences: (1) high prevalence of functional impairment caused by a normal degenerative process which results in health deterioration, and (2) pressure in society and health care system to provide care for this age group. The direction of organizational development and medical rehabilitation service will be affected by these consequences. Currently, a shift in disease patterns was occurring. An acute disease which previously common was now predominated by chronic disease. Many hospitals cares still set their focus on acute disease therapy, while the majority of the case is shifting towards the need for long term care. This discrepancy between patients’ needs and the care given by health care providers will rises challenges for both sides (Faria, 2010). The social model of functional impairment, as a new rehabilitation paradigm, stresses ","PeriodicalId":258037,"journal":{"name":"Proceedings of the 11th National Congress and the 18th Annual Scientific Meeting of Indonesian Physical Medicine and Rehabilitation Association","volume":"3 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":"129567354","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}