{"title":"How to Start Rehabilitation Setting for Cardiac Cases","authors":"D. Tedjasukmana","doi":"10.5220/0009062000440047","DOIUrl":"https://doi.org/10.5220/0009062000440047","url":null,"abstract":": Cardiac rehabilitation is a multidisciplinary program of exercise program, education, risk factor modification, and psychosocial counseling that reduces mortality and hospital stay, improves quality of life in patients with heart disease. Cardiac rehabilitation program is important for management of heart disease. The programs demands a multidisciplinary approach based on the premise that decisions on the goals of treatment should be made by the insight of several professions, therefore the practitioner requirements for cardiac rehabilitation should have competencies across various disciplines such as medicine, nursing, exercise physiology, physical and occupational therapy, psychology, sociology, pharmacology, and education. Standard facilities also required by hospitals to provide an ideal setting of cardiac rehabilitation.","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":"130156962","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}
Meinar Ferryani, S. NitaTheresiaReyne, Vitriana Biben, F. Arisanti, I. M. Tobing, Rosiana Pradanasari
{"title":"Effects of Incentive Spirometry Breathing Exercise on Lung Function, C-Reactive Protein Level and Lipid Ratio in Individuals with Chronic Spinal Cord Injury","authors":"Meinar Ferryani, S. NitaTheresiaReyne, Vitriana Biben, F. Arisanti, I. M. Tobing, Rosiana Pradanasari","doi":"10.5220/0009088402200226","DOIUrl":"https://doi.org/10.5220/0009088402200226","url":null,"abstract":"Spinal cord injury (SCI) is an inflammatory process caused by axon and cell membrane damages, cell death, leukocyte migration and degradation of the myelin layer. Inflammatory diseases are particularly associated with cardiovascular disease. The SCI patients can experience decreased sympathetic activity which influences carbohydrate and fat metabolisms. Decreased catecholamine release which plays a role in the process of lipolysis and glycogenolysis can increase levels of low-density lipoprotein (LDL) cholesterol, decreased high-density lipoprotein (HDL) cholesterol. Since the SCI often causes respiratory problems due to reduced respiratory muscle conservation, the study was conducted to find out the impact of sustained maximum inspiration with Incentive Spirometer (IS) to CRP level and lipid ratio in chronic SCI patient. Methods: A quasi interventional design with a preand post-test approach was done to eleven patients with chronic phase of SCI. Conclusion: These findings show although incentive spirometry breathing exercise after 4 weeks can improve lung function and lipid ratio, it has not decreased the systemic inflammatory levels in individuals with chronic SCI. Improvement in lung function has not influenced the systemic inflammatory level (CRP), although a beneficial influence on LDL/HDL ratio was recorded.","PeriodicalId":258037,"journal":{"name":"Proceedings of the 11th National Congress and the 18th Annual Scientific Meeting of Indonesian Physical Medicine and Rehabilitation Association","volume":"56 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":"115059465","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":"Comparison of Visual Analog Scale and Indiana Polyclinic Combined Pain Scale as Pain-Assessment Tools among General Practitioners in Indonesia","authors":"Adhitya, M. Harini","doi":"10.5220/0009064501110114","DOIUrl":"https://doi.org/10.5220/0009064501110114","url":null,"abstract":": There are numerous pain assessment tools available, with no clear superiority between them. Among those tools are Visual Analog Scale (VAS) and Indiana Polyclinic Combined Pain Scale (IPCPS). VAS is often used in assessing pain while IPCPS is a new tool and has more descriptive items for documenting pain. This study is to know which pain-assessment tool is more preferred by physicians and whether there is correlation between VAS and IPCPS. Fifty one Physical Medicine and Rehabilitation Residents in Universitas Indonesia, were enrolled in this cross-sectional study. They were asked to fill-in the questionnaire. Forty subjects (78,4%) preferred VAS than IPCPS to assess patient’s pain although 40 subjects stated IPCPS is more accurate in describing patient’s pain. The subjects reasoned they are more familiarized with VAS and spend less time to complete it. On the other hand, IPCPS has more detailed descriptions on pain and its ascociation to the patients’ activities. There is moderate correlation between VAS and IPCPS score (r = 0,78). VAS is more preferred to assess patient’s pain as it is more familiar and need less time to be done, but IPCPS has more items in describing pain.","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":"114396490","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}
Zayadi Zainuddin, M. Moeliono, Novitri, L. Hamijoyo, I. R. Defi
{"title":"The Effect of Additional Inspiratory Muscle Strengtening on Aerobic Exercise in Systemic Lupus Erythematosus: A Preliminary Study","authors":"Zayadi Zainuddin, M. Moeliono, Novitri, L. Hamijoyo, I. R. Defi","doi":"10.5220/0009066701620167","DOIUrl":"https://doi.org/10.5220/0009066701620167","url":null,"abstract":": Background: Aerobic exercise, an effective and safe nonpharmacological treatment for systemic lupus erythematosus (SLE), does not prevent muscle strength decline that has been proven to be predictor of decreased functional capacity. A decrease of inspiratory muscle strength had been demonstrated in SLE. This study aimed to explore the effect of adding inspiratory muscle strengtening (IMS) to aerobic exercise in SLE patients. Method: A quasi experimental study with pre-post test was conducted. Study sample was 11 patients low lupus activity disease state (LLDAS), age 20-50 years, normal body mass index. Interventions were aerobic exercise (3 times/week, moderate intensity, 20 minutes, using treadmill) and IMS (3 times/week, low intensity, using respironic tresshold). The outcomes were inspiratory and handgrip muscle strength, cardiopulmonal and handgrip muscle endurance. Results: The median of inspiratory muscle strength (49.66 vs 65.00 cmH 2 O) and handgrip (11.00 vs 14.67 kilograms) increased (P<0.005) significantly prior compared to after exercise. The median of cardiopulmonary endurance (432.00 vs 480.00 meters) also increased (P<0.005) significantly but not handgrip muscle endurance (1.50 vs 2.36 minutes). Conclusion: The addition of inspiratory muscle strengtening to aerobic exercise did not only increase cardiopulmonary function but also handgrip muscle strength which is usefull in daily activities.","PeriodicalId":258037,"journal":{"name":"Proceedings of the 11th National Congress and the 18th Annual Scientific Meeting of Indonesian Physical Medicine and Rehabilitation Association","volume":"129 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":"122911575","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":"Biomechanics of Shoulder Injury in Athletes","authors":"T. Tamin","doi":"10.5220/0009064200950104","DOIUrl":"https://doi.org/10.5220/0009064200950104","url":null,"abstract":"Balancing mobility and stability, the biomechanics of the shoulder provides optimal use of the thumb and hand. More than a glenohumeral joint, the shoulder complex consists of four joints and numerous muscles and ligaments. Injuries to the shoulder result from overuse, extremes of motion, and excessive forces. This review describes basic shoulder biomechanics, their role in impingement and instability, and how imaging can detail shoulder function and dysfunction.","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":"115861841","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":"Rehabilitation in Down Syndrome Patient with Malnutrition, Sensory Processing Disorder, Obstructive Sleep Apnea: A Case Report","authors":"Melda Lamtiur, L. K. Wahyuni","doi":"10.5220/0009066101390143","DOIUrl":"https://doi.org/10.5220/0009066101390143","url":null,"abstract":": Down syndrome children will experience delays in development. However, will achieve same milestones as other children on their own timetable, has same motor development sequence but it takes two times compared to healthy children. Management for comorbidities accompanied Down syndrome child is needed. Case: A 4 year 1 month girl with chief complaint could not walk. Patient was diagnosed with Down syndrome, malnutrition, sensory processing disorder, obstructive sleep apnea. She got neurodevelopmental therapy, lower extremities strengthening exercise, sensory integration therapy, consulted to nutritionist and ENT department. She was suggested to use NGT and had an adenoidectomy but the mother refused. After 3 months, she could stand without support but still could not walk. Discussion: Down syndrome causes delay in development, comorbidities make it worst. Patient had delays compared to Down syndrome developmental graphic. There were improvement in gross motor but malnutrition, adenoid hypertrophy, obstructive sleep apnea interfere the management. Conclusion: Down syndrome usually has comorbidities. Down syndrome causes delay in development and comorbidities make it worst. It is important to identify the comorbidities and make holistic approaches.","PeriodicalId":258037,"journal":{"name":"Proceedings of the 11th National Congress and the 18th Annual Scientific Meeting of Indonesian Physical Medicine and Rehabilitation Association","volume":"23 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":"115260956","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}
D. M. Sari, Arnengsih Nazir, M. Moeliono, Tri Damiati Pandji
{"title":"Comprehensive Rehabilitation for Epiglottis Dysfunction Due to Cut Injury of Neck with Respiratory and Swallowing Problems","authors":"D. M. Sari, Arnengsih Nazir, M. Moeliono, Tri Damiati Pandji","doi":"10.5220/0009064801190123","DOIUrl":"https://doi.org/10.5220/0009064801190123","url":null,"abstract":": An interesting case was referred to the Physical Medicine and Rehabilitation (PMR) department with neglected ‘vulnus scissum at the left side of the neck with exposed larynx and partially cut epiglottis’. Assessment of the patient showed epiglottis dysfunction, which caused the problem of swallowing, persistent coughing with lots of sputum, and the risk of aspiration. This was resulted in malnutrition, and prolonged hospitalization lead to deconditioning. Rehabilitation program was initiated cautiously, begun with improving the general condition, nutritional status and airway protection. Rhino-Laryngo Fiberscope (RLF) was done several times to assess the function of the epiglottis. Pulmonary rehabilitation consisted of exercise for effective coughing, airway clearance, chest wall mobilization or chest expansion and trunk flexibility. Posture training was added to achieve proper position needed for feeding. Rehabilitation of the deconditioning syndrome is also essential for functional recovery. Seven weeks of rehabilitation resulted in improvement of the general condition, including nutritional status. RLF showed a functional epiglottis, which ensured normal swallowing. This case and all its effects, required a comprehensive rehabilitation program, implemented step by step to manage all problems. At the end, the goal of medical rehabilitation in improving quality of life in this patient was achieved.","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":"127950854","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}
A. Tanuwijaya, J. Profita, A. Chandra, Vitriana Biben, E. Sungkar
{"title":"The Immediate Effect of Radial Extracorporeal Shockwave Therapy for Spasticity and Motor Function in Chronic Post-stroke Patients","authors":"A. Tanuwijaya, J. Profita, A. Chandra, Vitriana Biben, E. Sungkar","doi":"10.5220/0009088202090214","DOIUrl":"https://doi.org/10.5220/0009088202090214","url":null,"abstract":"This study aimed to report the immediate effect on spasticity and motor function of radial extracorporeal shockwave therapy (rESWT) as part of a comprehensive treatment program for chronic stroke patients with spasticity and functional problem in upper extremities. Chronic poststroke patients with spasticity on upper extremity were enrolled and got rESWT that applied at muscle belly of the biceps muscle, flexor carpi ulnaris muscle, and flexor carpi radialis muscle. Patients were evaluated for elbow flexor and wrist flexor spasticity using Modified Ashworth Scale (MAS), and for motor function using Fugl-Meyer Assessment for Upper Extremity (FMA-UE) at baseline and immediately after rESWT therapy session. 6 male and 1 female patients participated, age 59.7+5.5 years old, with mean onset time of stroke were 40.4 + 25.2 months. The MAS score was 5.4 1.5 at baseline and 4.2 1.2 after the treatment (p<0.05). The score of motor function FMA-UE scale was 26.4 9.0 at baseline and 28.6 9.9 after the treatment (p<0.05). Radial ESWT immediately improved spasticity and motor function in some chronic poststroke patients. More studies are necessary to establish if rESWT for spasticity and motor function in chronic poststroke is clinically effective.","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":"131187648","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}
M. V. Otafirda, T. Prabowo, R. Z. Goesasi, I. R. Defi, Novitri
{"title":"A Preliminary Study on the Effect of Low Energy Extracorporeal Shock Wave Therapy as a Treatment for Shoulder Adhesive Capsulitis in Hasan Sadikin Hospital Bandung, Indonesia","authors":"M. V. Otafirda, T. Prabowo, R. Z. Goesasi, I. R. Defi, Novitri","doi":"10.5220/0009088302150219","DOIUrl":"https://doi.org/10.5220/0009088302150219","url":null,"abstract":"Adhesive capsulitis or frozen shoulder describes the common shoulder condition characterized by painful and limited active and passive range of motion. Extracorporeal shock wave therapy (ESWT) suggested as alternative treatment for adhesive capsulitis. Aim of this study was to determine the effect of low energy rESWT on adhesive capsulitis related to shoulder pain, shoulder range of motion, and function of the shoulder joint. The study design was an interventional, experimental study. A series of single-case studies was undertaken with patients shoulder adhesive capsulitis who came to the physical medicine and rehabilitation department Hasan Sadikin Hospital. Each patient received four weeks applications of low energy rESWT, 1 week apart. Outcome measure using NRS, ROM and DASH questionnaire. Result: Five patient, 4 Female and 1 Male were included, with mean age of patient is 50,60 ± 2,97 years old, mean length of symptoms 12 ± 6,96 month. Pain intensity, passive shoulder range of motions, and functional outcome are improved after 4 weeks intervention rESWT(p<0,05). The low energy rESWT resulted in significant clinical and statistical improvement pain, passive shoulder ROM and functional outcomes in patients with shoulder adhesive capsulitis. Low energy rESWT as effective treatment alternative in shoulder adhesive capsulitis.","PeriodicalId":258037,"journal":{"name":"Proceedings of the 11th National Congress and the 18th Annual Scientific Meeting of Indonesian Physical Medicine and Rehabilitation Association","volume":"14 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":"130797279","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":"Gait in Obese Patient","authors":"T. Tamin","doi":"10.5220/0009062300580061","DOIUrl":"https://doi.org/10.5220/0009062300580061","url":null,"abstract":"Obesity is a known risk factor for several diseases, and also negatively affects physical functioning, especially walking ability and performance. Some walking abnormalities in gait could be down to foot problems as increased pressure is placed on the tendons and muscles of the foot, in particular, the plantar fasciitis. It is widely known that overpronation is a very common occurrence in the obese. Understanding mechanisms that may affect the ability to walk in older individuals may help to identify the target for prevention and rehabilitation.","PeriodicalId":258037,"journal":{"name":"Proceedings of the 11th National Congress and the 18th Annual Scientific Meeting of Indonesian Physical Medicine and Rehabilitation Association","volume":"64 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":"132035678","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}