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All Journal Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia Indonesia Journal of Physical Medicine and Rehabilitation Indonesia Journal Physical Medicine and Rehabilitation

Siti Chandra Widjanantie

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Author-ID : 1429021

Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Education Health Professions Medicine & Pharmacology Neuroscience Physics Public Health

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The Comparison of Functional Capacity Improvement after Pulmonary Rehabilitation between COPD Groups with Different Exacerbation History Budiati Laksmitasari; Siti Chandra Widjanantie; Nury Nusdwinuringtyas
Indonesian Journal of Physical Medicine & Rehabilitation Vol 8 No 02 (2019): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Backgrounds: Pulmonary rehabilitation may improve functional capacity in chronic obstructive pulmonary disease (COPD). This study aimed to know the effect of 2-month pulmonary rehabilitation in the functional capacity of the patient with stable COPD and compare the functional capacity change based on exacerbation history. Methods: This was retrospective cohort study. The subjects were patients with stable COPD who underwent pulmonary rehabilitation in Persahabatan National Respiratory Hospital, between February 2018 and January 2019. Functional capacity was evaluated by 6-minute walking distance (6MWD) before and after 2-month pulmonary rehabilitation. The 6MWD change was compared between COPD group A-B and group C-D. Results: Of the 14 subjects, the 6MWD was significantly improved in all subjects (p=0.001). The median of 6MWD change was 32 (6-235) m. The 6MWD improvement was 35 (7-84) m in COPD group A-B and29 (6-235) m in COPD group C-D. There was no significant difference in 6MWD improvement between both groups (p=1.000). Conclusion: Two-month pulmonary rehabilitation may improve functional capacity in the patient with stable COPD regardless of the exacerbation history.

Biomechanical Impacts of Forward Head Posture on the Respiratory Function Kevin Triangto; Siti Chandra Widjanantie; Nury Nusdwinuringtyas
Indonesian Journal of Physical Medicine & Rehabilitation Vol 8 No 02 (2019): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Introduction: Forward head posture (FHP) is a very common problem among the working population. Being one of the most subconscious function in humans, respiratory function utilizes both the diaphragmand external intercostal muscles for quiet breathing. However during labored breathing, many other muscles will be recruited, and mostly these muscles have attachments in the cervical, thoracic ribcage,and even lumbar vertebrae. By the nature of attachments of these muscles on the cervical vertebra and thoracic cage, it is then plausible that FHP would affect the respiratory function. Methods: Thorough searches were done through international journals for the last ten years regarding the topic of FHP and its impacts to the respiratory biomechanics. Discussion: Previous studies have reported how prolonged FHP will result in kyphotic posture, reducing the mobility of ribcage, and modifies all respiratory muscular attachments such as sternocleidomastoids, intercostals, and to a certain extent, the diaphragm. All these result in a restrictive lung disorder, signified by reducing spirometry values, such as Forced Vital Capacity, Sniff Nasal Inspiratory Pressure, and Peak Flow Rate. Conclusion: Forward head posture disturb the respiratory biomechanics.

Pulmonary Rehabilitation for Chronic Obstructive Pulmonary Disease in Natural Disaster Setting Siti Chandra Widjanantie
Indonesian Journal of Physical Medicine & Rehabilitation Vol 8 No 01 (2019): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Introduction: The frequency of natural disaster in Indonesia has increased recently, while there were still less capacity to overcome the respiratory problem as an impact of disaster. Subjects who havechronic obstructive pulmonary disease (COPD) need to have more attention in dealing with disaster setting.Methods: Literature reviews from the last ten years to find the data of the respiratory-related disease on disaster setting, which need pulmonary rehabilitation.Discussion: Subjects with COPD can get worse aftermath of natural disasters. The number of COPD exacerbation aftermath disaster was increased 1.5 fold. Pulmonary rehabilitation by trained patient forthe self-management of the symptoms was effective to reduce complication, increase the function and social integration.Conclusion: Pulmonary rehabilitation by optimizing community based training for self-management was effective as preparedness for COPD patients in natural disasters.Keywords: Chronic Obstructive Pulmonary Disease (COPD), Community based training, Natural Disaster, Pulmonary Rehabilitation

Co-Authors Andre Sugiyono Budiati Laksmitasari Damayanti, Elok Kevin Triangto Matthew Billy Nury Nusdwinuringtyas

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Journal : Indonesia Journal Physical Medicine and Rehabilitation