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FAKTOR-FAKTOR YANG MEMPENGARUHI NILAI ARUS PUNCAK BATUK PADA DEWASA MUDA SEHAT INDONESIA (MONGOLOID) Nury Nusdwinuringtyas; Adri Fauzan; C Martin Rumende
Majalah Kedokteran Indonesia Vol 69 No 10 (2019): Journal of the Indonesian Medical Association Majalah Kedokteran Indonesia Volu
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.1234/jinma.v69i10.180

Pendahuluan: Batuk adalah salah satu mekanisme pertahanan manusia utama terhadap infeksi dan aspirasi saluran pernapasan. Hingga saat ini, belum ada nilai standar Peak Cough Flow (PCF) di Indonesia. Nilai-nilai PCF standar yang sudah ada sebelumnya diukur di Brasil (2012) dan Selandia Baru (Kaukasia). Ada perbedaan antropometrik berdasarkan ras, yang mempengaruhi PCF. Tujuan dari penelitian ini adalah untuk menentukan PCF orang dewasa Indonesia yang sehat dan faktor-faktor yang mempengaruhi.Metode: Penelitian ini menggunakan desain potong lintang. Sejumlah 30 orang dewasa yang sehat direkrut dan dianalisis. Analisis Chi-Square dan multivariat. Subjek skrining diukur menggunakan tes spirometri dan kemampuan batuk menggunakan peak flow meter.Hasil: PCF rata-rata adalah 477,17 (L / mnt). Ada korelasi yang signifikan antara jenis kelamin (p = 0,000), usia (p = 0,012; r = -0,430), dan tinggi (p = 0,000; r = 0,741) dengan PCF. Tinggi adalah variabel yang paling berkontribusi (p = 0,003; IK95% 2,37-10,77).Kesimpulan: PCF rata-rata pada orang dewasa Indonesia sehat adalah 477,17 (L / mnt). Tinggi badan adalah faktor yang paling berkontribusi, diikuti oleh usia dan jenis kelamin.

Validity and Reliability of the Indonesia version St. George’s Respiratory Questionnaire Nury Nusdwinuringtyas; Gunawan Kurniadi; Anita Ratnawati; Peggy Sunarjo
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: St. George’s Respiratory Questionnaire (SGRQ) is a measuring tool to assess the quality of life of people with chronic obstructive pulmonary disease or various respiratory disorders. This study aimed to assess whether The Indonesian version of SGRQ was valid and reliable for subjects with chronic obstructive pulmonary disease (COPD). Methods: The Indonesian version of SGRQ was analyzed using a correlation test between SGRQ and sixminute walk distance (6 MWD) for validity. The reliability test was done using the test re-test reliability test by Spearman’s rank correlation, and Cronbach’s alpha for internal consistency. Results: Twenty-two patients eligible COPD patients were included in this study. There is a correlation between SGRQ’s component and 6MWD on activity (r= 0.49), impact (r= -0.58) and total SGRQ (r=-0.56). The SGRQ re-measurement test shows a strong correlation on the symptom (r = 0.76), activity (r = 0.58), impact (r = 0.51), total (r=0.58) and Wilcoxon test result shows there were no significantdifferences among subscales except total value p = 0.049. High internal Cronbach’s alpha consistency was approximately 0.73 to 0.86. Conclusion: The Activities and Impacts of Indonesian version of SGRQ component provides a picture of the validity to functional capacity. The Indonesia version of SGRQ is also proven to have good repeatability with high internal consistency.

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.

Value of Peak Cough Flow (PCF) in Healthy Middle Adulthood and Late Adulthood and the Affecting Factors Nury Nusdwinuringtyas; Roy Dwi Indra; Tresia Fransiska Ulianna Tambunan; Aria Kekalih
Indonesian Journal of Physical Medicine & Rehabilitation Vol 9 No 01 (2020): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

ABSTRACTIntroduction: Cough is a symptom that is felt by all humans and it is important for the protection which maintains mucus secretion, foreign substances, and infections of the larynx, trachea and bronchi. Thepurpose of this study is to find out the PCF value in healthy middle adulthood and late adulthood and the factors that influence it.Methods: This study is a cross-sectional study involving 99 subjects. Subjects were patients in the clinic for medical rehabilitation of middle adulthood and late adulthood healthy respiration. Subjects whofulfilled the inclusion and exclusion criteria were examined with spirometry to ensure healthy respiration and after that, the PCF examination was carried out with a peakflowmeter device and the correlation wasobserved with age, gender and, height. Results: The PCF value in healthy middle adulthood is 190-540 L / minute (41-50 years 465 L / minute, ages 51-60 years 405 L / minute) and healthy late adulthood is 245-520 L / minute with median 352.5L / minute. Men have a greater PCF value than women, but at the age of 61 years and over there not significantly different. The higher age, the lower the PCF value obtained and there was a statisticallysignificant decrease in the PCF value at 61-70 years of age compared to 41-50 years of age. Subjects with high height have a tendency for a lar ger PCF value and height will af fect the PCF value. Conclusion: Obtained PCF values in middle adulthood and late adulthood with healthy respiration and there is a relationship between sex, age and height factors for the PCF value. Keywords: Age, height, Peak Cough Flow, peakflow meter, sex.

Validity and Reliability of the Indonesia version St. George’s Respiratory Questionnaire Nury Nusdwinuringtyas; Gunawan Kurniadi; Anita Ratnawati; Peggy Sunarjo
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: St. George’s Respiratory Questionnaire (SGRQ) is a measuring tool to assess the quality of life of people with chronic obstructive pulmonary disease or various respiratory disorders. This study aimed to assess whether The Indonesian version of SGRQ was valid and reliable for subjects with chronic obstructive pulmonary disease (COPD). Methods: The Indonesian version of SGRQ was analyzed using a correlation test between SGRQ and sixminute walk distance (6 MWD) for validity. The reliability test was done using the test re-test reliability test by Spearman’s rank correlation, and Cronbach’s alpha for internal consistency. Results: Twenty-two patients eligible COPD patients were included in this study. There is a correlation between SGRQ’s component and 6MWD on activity (r= 0.49), impact (r= -0.58) and total SGRQ (r=-0.56). The SGRQ re-measurement test shows a strong correlation on the symptom (r = 0.76), activity (r = 0.58), impact (r = 0.51), total (r=0.58) and Wilcoxon test result shows there were no significantdifferences among subscales except total value p = 0.049. High internal Cronbach’s alpha consistency was approximately 0.73 to 0.86. Conclusion: The Activities and Impacts of Indonesian version of SGRQ component provides a picture of the validity to functional capacity. The Indonesia version of SGRQ is also proven to have good repeatability with high internal consistency.

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.

Value of Peak Cough Flow (PCF) in Healthy Middle Adulthood and Late Adulthood and the Affecting Factors Nury Nusdwinuringtyas; Roy Dwi Indra; Tresia Fransiska Ulianna Tambunan; Aria Kekalih
Indonesian Journal of Physical Medicine & Rehabilitation Vol 9 No 01 (2020): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

ABSTRACTIntroduction: Cough is a symptom that is felt by all humans and it is important for the protection which maintains mucus secretion, foreign substances, and infections of the larynx, trachea and bronchi. Thepurpose of this study is to find out the PCF value in healthy middle adulthood and late adulthood and the factors that influence it.Methods: This study is a cross-sectional study involving 99 subjects. Subjects were patients in the clinic for medical rehabilitation of middle adulthood and late adulthood healthy respiration. Subjects whofulfilled the inclusion and exclusion criteria were examined with spirometry to ensure healthy respiration and after that, the PCF examination was carried out with a peakflowmeter device and the correlation wasobserved with age, gender and, height. Results: The PCF value in healthy middle adulthood is 190-540 L / minute (41-50 years 465 L / minute, ages 51-60 years 405 L / minute) and healthy late adulthood is 245-520 L / minute with median 352.5L / minute. Men have a greater PCF value than women, but at the age of 61 years and over there not significantly different. The higher age, the lower the PCF value obtained and there was a statisticallysignificant decrease in the PCF value at 61-70 years of age compared to 41-50 years of age. Subjects with high height have a tendency for a lar ger PCF value and height will af fect the PCF value. Conclusion: Obtained PCF values in middle adulthood and late adulthood with healthy respiration and there is a relationship between sex, age and height factors for the PCF value. Keywords: Age, height, Peak Cough Flow, peakflow meter, sex.

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