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Differing Effect of an EMG Biofeedback-Monitored Exercise Compared to an Un-monitored One in Vastus Medialis Obliquus and Vastus Lateralis Muscles Amplitude in Knee Osteoarthritis Umi Syayyirotin A; Lukitra Wardhani; Fatchur Rochman
Indonesian Journal of Physical Medicine & Rehabilitation Vol 1 No 1 (2012): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Objectives: The objective of the study was to know the difference of maximum and ratio amplitudes of vastus medialis obliquus and vastus lateralis muscles before and after exercise with and without EMG biofeedback monitoring in knee osteoarthritis patients.Methods: Randomized clinical study design. This study was conducted in Department of Physical Medicine and Rehabilitation Airlangga University, Dr. Soetomo hospital Surabaya. Twenty eight patients with knee osteoarthritis were randomly placed into 2 groups, the first group received progressive resistive exercise with EMG biofeedback, while the other group received training with progressive resistive method only. The ratio and maximum amplitudes of vastus medialis obliquus and vastus lateralis muscles were analyzed before and after 8 weeks exercise.Results: The amplitudes of vastus medialis obliquus and vastus lateralis were improved significantly in group receiving progressive resistive training method with EMG biofeedback monitoring (p=.01 and p=.001, respectively). Comparison between two groups after 8 weeks of progressive resistive exercise showed significant improvements on amplitude of vastus medialis obliquus muscle (p=.014) and amplitude ratio of VMO/VL (p=.034) in EMG biofeedback monitoring group.Conclusions: Progressive resistive exercise with EMG biofeedback monitoring could improvesignificantly the amplitudes of vastus medialis obliquus and vastus lateralis muscles and amplitude ratio of VMO/VL in knee osteoarthritis patients.Keywords: knee osteoarthritis, progressive resistive exercise, EMG biofeedback monitoring.

Pott’s Disease during Pregnancy – A Physical Medicine and Rehabilitation Approach to Improve Function: A Case Report Agus Prasetyo; Fatchur Rochman
Indonesian Journal of Physical Medicine & Rehabilitation Vol 3 No 01 (2014): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Objective: To assess the role of physical medicine and rehabilitation (PM&R) in an interdisciplinaryteam approach in managing a pregnant woman with Pott’s disease.Methods: A 24 year-old female in her 31st week of pregnancy (G2P0A1) with a diagnosis ofC4 tetraplegia AIS C and accompanying problems such as, premature ruptured of membrane,spondylitis tuberculous, cardiovascular compliance changes, weakness of all limbs, sensory deficit,severely dependent ADL (Barthel Index 60), and moderate depression. She was managed by aninter-disciplinary team. The short-term goals were saving the infant, protecting the spinal cordand its function and improving the psychological condition. The ultimate rehabilitation goals wereindependent ambulation, independent ADL, which increases the quality of life and helping her getback to work. Rehabilitation management included cervico-thoracal orthoses with FELR control forvertebral immobilization, mobilization exercises, active breathing exercises, ROM exercises of allof her limbs, improving cardiovascular endurance and sensory re-education.Results: During conservative therapy, the patient used a cervical collar brace and tuberculous drugscategory 1 except streptomycin. A caesarean section was performed on May 24th, 2013, followedby operative decompression and vertebral stabilization procedure with a pedicle and screw 1 weekafter (May 31st, 2013). Afterwards, the patient used cervico-thoracal orthoses with FELR control forvertebral immobilization. The histologic examination showed granulomatous inflamation supportedSpondylitis tuberculous. Within 3 months of physical medicine and rehabilitation management,the Barthel Index, which was initially 60 (Severe dependent Activity Daily Living/ ADL), became100 (independent ADL). Physical Medicine and Rehabilitation management included mobilizationexercises, active breathing exercises, ROM exercises of all of her limbs, improving cardiovascularendurance and sensory re-education. Overall, the increased quality of life of this patient reflected thesuccessful inter-disciplinary team management.Conclusion: The PM&R approach in the interdisciplinary team resulted in an optimal functionalrecovery of the patient with Pott’s disease during pregnancy.Keywords: Pott’s disease, pregnancy, physical medicine and rehabilitation, function

Differing Effect of an EMG Biofeedback-Monitored Exercise Compared to an Un-monitored One in Vastus Medialis Obliquus and Vastus Lateralis Muscles Amplitude in Knee Osteoarthritis Umi Syayyirotin A; Lukitra Wardhani; Fatchur Rochman
Indonesian Journal of Physical Medicine & Rehabilitation Vol 1 No 1 (2012): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Objectives: The objective of the study was to know the difference of maximum and ratio amplitudes of vastus medialis obliquus and vastus lateralis muscles before and after exercise with and without EMG biofeedback monitoring in knee osteoarthritis patients.Methods: Randomized clinical study design. This study was conducted in Department of Physical Medicine and Rehabilitation Airlangga University, Dr. Soetomo hospital Surabaya. Twenty eight patients with knee osteoarthritis were randomly placed into 2 groups, the first group received progressive resistive exercise with EMG biofeedback, while the other group received training with progressive resistive method only. The ratio and maximum amplitudes of vastus medialis obliquus and vastus lateralis muscles were analyzed before and after 8 weeks exercise.Results: The amplitudes of vastus medialis obliquus and vastus lateralis were improved significantly in group receiving progressive resistive training method with EMG biofeedback monitoring (p=.01 and p=.001, respectively). Comparison between two groups after 8 weeks of progressive resistive exercise showed significant improvements on amplitude of vastus medialis obliquus muscle (p=.014) and amplitude ratio of VMO/VL (p=.034) in EMG biofeedback monitoring group.Conclusions: Progressive resistive exercise with EMG biofeedback monitoring could improvesignificantly the amplitudes of vastus medialis obliquus and vastus lateralis muscles and amplitude ratio of VMO/VL in knee osteoarthritis patients.Keywords: knee osteoarthritis, progressive resistive exercise, EMG biofeedback monitoring.

Pott’s Disease during Pregnancy – A Physical Medicine and Rehabilitation Approach to Improve Function: A Case Report Agus Prasetyo; Fatchur Rochman
Indonesian Journal of Physical Medicine & Rehabilitation Vol 3 No 01 (2014): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Objective: To assess the role of physical medicine and rehabilitation (PM&R) in an interdisciplinaryteam approach in managing a pregnant woman with Pott’s disease.Methods: A 24 year-old female in her 31st week of pregnancy (G2P0A1) with a diagnosis ofC4 tetraplegia AIS C and accompanying problems such as, premature ruptured of membrane,spondylitis tuberculous, cardiovascular compliance changes, weakness of all limbs, sensory deficit,severely dependent ADL (Barthel Index 60), and moderate depression. She was managed by aninter-disciplinary team. The short-term goals were saving the infant, protecting the spinal cordand its function and improving the psychological condition. The ultimate rehabilitation goals wereindependent ambulation, independent ADL, which increases the quality of life and helping her getback to work. Rehabilitation management included cervico-thoracal orthoses with FELR control forvertebral immobilization, mobilization exercises, active breathing exercises, ROM exercises of allof her limbs, improving cardiovascular endurance and sensory re-education.Results: During conservative therapy, the patient used a cervical collar brace and tuberculous drugscategory 1 except streptomycin. A caesarean section was performed on May 24th, 2013, followedby operative decompression and vertebral stabilization procedure with a pedicle and screw 1 weekafter (May 31st, 2013). Afterwards, the patient used cervico-thoracal orthoses with FELR control forvertebral immobilization. The histologic examination showed granulomatous inflamation supportedSpondylitis tuberculous. Within 3 months of physical medicine and rehabilitation management,the Barthel Index, which was initially 60 (Severe dependent Activity Daily Living/ ADL), became100 (independent ADL). Physical Medicine and Rehabilitation management included mobilizationexercises, active breathing exercises, ROM exercises of all of her limbs, improving cardiovascularendurance and sensory re-education. Overall, the increased quality of life of this patient reflected thesuccessful inter-disciplinary team management.Conclusion: The PM&R approach in the interdisciplinary team resulted in an optimal functionalrecovery of the patient with Pott’s disease during pregnancy.Keywords: Pott’s disease, pregnancy, physical medicine and rehabilitation, function

Analisis Pengaruh Kualitas Layanan dan Strategi Harga terhadap Kepuasan, serta Dampaknya terhadap Loyalitas Jamaah Umroh Sawita Group, Jakarta Ferry Firdaus; Fatchur Rochman
Jurnal Aplikasi Manajemen Vol 10, No 4 (2012)
Publisher : Jurusan Manajemen Fakultas Ekonomi dan Bisnis Universitas Brawijaya

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Abstrak: this research aims to analyze the effect of service quality and pricing strategy on satisfaction, and its impact on loyalty of Umrah Sawitha Group is customers. Data are analyzed descriptively and inferentialyby using PLS, wich is smart PLS version 1.10. Data are obtained by survey on members of Umrah Sawitha Group who were departed in 2011 and 2012, for to 189 respondents the analysis result proves that service quality has positive and significant effect on group members’ satisfaction. Pricing strategy has positive and significant effect on satisfaction and loyality. Nevertheless, satisfaction does not home any positive influence on members’ loyalty.Keywords: quality of service, pricing strategies, satisfaction of pilgrims, worshipers loyalty

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