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Comparison of Language Ability and Speech Production BetweenConstraint Induced Aphasia Therapy and Standard Speech Therapy for Chronic Broca Aphasian After Stroke Dian Kusumawati; Ratna D Haryadi
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 this research is to determine an effective speech theraphy methods on post stroke patient with chronic aphasia BrocaMethods :A randomized controlled trial involeved fourteen patients with Broca’s Aphasia post stroke that divided into 2 groups : Group I –7 patients underwent 2 weekly sessions of Constraint Induced Aphasia Therapy (CIAT), 5 times a week, one hour for each session. Group II – 7 patients underwent 3 weekly sessions of standard method speech therapy, 3 times weekly and one hour for each session upto 10 hours. All patients were examined using Communicative Activity Log (CAL) to evaluate language ability and Functional Independence Measurement (FIM), expression communication’s subtest toevaluate speech production. CAL and FIM were performed pre and post therapy sessions.Results : Language ability and speech production were are increasing after CIAT (p=0,015) and also in group of standard methods of speech therapy as well (p=0,016).Conclusions : CIAT and standard speech therapy methods significantly increase language ability and speech production in stroke patients with chronic Broca aphasia.Keywords : Constraint Induced Aphasia Therapy (CIAT), standard speech therapy methods, Broca’s Aphasia post stroke.

Comparison of Language Ability and Speech Production BetweenConstraint Induced Aphasia Therapy and Standard Speech Therapy for Chronic Broca Aphasian After Stroke Dian Kusumawati; Ratna D Haryadi
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 this research is to determine an effective speech theraphy methods on post stroke patient with chronic aphasia BrocaMethods :A randomized controlled trial involeved fourteen patients with Broca’s Aphasia post stroke that divided into 2 groups : Group I –7 patients underwent 2 weekly sessions of Constraint Induced Aphasia Therapy (CIAT), 5 times a week, one hour for each session. Group II – 7 patients underwent 3 weekly sessions of standard method speech therapy, 3 times weekly and one hour for each session upto 10 hours. All patients were examined using Communicative Activity Log (CAL) to evaluate language ability and Functional Independence Measurement (FIM), expression communication’s subtest toevaluate speech production. CAL and FIM were performed pre and post therapy sessions.Results : Language ability and speech production were are increasing after CIAT (p=0,015) and also in group of standard methods of speech therapy as well (p=0,016).Conclusions : CIAT and standard speech therapy methods significantly increase language ability and speech production in stroke patients with chronic Broca aphasia.Keywords : Constraint Induced Aphasia Therapy (CIAT), standard speech therapy methods, Broca’s Aphasia post stroke.

The Role of Pelvic Floor Muscles Exercises with Biofeedback as Adjuvant Treatment in Men with Erectile Dysfunction Guido O Vianney; Ratna D Haryadi; Rwahita Satyawati; Onny P Sono
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 evaluate the efficacy of pelvic floor muscle exercise programs for men with erectile dysfunction problems.Methods: A randomized controlled group designed study. Sixteen men with erectile dysfunction who had undergone pharmacological treatment from the Andrology Clinic and were referred to thePhysical Medicine and Rehabilitation Department Dr. Soetomo Hospital were divided into 2 groups. The first group was treated with pelvic floor muscle exercises for 12 weeks, while the second groupacted as control. The parameters of this study were evaluated in weeks 4, 8 and 12. This consisted of an evaluation of pelvic floor muscle strength, which was performed by digital anal assessment, and pressurebiofeedback Myomed 932. The evaluation of erectile function was based on the IIEF-5 (International Index of Erectile Function – 5) questionnaire and the EHS (Erectile Hardness Score).Results: An increase in the maximum contraction of pelvic floor muscles was seen in the intervention group after 8 weeks of treatment (p=0.011). Six subjects in the intervention group (75%) gained anormal anal strength based on digital anal assessment at the end of study. The IIEF-5 score of the intervention group improved after 8 weeks of treatment (p=0.012). Threesubjects (37.5%) in the intervention group got a maximum hardness score and 4 subjects (50%) gained an improvement of the hardness score.Conclusion: Comparing of the results of the protocol reported here shows that pelvic floor muscle exercises improve erectile function in men with erectile dysfunction problems.Keywords: pelvic floor muscle exercises, biofeedback, erectile dysfunction

The Role of Pelvic Floor Muscles Exercises with Biofeedback as Adjuvant Treatment in Men with Erectile Dysfunction Guido O Vianney; Ratna D Haryadi; Rwahita Satyawati; Onny P Sono
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 evaluate the efficacy of pelvic floor muscle exercise programs for men with erectile dysfunction problems.Methods: A randomized controlled group designed study. Sixteen men with erectile dysfunction who had undergone pharmacological treatment from the Andrology Clinic and were referred to thePhysical Medicine and Rehabilitation Department Dr. Soetomo Hospital were divided into 2 groups. The first group was treated with pelvic floor muscle exercises for 12 weeks, while the second groupacted as control. The parameters of this study were evaluated in weeks 4, 8 and 12. This consisted of an evaluation of pelvic floor muscle strength, which was performed by digital anal assessment, and pressurebiofeedback Myomed 932. The evaluation of erectile function was based on the IIEF-5 (International Index of Erectile Function – 5) questionnaire and the EHS (Erectile Hardness Score).Results: An increase in the maximum contraction of pelvic floor muscles was seen in the intervention group after 8 weeks of treatment (p=0.011). Six subjects in the intervention group (75%) gained anormal anal strength based on digital anal assessment at the end of study. The IIEF-5 score of the intervention group improved after 8 weeks of treatment (p=0.012). Threesubjects (37.5%) in the intervention group got a maximum hardness score and 4 subjects (50%) gained an improvement of the hardness score.Conclusion: Comparing of the results of the protocol reported here shows that pelvic floor muscle exercises improve erectile function in men with erectile dysfunction problems.Keywords: pelvic floor muscle exercises, biofeedback, erectile dysfunction

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