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Effects of Inspiratory Muscle Training with Incentive Spirometry to Maximum Inspiratory Capacity and Quality of Life on Chronic Obstructive Pulmonary Disease Patients Tresia Fransiska Ulianna Tambunan; Moerdjajati Angka; Anita Ratnawati; Zulkifi Amin
Indonesian Journal of Physical Medicine & Rehabilitation Vol 2 No 01 (2013): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Objectives: to determine whether the incentive spirometry respiratory muscle training can increase the maximum inspiratory capacity, decrease difficulty of breathing, functional lung capacity and quality oflife according to St. George’s Respiratory Questionnaire on Chronic Obstructive Pulmonary Disease patients.Methods: an intervention pre-post and case control group of twenty subjects with mild COPD who came to Medical Rehabilitation Department. They divided into two groups: control group (10 subjects)and study group (10 subjects). All subjects underwent pre interventional test which are : maximum inspiratory capacity, dyspnoea rating scale, pulmonary functional test (PFT) and questionnaire forquality of life. The study group were given respiratory muscle training with incentive spirometry and breathing control exercise while the control group only given the breathing control exercise. After 8weeks, all participant underwent post interventional test. Every subject still using the basic medication.Results: There are statistically improvement of maximum inspiratory capacity, dyspnoea rating scale and quality of life in study group compare with the control group (p<0,05). Mean difference of SGRQbetween pre and post intervention shows significant results in activity, impact and total component (p<0,05) and there is no significant results on symptoms components (p>0,05). No changes were foundin FEV1% value with the study or control group (p>0,05).Conclusions: Combination between incentive spirometry respiratory muscle training and breathing control exercise can improve maximum inspiratory capacity, dyspnoea rating scale and quality of life inCOPD patients within 8 weeks.Keywords: COPD, Incentive spirometry muscle training, Maximum inspiratory capacity, Quality of life.

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.

Effects of Inspiratory Muscle Training with Incentive Spirometry to Maximum Inspiratory Capacity and Quality of Life on Chronic Obstructive Pulmonary Disease Patients Tresia Fransiska Ulianna Tambunan; Moerdjajati Angka; Anita Ratnawati; Zulkifi Amin
Indonesian Journal of Physical Medicine & Rehabilitation Vol 2 No 01 (2013): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Objectives: to determine whether the incentive spirometry respiratory muscle training can increase the maximum inspiratory capacity, decrease difficulty of breathing, functional lung capacity and quality oflife according to St. George’s Respiratory Questionnaire on Chronic Obstructive Pulmonary Disease patients.Methods: an intervention pre-post and case control group of twenty subjects with mild COPD who came to Medical Rehabilitation Department. They divided into two groups: control group (10 subjects)and study group (10 subjects). All subjects underwent pre interventional test which are : maximum inspiratory capacity, dyspnoea rating scale, pulmonary functional test (PFT) and questionnaire forquality of life. The study group were given respiratory muscle training with incentive spirometry and breathing control exercise while the control group only given the breathing control exercise. After 8weeks, all participant underwent post interventional test. Every subject still using the basic medication.Results: There are statistically improvement of maximum inspiratory capacity, dyspnoea rating scale and quality of life in study group compare with the control group (p<0,05). Mean difference of SGRQbetween pre and post intervention shows significant results in activity, impact and total component (p<0,05) and there is no significant results on symptoms components (p>0,05). No changes were foundin FEV1% value with the study or control group (p>0,05).Conclusions: Combination between incentive spirometry respiratory muscle training and breathing control exercise can improve maximum inspiratory capacity, dyspnoea rating scale and quality of life inCOPD patients within 8 weeks.Keywords: COPD, Incentive spirometry muscle training, Maximum inspiratory capacity, Quality of life.

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.

Pulmonary Rehabilitation in Guillain-Barré Syndrome (GBS) Andi Dala Intan; Anita Ratnawati
Indonesian Journal of Physical Medicine & Rehabilitation Vol 4 No 01 (2015): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

GBS was first described by Landry in 1859, a post-infectious polyneuropathy primarily not only affecting the motor system, but also on the sensory nervous system and the autonomic nervous system. It is acute and known as an autoimmune disease. The disease is more common in male, 1.5 times higher than women in western countries, affects any ages, mostly adults. 60% of GBS patients will be preceded by an upper respiratory tract disease and 27% unidentified illness that preceded it. Started with lower limb weakness and progresses to the upper limb and eventually the bulbar muscles; known as Landry’s Ascending Paralysis or rubbery legs. The diagnosis can be confirmed by history and physical examination. The prognosis depends on the subtype of GBS. For about 85% of patients will have functional recovery within a few months to a year. Rehabilitation in GBS management generally emphasis on immobilization and management of pneumonia and respiratory failure. GBS patients with respiratory dysfunction should get immediate rehabilitation and obtain a specific treatment program.Keywords: Guillain Barre Syndrome,Respirasi Rehabilitation,Breathing Exercise, Inspiratory muscle training

Pulmonary Rehabilitation in Guillain-Barré Syndrome (GBS) Andi Dala Intan; Anita Ratnawati
Indonesian Journal of Physical Medicine & Rehabilitation Vol 4 No 01 (2015): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

GBS was first described by Landry in 1859, a post-infectious polyneuropathy primarily not only affecting the motor system, but also on the sensory nervous system and the autonomic nervous system. It is acute and known as an autoimmune disease. The disease is more common in male, 1.5 times higher than women in western countries, affects any ages, mostly adults. 60% of GBS patients will be preceded by an upper respiratory tract disease and 27% unidentified illness that preceded it. Started with lower limb weakness and progresses to the upper limb and eventually the bulbar muscles; known as Landry’s Ascending Paralysis or rubbery legs. The diagnosis can be confirmed by history and physical examination. The prognosis depends on the subtype of GBS. For about 85% of patients will have functional recovery within a few months to a year. Rehabilitation in GBS management generally emphasis on immobilization and management of pneumonia and respiratory failure. GBS patients with respiratory dysfunction should get immediate rehabilitation and obtain a specific treatment program.Keywords: Guillain Barre Syndrome,Respirasi Rehabilitation,Breathing Exercise, Inspiratory muscle training

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