Imam Subadi
Departement Of Physical Medicine And Rehabilitation, Faculty Of Medicine, Universitas Airlangga, Surabaya, East Java, Indonesia

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Non-Pharmacological Balance Therapy on Diabetic Peripheral Neuropathy Patients with Balance Disorders Jeremy Nicolas Sibarani; Kristanti Wanito Wigati; Imam Subadi
Surabaya Physical Medicine and Rehabilitation Journal Vol. 4 No. 1 (2022): SPMRJ, FEBRUARY 2022
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v4i1.24982

Abstract

ABSTRACTBackground: Patients with diabetic peripheral neuropathy (DPN) suffers from propioceptive ability and mobility disturbance which can potentially affects balance. There are various balance therapy options for DPN patients. The purpose of this study was to determine the effectiveness of various non-pharmacological therapies (surgery, traditional medicine, exercise and assistive devices) in DPN patients with balance disorders.Aim(s): To determine the effectiveness of non-pharmacological balance therapy in people with diabetic peripheral neuropathyMaterial and methods: A systematic review was conducted using randomized controlled trial study articles found using PICO characteristics in ScienceDirect and PubMed in the last 10 years. All articles were selected based on PRISMA and descriptive analysis was carried out on the selected articles.Result: Significant balance improvement found in traditional Thai massage, physical exercise therapy, assistive device therapy with whole-body vibration, and assistive device therapy with electrical stimulation. Surgical therapy with unilateral nerve decompression did not provide a significant measurable balance improvement.Conclusions: Physical exercise therapy, traditional Thai foot massage, WBV and electrical stimulation therapy (with the exception of TENS on the knee) significantly improve balance. Meanwhile, unilateral nerve decompression surgical therapy did not improve the balance significantly.
Effect of Anodal Transcranial Direct Current Stimulation to Flexor Digitorum Superficialis Muscle Activities in Stroke Subjects Ana Mursyida; Reni Hendrarati Masduchi; Imam Subadi
Surabaya Physical Medicine and Rehabilitation Journal Vol. 4 No. 1 (2022): SPMRJ, FEBRUARY 2022
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v4i1.25119

Abstract

Background: Stroke is the main causes of upper extremity weakness that may affect physicalindependency resulting in long-term disability. Previous studies showed that A-tDCS can improve neurological damage. A-tDCS causes depolarization and inducesbrainsynapticplasticity in strokesubjects.Aim: To analyze the effect of Anodal-tDCS to the flexor digitorum superficialis muscles activities in stroke subjects.Material and Methods: This experimental study was conducted from April to September 2020. Eightpatients who suffered first attack ischemic stroke, aged 40 to 70 years old, were recruited from PMR out patient clinic at Dr.Soetomo General Hospital Surabaya. Subjects were randomized in to experimental and control group. The control group was given occupational therapy for 30 minutes, while the experimental group was given A-tDCS with intensity 2 mA for 20 minutes and occupational therapy for 30 minutes in 5 consecutive days. Measurement of FDS muscle activities using sEMG were performed before and after interventionin both groups. Results: There was an increase of FDS muscles activities after treatment incontrol group (p=0,048) while there was no similar result in treatment group (p=0,188). Thechangeofmuscles activities was notdifferent betweengroups(p=0,974).Conclusion: tDCS provides no significant benefit in terms of muscle activities in patients with stroke. Small number of samples and other several factors might limit the significancy of current study. Further study is needed to determine the benefit of A-tDCS as a rehabilitation modality in patient with stroke.
LATIHAN PLYOMETRIC DEPTH JUMP HIGH INTENSITY MENINGKATKAN WAKTU TEMPUH KECEPATAN DAN KELINCAHAN Dwinda Abi Permana; Imam Subadi; Purwo Sri Rejeki
Jurnal Segar Vol 8 No 2 (2020): Jurnal SEGAR, Volume 8 Nomor 2, Mei 2020
Publisher : Universitas Negeri Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (221.502 KB) | DOI: 10.21009/segar/0802.01

Abstract

Kecepatan dan kelincahan merupakan dua dari beberapa komponen biomotor yang sangat dibutuhkan pada cabang atletik. Penelitian ini bertujuan untuk mengetahui perbedaan waktu tempuh kecepatan dan kelincahan sebelum dan sesudah dilakukan latihan plyometric deep jump high intensity. Jenis penelitian yang dilakukan adalah penelitian eksperimen lapangan dengan one group rancomized pre test-post test design. Sepuluh sampel atlet dipilih dari populasi Pusat pendidikan latihan pelajar (PPLP) Jawa Timur secara random. Speed run 30 m dan agility Illinois test dipilih sebagai instrumen tes kecepatan dan kelincahan. Sampel berpartisipasi dalam penelitian tiga hari dalam seminggu selama enam minggu dan menyelesaikan 18 sesi pelatihan dengan frekuensi 3 sesi per minggu. Hasil paired t-test menunjukkan perbedaan yang signifikan pada peningkatan waktu tempuh kecepatan dan kelincahan (p<0,05). Disimpulkan dari penelitian ini bahwa latihan plyometric depth jump high intensity memperpendek waktu tempuh pada kecepatan dan kelincahan.