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Jl. Betok I No.37, RW 6, Jati, Kec. Pulo Gadung, Kota Jakarta Timur, Daerah Khusus Ibukota Jakarta 13220
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INDONESIA
Indonesia Journal of Physical Medicine and Rehabilitation
Published by PB PERDOSRI
ISSN : 22528199     EISSN : 26217678     DOI : https://doi.org/10.36803/ijpmr.v10i02
Core Subject : Science,
Indonesian Journal of Physical Medicine and Rehabilitation publishes peer reviewed original articles, literature review and case report. This journal is published two times a year with 6 articles. Subjects suitable for publication include but are not limited to the following fields of Acute and chronic musculoskeletal disorders and pain, Neurologic conditions involving the central and peripheral nervous system, Rehabilitation of impairments associated with disabilities in adults and children neurophysiology and electrodiagnosis. Emphasizes principles of injury function and rehabilitation rehabilitation services which is orthotics or prosthetics exercise exercise for physiotherapy also referred to as physical therapy concerned with diagnosing and treating physical dysfunction of movement and occupational therapy help to solve the problems that interfere with a persons ability
Articles 141 Documents
Moderate Intensity Physical Exercise Decreases Gastrocnemius Caspase-3 Expression on Mus musculus with Statin Treatment Junita Jeanne Paliman; Ratna Darjanti Haryadi; Rwahita Satyawati Darmanta; Willy Sandhika; Martha Kurnia Kusumawardani
Indonesian Journal of Physical Medicine & Rehabilitation Vol 10 No 01 (2021): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1685.19 KB) | DOI: 10.36803/ijpmr.v10i1.281

Abstract

ABSTRACTIntroduction: Dyslipidemia is a lipid metabolism abnormality marked by increase or decrease of lipid fraction in the plasma. Statin or 3-Hydroxy-3-Methylglutaryl coenzyme A (HMG-CoA) reductase inhibitor is an important dyslipidemia medication that may induce apoptosis of the skeletal muscle.Decrease of Bcl-2 and Bax ratio causing caspase-9 activation followed by caspase-3 activation occur in apoptosis. Moderate intensity physical exercise (MIPE) decreases DNA fragmentation, increases Bcl-2 protein level and decreases Bax transcript level.Methods: Thirty healthy BALB/C strain Mus musculus divided into 3 groups: first intervention group with statin only treatment (S), second intervention group with statin treatment plus MIPE using motorized treadmill (ST), and control (C) group with no statin and nor exercise. The duration of treatmentwas 28 days. Statin treatment dose was 2.06mg/kg bodyweight. Measurement caspase-3 was done by immunohistochemistry evaluation and the expression of capase-3 was calculated by cells count which expressing caspase-3.Results: There were more muscle cells expressing caspase-3 in the S group (47.00±12.92cells) than the C group (2.70±1.94 cells); p=0.000, the ST group (21.44±10.13 cells) than the C group (p=0.001), as well as S group and the ST group (p=0.000).Conclusion: Moderate intensity physical exercise can decrease caspase-3 expression in statin treated subject.Keywords: apoptosis, caspase-3, dyslipidemia, moderate intensity physical exercise, statin.
Diagnostic Approach in Isolated Bulbar Amyotrophic Lateral Sclerosis: A Case Report Nunung Nugroho; Albert Setiawan
Indonesian Journal of Physical Medicine & Rehabilitation Vol 10 No 01 (2021): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1828.101 KB) | DOI: 10.36803/ijpmr.v10i1.282

Abstract

ABSTRACTIntroduction: Amyotrophic lateral sclerosis (ALS) is the most common motor neuron disease. Based on the clinical manifestation, it is divided into spinal form and bulbar form. Bulbar form ALS is divided into two, progressive bulbar and isolated bulbar ALS (IBALS). Patients are diagnosed with IBALS whensymptoms are isolated in the bulbar region for at least six months. The prevalence of IBALS represents only 4% of the neuron disease.Objective: To provide the diagnostic approach of IBALS case based on the clinical signs and symptoms, physical examination, laboratory and radiology findings, electromyography, and fiber optic laryngoscopy examination.Case: A 64-year-old woman presented with slurred speech, the symptoms appeared 2 years ago. Within the last 6 months, the symptoms deteriorated, the patient was unable to speak, and had major difficulty in swallowing food and drinks. The functional status impairment was limited in the bulbar region.Laboratory and radiology findings did not lead to any certain disease. Electromyography and fiber optic laryngoscopy results suggesting a motor neuron disease.Conclusion: It is important to diagnose ALS patients to determine the treatment, progressivity, and prognosis of the disease.Keywords: amyotrophic lateral sclerosis, bulbar form, diagnosis
The Effect of Yap Taz on Flexibility Exercise in Patient With Idiopathic Scoliosis Adelia Safira; Yenni Limyati; Grace Puspasari
Indonesian Journal of Physical Medicine & Rehabilitation Vol 10 No 01 (2021): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1536.847 KB) | DOI: 10.36803/ijpmr.v10i1.283

Abstract

ABSTRACTDuring the outbreak of Covid-19, the policy of working from home for employees and studying from home for students create a new problem. Employees and students mostly have to sit for long periods of time. This can affect body posture leading to lower back pain. Scoliosis is a postural disorder consistingof lateral curvature and rotation of the vertebrae. The etiology of idiopathic scoliosis remains unknown, and still present as theoretical hypothesis’s experts. One of non-surgical treatment that has been used for mild to moderate scoliosis is flexibility exercises. Flexibility exercises have been reported to reducethe degree of curvature in idiopathic scoliosis through the muscle hypertrophy mechanism. Muscle hypetrophy is regulated by Yes-associated protein (Yap) and transcriptional co-activator with PDZbinding motif protein (Taz) through three pathways, such as Hippo pathway signal, mechanosensorresponse, and mTOR signaling. The aim of this review is to examine more deeply the effect of Yap Taz protein on flexibility exercises in idiopathic scoliosis patien ts.Keywords: flexibility, hypertrophy, scoliosis, Taz, Yap.
Disability in post Covid-19 Era Ellyana Sungkar
Indonesian Journal of Physical Medicine & Rehabilitation Vol 10 No 02 (2021): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36803/ijpmr.v10i02.294

Abstract

Disability is an impaired condition in physical, mental, cognitive, or developmental aspect that interfereswith, or limits a person’s ability to engage in certain tasks or actions or participate in activities dailyliving and interactions. Based on International Classification Functional Perception, an interactionbetween individuals with a health condition, such as cerebral palsy, spina bifida, neuromusculardisease etc with personal and environmental factors will result in a disability condition including,limited social support and education, inaccessible transportati on as well.
Still Strugling with COVID-19 Pandemi Irma Ruslina Defi
Indonesian Journal of Physical Medicine & Rehabilitation Vol 9 No 02 (2020): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36803/ijpmr.v9i2.295

Abstract

Since this issue on the COVID-19 pandemic started, the entire world is still in the middle of thecrisis, although less intensely so than during the earlier period of tremendous lockdown. We haveall been affected by the crisis in some way and have been forced to adapt. While it remains to beseen whether the markers of social experiences will become part of the “new normal,” one thing iscertain for intellectual work: researchers will need to record and analyze how different societies havebeen managed inability to respond to the COVID-19 problematics, to learn from one another and topinpoint the working logics of various social formations.
The Effect of Low-Intensity Hairmyres Exercises on Six-Minute Walk Distance in Patients with Chronic Obstructive Pulmonary Disease: A Preliminary Study Nury Nusdwinuringtyas; Johan Talesu; Anita Ratnawati; Sabarinah B. Prasetyo
Indonesian Journal of Physical Medicine & Rehabilitation Vol 9 No 02 (2020): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36803/ijpmr.v9i2.296

Abstract

ABSTRACTIntroduction: Therapeutic exercise is the main rehabilitation program in patients with ChronicObstructive Pulmonary Disease (COPD). Shortness of breath due to persistent obstruction causesdisability in the form of decreased functional capacity. Hairmyers is an isolated group of exercise torecondition the limb muscles without weights. The purpose of this study was to assess the efficacy oflow-intensity Hairmyres exercise in improving Six-Minute Walk Distance (6MWD).Methods: This is a pre-post interventional study held from January to April 2005. Hairmyres exerciseswere given to the patients (n=14) with moderate and severe COPD for eight weeks, five times a weekwith two exercises performed in front of the researcher. Six-Minute Walk Distance was measured before,at the end of the 4 th week, and after the exercise program.Results: Compared to the beginning, the 6MWD increased by 27 meters at the end of the 4th week and62.29 meters at the end of the program in moderate COPD patients, while the increase in severe COPDpatients were 39.71 and 76 meters, respectively. There was a significant difference (p <0.05) betweenthe first and the last measurement in both groups. This difference also surpassed the minimal clinicallyimportant difference (MCID) of 6MWD.Keywords: COPD, Hairmyers, Low-Intensity Exercise, 6MWD
Physical Fitness Profile of Wheelchair-Bound Soldier: A Preliminary Study Endang Ernandini; Trevino A. Pakasi
Indonesian Journal of Physical Medicine & Rehabilitation Vol 9 No 02 (2020): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36803/ijpmr.v9i2.297

Abstract

ABSTRACTIntroduction: The Regulation of the Ministry of Defense No. 106 of 2016 regulates the process ofwhether a disabled soldier should retire or continue their career. Some soldiers can continue afterundergoing a rehabilitation program and fitness test called Uji Kesamaptaan. Unfortunately, the currentscoring system in Uji Kesamaptaan only fits for normal soldiers. The purpose of this study was todescribe the profile of normal and disabled soldiers who underwent physical fitness tests. The equalityvalue “Kesamaptaan table” with the running test can be used to assess the ability for disabilities by usinga wheelchair test?Methods: This preliminary study used a cross-sectional method and involved 46 soldiers who weredivided into two groups, disabled (n=16) and normal (n=30). All participants underwent a 12-minuterun or wheel test in a 400-meter track, to record the distance covered according to their ability. VO2Maxassessed using the Cardio-Pulmonary Exercise Test (CPET). Results were analyze using SPSS program;Independent T-test.Results: No significant difference was observed in the characteristics (age, body weight, height, andmass index) between the two groups. The VO2Max difference between normal soldiers and disabledsoldiers was highly significant. The highest score among disabled and normal soldiers was 38 L/min/kgBW and 64 L/min/kg BW, respectively. Normal soldiers covered 465m farther in a 12-minute run test.Conclusion: Kesamaptaan, the current scoring system for soldiers, can be considered unfair for thedisabled soldiers. The scoring system only includes for 12-minutes running test. Differences in theinvolvement of muscles and muscle type, affecting energy use and oxygen consumption between the12-minute run test and wheelchair pedal test. Therefore, value conversion is required for disabledsoldiers.Keywords: disabled persons, exercise test, physical fitness, VO2Max
Effect of Inspiratory Muscle Training on Anxiety and Depression in Patient with COPD that Received Pursed Lip Breathing Yeanita; Rahmi Isma Asmara Putri
Indonesian Journal of Physical Medicine & Rehabilitation Vol 9 No 02 (2020): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36803/ijpmr.v9i2.298

Abstract

ABSTRACTIntroduction: The presence of anxiety and depression in patients with Chronic Obstructive PulmonaryDisease (COPD) is often associated with greater disability, higher rates of exacerbations, increasedhospitalization and mortality. Many types of breathing exercises, such as Pursed Lips Breathing (PLB),Diaphragmatic Breathing (DBE), Respiratory Muscle Training (RMT), have been reported positivephysiological effects to reduces breathlessness, anxiety and depression in patients with COPD. Thisstudy aims to determine the effect in anxiety and depression after intervention of Inspiratory MuscleTraining (IMT) in COPD patients that received PLB.Methods: An experimental pre and post randomly study design, in August – September 2019. Controlgroup and experimental group each performed PLB exercises while the experimental group got additionalIMT. To evaluate anxiety and depression status, Hospital Anxiety and Depression Scale (HADS) wasused.Results: Twenty subjects with COPD were recruited, no significant differences of HADS score betweenboth groups. After 6 weeks of intervention, the HADS score in each group decreased significantly, withdelta of HADS score in experimental group was greater than the control group (p<0.05).Conclusion: Improvement of HADS scores after additional IMT was better than PLB only in COPDpatients.Keywords: chronic obstructive pulmonary disease; hospital anxiety and depression scale; inspiratorymuscle training; pursed lips breathing.
Effects of Elastic Taping Application Added on Conventional Rehabilitation Therapy to Improve Shoulder Pain and Upper Extremity Motor Function on Subacute Phase Stroke Patients with Shoulder Subluxation Bimo Sutomo; Subagyo; Martha Kurnia Kusumawardani
Indonesian Journal of Physical Medicine & Rehabilitation Vol 9 No 02 (2020): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36803/ijpmr.v9i2.299

Abstract

ABSTRACTIntroduction: To determine the effect of adding elastic taping to conventional rehabilitation therapy onthe improvement of shoulder pain and motor function of the upper limbs in patients with subacute strokewith shoulder subluxation.Methods: Research subjects who met the inclusion criteria were recruited from medical rehabilitationclinic in RSUD Dr, Soetomo. The total research subjects were 20 people (10 in treatment group and 10 incontrol group). The parameters were Visual Analoque Scale (VAS) for assessing shoulder pain and FuglMeyer Assessment (FMA) for assessing motor function in the upper limb s.Results: There were significant differences before and after therapy for 3 weeks for VAS (p value = 0.00)in the treatment and control groups, there were significant differences in FMA in the treatment group (pvalue = 0.04), there were no significant difference in FMA in the control group (p value = 0.06). Therewas no significant difference in changes of VAS (p value = 0.23) and FMA (p value = 0.32) between thetreatment and control groups before and after therapy for 3 wee ks.Conclusion: The treatment group and the control group gave the same results on improvement ofshoulder pain and motor function of the upper limbs before and after therapy for 3 weeks. There was animprovement in motor function of the upper limbs in the treatment group and there was no improvementin motor function of the upper limbs in the control group befor e and after therapy for 3 weeks.Keywords: conventional rehabilitation therapy, elastic taping, Fugl Meyer Assessment (FMA),Glenohumeral subluxation (GHS), Hemiplegic shoulder pain (HSP), Visual Analoque Scale (VAS).
Monitored Home-based Exercise Rehabilitation for Patient with Chronic Respiratory and Cardiovascular Diseases During Covid-19 Pandemic: A Case Report Arnengsih Nazir; Marina Annette Moeliono
Indonesian Journal of Physical Medicine & Rehabilitation Vol 9 No 02 (2020): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36803/ijpmr.v9i2.300

Abstract

ABSTRACTIntroduction: In patients with Chronic Obstructive Pulmonary Disease (COPD), due to shared-riskfactors, concomitant chronic cardiovascular diseases include Congestive Heart Failure (CHF) arecommon and resulting in increase overall morbidity and mortalit y.Case Report: A female patient, 52 years, came for pulmonary rehabilitation 2 weeks after hospitalizationdue to acute exacerbation of COPD. One week before the exacerbation, she showed symptoms of CHF.Physical examination showed signs of right and left heart failure, oxygen desaturation, and limitedchest expansion. Functional assessment showed disability in self-care, instrumental activities ofdaily living (ADL), deconditioning, depression, and anxiety. Supporting examination confirmed verysevere restriction and obstruction, bronchopneumonia, cardiomegaly, and pulmonary hypertension.Rehabilitation problems include cardiorespiratory, ADL, and psychological problems. The Covid-19pandemic causing prohibition of supervised cardiorespiratory rehabilitation. Home-based exerciseprogram was given for 5 months. Monitoring was done via video call before and after each exercise andthrough analysis of exercise diary. Psychological counseling also given at the beginning of the program.Patient did all of prescribed exercises. At the end, symptoms decreased, patient can do ADL and hobbies,no exacerbation or exercise intolerance, patient does not look anxious and consents to leisure activities.Conclusion: Monitored-home based exercise programs can be used as safely alternative to hospitalbased,if done according to the prescription. However , monitoring by physician is mandatory.Keywords: chronic obstructive pulmonary disease, congestive heart failure, covid-19 pandemic, homebasedexercise, rehabilitation

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