cover
Contact Name
Martha Kurnia Kusumawardani
Contact Email
spmrj@journal.unair.ac.id
Phone
+6285649348098
Journal Mail Official
spmrj@journal.unair.ac.id
Editorial Address
Departemen Kedokteran Fisik dan Rehabilitasi FK UNAIR Jln. Prof. Dr. Moestopo no. 6-8 Surabaya
Location
Kota surabaya,
Jawa timur
INDONESIA
SURABAYA PHYSICAL MEDICINE AND REHABILITATION JOURNAL
Published by Universitas Airlangga
ISSN : -     EISSN : 26560895     DOI : https://doi.org/10.20473/spmrj.v2i1.16875
Core Subject : Health, Engineering,
Surabaya Physical Medicine and Rehabilitation Journal focused on both basic science and clinical study, with following topics: Neuromuscular rehabilitation Musculoskeletal rehabilitation Pediatric rehabilitation Cardiorespiratory rehabilitation Sport rehabilitation Geriatric rehabilitation This Journal also invites contributors from all associated disciplines.
Articles 15 Documents
IMMEDIATE EFFECT OF KINESIO TAPING APPLICATION ON JOINT PROPRIOCEPTION FUNCTION IN KNEE OSTEOARTHRITIS PATIENTS Narasinta, Inggar; Masduchi, Reni Hendrarati; Kurniawati, Patricia Maria
Surabaya Physical Medicine and Rehabilitation Journal Vol 1, No 1 (2019): SPMRJ, Februari 2019
Publisher : FK Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (292.736 KB) | DOI: 10.20473/spmrj.v1i1.16170

Abstract

Background: Osteoarthritis (OA) is the most common form of arthritis. Pathologic process of osteoarthritis are changes of joint structures and surrounding structures. Injury on articular structure cause mechanical disturbance and reduce joint sensation. Proprioception has an important role in joint stabilization through sensorimotor system. Decrease of proprioception lead to decrease of functional ability on OA patients. Kinesio taping (KT) is one option of therapy in musculoskeletal injury.  Kinesio taping can reduce pain and inflammation, facilitate muscle activity and stimulate mechanoreceptor. This study aimed to evaluate the effect of KT application on proprioception in knee OA patients.Method: This study was an experimental pre-post study. We measured the proprioception function of eight participants with knee OA (mean age 59,3 ± 6,22 years) before and 30 minutes after KT application. Joint position sense (JPS) and time to detect passive movement (TTDPM) using Cybex Isokinetic Dynamometer were used as proprioception function measurement. Technique of KT used was superior and inferior Y with 25% stretch.Result: All of JPS and TTDPM from 8 participants, before and 30 minutes after KT application, both on affected and unaffected sides, showed no significant difference (p>0.05).Conclusion: Kinesio taping with superior and inferior Y 25% stretch did not improve JPS and TTDPM in knee OA patients.
THE RELATIONSHIP BETWEEN QUADRICEPS MUSCLE ATROPHY AND PROPRIOCEPTION FUNCTION IN KNEE OSTEOARTHRITIS PATIENTS Susanti, Ayu; Wardhani, Rr. Indrayuni Lukitra; Pawana, I Putu Alit
Surabaya Physical Medicine and Rehabilitation Journal Vol 1, No 2 (2019): SPMRJ, Agustus 2019
Publisher : FK Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (605.421 KB) | DOI: 10.20473/spmrj.v1i2.16177

Abstract

Background: Osteoarthritis of the knee (OA) patients can experience impaired proprioceptive function which causes instability, balance disorder and limited activity. Further analysis is needed to detect changes that occur. There are two methods to evaluate the speed and angle of a particular motion as an analysis of the function of proprioception, Time to Detect Passive Movements (TTDPM) and Joint Position Sense (JPS).Aim: To analyze the relationship between quadriceps muscle atrophy with proprioception in knee osteoarthritis patients.Methods: The design of this research is cross sectional analysis done in Dr. Soetomo General Hospital Surabaya, Indonesia. There were 25 knee OA patients (2 men and 23 women) with each subject had proprioception (JPS and TTDPM) function measured using isokinetics dynamometer on both sides of the knee.Results: This study shows the atrophic side had greater pain intensity and greater disturbance of proprioception. In addition, there were significant differences in JPS measurements at  angle of 30?, and 60? and TTDPM (p <0.05). No difference obtained at 45? measurements angle.Conclusion: In this study, there was no association between quadriceps atrophy and function of proprioception in knee osteoarthritis patients. This was due to a number of confounding factors that cannot be controlled such as duration, difference in pain intensity, OA severity, physical activity before measurement, and fatigue which can affect proprioception function and bring misinterpretation on measurements.
EFFECT OF HIGH FREQUENCY TRANSCRANIAL MAGNETIC STIMULATION (TMS) ON EXTENSOR DIGITORUM COMMUNIS MUSCLE STRENGTH IN ISCHEMIC STROKE PATIENTS Juatmadja, Bastianus Alfian; Andriana, Meisy; Satyawati, Rwahita
Surabaya Physical Medicine and Rehabilitation Journal Vol 2, No 1 (2020): SPMRJ, Februari 2020
Publisher : FK Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (511.145 KB) | DOI: 10.20473/spmrj.v2i1.17014

Abstract

Abstract Background: Stroke may disrupt a patient?s motor function, consequently affecting the quality of life. A stroke surviving brain has the ability to repair itself through neuroplasticity mechanism. Transcranial Magnetic Stimulation (TMS) is a non-invasive device which can be used to stimulate the lesioned part of the brain in hope of triggering neuroplasticity.Aims: To find prove of the repetitive Transcranial Magnetic Stimulation (rTMS) effect on extensor digitorum communis muscle strength improvement in ischemic stroke patients.Methods: Subjects suitable with the inclusion criteria (N=18) were divided into two groups,  control group and intervention group. The control group underwent conventional therapy exclusively every day for 5 days in a row, while the intervention group underwent rTMS therapy and conventional therapy every day for 5 days in a row. Extensor digitorum communis muscle strength was measured using surface electromyography (sEMG) before and after treatment.Result: Significant increase of sEMG numbers were found on control group (p=0,003) and intervention group (p=0,001). The increase from the intervention group was not different when compared to the control group (p=0,067).Conclusion: TMS can increase extensor digitorum communis muscle strength but with no difference with a conventional therapy.
RHEUMATOID ARTHRITIS Wardani, Nurul Kusuma; Masduchi, Reni Hendrarati
Surabaya Physical Medicine and Rehabilitation Journal Vol 1, No 1 (2019): SPMRJ, Februari 2019
Publisher : FK Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (471.058 KB) | DOI: 10.20473/spmrj.v1i1.16169

Abstract

Rheumatoid arthritis (RA) is a chronic, systemic, inflammatory disorder that primarily affects small peripheral joints.  The average annual incidence of RA in the United States is 0.5 per 1000 persons per year. Female : male ratio of 3:1. Onset of the disease can occur at age ranging 20?60 years old. The precise cause of RA is unknown.Major theories mention it?s caused by environmental factors, genetic predisposition or immunogenic.Diagnosis of RA include morning stiffness at least one hour before maximal improvement, arthritis of three or more joints, arthritis of the hand joints, symmetric arthritis, rheumatoid nodules, positive serum rheumatoid factor and radiographic changes (hand and wrist). Rheumatoid arthritis is defined by the presence of four or more criteria and criteria 1 through 4 must be present for at least six weeks.A 44 year-old woman with pain and stiffness in her hand on and off since 10 years ago. She had difficulty doing her daily living activities (ADL) such as taking a bath and vocational activities such as cooking and washing clothes. On examination there were range of motion (ROM) limitation of the elbow, wrist and fingers, boutonnière deformity on left middle finger and right little finger. On X-ray examination we found erosion on finger joints.The rehabilitation program given were ROM exercises, gentle stretching exercises, finger splint and ADL modifications. We advised her to take the rheumatoid medication regularly (meloxicam, methylprednisolon and chloroquin), do exercises, wear the splint, and do the joint protection program. The goals of treatment were pain relief, maintenance of joint range of motion and mobility, further deformity prevent with joint motion modification therefore improving the quality of life.
MODERATE INTENSITY OF PHYSICAL EXERCISE INCREASED Î’ (BETA) CELL AND SIZE OF LANGERHANS ISLETS IN STREPTOZOTOCIN INDUCED DIABETES MELLITUS RATS Nurdin, Sarah M; Nugraheni, Nuniek; Wulan, Mei
Surabaya Physical Medicine and Rehabilitation Journal Vol 1, No 2 (2019): SPMRJ, Agustus 2019
Publisher : FK Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (535.769 KB) | DOI: 10.20473/spmrj.v1i2.16176

Abstract

Background: The death of ? cells Langerhans islets in Diabetes Mellitus (DM) can cause  loss of Langerhans islet function and worsen the progression of DM. Physical exercise plays a major part in DM treatment.Aim: to observe the effect of moderate intensity exercise to ? (beta) cell numbers and Langerhans islets area size in Streptozotocin (STZ) induced diabetes in rats.Methods: Thirty adult male Wistar rats (Rattusnorvegicus) divided into 3, Group 1 as the control, Group 2 received 35 mg/kg streptozotocin induction treatment, Group 3 received 35 mg/kg streptozotocin induction and physical exercise, swimming, with moderate intensity 70% from the swimming maximal ability, 9% of body weight load, 4 times a week for 4 weeks. Datas collected were in the form of histopathology slide of pancreatic tissue after receiving treatment for 28 days.Results: There are significant differences of ?-cell pancreas number between group K1 and K2 (p<0,001), group K2 and to K3 (p<0,001). No significant difference between group K1 and K3 (p=0,102). The Langerhans islets area sizes of pancreas tissue between group K1, K2, and K3 are significantly different (p<0,001).Conclusion: This study shows moderate-intensity physical exercise can increase the number of ? cell and average area size of Langerhans islets. The effect of physical exercise depends on the intensity of exercise and the capacity of pancreatic function left of the diabetic.
CORRELATION BETWEEN QUADRICEPS, HAMSTRING, TIBIALIS ANTERIOR, AND GASTROCNEMIUS MUSCLE ACTIVATION, WITH KNEE FLEXION ANGLE IN BASKETBALL ATHLETE WHILE PERFORMING DOUBLE-LEG LANDING TASK Utami, Ditaruni Asrina
Surabaya Physical Medicine and Rehabilitation Journal Vol 2, No 1 (2020): SPMRJ, Februari 2020
Publisher : FK Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (433.784 KB) | DOI: 10.20473/spmrj.v2i1.17051

Abstract

ABSTRACTBackground: Anterior cruciate ligament (ACL) injury cause great disability for athlete. Recent focus of ACL injury management is on prevention by identifying the risk factors. Most of basketball injury mechanism is non-contact, related to landing process with small knee flexion angle. Muscle activation and its ratio, which control movement pattern in sagittal plane, are said to play a role in dynamic movement such as landing.Aims: The purpose of this study is to analyze the correlation between muscles activation and their activation ratio of quadriceps, hamstring, tibialis anterior and gastrocnemius with knee flexion angle of basketball athlete while performing double-leg landing task.Material and methods: This study was an observational analytic, cross sectional study. Study subjects was basketball athletes age 16 ? 25 years in Surabaya. Measurements of knee flexion angle done with digital measurements of reflective marker, and muscle activation was measured with sEMG while performing double-leg landing task.Result: There was no significant correlation between maximum knee flexion angle and muscle activation of quadriceps (p=0,562), hamstring (p=0,918), tibialis anterior (p=0,394) and gastrocnemius (p=0,419). There was also no significant correlation between maximum knee flexion angle and the muscle activation ratio of quadriceps-hamstring (p=0,347), quadriceps-tibialis (p=0,139), quadriceps-gastrocnemius (p=0,626), hamstring-tibialis anterior (p=0,365), hamstring-gastrocnemius (p=0,867), and tibialis anterior-gastrocnemius (p=0,109).Conclusions: There was no correlation between muscle activation and muscle activation ratio of quadriceps, hamstring, tibialis anterior and gastrocnemius with maximum knee flexion angle in basketball athlete while performing double-leg landing task.
ELASTIC TAPING’S EFFECT ON EXERCISE CAPACITY IN RECREATIONAL RUNNER WITH INSPIRATORY MUSCLE TRAINING Asriningrum, Asriningrum; Poerwandari, Dewi; Andriati, Andriati; Soenarnatalina, Soenarnatalina
Surabaya Physical Medicine and Rehabilitation Journal Vol 1, No 1 (2019): SPMRJ, Februari 2019
Publisher : FK Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (714.96 KB) | DOI: 10.20473/spmrj.v1i1.16166

Abstract

Background: Running is a new trend of recreational sports in Indonesia. About 70% of recreational runners have difficulty in improving exercise capacity due to exercise-related transient abdominal pain (ETAP), caused by fatigue of the diaphragmatic muscles. Previous studies have shown that various training methods may increase diaphragmatic muscle strength and endurance, for example, inspiratory muscle training (IMT). Unfortunately, improvement of inspiratory muscle strength and endurance after exercise and IMT are still varies. Therefore, other methods are needed to optimize the effect of IMT. Application of the elastic taping on thoracic wall during exercise allows the inspiratory muscles to contract optimally which might improve functional capacity.Aim: To assess the effect of elastic taping on inspiratory muscle training using the pressure threshold IMT, in increasing the functional exercise capacity of recreational runners. Functional capacity was measured based on VO2max value, rating of perceived breathlessness (RPB) and rating of perceived exertion (RPE).Methods: an experimental study involved 14 nonsmoker recreational runners, ages 20-40 years, at Outpatient Clinic of Physical Medicine and Rehabilitation Department of Dr. Soetomo Hospital Surabaya. Subjects were divided into two groups (pressure threshold IMT with and without elastic taping groups), which were observed for four weeks. IMT was done five times a week, twice a day, with 30 repetitions, and 60% resistance 30 RM using Respironics®. Elastic taping Leukotape® was applied on the first until fifth day in each IMT sessions. The running exercises were done three times a week with EnMill® Treadmill ETB-03195 with a speed of 4.5 mph and 0% inclination. RBP, RPE and VO2max were measured using Borg Dyspneu scale, Borg Scale, and Bruce Treadmill Protocol test, respectively, before the first exercise and after 4 weeks of exercise.Results: There were an improvement of functional exercise capacity in both groups which were marked with a decline of RPB and RPE and increase of VO2max (p values < 0.05). However, there were no significant differences in the decrease of RPB and RPE and an increase of VO2max between groups (p values of were 0.31, 0.83, and 0.13, respectively). The effect of the elastic taping (r2 = 0.99) was not reflected in the differences of RPB, RPE and increasing VO2max.Conclusion: Inspiratory muscle training using pressure threshold IMT with or without the elastic taping for four weeks can improve exercise capacity of recreational runners.
DOES TREADMILL TRAINING IMPROVE BALANCE FUNCTION OF HEALTHY UNTRAINED YOUNG ADULT MALE? Theodora, Stephanie; Tinduh, Damayanti; Wardhani, Rr. Indrayuni Lukitra
Surabaya Physical Medicine and Rehabilitation Journal Vol 1, No 2 (2019): SPMRJ, Agustus 2019
Publisher : FK Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (312.29 KB) | DOI: 10.20473/spmrj.v1i2.16175

Abstract

Background: Number of falls increase among elders and young adults prior to any cause. Occult balance disorder may become one of the morbidity factors that causes fall in young adults and eventually elders. One leg stance test reflects static balance function that might show occult balance disorder in healthy population. Closed eyes crossed arms one leg stance (CECAOLS) used to eliminate balance factors such as visual and arms sways that can elevate limit of stability (LOS). Treadmill used as a dynamic balance exercise with inclination and speed level as its? component to challenge the balance function.Aim: to compare CECAOLS value in subjects with gradual increase of speed versus inclination in moderate intensity treadmill exercise.Methods: Nineteen healthy young adults male with sedentary lifestyle aged from 26 to 37 years old were recruited. Nine people in inclination group, ten people in speed group. Treadmill exercise with moderate intensity (70% maximal heart rate), exercise duration was 30 minutes (5 minutes warming up, 20 minutes core exercise, 5 minutes cooling down), 3 times/week, for 4 weeks. Measurement of CECAOLS value were done prior to first exercise and after completion of exercise in 4th week.Results: Significant increase of CECAOLS value at right leg inclination group with p=0.038. No significant increase of CECAOLS value in speed group (p>0.05).Conclusion: Moderate intensity treadmill exercise with gradual inclination increase 30 minutes duration, 3 times/week, for 4 week was proven to increase CECAOLS value in young adult healthy untrained male.
A SINGLE BOUT OF MODERATE INTENSITY EXERCISE IMPROVES CONCENTRATION LEVEL ON TEENAGERS Wijaya, Maharani Ayuputeri; Sulistiawaty, Nuniek Nugraheni; Wigati, Kristanti Wanito; Herawati, Lilik
Surabaya Physical Medicine and Rehabilitation Journal Vol 2, No 1 (2020): SPMRJ, Februari 2020
Publisher : FK Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (30.208 KB) | DOI: 10.20473/spmrj.v2i1.16875

Abstract

ABSTRACTBackground: Physical exercise has a lot of benefit for health. However, the effect of cognitive function such as concentration in teenagers has yet been known.Aims: The objective of this study was to analyze the effect of a single bout or acute moderate intensity physical exercise on the level of concentration in teenagers.Methods: The subjects of this study were 32 16-18 years old teenagers, divided into two groups, control (C) and exercise (E) groups. Each group consisted of 8 boys and 8 girls. The E group did a single bout of moderate exercise using ergocycle. Physical exercise duration was 15 minutes, preceded by 5 minutes of warming up and then followed by 5 minutes of cooling down exercise. The concentration level was measured using the response period to sound stimulation (in second), measured with reaction time machine pre- and post-treatment. Faster response showed better concentration level and vice versa. Data were analyzed using paired T test, Wilcoxon Signed Ranks Test, independent T test, and Mann-Whitney test. The significance level was 5%.Result: There were significant differences of concentration level between pre- and post-exercise in E group (p= 0.004) and post-exercise concentration level between groups (p = 0.01). Exercise group had faster reaction time than C group (0.555±0.2 vs. 0.793±0.3, respectively).Conclusion: A single bout of moderate intensity exercise can improve the cognitive function showed by increased concentration level in teenagers. 
THE EFFECT OF HAND EXERCISE ON GRIP STRENGTH, FOREARM CIRCUMFERENCE, DIAMETER OF VEIN, BLOOD FLOW VOLUME AND VELOCITY IN PATIENT WHO UNDERWENT ARTERIOVENOUS FISTULA SURGERY AND ON ROUTINE HAEMODIALYSIS Poetra, Jufri Febriyanto; Andriati, Andriati; Poerwandari, Dewi
Surabaya Physical Medicine and Rehabilitation Journal Vol 1, No 1 (2019): SPMRJ, Februari 2019
Publisher : FK Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (855.687 KB) | DOI: 10.20473/spmrj.v1i1.16165

Abstract

Background: The arteriovenous fistula (AVF) is considered the gold standard for haemodialysis access. The fistula needs time to be mature and functional. Maturation process respond to increases in blood flow. Exercise stimulates vascular response as such an increase of blood flow. Aims: The purpose of this study is to determine the effectiveness of hand exercise in increasing grip muscle performance, and its effectiveness in supporting maturation process of fistula.Methods: This experimental study done on 14 patients underwent AVF procedure and on routine haemodialysis. Randomly, 7 subjects allocated on intervention group by doing hand exercise using hand gripper (HG) for 5 weeks, and 7 subjects allocated as control group without introduction to hand gripper. Grip strength and forearm circumference were measured before and after 5 weeks of intervention. Cephalic vein diameter, blood flow volume and velocity were measured using Doppler USG on AVF arm. The comparison of intervention effects between groups treatment were analyzed based on effect size (ES).Results: Grip strength and forearm circumference increased significantly on intervention group before and after exercise intervention (p<.001, p=.001). Cephalic vein diameter and blood flow were increased significantly in this group (p=.027, p=.033). Blood flow velocity showed no difference before and after exercise intervention. Significant results were found on increased grip strength, forearm circumference, cephalic vein diameter and blood flow volume in comparison between treated group (p<.001; ES=.94, p<.001; ES=.4, p=.046; ES=.84, p=.035; ES=.53). There were no differences on cephalic vein blood flow velocity between these two groups.Conclusion: Five weeks hand exercise were effective to increase grip strength, forearm circumference, cephalic vein diameter and blood flow volume, nonetheless ineffective to increase cephalic vein blood flow velocity in post AVF procedure patients with routine haemodialysis.

Page 1 of 2 | Total Record : 15