Physical Fitness Profile of Wheelchair-Bound Soldier: A Preliminary Study to Propose a New Standard for Disabled Soldier

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Endang Ernandini
Trevino A. Pakasi

Abstract

ABSTRACTIntroduction: The Regulation of the Ministry of Defense No. 106 of 2016 regulates the process of whether a disabled soldier should retire or continue their career. Some soldiers can continue after undergoing a rehabilitation program and fitness test called Uji Kesamaptaan. Unfortunately, the current scoring system in Uji Kesamaptaan only fits for normal soldiers. The purpose of this study was to describe the profile of normal and disabled soldiers who underwent physical fitness tests. The equality value “Kesamaptaan table” with the running test can be used to assess the ability for disabilities by using a wheelchair test?Methods: This preliminary study used a cross-sectional method and involved 46 soldiers who were divided 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. VO2Max assessed 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, and mass index) between the two groups. The VO2Max difference between normal soldiers and disabled soldiers was highly significant. The highest score among disabled and normal soldiers was 38 L/min/kg BW 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 the disabled soldiers. The scoring system only includes for 12-minutes running test. Differences in the involvement of muscles and muscle type, affecting energy use and oxygen consumption between the 12-minute run test and wheelchair pedal test. Therefore, value conversion is required for disabled soldiers.Keywords: disabled persons, exercise test, physical fitness, VO2Max

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Original Article
Author Biographies

Endang Ernandini, Staff

The Ministry of Defense's Rehabilitation Center,South Jakarta, Indonesia.

Trevino A. Pakasi, Staff Medical

Department of Community Medicine, Faculty of Medicine Universitas Indonesia