Indonesian Journal of Physical Medicine & Rehabilitation http://indojournalpmr.org/IJPMR Indonesia Journal of Physical Medicine & Rehabilitation Indonesian Journal of Physical Medicine & Rehabilitation en-US Indonesian Journal of Physical Medicine & Rehabilitation 2252-8199 <div style="’text-align: justify;">Copyright<br><br>© 2013 Indonesian Journal of Physical Medicine and Rehabilitation. All rights reserved: no part of this publication may be reproduced, stored in a retrieval<br><br>system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise without prior permission.</div> Still Strugling with COVID-19 Pandemi http://indojournalpmr.org/IJPMR/article/view/265 <p><strong>S</strong>ince this issue on the COVID-19 pandemic started, the entire world is still in the middle of the crisis, although less intensely so than during the earlier period of tremendous lockdown. We have all been affected by the crisis in some way and have been forced to adapt. While it remains to be seen whether the markers of social experiences will become part of the “new normal,” one thing is certain for intellectual work: researchers will need to record and analyze how different societies have<br>been managed inability to respond to the COVID-19 problematics, to learn from one another and to pinpoint the working logics of various social formations.</p> Irma Ruslina Defi Copyright (c) 2021 Indonesian Journal of Physical Medicine & Rehabilitation http://indojournalpmr.org/IJPMR 2021-07-30 2021-07-30 9 2 1 1 10.36803/ijpmr.v9i2.265 The Effect of Low-Intensity Hairmyres Exercises on Six-Minute Walk Distance in Patients with Chronic Obstructive Pulmonary Disease: A Preliminary Study http://indojournalpmr.org/IJPMR/article/view/267 <p><strong>ABSTRACT<br></strong><br><strong>Introduction:</strong> Therapeutic exercise is the main rehabilitation program in patients with Chronic Obstructive Pulmonary Disease (COPD). Shortness of breath due to persistent obstruction causes disability in the form of decreased functional capacity. Hairmyers is an isolated group of exercise to recondition the limb muscles without weights. The purpose of this study was to assess the efficacy of low-intensity Hairmyres exercise in improving Six-Minute Walk Distance (6MWD).<br><br><strong>Methods:</strong> This is a pre-post interventional study held from January to April 2005. Hairmyres exercises were given to the patients (n=14) with moderate and severe COPD for eight weeks, five times a week with 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.<br><br><strong>Results:</strong> Compared to the beginning, the 6MWD increased by 27 meters at the end of the 4th week and 62.29 meters at the end of the program in moderate COPD patients, while the increase in severe COPD<br>patients were 39.71 and 76 meters, respectively. There was a significant difference (p &lt;0.05) between the first and the last measurement in both groups. This difference also surpassed the minimal clinically<br>important difference (MCID) of 6MWD.<br><br><strong>Keywords:</strong> COPD, Hairmyers, Low-Intensity Exercise, 6MWD</p> Nury Nusdwinuringtyas Nusdwinuringtyas Johan Talesu Anita Ratnawati Sabarinah B. Prasetyo B. Prasetyo Copyright (c) 2021 Indonesian Journal of Physical Medicine & Rehabilitation http://indojournalpmr.org/IJPMR 2021-07-30 2021-07-30 9 2 1 10 10.36803/ijpmr.v9i2.267 Physical Fitness Profile of Wheelchair-Bound Soldier: A Preliminary Study to Propose a New Standard for Disabled Soldier http://indojournalpmr.org/IJPMR/article/view/268 <p><strong>ABSTRACT<br></strong><br><strong>Introduction:</strong> 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?<br><br><strong>Methods:</strong> 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-minute<br>run 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;<br>Independent T-test.<br><br><strong>Results:</strong> 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.<br><br><strong>Conclusion:</strong> 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.<br><strong>Keywords:</strong> disabled persons, exercise test, physical fitness, VO2Max</p> Endang Ernandini Trevino A. Pakasi Copyright (c) 2020 Indonesian Journal Of Physical Medicine & Rehabilitation http://indojournalpmr.org/IJPMR 2021-07-30 2021-07-30 9 2 11 18 10.36803/ijpmr.v9i2.268 Effect of Inspiratory Muscle Training on Anxiety and Depression in Patient with COPD that Received Pursed Lip Breathing http://indojournalpmr.org/IJPMR/article/view/269 <p><strong>ABSTRACT<br></strong><br><strong>Introduction:</strong> The presence of anxiety and depression in patients with Chronic Obstructive Pulmonary Disease (COPD) is often associated with greater disability, higher rates of exacerbations, increased<br>hospitalization and mortality. Many types of breathing exercises, such as Pursed Lips Breathing (PLB), Diaphragmatic Breathing (DBE), Respiratory Muscle Training (RMT), have been reported positive<br>physiological effects to reduces breathlessness, anxiety and depression in patients with COPD. This study aims to determine the effect in anxiety and depression after intervention of Inspiratory Muscle<br>Training (IMT) in COPD patients that received PLB.<br><br><strong>Methods:</strong> An experimental pre and post randomly study design, in August – September 2019. Control group and experimental group each performed PLB exercises while the experimental group got additional<br>IMT. To evaluate anxiety and depression status, Hospital Anxiety and Depression Scale (HADS) was used.<br><br><strong>Results:</strong> Twenty subjects with COPD were recruited, no significant differences of HADS score between both groups. After 6 weeks of intervention, the HADS score in each group decreased significantly, with<br>delta of HADS score in experimental group was greater than the control group (p&lt;0.05).<br><br><strong>Conclusion:</strong> Improvement of HADS scores after additional IMT was better than PLB only in COPD patients.<br><strong>Keywords:</strong> chronic obstructive pulmonary disease; hospital anxiety and depression scale; inspiratory muscle training; pursed lips breathing.<br><br></p> Yeanita Rahmi Isma AP Copyright (c) 2021 Indonesian Journal of Physical Medicine & Rehabilitation http://indojournalpmr.org/IJPMR 2021-07-30 2021-07-30 9 2 19 26 10.36803/ijpmr.v9i2.269 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 http://indojournalpmr.org/IJPMR/article/view/270 <p><strong>ABSTRACT</strong><br><strong>Introduction:</strong> To determine the effect of adding elastic taping to conventional rehabilitation therapy on the improvement of shoulder pain and motor function of the upper limbs in patients with subacute stroke<br>with shoulder subluxation.<br><br><strong>Methods:</strong> Research subjects who met the inclusion criteria were recruited from medical rehabilitation clinic in RSUD Dr, Soetomo. The total research subjects were 20 people (10 in treatment group and 10 in<br>control group). The parameters were Visual Analoque Scale (VAS) for assessing shoulder pain and Fugl Meyer Assessment (FMA) for assessing motor function in the upper limbs.<br><br><strong>Results:</strong> 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 (p value = 0.04), there were no significant difference in FMA in the control group (p value = 0.06). There was no significant difference in changes of VAS (p value = 0.23) and FMA (p value = 0.32) between the treatment and control groups before and after therapy for 3 weeks.<br><strong>Conclusion:</strong> The treatment group and the control group gave the same results on improvement of shoulder pain and motor function of the upper limbs before and after therapy for 3 weeks. There was an improvement in motor function of the upper limbs in the treatment group and there was no improvement in motor function of the upper limbs in the control group befor e and after therapy for 3 weeks.<br><strong>Keywords:</strong> conventional rehabilitation therapy, elastic taping, Fugl Meyer Assessment (FMA), Glenohumeral subluxation (GHS), Hemiplegic shoulder pain (HSP), Visual Analoque Scale (VAS).</p> Bimo Sutomo Subagyo Martha Kurnia Kusumawardani Copyright (c) 2021 Indonesian Journal of Physical Medicine & Rehabilitation http://indojournalpmr.org/IJPMR 2021-07-30 2021-07-30 9 2 27 44 10.36803/ijpmr.v9i2.270 Monitored Home-based Exercise Rehabilitation for Patient with Chronic Respiratory and Cardiovascular Diseases During Covid-19 Pandemic: A Case Report http://indojournalpmr.org/IJPMR/article/view/271 <p><strong>ABSTRACT</strong><br><strong>Introduction:</strong> In patients with Chronic Obstructive Pulmonary Disease (COPD), due to shared-risk factors, concomitant chronic cardiovascular diseases include Congestive Heart Failure (CHF) are common and resulting in increase overall morbidity and mortality.<br><br><strong>Case Report:</strong> A female patient, 52 years, came for pulmonary rehabilitation 2 weeks after hospitalization due 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 limited chest expansion. Functional assessment showed disability in self-care, instrumental activities of daily living (ADL), deconditioning, depression, and anxiety. Supporting examination confirmed very severe restriction and obstruction, bronchopneumonia, cardiomegaly, and pulmonary hypertension. Rehabilitation problems include cardiorespiratory, ADL, and psychological problems. The Covid-19 pandemic causing prohibition of supervised cardiorespiratory rehabilitation. Home-based exercise program was given for 5 months. Monitoring was done via video call before and after each exercise and through 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.<br><br><strong>Conclusion:</strong> 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.<br><br><strong>Keywords:</strong> chronic obstructive pulmonary disease, congestive heart failure, covid-19 pandemic, homebased exercise, rehabilitation<br><br></p> Arnengsih Nazir Marina Annette Moeliono Copyright (c) 2021 Indonesian Journal of Physical Medicine & Rehabilitation 2021-07-30 2021-07-30 9 2 45 55 10.36803/ijpmr.v9i2.271 Postural Dysfunction in Stroke Rehabilitation http://indojournalpmr.org/IJPMR/article/view/272 <p><strong>ABSTRACT<br></strong><br><strong>Introduction:</strong> Trunk control ia a major part of postural control during human movement. This are commonly affected in stroke but mostly are being overlooked compared to limb impairment. This<br>article objective is to review the current literature on postural dysfunction after stroke and rehabilitation principles implementation.<br><br><strong>Method:</strong> Literature or data sources comprised through computer-aided search of published papers with the key words of stroke or cerebrovascular accident, normal and pathological postural control, core<br>stabilization exercise and trunk rehabilitation.<br><br><strong>Result:</strong> Thirty five papers were selected and were published from 2010-2 020.<br><br><strong>Conclusion:</strong> The abdominal muscles are held responsible to form a muscular c orset at the lumbar spine as proximal stabilization during any purposeful task. In stroke patients, the recruitment of postural<br>control muscles is delayed with regard to the limbs activations. This will hamper the activities of daily living by disrupting the human postural adjustment mechanisms. The rehabilitation processes to regain<br>postural control are vital, and should involve exercises to imp rove trunk “core” muscle stability.<br><br><strong>Keywords:</strong> core stabilization, exercise, postural control, rehabilitation, stroke<br><br>Department of Physical Medicine and Rehabilitation, Hasan Sadikin General Hospital<br>Faculty of Medicine, Padjadjaran University, Bandung, Indonesia</p> Novitri Sumardi Copyright (c) 2021 Indonesian Journal of Physical Medicine & Rehabilitation http://indojournalpmr.org/IJPMR 2021-07-30 2021-07-30 9 2 56 67 10.36803/ijpmr.v9i2.272