Indonesian Journal of Physical Medicine & Rehabilitation Indonesia Journal of Physical Medicine & Rehabilitation en-US <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> (Dr.dr. Maria Regina Rachmawati,SpKFR) (Budi santoso,S.Kom) Mon, 27 Jan 2020 04:53:39 +0000 OJS 60 Medical Rehabilitation and National Health Insurance Era in Indonesia <p>Rehabilitation has become one of the keys to health strategy for the 21st Century. Demographic and epidemiological shifting trends to the rise in life expectancy and the growing number of chronic noncommunicable<br>diseases are creating rehabilitation needs. However, the capacity to provide rehabilitation is still limited or non-existent and fails to adequately address the needs of the population. In 2017 WHO<br>has made a strategy to scale up rehabilitation for greater awareness and advocacy, also increase investment into rehabilitation workforce and infrastructure known as Rehabilitation 2030: A Call for Action. Therefore<br>countries are called to coordinate and concert global action towards strengthening rehabilitation in health systems, including in Indonesia.<br><br></p> Anshory Sahlan Copyright (c) 2019 Tue, 28 Jan 2020 00:00:00 +0000 Association between Self Reported Questionnaire-determined Physical Activity Level with the Cardiorespiratory Fitness in Adolescent <p><strong>Introduction:</strong> Cardiorespiratory fitness (CRF) and physical activity (PA) in childhood can reduce the risk of cardiovascular diseases in adults. Further analysis related to the relationship between PA and CRF<br>to prevent an inactive lifestyle is needed<br><strong>Methods:</strong> An analytic cross-sectional design in adolescents aged 13-15 years old, who had no cardiovascular and metabolic diseases, with light or medium physical activity, no deformity in the<br>lower limbs and posture disorders. Cardiorespiratory fitness was assessed by the indirect method Bruce Protocol in the Faculty of Sport and Health Education’s library, The University of Pendidikan Indonesia<br>on September-October 2019. Physical activity was measure by the Physical Activity Questionnaire for Adolescent (PAQ-A).<br><strong>Results:</strong> Subjects consisted of 82 adolescents (41 boys, 41 girls), aged 13-15 years old with the Body mass index (BMI) was 18.5-29 kg/m2. The mean value of predicted VO2max (Bruce) for boys and girls<br>were 46.66 ± 8.765 and 40.06 ± 6.210 ml/kg2, while the value of predicted PAQ-A score for boys and girls were 2.54±0.756 and 2.16±0.416. The correlation between PAQ-A and VO2max in boys and girls<br>were r=0,190, p=0,234 and r=0.420; p=0.006.<br><strong>Conclusion:</strong> There was a moderate association between PAQ-A with VO2max in girls.<br><strong>Keywords:</strong> Cardiorespiratory fitness, Physical activity questionnaire, VO2max.</p> Chandrawati Gultom, Irma Ruslina Defi, Ellyana Sungkar Copyright (c) 2019 Tue, 28 Jan 2020 00:00:00 +0000 Correlation Between Gender and Knowledge, with Practice and Referral Rate of Continuum Rehabilitation Cases by General Practitioners <p><strong>Introduction:</strong> Indonesian Health Ministry had a strategy to make the primary care, including rhabilitation program by continuum of care. The purpose of this study was to determine factors related to the level<br>of knowledge, practice, and referral for continuum care cases that required rehabilitation services in Primary Health Care Doctors.<br><strong>Methods:</strong> The study design was cross-sectional. Participants were 23 Primary Health Care Doctors in Wonosobo District. Data collection was conducted in December 2017. The independent variables<br>consist of gender, length of work, employment status, while the dependent variables were the level of knowledge, practice and referral cases of maternal, infants and toddlers, adolescents, adults and elderly.<br>The measuring instrument was a questionnaire. Data were tested with chi-square, significance level &lt;0.05.<br><strong>Results:</strong> Gender has correlation with the level of knowledge in maternal cases (PR = 0.121, 95% CI = 0.017-0.087, p = 0.026). Gender has correlation to the level of practice in maternal case (PR = 0.121,<br>95% CI = 0.017-0.867, p = 0.026). Employment status has correlation to the referral rate of elderly cases<br>(PR = 10.500, 95% CI = 1.015-108.577, p = 0.029).<br><strong>Conclusion:</strong> Gender has correlation with the level of knowledge and practice of maternal cases. Employment status has correlation with the level of referral rate of elderly cases.<br><strong>Keywords:</strong> Primary care doctors, Knowledge, Referral, Continuum Rehabilitation</p> Hari Hari Peni Julianti, Angela BM Tulaar BM Tulaar, Tirza Z Tamin, Tanti Ajoe Kesoema,, Endang Ambarwati,, Sri Wahyudati Copyright (c) 2019 Tue, 28 Jan 2020 00:00:00 +0000 Rehabilitation Program for Transverse Myelitis <p><strong>Introduction:</strong> Transverse myelitis is a neurological disease involving inflammation or lesions on the spinal cord with rapid and progressive onset of symptomsMotor training, sensory stimulation, and<br>rehabilitation of autonomic functions are needed, to restore the function, reduce disability, and improve the quality of life.<br><strong>Case Presentation:</strong> A 34 years old male had weakness and loss of sensoric of lower limbs, accompanied by low back pain (LBP), chronic cough, and micturition dysfunction for 1 month ago, categorized by<br>ASIA impairment scale (AIS) D, level of injury at T6. The MRI of Thoracolumbal showed myelitis lession at 6th – 7th of thoracal, effusion at facet joint of L2-L5, and lumbal spondylosis. The rehabilitation<br>programs were active range of motion exercise with walking exercise (3 session/week, 30 minutes/session), Transcutaneous Electrical Nerve Stimulation (2-10 pps, 2 session/week, 20 minutes/session),<br>sensory stimulation (2 session/week, 20 minute/session), and bladder training for 3 weeks. After 16 days, there were lower limb’s strength improvement by Manual Muscle Testing (MMT) were average four at<br>level L2-S1, sensory improvement to T9-10, LBP was reduced, and normal micturition. After 3 weeks, lower limb strength improved to 55445/55445 at level L2-S1. Pat ient able to walk without assisted.<br><strong>Conclusion:</strong> Muscle strengthening, sensory simulation and bladder training, combined with pharmacological treatment, improved motor, sensory and autonomic function in Transverse Myelitis<br>patient<br><strong>Keywords:</strong> Motoric training, sensory stimulation, bladder training, Transcutaneous electrical nerve stimulation, transverse myelitis<br><br></p> John Hartono, Tanti Ajoe Kesoema, Robby Tjandra Kartadinata Copyright (c) 2019 Tue, 28 Jan 2020 00:00:00 +0000 Improvement of Physical Performance and Quality of Life After Rehabilitation Program for Total Knee Replacement in Geriatric Patient <p><strong>Introduction:</strong> Early medical rehabilitation after Total Knee Replacement (TKR) was necessary to optimize healing process and reduce pain postoperative that can restrain patients’ activity.<br><strong>Case Presentation:</strong> A 66-years-old women had right TKR due to osteoarthritis genu dextra with chronic pain. Patient has muscle weakness on affected leg, and still not able to walk. Medical Rehabilitation<br>(MR) program started one day after surgery for 4 weeks. After 4 weeks of MR program, patient had mild pain, and can walk for 100 m. Pain intensity by visual analogue scale (VAS) reduced from 7/10 to<br>2/10, knee flexion increased from 70° to120°, right quadriceps muscle strength increased from 4 to 5 by manual muscle test (MMT), time to do physical performance by time up and go (TUG) was reduced from<br>15 to 12.8 sc, activity daily living (ADL) by Barthel Index sco re increased from 4 to 8.<br><strong>Conclusion:</strong> Four weeks Rehabilitation Medicine program in geriatric patient with post Right TKR for 4 weeks, effective to improved muscle strength, balance, and ADL.<br><strong>Keywords:</strong> Medical rehabilitation, total knee replacement, geriatric, physical performance, quality of life</p> Andi Dala Intan, Juan Suseno Copyright (c) 2019 Tue, 28 Jan 2020 00:00:00 +0000 Pulmonary Rehabilitation for Chronic Obstructive Pulmonary Disease in Natural Disaster Setting <p><strong>Introduction:</strong> The frequency of natural disaster in Indonesia has increased recently, while there were still less capacity to overcome the respiratory problem as an impact of disaster. Subjects who have<br>chronic obstructive pulmonary disease (COPD) need to have more attention in dealing with disaster setting.<br><strong>Methods:</strong> Literature reviews from the last ten years to find the data of the respiratory-related disease on disaster setting, which need pulmonary rehabilitation.<br><strong>Discussion:</strong> Subjects with COPD can get worse aftermath of natural disasters. The number of COPD exacerbation aftermath disaster was increased 1.5 fold. Pulmonary rehabilitation by trained patient for<br>the self-management of the symptoms was effective to reduce complication, increase the function and social integration.<br><strong>Conclusion:</strong> Pulmonary rehabilitation by optimizing community based training for self-management was effective as preparedness for COPD patients in natural disasters.<br><strong>Keywords:</strong> Chronic Obstructive Pulmonary Disease (COPD), Community based training, Natural Disaster, Pulmonary Rehabilitation</p> Siti Chandra Widjanantie Copyright (c) 2019 Tue, 28 Jan 2020 00:00:00 +0000