Indonesian Journal of Physical Medicine and Rehabilitation
https://indojournalpmr.org/IndoJPMR
Indonesia Journal of Physical Medicine and RehabilitationIndonesian Journal of Physical Medicine and Rehabilitationen-USIndonesian Journal of Physical Medicine and Rehabilitation2252-8199<div style="text-align: justify;"> <ul> <li class="show">The authors agree to transfer the transfer copyright of the article to Indonesian Journal of Physical Medicine and Rehabilitation effective if and when the paper is accepted for publication.</li> <li class="show">Legal formal aspect of journal publication accessibility refers to Creative Commons Attribution-NonCommercial (CC BY-NC), implies that publication can be used for non-commercial purposes.</li> <li class="show">Every publications (printed/electronic) are open access for educational purposes, research, and library. Other that the aims mentioned above, editorial board is not responsible for copyright violation.</li> </ul> </div> <div style="text-align: justify;"> </div> <div style="text-align: justify;"> <p align="justify"><a href="https://creativecommons.org/licenses/by-nc/4.0/"><img class="r48jcc pT0Scc iPVvYb" style="max-width: 1200px; width: 74px; height: 26px; margin: 0px;" src="https://upload.wikimedia.org/wikipedia/commons/thumb/d/d3/Cc_by-nc_icon.svg/1200px-Cc_by-nc_icon.svg.png" alt="Creative Commons NonCommercial license - Wikipedia" aria-hidden="false"></a><br><br><strong>Indonesian Journal of Physical Medicine and Rehabilitation</strong> is licensed under a <a href="https://creativecommons.org/licenses/by-nc/4.0/">https://creativecommons.org/licenses/by-nc/4.0/</a></p> </div>The Use of Ultrasonography in Improving The Success of Rehabilitation Process in ICU
https://indojournalpmr.org/IndoJPMR/article/view/454
<p>Complications of various degenerative and genetic diseases on physical fitness can occur directly and indirectly. Indirect causes are due to prolonged immobilization, leading to reduced functional capacity. Direct causes may involve diseases that result in decreased cardiac and pulmonary function. Prolonged ventilator use in the ICU might significantly reduce cardiopulmonary function and even high risk in ventilator weaning challenging for patients. One of the newest method to assess pulmonary function in the ICU is ultrasonography, which evaluates the diaphragmatic muscle function in ventilator-dependent patients. This method has been applied in several educational hospitals and hopefully might improve our capacity as physiatrist.</p> <p>Cardiorespiratory fitness is achieved through regular and continuous exercise. Cardiac and pulmonary rehabilitation is carried out from the acute phase to the community. Rehabilitation conducted in the ICU is a supportive and essential rehabilitation process. Why? Because the ICU rehabilitation stage can have a tremendous effect on improving weaning ventilation ability. Preservation and improvement of lung function and cardiopulmonary function allow patients to wean faster and increase their level of mobilization.</p>Evi Rachmawati
Copyright (c) 2024 Indonesian Journal of Physical Medicine and Rehabilitation
https://creativecommons.org/licenses/by-nc/4.0
2024-12-292024-12-2913210.36803/indojpmr.v13i2.454A Speech Delay in Children: Effects of Parents' Education Level and Risk Factors
https://indojournalpmr.org/IndoJPMR/article/view/411
<p><strong>ABSTRACT</strong></p> <p>Introduction : Speech delay is defined as when a child is difficult to understand compared to his or her age, or characterized by a pattern of speech error sounds that are inappropriate for children his age. Children with speech delays have a higher risk of experiencing social, emotional, behavioral, and cognitive problems in adulthood. Previous research has shown that between 2.3% and 19% of children aged 2-7 years are estimated to have speech delays. The purpose of this study was to look at the effect between parents' education level on speech delay in children and to analyze risk factors that may affect speech delay in children.</p> <p>Methods : The design of this study was cross sectional with a total of 95 children aged 2-7 years who came to the Medical Rehabilitation Installation, 51 children with speech delays and 44 children did not experience speech delays as controls.</p> <p>Results : The results of this study found that there was no statistical relationship between parents' education level and speech delays in children, both the father's education level p = 0.151 and the mother's education level p = 0.660. There was a statistically significant association between history of asphyxia (p = 0.023), comorbid presence (p = < 0.001), noise exposure (p = 0.047) and lack of stimulation (p = <0.001) on speech delay in children.</p> <p>Conclusion: is that there is no relationship between parents' education level and speech delays in children, influential medical factors are a history of asphyxia and the presence of comorbidities, while non-medical environmental factors that influence are noise exposure in the living environment and lack of stimulation in children.</p>Ika Rosdiana RosdianaTanti ajoe kesoemaHenny RioDinar Widanarti
Copyright (c) 2024 Indonesian Journal of Physical Medicine and Rehabilitation
https://creativecommons.org/licenses/by-nc/4.0
2024-12-302024-12-30132889910.36803/indojpmr.v13i2.411The Relationship between Achievement Age of Fine Motor and Language Skills in Children with Down Syndrome
https://indojournalpmr.org/IndoJPMR/article/view/402
<p>Introduction: Fine motor and language skills in children with Down Syndrome (DS) have important role in independence and social participation in daily life. The objective of this study is to know whether there is relationship between achievement age of fine motor and language skills in children with DS.</p> <p>Methods: This study was analytic observational study with cross sectional design. Subjects of this study was forty six children with DS, with the range of age 15-199 months. Examination had done after the informed consents were obtained from the parents. Milestones development, weight-age%, length-age%, head circumference-age% charts for DS were used to examined subjects.</p> <p>Results: There was significant relationship between achievement age of fine motor and language skills in children with DS (p< 0,05). There were no significant relationship between weight-age%, length-age%, head circumference-age% with achievement age of fine motor and language skills in children with DS (p>0,05).</p> <p>Conclusion: Fine motor skill stimulation was expected to improve language skill, and vice versa in children with DS.</p>Dewi Kusuma HartonoRetno SetianingNaela MunawarohHari Peni JuliantiSiswarniIka RosdianaNiken AstutiNovita FadliaAndi Sulistyo NugrohoSarah Jehan Suhastika
Copyright (c) 2024 Indonesian Journal of Physical Medicine and Rehabilitation
https://creativecommons.org/licenses/by-nc/4.0
2024-12-282024-12-2813210011410.36803/indojpmr.v13i2.402Validity and Reliability of the Indonesian Version of Anterior Knee Pain Scale in Measuring Functional Limitations of Army Soldiers with Anterior Knee Pain
https://indojournalpmr.org/IndoJPMR/article/view/413
<p><strong>Introduction:</strong> Anterior knee pain (AKP), also referred as patellofemoral pain, commonly affects physically active individuals. The underreporting of AKP in the military necessitates the need for reliable clinical outcome evaluation instruments, especially for military personnel. The Anterior Knee Pain Scale (AKPS) or Kujala Score is an instrument devised for assessing functional limitations in AKP sufferers. AKPS has been proven to be valid and reliable in Bahasa Indonesia for assessing functional limitations in patients with patellofemoral pain syndrome. This study aims to test the validity and reliability of the Indonesian version of AKPS in measuring functional limitations of Army soldiers suffering from AKP.</p> <p><strong>Methods: </strong>Cross-sectional study, validity assessment using Pearson correlation and reliability testing by assessing internal consistency and test-retest reliability. A total of 34 male soldiers with AKP who fulfilled the inclusion and exclusion criteria. Subjects provided informed consent, underwent history taking and physical examination, then completed the AKPS. Three day interval for test-retest.</p> <p><strong>Results: </strong>Correlation coefficient range: 0.423-0.779, overall Cronbach's alpha: 0.806, ICC: 0.993 at 95% confidence level, p<0.05.</p> <p><strong>Conclusion: </strong>The Indonesian version of the AKPS was valid and reliable for assessing functional limitations in Army soldiers with anterior knee pain.</p> <p><strong>Keywords:</strong> Kujala score, AKPS, patellofemoral pain.</p>Ricky Fakhrazi SusmexTirza Z TaminFitri AnestheritaDewi Friska
Copyright (c) 2024 Indonesian Journal of Physical Medicine and Rehabilitation
https://creativecommons.org/licenses/by-nc/4.0
2024-12-282024-12-2813211512810.36803/indojpmr.v13i2.413The Effect of Static Ergocycle on Cardiorespiratory Endurance in Early Ambulatory Duchenne Muscular Dystrophy Patient: A Case Report
https://indojournalpmr.org/IndoJPMR/article/view/419
<p>Duchenne muscular dystrophy (DMD) is a debilitating genetic disorder affecting approximately 1 in 3600-6000 live male births, resulting from mutations in the dystrophin gene. This case report describes a 5-year-old boy in the early ambulatory stage of DMD, presenting with characteristic symptoms such as difficulty to stand, muscle weakness, accidental falls, and impaired motor skills.</p> <p>The patient underwent a multidisciplinary approach involving medical and rehabilitative interventions to improve quality of life and delay disease progression. The rehabilitation program included physical activities, stretching exercises, and environmental optimization.</p> <p>The spirometry and 6-Minute Walk Test (6MWT) revealed restrictive lung patterns and reduced exercise capacity. The patient's adherence to corticosteroid treatment, ongoing monitoring, and comprehensive rehabilitation strategies are crucial for maintaining optimal muscle function, and enhancing overall QoL. Pulmonary function evaluation and management are also emphasized, given the common association of pulmonary complications with mortality in DMD.</p>Rizky Kusuma WardhaniFiona Lestari
Copyright (c) 2024 Indonesian Journal of Physical Medicine and Rehabilitation
https://creativecommons.org/licenses/by-nc/4.0
2024-12-282024-12-2813212913410.36803/indojpmr.v13i2.419Preoperative Inspiratory Muscle Training in Patients Undergoing Coronary Artery Bypass Graft Surgery: A Practical Guidance for Rehabilitation Physicians
https://indojournalpmr.org/IndoJPMR/article/view/407
<p><strong>Introduction: </strong>Coronary artery bypass graft (CABG) surgery increases the life expectancy of coronary artery disease patients, but the surgery itself causes postoperative pulmonary complications (PPC). PPC was associated with a decrease in respiratory muscle and lung function. Inspiratory muscle trainer (IMT) has been used in cardiac rehabilitation for post-CABG surgery patients. This review aimed at guiding clinical practitioners in preoperative IMT use.</p> <p><strong>Methods: </strong>Articles written in English were searched using PubMed, EBSCOhost, and Google Scholar databases without limitation of year of publication used relevant keywords. The inclusion criteria were participants undergoing CABG surgery in the pre-operative period and were given threshold IMT.</p> <p><strong>Result and Discussion: </strong>Preoperative IMT did not increase lung function, but it prevented a decrease in lung function postoperatively. The incidence of PPC was lower and the length of stay was shorter in patients who were given preoperative IMT compared to the control. Preoperative IMT also increased the strength and endurance of inspiratory muscles associated with decreased PPC.</p> <p><strong>Conclusion: </strong>Preoperative IMT given to patients undergoing CABG surgery has been proven to prevent PPC and increase respiratory muscle function. This review provides practical guidance for preoperative IMT administration to improve outcomes of patients undergoing CABG surgery.</p>Arnengsih Nazir
Copyright (c) 2024 Indonesian Journal of Physical Medicine and Rehabilitation
https://creativecommons.org/licenses/by-nc/4.0
2024-12-282024-12-2813213514910.36803/indojpmr.v13i2.407Rehabilitation Assessment and Intervention to Facilitate Return to Work in Coronary Artery Disease Patients: A Narrative Review
https://indojournalpmr.org/IndoJPMR/article/view/404
<p><strong>Introduction: </strong>Coronary artery disease (CAD), causes significant changes in a person's life and is often accompanied by complex emotional reactions which further cause a decrease in the ability to complete work responsibilities, lower wages, and increase the risk of early dismissal. Promoting a return to work (RTW) program after CAD will improve economic burdens and the quality of life. This review aimed to explore the RTW program in CAD patients focused on the impact of CAD on the patients’ ability to back to their previous work and rehabilitation management to fulfill RTW criteria.</p> <p><strong>Methods: </strong>Articles published in the last 10 years based on PubMed and Google Scholar databases were reviewed narratively. Keywords used were “coronary artery disease”, “ischemic heart disease”, “cardiovascular disease”, “cardiac rehabilitation”, “return to work”, and “return to vocational activity”.</p> <p><strong>Results: </strong>The impact of CAD on RTW includes a decrease in the ability to RTW and work performance as well as an increase in the risk of premature dismissal. Factors that influence the RTW ability in CAD patients are sociodemographic, psychosocial, cardiovascular risk, medical history, complications during hospitalization, and clinical characteristics. Efforts to facilitate this process involve a wide range of assessments and interventions. The RTW ability can be determined through objective assessment of cardiac function, including exercise capacity and left ventricular ejection fraction, the presence or absence of comorbidities, job satisfaction, and other assessments of general well-being. Interventions aimed at promoting RTW consist of an initial CR (phase II CR) and an extended CR program.</p> <p><strong>Conclusion: </strong>The rehabilitation assessments and interventions given to patients with CAD have shown good results for RTW rates and the quality of work.</p>Arnengsih NazirGabriela Anggraini
Copyright (c) 2024 Indonesian Journal of Physical Medicine and Rehabilitation
https://creativecommons.org/licenses/by-nc/4.0
2024-12-282024-12-2813215016410.36803/indojpmr.v13i2.404Rehabilitation Assessment of Post Intensive Care Syndrome
https://indojournalpmr.org/IndoJPMR/article/view/397
<p>The awareness of symptoms experienced after intensive care seems to have been extensively studied since the pandemic wave in 2019. The persistence or new occurrence of symptoms after intensive care is diagnosed as post-intensive care syndrome (PICS). The syndrome encloses multiple system disorders and therefore requires thorough utilization of assessment tools, which unfortunately have no standard clinical practice guidelines. Several subdomains that are crucial for assessment include physical, cognitive, and mental functions. Other aspects to be observed include quality of life, physical examination, and functional tests, particularly those related to reduced cardiorespiratory endurance. This review aimed to highlight the most notable list of tools to be used in the outpatient assessment setting of PICS. The feasibility was also tested in a recent workshop session for physical medicine and rehabilitation specialists, and it was possible to accomplish this in 30 min. Until a consensus is reached on the PICS assessment, it is strongly suggested that practitioners exercise these tools and use them in daily practice.</p>Kevin TriangtoPeggyDian Marta SariNury NusdwinuringtyasSiti Chandra Widjanantie
Copyright (c) 2024 Indonesian Journal of Physical Medicine and Rehabilitation
https://creativecommons.org/licenses/by-nc/4.0
2024-12-282024-12-2813216517410.36803/indojpmr.v13i2.397