Surabaya Physical Medicine and Rehabilitation Journal 2024-02-28T00:00:00+07:00 Martha Kurnia Kusumawardani Open Journal Systems <p><strong>Surabaya Physical Medicine and Rehabilitation Journal (SPMRJ) </strong>(<a href="" target="_blank" rel="noopener">e-ISSN: 2656-0895</a>) is a peer-reviewed journal which provides a forum for publishing the original research articles, case report articles, systematic review articles from contributors, and the novel technology news related to physical medicine and rehabilitation including physical medicine rehabilitation, pain, musculoskeletal disorder, neuroscience, pediatric, and geriatric. SPMRJ is published biannually in February and August.</p> <p>This journal has been indexed by a number of leading indexing institutions such as Google Scholar, Crossref, PKP INDEX, Publons, WorldCat, BASE, ISJD, Dimensions, Academia, Publons, ROAD, Academia, Scilit, Researchgate and Garuda. This journal has also been <strong>accredited by National Journal Accreditation (ARJUNA) managed by the Ministry of Research, Technology, and Higher Education, The Republic of Indonesia</strong> in the<strong> Fifth Grade of Sinta (Sinta 5) since Volume 1 Issue 1 February 2019 </strong>according to the decree <a href="" target="_blank" rel="noopener"><strong>No. 200/M/KPT/2020</strong></a>.</p> <p>The official language of the manuscript to be published in SPMRJ is English. All papers submitted to the journal should be written in good English. Authors for whom English is not their native language are encouraged to have their paper checked before submission for grammar and clarity. English language and copyediting services can be provided by International Science Editing and Asia Science Editing. The work should not have been published or submitted for publication elsewhere.</p> Home Based Cardiac Rehabilitation in Cardiovocal Syndrome 2024-01-15T19:48:17+07:00 Ida Ayu Wulan Kartika Dewi Manuaba Bagus Diva Indra Dharma Dedi Silakarma <p>Cardiovascular disease is one of the highest causes of death and disability in the world. Cardiac Rehabilitation has an important role in the management of patients with heart diseases. This article reported a Cardiac Rehabilitation for a 22-year-old male patient with Cardiovocal Syndrome, a rare condition characterized by heart failure accompanied by hoarseness. The Cardiac Rehabilitation in this case was a phase 2 Cardiac Rehabilitation that carried out as Home based Cardiac Rehabilitation. We performed the 6MWT for the patient to assess his physical endurance. After 3 months of Cardiac Rehabilitation program, patient has physical endurance was improved, his voice was back to normal and he was able to return to work.</p> 2024-02-29T00:00:00+07:00 Copyright (c) 2024 Ida Ayu Wulan Kartika Dewi Manuaba, Bagus Diva Indra Dharma, Dedi Silakarma The Effect of Therapeutic Exercise in Postural Low Back Pain: A Case Report 2023-07-26T11:04:37+07:00 Vivid Prety Anggraini Sheilla Elfira San Pambayun <p>Postural Low Back Pain (LBP) is a non-specific LBP defined as pain or discomfort in low back areas caused by incorrect posture for ages. Most patients only experience mild and moderate pain from LBP, however, it can cause chronic pain and disability for several groups. This case report aims to investigate the effect of therapeutic exercise on posture and pain in postural LBP.</p> <p>A 37-year-old male presented with LBP for 4 months. Physical examination showed impaired posture, wide base gait, limitation ROM of trunk, reduced breathing count test, muscle spasm at upper and lower back areas, positive in Thomas, Ely, and hamstring tightness test. The therapeutic exercise program consists of stretching exercises (neck, upper and lower back, hamstring, rectus femoris, iliopsoas muscle), core strengthening, William’s flexion, McKenzie’s, breathing and chest expansion exercise, alongside proprioceptive exercise. One cycle (eight times) of physical modalities, TENS at paralumbal and USD at paracervical, upper and middle trapezius, rhomboid, sternocleidomastoideus, paralumbal, and insertion of hamstring were given. We evaluated the patient’s condition for about 4 months, and the patient showed a good compliance with improvement in pain score, ROM of the trunk, reduced muscle spasm and tightness, improved posture, gait, breathing, and the Back Pain Functional Scale (BPFS). The patient can return to do his job again.</p> <p>This case report was able to demonstrate that therapeutic exercise improves clinical and functional conditions. These findings suggest the clinical implications of therapeutic exercise in patients with postural LBP are beneficial.</p> 2024-02-29T00:00:00+07:00 Copyright (c) 2024 Vivid Prety Anggraini, Sheilla Elfira San Pambayun Traditional Massage-Induced Iliotibial Band Syndrome: A Case Report 2023-05-26T13:35:29+07:00 Nunung Nugroho Bernadheta Ayu Andriani <p>Iliotibial Band (ITB) Syndrome is common among athletes, such as runners and cyclists. There are several theories regarding the etiology of &nbsp;ITB Syndrome, including friction, compression, and chronic inflammation. We report a rare case of ITB Syndrome induced by traditional massage after a history of chronic knee pain. A 63-year-old female visited our Pysical Medicine and Rehabilitation Department with the pain of the lateral side of the right knee for four months after traditional massage. The physical examination showed a positive Ober test and Noble compression test. We performed an ultrasonography on the lateral right knee and found fluid effusion beneath the ITB confirming the diagnosis of ITB Syndrome. A pain intervention was performed with ultrasound-guided aspiration and injection of steroid beneath the ITB. After the procedure and rehabilitation program of cryotherapy and ultrasound therapy, the pain was reduced greatly and there was no need for further management.</p> 2024-02-29T00:00:00+07:00 Copyright (c) 2024 Nunung Nugroho, Bernadheta Ayu Andriani Improving Quality of Life in Geriatric with Pain due to Scoliosis and Old Compression Fracture: A Case Report 2023-07-12T10:29:05+07:00 Easy Orient Dewantari Arini Putriheryanti <p>Scoliosis frequently causes problems in geriatrics, particularly pain. Pain that persists for a long time can result in a decreased quality of life and disability. Thus, pain management is needed in patients with scoliosis. We report the case of a 71-year-old man referred from the Neurology Department with pain due to scoliosis and an old compression fracture, making him incapable of walking, became dependent, and had a high risk of falling, thus resulting in a decreased quality of life. Physical examination revealed hyperkyphotic thoracal, tenderness and spasms on the paralumbar muscles, with no weakness in the extremities but decreased sensory function on both dorsum of the feet. The patient also had decreased chest expansion. The patient was conservatively managed. The goals of this treatment are to relieve pain, improve sensory function, and improve the quality of life. He underwent a staged rehabilitation program, starting from a combination of Transcutaneous Electrical Nerve Stimulation (TENS) and microwave diathermy, breathing, and core muscle strengthening exercises. After 10 weeks, there was an improvement in pain, risk of falls, chest expansion, and quality of life. Improving the quality of life of geriatric patients requires a multi-dimensional approach.&nbsp; Relieving pain, enhancing cardiorespiratory endurance and preventing falls were the main goals of this patient. Each exercise must be safe considering the patient’s age, health condition, and vertebral fractures. Family support is important to monitor and encourage patient during the program.</p> 2024-02-29T00:00:00+07:00 Copyright (c) 2024 Easy Orient Dewantari, Arini Putriheryanti The Effect of Virtual Reality Game Training on Improving Walking Speed and Dynamic Balance Function After Stroke 2023-11-14T11:00:13+07:00 Christopher Lampah <p><strong>Background: </strong>Stroke is a serious health condition that can cause physical and cognitive impairment, affecting a person's ability to perform daily activities. Important factor that affect the quality of life of stroke patients is the ability to mobilize, especially walking. Virtual Reality is expected to increase walking speed and dynamic balance which are important to improve patient mobility and independence.</p> <p><strong>Aim(s) : </strong>Analyse the effect of Virtual Reality (VR) game training using Xbox 360° and Kinect<sup>TM</sup> devices on post-stroke walking speed and balance</p> <p><strong>Material and methods: </strong>An experimental study involving 18 ischemic post-stroke patients at the Rehabilitation Installation of Prof. Dr. R. D. Kandou Hospital Manado (from June to July 2023). The intervention was a 30 minutes VR game exercises with three sessions per week (a total of 8 sessions for each subject). This subject was assessed using the 10-meter Walk Test (10 MWT) and the Berg Balance Scale (BBS).</p> <p><strong>Result: </strong>There were significant improvements in both walking speed and dynamic balance. Wilcoxon Signed Ranks test results on Walking Speed (10 MWT) obtained a value of Z = -3,754 with a value of (p = 0.000 &lt;0.05). Similar results were obtained in testing the dynamic balance function where the paired t test results were obtained at t = -14.750. The results indicate significant differences in the mean value of Subacute Post-Stroke BBS before and after training (p &lt; 0.05).&nbsp;</p> <p><strong>Conclusions: </strong>Virtual Reality (VR) game training using Xbox 360° and Kinect<sup>TM</sup> devices significantly increased walking speed and balance in post-stroke patients.</p> 2024-02-29T00:00:00+07:00 Copyright (c) 2024 Christopher Lampah Musculoskeletal Pain Description in Adolescence with Internet Addiction: Community Engagement in Senior High School 2023-09-13T08:52:29+07:00 Peggy Sunarjo Budiati Laksmitasari Fitri Anestherita Rizky Kusuma Wardhani Melinda Harini Steven Setiono Ibrahim Agung <p><strong>Background: </strong>Some bad postures resulting from bad habits that had lasted since childhood, especially posture while accessing internet using gadget, might lead to some complications in adolescence.</p> <p><strong>Aim: </strong>In this community engagement program, we tried to explore internet addiction and musculoskeletal pain proportions in some students.</p> <p><strong>Material and methods: </strong>This is a cross-sectional study conducted in a senior high school at Jonggol, West Java, in February 2023. Students were gathered to have an education class about good posture. Before the education session, we asked the students to explore whether they had internet addiction and musculoskeletal pain by filling out the Indonesian Internet Addiction Diagnostic Questionnaire and Cornell Musculoskeletal Discomfort Questionnaire.</p> <p><strong>Results: </strong>Thirty-nine students were involved in this study. As many as 19 (48.7%) students have an internet addiction. More than 50% of the addicted students often have moderate-severe pain in their neck, back and right wrist and reported that the pain interferes with their daily activities.</p> <p><strong>Conclusions: </strong>Almost half of students attending posture education class had internet addiction and musculoskeletal pain. A further study with a larger sample size needs to be conducted to show the correlation between internet addiction and musculoskeletal pain in adolescence and other factors that correlate with them.</p> 2024-02-29T00:00:00+07:00 Copyright (c) 2024 Peggy Sunarjo, Budiati Laksmitasari, Fitri Anestherita, Rizky Kusuma Wardhani, Melinda Harini, Steven Setiono, Ibrahim Agung Intensive Care Unit-Acquired Weakness (ICU-AW): A Practical Review of Rehabilitation Management 2023-07-07T17:03:01+07:00 Arnengsih Nazir <p>Intensive Care Unit-acquired Weakness (ICU-AW) is the most common neuromuscular disorder which affects the clinical course and outcomes of intensive care unit (ICU) patients. The incidence of ICU-AW is detected in 30-50% of patients and the incidence is even up to 67% in critically ill patients with sepsis. The difficulty of weaning from the ventilator, prolonged ICU stay, higher hospitalization costs, and increased long-term morbidity and mortality are associated with ICU-AW. ICU-AW causes skeletal muscle weakness including respiratory muscles, resulting in complications such as the difficulty of weaning from mechanical ventilation and prolonged ICU stay. Complications of ICU-AW can continue even a year after being discharged from the hospital. Rehabilitation management can be carried out as early as possible since the patients were still in the ICU. Early mobilization and physical activity in the ICU must be carried out with consideration of safety. Implementation of early mobilization and rehabilitation programs in the ICU improves outcomes of patients with ICU-AW and should be continued until the follow-up period.</p> 2024-02-29T00:00:00+07:00 Copyright (c) 2024 Arnengsih Nazir FACTORS PREDICTIVE OF THE LEVEL OF PHYSICAL ACTIVITY (PA) IN PATIENTS WITH GONARTHROSIS IN THE CITY OF OUAGADOUGOU (BURKINA FASO) 2023-11-13T13:15:47+07:00 Yirozounlomian TIAHO Tinni Ismael Ayouba Charles Sougue Gouzé-Wend Louis Tougma Fulgence Kabore Salifou Gandema Wendlassida Joelle Stéphanie Zabsonre/Tiendrebeogo Dieu-Donné Ouedraogo <p><strong>Background</strong>: Our aim was to determine the predictive factors of the level of physical activity (PA) in patients with gonarthrosis in the city of Ouagadougou (Burkina Faso).</p> <p><strong>Methods:</strong>&nbsp;This was a cross-sectional, descriptive and analytical study based on clinical records, conducted from January 9 to 27, 2023. Using the International Physical Activity Questionnaire (IPAQ), we assessed the level of PA in patients followed at CHU-Bogodogo for gonarthrosis. The significance threshold p&lt;0.05 was retained.</p> <p><strong>Results:</strong>&nbsp;Sixty-seven patients were included. Fifty-six were women (83.58%). The mean age was 59.87± 12.53 years. Hypertension was noted in 34 patients (50.75%), diabetes in 16 (23.88%). The mean BMI was 28.70kg/m2± 6.73. Gonarthrosis was bilateral in 49 patients (73.13%). Gonarthrosis patients had a moderate level of PA, with a mean IPAQ score equal to 635.24±135 MET-minutes/week.</p> <p>45 patients (67.16%) had a low level of physical activity (˂ 600 MET-minutes/week). In bivariate analysis, low PA was associated with age over 65 [OR=5.62, (CI=1.45-21.73), p&lt;0.001], hypertension [OR=2.83, (CI=1.27-6.31), p&lt;0.001], diabetes [OR=2.14, (CI=1.13-5.89), p&lt;0.031], and overweight [OR=2.43, (CI=1.17-6.12), p&lt;0.026]. Moderate PA was associated with age under 65 [OR=1.71, (CI=1.25-2.34), p&lt;0.005] and absence of hypertension [OR=1.86, (CI=1.19-2.89), p&lt;0.012].</p> <p><strong>Conclusion</strong>&nbsp;: Gonarthrosis patients have a moderate level of PA. Factors associated with low PA were advanced age and sedentary comorbidities.</p> <p><strong>Key words</strong>: Gonarthrosis, physical activity, Ouagadougou/Burkina Faso</p> 2024-02-29T00:00:00+07:00 Copyright (c) 2024 Yirozounlomian TIAHO, Tinni Ismael Ayouba, Charles Sougue, Gouzé-Wend Louis Tougma, Fulgence Kabore, Salifou Gandema, Wendlassida Joelle Stéphanie Zabsonre/Tiendrebeogo, Dieu-Donné Ouedraogo