Surabaya Physical Medicine and Rehabilitation Journal https://e-journal.unair.ac.id/SPMRJ <p><strong>Surabaya Physical Medicine and Rehabilitation Journal </strong>(<a href="https://issn.lipi.go.id/terbit/detail/1549272718" target="_blank"><span>e-ISSN: 2656-0895</span></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 Neurorehabilitation, Musculoskeletal and Sport, Geriatric and Pain, Cardiorespiration, Pediatric Rehabilitation, and Miscellaneous. SPMRJ is published biannually in February and August. Each issue publishes six articles or twelve articles in each calender year.</p><p>This journal has been indexed by<span> a number of leading indexing institutions such as </span>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> <span>Fifth Grade of Sinta (Sinta 5)</span> since Volume 1 Issue 1 February 2019 </strong>according to the decree <a href="https://drive.google.com/file/d/1yjxCll08qfexkW0N6bPkHc5xRauj8G0R/view?usp=sharing" target="_blank"><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> Faculty of Medicine, Universitas Airlangga en-US Surabaya Physical Medicine and Rehabilitation Journal 2656-0895 <p>1. The journal allows <span class="m_-8872622167488361851m_3889253648079045002m_3801934354951983127m_-2782718132241447849m_-7691471417709598651m_7256872056212528454m_3794665997207553305gmail-animated">the author to hold the copyright of the article without restrictions</span>.</p><div class="article-content"><p align="justify">2. The journal allows the author(s) to retain publishing rights without restrictions.</p><p align="justify">3. The legal formal aspect of journal publication accessibility refers to Creative Commons Attribution (CC BY).</p></div><p> </p><div class="separator"> </div> Non-Pharmacological Balance Therapy on Diabetic Peripheral Neuropathy Patients with Balance Disorders https://e-journal.unair.ac.id/SPMRJ/article/view/24982 <p><strong>ABSTRACT</strong></p><p><strong>Background: </strong>Patients with diabetic peripheral neuropathy (DPN) suffers from propioceptive ability and mobility disturbance which can potentially affects balance. There are various balance therapy options for DPN patients. The purpose of this study was to determine the effectiveness of various non-pharmacological therapies (surgery, traditional medicine, exercise and assistive devices) in DPN patients with balance disorders.</p><p><strong>Aim(s):</strong> To<strong> </strong>determine the effectiveness of non-pharmacological balance therapy in people with diabetic peripheral neuropathy</p><p><strong>Material and methods:</strong> A systematic review was conducted using randomized controlled trial study articles found using PICO characteristics in ScienceDirect and PubMed in the last 10 years. All articles were selected based on PRISMA and descriptive analysis was carried out on the selected articles.</p><p><strong>Result: </strong>Significant balance improvement found in traditional Thai massage, physical exercise therapy, assistive device therapy with whole-body vibration, and assistive device therapy with electrical stimulation. Surgical therapy with unilateral nerve decompression did not provide a significant measurable balance improvement.</p><p><strong>Conclusions: </strong>Physical exercise therapy, traditional Thai foot massage, WBV and electrical stimulation therapy (with the exception of TENS on the knee) significantly improve balance. Meanwhile, unilateral nerve decompression surgical therapy did not improve the balance significantly.</p> Jeremy Nicolas Sibarani Kristanti Wanito Wigati Imam Subadi Copyright (c) 2022 Jeremy Nicolas Sibarani 2022-02-23 2022-02-23 4 1 26 31 10.20473/spmrj.v4i1.24982 Back Matter https://e-journal.unair.ac.id/SPMRJ/article/view/33942 SPMRJ SPMRJ Copyright (c) 2022 SPMRJ SPMRJ 2022-02-25 2022-02-25 4 1 10.20473/spmrj.v4i1.33942 Comprehensive Rehabilitation of Severe Tuberculous Meningitis: A Case Series https://e-journal.unair.ac.id/SPMRJ/article/view/29389 <span id="docs-internal-guid-7edfc280-7fff-4519-0fce-11d84b089860"><span>Tuberculous Meningitis (TBM) is a severely disabling condition that often leads to death. It requires the right intensive treatment to minimize disability, speed up recovery, and reduce the risk of death. Rehabilitation is one of the key components in managing TBM. Rehabilitation is expected to speed up recovery and prevent disabilities. The purpose of this case series was to highlight the effectiveness of a comprehensive rehabilitation program in severe TBM patients at Intensive Care Unit (ICU) settings. We present two cases of severe TBM that showed significant changes after the rehabilitation program started. Both patients were at GCS 111. </span><span>Rehabilitation program was a therapist-based multimodal sensory stimulation in a comprehensive ICU setting with approximately 2 weeks duration. After 5 days of rehabilitation, the first patient’s consciousness began to improve. The second patient’s consciousness began to improve after 1 week of rehabilitation. After approximately 2 weeks, both of them were already at GCS 456 and then transferred to the High Care Unit (HCU). There were only minor disabilities as they were transferred. The rehabilitation program was adapted and continued at HCU. After 1 month, both of them got discharged to home. These cases highlight the importance of rehabilitation programs to be included in the management of TBM patients.</span></span> Yohan Christian Suisan Khamim Thohari Copyright (c) 2022 Yohan Suisan 2022-02-23 2022-02-23 4 1 32 36 10.20473/spmrj.v4i1.29389 Dysvascular Transtibial Amputation Due To Artery Stenosis: A Case Report Study https://e-journal.unair.ac.id/SPMRJ/article/view/22755 <p>Below-knee (BK) amputation is one of the most commonly performed actions in dysvascular cases, but rare caused by arterial stenosis. Those had significant impacts on clinical functions and affect the contralateral limb, so its need adequate supervision during rehabilitation programs. The report are to describe the stump wound healing of the patient after amputation surgery, stump preparation at pre-prosthetic phase, prevention of knee contracture, prosthetic preparation and use, gait training and evaluation of unaffected limb. A 44-years old female with right below-knee amputation caused by stenosis of right peroneal and dorsalis pedis artery, and the wound in the residual limb was not healed within 4 weeks. She got rehabilitation to accelerate stump healing and stump shaping, maintain knee flexibility, muscle strengthening, cardiovascular endurance, transfer and ambulation. She had good compliance to the programs and achieved independent ambulation using the prosthetic within 6 months. Improvement in residual limb healing within 6 weeks, pain reduction from VAS score 3 to zero, and stump shape changes from buldging to conical. And also in knee joint range of motion, transfer ability, gait pattern using BK prosthetic (by modifying shoe components), and the patient's ability to carry out ADL (BI score 75 to 100). Laser therapy, stump shaping, flexibility exercise, strengthening exercise, endurance exercise, ambulation exercise and prosthetic use on transtibial dysvascular amputation showed good results for ADL. Careful examination to the unaffected limb could identify early occurence of stenosis. Early intervention could prevent future ischaemia and amputation.</p> Kurnia Imanawanto Ditaruni Asrina Utami Copyright (c) 2022 Kurnia Imanawanto, Ditaruni Asrina Utami 2022-02-23 2022-02-23 4 1 37 43 10.20473/spmrj.v4i1.22755 The Relationship between Physical Activity and FEV1/FVC in Asthmatics https://e-journal.unair.ac.id/SPMRJ/article/view/24726 <p><strong>Background: </strong><span style="font-size: 10px;">Physical activity is any body movement that requires energy expenditure. Minimum physical activities per day can bring good impact for asthmatic patients (e.g.,reduce asthma symptoms). Many asthmatic patients limit their physical activity, so they tend to be inactive.</span></p><p><strong>Aim: </strong>To analyze the relationship between physical activity level and FEV1/FVC in asthmatics.</p><p><strong>Material and methods: </strong>This was an analytic observational study with a cross-sectional design. The number of participants in this study was 16 respondents (13 females and 3 males) who were recruited based on inclusion and exclusion criteria. The independent variable in this study is levels of physical activity and the dependent variable is FEV1/FVC values. This study study used the International Physical Activity Questionnaire (IPAQ) short form and spirometry test. The data were analyzed with Spearman's rho test.</p><p><strong>Result: </strong>There was a strong association between levels of physical activity with FEV1/FVC values (p=0,012).</p><p><strong>Conclusions: </strong>Increasing level of physical activity in asthmatics can improve their lung function showed by increased FEV1/FVC values.</p> Andis Putri Nawangasri Budiono Budiono Arief Bakhtiar Budi Sutikno Esti Maulidya Suryaningrum Dahlia Damayanti Copyright (c) 2022 Andis Putri Nawangasri, Budiono Budiono, Arief Bakhtiar, Budi Sutikno 2022-02-23 2022-02-23 4 1 1 6 10.20473/spmrj.v4i1.24726 Effect of Acute Persadia Gymnastic on The Ability to Concentrate in Diabetic Patients https://e-journal.unair.ac.id/SPMRJ/article/view/23465 <p><strong>Background: </strong>Diabetes Mellitus (DM) can affect the peripheral and central nervous system. It can affect cognitive function, one of which can be seen from the decrease in the concentration ability. The concentration ability can be assessed by measuring the reaction time. Reaction time is the time interval between the onset of a stimulus and the initiations of a response. One of the important treatments for DM is physical exercises. Persadia gymnastic is one example of physical exercise that is specially designed for people with DM.</p><p><strong>Aim: </strong>The purpose of this study was to identify the effect of acute Persadia gymnastic on the concentration ability of people with DM.</p><p><strong>Material and methods: </strong>This was an experimental study in type 2 DM patients. Fourteen subjects who met the inclusion criteria were analyzed and randomly grouped into the control (without performing Persadia gymnastic) and the intervention group (performing Persadia gymnastic). The subject’s reaction times were measured before and after the intervention. The mean results of the reaction time of all subjects were then compared between the control and the intervention groups using the Independent-T test and Mann-Whitney tests.</p><p><strong>Result: </strong>The analyzed data were only 7 subjects per group with a total of 14 subjects. The mean value of reaction time in the intervention group was decreased, both audio (<span style="font-size: 10px;">-0.04 ±</span><span style="font-size: 10px;"> 0.85) and visual (-0.09 ± 0.56). However, there was no significant difference of the reaction time between control and intervention</span><span style="font-size: 10px;"> groups (p &gt; 0.05).</span></p><p><strong>Conclusions: </strong><span style="font-size: 10px;">Many factors can affect reaction time and some still </span><span style="font-size: 10px;">cannot be controlled in this study due to a lot of limitations. Further research is still needed to figure out the effect of persadia gymnastics on the ability to concentrate in people with Diabetes Mellitus.</span></p> Desi Rianti Rahmadhani Lilik Herawati Sony Wibisono Mudjanarko Kristanti Wanito Wigati Laylatul Fitriah Mukarromah Winna Adelia Amru Copyright (c) 2022 Desi Rianti Rahmadhani, Lilik Herawati, Sony Wibisono Mudjanarko, Kristanti Wanito Wigati 2022-02-23 2022-02-23 4 1 7 14 10.20473/spmrj.v4i1.23465 Normal Walking Speed According to Age and Gender in Preliminary Students in Surabaya https://e-journal.unair.ac.id/SPMRJ/article/view/24186 <p><strong>Background: </strong><span style="font-size: 10px;">Studies on walking have been developed recently because the speed of walking plays an important role in making predictions related to physical health. However, studies of walking speed in children are still relatively few even though the need for such data is quite high considering that walking speed can be used as a parameter to measure physicalhealth.</span></p><p><strong>Aim</strong>: The purpose of this study is to know the difference in walking speed based on age and gender in elementary school students.</p><p><strong>Methods</strong>: <span style="font-size: 10px;">This study used an analytic observational study with a cross-sectional approach. All samples are students from Mojo VI State Elementary School Surabaya aged 7 to 12 years who meet the inclusion criteria using 10-meter walk test. The variable studied was walking speed. Method of sampling was conducted at Mojo VI State Elementary School Surabaya. Walking speed analysis was carried out by using the Kruskal-Wallis test for walking speed based on age and an unpaired T test for walking speed based on gender.</span></p><p><strong>Results</strong>: <span style="font-size: 10px;">This research included 170 subjects that are 90 males and 80 males. Based on age, seven years old students have anaveragewalkingspeedof(1.30±0.21)m/s, eightyearsold</span><span style="font-size: 10px;"> students </span><span style="font-size: 10px;">with(1.23±of0.18)m/s, nine yearsold students with (1.24 ± 0.17) m/s, ten years old students with (1.24 ± 0.19) m/s. eleven years old students with (1.31 ± 0.22) m/s, and twelve years old students with (1.27 ± 0.20) m/s. Based on gender, the average walking speed obtained in male was (1.26 ± 0.19) m/s, while the average walking speed obtained in female was (1.26 ± 0,20)m/s.</span></p><p><strong>Conclusion</strong>: <span style="font-size: 10px;">There is no difference in the speed of walking based on age (p=0.440) at the age of 7 to 12 years and in both genders (p=0.910).</span></p> Naoval Diza Ananda Hening Laswati Purwo Sri Rejeki Andri Suyoko Copyright (c) 2022 Naoval Diza Ananda, Hening Laswati, Purwo Sri Rejeki 2022-02-23 2022-02-23 4 1 15 20 10.20473/spmrj.v4i1.24186 Effect of Anodal Transcranial Direct Current Stimulation to Flexor Digitorum Superficialis Muscle Activities in Stroke Subjects https://e-journal.unair.ac.id/SPMRJ/article/view/25119 <p><strong>Background: </strong><span style="font-size: 10px;">Stroke is the main causes of upper extremity weakness that may affect physicalindependency resulting in long-term disability. Previous studies showed that A</span><span style="font-size: 10px;">-</span><span style="font-size: 10px;">tDCS can improve neurological damage. A-tDCS causes depolarization and inducesbrainsynapticplasticity in strokesubjects.</span></p><p><strong style="font-size: 10px;">Aim:</strong><span style="font-size: 10px;"> To analyze the effect of Anodal-tDCS to the flexor digitorum superficialis muscles activities in stroke subjects.</span></p><p><strong>Material and Methods: </strong><span style="font-size: 10px;">This experimental study was conducted from April to September 2020. Eightpatients who suffered first attack ischemic stroke, aged 40 to 70 years old, were recruited from PMR out patient clinic at Dr.Soetomo </span><span style="font-size: 10px;">General Hospital </span><span style="font-size: 10px;">Surabaya. Subjects were randomized in to experimental and control group. The control group was given occupational therapy for 30 minutes, while the experimental group was given A-tDCS with intensity 2 mA for 20 minutes and occupational therapy for 30 minutes </span><span style="font-size: 10px;">in 5 consecutive days. Measurement of FDS muscle activities using sEMG were performed before and after interventionin both groups</span><span style="font-size: 10px;">. </span></p><p><strong style="font-size: 10px;">Results: </strong><span style="font-size: 10px;">There was an increase of FDS muscles activities after treatment incontrol group (p=0,048) while there was no similar result in treatment group (p=0,188). Thechangeofmuscles activities was notdifferent betweengroups(p=0,974).</span></p><p><strong>Conclusion:</strong> t<span style="font-size: 10px;">DCS provides no significant benefit in terms of muscle activities in patients with stroke. Small number of samples and other several factors might limit the significancy of current study. Further study is needed to determine the benefit of A-tDCS as a rehabilitation modality in patient with stroke.</span></p> Ana Mursyida Reni Hendrarati Masduchi Imam Subadi Copyright (c) 2022 Ana Mursyida, Reni Hendrarati Masduchi, Imam Subadi 2022-02-23 2022-02-23 4 1 21 25 10.20473/spmrj.v4i1.25119 Front Matter https://e-journal.unair.ac.id/SPMRJ/article/view/33941 SPMRJ SPMRJ Copyright (c) 2022 SPMRJ SPMRJ 2022-02-25 2022-02-25 4 1 10.20473/spmrj.v4i1.33941