The Impact of Walking Exercise on Moderate Chronic Obstructive Pulmonary Disease Patients Towards Walking Distance and St. George’s Respiratory Questi

ABSTRACT

The Impact of Walking Exercise on Moderate Chronic Obstructive Pulmonary Disease Patients Towards Walking Distance and St. George’s Respiratory Questionnaire

Sari Dewi Saraswati, Nury Nusdwinuringtyas,

Tri Damiati Pandji, Hadyana Sukandar

Objective: The aim of this study was to assess the effect of walking exercise on the change of lapse distance and SGRQ in patients with moderate COPD

Subjects: Twenty-six subjects that met inclusion criteria were the patients with COPD from the Pulmonology Clinic of dr. Hasan Sadikin Hospital, and assigned into an exercise group of 13 patients and a control group of 13 subjects. During the study period, 3 subjects of the exercise group were lost to attend the exercise, consequently, 23 subjects completed the study.

Methods: The study was an experimental study with complete randomized design using repeated observation, i.e., before and after treatment. In this study, there were two types of treatment, that is, one group of walking in the hospital and the other was a control group. In week 0, 6MWD I and SGRQ I were conducted. In the exercise group, the exercise was walking in the hospital with effort intensity scale Borg12 (milder), duration of 30 minutes, and 3 times per week, for 8 weeks. In week 4 and week 8 6MWD II and III were done, respectively;while SGRQ II was done in week 8.

Settings: This study was performed at Department of Physical Medicine and Rehabilitation of dr. Hasan Sadikin Hospital, Bandung

Results: Exercise group was found increased in lapse distance of 6MWD with value of (329.6 ± 72.2 m) in week 4;whereas the increased lapse distance of 6MWD with value of (352.2 ± 58.8 m) in week 8 at p<0.05.>

Conclusion: Walking exercise has effect on increased lapse distance and decreased SGRQ score.

Key words: COPD, Walking Distance, SGRQ value, Aerobic Exercise

The effect of low level LASER therapy decrease pain on Carpal Tunnel Syndrome (CTS)

Abstract

Topic : The effect of low level LASER therapy decrease pain on Carpal Tunnel Syndrome (CTS)
Fadil, Hamidah. Nusdwinuringtyas ,Nury

Design : Experimental parallel study to compare decrease pain and to know the additional theurapetic effect,between grou using neutral wrist splint and low level LASER therapy (theurapeutic group) and group using neutral wrist splint ( control group)

Subject : Forty six sample with CTS come from Department Physical Medicine and Rehabilitation and referred from Neurology Depatment RSCM Hospital Jakarta

Method : Subjects were randomized into two groups : the theurapetic group compared with control group the treatment for two weeks.The pain was scored using Visual Analoque Scale (VAS) on the beginning of the study and everyday evaluation of the pain for both group

Result : Samples were analyzed with paired t test and Mann Whitney U there was significant decrease of VAS and the response was seen on the tenth day after treatment on both group ( p<>

Efficacy Hairmyers Exercise to Six Minute Walking Time and St George’s Respiratory Questionare on Chronik Obstructive Pulmonary Disease

Abstract:

Efficacy Hairmyers Exercise to Six Minute Walking Time and St George’s Respiratory Questionare on Chronik Obstructive Pulmonary Disease

Johan Talesu, Nury Nusdwinuringtyas, Anita Ratnawati, Sabarinah B. Prasetyo

Objective : To evaluate the efficacy of low intensity hairmyers exercises on the functional capacity using six minutes walking test (6MWT) and quality of life according to st George’s Respiratory Questionare (SGRQ) on Cronic Pulmonary disease (COPD) patients.

Methods : pre- experimental intervention, before and after on one subject group. Samples use hairmyers exercise for eight weeks, five times a week, of which two are done of the researcher. 6MWT is taken pre, on week four, and post exercise periods. SGRQ is taken pre and post eexercise periods.

Location : Dr Cipto Mangunkusumo Hospital and Persahabatan Hospatal

Subject : 17 moderate to severe COPD patients participated in the study. Three drop out laing 14 patients out of eight minimum samples.

Results : mean differeance of 6 MWT between pre and post intervention, and between fourth week and post intervention shows highly significant result on Activity, Impact and total component (p<0.05).>

Conclusion : The functional capacity based on 6MWT and quality of life according to SGRQ on COPD patients significantly increases after doing hairmyers exercises.

Keywords: COPD, low-intensity exercise, 6MWT, SGRQ

Effect of Diaphragmat breathing and static cycle in moderate persisten asthma

Effect of Diaphragmat breathing and static cycle in moderate persisten asthma

Ahmad Alamsyah”, Nury Nusdwinuringtyas*, Iris Rengganis**, Suryanto Hartono***

*Physical Medicine and Rehabilitation Departemen. Medical faculty –University of Indonesia, Cipto Mangunkusumo Hospital Jakarta

**Allegy- Immunology division, Internal Medicine Departemen Medical Faculty –University of Indonesia, Cipto Mangunkusumo Hospital Jakarta

ABSTRACT

Objective : To know the influence diaphragm breathing exercise or without static cycle exercise toward level of physical fitness of moderate asthma persistent patien.

Design : Paralel clinical test compare two interventions. Case group is given diaphragm breathing exercise only.

Setting : Physical Medicine and Rehabilitation Departemen. Medical Faculty –University of Indonesia, Cipto Mangunkusumo Hospital Jakarta

Subject : 57 patient of moderate asthma persistent from Allegy- Immunology division, Internal Medicine Departemen Medical Faculty –University of Indonesia, Cipto Mangunkusumo Hospital Jakarta

.Intervention : between January 2005 up to March 2005. 42 moderate asthma persistent patients which fufill the condition are divided inti two groups (case and control). Perform diaphragm breathing exercise whit or without static cycle exercise with supervision for six weeks. The result of VO₂max increment is compare at the end of the research.

Result : We find VO₂max significant increment (p<0,01)>2max significant (p<0,0218)>

Conclusion : Diaphragm breathing exercise with static cycle exercise increase the level of physical of fitness moderate asthma persistent patient is better than diaphragm breathing exercise only.

Key word : Moderate persistent asthma- VO₂max - diaphragm breathing exercise - static cycle.

Effect Aerobic Exercise in Chronic Obstructive Pulmonary Disease to Quality of life using St George’s Respiratory Questionnaire

Pengaruh latihan erobik pada penyakit paru obstruksi kronik terhadap kualitas hidup dengan menggunakan St George’s Respiratory Questionnaire

Satryo Waspodo*, Tri Damiati Panji*, Nury Nusdwinuringtyas**, Hadyana Sukandar*

ABSTRACT

Objectives : The aim of this study was to find out an aerobic exercise program and its influence for the improvement of a quality of life and a maximum capacity of this exercise for COPD patients

Subjects : There were 60 COPD patients from the Pulmonology Department Hasan Sadikin Hospital who were eligible for this study. They were divided into two groups. The first group, called the exercised group, consisted of 30 people and the second group, called the controlled group, consisted of 30 people. During randomization process, they were only 55 people who joint the study because 5 people from the controlled group absent. Then, during the aerobic exercise, they were 3 people from the exercised group drop out. Therefore, they were only 25 people from the controlled group and 27 people from the exercised group who could accomplish until the final study (total 52 people)

Methods : This study was quasi experiment with pre and post intervention to the exercised and controlled groups. The study consist of preliminary examination for subject selection, subjects who were eligible for this study was divided into exercised and controlled groups. For the exercised group, there was SGRQ assessment with exercised test in order to assess an aerobic maximum capacity. Then, there was aerobic exercise program 3 times a week, 24 minutes duration, intensity 50-80% an aerobic maximum capacity for core exercise during 6 weeks. After 6 weeks, there was a SGRQ re-assessment and an aerobic maximum capacity. For the controlled group, there was a SGRQ re-assessment without treatment and after 6 weeks, there was a SGRA re-assessment

Setting : This study was carried out at Physical Medicine and Rehabilitation Medical Department Hasan Sadikin Hospital.

Results : For the exercised group; there was a significant decrease of SGRQ value at all components (symptoms, activity, impacts and total, P<0,001), p="0,648" p="0,055)," p="0,038)" p="0,022)." r="0,032" p ="0,873," style=""> r=-0,260 ; p =0,191, impacts r=-0,353 p =0,071 and total r=-0,303; p =0,124)

Conclusion : Aerobic exercise had an influence on the improvement of quality of life (a significant decrease of SGRQ value ) and aerobic maximum capacity for COPD patients. There was no significant correlation among the changes of quality of life (the changes of SGRQ value) with the improvement of aerobic maximum capacity

Key words : COPD, SGRQ value, Quality of Life, Aerobic Exercise.

*Dept. Physical medicine and Rehabilitation, Hasan Sadikin Hospital, Bandung - Indonesia

**Dept. Physical Medicine and Rehabilitation, Cipto Mangunkusumo Hospital, Jakarta –Indonesia

Correlation between St George’s Respiratory Questionnaire (SGRQ) and Six Minutes Walk Test (6- MWD) in COPD

Correlation between Quality Of Life in Chronic Obstructive Pulmonary Disease (COPD) Patients using St George’s Respiratory Questionnaire (SGRQ) and Functional Capacity using Six Minutes Walk Test (6- MWD)

Gunawan Kurniadi*, Nury Nusdwinuringtas*, Anita Ratnawati**

*Cipto Mangunkusumo Hospital, Jakarta- Indonesia

** Persahabatna Hospital, Jakarta-Indonesia

Abstract

Objective: This study was to assess whether Indonesian version of St George’s Respiratory Questionnaire (SGRQ) could serve as a practical outcome measure for medical rehabilitation of chronic obstructive pulmonary disease (COPD) .

Method: This was designed as correlation study . Spearmen’s rank correlation test, test-retest reliability, internal consistency Cronbach α were used for analysis.

Setting: This study was conducted at RSUPN-CM and RSUP Persahabatan.

Participated: 22 subjects suffering from COPD identified as stated in inclusion criteria.

Results : There are strong correlation between SGRQ subcales with 6 minutes walking distance test (r = - 0.49 for activity, r= - 0.58 for impacts, r= - 0.58 for total ); and moderately strong correlation with FEV 1 % prediction (r = - 0.46 for activity , r = - 0.43 for impacts, r = - 0.52 for total ). Strong correlation is also found in repeated test of SGRQ ( r= 0.76 for symptoms, r= 0.58 for activity , r= 0.51 for impacts, r= 0.58 for total). There is no significant difference among subscales except for total scores p= 0.049 in Wilcoxon test . internal consistency using Cronbach α ranged from 0.73 to o.83.

Conclusion : Activity and impacts subscales of SGRQ are proved to be valid of functional capacity and severity of lung obstruction . SGRQ is also repeatable and has high internal consistency.

Keywords : St George’s Respiratory Questionnaire (SGRQ), chronic obstructive pulmonary disease (COPD), quality of life, functional capacity

Physical Medicine and Rehabilitation , Fakulty Medicine – University of Indonesia, Jakarta – Indonesia; 2002

Effects of respiratory muscle training on Chronic Obstructive Pulmonary Disease (COPD) at the Instalation of Rehabilitation Medicine ,

xxv + 133 pages + 44 tables + 8 pictures , 1 appendices

Abstract

The purpose of this study was to examine the efficacy of targeted respiratory muscle training in patient with Chronic Obstructive Pulmonary Disease (COPD) . The study was conducted using descriptive-analytic method. The descriptive method would result in information related to any dependent and independent variable. The analytical method of randomized clinical trial based the study of the effect of respiratory muscle training. A random allocation was done resulted in eight patients with COPD belonged the breathing exercise group, eight patients received general exercises reconditioning. The other seven patients with COPD belonged to a control group with no intervention and without random allocation.

The respiration group underwent diaphragmatic breathing exercise + pursed lip breathing (PLB) . Breathing exercise were done daily at home an three times a week, under supervision at the Installation of Rehabilitation Medicine, dr Cipto Mangunkusumo hospital. The reconditioning group received exercises with ergocycle, three times a week which lasted for eight weeks under supervision at the institution.

The method analysis was done as follows : Univariat analysis was conducted to study the frequency characteristic of groups. Bivariat analysis ( paired-t test, Wilcoxon tesr) was conducted to study the effect of intervention.

Result of the study were as follows: The respiration group showed increased expiration muscle strength (MEP) significantly (p<> 0.05) and walking ability increased significantly (p <> 0.05) , physical fitness (VO ₂ max) increased (p> 0/05) . in the control group decrease of respiratory muscle strength was observed almost significantly (p > 0.05). The inspiratory muscle strength did not show result as expected, but decreased insignificantly in both groups with intervention and increased in the control group (p> 0.05).

The conclusion of the study were as follows. Breathing exercises and reconditioning resulted in better quality of life as shown by increase in walking ability . both successes derived of different approaches breathing exercise group by increases of expiratory muscle strength resulted in decrease of dyspnea and increase in quality of life. On the other side , reconditioning group resulted in better physical fitness and to better quality of life . respiratory muscle training was recommended when the exercises were intended to control dyspnea and reconditioning was done and reconditioning was done if physical fitness was intended.

We have to be aware of the increase of airway resistance in the diaphragmatic breathing exercises group + PLB . In the reconditioning group insspite of most decrease of residual air, there were decrease of inspiratory muscle strength.

Key words: Diaphragmatic breathing exercise; PLB (Pursed Lip Breathing)[ MEP (Maximal Expiratory Pressure); MIP (Maximal Inspiratory Pressure) ; dyspnea; VO₂ maximum; 12 minutes walk.

References : 67 (1962 - 1999)

The Benefit Of Diaphragmatic Breathing Exercise in Mild Asthma Persistent Done in Department Physical Medicine And Rehabilitation

Abstract::

A study of application of deep diaphragmatic breathing exercise was done in twenty four asthamatic adults, using a quasy experiment pre and post treatment method. The study was conducted using Borg’s scale Dyspnea Index (BSDI) to evaluate dyspnea.

At the end of the eight weeks exercise, BSDI decreased significantly (p < style=""> coefficient correlation (r) was 0. 583.

Manfaat latihan pernafasan diafragma pada asma kronis derjat sedang di unit Rehabilitasi Medik Rumah Sakit dr Cipto Mangunkusumo Jakarta

Abstrak:

Suatu peneliian penerapan latihan pernafasan diafraga dalam dilakukan pada 24 kasus penderita asma dewasa, menggunakan metoda Quasy experiment pre and post treatment. Penelitian dilaksanakan melalui program latihan pernafasan dalam kurun waktu delapan minggu.

Pada akhir menggu ke delapan , sesak yang dinilai dengan Borg’s scale dyspne Index (BSDI) menurun bermakna (p <>