Average Six-Minute-Walk Test Score in Children Aged 9-10 Years

Munadia*, NuryNusdwinuringtyas*, Amendi Nasution*, Suryanto**

*Physical Medicine and Rehabilitation Department, Faculty of Medicine,University of Indonesia/Cipto Mangunkusumo Hospital, Jakarta

**Medical Research Unit, Faculty of Medicine, University of Indonesia, Jakarta

Abstract:The aim of this study is to get standard value of six-minute-walk test for children aged 9-10 years as well as exploring the correlation of sex, body weight, and height with walking distances. The standard value could later be used to measure functional capacity, monitor progress of disease, and response to treatment of disabled children. The subjects consist of 194 boys and 198 girls aged 9-10 years in Central Jakarta’s public elementary school. Baseline examination comprised of body weight, body height, vital signs, standard physical examination, and nutritional state with Epi Info. Walking instructions were given prior to the test. Vital signs were re-measured afterward. No significant difference found in the subject’s anthropometric characteristics. Consecutively, boys’ and girls’ walking distances were 500.08 meter and 481,82 meter. There was significant difference in walking distance between both sexes. There was weak and no significant correlation between body height, body weight, body mass index, and walking distance in boys and girls, except for girls’ body height. Vital signs had significant difference before and after test. Performing a six-minute-walk test is feasible, easy, and practical in children, but very dependant upon the child’s motivation and coordination.

Keywords: children, six-minute-walk test, exercise testing

The Effect of Electrical Stimulation (ES) on Strength of Quadriceps Femoris Muscles in Acute Exacerbation and Post Acute Exacerbation COPD Patients

The Effect of Electrical Stimulation (ES) on Strength of Quadriceps Femoris Muscles in Acute Exacerbation and Post Acute Exacerbation COPD Patients

Abner Penalemen Barus*, Nury Nusdwinuringtyas*, Anita Ratnawati**, Indah Suci Widyahening***

*Department of Physical Medical and Rehabilitation, Faculty of Medicine, University of Indonesia / dr. Cipto Mangunkusumo Hospital, Jakarta

* Persahabatan Hospital, Jakarta

*** Department of Community Health, Faculty of Medicine, University of Indonesia/Cipto Mangunkusumo Hospital, Jakarta

Abstract : The purpose of this study is to compare the effect of electrical stimulation (ES) on strength of quadriceps femoris muscles in acute exacerbation and post acute exacerbation Chronic Obstructive Pulmonary Disease (COPD) patients. This is a pre and post test study without a control group. The ES was applied for 30 minutes on both sides of quadriceps muscles with duration of treatment in 4 weeks for all subjects. Muscle strength measurement was performed before and after intervention period. Muscle strength improved significantly on right side (by 154,60 ± 34,77 to 206,36 ± 32,47, p<0,05)>

Key Words: COPD, quadriceps femoris strength, electrical stimulation

Low Laser Power for Wound Healing of Diabetic Foot

Ray Wibowo, Nury Nusdwinuringtyas, Elida Ilyas, Em Yunir, Suryanto

ABSTRACT

Objective :

To enhance alternative of wound healing of diabetic foot ulcer using Low Level Laser Therapy, by evaluating the effect of Low Level Laser Therapy in the process of wound healing in diabetic foot ulcer

Design :

Experimental clinical trial

Setting :

Department of Physical Medicine & Rehabilitation, Metabolic & Endocrine clinic Department of Internal Medicine Dr Cipto Mangunkusumo Hospital, Jakarta and inpatient ward of Dr Cipto Mangunkusumo Hospital, Jakarta

Subject :

34 patient with diabetic foot ulcer, 17 in the intervention group and 17 in the control group. Both group are homogen in terms of age distribution, BMI, duration of Diabetic Mellitus, level of HbA1C, duration of ulcearation and initial ulcer size.

Intervention :

Intervention group had standard wound dressing with NaCl 0.9% combined with Low Level Laser stimulation of 5 Joule/cm² , twice weekly. The control group had standard wound dressing with NaCl 0.9% twice weekly. Ulcer size was evaluated weekly for the duration of 5 weeks

Main outcome measure :

Ulcer healing, determined by changes in ulcer size

Result :

Rate of wound healing in the intervention group was significantly higher than in the control group

Conclusion :

Wound dressing combined with Low Level Laser stimulation, can accelerate wound healing, determined by higher wound healing rate

Keywords : Diabetic foot, ulcer, Low Level Laser therapy