ABSTRACT Introduction: Cardiac surgery has been improved patient’s outcome with cardiac valve anomaly. There was 111 cardiac valve replacement surgery performed in Kariadi General Hospital Semarang in 2018.Postoperative pulmonary complication (PPC) is the most common complication in this procedure compared to cardiac complication which are thought caused by the disruption of normal respiratory function as a result from surgical and anesthetic procedure. Additional preoperative threshold inspiratory muscle training (Threshold IMT) has been considered as an ef fective intervention to reduce PPC. Methods: This is a quasi experimental study with main reason to know the role of Threshold IMT on PPC incidences. Subjects in the intervention group were given routine conventional rehabilitationexercises according to Clinical Practice Guide (PPK) with additional of Threshold IMT, which applied based on research protocols, while control group did convention al rehabilitation exercises only. Results: 18 subjects were divided into intervention group (n=9), and control group (n=9), PPC incidences (Intervention group n=2, control group n=7) were analyzed statistically using Chi-squared test andshowed significant differences (Fisher exact test p=0.02 with α=0.05). Conclusion: Additional of Threshold IMT preoperative may reduce the incidence of PPC on heart valve replacement surgery.Keywords: Postoperative pulmonary complication (PPC), Threshold inspiratory muscle training (Threshold IMT)
Introduction: Pellegrini-Stieda Syndrome (PSS) is calcification of the medial collateral ligament(MCL). The manifestation are restricted motion and pain of the knee. PSS usually associated withtrauma or repeated strain.Methods: A case report of 30 year old physically active men has a severe stiffness and pain on the leftknee while walking for six months. He had neglected trauma 9 years ago. There were antalgic gait,mild swelling, warm, and tenderness on medial aspect, restricted range of motion (ROM) by pain on theleft knee; flexion 150. The knee X-Ray has shown the myositis ossificans and Pellegrini-Stieda lesion.Subject had undergone Rehabilitation Program, i.e. progressive gradual motion exercise and cryotherapyResults: There were reduced of pain, and increase the Left knee PROM were 15º restricted of extensionand 30º flexion, became 8ºrestricted of extension and 55º flexion, after one month of program.Conclusion: Pellegrini-Stieda Syndrome (PSS) is a possible complication in major knee trauma. Thepatient showed improvements in pain, and ROM after one month of rehabilitation programs.Keywords: Pellegrini-Stieda Syndrome (PSS), Range-of-Motion (ROM), Medial Collateral Ligament(MCL).
Introduction: Pellegrini-Stieda Syndrome (PSS) is calcification of the medial collateral ligament (MCL). The manifestation are restricted motion and pain of the knee. PSS usually associated with trauma or repeated strain. Methods: A case report of 30 year old physically active men has a severe stiffness and pain on the left knee while walking for six months. He had neglected trauma 9 years ago. There were antalgic gait, mild swelling, warm, and tenderness on medial aspect, restricted range of motion (ROM) by pain on the left knee; flexion 150. The knee X-Ray has shown the myositis ossificans and Pellegrini-Stieda lesion. Subject had undergone Rehabilitation Program, i.e. progressive gradual motion exercise and cryotherapy Results: There were reduced of pain, and increase the Left knee PROM were 15º restricted of extension and 30º flexion, became 8ºrestricted of extension and 55º flexion, after one month of program. Conclusion: Pellegrini-Stieda Syndrome (PSS) is a possible complication in major knee trauma. The patient showed improvements in pain, and ROM after one month of rehabilitation programs.
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