Papers by Hafizia Asri Yusviani
Journal Of The Indonesian Medical Association
Introduction: Dysphagia is a common complication in acute stroke patients that require early scre... more Introduction: Dysphagia is a common complication in acute stroke patients that require early screening to reduce the risk of aspiration pneumonia, disability, and mortality. Bedside examinations such as the Gugging Swallowing Screen (GUSS) test and ultrasonography are non-invasive methods that may improve early diagnosis of dysphagia after stroke. Case Report: We report a 49-year-old man with a history of cerebrovascular event that had difficulty swallowing, followed by coughing and choking after drinking. Discussion Case: The GUSS score indicated moderate dysphagia with a high risk of aspiration. The swallowing ultrasonography showed conformity to the GUSS score and improved the screening accuracy for silent aspiration risk in the pharyngeal swallowing phase. Conclusion: In conclusion, ultrasonography examination may improve the screening accuracy of the GUSS test, particularly for the detection of silent aspiration in pharyngeal dysphagia.
Bali Medical Journal, Oct 14, 2022
Background: COVID-19 affects the multiorgan system, mostly the respiratory system. Symptoms might... more Background: COVID-19 affects the multiorgan system, mostly the respiratory system. Symptoms might vary from upper respiratory manifestation to acute respiratory distress syndrome, with the main feature being impairment of gas exchange. This pulmonary impairment might lead to a decrease in functional capacity, which cause activity limitation. Thus, COVID-19 patient requires the right pulmonary rehabilitation strategy to improve pulmonary function and prevent further pulmonary complications. This study aimed to compare the effectiveness of incentive spirometry and diaphragm breathing exercise on cardiorespiratory functional capacity in COVID-19 patients. Methods: Subjects were divided into two groups of breathing exercises, the incentive spirometry group and the diaphragm breathing exercise group. They performed breathing exercises for 5 days, and the functional capacity was measured by a test named 4-meter gait time test (4MGT) and 30 sit-to-stand test (30STS). The test was taken before and after performing breathing exercises. Results: These two respiratory exercises significantly affected the functional capacity in a good manner (p < 0.05). The incentive spirometry had improved 30STS (P = 0.763) and 4MGT results (P = 0.674), as well as diaphragm breathing exercise did to 30STS (P = 0.456) and 4MGS (P = 0.441). Conclusion: In conclusion, diaphragm breathing exercises and incentive spirometry improved the functional capacity of COVID-19 patients. However, incentive spirometry showed a larger effect on 30STS and 4MGT compared to diaphragm breathing exercises.
Journal Of The Indonesian Medical Association
Introduction. COVID-19 patient not only experienced respiratory manifestation, but they also gene... more Introduction. COVID-19 patient not only experienced respiratory manifestation, but they also generate generalized muscle weakness. This manifestation results in deterioration of physical capacity. Methods. This cross-sectional study identified the characters of COVID-19 patient based on their age, gender, severity of disease and whether they have comorbidities or not. This study also described the functional capacity using a modified 30-Second Sit-to-Stand Test (m30STS) and chest expansion measured at three levels (axillary, nipple, and xiphisternum). Result. M30STS was one of reliable measure that used for physical or functional capacity. Chest wall expansion determines lung volume and functional capacity as well. Eighty-five subjects in isolation ward were enrolled. This study shows there is reduction of functional capacity in COVID-19 patients. Majority of subjects tend to reached lower number of repetitions in m30STS or about 10.37 times in average. Clonclusion. The thoracic exp...
INDIAN JOURNAL OF APPLIED RESEARCH
Metastatic spinal disease is considered a terminal stage of primary cancer and palliative treatme... more Metastatic spinal disease is considered a terminal stage of primary cancer and palliative treatment focuses around symptom control and reducing spinal complications such as cord compression. A 60 years man with complete spinal cord injury AIS A post laminectomy with Th2-Th4 decompression and tumor biopsy due to canal stenosis et causa Th3 compression fracture. Patient has history of paraparesis in level Th4-Th8, also bladder and bowel incontinence. The prognosis of patients with epidural metastasis is not promising and difcult to predict. Tokuhashi and Tomita scores are one of tools that used widely to predict the patient’s survival prognosis, in particularly for spinal metastatic treatment decision. These scores provide guidance decision whether aggressive operative or palliative. Tokuhashi score in this patient indicated the survival rate was below 6 months and Tomita score referred to palliative treatment. Physical medicine and rehabilitation treatment focus on palliative treatm...
Uploads
Papers by Hafizia Asri Yusviani