Effect of low-intensity aerobic cycling ergometer on ability to perform activity of daily living of patients with myasthenia gravis in RSUD Dr. Soetomo Surabaya
Background and objectives. Myasthenia gravis (MG) is an autoimmune disease of the neuromuscular junction causing fluctuating skeletal muscle weakness and fatigue that result in increased restrictions on physical activity, affecting the patient's ability to perform daily activities in the family...
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Amaltea Medical Publishing House
2024-09-01
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| Series: | Romanian Journal of Neurology |
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| Online Access: | https://rjn.com.ro/articles/2024.3/RJN_2024_3_Art-12.pdf |
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| author | Iin Muslihah RA Meisy Andriana Yudith Dian Prawitri Paulus Sugianto Soenarnatalina Melaniani |
| author_facet | Iin Muslihah RA Meisy Andriana Yudith Dian Prawitri Paulus Sugianto Soenarnatalina Melaniani |
| author_sort | Iin Muslihah |
| collection | DOAJ |
| description | Background and objectives. Myasthenia gravis (MG) is an autoimmune disease of the neuromuscular junction causing fluctuating skeletal muscle weakness and fatigue that result in increased restrictions on physical activity, affecting the patient's ability to perform daily activities in the family, social, and work environment. The MG-ADL scale is an assessment of the ability of the daily activities of MG patients that does not require equipment or special skills for the examiner and can be done in a short time. This study analyzes the effect of low intensity aerobic exercise cycle ergometer on the ability to perform daily activities of MG patients. Materials and methods. Twenty-two MG patients, MGFA class IIa and IIb, aged 18–59, participated in this study. The subjects were randomly divided into a treatment group and a control group. The treatment group received aerobic cycle ergometer exercise for 30 minutes, three times per week, for eight weeks. Both groups were educated to continue medication from neurology, perform physical activity as usual, and breathing exercises. Assessment of MG-ADL performed before and after intervention. Results. There was an improvement in scores on breathing and lower limb function in the treatment group. There was significant decrease in MG-ADL scores at the intervention group (p = 0.000) with large effect size (1.09). The comparison of MG-ADL scores between groups showed a significant value (p = 0.009) with a large effect size (1.24). Conclusion. Low intensity aerobic exercise cycle ergometer for 8 weeks improves the ability to perform ADL in MG patient. |
| format | Article |
| id | doaj-art-fdd786e596ed41b881f9af35d0d11d75 |
| institution | OA Journals |
| issn | 1843-8148 2069-6094 |
| language | English |
| publishDate | 2024-09-01 |
| publisher | Amaltea Medical Publishing House |
| record_format | Article |
| series | Romanian Journal of Neurology |
| spelling | doaj-art-fdd786e596ed41b881f9af35d0d11d752025-08-20T01:59:01ZengAmaltea Medical Publishing HouseRomanian Journal of Neurology1843-81482069-60942024-09-0123330431010.37897/RJN.2024.3.12Effect of low-intensity aerobic cycling ergometer on ability to perform activity of daily living of patients with myasthenia gravis in RSUD Dr. Soetomo SurabayaIin Muslihah0https://orcid.org/0009-0002-5951-4877RA Meisy Andriana1Yudith Dian Prawitri2Paulus Sugianto3Soenarnatalina Melaniani4Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia; Department of Physical Medicine and Rehabilitation, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia; Neuromuscular Rehabilitation Division, Department of Physical Medicine and Rehabilitation, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia; Neuromuscular Rehabilitation Division, Department of Physical Medicine and Rehabilitation, Airlangga University Hospital, Surabaya, Indonesia Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia; Intensive and Neurocritical Division, Department of Neurology, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia Department of Epidemiology, Biostatistics, Population Studies and Health Promotion, Faculty of Public Health, Universitas Airlangga, Surabaya, IndonesiaBackground and objectives. Myasthenia gravis (MG) is an autoimmune disease of the neuromuscular junction causing fluctuating skeletal muscle weakness and fatigue that result in increased restrictions on physical activity, affecting the patient's ability to perform daily activities in the family, social, and work environment. The MG-ADL scale is an assessment of the ability of the daily activities of MG patients that does not require equipment or special skills for the examiner and can be done in a short time. This study analyzes the effect of low intensity aerobic exercise cycle ergometer on the ability to perform daily activities of MG patients. Materials and methods. Twenty-two MG patients, MGFA class IIa and IIb, aged 18–59, participated in this study. The subjects were randomly divided into a treatment group and a control group. The treatment group received aerobic cycle ergometer exercise for 30 minutes, three times per week, for eight weeks. Both groups were educated to continue medication from neurology, perform physical activity as usual, and breathing exercises. Assessment of MG-ADL performed before and after intervention. Results. There was an improvement in scores on breathing and lower limb function in the treatment group. There was significant decrease in MG-ADL scores at the intervention group (p = 0.000) with large effect size (1.09). The comparison of MG-ADL scores between groups showed a significant value (p = 0.009) with a large effect size (1.24). Conclusion. Low intensity aerobic exercise cycle ergometer for 8 weeks improves the ability to perform ADL in MG patient.https://rjn.com.ro/articles/2024.3/RJN_2024_3_Art-12.pdfcycle ergometermyasthenia gravisactivity of daily livingneuromuscular disease |
| spellingShingle | Iin Muslihah RA Meisy Andriana Yudith Dian Prawitri Paulus Sugianto Soenarnatalina Melaniani Effect of low-intensity aerobic cycling ergometer on ability to perform activity of daily living of patients with myasthenia gravis in RSUD Dr. Soetomo Surabaya Romanian Journal of Neurology cycle ergometer myasthenia gravis activity of daily living neuromuscular disease |
| title | Effect of low-intensity aerobic cycling ergometer on ability to perform activity of daily living of patients with myasthenia gravis in RSUD Dr. Soetomo Surabaya |
| title_full | Effect of low-intensity aerobic cycling ergometer on ability to perform activity of daily living of patients with myasthenia gravis in RSUD Dr. Soetomo Surabaya |
| title_fullStr | Effect of low-intensity aerobic cycling ergometer on ability to perform activity of daily living of patients with myasthenia gravis in RSUD Dr. Soetomo Surabaya |
| title_full_unstemmed | Effect of low-intensity aerobic cycling ergometer on ability to perform activity of daily living of patients with myasthenia gravis in RSUD Dr. Soetomo Surabaya |
| title_short | Effect of low-intensity aerobic cycling ergometer on ability to perform activity of daily living of patients with myasthenia gravis in RSUD Dr. Soetomo Surabaya |
| title_sort | effect of low intensity aerobic cycling ergometer on ability to perform activity of daily living of patients with myasthenia gravis in rsud dr soetomo surabaya |
| topic | cycle ergometer myasthenia gravis activity of daily living neuromuscular disease |
| url | https://rjn.com.ro/articles/2024.3/RJN_2024_3_Art-12.pdf |
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