Sandi Irawan - Academia.edu (original) (raw)

Papers by Sandi Irawan

Postoperative Psychosocial Factors in Health Functioning and Health-Related Quality of Life After Knee Arthroplasty: A 6-Month Follow up Prospective Observational Study

Pain Medicine, 2021

Objective Knee arthroplasty (KA) is an effective and cost-effective treatment for end-stage knee ... more Objective Knee arthroplasty (KA) is an effective and cost-effective treatment for end-stage knee osteoarthritis. Despite high surgical success rates, as many as 25% of patients report compromised postoperative functioning, persistent pain, and reduced quality of life. The purpose of this study was to assess the predictive value of psychological factors in health functioning and quality of life, during a 6-month period after KA. Design A prospective observational study. Setting Surgery at two hospitals and follow-up was carried out through the domiciliary rehabilitation service. Subjects In total, 89 patients (age 70.27 ± 7.99 years) met the inclusion criteria. Method A test battery composed of Health functioning associated with osteoarthritis (WOMAC), Health-related quality of life (EQ-5D-5L), Anxiety and Depression (HADS), Pain attitudes (SOPA-B), Pain catastrophizing (PCS), and Fear of Movement (TSK-11) was assessed at 1 week, and 1, 3, and 6 months after surgery. A mixed effects ...

Physiotherapy Theory and Practice, 2018

Objective: To determine the effectiveness of a therapeutic patient education (TPE) intervention b... more Objective: To determine the effectiveness of a therapeutic patient education (TPE) intervention based on a biobehavioral approach combined with manual therapy (MT) to reduce pain in patients with chronic nonspecific neck pain (CNSNP). In addition, this study intended to assess the effectiveness of a multimodal physiotherapy program including TPE to reduce pain in patients with CNSNP. Design: Single-blind randomized controlled trial. Interventions: A total of 47 patients with CNSNP were randomized into three groups: (1) MT (control group); (2) MT plus TPE based on a biobehavioral approach (Exp1); and (3) MT plus TPE based on a biobehavioral approach, and therapeutic exercise (Exp2). Main Outcome Measurements: The clinical outcomes were recorded at baseline and at 1 and 4 months after the initiation of treatment. The primary outcome was pain intensity (Visual Analog Scale), and the secondary outcomes were pain catastrophizing (Pain Catastrophizing Scale), illness severity and global improvement (Clinical Global Impression Scale), and mechanosensitivity of the median nerve (Upper Limb Neural Test) and the cervical region (Modified Passive Neck Flexion Test). Results: Statistically significant differences in pain intensity were found when Exp2 was compared with Exp1 and the control group at 4 months (p = 0.015 and p = 0.001, respectively), but no difference was found between Exp1 and the control group at the same follow-up period (p = 0.86). Exp2 showed statistically significant differences in all of the secondary outcomes except for pain catastrophizing when compared with the control group at 4 months. Conclusions: The Exp2 group was more effective than Exp1 and the control group in terms of reducing pain intensity at 4 months; at posttreatment, only Exp2 was more effective than the control group.

International Journal of Medical Sciences, 2018

Purpose: Abdominal muscles are key in maintaining body stability and balance and an improvement i... more Purpose: Abdominal muscles are key in maintaining body stability and balance and an improvement in the functioning of these muscles could influence the rehabilitation process in lower limb pathologies such as Achilles Tendinopathy (AT). The aim was to explore whether calf eccentric exercise (EE) with vibration training was more effective at causing adaptation to the rectus anterior (RA) thickness and inter-rectus distance (IRD) than calf EE with cryotherapy. Methods: The investigation was a single-blinded, randomized, controlled clinical trial (NCT03515148). Sixty-one individuals diagnosed with mid-portion AT were recruited and divided in two groups: group A (n = 30) followed an EE with vibration program and group B (n = 31) an EE program with cryotherapy, for 12-weeks. RA muscle thickness and IRD were measured in maximal isometric contraction and at rest as an indication of superficial abdominal muscle activation. Results: IRD measures showed a significant (P < 0.05) decrease at baseline, 4 and at 12-weeks in both groups, but no significant differences were observed between the intervention groups. RA thickness was significantly increased (P < 0.05) in measures at baseline, 4 and 12-weeks showed a significant increase in maximal isometric contraction and at rest in favor of the EE vibration program group. Conclusions: The present study showed a RA thickness increase in both groups in favor of the EE vibration program with respect to cryotherapy added to EE in short and mid term in maximal isometric contraction and at rest in subjects with chronic mid-portion AT. IRD was decreased in both groups without between-groups differences.

PM&R, 2018

Background: Previous studies in asymptomatic subjects have demonstrated that myofascial trigger p... more Background: Previous studies in asymptomatic subjects have demonstrated that myofascial trigger point (MTrP) dry needling frequently is associated with postneedling soreness. However, to the authors' knowledge, there is not any study that performs a detailed description of postneedling soreness characteristics in patients with myofascial pain. This information could help clinicians to make evidence-informed decisions considering the benefits and negative effects of different dry needling dosages. Objective: We sought (1) to compare the prevalence, intensity, and duration of postneedling soreness and tenderness after different dosages of deep dry needling (DDN) and (2) analyze the influence on postneedling soreness of psychological factors and other factors involved in the DDN process Design: A 1-week follow-up, double-blind randomized controlled trial. Setting: University community. Participants: Patients (n ¼ 120: 34 male; 86 female) aged 18-53 years (median AE interquartile range, 21.0 AE 7.0 years) with active MTrPs in the upper trapezius. Intervention: All patients received DDN in an active MTrP. They were randomly divided into 4 groups: no local twitch responses (LTRs) elicited (control group), 4 LTRs elicited, 6 LTRs elicited, and DDN until no more LTRs were elicited. Main outcome measures: Postneedling soreness and pressure pain threshold were assessed before treatment, during DDN procedure, and every 24 hours during 1 week. Results: Postneedling soreness showed a significant effect for time (F 2,006 ¼ 173.603; P < .001, h p 2 ¼ 0.659) and a significant interaction between group and time (F 6,017 ¼ 3.763; P ¼ .001; h p 2 ¼ 0.111). Pressure pain threshold showed a significant effect for time (F 2,377 ¼ 16.833; P < .001; h p 2 ¼ 0.127) and a significant interaction between group and time (F 7,130 ¼ 2.100; P ¼ .04; h p 2 ¼ 0.052). Psychological factors did not show relevant correlations with the intensity of postneedling soreness. Conclusions: Postneedling soreness is present in most of subjects after DDN of active MTrPs. The groups in which DDN was performed eliciting LTRs exhibited greater post-needling soreness. The number of needle insertions was associated with postneedling soreness but psychological factors did not seem to play a relevant role on its perception.

Anesthesiology and Pain Medicine, 2015

Introduction: Tension-type headache (TTH) is the most common primary headache affecting the gener... more Introduction: Tension-type headache (TTH) is the most common primary headache affecting the general population, which is characterized by bilateral headache and mild to moderate pain. This disorder causes high levels of disability and recent scientific evidence suggests that manual therapy (MT) and therapeutic exercise are effective in reducing medication intake and decreasing the frequency and intensity of headaches in patients with TTH. Case Presentation: A 34-year-old woman was known to have chronic TTH. Initially, the patient presented moderate headaches 5 days per week, mechanical neck pain and no positive response to analgesics. A battery of self-reports was given to the patient to assess disability (using the Spanish versions of the Headache Impact Test-6 and the neck disability index), pain (visual analogue scale) and psychosocial issues (Spanish version of the pain catastrophizing scale) involved in the headaches. All measurements were taken four times during 161 days. Eleven sessions of treatment including MT, motor control therapeutic exercise (MCTE) and therapeutic patient education (TPE) were applied. Conclusions: This biobehavioral-based multimodal physical rehabilitation treatment combining MT, TPE and MCTE produced a substantial reduction in pain intensity, pain catastrophizing, disability and the impact of headaches on patient's life.

Journal of Pain Research, 2015

This cross-sectional correlation study explored the relationships between craniocervical posture ... more This cross-sectional correlation study explored the relationships between craniocervical posture and pain-related disability in patients with chronic cervico-craniofacial pain (CCFP). Moreover, we investigated the test-retest intrarater reliability of two craniocervical posture measurements: head posture (HP) and the sternomental distance (SMD). Methods: Fifty-three asymptomatic subjects and 60 CCFP patients were recruited. One rater measured HP and the SMD using a cervical range of motion device and a digital caliper, respectively. The Spanish versions of the neck disability index and the craniofacial pain and disability inventory were used to assess pain-related disability (neck disability and craniofacial disability, respectively). Results: We found no statistically significant correlations between craniocervical posture and pain-related disability variables (HP and neck disability [r=0.105; P.0.05]; HP and craniofacial disability [r=0.132; P.0.05]; SMD and neck disability [r=0.126; P.0.05]; SMD and craniofacial disability [r=0.195; P.0.05]). A moderate positive correlation was observed between HP and SMD for both groups (asymptomatic subjects, r=0.447; CCFP patients, r=0.52). Neck disability was strongly positively correlated with craniofacial disability (r=0.79; P,0.001). The test-retest intrarater reliability of the HP measurement was high for asymptomatic subjects and CCFP patients (intraclass correlation coefficients =0.93 and 0.81, respectively) and for SMD (intraclass correlation coefficient range between 0.76 and 0.99); the test-retest intrarater reliability remained high when evaluated 9 days later. The HP standard error of measurement range was 0.54-0.75 cm, and the minimal detectable change was 1.27-1.74 cm. The SMD standard error of measurement was 2.75-6.24 mm, and the minimal detectable change was 6.42-14.55 mm. Independent t-tests showed statistically significant differences between the asymptomatic individuals and CCFP patients for measures of craniocervical posture, but these differences were very small (mean difference =1.44 cm for HP; 6.24 mm for SMD). The effect sizes reached by these values were estimated to be small for SMD (d=0.38) and medium for HP (d=0.76). Conclusion: The results showed no statistically significant correlations between craniocervical posture and variables of pain-related disability, but a strong correlation between the two variables of disability was found. Our findings suggest that small differences between CCFP patients and asymptomatic subjects exist with respect to the two measurements used to assess craniocervical posture (HP and SMD), and these measures demonstrated high test-retest intrarater reliability for both CCFP patients and asymptomatic subjects.

Eksistensi Badan Pengawas Pemilu Dalampenyelenggaraan Pemilu DI Indonesia

Penulisan skripsi ini bertujuan untuk menguraikan bagaimana eksistensi Badan Pengawas Pemilu dala... more Penulisan skripsi ini bertujuan untuk menguraikan bagaimana eksistensi Badan Pengawas Pemilu dalam penyelenggaraan pemilu di Indonesia sejak awal mula terbentuknya Panwaslak pada pemilu 1982 hingga sekarang. Metode penelitian yang digunakan untuk menjawab pertanyaan tersebut adalah dengan menggunakan pendekatan normatif. Data yang digunakan bersumber dari data primer dan sekunder, data primer adalah peraturan perundang-undangan dan data sekunder adalah data yang diperoleh dengan mempelajari buku-buku ilmu hukum, hasil karya kalangan hukum, dan dokumen yang berhubungan dengan permasalahan yang dibahas. Hasil penelitian menunjukkan eksistensi lembaga pengawas pemilu banyak mengalami perubahan menuju penguatan Bawaslu baik dari kelembagaannya maupun dari kewenanganmya. Hal ini dapat dilihat pada Undang-Undang Nomor 7 Tahun 2017, salah satunya kewenangan eksekutorial, penguatan paling konkret atas eksistensi Bawaslu sebagai badan pemutus yang sejak lama diminta dan bisa dikatakan bahwa ...