Introduction: Systemic Lupus Erythematosus (SLE) is a prototype of an autoimmune disease characterized by the production of antibodies against cell nucleus components with a broad spectrum of clinical patterns. The SLE will cause long-term complications so that SLE patients tend to have sedentarylifestyle and decrease physical activity which reduces exercise capacity. The aim of therapeutic exercise is to improve a variety of clinical symptoms in SLE patients by alleviate the inflammatory process and modifying the disease’s natural course.Methods: All of references have searched in 2018 within the areas of rheumatology, immunology, cardiology, physical education and physiotherapy.Results: Therapeutic exercise in SLE has an anti-inflammatory effect by inhibiting the release of inflammatory mediators including TNF-α. Therapeutic exercise in the form of aerobic and resistance exercise able to improve aerobic capacity, reduced fatigue, increasing chronotropic reserve, heart raterecovery, functional performance, functional capacity, muscle strength and increase bone turn over. Therapeutic exercise was not aggravated disease activity as measured by SLE Activity Index (SLEDAI) and SLE Activity Measure (SLAM) index.Conclusion: Supervised aerobic and resistance exercise seems to help improve health, vitality and self perceived physical capacity in SLE patients.Keywords: Systemic lupus erythematosus , therapeutic exercise, SLEDAI, SLAM index

Introduction: Systemic Lupus Erythematosus (SLE) is a prototype of an autoimmune disease characterized by the production of antibodies against cell nucleus components with a broad spectrum of clinical patterns. The SLE will cause long-term complications so that SLE patients tend to have sedentary lifestyle and decrease physical activity which reduces exercise capacity. The aim of therapeutic exercise is to improve a variety of clinical symptoms in SLE patients by alleviate the inflammatory process andmodifying the disease’s natural course. Methods: All of references have searched in 2018 within the areas of rheumatology, immunology,cardiology, physical education and physiotherapy. Results: Therapeutic exercise in SLE has an anti-inflammatory effect by inhibiting the release of inflammatory mediators including TNF-α. Therapeutic exercise in the form of aerobic and resistance exercise able to improve aerobic capacity, reduced fatigue, increasing chronotropic reserve, heart rate recovery, functional performance, functional capacity, muscle strength and increase bone turn over.Therapeutic exercise was not aggravated disease activity as measured by SLE Activity Index (SLEDAI) and SLE Activity Measure (SLAM) index. Conclusion: Supervised aerobic and resistance exercise seems to help improve health, vitality and self perceived physical capacity in SLE patients.

Introduction: The elderly experience various decline in life and cause a decrease in body's functional balance. Thus will affect the quality of life. Balance can be measured using various assessment instruments, one of them is the Berg Balance Scale (BBS). Qigong exercise is not widely known or well known among the elderly in Indonesia, in fact it has many benefits and is suitable for them. This study wanted to prove the effect of Qigong exercise on improving functional balance in elderly. Methods: This study is a randomized controlled trial with pre and post test controlled group design. The sampling method is using consecutive sampling method. The sample was 20 people and divided into intervention group (n=10 people) and control group (n=10 people). Participants in the intervention group performed Qigong exercises 3 times a week for 8 weeks. The control group received common elderly exercise 3 times a week. Balance was measured before and after the intervention using the Berg Balance Scale (BBS). Results: There was an increase in BBS scores before and after treatment in the elderly exercise group (p=0.003), and in the Qigong group (p=0.004). The Berg Balance Scale value in the control group (44.30±0.68) was higher than the Qigong group (44.18±0.60) at the beginning of the study but the difference was not significant (p=0.632). The Berg Balance Scale value in the control group (46.60±0.84) was lower than the Qigong group (48.45±1.13) at the end of the study and the difference was significant (p<0.001). Conclusion: Qigong exercise improves balance better than the elderly exercise.

Introduction: Glioblastoma Multiform (GBM) is the most common malignant primary brain tumor. Early rehabilitation program is needed to increasing the independency and the quality of life.Methods: Case presentation of a woman, age 31 years, diagnosed with GBM. Subject has chronic headache by visual analog scale (VAS) was 5 to 6 and progressive of vision loss (0/0), short and intermediate memory loss, the average of limb strength by manual muscle test were four, and immobilization on bedsince one and half year. The first day after craniotomy, patient has Rehabilitation Program; cryotherapy for decreased the pain, therapeutic exercise, and cognitive stimulation exercise for 5 week.Results: After 5 weeks of rehabilitation program, patient has reduced the pain measured by VAS was 0, improved the memory, and be able to ambulationConclusion: Patient post GBM post craniotomy need to have comprehensive rehabilitation program to reduce pain, improve memory and ambulation.Keywords: Glioblastoma Multiform, Rehabilitation Medicine Program