BACKGROUND: Myasthenia Gravis (MG) is an autoimmune disease of the neuromuscular junction that has autoantibodies that can be found in most cases. Fatigue and skeletal muscle weakness are the pathognomonic symptoms of MG and can be severely disabling, interfering with a patient’s ability to pursue activities of daily living, limiting their work, family, and social lives. AIM: This study aimed to analyze the correlation between fatigue and the ability to perform activity of daily living (ADL) among patients with MG. METHOD: Fatigue severity scale (FSS) was used to measure the fatigue and MG-ADL scale was used to evaluate the patient’s ability to perform ADL. Rank-Spearman test was used to assess the correlation between fatigue and patient’s ability to perform daily activities. RESULTS: Thirty-one patients (nine males and 22 females) with MG were included and classified into three subgroups of fatigue: Non-fatigue (FSS <4), borderline (4 < FSS < 5), and fatigue (FSS >5). There was a significant correlation between fatigue and the patient’s ability to perform ADL (p = 0.005; p = 0.488) with CI 95%. CONCLUSION: Fatigue in patients with MG correlates with the ability to perform ADL.

Background:The anterior cruciate ligament (ACL) injury is the most common knee injury that might occur during exercise. An ACL causes a balance disorder that can be considered as a risk factor for recurring injury. Identification of balance disturbances in subjects with ACL injury should be conducted to minimize the risk of re-injury.Objectives: this study aims to determine the validity of star excursion balance test with biodex balance system SD as a gold standard Method: This study is a diagnostic test with cross-sectional study approach. The number of research sample was 20 respondents selected as control group, five people with ACL injury as the case group. All subjects were examined with the biodex balance system SD (Overall Stability Index) and star excursion balance test (% MAXD). Results:The result of the correlation analysis between the overall stability index and %MAXD was not significant with r = -0.316; p = 0.175. Hence, the cut-off point could not be determined due to the insignificant correlation, thus the sensitivity, specificity, positive predictive value, and negative predictive value of the star excursion balance test could not be determined. Conclusion:Star excursion balance test was invalid as a dynamic balance test if the Biodex Balance Test SD was used as a gold standard.

Limb amputation often results in the alteration of painful (phantom and stump pain) and nonpainful sensoryexperiences (phantom sensation). It is important to know the characteristics of sensory experiences to avoidmistakes in identifying phantom pain. Phantom pain can cause disability for patient, disturbance in mobility,and deteriorate the quality of post-amputated patient. Management of phantom pain include pharmacologytreatment, surgery, anasthesia also psychotherapy. Physical medicine and rehabilitation program such asphysical therapy, biofeedback, desensitization, occupational therapy, mirror therapy, and applying prosthesisshould be performed not only to manage the pain, but also to improve functional level to increase patient’squality of life.Key Words: Amputation; Phantom limb pain; Stump pain; Sensation; Rehabilitation.

The purpose of this study is to analyse the effect of McConnell patellar taping on walking speed, step length and stride length in sub-acute stroke patient. This is an experimental study with pre-post-test analysis (n=8). The McConnell patelar taping placed on knee joint in paresis side for 30 minutes with McConnell technique and measured by gait analysis. This research placed in Physical Medicine and Rehabilitation outpatient clinic Dr Soetomo General Hospital. Eight sub-acute stroke patients participated in this study with average age 46.38 ± 11.01 years old and onset of stroke 3,87 ± 1,13 months. The result of McConnell patelar taping application showed significant increase of walking speed, from 0,68 ± 0,26 m/s to 0.80±0.31 m/s (p< 0,05). However, step length and stride length increased but not statically significant (p>0,05). From the result of this study, it appears that application of McConnell patellar taping for can increase walking speed in sub-acute stroke patient and thought be useful for sub-acute stroke patient for improvement on walking speed.

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