Perbedaan Kognitif Penderita Diffuse Injury Grade II dengan Pemberian Latihan Fisik Awal dan Latihan Fisik Standar The Cognitive Differences of Diffuse Injury Grade II Patients with Early Physical Exercise and Standard Physical Exercise

Abstract

Background: Physical exercise after head injury is beneficial for cognitive improvement. However, timing, type and duration of the physical exercise is still unclear. Objective : To determine the cognitive difference of diffuse injury grade II cases by exerting early physical exercise compared with standard physical exercise. Design : Non randomized clinical trial. Methods: Twenty diffuse injury grade II patients diagnosed by cranial computed tomography at neurosurgical Dr. Kariadi Hospital, were examined for history of illness, neurologic and cognitive function. Subjects were divided into one group (n = 10) who received physical exercise after 48 hours of injury, 2x15 min/day for 4 weeks and another group (n = 10) who received physical exercise after 2 weeks of injury, 1x30 min/day for 4 weeks. MMSE and CDT scores were assessed after 48 hours of injury and after 4 weeks of physical exercise. Statistic analysis was done using Fischer Exact Test , Mann Whitney U Test, Wilcoxon Signed Rank Test, Kolmogorov-Smirnov Z Tes, and Independent Sample T-Tes. Results: MMSE score showed significant change between early physical exercise group and standard physical exercise group ( p=0,045 ), but not in the case of CDT score ( p=0,759). Conclusion: The early physical exercise in patients with diffuse injury grade II provides improved cognitive scores higher than the standard physical exercise. Key words: Diffuse injury grade II, cognitive, physical exercise