The 9th National Conference & 14th Annual Scientific Meeting

The 9th National Conference & 14th Annual Scientific Meeting

Facing The Challenges of Disability Through PMR in 21 Centuries

Facing The Challenges of Disability Through PMR in 21st Centuries

of Indonesian Physical Medicine and Rehabilitation Association (MUKERNAS IX & PIT XIV PERDOSRI)
st

7 10 October 2015, Lombok Raya Hotel, Lombok - INDONESIA

th

th

ORGANIZED BY :
The Indonesian Physical Medicine
and Rehabilitation Association (PERDOSRI)
SECRETARIAT :
Jl. Cakalang Raya No. 28 A

Fax
Email

: +62-21-47866390
: +62-21-47866390
: [email protected]

Mobile : +62 812 8037 9209

CONTACT PERSON :
Dr. Rita Kumalasari, SpKFR
08156742161
Dr. Henny Angganawati, SpKFR
085214032461

7 th 10 th October 2015, Lombok Raya Hotel, Lombok - INDONESIA

ORGANIZING COMMITTEE:
Steering Committee :
Prof. DR. Dr. Angela B.M. Tulaar, SpKFR-K
Dr. Luh Karunia Wahyuni, SpKFR-K
DR. Dr. Ratna D. Haryadi, SpKFR-K
Dr. Rosiana Pradanasari Wirawan, SpKFR-K
Dr. Anita Ratnawati, SpKFR-K
Chairman :
Dr. Deasy Erika, SpKFR

Rawamangun, Jakarta Timur

Phone

of Indonesian Physical Medicine and Rehabilitation Association (MUKERNAS IX & PIT XIV PERDOSRI)

Vice Chairman :
Dr. Gunawan Kurniadi, SpKFR
Dr. A. A. Ayu Srikandhyawati, SpKFR
Treasurer :
Dr. Ira Mistivani, SpKFR-K
Dr. Amien Suharti , SpKFR

Secretary :
Dr. Maryana Ugahary, SpKFR
Dr. Maria Eva Dana, SpKFR
National Conference :
Dr. Dian Naka Eriawati, SpKFR
Dr. Maryana Ugahary, SpKFR
Dr. Ami Rachmi, SpKFR
Event :
Dr. Dhani Sartika Gunaleila, SpKFR
Dr. Tresia Fransiska, SpKFR
Dr. Rita Kumalasari, SpKFR
Dr. Henny Angganawati, SpKFR
Dr. Jovita Maria Melania, SpKFR
Dr. Sisca Susantio, SpKFR
Cultural Dinner :
Dr. Sari Dewi Saraswati, SpKFR
Dr. Tresia Fransiska, SpKFR
Food and Beverage :
Dr. Moerdjajati Angka,SpKFR
Dr. Luh Kamiati, SpKFR
Dr. Ny. Murniari Danun, SpKFR
Fund Raiser :
Dr. Deasy Erika, SpKFR
Dr. Ira Mistivani, SpKFR-K
Dr. Jo Yenny Lindoyo, SpKFR
Publication :
Dr. Rita Kumalasari, SpKFR
Dr. HennyAngganawati, SpKFR

Registration :
Dr. Jovita Maria Melania, SpKFR
Dr. Sari Dewi Saraswati, SpKFR
Transportation and Accommodation :
Dr. Ray Indra Wibowo, SpKFR
Dr. Tjokorda Istri Ngurah Srinilakusuma, SpKFR
Dr. Dedi Silakarma, SpKFR
Dr. Cok Gede Dalam Kurniawan, SpKFR
Dr. Andi Dala Intan, SpKFR
Scientific Coordinator :
Dr. Gunawan Kurniadi, SpKFR
Members :
Dr. Zisjkawati Hamzah, SpKFR
DR. Dr. Damayanti Tinduh, SpKFR-K
Dr. Yefta Daniel Bastian, SpKFR
Dr. AV Fanny Aliwarga, SpKFR
Dr. Ferius Soewito, SpKFR
Social Program :
Dr. Nurul Ulyani, SpKFR
Dr. Verra, SpKFR
Dr. Menik Widyasari, SpKFR
Dr. Santry Yusnita Sinatra, SpKFR

ORGANIZED BY :
The Indonesian Physical Medicine
and Rehabilitation Association (PERDOSRI)
SECRETARIAT :
Jl. Cakalang Raya No. 28 A
Rawamangun, Jakarta Timur
Phone : +62-21-47866390
Fax
: +62-21-47866390
Email : [email protected]
Mobile : +62812 8037 9209
CONTACT PERSON :
Dr. Rita Kumalasari, SpKFR

08156742161
Dr. Henny Angganawati, SpKFR
085214032461

DEADLINE ABSTRACT :
15th July 2015

The 9th National Conference & 14th Annual Scientific Meeting

The 9th National Conference & 14th Annual Scientific Meeting

Facing The Challenges of Disability Through PMR in 21st Centuries

Facing The Challenges of Disability Through PMR in 21st Centuries

of Indonesian Physical Medicine and Rehabilitation Association (MUKERNAS IX & PIT XIV PERDOSRI)

of Indonesian Physical Medicine and Rehabilitation Association (MUKERNAS IX & PIT XIV PERDOSRI)

Welcome Message
Dear Colleagues,
It is with a great honor and pleasure we are inviting you to the 9th National Conference
and 14th Annual Scientific Meeting of Indonesia Physical Medicine and Rehabilitation
Association (MUKERNAS IX and PIT XIV PERDOSRI) that is going to be held at Hotel
Lombok Raya, Nusa Tenggara Barat, Indonesia on 7th 10th October 2015. Symposium will
be conducted on 7th 8th October 2015 and Workshop on 9th 10th October 2015. The
subjects that is going to be discuss during this meeting is all about PNPK (Pedoman Nasional
Pelayanan Kedokteran)
The theme for our Annual Scientific Meeting in 2015 is: Facing the Challenging Disability
through Physical Medical Rehabilitation in 21st Century.
By attending this National Conference and Annual Scientific Meeting, it is a great chance for
all of us to meet and greet among us and also exchanging our experiences, knowledge and
best practices throughout the Courses and Sessions that is going to be conducted in relation
to Physical Medicine and Rehabilitation for the benefit of improving our patient safety as
well as our ethical way in treating patient.
We are doing our best effort to make 2015 National Conference and Annual Scientific
Meeting become an excellent learning, educating event and gathering. The exotic view of
Lombok and the warmth of the weather will make this meeting worth to remember.
We are welcome for free paper submission from all of us and especially from our residents
that are going to be presented in oral and put on the poster.
On behalf of the Organizing Committee, we cordially invite you attending the 9th National
Conference and 14th Annual Scientific Meeting of Indonesia Physical Medicine and
Rehabilitation Association in Lombok, Indonesia.
We thank you for your contribution and support for making our annual event a successful one.

Deasy Erika, MD
Chairman, Organizing Committee

7 th 10 th October 2015, Lombok Raya Hotel, Lombok - INDONESIA

7 th 10 th October 2015, Lombok Raya Hotel, Lombok - INDONESIA

DATE & VENUE :

Lombok Raya Hotel, Lombok
Jl. Panca Usaha, Cakranegara,
Kota Mataram, Nusa Tenggara Barat
83239, - Indonesia
Telp. +62 370 632305
THEME :

Facing the challenges of

disability through PMR
in 21st Centuries
IMPORTANT DATES :
Deadline abstract for Free Paper:
15th July 2015
Deadline abstract for Speaker:
31st July 2015
Deadline for Early Registration:
31st July 2015
REGISTRATION
MUKERNAS

7th 8th October 2015
Exhibition

7th 9th October 2015
Free Paper and Poster:

7th 8th October 2015
Workshop:

9th 10th October 2015
Opening Ceremony:
7th October 2015
Dinner:
9th October 2015
MAIN TOPICS:
1. Facing The Challenges Of
Disabilities
2. ICF For PMR Practice
3. Correlation Between Posture And
Pain
4. Exercise Prescription For Disability
5. Diagnostic Test In Pain
Management
6. Disability In Sensory Processing
Disorder
7. Ergonomic Management To
Prevent Pain
8. Stem Cell Therapy In
Osteoarthritis
9. Approaches In Constraint Induced
Aphasia Therapy
10. Indonesian PMR Guideline For
Disability In Communication
11. Pediatric Pain

12. PMR Recommendation In

Dysphagia
13. Pain In Older Adults
14. How To Decide Weaning Time
From Rehabilitation Perspective
15. Introduction To Interventional
PMR Pain Management
16. Disability In Mobility
17. Interventional Therapy In
Sacroiliac Joint Arthropathy
18. How To Assess Voiding
Dysfunction
19. PMR Recommendation For
Neurogenic Bladder
20. PMR Innovation
TENTATIVE WORKSHOPS:
WORKSHOP 1 : To Be An Expert
in Osteoporosis Rehabilitation
Management
WORKSHOP 2 : USG
Musculoskeletal For Spine and
Hip, Peripheral Nerve
WORKSHOP 3 : Rehabilitation
Post ACL Repaired and Its
Problem
WORKSHOP 4 : Dysphoni
WORKSHOP 5 : Rehabilitation
Management in ICU
WORKSHOP 6 : Pulmonary
Rehabilitation For Asthma - COPD
WORKSHOP 7 : Dysphagia
WORKSHOP 8 : Exercise
Prescription for Disability
WORKSHOP 9 : Gait Analysis
WORKSHOP 10 : Feeding
WORKSHOP 11 : Spino Care
WORKSHOP 12 : Intra Articular
Injection
WORKSHOP 13 : ESWT
CLASS : PHOTOGRAPHY
WORKSHOP FOR GENERAL
PRACTITIONER
Pemeriksaan Dasar Kedokteran
Fisik dan Rehabilitasi Untuk Dokter
Umum
TENTATIVE SPEAKERS
& INSTRUCTORS:
Ahmad Alamsyah (Indonesia)
Ami Rachmi (Indonesia)
Andri Lubis (Indonesia)

Angela B.M. Tulaar (Indonesia)

Anita Ratnawati (Indonesia)
Anitta Florence Paulus (Indonesia)
Apichana Kovinda (Thailand)
Arief Soemarjono (Indonesia)
Aryadi Kurniawan (Indonesia)
Bayu Santoso (Indonesia)
Carl Chen (Taiwan)
Chen Wen Shiang (Taiwan)
Cindy Lin (Singapore)
Cok Gede Dalam Kurniawan
(Indonesia)
Damayanti Tinduh (Indonesia)
Deasy Erika Kurniawaty (Indonesia)
Ellyana Sungkar (Indonesia)
Fanny Aliwarga (Indonesia)
Ferius Soewito (Indonesia)
Fiastuti Isbandi (Indonesia)
Fitri Anesterita (Indonesia)
Gunawan Kurniadi (Indonesia)
Harry Isbagio (Indonesia)
Hening Laswaty Putra (Indonesia)
I Putu Alit Pawana (Indonesia)
Ira Mistivani (Indonesia)
J. Halbertsma (Netherland)
Jo Yenny Lindoyo (Indonesia)
Kenji Shirakura (Jepang)
Ketut Ngurah Gunapria (Indonesia)
Klaas Postema (Netherland)
Komang Bagus Satriawan
(Indonesia)
Lestaria Aryanti (Indonesia)
Luh Kamiati (Indonesia)
Luh Karunia Wahyuni (Indonesia)
Marina Moelyono (Indonesia)
Maryana Ugahary (Indonesia)
Menik Widyasari (Indonesia)
Nevy Lolong (Indonesia)
Nuniek Nugraheni S (Indonesia)
Nurhadi Ibrahim (Indonesia)
Nurul Ulyani (Indonesia)
Nury Nusdwinuringtyas (Indonesia)
Paulus Rahardjo (Indonesia)
Peni Kusumastuti (Indonesia)
Ratna D. Haryadi (Indonesia)
Rosiana Pradanasari (Indonesia)
Rudi Handoyo (Indonesia)
Ruliando Hasea Purba (Indonesia)
Rwahita Satyawati D (Indonesia)
Saito Satoru (Japan)
Siti Annisa Nuhonni (Indonesia)
Sri Mardjiati Mei Wulan (Indonesia)
Susyana Tamin (Indonesia)
Tirza Z Tamin (Indonesia)
Tyng Guey Wang (Taiwan)
Verra (Indonesia)
Wayan Dibyo (Indonesia)

REGISTRATION & ACCOMMODATION FORM

PLEASE FILL IN THIS FORM WITH CAPITAL BLOCK LETTERS

TITLE

) Prof. (

) PhD. (

) Dr. (

) Mr. (

) Ms.

FIRST NAME

_________________________________________________________________________________________

LAST NAME

_________________________________________________________________________________________

INSTITUTION _________________________________________________________________________________________
ADDRESS

_________________________________________________________________________________________

CITY

_________________________________________________________________________________________

PROVINCE _____________________________________
COUNTRY ___________________________
EMAIL

_____________________________________

POSTAL CODE

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MOBILE PHONE

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PHONE

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REGISTRATION FEE
SYMPOSIUM
GP / Resident
Specialist

Up to
31 Juli 2015
Rp1.250.000,Rp2.000.000,-

After
31 Juli 30 Sept
2015
Rp1.500.000
Rp2.500.000,-

REGISTRATION FEE
WORKSHOP

On Site
Rp2.000.000,Rp3.000.000,-

Up to
31 Juli 2015
Friday, 9th October 2015 (08.00 17.00) Full day
Rp2.000.000,Workshop 1 : To Be An Expert in
Osteoporosis Rehabilitation Management
Rp2.000.000,Workshop 2 : USG Musculosceletal For
Peripheral Nerve Spine and Hip
Rp2.000.000,Workshop 3 : Rehabilitation Post
ACL Repaired and Its Problem
Rp2.000.000,Workshop 4 : Dysphoni
Rp2.000.000,Workshop 5 : Rehabilitation
Management in ICU
Rp2.000.000,Workshop 6 : Pulmonary
Rehabilitation For Asthma & COPD

After 31 Juli
30 Sept 2015
Rp2.500.000,Rp2.500.000,-

REGISTRATION FEE
WORKSHOP

Up to
After 31 Juli
31 Juli 2015
30 Sept 2015
Rp2.000.000,Rp2.500.000,Workshop 7 : Dysphagia
Saturday, 10th October 2015 (08.00 17.00) Full day
Rp2.000.000,Rp2.500.000,Workshop 8 : Exercise Prescription
for Disability
Rp2.000.000,Rp2.500.000,Workshop 9 : Gait Analysis
Rp2.000.000,Rp2.500.000,Workshop 10 : Feeding
Rp2.000.000,Rp2.500.000,Workshop 11 : Spino Care
Rp2.500.000,Rp3.000.000,Workshop 12 : Intra Articular Injection
Saturday, 10th October 2015 (08.00 12.00) Half day
Rp1.250.000,Rp1.500.000,Workshop 13 : ESWT

Rp2.500.000,Rp2.500.000,Rp2.500.000,Rp2.500.000,-

ACCOMMODATION FEE
Lombok Raya Hotel

PRICE

Super Room
Deluxe
Superior

Rp. 850.000,Rp. 800.000,Rp. 750.000,-

REGISTRATION FEE
WORKSHOP for GENERAL PRACTITIONER

Up to
After 31 Juli
31 Juli 2015
30 Sept 2015
Saturday, 10th October 2015 (08.00 12.00) Half day
Rp1.250.000,Rp1.500.000,Pemeriksaan Dasar Kedokteran Fisik
dan Rehabilitasi Untuk Dokter Umum

CHECK IN

CHECK OUT

PAYMENT METHODS

Transfer via following account:

Bank : BRI
Address : Panglima Polim
Account name : PT CIPTA DELIMA INDONESIA
Account number : 0420. 01. 000426. 30. 7
Bank charges will be borne by participants

I authorize payment by credit card

PLEASE FAX THIS FORM TO SECRETARIAT FAX : +62 - 21 - 4786 6390

TOTAL NIGHT