JADWAL ACARA
“3rd NATIONAL SPORT SCIENCE MEETING :
10-YEAR EXPERIENCE IN COMPREHENSIVE MANAGEMENT OF SPORT CLINIC”
RSUD DR SOETOMO
30-31 AGUSTUS 2019
Fakultas Kedokteran Universitas Airlangga
RSUD Dr. Soetomo
1. Pembukaan
Jumat 30 Agustus 2019 (Ruang Aula FK UNAIR)
07.30-07.55 Registrasi
Menyanyikan Lagu Indonesia Raya
07.55-08.00
dan Hymne Airlangga
08.00-08.30 Sambutan Ketua Panitia
 Andre Triadi Desnantyo, dr.,
Sp.OT (K)
Sambutan Direktur Utama RSUD
Dr. Soetomo
 Dr. Joni Wahyuhadi, dr.,
Sp.BS(K)
Sambutan Dekan FK UNAIR
 Prof. Dr. Soetojo, dr., Sp.U(K)
Sambutan Gubernur Jatim
 Dra. Hj. Khofifah Indar
Parawansa, M.Si — membuka 6. Ketua KONI Jatim - (Ir. Erlangga
acara
Audience:
1. Gubernur Jatim - (Dra. Hj.
Khofifah Indar Parawansa, M.Si)
2. Kepala DISPORA Jatim – (Drs.
Supratomo, M.Si)
3. Ketua PERWOSI Jatim (Arumi
Bachsin, S.E)
4. Kepala Dinas Kesehatan Jatim –
(Dr. dr. Kohar Hari Santoso,
Sp.An., KIC., KAP.)
5. Kepala Dinas Pendidikan Jatim –
(Dr. Hudiyono, M.Si)
Satriagung)
7. Direktur Utama RSUD Dr. Soetomo
- (Dr. Joni Wahyuhadi, dr.,
Sp.BS(K))
8. Ketua East Java Sport Science
Center - (Prof. Drs. H. Toho Cholik
Mutohir, M.A., Ph.D.)
9. Rektor UNAIR - (Prof. Dr.
Mohammad Nasih, SE., M.T., Ak.,
CMA)
10. Rektor UNESA - (Prof. Dr.
Nurhasan, M.Kes)
11. Dekan FK UNAIR - (Prof. Dr.
Soetojo, dr., Sp.U(K))
12. Dekan FIK UNESA - (Dr. Setiyo
Hartoto, M.Kes)
13. Kepala Departemen Orthopaedi -
(Dr. Dwikora N. Utomo, dr.,
Sp.OT(K))
14. Kepala Departemen Rehabilitasi
Medik - (Reni Hendrarati M, dr.,
Sp.KFR(K))
15. Kepala Departemen Radiologi -
(Dr. Rosy Setiawati,dr.,Sp.Rad(K))
16. Kepala Departemen Faal - (Dr.
Bambang Purwanto, dr., M.Kes)
17. Kepala Departemen Penyakit
Dalam - (Poernomo Budi Setiawan,
dr., Sp.PD., K-GEH., FINASIM)
 JADWAL ACARA
“3rd NATIONAL SPORT SCIENCE MEETING :
10-YEAR EXPERIENCE IN COMPREHENSIVE MANAGEMENT OF SPORT CLINIC”
RSUD DR SOETOMO
30-31 AGUSTUS 2019
Fakultas Kedokteran Universitas Airlangga
RSUD Dr. Soetomo

18. Kepala Departemen Kardiologi dan

Kedokteran Vaskuler - (Muhammad
Aminuddin, dr., Sp. JP(K)., FIHA.,
FasCC)
19. Kepala Departemen Kedokteran
Jiwa - (Dr. Sasamti Yuniar, dr.,
Sp.KJ(K))
20. Kepala Instalasi Gizi - (Adhiyanti
Asikin, DCN, M.Kes)
21. Ketua PABOI Jatim - (Taufin
Warindra, dr., Sp.OT)
22. Ketua PDSRI Jatim - (Hartono Yudi
Sarastika, dr., Sp.Rad(K))
23. Ketua PERDOSRI Jatim - (Nuniek
Nugraheni S, dr., Sp.KFR(K))
24. Senior Tim Sport Clinic - Bayu
Santoso, dr., Sp.KFR(K)
08.30-08.45 Hiburan Pembukaan Acara
 JADWAL ACARA
“3rd NATIONAL SPORT SCIENCE MEETING :
10-YEAR EXPERIENCE IN COMPREHENSIVE MANAGEMENT OF SPORT CLINIC”
RSUD DR SOETOMO
30-31 AGUSTUS 2019
Fakultas Kedokteran Universitas Airlangga
RSUD Dr. Soetomo

Plennary Symposium
Ruang Aula FK UNAIR dan Ruang Sidang A FK UNAIR
Sesi 1
Moderator: Andre Triadi Desnantyo, dr., Sp.OT(K)
Sejarah Sport Clinic, Overview, Paulus Rahardjo, dr.,
08.45-09.00 Sport Clinic
Future Sp.Rad(K)
Four Pilars East Java Sport
Science Center : a Supporting Ir. Erlangga
09.00-09.20 KONI JATIM
System For Improve Athlete's Satriagung
Performance
10 Years Reflection In Sport
Dr. Damayanti
Clinic Evaluation And
09.20-09.40 Sport Clinic Tinduh, dr.,
Developing Sport Science For
Sp.KFR(K)
support Athlete's Performance
Teddy Heri Wardhana,
09.40-10.00 Etik dan Medikolegal
dr., Sp.OT(K)
Komite Mutu &
10.00-10.20 Patient Safety
Keselamatan Pasien
Sesi 2
Moderator: Dr. DwikoraN. Utomo, dr., Sp.OT(K)
New Concept in Tissue Dr. Ferdiansyah, dr.,
10.20-10.40 Orthopaedi
Engineering Sp.OT(K)
Imaging Charasterictic of
Dr. Rosy Setiawati,dr.,
10.40-11.00 Radiologi Sport Injury in Professional
Sp.Rad(K)
Athelete
Membangun Prestasi
11.00-11.20 DISPORA JATIM Olahraga Melalui Sinergitas Drs. Supratomo, M.Si
Antar Lembaga
11.20-12.30 ISHOMA
 JADWAL ACARA
“3rd NATIONAL SPORT SCIENCE MEETING :
10-YEAR EXPERIENCE IN COMPREHENSIVE MANAGEMENT OF SPORT CLINIC”
RSUD DR SOETOMO
30-31 AGUSTUS 2019
Fakultas Kedokteran Universitas Airlangga
RSUD Dr. Soetomo

2. Simposium & Workshop Medis

Hari 1 — Jumat, 30 Agustus 2019

Satellite Symphosia
Ruang Kuliah Ruang Kuliah
Ruang Aula FK Ruang Kuliah
Anatomi 1 FK Anatomi 2 FK
UNAIR Propadeus FK UNAIR
UNAIR UNAIR
Faal
Ortho Rehab Radiologi
(Moderator :
(Moderator: Jifaldi (Moderator : I (Moderator: Paulus
Sesi 1 Dr. Lilik
Afrian M.D.S., dr., Putu Alit Pawana, Rahardjo, dr.,
Herawati, dr.,
Sp.OT) dr., Sp.KFR(K) Sp.Rad(K))
M.Kes)
Shoulder 1: Shoulder 1 : Shoulder 1: Muscle
Overuse Shoulder,
Impingement
What Are The
Syndrome: How Do Ultrasound Of The Biomolecular Of
Predictors Could Be
12.30-12.50 We Treat Overuse Shoulder Muscle Injuries
Prevented
(Teddy Heri (Paulus Rahardjo, dr., (Dr. Bambang P,
(Dr. Damayanti
Wardhana, dr., Sp.Rad(K) dr., M.Kes)
Tinduh, dr.,
Sp.OT(K))
Sp.KFR-K)
Shoulder 2: Shoulder 2 : Shoulder 2: Bone
How to Deal with Comprehensive Biomolecular Of
MR Imaging of
Labrum Tear in Management of Bone Injuries
12.50-13.10 Shoulder Injury (Sianny
Overhead Athlete Shoulder Instability (Dr. Gadis
Suryawati, dr.,
(Pramono Ari W, dr., (I Putu Alit Pawana, Meinar Sari, dr.,
Sp.Rad(K))
Sp.OT(K)) dr., Sp.KFR(K)) M.Kes)
13.10-13.30 Tanya Jawab
Moderator : dr. Moderator : Abdul Moderator : Dr. Rosy Moderator : Dr.
Sesi 2 Jeffry Andrianus, Jabbar Al Hayyan, Setiawati, dr., Gadis Meisari,
dr., Sp.OT(K) dr., Sp.KFR(K) Sp.Rad(K) dr., M.Kes
Ankle 1 : Ankle 1: Ankle1: Metabolisme
Ligament Injury
Metabolisme Of
Around Ankle CAI : Assessment of Imagingof Sport Injury
Sport & Injuries
13.30-13.50 Related To Sport Risk Factors in Ankle and Foot (Dr.
(Dr. Lilik
(Andre Triadi (Ditaruni Asrina Marcel Prasetyo, dr.,
Herawati, dr.,
Desnantyo, dr., Utami, dr., Sp.KFR Sp.Rad (K))
M.Kes)
Sp.OT(K))
Ankle 2: Ankle 2:
Neuromuscular
Role Of Arthroscopy Rehabilitation Imaging of Knee Fitness
13.50-14.10 For Ankle Problem Approach For CAI Cartilage (Dr. Rosy Measurement
(Ihsan Oesman, dr., (Abdul Jabbar Al Setiawati, dr., Test (Irfiansyah
Sp.OT(K)) Hayyan, dr., Sp.Rad(K)) Irwadi, dr.,M.Si)
Sp.KFR)
 JADWAL ACARA
“3rd NATIONAL SPORT SCIENCE MEETING :
10-YEAR EXPERIENCE IN COMPREHENSIVE MANAGEMENT OF SPORT CLINIC”
RSUD DR SOETOMO
30-31 AGUSTUS 2019
Fakultas Kedokteran Universitas Airlangga
RSUD Dr. Soetomo

14.10-14.20 Tanya Jawab

Harike-2 — 31 Agustus 2019

Ruang Aula FK UNAIR dan Ruang Sidang A FK UNAIR
Plennary Symposium
Sesi 1 Moderator: Paulus Rahardjo, dr., Sp.Rad(K)
Tissue Engineering In Knee Injury: An Dr. Dwikora N. Utomo, dr.,
08.00-08.20
Effort To Keep Athletes' Dream Alive Sp.OT(K)
Cardiorespiration Endurance Exercise For
08.20-08.40 Yukio Mikami, MD, Ph.D
Increase Athlete's Performance
Dr. Rosy Setiawati, dr.,
08.40-09.00 Imaging of Shoulder Instability
Sp.Rad(K)
09.00-09.10 Coffee Break
Satellite Symposium 1
Ruang Aula FK Ruang Kuliah Ruang Kuliah
UNAIR Anatomi 1 FK UNAIR Propadeus FK UNAIR
Ortho Rehab Radiologi
(Moderator: (Moderator: Dr. (Moderator:Paulus
Pramono Ari W., dr., Damayanti Tinduh, Rahardjo, dr.,
Sp.OT(K)) dr., Sp.KFR(K) Sp.Rad(K))
Shoulder Instability Cellular to Systemic Imaging of Muscle
Related To Sports Medical Rehabilitation Injury in Sport medicine
09.10-09.30 Injuries(Iman W. in Sport Injury (Dr. Hermina
Aminata, dr., (Dr. Damayanti Tinduh, Sukmaningtyas, dr.,
Sp.OT(K)) dr., Sp.KFR(K)) M.Kes., Sp.Rad(K))
Injury In Pediatric Pediatric Injury : What
Physical Modality for
Athletes: Do Their Radiologist Should
Sport Injury
09.30-09.55 Career End Soon? Know?(Thariqah
(Ditaruni Asrina Utami,
(Sulis Bayu S., dr., Salamah, dr.,
dr., Sp.KFR)
Sp.OT(K)) Sp.Rad(K))
Orthotic for support
Back Injury in Imaging of Spine
sport performance after
Athletes: When should Trauma (Dr. Elysanti
09.55-10.10 injury
we worry? (Lukas W, Dwi Martadiani, dr.,
(Dyah Intaniasari, dr.,
dr., Sp.OT(K)) Sp.Rad(K))
Sp.KFR)
10.10-10.20 Tanya Jawab
Satellite Symposium 2
Rehab Radiologi
Ortho
(Moderator: Dyah (Moderator: Dr.Rosy
(Moderator: Kukuh
Intaniasari, dr., Setiawati, dr.,
D, dr., Sp.OT)
Sp.KFR) Sp.Rad(K))
What Is An Ideal
Imaging Of ACL
ACL Indonesian disabled
10.20-10.40 Reconstruction (Nolli
Reconstruction? athletes (Roy Soselisa)
Kresonni, dr., Sp.Rad(K))
(Jeffry Andrianus,
 JADWAL ACARA
“3rd NATIONAL SPORT SCIENCE MEETING :
10-YEAR EXPERIENCE IN COMPREHENSIVE MANAGEMENT OF SPORT CLINIC”
RSUD DR SOETOMO
30-31 AGUSTUS 2019
Fakultas Kedokteran Universitas Airlangga
RSUD Dr. Soetomo

dr., Sp.OT(K))

Meniscus Injury
MR Imaging of Meniscal
Athletes: To Save Or Sport Prosthetics (I
Injury in Athlete (Irma
10.40-11.00 To Resect? (Dr. Edi Putu Alit Pawan, dr.,
Darinafitri, dr.,
Mustamsir, dr., Sp.KFR(K)
Sp.Rad(K))
Sp.OT(K))
Early vs Delayed How to improve sport
US Elastography of
Surgery in Knee performance in
11.00-11.20 Achilles Tendinopathy
Multiligament Injury disabled athletes
(Nyimas Diana Yulisa,
(Dr. Kiki Novito, dr., (Yasunori Umemoto,
dr., Sp.Rad(K))
Sp.OT(K)) MD, PhD)
11.20-11.30 Tanya Jawab
11.30-12.00 Lunch Symposia
12.00-12.30 Closing Remarks
12.30-13.30 ISHOMA

Workshop Rehab Radiologi

Spesialis dan Medik Tempat : Ruang
Medis Tempat : Ruang Sidang Gramik Kuliah Histologi

13.30-16.00
13.30-14.00 Introduction for Taping
Application
13.30-15.00
Dr. Damayanti Tinduh, dr., Sp.KFR(K) Grup A
USG Shoulder

Instruktur :
14.00-14.30
Grup A : Taping Application for UE Dr. Rosy Setiawati,
Injury dr., Sp.Rad (K)

I Putu Alit Pawana, dr., Sp.KFR(K)

14.30-15.00 15.00-16.00
Grup B : Taping Application for LE Grup B
injury USG Ankle

Dr. Damayanti Tinduh, dr., Sp.KFR(K) Instruktur :

15.00-15.30 Paulus Rahardjo, dr.,

Grup C : Taping Application for Spine Sp.Rad(K)
 JADWAL ACARA
“3rd NATIONAL SPORT SCIENCE MEETING :
10-YEAR EXPERIENCE IN COMPREHENSIVE MANAGEMENT OF SPORT CLINIC”
RSUD DR SOETOMO
30-31 AGUSTUS 2019
Fakultas Kedokteran Universitas Airlangga
RSUD Dr. Soetomo

problem

15.00-16.00
Wrap conclusion
 JADWAL ACARA
“3rd NATIONAL SPORT SCIENCE MEETING :
10-YEAR EXPERIENCE IN COMPREHENSIVE MANAGEMENT OF SPORT CLINIC”
RSUD DR SOETOMO
30-31 AGUSTUS 2019
Fakultas Kedokteran Universitas Airlangga
RSUD Dr. Soetomo

3. Symposium dan Workshop Awam

Hari 1 — Jumat 30 Agustus 2019

Plennary Symposium
Ruang Kuliah AMEC lantai 2
Sesi 1 Moderator: Dr. Purwo Sri Rejeki, dr., M.Kes
Dr. Purwo Sri Rejeki,
12.30-12.50 Growth & Development on Teenager
dr., M.Kes
Sundari Indah
12.50-13.10 Fisiologi Perkembangan Anak
Wiyasihati, dr., M.Si
Gerakan yang direkomendasikan untuk mendukung Kunjung Ashadi,
13.10-13.30
performa kebugaran dan OR pada masa Tumbung Kembang S.Pd, M.Fis
13.30-13.40 Tanya jawab
Sesi 2 Moderator: dr. Sulis Bayu Sentono, M.Kes., Sp.OT(K)
Bayu Rahadian, dr.,
13.40-14.00 Kebijakan Pemerintah tentang Pembinaan Atlit Junior
Sp.KJ
Diet dan Nutrisi untuk Pencegahan dan Perawatan pada Eko Dwi Martini,
14.00-14.20
Cedera Olahraga DCN
Miftakhul Jannah,
14.30-14.50 Psychological Antecedent Of Sport Injuries
dr., M.Si
Nurul Kusuma
14.40-15.00 Rehabilitasi Cedera Olahraga pada masa Pertumbuhan Wardhani, dr.,
Sp.KFR
15.00-15.10 Tanya Jawab

Hari ke-2 — 31 Agustus 2019

Ruang Kuliah AMEC Lantai 2 FK UNAIR
Plennary Symposium
Moderator: Ditaruni Asrina Utami, dr., Sp.KFR
08.00-08.15 The current update and trends in Sport Injury
(Kukuh Dwi Putra H, dr., Sp.OT)
08.15-08.30 Peran Rehabilitasi Medik dalam Pencegahan Kecacatan Akibat Cedera Olahraga
(Ditaruni Asrina Utami, dr., Sp.KFR)
08.30-08.45 The Role of Imaging in Sport Medicine
(Paulus Rahardjo, dr., Sp.Rad(K))
08.45-08.55 Tanya Jawab
Satellite Symposium 1 PembibitanAtlit
Moderator: I Putu Alit Pawana, dr., Sp.KFR(K)
An Update of the Initial Treatment of Sport Injury
08.55-09.10
(Jifaldi Afrian A.M.D.S., dr., Sp.OT)
Return to Sport
09.10-09.25
(I Putu Alit Pawana, dr., Sp.KFR(K))
The Role of MRI in Sport Medicine
09.25-09.40
(Bambang Budyatmoko, dr., Sp.Rad(K))
09.40-09.50 Tanya Jawab
09.50-10.00 Coffee Break
 JADWAL ACARA
“3rd NATIONAL SPORT SCIENCE MEETING :
10-YEAR EXPERIENCE IN COMPREHENSIVE MANAGEMENT OF SPORT CLINIC”
RSUD DR SOETOMO
30-31 AGUSTUS 2019
Fakultas Kedokteran Universitas Airlangga
RSUD Dr. Soetomo

Satellite Symposium 2
Moderator: EkoDwi Martini, DCN
10.00-10.15 Dosis Latihan
(Dr. dr. Lilik Herawati, M.Kes)
10.15-10.30 Nutrisi Untuk Latihan dan Olahraga Menuju Juara
(F.X.Wahyurin Mitano, S.KM)
10.30-10.45 Exercise Rehabilitation Pre Field-Preparation for Return to Sport
(Russel Mathenda)
10.45-10.55 Tanya Jawab
Satellite Symposium 3 “Running”
Moderator: Irfiansyah Irwadi, dr., M.Si
10.55-11.10 Running Dynamic Form (Aspek Biomekanik untuk Awam)
(Misbakhul Munir, dr.)
11.10-11.25 Cardiorespirasi Endurance Preparation
(Dr. Purwo Sri Rejeki, dr., M.Kes)
11.25-11.40 Equipment For Run Performance
(Irfiansyah Irwadi, dr., M.Si)
11.40-11.50 Tanya Jawab
11.50-12.30 Closing Remarkss
12.30-13.30 ISHOMA

Rehabilitasi Medik
Workshop Awam
Materi : Elastic Taping untuk
Tempat : Ruang Orthopaedi
pencegahan cedera pada olahraga
AMEC Lantai 2
Berlari
13.30-16.00 Grup A
Running Style in Term of Injury
Grup B
Kiki Novito, dr.Sp.OT(K)
Instruktur :
Grup B
Cardiorespiration Related in
Abdul Jabar Al Hayyan, dr., Sp.KFR
Running Dynamic Form

Jeffry Andrianus, dr.Sp.OT(K)

Grup C Grup A
Running 5K, 10K, or FM: How to Instruktur :
Run Farther and Faster
Dyah Intaniasari, dr., Sp.KFR
Andri Yanto (Coach Runner)