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EFEK LATIHAN FISIK BERKELANJUTAN PADA PASIEN PASCA MASTEKTOMI RADIKAL MODIFIKASI TERHADAP KEJADIAN LIMFEDEMA DAN KETERBATASAN GERAK SENDI BAHU Neidya Karla; Tertianto Prabowo; Vitriana Biben
Majalah Kedokteran Indonesia Vol 69 No 10 (2019): Journal of the Indonesian Medical Association Majalah Kedokteran Indonesia Volu
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.1234/jinma.v69i10.179

Abstract

Tujuan: Mengetahui efek latihan fisik berkelanjutan terhadap kejadian limfedema dan keterbatasan Lingkup Gerak Sendi (LGS) bahu pada pasien pasca Mastektomi Radikal Modifikasi (MRM).Metode: Penelitian Pretest-Posttest Control Group Design dengan kriteria inklusi wanita berusia d?60 tahun dan Index Masa Tubuh (IMT) d?30 kg/m2 dengan diagnosis kanker payudara pasca MRM. Kelompok kontrol mendapat latihan fisik selama perawatan dan kelompok perlakuan mendapat latihan fisik berkelanjutan selama 16 minggu. Penelitian ini menggunakan Analisa statistik chi-square dan Kolmogorov-Smirnov Test. Hasil: Subjek penelitian sebanyak 24 orang. Tidak ditemukan kejadian limfedema dan keterbatasan LGS bahu pada kelompok yang mendapat latihan fisik berkelanjutan, meskipun secara statistik tidak ditemukan perbedaan bermakna (p > 0,05) dibandingkan dengan kelompok kontrol.Kesimpulan: Penelitian ini menunjukkan bahwa latihan fisik berkelanjutan berperan dalam mencegah kejadian limfedema dan keterbatasan LGS bahu pasien pasca MRM.
EFEK KINESIOTAPING DAN LATIHAN PENGUATAN OTOT KUADRISEPS TERHADAP AKTIVITAS OTOT REKTUS FEMORIS, VASTUS MEDIALIS OBLIK DAN VASTUS LATERALIS, INTENSITAS NYERI DAN STATUS FUNGSIONAL PENDERITA OSTEOARTRITIS LUTUT: UJI ACAK TERKONTROL Novaria Puspita; Tertianto Prabowo; Irma Ruslina Defi
Majalah Kedokteran Indonesia Vol 69 No 8 (2019): Journal of the Indonesian Medical Association Majalah Kedokteran Indonesia Volum
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.1234/jinma.v69i8.188

Abstract

Tujuan: Untuk mengetahui efek kinesiotaping (KT) dan latihan penguatan otot kuadriseps terhadap aktivitas otot Rektus Femoris (RF), Vastus Medialis Oblik (VMO) dan Vastus Lateralis (VL), intensitas nyeri dan status fungsional penderita OA lutut.Metode Penelitian: Desain penelitian ini adalah uji acak terkontrol double blind. Dua puluh enam wanita dengan OA lutut dibagi menjadi kelompok intervensi dan kontrol secara acak. Kelompok intervensi diberikan KT pada ketiga otot kuadriseps dan latihan penguatan otot kuadriseps, kelompok kontrol mendapat ?sham? taping dan latihan penguatan otot kuadriseps. Dilakukan pengukuran aktivitas otot dengan surface electromyography (sEMG), penilaian nyeri dengan Numerical Rating Scale (NRS) dan status fungsional dengan Aggregated Locomotor Function (ALF) scale sebelum dan setelah perlakuan 4, 6 dan 8 minggu.Hasil: Terdapat perbedaan bermakna pada aktivitas otot rektus femoris (p=0,033) antara kelompok perlakuan dan kontrol pada minggu ke-8 tetapi tidak terdapat perbedaan bermakna (p>0.05) antara kelompok perlakuan dan kontrol pada aktivitas otot vastus medialis oblik, vastus lateralis, NRS dan ALF di minggu 4,6 dan 8.Kesimpulan: KT dan latihan penguatan quadriseps tidak memberikan perbaikan yang lebih pada intensitas nyeri, status fungsional, aktivitas otot VMO dan VL dibandingkan dengan ?sham? taping dan penguatan quadriseps pada OA lutut, kecuali hanya pada peningkatan aktivitas otot RF.
Fall Risk Based on Timed Up and Go Test in Elderly at Nursing Home in West Java, Indonesia Thiruchelvam Selvadurai; Tertianto Prabowo; Yuni S. Pratiwi
Althea Medical Journal Vol 4, No 1 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Abstract

Background: Falls are major cause of morbidity and mortality in elderly patients. Mobility assessment is important in preventing  falls in elderly. This study was conducted to determine the level of fall risk in elderly people at Karitas Cimahi Nursing Home, West Java, Indonesia by using ‘timed up and go test’(TUG).Methods:This cross-sectional descriptive study was conducted at Karitas Cimahi Nursing Home from June–November 2013. The risk of falls was categorized into two; high and low risk of falls. High risk of falls indicated when the participants complete the TUG test with time taken >10 seconds, and low risk of falls indicated when the time taken is <10 seconds. To identify the level of fall risk in elderly people the test which is recommended by the American Geriatric Society was used. The sampling technique used was total sampling. Data was analyzed and presented by using frequency tables.Results: From a total of 32 elderly population at Karitas Cimahi Nursing Home, a total of 20 participated in this study. The ‘Timed up and go test’ result for all the participants were >10 seconds. Conclusions: The level of fall risk in elderly people at Karitas Cimahi Nursing Home based on the  test showed  that all participants,  both male and female, regardless of using assistive device have high level risk of falls. [AMJ.2017;4(1):83–6] DOI: 10.15850/amj.v4n1.1025
Demographic Profile of Knee Osteoarthritis Patients in a Teaching Hospital West Java, 2013 Tranggana Nugrahaputra; Tertianto Prabowo; Henny Anggraini Sadeli
Althea Medical Journal Vol 2, No 4 (2015)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Abstract

Background: Osteoarthritis is the most common degenerative musculoskeletal diseases occur worldwide. It usually affects the weight-bearing joint such as knee and vertebra. Osteoarthritis is influenced by various risk factors. The aim of the study was to identify the demographic profile of knee osteoarthritis patients.Methods: A retrospective descriptive study was performed to 247 medical records of knee osteoarthritis patients who attended to Physical Medicine and Rehabilitation of Dr. Hasan Sadikin General Hospital Bandung in 2013. The inclusion criteria were medical records that consisted of age, sex and occupation of the patients, and payment methods. Exclusion criteria were incomplete of the necessary data mentioned in the inclusion criteria. The study was conducted from August until November 2014. The collected data were analyzed and presented using frequency distribution.Results: From all the patients, 40.9% was 60-69 years old, 77.7% were women and 82.6% were retired patients. Most of the patients had a social health insurance.Conclusions: Majority of patients is 60–69 years old women, retired and has the financial protection. [AMJ.2015;2(4):597–600] DOI: 10.15850/amj.v2n4.468
Correlation between Body Mass Index and Disability in Patient with Chronic Low Back Pain Tiang Soon Teck; Tertianto Prabowo; Nani Kurniani
Althea Medical Journal Vol 3, No 4 (2016)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Abstract

Background: Low back pain is discomfort presented below the margin of the 12th thoracic rib and above the inferior gluteal fold with or without leg pain. It is also a major cause of disability. Several risk factors have been identified for contributing low back pain. It is important to determine whether body mass index (BMI) can affect the disability in patients with chronic low back pain. Oswestry disability index (ODI) questionnaire has been used to measure the severity of disability. Thus, the focus of study was to determine correlation between BMI and disability in patients with chronic low back pain. Methods: Sixty two patients aged 18 years old or more who were clinically diagnosed as having low back pain at least 3 months participated in this study in the period of October to November 2015 in the Department of Physical Medicine and Rehabilitation of Dr. Hasan Sadikin General Hospital Bandung. Total sampling method was used. Gender, age, weight, height, BMI and disability were recorded using ODI questionnaire. This analytical study was cross sectional study and the ordinal variable was analyzed using linear regression analysis.Results: Females had higher proportion (77). Chronic low back pain patients were equally distributed on normal weight and overweight categories. Patient with chronic low back pain had higher chances of developing moderate disability. There were positive correlation between BMI and disability. Nevertheless, there was no statistically analysis difference between model 1 and 2.Conclusions: The BMI affects the disability in patients with chronic low back pain. [AMJ.2016;3(4):624–8] DOI: 10.15850/amj.v3n4.949
Body Mass Index and Western Ontario & McMaster Universities Osteoarthritis Index in Patients with Knee Osteoarthritis in Dr. Hasan Sadikin General Hospital, Bandung in November 2012 Ainna Binti Mohamad Dat; Tertianto Prabowo; Alwin Tahid
Althea Medical Journal Vol 2, No 3 (2015)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Abstract

Background: Osteoarthritis is one of the major disabilities among elderly. One of its well-recognized potent risk factors is obesity. The aim of this study was to identify the body mass index and severity of knee osteoarthritis patients who were treated in Dr. Hasan Sadikin General Hospital Bandung.Methods: A descriptive study was carried out to 9 patients of the Medical Rehabilitation Policlinic at Dr. Hasan Sadikin General Hospital Bandung in November 2012. Patients were diagnosed as having knee Osteoarthritis based on American College of Rheumatology clinical classification. Exclusion criteria were patient having previous trauma in spine and lower limb, having bleeding disorder like hemophilia, incomplete data in medical records and incomplete data in questionnaire. Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) was used to measure the intensity of pain, stiffness, and functional difficulty.  The weight (kg) and height (cm) of the patients were measured and the Body Mass Index was calculated by Weight (kg)/Height² (m). The data were analyzed using frequency distribution.Results: The patients who came to the Medical Rehabilitation Policlinic had ranged in age from 57 to78 years, mostly female with knee Osteoarthritis bilateral. Out of 9 patients, 5 patients were overweight, followed by normal BMI and obese type I. Patient with obese type 1 had the highest WOMAC score.  Conclusions: Most of the patients with knee osteoarthritis bilateral are overweight and the patient with obese type 1 has the highest WOMAC score. DOI: 10.15850/amj.v2n3.521
Physical Performance of West Java Soccer Athletes during February to December 2012 Army Zaka Anwary; Ambrosius Purba; Tertianto Prabowo
Althea Medical Journal Vol 2, No 1 (2015)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Abstract

  Background: Soccer is one of the sports included in the 18th National Sports Week (Pekan Olahraga Nasional, (PON) 2012, in Riau. Soccer requires a good physical condition to perform various football techniques such as running, shooting, dribbling, tackling, sliding, throw-in and heading. A good physical component can be achieved through a well-rounded program in accordance to the periodization training program. This study was conducted to describe the physical performance of the West Java’s football athletes in order to develop periodization training program and to predict the athletes’ performance.Methods: A descriptive study was carried out on 23 West Java’s football athletes using secondary data from West Java’s KONI sports medicine team test reports during the period of February to December 2012. The variables in this study were 7 predominant physical components in football as follows: muscle strength, muscle endurance, speed, agility, flexibility, explosive leg muscle power, and general endurance (VO2 max). All components were categorized asInsufficient, Fair, Good, Excellent, and Perfect compared to the central KONI standards.Results: The leg muscle strength, abdominal muscle endurance, speed, agility of all athletes were not considered perfect. Not one of the components was above 50% which was the excellent category. Only Arm and shoulder endurance (56.5%), speed (68.18%), and leg muscle power (52.17%) were in good category. The most of the results regarding the athletes’ leg muscle strength was categorized as fair. All results in the abdominal endurance were in insufficient category.Conclusion: Not all physical performance components are achieved perfectly by all of the football athletes.Keywords: Athletes, football, physical performance DOI: 10.15850/amj.v2n1.442 
Correlation between Forced Expiratory Volume One Second and Vital Capacity with VO2 Maximum Siti Khadijah Rahmania; Tertianto Prabowo; Putri Tessa
Althea Medical Journal Vol 3, No 3 (2016)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Abstract

Background: Medical students need to cope with their tight schedule, which also demand a good physical fitness to do those activities. Insufficient leisure time and exhausting activities impede students’ capacity on having routine physical exercise to maintain their physical fitness. Cardiopulmonary endurance describes a person physical fitness level, and lung function is one basic component of cardiopulmonary endurance. Without optimal lung function, circulatory system in the body cannot work properly. This study aimed to determine whether lung function giving a significant correlation with the cardiorespiratory endurance which are measured by Forced Expiratory Volume One Second (FEV1), Vital Capacity (VC), and VO2Maximum (VO2max), respectively.Methods: This study was conducted in September–October 2013 to the students of Faculty of Medicine at Universitas Padjadjaran academic year 2010–2012, using the cross-sectional method. Sample was taken through simple random sampling process. There were 34 male and 34 female students after controlling for covariates. Direct measurement using spirometer used to determine lung function and maximum oxygen uptake was measured by assessing Rhyming Step Test result. Correlation coefficient was then calculated by Pearson correlation test.Results: The correlation between FEV1with VO2max of male students giving a value of p=0.442, while for VC obtained a value of p=0.259. Female students result giving a value of p=0.746 for the FEV1with VO2max, and p=0.489 for the VC with the VO2max.Conclusions: There is no significant correlation between FEV1 and VC with the VO2max of the respondents. [AMJ.2016;3(3):430–3] DOI: 10.15850/amj.v3n3.868
Correlation between Computer Workstation and Location of Musculoskeletal Disorders Hafiz Ambyo Bagaskoro; Tertianto Prabowo; Setiawan Setiawan
Althea Medical Journal Vol 3, No 2 (2016)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Abstract

Background: The use of computer has been widely increased. This intensifies the risk of musculoskeletal disorders on long-term office workers. This study aims to find out the characteristics of musculoskeletal disorders in office workers with computer workstation which then lead to the presence or absence of the correlation between the two in order to avoid the pains endured.Methods: This was a cross-sectional study carried out from September–November 2014 in Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia. Seventeen samples were obtained from three different departments (finance and academics) by total sampling. The data was collected by validated questionnaire and it was analyzed by using simple linear regression method.Results: From 17 samples in total, 16 claimed that their workstation needs to be evaluated. Furthermore, the prevalent areas of musculoskeletal were shoulders (12 persons), lower back (10 persons), neck (9 persons), knee (9 persons), upper back (7 persons). The analysis using simple linear regression method showed no significant correlation between workstation characteristics and musculoskeletal disorders (p-value = 0.515).Conclusions: There is no correlation found between workstation characteristics and musculoskeletal disorders. [AMJ.2016;3(2):323–8]DOI: 10.15850/amj.v3n2.793
Prediction of Jamar Grip Strength Value Using Modified Aneroid Spyhgmomanometer Cuff Method Lusia Pujianita; Tertianto Prabowo; Marietta Shanti Prananta
International Journal of Integrated Health Sciences Vol 5, No 1 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran

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Abstract

Objective: To examine the prediction of Jamar grip strength value by using aneroid sphygmomanometer cuff method in adults.Methods: This study involved 120 subjects, aged 20–59 years old. The grip strength of subjects were measured using Jamar dynamometer and aneroid sphygmomanometer cuff method. Spearman analysis was used to evaluate the correlation between variables and grip strength. Forward stepwise was used to analyze the regression of Jamar dynamometer using aneroid sphygmomanometer cuff method. Results: There was a weak correlation (r<0.4) between grip strength with age and BMI, moderate correlation (r = 0.4–0.6) for grip circumference, and also strong correlation r= (0.6–0.8) for sex, hand length, and hand width. Jamar grip strength value can be predicted using spyghmomanometer with the formula of (0.1157 x Sphygmomanometer grip strength value) – (5.696 x sex) + (0.0824 x age) (female =1, male= 0).Conclusions: Grip strength correlates with physiological variables. The variables to predict Jamar grip strength using sphygmomanometer are sex and age. Regression analysis shows that spyhgmomanometer can be used as an alternative to measure grip strength and has a valid value to predict the Jamar grip strength value. Keywords: Adult, grip strength, Jamar dynamometer, sphygmomanometer, prediction formula DOI: 10.15850/ijihs.v5n1.958