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Efek Prehabilitation Exercise dengan Resistance Band terhadap Kualitas Hidup Pasien yang Menjalani Total Knee Replacement Erna Setiawati; Juwita Kusumadewi; Robby Tjandra
Indonesian Journal of Physical Medicine & Rehabilitation Vol 9 No 01 (2020): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (325.556 KB) | DOI: 10.36803/ijpmr.v9i1.254

Abstract

ABSTRACT Introduction: An exercise program like prehabilitation exercise is expected to contribute in improving outcomes in Osteoarthritis (OA) postoperatively such as Total Knee Replacement (TKR). Elastic resistance products in prehabilitation exercise programs have been widely used in rehabilitation and are an effective method. Resistance band is one of elastic resistance products that have several advantages. The purpose of this study was to determine the effect of prehabilitation exercise intervention with a resistance band on the quality of life of patients under going TKR using the SF-36 questionnaire. Methods: This study was a randomized controlled trial pre-test and post-test control group design knowing the effects of prehabilitation exercise in patients underwent TKR. 16 subjects were allocated to treatment group (n = 8) which received additional prehabilitation exercise using resistance band and control group (n = 8) with conventional therapy (ergocycle and Transcutaneous Electrical Nerve Stimulation (TENS)) preoperatively. Quality of life assessment using SF-36 score was carried out 4 weeks preoperatively and 8 weeks postoperatively. Results: The mean baseline value of SF-36 in the treatment group is 41.18 ± 9.40 and control group with mean 43.78 ± 5.66, did not differ significantly with p > 0.05. Both groups experienced a significantincrease in their SF-36 post-test scores for the control group (p <0.05) and the treatment group (p <0.05). Comparison between groups showed a significant difference (p <0.05) between the pretest and posttestSF-36 scores where the control group (6.32±3.21) and treatment group (23.95±9.75). Discussion: The SF-36 pre-test score between groups showed no significant d ifference. While the posttest results had significantly increased in SF-36 mean score in both groups. This might be caused byalthough the exercises performed by the two groups were different, they still did exercises that had an effect on joints. Despite of that, treatment group post-test results still had significantly betterimprovement than those of the control group. Conclusion: Prehabilitation exercise intervention using resistance bands improving the quality of life of patients undergoing TKR. The quality of life improving more in those who do prehabilitation exercisethan those who do conventional therapy.Keywords: Prehabilitation exercise, quality of life, total knee replacement.
Efek Prehabilitation Exercise dengan Resistance Band terhadap Kualitas Hidup Pasien yang Menjalani Total Knee Replacement Erna Setiawati; Juwita Kusumadewi; Robby Tjandra
Indonesian Journal of Physical Medicine & Rehabilitation Vol 9 No 01 (2020): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (325.556 KB) | DOI: 10.36803/ijpmr.v9i1.254

Abstract

ABSTRACT Introduction: An exercise program like prehabilitation exercise is expected to contribute in improving outcomes in Osteoarthritis (OA) postoperatively such as Total Knee Replacement (TKR). Elastic resistance products in prehabilitation exercise programs have been widely used in rehabilitation and are an effective method. Resistance band is one of elastic resistance products that have several advantages. The purpose of this study was to determine the effect of prehabilitation exercise intervention with a resistance band on the quality of life of patients under going TKR using the SF-36 questionnaire. Methods: This study was a randomized controlled trial pre-test and post-test control group design knowing the effects of prehabilitation exercise in patients underwent TKR. 16 subjects were allocated to treatment group (n = 8) which received additional prehabilitation exercise using resistance band and control group (n = 8) with conventional therapy (ergocycle and Transcutaneous Electrical Nerve Stimulation (TENS)) preoperatively. Quality of life assessment using SF-36 score was carried out 4 weeks preoperatively and 8 weeks postoperatively. Results: The mean baseline value of SF-36 in the treatment group is 41.18 ± 9.40 and control group with mean 43.78 ± 5.66, did not differ significantly with p > 0.05. Both groups experienced a significantincrease in their SF-36 post-test scores for the control group (p <0.05) and the treatment group (p <0.05). Comparison between groups showed a significant difference (p <0.05) between the pretest and posttestSF-36 scores where the control group (6.32±3.21) and treatment group (23.95±9.75). Discussion: The SF-36 pre-test score between groups showed no significant d ifference. While the posttest results had significantly increased in SF-36 mean score in both groups. This might be caused byalthough the exercises performed by the two groups were different, they still did exercises that had an effect on joints. Despite of that, treatment group post-test results still had significantly betterimprovement than those of the control group. Conclusion: Prehabilitation exercise intervention using resistance bands improving the quality of life of patients undergoing TKR. The quality of life improving more in those who do prehabilitation exercisethan those who do conventional therapy.Keywords: Prehabilitation exercise, quality of life, total knee replacement.
HUBUNGAN TINGKAT KEPARAHAN GEJALA DAN STATUS FUNGSIONAL PADA PASIEN CARPAL TUNNEL SYNDROME DIUKUR MENGGUNAKAN CARPAL TUNNEL SYNDROME ASSESSMENT Alif Luqman Hakim; Robby Tjandra
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 5, No 3 (2016): JURNAL KEDOKTERAN DIPONEGORO
Publisher : Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (405.16 KB) | DOI: 10.14710/dmj.v5i3.13082

Abstract

Background :  Carpal Tunnel Syndrome is an entrapment neuropathy due to pressure on the median nerve with one of the early symptom is pain. Pain that is present in patients with Carpal Tunnel Syndrome can make impairment of hand function, resulting in functional limitations to patients with Carpal Tunnel Syndrome in performing everyday activities.Aim :  To determine the correlation between severity of symptoms and functional status in patients with Carpal Tunnel Syndromme measured using the Carpal Tunnel Syndrome Assessment Questionnaire.Method : This research is in the department of Physical Medicine and Rehabilitation. This research is a descriptive analytic study with cross sectional approach. Subjects were CTS patients in Dr. Kariadi Polyclinic Medical Rehabilitation Hospital that are pleased CTS patients fill out a questionnaire and meet the inclusion and exclusion criteria from March to June 2015. The correlation test is using Pearson correlation test.Result :  The total number of samples inclusion in this study is 11 people. At the Pearson test showed a correlation between the two variables. Results of correlation between the severity of symptoms and functional status showed a significant correlation (p = 0.038) level of correlation is strong enough, (r = 0.628) with the direction of the positive correlation, so the higher the value the higher the severity of symptoms of the value of the functional status or getting ugly functional status.Conclusion : The severity of symptoms in patients with Carpal Tunnel Syndrome has a fairly strong positive correlation with functional status in patients with Carpal Tunnel Syndrome.