Wahyu Tri Sudaryanto
Program Studi Fisioterapi, Fakultas Ilmu Kesehatan, Universitas Muhammadiyah Surakarta

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Biopsychosocial Factors Affecting Functional Disability and Depression in Patients with Osteoarthritis in Surakarta, Central Java Sudaryanto, Wahyu Tri; Mudigdo, Ambar; Soemanto, RB
Journal of Epidemiology and Public Health Vol 3, No 2 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Osteoarthritis (OA) is a major cause of disability in the elderly. OA can cause chronic pain, disability, and the patient's quality of life. This study aimed to determine the biopsychosocial factors affecting functional disability and depression in patients with OA in Surakarta, Central Java.Subjects and Method: This was an analytic and observational study with a case-control design. The study was conducted at Dr. Moewardi Hospital and Dr. Soeharso Orthopedic Hospital, Surakarta, Central Java, from January to February 2018. A sample of 200 OA patients was selected by simple random sampling. The dependent variables were functional disability and depression. The independent variables were age, sex, grade of OA, duration, body mass index (BMI), history of injury, pain level, family support, and peer support. Depression data were measured by Beck’s Depression Inventory (BDI). Functional disability data were measured by The Western Ontario and McMaster University Arthritis Index (WOMAC). The other variables were collected by questionnaire. The data were analyzed by path analysis.Results: The risk of depression increased with higher BMI (b= 0.23; SE= 0.10; p= 0.021), pain level (b= 0.16; SE= 0.07; p= 0.022), duration (year) (b= 0.27; SE= 0.12; p= 0.025), and poor functional disability (b= 0.19; SE= 0.04; p<0.001). Depression decreased with stronger family support (b= -0.05; SE= 0.03; p= 0.031) and stronger peer support (b= -0.09; SE= 0.05; p= 0.001). The risk of functional disability increased with female sex (b= 3.36; SE= 1.21; p= 0.006), age (b= 0.14; SE= 0.06; p= 0.016), BMI (b= 0.31; SE= 0.17; p= 0.070), had experienced injury (b= 2.27; SE= 1.16; p= 0.051), higher grade of OA (b= 1.32; SE= 0.65; p= 0.041), and higher pain level (b= 0.41; SE= 0.12; p<0.001). The risk of functional disability decreased with stronger family support (b= -0.16; SE= 0.04; p<0.001) and stronger peer support (b= -0.29; SE= 0.08; p<0.001).Conclusion: Depression in OA patients is affected by BMI, pain level, duration (year), functional disability family support, and peer support. Functional disability is affected by sex, age, BMI, injury experience, grade of OA, pain level, family support, and peer support.Keywords: osteoarthritis, depression, functional disability, pain, BMI, family support, peer supportCorrespondence: Wahyu Tri Sudaryanto. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: wahyu.londho86@yahoo.co.id. Mobile: 085640637769.Journal of Epidemiology and Public Health (2018), 3(2): 292-306https://doi.org/10.26911/jepublichealth.2018.03.02.08
TELEMEDICINE, COST EFFECTIVENESS, AND PATIENTS SATISFACTION: A SYSTEMATIC REVIEW Atmojo, Joko Tri; Sudaryanto, Wahyu Tri; Widiyanto, Aris; Ernawati, Ernawati; Arradini, Dewi
Journal of Health Policy and Management Vol 5, No 2 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Telemedicine has been practiced since 1960. The objective of telemedicine was to establish feasible interactive telecommunication for medical diagnosis and treatment of patients at remote sites. Nowadays, with healthcare costs on the rise, telemedicine is increasing­ly being seen as a strategy for healthcare organizations to make cost-saving. This study aimed to explore the opportunity of telemedicine utilization in cost savings to patients and the health care system.Subjects and Method: A systematic review was conducted by searching the published articles from Pubmed, MEDLINE, EMBASE, CINAHL, and Science Direct databases. Keywords for this study were ?telemedicine? AND ?patient saticfaction?, ?telemedicine? AND ?cost-utility and cost-effective­ness?, ?tele­medicine? AND ?systematic review?, and ?telemedicine? AND ?meta analysis?. The data were analyzed by PRISMA flow diagram.Results: 8 articles were selected for this study. These studies reported that telemedicine utiliza­tion in dermatology, radiology, pediatrics, and intensive care unit (ICU) rooms reduced health cost by 56% and patients travel cost to health care by 94%. Telemedicine advantages for patients were reduced transportation time or cost, eliminated time off of work, on-demand option, and reduced time in the waiting room, so that it can increase patient?s satisfaction. A study reported that telemedicine utilization at the pediatrics department increased hospital?s revenue by USD 101,744 per year.Conclusion: Telemedicine is an alternative health care to generate cost savings for patient and hospital and it can increase patient?s satisfaction.Keywords: Telemedicine, cost effectiveness, patient satisfactionCorrespondence: Joko Tri Atmojo. School of Health Sciences Mamba'ul 'Ulum, Surakarta, Jl. Ring Road Utara, Tawangsari, Mojosongo, Jebres, Surakarta, Central Java. Email: jokotriatmojo1@gmail.com. Mobile: 08139331900Journal of Health Policy and Management (2020), 5(2): 103-107https://doi.org/10.26911/thejhpm.2020.05.02.02
Hubungan Antara Derajat Merokok Aktif, Ringan, Sedang Dan Berat Dengan Kadar Saturasi Oksigen Dalam Darah (SpO2) Wahyu Tri Sudaryanto
Interest : Jurnal Ilmu Kesehatan Vol 6 No 1 (2017): INTEREST : JURNAL ILMU KESEHATAN
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/interest.v6i1.81

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Abstract: Degree Of Smoking, Oxygen Saturation, Cigarettes. Smoking is tobacco smoke inhalation activity detrimental to the health of the body that is addictive. Category degrees smoking in Brinkman index is divided into three types of categories: mild, moderate and severe. The more severe the degree of smoke someone then the higher the harmful substances that are inhaled by the body and will affect the value of the oxygen saturation in the blood. This study aimed to petition was to determine the relationship of the degree of smoking with oxygen saturation levels in the blood. The study was an observational study with a cross-sectional design. The sample in this study amounted to 90 people were taken through purposive sampling method, measurement in research using measuring devices such as Brinkman index to measure the degree of smoking while using oxygen saturation value measurement tools oximetry measuring pulse. From the results of the test to get the correlative Somers'd p <0.05 on the relationship between the degree of smoking with oxygen saturation values. There is a relationship between the degree of smoking with oxygen saturation levels in the blood.
Korelasi antara Indeks Massa Tubuh, Jenis Kelamin, Usia dan Hipermobilitas Sendi pada Anak Usia Sekolah Dasar: Correlations between Body Mass Index, Gender, Age, and Joint Hypermobility in Elementary School Students Wahyu Tri Sudaryanto; Yuni Sandra Repisalta; Nur Juniarti Bintari
Medica Hospitalia : Journal of Clinical Medicine Vol. 9 No. 2 (2022): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (310.469 KB) | DOI: 10.36408/mhjcm.v9i2.747

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Latar belakang : Hipermobilitas sendi (joint hypermobility) merupakan suatu faktor risiko yang mendasari berbagai jenis gangguan muskuloskeletal pada anak-anak. Keterlambatan dalam diagnosis pada hipermobilitas sendi berisiko terhadap rasa nyeri dan gangguan fungsional dan kemampuan akademis anak di sekolah. Penelitian ini bertujuan untuk menganalisis hubungan antara indeks massa tubuh, jenis kelamin, dan usia, terhadap hipermobilitas sendi pada Anak Usia Sekolah Dasar. Metode : Penelitian cross-sectional dilakukan di Sekolah Dasar Kleco 1, Surakarta, Jawa Tengah, Indonesia. Subjek penelitian sebanyak 261 siswa sekolah dasar dipilih dengan purposive sampling. Variabel dependen adalah hipermobilitas sendi. Variabel independen adalah indeks massa tubuh, jenis kelamin, dan usia. Hipermobilitas sendi diukur dengan skor Beighton. Data dianalisis dengan regresi logitik ganda dengan software Stata 13. Hasil : Analisis regresi logistik ganda menunjukkan bahwa jenis kelamin laki-laki memiliki risiko lebih rendah mengalami hipermobilitas sendi daripada perempuan, tetapi secara statistik tidak signifikan (OR= 0,89; CI 95%= 0,53 hingga 1,48; p= 0,656). Usia anak yang lebih tua (≥9 tahun) memiliki risiko lebih rendah mengalami hipermobilitas sendi daripada daripada anak dengan usia lebih muda dan secara statistik signifikan (<9 tahun) (OR= 0,52; CI 95%= 0,31 hingga 0,89; p= 0,016). Anak dengan berat badan lebih (overweight) menurunkan risiko hipermobilitas sendi daripada anak dengan berat badan normal, dan secara statistik mendekati signifikan (OR= 0,78; CI 95%= 0,60 hingga 0,89; p= 0,066). Simpulan : Tidak ada hubungan signifikan antara jenis kelamin dengan hipermobilitas sendi. Usia dan indeks massa tubuh mempengaruhi hipermobilitas sendi pada anak usia sekolah dasar.
PHYSOTHERAPY MANAGEMENT IN POST OPERATION SYRINGOMYELIA: A CASE STUDY S Salwa; Wahyu Tri Sudaryanto; Katwa Wijaya
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Syringomyelia is a disorder of the central nervous system, this disorder is often associated with the appearance of cysts (syrinx) in the spinal cord. The presence of this syrinx causes pressure on the spinal cord, thus it is followed by muscle weakness and pain. The incidence of syringomyelia cases is very little, namely 8.4/100,000 or only 2%. Physiotherapy treatment in cases of syringomyelia is usually in postoperative care. Due to the scarcity of this case, there is limited information regarding physiotherapy treatment in cases of syringomyelia.Case description: A 51-year-old woman was diagnosed with syringomyelia through an MRI scan, after undergoing surgery, she complained of silent pain. Following the surgery, the patient underwent rehabilitation by physiotherapy since she complained of silent pain on the upper limb.Intervention and Outcomes: The patient received treatment from physiotherapists in the form of IR and TENS. The intervention was given for 2 weeks, with a 10 minutes duration of IR and 15 minutes duration for TENS. Evaluation was done every week, where every week there was a reduction in pain, which was VDS (Verbal Descriptive Scale) 7/10 to 0/10.Discussion and Conclusion: Physiotherapy can handle the side effects that occurred after syringomyelia surgery 6 months ago, which in this study showed a decrease in the silent pain score. However, the decrease of silent pain is only temporary, because the patient continued to complain of discomfort the next day.
PHYSIOTHERAPY MANAGEMENT FOR PATIENT WITH PRIMARY SPONTANEOUS PNEUMOTHORAX DEXTRA: A CASE STUDY Lifia Rahma Listyana; Wahyu Tri Sudaryanto; Abdul Haris
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction : Primary Spontaneous Pneumothorax is the presence of air or gas in the pleural cavity that can cause the lung to collapse but without any prior chest trauma or history of lung disease. Generally, patients with primary spontaneous pneumothorax present with chest pain accompanied by breathless to decreased thoracic expansion. The purpose of this case study is to report the results of a physiotherapy program in a patient with primary spontaneous pneumothorax. Case Presentation : The patient was a 62-year-old male laborer, was diagnosed with primary spontaneous pneumothorax dextra. The patient reported the breathless with non-productive cough. Asymmetrical chest movements, with the dextra lower than the sinitra. Chest X-ray showed that dextra lung had collapse. Management and Outcome : The intervention was given one session every day for 7 days consist of Segmental Breathing Exercise, Thoracic Expansion Exercise, and Pursed Lip Breathing. Each program is repeated 3-5 times, interspersed with rest and Breathing Control. Evaluation of the results of the intervention in measuring the degree of breathless using the Brog Scale, measuring thoracic expansion using a medline, as well as the results of a chest X-ray. Discussion : The physiotherapy program in cases of primary spontaneous pneumothorax is given segmental breathing exercise and thoracic expansion exercise to increase thoracic expansion and maximize the inspiration-expiration process. The pursed lip breathing program aims to relieve breathless interspersed with breathing control to restore a calm breathing pattern. Conclusion : Physiotherapy management for patient withprimary spontaneous pneumothorax dextra with the intervention that is Segmental Breathing Exercise, Thoracic Expansion Exercise, Pursed Lip Breathing can relieve breathless, increase thoracic expansion and restore lung function.
PHYSIOTHERAPY PROGRAM PHASE 1 POST RECONSTRUCTION ACL CONDITIONS: A CASE STUDY Hafiz Arief Nur'ana; Wahyu Tri Sudaryanto; Ganang Fandrian
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: The incidence of ACL Rupture ranges from 30 to 78 per 100,000 people per year, after ACL reconstruction 61% to 89% of athletes successfully return to sport, usually 8 to 18 months after reconstruction. In the management of cases of ACL tear, reconstruction of the ACL ligament will be carried out with the procedure of grafting the ACL with tendon tissue to restore the stabilizing function of the ACL ligament in the knee joint. Case Presentation: A 19-year-old male patient with a post ACL reconstruction diagnosis, with complaints of pain in the patient's knee, difficulty bending the knee, and decreased muscle strength in the leg after ACL reconstruction. Management and Outcome: The patient participated in 6 therapies, in 1 therapy for 60 minutes for 2 weeks, with a physiotherapy program in the form of giving Ice compression, ROM exercise, and Strenghtening exercise. And in the evaluation, several measurements were carried out, namely pain measurements using NRS, measurements of muscle strength using MMT, and also measurements of Range of Motion using a goniometer. Discussion: The Physiotherapy program carried out in phase 1 of post-ACL rehabilitation is aimed at reducing pain and edema, increasing the range of motion of the joints, and also strengthening muscles before moving on to the next stage/phase. reduce the intensity of inflammation in the tissue, ROM Exercise which aims to maintain or improve joint mobility and can also increase muscle mass and muscle tone, in addition to maintaining the mobility of the joint and to minimize a decrease in the elasticity of the tissue around the joint, and Also doing strengthening exercises to strengthen the muscles around the knee to increase stability in the knee joint. Conclusion: Post-ACL rehabilitation physiotherapy program using MOON Guideline in Phase 1 Rehabilitation with Ice Compression, ROM Exercise, and also Strenghthening Exercise can reduce pain, increase muscle strength and can improve the functional ability of patients after ACL reconstruction.
EFFECTIVENESS OF TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION, EXERCISE THERAPY, AND KINESIO TAPE TO REDUCE SYMPTOMS IN DIABETIC PERIPHERAL NEUROPATHY PATIENTS: A CASE REPORT Ricky Diah Ayu Anggraini; Wahyu Tri Sudaryanto; Dwi Rosella Komala Sari
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction:Diabetic Peripheral Neuropathy (DPN) is one of the microvascular complications of diabetes, which occurs due to high levels of sugar in the blood, resulting in damage to a group of nerves. The purpose of this study is to determine the effectiveness of the giving of Transcutaneous Electrical Nerve Stimulation (TENS), Exercise Therapy, and Kinesio Tape in cases of Diabetic Peripheral Neuropathy. Case Presentation:The patient in the study was a 64-year-old woman with a diabetes history who complained of tingling, a slight numbness, and a burning sensation in both legs. The complaints will worsen at night. Management and Outcome:The subject got therapy in Transcutaneous Electrical Nerve Stimulation (TENS), Exercise Therapy, and Kinesio Tape as many as three times. The Paraesthesia was measured using the numeric pain rating scale (NPRS), lower extremity muscle strength was measured using 5STS, the static balance using MCTSIB, and the dynamic balance using TUG. Discussion:After being given therapy, It obtained results in the form of decreased Paraesthesia measured using the Numeric Pain Rating Scale (NPRS) silent pain T1: 10 to T3: 9, motion pain T1: 10 to T3: 9. Increased muscle strength in lower extremities and postural in T1: 18 to T3: 15. Increased static balance from T1:0.35 to T3:0.41. Improved dynamic balance from T1:14.90 to T3:14.45. Conclusion:Therapy in Transcutaneous Electrical Nerve Stimulation (TENS), Exercise Therapy, and Kinesio Tape effectively reduces Paraesthesia, increases lower extremity and postural muscle strength, improves static balance, and improves dynamic balance.
EFFECTIVENESS OF TRANSCUTANEUS ELECTRICAL NERVE STIMULATION (TENS), BALANCE EXERCISES, AND QUADRICEPS SETINGG IN THE CASE OF BALANCE DISORDERS IN KNEE OSTEOARTHRITIS PATIENTS: A CASE REPORT Elma Prida Hapsari Putri; Tri Wahyu Sudaryanto; Eva Fitriananda
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Osteoarthritis is the most common degenerative disease that causes disability in the elderly. Defined as progressive articular cartilage wear and tear. The goal of this study was to see how well Transcutaneous Electrical Nerve Stimulation (TENS), Balance Exercise, and Quadriceps Setting worked in cases of Balance Disorders in Osteoarthritis Knee Patients. Case Presentation: A retired teacher, 68 years old. The patient complains of pain in her right knee, which happens when she first wakes up in the morning and when he walks lengthy distances. Management and Outcome: Patients receive therapy twice a week, with each session lasting 60 minutes. Transcutaneous Electrical Nerve Stimulation (TENS) and exercises were used to treat the patient. The Numeric Rating Scale (NRS) and the Berg Balance Scale (BBS) were used to assess pain. Discussion: Tenderness and motion discomfort decreased by one point after therapy, and balance improved by one point as measured by BBS, with a pre-therapy value of 14 and a post-therapy value of 23. Conclusion: In Osteoarthritis Knee patients, therapy in the form of Transcutaneous Electrical Nerve Stimulation (TENS) modalities and exercises is beneficial in lowering pain and improving balance values.
PHYSIOTHERAPY MANAGEMENT IN BELL'S PALSY CASE WITH ELECTRICAL STIMULATION AND MASSAGE MODALITIES: A CASE REPORT Widya Aryanti; Tri Wahyu Sudaryanto
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Bell's Palsy is a condition where there is facial paralysis resulting in paralysis of the peripheral facial nerve acute and currently the cause is unknown (idiopathic) in the absence of other neurologic abnormalities. The goal to be achieved is to know the benefits of Electrical Stimulation and Mirror Exercise in the case of Bell's Palsy (BP). Case Presentation: A 50-year-old woman presented with left-sided facial paralysis and asymmetry. The patient received therapy 6 times with Electrical Stimulation and Mirror Exercise modalities. Management and Outcome: : Patient follows 6 times therapy in 1 week 2 times meeting, in 1 time therapy for 30 minutes which is given Electrical Stimulation modality for 15 minutes and Massage for 15 minutes. Muscle strength was measured using MMT (Manual Muscle Testing), and for facial functional ability using Ugo fisch. Discussion: The results obtained after doing therapy 6 times using Electrical Stimulation and Massage are an increase in muscle strength, and facial functional abilities M. Frontalis T0: 1 to T6:5 , M. Corugator supercili T0:1 to T6:5, M. Procerus T0:5 to T6:5, M.Orbicularis Oculi T0:1 to T6:3, M. Nasalis T0:1 to T6:5, , M.Zygomaticus Major & minor T0:1 to T6:5, M. Orbicularis Oris T0:1 becomes T6:3, M. Bucinator T0:5 becomes T6:5, M.Mentalis T0:5 becomes T6:5. Conclusion: Management of Physiotherapy in the case of Bell's Palsy using an exercise program for 6 times therapy with Electrical Stimulation and Mirror Exercise modalities can be an intervention that can be done in overcoming the problem of Bell's Palsy.