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All Journal e-CliniC JURNAL BIOMEDIK Jurnal Kedokteran Klinik
Lidwina S. Sengkey
Universitas Sam Ratulangi
Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology

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PENGARUH LATIHAN AEROBIK TWO-STEP STOOL TERHADAP FUNGSI PARU PADA REMAJA DENGAN AKTIVITAS FISIK KURANG Ismail, Frans F D; Sengkey, Lidwina S.; Lolombulan, Julius H
JKK (Jurnal Kedokteran Klinik) Vol 2, No 1 (2018): JURNAL KEDOKTERAN KLINIK
Publisher : FAKULTAS KEDOKTERAN UNSRAT

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Abstract

ABSTRACTObjective: To analyze the extent of two-step stool (TSS) aerobic exercise in improving lung function in adolescents who are less physicaly activity. Method: The study design was an experimental study with one group pretest-posttest design. The subjects were 11 students of class 10th Catholic High School St. Thomas Aquino Manado who met the inclusion criteria and willing to participate in research. All subjects performed an initial evaluation. The treatments were performed TSS aerobic exercise which uses a speed of 60, 70, 80, and 90 steps / minute. Each speed step exercises performed 3x per week. Each week pace increased. Exercise for 4 weeks. Results: Lung Function Test with Spirometry obtained an increase in FVC (p<0.05) and FEV1 (p<0.05) were significant. Conclusion: Two-Step Stool Aerobic exercise improve lung function in adolescents who are less physicaly activity.Keywords: Two-step stool aerobic exercise, lung function, Forced Vital Capacity (FVC), Forced Expired Volume in one second (FEV1). ABSTRAKTujuan: Menganalisis sejauh mana latihan aerobik two-step stool (TSS) meningkatkan fungsi paru pada remaja yang beraktivitas fisik kurang. Metode: Desain penelitian adalah penelitian eksperimental dengan one group pretest–posttest design. Subjek penelitian adalah 11 siswa siswi kelas X Sekolah Menengah Atas Katolik St. Thomas Aquino Manado yang memenuhi kriteria inklusi dan bersedia mengikuti penelitian. Semua subjek dilakukan evaluasi awal. Perlakuan yang dilakukan adalah latihan aerobik TSS yang menggunakan kecepatan 60, 70, 80, dan 90 langkah/menit. Tiap kecepatan langkah dilakukan latihan 3x perminggu. Tiap minggu kecepatan langkah dinaikkan. Latihan dilakukan selama 4 minggu. Hasil: Pada Uji Fungsi Paru dengan Spirometri didapatkan peningkatan FVC (p<0,05) dan FEV1 (p<0,05) yang bermakna. Kesimpulan: Latihan aerobik TSS meningkatkan fungsi paru pada remaja yang beraktivitas fisik kurang.Kata kunci: Latihan aerobik two-step stool, fungsi paru, Forced Vital Capacity (FVC), Forced Expired Volume in one second (FEV1).
Gambaran pemberian terapi pada pasien stroke dengan hemiparesis dekstra atau sinistra di Instalasi Rehabilitasi Medik RSUP Prof. Dr. R. D. Kandou Manado periode Januari-Maret tahun 2016 Halim, Rusdyanto; Gesal, Joudy; Sengkey, Lidwina S.
e-CliniC Vol 4, No 2 (2016): Jurnal e-CliniC (eCl)
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v4i2.13734

Abstract

Abstract: Stroke is one of the important problems in public health due to its morbidity, mortality, and high cost. In many countries in the world, stroke is the third leading cause of death after coronary heart disease and cancer. This study aimed to obtain the profile of medical rehabilitation treatment for stroke patients with hemipharesis. This was a retrospective descriptive study. Subjects were medical records of stroke patients with hemiparesis at Installation of Medical Rehabilitation at Prof. Dr. R. D. Kandou Hosipital Manado. The results showed that the medical rehabilitation treatment for stroke patients with hemiparesis in the period January-March 2016 in the Installation of Medical Rehabilitation at RSUP Prof. Dr. R. D. Kandou Manado was as follows: physiotherapy with infrared (31.402%), classis physical exercise (27.744%), active creative exercise (18.293%), daily activity adaptation (13.415%), therapeutic USD (2.449%), breathing exercise (2.134%), language exercise 0.610%), psychology rehabilitation (1.829%), proper body mechanisms (1.829%), and therapeutic medical social (0.305%). Keywords: stroke, hemiparesis, therapy Abstrak: Stroke adalah salah satu masalah penting bagi kesehatan masyarakat karena memiliki angka kesakitan, angka kematian, dan biaya yang tinggi. Di banyak negara di dunia, stroke menduduki peringkat ketiga penyebab kematian sesudah penyakit jantung koroner dan kanker. Penelitian ini bertujuan untuk mendapatkan jenis-jenis penanganan rehabilitasi medik pada pasien stroke dengan hemiparesis. Jenis penelitian ini ialah deskriptif retrospektif. Subjek penelitian ialah data rekam medik pasien stroke dengan hemiparesis di Instalasi Rehabilitasi Medik RSUP. Prof. Dr. R. D. Kandou Manado. Hasail penelitian memperlihatkan pemberian terapi yang paling sering diberikan kepada pasien stroke dengan hemiparesis pada periode Januari-Maret 2016 di Instalasi Rehabilitasi Medik RSUP Prof. Dr. R. D. Kandou Manado ialah fisioterapi dengan pemberian infra merah (31,402%), latihan fisik klasik (27,744%), latihan aktif kreatif (18,293%), adaptasi AKS (13,415%), terapi USD (2,449%), latihan pernapasan (2,134%), latihan berbahasa (0,610%), rehabilitasi psikologi (1,829%), proper body mechanism (1,829%), dan terapi sosial medik (0,305%).Kata kunci: stroke, hemiparesis, terapi
GAMBARAN FAKTOR RISIKO PENDERITA OSTEOARTRITIS LUTUT DI INSTALASI REHABILITASI MEDIK RSUP PROF. DR. R. D. KANDOU MANADO PERIODE JANUARI –JUNI 2017 Soeryadi, Ayling; Gesal, Joudy; Sengkey, Lidwina S.
e-CliniC Vol 5, No 2 (2017): Jurnal e-CliniC (eCl)
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.5.2.2017.18540

Abstract

Abstract: Osteoarthritis (OA) is a chronically progressive degenerative joint disease associated with joint cartilage damage. It is usually affected the joints of the hands, vertebrae, hips, and knee which is reported as the most common affected location. Risk factors of OA are divided into non-modifiable factors and modifiable factors. The non-modifiable risk factors are age, gender, race, and genetic factors, while the modifiable factors are body mass index, occupation, knee injury, blood pressure, blood sugar level, and cholesterol level. This study was aimed to determine the non-modifiable risk factors and modifiable risk factors in patients with knee OA at the Medical Rehabillitation Unit of Prof. Dr. R. D. Kandou Hospital Manado. This was a quantitative descriptive study using medical record data in the Medical Rehabilitation Unit. There were 36 cases of knee OA during the period of January-June 2017; 27 cases had complete medical record data. The highest distribution of knee OA were patients in the 70-79 age group (33.3%), females (70.4), Minahasa ethnic (59.3%), no family history of OA (70.4%), BMI ?23 (66.7%), retired (51.9%), history of knee injury (77.8%), prehypertension (51.9%), no history of DM (70.4%) and of hypercholesterolemia (66.7%). Conclusion: Based on the non-modifiable risk factors, females were more at risk of developing knee OA and based on modifiable risk factors, knee injury was the most common factor in the occurrence of knee OA.Keywords: knee osteoarthritis, risk factors Abstrak: Osteoartritis (OA) merupakan penyakit sendi degeneratif yang berkaitan dengan kerusakan kartilago sendi dan bersifat kronik-progresif. Lokasi yang biasanya terkena adalah sendi pada tangan, vertebra, panggul dan lutut, dimana lutut dilaporkan sebagai lokasi yang paling sering terkena. Faktor risiko OA terbagi atas faktor yang dapat di modifikasi dan faktor yang tidak dapat di modifikasi. Faktor risiko yang tidak dapat dimodifikasi ialah antara lain umur, jenis kelamin, suku/ras dan genetik. Faktor risiko yang dapat dimodifkasi berupa indeks massa tubuh, pekerjaan, cedera/trauma, tekanan darah, gua darah, dan kadar kolesterol dalam darah. Penelitian ini bertujuan untuk mengetahui faktor risiko yang tidak dapat dimodifikasi maupun dapat dimodifikasi pada penderita OA lutut di Instalasi Rehabilitasi Medik RSUP Prof. Dr.R. D. Kandou Manado. Jenis penelitian ialah deskriptif kuantitatif menggunakan data rekam medik di Instalasi Rehabilitasi Medik. Terdapat 36 kasus OA lutut selama periode Januari-Juni 2017; hanya 27 kasus yang memiliki data rekan medik lengkap. Pada penelitian didapatkan distribusi OA lutut terbanyak pada kelompok usia 70-79 tahun (33,3%), jenis kelaimin perempuan (70,4%), suku Minahasa (59,3%), tidak memiliki riwayat OA dalam keluarga (70,4%), IMT ?23 (66,7%), pensiunan (51,9%), riwayat cedera lutut (77,8%), tekanan darah pre-hipertensi (51,9%), tanpa riwayat DM (70,4%) dan riwayat hiperkolesterolemia (66,7%). Simpulan : Berdasarkan distribusi faktor risiko yang tidak dapat dimodifikasi, jenis kelamin perempuan paling rentan terhadap OA lutut dan berdasarkan faktor risiko yang dapat dimodifikasi, cedera/trauma lutut merupakan faktor yang paling sering.Kata kunci: osteoatritis lutut, faktor risiko
REHABILITASI MEDIK PADA PENDERITA DISFAGIA Pandaleke, Jenny J. C.; Sengkey, Lidwina S.; Angliadi, Engeline
Jurnal Biomedik : JBM Vol 6, No 3 (2014): JURNAL BIOMEDIK : JBM
Publisher : UNIVERSITAS SAM RATULANGI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/jbm.6.3.2014.6321

Abstract

Abstract: Dysphagia is a common symptom in clinical pratice, suffered by all age groups, and associated with multiple systemic disorders, inter alia: diabetes mellitus, hyperthyroidism, lupus erythematosus, dermatomyositis, stroke, as well as Parkinson’s and Alzheimer’s diseases. The diagnosis of dysphagia is based on anamnesis, physical examination (including examination of the patient during eating or drinking), and supporting examination, such as videofluorographic swallowing study (VFSS) and fiberoptic endoscopic evaluation of swallowing (FEES). The management of dysphagia in the medical rehabilitation field requires a teamwork consisting of a physical therapist, a speech therapist, an occupational therapist, rehabilitation nurses, as well as a nutritionist and several other specialists. The occurence of dysphagia is closely connected with malnutrition, dehydration, respiratory tract infections, duration of hospitalization, and even death. Therefore, early diagnosis and treatment are very important in the management of dysphagia.Keywords: dysphagia, rehabilitationAbstrak: Disfagia sering ditemukan dalam praktek klinik, dan bisa diderita oleh semua kelompok usia dan berhubungan dengan multiple systemic disorders, antara lain diabetes melitus, hipertiroidisme, lupus eritematosus, dermatomiositis, stroke, serta penyakit Parkinson dan Alzheimer. Diagnosis disfagia ditegakkan melalui anamnesis, pemeriksaan fisik (termasuk pemeriksaan saat penderita makan atau minum), dan pemeriksaan penunjang seperti videofluroskopi dan fiberoptic endoscopic evaluation of swallowing (FEES). Penanganan dalam bidang rehabilitasi medik membutuhkan kerjasama tim yang terdiri dari seorang dokter spesialis kedokteran fisik dan rehabilitasi, ahli terapi bicara, ahli terapi okupasi, perawat rehabilitasi, dan juga membutuhkan kerjasama dengan seorang ahli gizi dan beberapa bidang spesialisasi yang lain. Disfagia sangat berhubungan dengan terjadinya malnutrisi, infeksi saluran pernapasan, dehidrasi, bertambahnya jumlah hari rawat, dan bahkan kematian. Oleh karena itu, diagnosis dan penanganan dini sangat dibutuhkan dalam penatalaksanaan disfagia.Kata kunci: disfagia, rehabilitasi
HUBUNGAN POSISI DAN LAMA DUDUK DENGAN NYERI PUNGGUNG BAWAH (NPB) MEKANIK KRONIK PADA KARYAWAN BANK Pirade, Aron; Angliadi, Engeline; Sengkey, Lidwina S.
JURNAL BIOMEDIK : JBM Vol 5, No 1 (2013): JURNAL BIOMEDIK : JBM Suplemen
Publisher : UNIVERSITAS SAM RATULANGI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/jbm.5.1.2013.2628

Abstract

Abstract: Low Back Pain (LBP) is the most frequent musculosceletal issue found in daily work. Extenuating physical positions comprise 80-85% of the caues of  LBP. In the medical world, a lot of causes of LBP do not identify the pathoanatomical disorders. These factors are e.g.: body in static position while working and the working body position leaning heavily on the vertebra (for example: sitting in a hunched position, sitting upright without back support, or working for unsually long periods of time). Until now in Manado no study has been carried out to show the correlation between LBP and the sitting position, or the duration of work. This study aimed to find out the correlation between chronic LBP and the sitting position or the duration of work among bank employees in one of the goverment banks in Manado. The results showed that there were 69 respondents involved in this study. Chronic LBP was found in 62 respondents (90%). Up stright position while sitting was the most frequent position that caused chronic LBP in 28 respondents. The average time used for working with sitting position was 7-8 hours which caused chronic LBP among 31 respondents of the group with the work time from 11.00-13.59. A P-value of 0.000 (<0.05) showed that there was a strong correlation between sitting position and chronic LBP. Duration of work also showed a strong correlation with chronic LBP with a P-value of 0.000. Conclusion: There were strong correlations beween chronic low back pain with sitting position while working and duration of work. Keywords: chronic LBP chronic, sitting position, duration of work, bank employees.   Abstrak:Nyeri Punggung Bawah (NPB) merupakan gangguan muskuloskeletal yang paling sering dijumpai dalam aktivitas kerja. Faktor mekanik mencakup 80-85% dari keseluruhan penyebaNPB. Patoanatomi sering tidak dapat memberikan ketepatan diagnosis NPB oleh proses mekanik. Faktor mekanik yang mempercepat terjadinya gangguan NPB antara lain posisi badan yang cenderung statis, posisi badan yang cenderung memperberat kerja tulang-tulang vertebra seperti posisi badan membungkuk, tegak tanpa sandaran, dan waktu bekerja yang lama saat duduk. Hubungan NPB dengan posisi dan lama duduk belum pernah dilaporkan di Kota Manado. Penelitian ini bertujuan untuk mengetahui hubungan posisi dan lama duduk saat bekerja yang dapat menimbulkan NPB mekanik kronik pada karyawan bank. Hasil penelitian memperlihatkan dari keseluruhan responden yang berjumlah 69 orang, didapatkan 62 responden (90%) yang mengalami NPB mekanik kronik. Posisi duduk tegak tanpa sandaran merupakan posisi terbanyak menimbulkan NPB mekanik kronik pada 28 responden. Rata-rata lama duduk bekerja 7-8 jam menyebabkan NPB pada kelompok pukul 11.00-13.59 sebanyak 31 responden. Analisis statistik menggunakan uji chi-square memperlihatkan adanya korelasi yang kuat (P = 0,000) antara posisi duduk dan NBP mekanik kronik Lama duduk juga berkorelasi kuat dengan NBP mekanik kronik (P = 0,000). Simpulan: Terdapat hubungan yang kuat antara NBP mekanik kronik dengan posisi dan lama duduk pada karyawan bank. Kata kunci: NPB mekanik kronik, posisi duduk, lama duduk, karyawan bank.
Pengaruh latihan core-strengthening terhadap stabilitas trunkus dan keseimbangan pasien pasca stroke Wowiling, Paulina E.; Sengkey, Lidwina S.; Lolombulan, Julius H.
JURNAL BIOMEDIK : JBM Vol 8, No 1 (2016): JURNAL BIOMEDIK : JBM
Publisher : UNIVERSITAS SAM RATULANGI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/jbm.8.1.2016.12334

Abstract

Abstract: This study aimed to analyze whether core-strengthening exercise could correct trunk stability and increase balance in post stroke patients. This was an experimental study with a pretest – posttest group design. Subjects were trained to perform the core strengthening exercise for 12 sessions. The trunk stability was evaluated with trunk impairment scale (TIS) and the balance was evaluated with Berg balance scale (BBS) and timed up and go test (TUG). Data were analyzed with the paired T-test and the Wilcoxon test. The results showed that there were 23 subjects that met the inclusion criteria. Of the 23 subjects, only 19 subjects completed the 12 sessions of exercise. The statistical analysis showed that there were significant increases of TIS (P <0.0001), BBS (P <0.0001), and TUG (P <0.0001) after the whole exercise. Conclusion: Core-strengthening exercise improved trunk stability as wel as static and dynamic balance in post stroke patients.Keywords: core-strengthening exercise, trunk stability, static and dynamic balanceAbstrak: Penelitian ini bertujuan untuk menganalisis sejauh mana latihan core-strengthening memperbaiki stabilitas trunkus dan meningkatkan keseimbangan pada pasien pascastroke. Jenis penelitian ini ialah eksperimental dengan pretest–posttest group design. Subjek penelitian ialah 23 pasien pasca stroke yang memenuhi kriteria inklusi. Perlakuan yang diberikan ialah latihan core-strengthening sebanyak12 sesi. Penilaian stabilitas trunkus menggunakan trunk impairment scale (TIS) sedangkan keseimbangan diukur dengan Berg balance scale (BBS) dan timed up and go test (TUG). Data dianalisis menggunakan uji T berpasangan dan uji Wilcoxon. Hasil penelitian memperlihatkan dari 23 subjek penelitian hanya 19 yang menyelesaian 12 sesi latihan, Analisis statistik menunjukkan bahwa setelah dilakukan latihan penguatan trunkus sebanyak 12 sesi didapatkan peningkatan bermakna dari TIS (P <0,0001), BBS (P <0,0001), dan TUG (P <0,0001). Simpulan: Latihan core-strengthening dapat memperbaiki stabilitas trunkus serta keseimbangan statik dan dinamik pada pasien pasca stroke.Kata kunci: Latihan core-strengthening, stabilitas trunkus, keseimbangan statik dan dinamik
MIRROR THERAPY IN STROKE REHABILITATION Sengkey, Lidwina S.; Pandeiroth, Paola
JURNAL BIOMEDIK : JBM Vol 6, No 2 (2014): JURNAL BIOMEDIK : JBM Juli 2014
Publisher : UNIVERSITAS SAM RATULANGI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/jbm.6.2.2014.5548

Abstract

Abstract: Paralysis in stroke is mainly caused by damage of any kind in internal capsule. Recovering of these damages require neuroplasticity which involves parts of the brain survivors. One kind of therapies that has some beneficial effects on neuroplasticity is mirror therapy. This therapy is used to improve motor function after stroke. Mirror therapy is easy to set up and requires very little training without taxing the patient. Data obtained from several studies show that besides it is simple and cheap, this mirror therapy might have a significant effect on motor function and improve activities of daily living as an adjunct to the rehabilitation for stroke patients. This review aims to demonstrate the benefits of mirror therapy in stroke rehabilitation. Keywords: exercise therapy, mirror therapy, rehabilitation, stroke   Abstrak: Paralisis pada stroke terutama terjadi karena kerusakan di kapsula interna. Kerusakan ini memerlukan neuroplastisitas yang melibatkan sejumlah bagian otak yang selamat untuk memulihkannya. Salah satu terapi yang bermanfaat terhadap neuroplastisitas yaitu terapi cermin. Terapi ini digunakan untuk memperbaiki fungsi motorik pasca stroke. Terapi cermin mudah dilakukan dan hanya membutuhkan latihan yang sangat singkat tanpa membebani pasien. Data yang diperoleh dari beberapa penelitian memperlihatkan bahwa terapi cermin merupakan terapi yang sederhana, murah, dan efektif dalam memperbaiki fungsi motorik (baik ekstremitas atas maupun bawah) dan aktivitas kehidupan sehari-hari, sebagai tambahan untuk rehabilitasi yang umumnya dilakukan pada pasien dengan stroke. Telaah ini bertujuan untuk menunjukkan keuntungan terapi cermin pada rehabilitasi stroke. Kata kunci: terapi latihan, terapi cermin, rehabilitasi, stroke
Pengaruh transfer of motor skill learning dari tangan sehat terhadap peningkatan fungsional tangan paresis pasien stroke subakut ., Elina; Sengkey, Lidwina S.
Jurnal Biomedik : JBM Vol 8, No 1 (2016): JURNAL BIOMEDIK : JBM
Publisher : UNIVERSITAS SAM RATULANGI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/jbm.8.1.2016.12333

Abstract

Abstract: This study aimed to demonstrate the effect of transfer of motor skill learning from healthy hand on increasing functional paretic’s hand of stroke patient. This was a descriptive study conducted at the Instalation of Medical Rehabilitation, Prof. Dr. R. D. Kandou Hospital Manado. There were 26 patients of subacute stroke that fulfilled the inclusion criteria. All subjects were trained for 6 weeks and then were evaluated with nine hole peg test dan Sollerman hand function test. The results showed that of the 26 patients, 15 (57.7%) were males. The highest percentages were as follows: mean of age was 57.58 years old (38.5%), onset of stroke was less than 10 weeks (65.4%), and nonhaemorrhagic stroke (88.5%). The Wilcoxon test showed that there were significant differences of nine hole peg test and Sollerman hand function test scores before and after exercise (P <0.001). Conclusion: Transfer of motor skill learning from healthy hand could increase functional paretic hand of stroke patients.Keywords: stroke, transfer of motor skill, bilateral transfer, mirror neuronAbstrak: Penelitian ini bertujuan untuk membuktikan pengaruh transfer of motor skill learning tangan sehat terhadap peningkatan fungsional tangan paresis pasien stroke subakut. Jenis penelitian ini ialah deskriptif. Penelitian dilaksanakan di Instalasi Rehabilitasi Medik RSUP Prof Dr. R. D. Kandou Manado. Sebanyak 26 orang pasien stroke fase subakut yang memenuhi kriteria inklusi. Semua subyek diberi latihan selama 6 minggu kemudian dilakukan penilaian dengan nine hole peg test dan Sollerman hand function test. Hasil penelitian memperlihatkan dari 26 subjek, persentase tertinggi ialah laki-laki sebanyak 15 orang (57,7%), usia rata-rata ialah 57,58 tahun (38,5%), onset terjadinya stroke kurang dari 10 minggu (65,4%), dan stroke non-hemoragik (88,5%). Hasil uji Wilcoxon menyatakan terdapat perbedaan bermakna pada nilai nine hole peg test dan Sollerman hand function test sebelum (awal) dan sesudah (akhir) perlakuan (p <0,001). Simpulan: Transfer of motor skill learning tangan yang sehat dapat meningkatkan fungsional tangan paresis pasien stroke subakut.Kata kunci: stroke, transfer of motor skill, bilateral transfer, mirror neuron
Angka kejadian afasia pada stroke di Instalasi Rehabilitasi Medik RSUP Prof. Dr. R. D. Kandou Manado tahun 2015 Purnomo, Andrew M.; Sengkey, Lidwina S.; Damopolii, Christina A.
e-CliniC Vol 4, No 2 (2016): Jurnal e-CliniC (eCl)
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.4.2.2016.14346

Abstract

Abstract: Aphasia is a general term used to define a set of language disorder that occurs after brain damage commonly in the left hemisphere. The most underlying etiology of aphasia is cerebrovascular disease, stroke. Aphasia is present in 21-38% of patients with acute stroke and its impact is associated with short-term and long-term morbidity, high mortality rates, and limitations of the patients socialization. So as to raise awareness of disability caused by stroke, especially aphasia, it is necessary to know the incidence of aphasia in stroke patients in the Medical Rehabilitation Installation of Prof. Dr. R. D. Kandou Manado Hospital in 2015. This was retrospective descriptive study with a cross sectional design using data from medical records. Of the 455 stroke patients, 60 (13,2%) were aphasic. The youngest age of aphasic patients was 30 years old and the oldest one was 85 years old. The incidence of aphasia was more common in the age above 60 years (40%), non hemorrhagic stroke (60%), and in patients with right hemiparesis (78,3%). However, there were 6 (10%) aphasic patients with left hemiparesis. Conclusion: In the Medical Rehabilitation Installation of Prof. Dr. R. D. Kandou Manado Hospital in 2015, the incidence of aphasia was 13.2%. There was an increasing incidence of aphasia in each decade over the age of 30 years. No significant differences between the genders and types of stroke. Aphasia was also f ound in patients with left hemiparesis which signified the involvement of the right hemisphere.Keywords: aphasia, stroke, medical rehabilitation Abstrak: Afasia adalah istilah umum yang digunakan untuk mendefinisikan sekumpulan gangguan berbahasa yang terjadi setelah adanya kerusakan otak, yang sering mengenai hemisfer sebelah kiri. Etiologi yang paling banyak mendasari afasia ialah penyakit serebrovaskular, yaitu stroke. Afasia terdapat pada 21-38% pasien stroke akut dan dampaknya dikaitkan dengan morbiditas jangka pendek dan jangka panjang, tingginya angka mortalitas, dan keterbatasan pasien dalam sosialisasi. Penelitian ini bertujuan untuk mengetahui angka kejadian afasia pada stroke di Instalasi Rehabilitasi Medik RSUP Prof. Dr. R. D Kandou Manado tahun 2015. Jenis penelitian ialah deskriptif retrospektif dengan desain potong lintang menggunakan data dari rekam medik. Hasil penelitian memperlihatkan dari 455 pasien stroke, 60 (13,2%) diantaranya mengalami afasia. Usia paling muda pasien dengan afasia ialah 30 tahun dan usia paling tua ialah 85 tahun. Angka kejadian afasia lebih banyak terjadi pada usia di atas 60 tahun (40%), stroke non hemoragik (60%), dan pasien dengan hemiparesis dekstra (78,3%). Terdapat 6 (10%) pasien afasia dengan hemiparesis sinistra. Simpulan:Angka kejadian afasia pada tahun 2015 ialah 13,2%. Adanya peningkatan angka kejadian afasia pada tiap dekade usia di atas 30 tahun. Tidak ada perbedaan bermakna antara jenis kelamin dan jenis stroke. Pasien dengan hemiparesis sinistra juga mengalami afasia yang menandakan keterlibatan hemisfer dekstra. Kata kunci: afasia, stroke, rehabilitasi medik
Diagnosis dan penanganan rehabilitasi medik pada anak dengan Attention Deficit Hyperactivity Disorder Susanto, Bayu D.; Sengkey, Lidwina S.
Jurnal Biomedik : JBM Vol 8, No 3 (2016): JURNAL BIOMEDIK : JBM
Publisher : UNIVERSITAS SAM RATULANGI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/jbm.8.3.2016.14150

Abstract

Abstract: Attention deficit hyperactivity disorder (ADHD) is one of the most common childhood disorders and can continue through adolescence and adulthood. The average age of onset is 7 years old. Symptoms in children is characteriterized by inattention, hyperactivity and impulsivity, or a combination of these symptoms, which compromise basic daily functions such as learning to read and making friends. ADHD is a complex disorder of impairment of brain functions, associated with low rates of high-school graduation and completion of postsecondary education as well as poor peer relationships, even when it is appropriately managed, leading to high economic and social burdens. In many cases, it is accompanied by one or more serious psychiatric comorbidities. In practice, the diagnosis is often made in children who meet some but not all of the criteria recommended in DSM-IV. According to National Institute of Mental Health and professional organizations such as AACAP, the management of children with ADHD is a comprehensive, multidisciplinary and multimodal approach. The managerial team of children with ADHD involves medical rehabilitation specialists, physiatrists with occupational therapiests, psychologists, social workers, parents, teachers, care givers, and environment.Keywords: ADHD, inattention, hyperactivity, impulsivity, rehabilitation medicineAbstrak: Attention deficit hyperactivity disorder (ADHD) adalah adanya pola menetap dari inatensi yang disertai hiperaktifitas dan impulsivitas, umumnya terjadi pada anak usia dini dan usia sekolah. Gejala dapat diketahui sebelum usia 7 tahun dan dapat menetap sampai masa remaja dan dewasa. ADHD dapat mengganggu fungsi dasar seorang anak, permasalahan dalam hal belajar, dan kesulitan membina hubungan dengan teman. ADHD merupakan gangguan yang kompleks dari fungsi otak yang menimbulkan masalah dalam pendidikan dan sosial serta membutuhkan biaya yang cukup besar. Pada banyak kasus disertai oleh 1 atau lebih masalah psikiatri yang serius. Kriteria diagnosis didasarkan pada Diagnostic and Statistic Manual IV (DSM-IV). Sampai saat ini belum ada satu jenis terapi yang dapat diakui untuk menyembuhkan anak dengan ADHD secara total. Berdasarkan National Institute of Mental Health serta organisasi profesi lainnya di dunia seperti AACAP penanganan anak dengan ADHD ialah dengan pendekatan komprehensif yang multidisiplin dan multimodal. Penanganan pada anak dengan ADHD melibatkan multidisipliner ilmu termasuk dokter spesialis kedokteran fisik dan rehabilitasi bersama tim termasuk psikolog, okupasi terapi, sosial medik, orang tua, guru, care giver dan lingkungan.Kata kunci: ADHD, inattention, hyperactivity, impulsivity, rehabilitation medicine
Co-Authors Amy C. Parera, Amy C. Aron Pirade Damopolii, Christina A. Elina ., Elina Engeline Angliadi Gesal, Joudy Halim, Rusdyanto Ismail, Frans F D Jenny J. C. Pandaleke Joudy Gessal Julius H Lolombulan Julius H. Lolombulan, Julius H. Paola Pandeiroth Paulina E. Wowiling, Paulina E. Purnomo, Andrew M. Soeryadi, Ayling Susanto, Bayu D.