Agus Kristiyanto
Faculty of Sport Education, Universitas Sebelas Maret

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Meta-Analysis the Effect of Constraint-Induced Movement Therapy on Hands Functional Ability and Occupational Performance in Children with Cerebral Palsy Mutiana Agustin Sholikah; Agus Kristiyanto; Hanung Prasetya
Journal of Epidemiology and Public Health Vol. 6 No. 1 (2021)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (31.789 KB) | DOI: 10.26911/jepublichealth.2021.06.01.01

Abstract

Background: Children with cerebral palsy generally experience hand functional disorders which then affect the child's occupational performance. Hand functional ability is the ability to use the hand in doing activities. To be able to perform occupational performance, good hand functional abilities are needed. To achieve this, interventions are needed, one of which is constraint-induced movement therapy (CIMT) which is hypothesized to be able to improve hand functional ability and occupational per-formance. The purpose of this study was to determine the effect of CIMT on the hands functional ability and the occupation performance of children with cerebral palsy.Subjects and Method: This study used a systematic review design and meta-analysis using the PRISMA flow chart guidelines. The process of searching for articles was carried out between 2005-2020 using databases from PubMed, Science Direct, AJOT, Springer Link, and Google Scholar. Based on the database, there were 20 articles that met the inclusion criteria. This study involved 669 subjects of hand functional ability and 440 subjects of occupational performance. The analysis was performed using the RevMan 5.3 software. Results: A total of 20 articles conducted a meta-analysis review. A total of 18 articles conducted a meta-analysis showing that giving CIMT to children with cerebral palsy was significantly able to improve hands functional ability of children with cerebral palsy (SMD = 0.40; 95% CI 0.09 to 0.71; p = 0.01). A total of 11 articles conducted a meta-analysis showing that giving CIMT to children with cerebral palsy was able to improve occupational performance abilities but it was not statistically significant (SMD = 0.18; 95% CI 0.17 to 0.52; p = 0.32).Conclusion: CIMT can improve hand functional abilities and occupational performance of children with cerebral palsy.
Meta-Analysis the Association between Chronic Obstructive Pulmonary Disease Comorbidity and COVID-19 Mortality Pamogsa Ratri Adha Daniyar; Agus Kristiyanto; Setyo Sri Rahardjo
Journal of Epidemiology and Public Health Vol. 6 No. 2 (2021)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (30.875 KB)

Abstract

disease that hit the world community at the end of 2019. The risk of death from COVID-19 is highly dependent on age and previous health conditions. COVID-19 severe and critical symptoms are more commonly found in older patients and patients who have chronic comor
Meta-Analysis Aerobic Exercise Improves Quality of Life in Breast Cancer Survivor Citra Ayuningtiyas; Agus Kristiyanto; Bhisma Murti
Journal of Epidemiology and Public Health Vol. 7 No. 2 (2022)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (31.544 KB) | DOI: 10.26911/jepublichealth.2022.07.02.09

Abstract

Background: Cancer is one of the health problems throughout the world, the increasing mortality rate due to breast cancer is one of them because it is detected at an advanced stage. In 2018 breast cancer was at the top of the list impacting 2,088,849 (11.6%) world women every year and with an incidence of death of 626,679 (6.6%) cases. One category of intervention to improve the quality of life of breast cancer survivors that has developed in recent years is by means of aerobic exercise. This study aims to estimate the magnitude of the effect of aerobic exercise on the quality of life of breast cancer survivors.Subjects and Method: This study was a meta-analysis study with PICO as follows P = breast cancer survivors. I= aerobic exercise. C= no intervention. O= quality of life. The articles used in this study were obtained from several databases, namely PubMed, Science Direct, and Google Scholar. This article was collected for 2 months. The keywords to search for articles were as follows: “breast cancer” OR “ca mammae” OR “carcinoma mammae” OR “mammae cancer”AND aerobic OR “aerobic exercise” AND “quality of life” OR “QOL” AND “RCT” OR “randomized control trial” OR “cluster-randomized control trial”. The articles included in this study are full text articles with a Randomized Controlled Trial study design. Articles were analyzed using the Review Manager 5.3 application. The results of the meta-analysis are reported using the PRISMA flow diagram.Results: There are 9 articles that have been analyzed from California, America, Iran, Kosovo, Spain, England, Canada, Germany, and the Netherlands. Studies show that aerobic exercise intervention improves the quality of life of breast cancer survivors SMD= 0.14; 95% CI= -0.23 to 0.51), and the results were not statistically significant (p= 0.460).Conclusion: Aerobic exercise improves the quality of life of breast cancer survivors. Keywords: aerobic exercise, breast cancer survivors, quality of life Correspondence:Citra Ayuningtiyas. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: citratiyas2@gmail.com. Mobile: 085345903455.