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All Journal International Journal of Integrated Health Sciences Majalah Kedokteran Bandung Althea Medical Journal Global Medical and Health Communication Universa Medicina Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia Indonesia Journal of Physical Medicine and Rehabilitation Indonesia Journal Physical Medicine and Rehabilitation eJournal Kedokteran Indonesia eProceedings of Engineering Jurnal Material dan Energi Indonesia
Irma Ruslina Defi
Departemen Ilmu Kedokteran Fisik Dan Rehabilitasi Fakultas Kedokteran Universitas Padjadjaran/Rumah Sakit Dr. Hasan Sadikin Bandung
Biochemistry, Genetics & Molecular Biology Computer Science & IT Control & Systems Engineering Decision Sciences, Operations Research & Management Dentistry Education Electrical & Electronics Engineering Energy Engineering Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Materials Science & Nanotechnology Medicine & Pharmacology Neuroscience Nursing Physics Public Health

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Characteristic of Older Adult with Balance Disorder in Rehabilitation Clinic Dr. Hasan Sadikin General Hospital 2014 Yun, Ku Shi; Defi, Irma Ruslina; Dwipa, Lazuardhi
Althea Medical Journal Vol 3, No 1 (2016)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (533.3 KB)

Abstract

Background: Older adult population is increasing worldwide. Balance has an important role in conducting daily activities and mobility, with impaired balance it can lead to negative impacts for example fall. This study is conducted to obtain common factors and characteristics of older adults with balance disorder to provide better rehabilitation services.Method: A descriptive study was conducted in the Physical Medicine and Rehabilitation Clinic of Dr. Hasan Sadikin General Hospital, Bandung from August-October 2014 using total sampling method and a 5 times sit-to-stand (5STS) test was conducted. The total sample obtained was 34.Result: The characteristics of older adult with balance disorder in this study were mostly from young old (n=17), male gender (n=19), and mean 5STS test is 18.48 seconds. Most of the patients had high blood pressure (n=29), normal body mass index (BMI) (n=22), independent activity of daily living (ADL) (n=21), and use of greater than 3 medication (n=21).The most common disease found is musculoskeletal disease and majority of patients had one medical disease.Conclusion: Older adults categorized as young old has the greatest frequency of having balance disorder. Increase in age, increases the duration of 5STS test conducted. The most common problem among older adult is high blood pressure, musculoskeletal disease and hypertension and majority of the patients consume greater than 3 medication. Lastly, most of the BMI and the ADL of the older adults were normal. DOI: 10.15850/amj.v3n1.718
Flatfoot decreases school functioning among children < 11 years of age Damayanti, Yuke; Hadisoemarto, Panji Fortuna; Defi, Irma Ruslina
Universa Medicina Vol 37, No 1 (2018)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2018.v37.50-56

Abstract

Background Flatfoot is a musculoskeletal abnormality commonly found in children that could result in a reduction of quality of life because of its related symptoms and functional abnormalities. This study aimed to determine the association between flatfoot and the quality of life among children 5-18 years of age. Methods A cross sectional design was used in this study of children aged 5-18 years. The diagnosis of flatfoot was made in accordance with the Chippaux-Smirak Index classification, whereas general and domain-specific quality of life were measured using the Indonesian version of PedsQL™ that has been previously validated. Mann Whitney test was used to compare quality of life between children with flatfoot and normal feet, along with other variables that potentially may influence a child’s quality of life. Results A total of 79 out of 120 subjects was used to analyze the data. There was a statistically significant difference in the quality of life score in the school functioning domain between children with flatfoot (64.46 ±18.22) and those with normal feet (75.90 ±17.29) in children &lt;11 years of age (p=0.029). Apart from this, the study did not find any statistically significant differences in the total quality of life score or in other quality of life domains between the two groups. Conclusions Flatfoot significantly decreases children’s quality of life in the school functioning domain. Early detection and correction of flatfoot may be necessary to improve the educational attainment of children suffering from this condition.
Correlation between Physical Activity Level and Health–Related Quality of Life among Elderly Anguda, Ricky; Setiawan, Setiawan; Defi, Irma Ruslina
Althea Medical Journal Vol 3, No 3 (2016)
Publisher : Althea Medical Journal

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Abstract

Background: The elderly population will keep growing in Indonesia. Decreased body function in elderly will affect their health–related quality of life. The aim of this study was to know the correlation between physical activity level and health–related quality of life among elderlyMethods: A cross-sectional analytical study was conducted from September to November 2014 in Panti Sosial Tresna Wredha Budi Pertiwi. The level of physical activity was measured with General Practice Physical Activity Questionnaire (GPPAQ) and health–related quality of life using the 36–Item Short Form Health Survey version 2 (SF–36v2). There were 14 out of 29 female elderly who met the inclusion criteria. The data were collected using validated questionnaires and tested with simple linear regression.Results: The physical activity level includes one inactive, three moderately inactives, eight moderately actives, and two actives. The average score of the health–related quality of life was 41.121±8.88 for the physical component scale (below average) and 57.629±7.54 (above average) for the mental component scale. No significant correlation was found between the level of physical activity with the physical component scale (p–value = 0.731) and mental component scale (p–value = 0.901).Conclusions: The most frequently found physical activity level is the moderately active level. The score for the physical component scale is under average, while the mental component scale is above average. There is no correlation between the physical activity level and health–related quality of life for the physical component scale and the mental component scale. [AMJ.2016;3(3):405–10]DOI: 10.15850/amj.v3n3.890
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&gt;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.
Efektivitas Latihan Incentive Spirometry dengan Latihan Pernapasan Diafragma terhadap Fungsi Paru, Kapasitas Fungsional, dan Kualitas Hidup Penderita Asma Bronkial Alergi Nikmah, Sitti Nurun; Purba, Ambrosius; Defi, Irma Ruslina
Majalah Kedokteran Bandung Vol 46, No 1 (2014)
Publisher : Faculty of Medicine, Universitas Padjadjaran

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Abstract

Prevalensi eksaserbasi asma alergi semakin mengalami peningkatan. Berbagai upaya dilakukan untuk dapat menurunkannya, antara lain dengan latihan pernapasan diafragma dan incentive spirometry, namun, perbandingan efektivitas kedua latihan masih belum jelas. Penelitan ini bertujuan untuk mengetahui perbandingan efektivitas kedua latihan tersebut. Penelitian dilakukan di Rumah Sakit Dr. Hasan Sadikin dan Rumah Sakit Paru Dr. H. A. Rotinsulu Bandung (September−Desember 2012). Sejumlah 20 orang perempuan, berusia 26−40 tahun, penderita asma bronkial alergi terkontrol sebagian yang mengikuti penelitian, dibagi ke dalam 2 kelompok. Tiap kelompok diberi latihan incentive spirometry dan pernapasan diafragma selama 8 minggu. Sebelum dan sesudah perlakuan, dilakukan pengukuran fungsi paru dengan forced expiratory volume in 1 second (FEV1), kapasitas fungsional dengan jarak tempuh (uji jalan 6 menit), dan kualitas hidup dengan St George’s Respiratory Questionnaire (SGRQ). Karakteristik penderita menunjukkan distribusi normal dan homogen. Uji-t independen menunjukkan bahwa latihan incentive spirometry lebih efektif dibandingkan dengan pernapasan diafragma dalam meningkatkan FEV1 (6,19±2,63 vs 0,40±0,33 % prediksi), jarak tempuh (229,07±21,84 vs 140,69±16,91 m) dan memperbaiki SGRQ (nilai total 1.036,51±341,14 vs 360,09±182,10). Simpulan, latihan incentive spirometry lebih efektif dalam meningkatkan fungsi paru, kapasitas fungsional, dan kualitas hidup dibandingkan dengan pernapasan diafragma pada penderita asma bronkial alergi. [MKB. 2014;46(1):39–47]Kata kunci: FEV1, Incentive spirometry, jarak tempuh, latihan pernapasan diafragma, SGRQEffectiveness of Incentive Spirometry and Diaphragmatic Breathing Exercise in Lung Function, Functional Capacity and Quality of Life of Bronchial Asthma Allergic PatientsExacerbation of allergic asthma prevalence is increasing. Various attempts were made to lower it with diaphragm breathing and incentive spirometry exercise. However, comparison of the effectiveness of both exercises are unclear. This study aims to compare those effects. Research conducted in Dr. Hasan Sadikin General Hospital and Dr. H. A. Rotinsulu Pulmonary Hospital (September–December 2012). Twenty female, aged 26−40 years, partially controlled bronchial asthma allergic patients who consented for this study were divided into 2 groups. Each group was given incentive spirometry and diaphragm breathing exercise for 8 weeks. Before and after treatment lung function with forced expiratory volume in 1 second - FEV1, functional capacity with walking distance (6 minute walking test) and quality of life (St George’s Respiratory Questionnaire-SGRQ) were assessed. The characteristics of the subjects were normally distributed and homogeneous. Independent T test results showed incentive spirometry compared to diaphragm breathing exercise was more effective in improving FEV1 (6.19±2.63 vs 0.40±0.33% predicted), walking distance (229.07±21.84 vs 140.69±16.91 m), and SGRQ (total value 1,036.51±341.14 vs 360.09 ±182.10). In conclusion, incentive spirometry is more effective in improving lung function, functional capacity, and quality of life compared to diaphragm breathing exercises in patients with allergic bronchial asthma. [MKB. 2014;46(1):39–47]Key words: Diaphragm breathing exercise, FEV1, incentive spirometry, SGRQ, walking distance DOI: 10.15395/mkb.v46n1.226
Prevalensi Sarkopenia pada Lansia di Komunitas (Community Dwelling) berdasarkan Dua Nilai Cut-off Parameter Diagnosis Vitriana, Vitriana; Defi, Irma Ruslina; Irawan, Gaga Nugraha; Setiabudiawan, Budi
Majalah Kedokteran Bandung Vol 48, No 3 (2016)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v48n3.417

Abstract

Sarkopenia, sindrom penurunan massa dan fungsi otot terkait usia dapat mengurangi kualitas hidup dan peningkatan mortalitas pada lanjut usia (lansia). Banyak metode penapisan dan definisi operasional menyebabkan angka prevalensi sarkopenia bervariasi di dunia. Penelitian ini bertujuan mengetahui prevalensi sarkopenia pada lansia yang tinggal di komunitas berdasarkan massa otot yang diukur dengan bioimpedance analysis, kekuatan genggam tangan menggunakan hand dynamometer, serta performa fisik melalui uji jalan 6 menit dengan mempergunakan dua nilai cut-off, nilai rekomendasi Asian Working Group for Sarcopenia (AWGS) dan nilai populasi lansia Taiwan karena belum didapatkan nilai cut-off populasi lansia Indonesia. Penelitian deskriptif potong lintang pada 229 partisipan (71 orang laki-laki dan 158 orang perempuan) dengan menggunakan teknik consecutive sampling dilakukan pada bulan Agustus sampai Desember 2014 pada populasi lansia di Kota Bandung dan Jatinangor. Hasil penelitian menunjukkan angka prevalensi sarkopenia berdasarkan nilai cut-off rekomendasi AWGS adalah 9,1% (7,4% untuk laki-laki dan 1,7% untuk perempuan), sedangkan prevalensi sarkopenia berdasarkan nilai cut-off populasi Taiwan sebesar 40,6% (20,1% untuk laki-laki dan 20,5% untuk perempuan). Perbedaan prevalensi yang cukup besar mendorong diperlukan penetapan nilai cut-off parameter diagnosis sarkopenia spesifik pada populasi lansia Indonesia yang tinggal di komunitas untuk dapat menentukan prevalensi sarkopenia lebih akurat. [MKB. 2016;48(3):164–70]Kata kunci: Cut-off, lansia, komunitas, prevalensi, sarkopenia Sarcopenia Prevalence In Community-Dwelling Elderly based on Two Cut-off Points Diagnosis ParametersSarcopenia, aging muscle mass loss, and function syndromes can lead to decreased quality of life and increased elderly mortality. The availability of various screening methods and operational definitions in different studies has produced different findings of sarcopenia prevalence. The purpose of this study was to discover the prevalence of sarcopenia in Indonesian community-dwelling elderly based on muscle mass measured by bioimpedance analysis, handgrip strength using hand dynamometer, and physical performance based on six minutes walking test  with two different cut-off point parameters of sarcopenia, i.e. the cut-off point recommended by Asian Working Group for Sarcopenia (AWGS) and the cut-off point based on the reference used in  Taiwan elderly population reference due to the lack of references for Indonesian elderly population. A cross-sectional study was conducted to 229 participants (71 men and 158 women) from the community-dwelling elderly population between August and December 2014 in Bandung and Jatinangor. The results of the study showed that the sarcopenia prevalence in this study based on AWGS was 9.1% (7.4% in men and 1.7% in women) while the prevalence based on the Taiwan reference revealed a prevalence of 40.6% (20.1% in men and 20.5% in women). This highly different prevalences shows the importance of defining a specific cut-off point for elderly population in community-dwelling Indonesia to get a more accurate sarcopenia prevalence. [MKB. 2016;48(3):164–70Key words: Community dwelling, cut-off, elderly, prevalence, sarcopenia
Functional Outcome of Carpal Tunnel Syndrome After Exercise versus Ultrasound Diathermy Irma Ruslina Defi; Marina Annette Moeliono; Widjaja Laksmi Kusumaningsih
Indonesian Journal of Physical Medicine & Rehabilitation Vol 2 No 01 (2013): 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 (316.263 KB) | DOI: 10.36803/ijpmr.v2i01.222

Abstract

Objective: to compare the effectiveness of Tendon and Nerve Gliding Technique (TNGT) exercise with ultrasound diathermy.Methods: Twenty Carpal Tunnel Syndrome (CTS) hands meet the inclusion criteria and divided into2 groups: TNGT exercise and Ultrasound group. The subjects’ characteristics in the two groups are homogenous.Results: The statistical analysis results using Friedman test on pain/paresthesia complaint and hand functional status in each group is significant. Using the ANOVA, results of pain/paresthesia complaintbetween two groups shows a significant difference in the 4th measurement and results of functional status between two groups show a significant difference in the 9th measurement.Conclusions: Our study emphasized the TNGT exercise combined with splinting will be a good alternative treatment for CTS beside ultrasound diathermy combined with splinting, since TNGTexercise group has the same effectiveness with ultrasound diathermy group in decreasing VAS and has better effectiveness in improvement of FSS.Keywords: CTS, TNGT, Ultrasound Diathermy, VAS, FSS.
The Challenging of Medical Rehabilitation Irma Ruslina Defi
Indonesian Journal of Physical Medicine & Rehabilitation Vol 8 No 02 (2019): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36803/ijpmr.v8i02.243

Abstract

Rehabilitation aims to enhance and restore functional ability and quality of life from the variety of medical conditions experiences or likely experience disability. The function status associated with physical activity is a health indicator. Human functioning is a major target of the rehabilitation program.
The Comparison of Post Coronary Artery Bypass Graft Functional Capacity between High Intensity Interval Training and Moderate Continuous Intensity Aerobic Exercise in Phase II Cardiac Rehabilitation Patients Dini Fitriani; Irma Ruslina Defi; Sunaryo B Sastradimaja; Badai B Tiksnadi
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 (322.42 KB) | DOI: 10.36803/ijpmr.v9i1.255

Abstract

ABSTRACT Introduction: Increased aerobic exercise capacity appears to reduce all-cause mortality and cardiovascular mortality. Aerobic exercise improves functional capacity (FC) is strongly recommended.However, evidence regarding the most efficient exercise intensity for patients post Coronary Artery Bypass Surgery (CABG) is still limited. This study aimed to assess the effects of high-intensity intervalexercise (HIIT) compared to moderate-continous intensity exercise (MCT) for increasing FC in patients post CABG. Methods: True experimental pre-post study included 6 men post CABG participating in a phase II cardiac rehabilitation (CR) with age ≤ 65 years old, ejection fraction ≥ 40%, no heart failure, no valve disease.Each group had 3 participants. HIIT group exercise at 80-90% Heart Rate Reserve (HRR) followed by 60-70% HRR active rest periods, MCT group exercised at 60-80% HRR. Both groups trained 3 days/week for 4 weeks. FC measured at baseline and after 4 weeks of rehabilitation. FC was assessed by maximal exercise testing through indirect VO2 max measurement. Results: After training, FC increased significantly in both group HIIT: 0,98±0,48 METs (8.07±1.51 METs to 9.05±1.21 METs), p=0.03 and MCT : 0,79±1,03 METs (5.74±2.24 to 6.53±1.69 METs), p=0.04).Differences in FC improvement between the two groups are p=0.792. Conclusion: HIIT exercise had no difference with MCT in increasing FC in patients post CABG. Keywords: CABG, cardiac rehabilitation, continuous moderate training, functional capacity, highintensity interval training
Functional Outcome of Carpal Tunnel Syndrome After Exercise versus Ultrasound Diathermy Irma Ruslina Defi; Marina Annette Moeliono; Widjaja Laksmi Kusumaningsih
Indonesian Journal of Physical Medicine & Rehabilitation Vol 2 No 01 (2013): 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 (316.263 KB) | DOI: 10.36803/ijpmr.v2i01.222

Abstract

Objective: to compare the effectiveness of Tendon and Nerve Gliding Technique (TNGT) exercise with ultrasound diathermy.Methods: Twenty Carpal Tunnel Syndrome (CTS) hands meet the inclusion criteria and divided into2 groups: TNGT exercise and Ultrasound group. The subjects’ characteristics in the two groups are homogenous.Results: The statistical analysis results using Friedman test on pain/paresthesia complaint and hand functional status in each group is significant. Using the ANOVA, results of pain/paresthesia complaintbetween two groups shows a significant difference in the 4th measurement and results of functional status between two groups show a significant difference in the 9th measurement.Conclusions: Our study emphasized the TNGT exercise combined with splinting will be a good alternative treatment for CTS beside ultrasound diathermy combined with splinting, since TNGTexercise group has the same effectiveness with ultrasound diathermy group in decreasing VAS and has better effectiveness in improvement of FSS.Keywords: CTS, TNGT, Ultrasound Diathermy, VAS, FSS.
Co-Authors ADIKUSUMA, FAJAR WIRA Ambrosius Purba Andi Basuki Andika Nugroho Putra Anguda, Ricky Badai B Tiksnadi Budi Setiabudiawan Cahyandari Nurlaelatiningsih Chandrawati Gultom Christopher Rinaldi Damayanti, Yuke Derry Suselo Deta Tanuwidjadja Dian Marta Sari Dila Larasati Dini Fitriani Elizabeth Elizabeth Ellyana Sungkar Farida Arisanti Gaga Irawan Nugraha Gunawan, Hanna Henny Anggraini Sadeli Irsan Agung Ramdhani Jennie Jennie Jennie Jennie Kastella, Faysal Ku Shi Yun Ku Shi Yun, Ku Shi Lazuardhi Dwipa Marina Annette Moeliono NATAZIA, AMARA DWI Novaria Puspita Novaria Puspita Novita, Dessy NURJANAH, FARIDA A Panji Fortuna Hadisoemarto Putri Dyah Utami Ryadi Qiantori, Adziqa Ammara Rachmat Gunadi Wachjudi Rachmat Zulkarnain Goesasi Rahdiyanti, Putri Teesa Ricky Anguda Ronny Lesmana Rudolf Andean Sari Sekarsari Satria Mandala Setiawan Setiawan Setiawan Setiawan SETIAWAN, M. BAYU Sitti Nurun Nikmah Sunaryo B Sastradimaja Sunaryo Barki Sastradimaja Sunaryo Sastradimaja Barki Sastradimaja Tertianto Prabowo Tertianto Prabowo Tertianto Prabowo Theresia Chandra Tania Novy Tresnasari, Cice Vina Megitasari Vita Murniati Tarawan Vitriana Vitriana Vitriana Vitriana Widjaja Laksmi Kusumaningsih