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All Journal International Journal of Integrated Health Sciences Majalah Kedokteran Bandung Althea Medical Journal Global Medical and Health Communication The Indonesian Biomedical Journal Universa Medicina Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia Indonesia Journal of Physical Medicine and Rehabilitation Indonesia Journal Physical Medicine and Rehabilitation 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

Author-ID : 1429087

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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Articles

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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

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

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

Spirometric Values of Patients with Chronic Obstructive Pulmonary Disease in Dr. Hasan Sadikin General Hospital Bandung Christopher Rinaldi; Rudolf Andean; Irma Ruslina Defi
Althea Medical Journal Vol 7, No 2 (2020)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v7n2.1687

Background: Chronic obstructive pulmonary disease (COPD) is a frequently underdiagnosed disease. Definitive COPD has been diagnosed using spirometry to evaluate pulmonary function. This study aimed to explore the spirometric values of COPD patients to aid in the diagnosis of COPD.Methods: A descriptive study was conducted in Dr. Hasan Sadikin General Hospital Bandung from October to November 2015. Data on patients diagnosed with COPD, aged 40 to 60 years old, were collected during the year 2014 prior to ethical clearance. Spirometry values consisted of forced expiratory volume in one second (FEV1), forced vital capacity (FVC), and FEV1/FVC ratio were taken from the medical records.Results: Sixty-eight COPD patients, consisting of 48 males and 20 females, were included of with most were classified as moderate COPD. The FEV1 was 49.72±17.79, whereas the FVC was 55.90 (range 22.80–96.03), and the FEV1/FVC ratio was 0.70±0.12. Most patients were classified into moderate COPD who had FEV1 between 50 and 80% of normal as GOLD 2 standard.Conclusions: Even though patients seem to have no symptoms, spirometric values may show a silent insufficient lung function affecting patients’ daily life.

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

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

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

Correlation between Physical Activity Level and Health–Related Quality of Life among Elderly Ricky Anguda; Setiawan Setiawan; Irma Ruslina Defi
Althea Medical Journal Vol 3, No 3 (2016)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (102.153 KB)

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

Correlations between Muscle Mass, Muscle Strength, Physical Performance, and Muscle Fatigue Resistance in Community-Dwelling Elderly Subjects Elizabeth Elizabeth; Vitriana Vitriana; Irma Ruslina Defi
International Journal of Integrated Health Sciences Vol 4, No 1 (2016)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (88.646 KB)

Objective: To determine the correlations between muscle mass, muscle strength, physical performance, and muscle fatigue resistance in community-dwelling elderly people in order to elucidate factors which contribute to elderly’s performance of daily activities.Methods: A cross-sectional study was conducted on community-dwelling elderly in Bandung from September to December 2014. One hundred and thirty elderly, 60 years old or above, were evaluated using bioelectrical impedance analysis to measure muscle mass; grip strength to measure muscle strength and muscle fatigue resistance; habitual gait speed to measure physical performance; and Global Physical Activity Questionnaire (GPAQ) to assess physical activity. Results: There were significant positive correlations between muscle mass (r=0,27, p=0,0019), muscle strength (r=0,26, p=0,0024), and physical performance (r=0,32, p=0,0002) with muscle fatigue resistance. Physical performance has the highest correlation based on multiple regression test (p=0,0025). In association with muscle mass, the physical activity showed a significant positive correlation (r=0,42, p=0,0000). Sarcopenia was identified in 19 (14.61%) of 130 subjects. Conclusions: It is suggested that muscle mass, muscle strength, and physical performance influence muscle fatigue resistance. Keywords: Community-dwelling, elderly, muscle fatigue resistance, muscle mass, sarcopenia DOI: 10.15850/ijihs.v4n1.684

Correlation between Handgrip Strength, Mobilization Function, Physical Activity Level, and Muscle Mass in Community-Dwelling Elderly in Bandung, West Java Province, Indonesia Sari Sekarsari; Vitriana Vitriana; Irma Ruslina Defi
International Journal of Integrated Health Sciences Vol 6, No 1 (2018)
Publisher : Faculty of Medicine Universitas Padjadjaran

Objective: To investigate correlation between handgrip strength, mobilization function, and physical activity level (PAL), and muscle mass in community-dwelling Indonesian elderly.Methods: This was a cross-sectional study 193 subjects aged 60–90 years. Handgrip strength was measured using handgrip dynamometer while the mobilization function was assessed by performing gait speed test. Global Physical Activity Questionnaire (GPAQ) was used to assess the participant’s PAL and Bio Impedance Analyzer was used to measure the participant’s muscle mass based on skeletal mass index.Results: Significant positive correlations were discovered between handgrip strength and walking speed (rs. 0.501; p<0.001), PAL (rs. 0.153; p=0.003), and muscle mass (rs. 0,452; p<0.001).Conclusion: Stronger handgrip determines greater mobilization function, physical activity level, and bigger muscle mass in community-dwelling Indonesian elderly. Keywords: Gait speed, handgrip strength, muscle mass, physical activity DOI: 10.15850/ijihs.v6n1.1047

Cognitive Function Profile of Post-Stroke Patients Dila Larasati; Irma Ruslina Defi; Henny Anggraini Sadeli
International Journal of Integrated Health Sciences Vol 5, No 1 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (84.299 KB)

Objective: To discover cognitive function profile of post-stroke patients undergoing rehabilitation to inform rehabilitation professionals in planning for a program and provide services that meet the patient’s need. Methods: This study was a descriptive cross-sectional study involving 32 post-stroke patients undergoing rehabilitation at the Physical Medicine and Rehabilitation clinic of Dr. Hasan Sadikin General Hospital Bandung in August–September 2014. An examination was conducted using the Mini Mental State Examination (MMSE) to obtain the cognitive function profile of post-stroke patients. Results: The results showed that almost all post-stroke patients undergoing rehabilitation had normal cognitive functions (93.8%), only few patients had probable cognitive impairment (6.2%). Probable cognitive impairment were found in male and female patients who were in the age range of 50–60 years who were elementary school graduates and in the sub acute phase of stroke. Conclusions: Almost all post-stroke patients undergoing rehabilitation have normal cognitive functions, only minority of patients have probable cognitive impairment, and there are no patients with definite cognitive impairment. Keywords: Cognitive function, education, rehabilitation, stroke DOI: 10.15850/ijihs.v5n1.962

Relationship between Neutrophil-Lymphocyte Ratio and Cardiac Autonomic Neuropathy in Diabetes Mellitus Type 2 Patients Cahyandari Nurlaelatiningsih; Sunaryo Sastradimaja Barki Sastradimaja; Irma Ruslina Defi
International Journal of Integrated Health Sciences Vol 5, No 1 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (9.073 KB)

Objective: To analyze the correlation between cardiac autonomic neuropathy (CAN) and neutrophil-lymphocyte ratio (NLR) in DM type 2 patients.Methods: This was a cross-sectional study which was conducted at the Internal Medicine Clinic of Dr. Hasan Sadikin General Hospital, Bandung and Chronic Disease Management (CDM) Club in Garut District, West Java, Indonesia from October to December 2015. Subjects were 57 DM type 2 patients who met the inclusion criteria. Cardiac autonomic neuropathy examination and complete blood count (CBC) were performed to discover the subjects’ neutrophil-lymphocyte ratio. Results: A strong correlation was found between CAN in DM type 2 patients and NLR (r=0.679; p=0.000) based on Rank Spearman correlation test. The NLR to CAN cut off point was 1.34. Conclusions: NLR examination can be used as an indicator of CAN in DM type 2 patients with NLR cut off point. There was a correlation between CAN and DM type 2 diagnosis duration. Keywords: Cardiac autonomic neuropathy, diabetes mellitus type 2, Ewing test, neutrophil-lymphocyte ratio DOI: 10.15850/ijihs.v5n1.961

Physical Factors in Age-Related Decline Physical Performance among the Older Adults in Bandung Vitriana Vitriana; Irma Ruslina Defi
Majalah Kedokteran Bandung Vol 52, No 3 (2020)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v52n3.1992

The aging process is associated with increased body fat and decreased muscle mass and strength in older adults. This condition is frequently associated with loss of mobility and functions. This study aimed to explore the relationship between physical performance and handgrip strength, body composition, and anthropometry in community-dwelling older adults living in Bandung, West Java Province, Indonesia. A cross-sectional study was performed from December 2015 to June 2016 on community-dwelling older adults above 60 years old who were the members of the West Java Branch of Lembaga Lansia Indonesia, Indonesia, with the ability to walk without an assistive device and to perform hand grip properly as an additional inclusion criterion. Subjects were excluded if they experienced severe cardiorespiratory or vascular abnormalities, used artificial implants, underwent hormone therapy, and had any disease that would affect the accuracy of the variable measurement. A total of 106 subjects (60-85 years old) participated in this study. A significant negative correlation between total body fat and physical performance and a positive correlation between handgrip strength to physical performance were observed among subjects. However, no correlation was found between the anthropometric measurement and physical performance. The total body fat percentage, muscle mass index, and handgrip strength correlate significantly to the physical performance in older adults and may be used as a good indicator to preserve physical function and quality of life in the elderly.Faktor-Faktor Fisik yang Memengaruhi Penurunan Performa Fisik Lanjut Usia di Lembaga Lansia Indonesia Cabang Jawa BaratProses penuaan sering dihubungkan dengan peningkatan lemak tubuh yang disertai dengan berkurangnya massa dan kekuatan otot pada lanjut usia. Kondisi ini sering berkaitan dengan hilangnya kemampuan mobilisasi dan fungsi lainnya. Tujuan penelitian ini adalah melihat hubungan antara performa fisik dengan kekuatan genggam tangan, komposisi tubuh dan antropometri pada komunitas lanjut usia yang tinggal di Bandung, Jawa Barat, Indonesia. Penelitian potong lintang dilakukan periode Desember 2015 sampai dengan Juni 2016 pada lanjut usia yang tinggal dalam komunitas dan merupakan anggota Lembaga Lansia Indonesia Cabang Jawa Barat, berusia lebih dari 60 tahun, serta mampu berjalan tanpa alat bantu dan dapat menggenggam tangan dengan baik. Partisipan dieksklusi bila menderita gangguan kardiorespirasi atau vaskuler yang berat, menggunakan implan artifisial, menjalani terapi hormonal dan mempunyai penyakit yang berpotensi mempengaruhi akurasi penilaian variabel. Dari total 106 partisipan dengan rentang usia 60–85 tahun, ditemukan korelasi negatif antara total lemak tubuh dengan performa fisik, dan korelasi positif antara kekuatan genggam tangan dengan performa fisik, akan tetapi tidak ditemukan hubungan antara komponen antropometri dengan performa fisik. Persentasi total lemak tubuh, indeks massa otot dan kekuatan tangan mempunyai hubungan yang bermakna dengan performa fisik pada lanjut usia dan dapat menjadi indikator yang baik dalam mempertahankan fungsi fisik dan kualitas hidup pada lanjut usia.

Co-Authors ADIKUSUMA, FAJAR WIRA Al Barqi, Nuzula Chafidh Ambrosius Purba Andi Basuki ANDI WIJAYA Andika Nugroho Putra Anguda, Ricky Anna Meiliana 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 Hanna Goenawan 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 Mohamad, Intan Sabrina NATAZIA, AMARA DWI Novaria Puspita Novita, Dessy NURJANAH, FARIDA A Nurrani Mustika Dewi, Nurrani Mustika Panji Fortuna Hadisoemarto Puspita, Novaria Putri Dyah Utami Ryadi Qiantori, Adziqa Ammara Qiantori, Andri Rachmat Gunadi Wachjudi Rachmat Zulkarnain Goesasi Rahdiyanti, Putri Teesa Ricky Anguda Ronny Lesmana Rosdianto, Aziiz Mardanarian 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

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