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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
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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The Improvement of Neuropathy and Balance after Combination of Indonesian Diabetic and Indonesian Diabetic Foot Exercise on Diabetic Peripheral Neuropathy Putri Dyah Utami Ryadi; Tertianto Prabowo; Irma Ruslina Defi
Indonesian Journal of Physical Medicine & Rehabilitation Vol 6 No 02 (2017): 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 (267.733 KB) | DOI: 10.36803/ijpmr.v6i02.155

Abstract

Background: Half of people with Type 2 Diabetes Mellitus (Type 2 DM) developed diabetic neuropathyat 25 years after being diagnosed and around 75% of the neuropathy were diabetic peripheral neuropathy(DPN), that associated with balance disturbance. This study aimed to know the effect of combining Indonesiandiabetic exercise (Senam Diabetes Indonesia/SDI) and Indonesian diabetic foot exercise (Senam Kaki DiabetesIndonesia/SKDI) on improvement of diabetic neuropathy and balance score in people with Type 2 diabeticperipheral neuropathy.Methods: Design study was a quasi-experimental study with pre-posttest design. The participants were Type 2DM patients aged 40-65 years old, with DPN confirmed based on Indonesian version of Diabetic NeuropathySymptom (DNS-INA) >1 or Indones ian version of Diabetic Neuropathy Exmination (DNE-INA) >3, who didnot do exercise regularly. All participants had Berg Balance Scale (BBS) score within 41-55, and the randomperipheral blood glucose within 100-250mg/dL. The BBS, DNE-INA, and DNS-INA score were evaluatedbefore and after 12 weeks of excercise.Results: There were 6 women aged 52-65 years. The mean of BBS, DNS-INA, and DNE-INA scores beforeand after intervention were 54.33±1.032 and 55.16±1.329 (p=0.025), 2.50±1.048 and 1.50±0.836 (p=0.063),3.66±1.505 and 1.33±0.816 (p=0.041), respectively.Conclusion: There were improvement of Berg Balance Score and Diabetic Neuropathy Score after thecombination of Diabetic exercises.Keywords: Berg Balance Score, diabetic neuropathy score, Indonesian Diabetic Exercise, Indonesian FootDiabetic Exercise
Association between Self Reported Questionnaire-determined Physical Activity Level with the Cardiorespiratory Fitness in Adolescent Chandrawati Gultom; Irma Ruslina Defi; Ellyana Sungkar
Indonesian Journal of Physical Medicine & Rehabilitation Vol 8 No 01 (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 | Full PDF (933.795 KB) | DOI: 10.36803/ijpmr.v8i01.178

Abstract

Introduction: Cardiorespiratory fitness (CRF) and physical activity (PA) in childhood can reduce the risk of cardiovascular diseases in adults. Further analysis related to the relationship between PA and CRFto prevent an inactive lifestyle is neededMethods: An analytic cross-sectional design in adolescents aged 13-15 years old, who had no cardiovascular and metabolic diseases, with light or medium physical activity, no deformity in thelower limbs and posture disorders. Cardiorespiratory fitness was assessed by the indirect method Bruce Protocol in the Faculty of Sport and Health Education’s library, The University of Pendidikan Indonesiaon September-October 2019. Physical activity was measure by the Physical Activity Questionnaire for Adolescent (PAQ-A).Results: Subjects consisted of 82 adolescents (41 boys, 41 girls), aged 13-15 years old with the Body mass index (BMI) was 18.5-29 kg/m2. The mean value of predicted VO2max (Bruce) for boys and girlswere 46.66 ± 8.765 and 40.06 ± 6.210 ml/kg2, while the value of predicted PAQ-A score for boys and girls were 2.54±0.756 and 2.16±0.416. The correlation between PAQ-A and VO2max in boys and girlswere r=0,190, p=0,234 and r=0.420; p=0.006.Conclusion: There was a moderate association between PAQ-A with VO2max in girls.Keywords: Cardiorespiratory fitness, Physical activity questionnaire, VO2max.
Disfagia pada Lansia Rapuh Vina Megitasari; Rachmat Zulkarnain Goesasi; Irma Ruslina Defi
Indonesian Journal of Physical Medicine & Rehabilitation Vol 11 No 02 (2022): 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.v11i02.262

Abstract

Effective and safe swallowing is one of the basic needs for human survival. Dysphagia or swallowing disorders often occur in the elderly and increase with age. Patients often do not complain of dysphagia and compensate by modifying the texture of the food. Frailty is associated with an increased prevalence of dysphagia. Difficulty of chewing, formation and positioning bolus are associated with dysphagia. In addition, dysphagia can cause weakness because there is a disturbance due to decrease nutritional status, muscle function, and can cause recurrent aspiration pneumonia. Frailty and dysphagia can be described as a cycle and affect each other. Several interventions were carried out to overcome dysphagia, either compensatory, rehabilitative, or a combination of both.
Disfagia pada Lansia Rapuh Vina Megitasari; Rachmat Zulkarnain Goesasi; Irma Ruslina Defi
Indonesian Journal of Physical Medicine & Rehabilitation Vol 11 No 02 (2022): 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.v11i02.262

Abstract

Effective and safe swallowing is one of the basic needs for human survival. Dysphagia or swallowing disorders often occur in the elderly and increase with age. Patients often do not complain of dysphagia and compensate by modifying the texture of the food. Frailty is associated with an increased prevalence of dysphagia. Difficulty of chewing, formation and positioning bolus are associated with dysphagia. In addition, dysphagia can cause weakness because there is a disturbance due to decrease nutritional status, muscle function, and can cause recurrent aspiration pneumonia. Frailty and dysphagia can be described as a cycle and affect each other. Several interventions were carried out to overcome dysphagia, either compensatory, rehabilitative, or a combination of both.
Translation and Validation of Indonesian Version of Scleroderma Health Assessment Questionnaire Irma Ruslina Defi; Jennie Jennie; Vitriana Vitriana; Farida Arisanti
Majalah Kedokteran Bandung Vol 52, No 1 (2020)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v52n1.2004

Abstract

Systemic sclerosis (SSc) or Scleroderma is a chronic autoimmune disease characterized by vasculopathy, fibrosis, and autoimmunity. Scleroderma Health Assessment Questionnare (SHAQ) is a measurement of SSc that is more specific than Health Assessment Questionnaire (HAQ) disability index(DI) to measure disability and function.The aim of this study was to translate SHAQ into Indonesian language and assess its validity and reability. The SHAQ was translated into Indonesian language and then back translated to ensure the meaning. The Indonesian version was then applied to the SSc outpatients. The validity of HAQ-DI and VAS scores was assessed using Pearson Product Moment Correlation and Cronbach’s alpha for the reability test of SSc HAQ score. To determine the convergent validity, comparisons were made between HAQ-DI, Scleroderma Visual Analog Scale (VAS), and Short Form 36 (SF 36). Eighteen females, ranging between 42 to 66 years old, were included in this study from Desember 2019 to February 2020. The results of the validity test in all variables of HAQ-DI and SSc-VAS were valid (r-count >0.361). Cronbach’s alpha for these variables were higher than the standardized items (r > 0.700), reflecting very good reability and acceptable. There was a statistically significant correlation between SSc HAQ score and HAQ-DI with most of SF-36 physical domains, except for general health.The Indonesian version of SHAQ demonstrates a good construct and discriminant validity as well as the reproducibility. Thus, it can be used for measuring disability in systemic sclerosis patients. Translasi  dan Validasi  Scleroderma Health Assessment Questionnaire versi  Bahasa IndonesiaSklerosis sistemik atau skleroderma merupakan penyakit autoimun kronik dengan vaskulopati, fibrosis dan autoimunitas. Scleroderma Health Assessment Questionnaire (SHAQ)menilai disabilitas dan fungsi pada pasien sklerosis sistemiklebih spesifik dibandingkan Health Assessment Questionnaire (HAQ) Disability Index (DI). Tujuan dari penelitian ini adalah menerjemahkan SHAQ ke dalam bahasa Indonesia dan menilai validitas serta relialibilitasnya. Scleroderma Health Assessment Questionnaire diterjemahkan ke dalam bahasa Indonesia dan kemudian dilakukan translasi balik lalu kuesioner diisi oleh pasien sklerosis sistemik rawat jalan. Tes validitas HAQ-DI dan Visual Analog Scale (VAS) dinilai menggunakan korelasi Pearson dan reliabilitas menggunakan Cronbach’s alpha. Perbandingan antara HAQ-DI, Scleroderma-VAS, dan Short Form 36 (SF 36) dilakukan untuk menilai validitas konvergen. Subjek terdiri dari 18 orang wanita yang berusia antara 42 sampai 66 tahun dari Desember 2019 sampai Februari 2020. Hasil validitas pada semua parameter HAQ-DI dan SSc-VAS ditemukan valid (r hitung>0,361). Terdapat reliabilitas yang baik dilihat dari nilai Cronbach’s alpha yang lebih tinggi dari nilai r tabel (r>0,700). Terdapat korelasi yang signifikan antara Skleroderma-HAQ dan HAQ-DI dengan domain SF-36 kecuali domain kesehatan umum. Simpulan, bahwa SHAQ versi Indonesia memiliki konstruk dan validitas diskriminan serta reproduktifitas yang baik sehingga dapat digunakan untuk menilai disabilitas pada pasien sklerosis sistemik.
Studi Algoritma Klasifikasi Sensor Accelerometer dan Gyroscope untuk Pola Activity Daily Life (ADL) pada Dewasa Sehat Andika Nugroho Putra; Satria Mandala; Irma Ruslina Defi
eProceedings of Engineering Vol 5, No 3 (2018): Desember 2018
Publisher : eProceedings of Engineering

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Abstrak Sistem klasifikasi Activity Daily Life (ADL) ini adalah sistem untuk klasifikasi aktivitas yang dilakukan seseorang dengan menggunakan wearable sensor untuk membantu lansia sehingga aman dan nyaman dalam melakukan aktivitasnya sehari-hari. Sistem klasifikasi ADL dengan menggunakan sensor accelerometer dan gyroscope banyak menggunakan berbagai algoritma untuk klasifikasinya, seperti algoritma K-Nearest Neighbour (KNN), Support Vektor Machine (SVM) dan sebagainya. Tugas akhir ini bermaksud untuk mencari tingkat akurasi yang terbaik beserta spesitifitas dan sensitivitasnya dengan membandingkan beberapa algoritma klasifikasi dengan menggunakan dataset yang telah dibuat dengan alat yang terdiri dari mikrokontroler ESP32 berbasis sensor MPU-6050 (sensor accelerometer dan gyroscope) dan akan menguji 5 ADL yaitu berjalan, naik tangga, turun tangga, berdiri, dan duduk. Data yang didapat dari alat kemudian akan diklasifikasi untuk mengenali ADL yang dilakukan. Hasil yang didapatkan adalah ketiga algoritma sudah baik melakukan klasifikasi dengan akurasi mencapai 95%. KNN menjadi algoritma terbaik untuk klasifikasi ADL dengan menghasilkan akurasi sebesar 97,33%. Kata kunci : Klasifikasi Multiclass, ADL, Accelerometer, Gyroscope, KNN Abstract Classification system for activity daily life (ADL) is a system who classified human activity using wearable sensor to help elderly doing their activity safely and comfortably. Classifier for ADL using accelerometer and gyroscope sensor usually used classification algorithm like K-Nearest Neighbour, Support Vektor Machine, and many others. This final project aims to get high accuracy by using 1 tool that using ESP32 microcontroller and MPU-6050 sensor (accelerometer and gyroscope sensor) and will test 5 ADL like walking, walking upstair, walking downstair, stading, and sitting. The data obtained from the tool will be classified to recognition ADL. The result is the three algorithm have good accuracy up to 95%. KNN get the best algorithm for ADL classification with value of 97,33% Keywords: Activity Daily Life, Multiclass Classification , Accelerometer, Gyroscope, KNN.
PENGEMBANGAN PULSE OKSIMETER DAN HEART-RATE SENSOR DENGAN Internet-of-Things SEBAGAI EKSTENSI ROBOT MANIPULATOR UNTUK PEMERIKSAAN PASIEN COVID-19 TANPA SENTUHAN ADIKUSUMA, FAJAR WIRA; NOVITA, DESSY; SETIAWAN, M. BAYU; NURJANAH, FARIDA A; NATAZIA, AMARA DWI; DEFI, IRMA RUSLINA
Jurnal Material dan Energi Indonesia Vol 13, No 2 (2023)
Publisher : Fakultas Matematika dan Ilmu Pengetahuan Alam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jme.v13i2.50339

Abstract

Penggunaan pulse oksimeter dengan cara konvensional membutuhkan interaksi dekat antara pasien dengan tenaga kesehatan yang dapat meningkatkan risiko penularan penyakit. Salah satu solusi untuk masalah tersebut adalah dengan memanfaatkan teknologi robotika. Oleh karena itu, penelitian ini bertujuan untuk mengembangkan prototipe pulse oksimeter yang dapat mengukur saturasi okesigen darah (SpO2), denyut jantung (HR), dan variabilitas denyut jantung (HRV) serta terintegrasi Internet of Things (IoT) dan sistem ekstensi robot manipulator untuk mengurangi risiko penularan penyakit kepada tenaga kesehatan. Penelitian ini juga diharapkan dapat berkontribusi dalam pengembangan utilitas robot manipulator di bidang kesehatan. Penelitian dilakukan dengan metode eksperimental untuk menunjukkan konstruksi berdasarkan kriteria teknis, fungsionalitas dan keakuratan dari prototipe serta membandingkan hasil pengujian sensor prototipe dengan pulse oksimeter komersial. Hasil penelitian menunjukkan bahwa prototipe telah berhasil melakukan pengambilan data SpO2, HR dan HRV secara akurat, otomatis dan tanpa sentuhan langsung dengan memanfaatkan robot manipulator. Dengan demikian, prototipe memiliki potensi untuk dikembangkan lebih lanjut menjadi alat kesehatan dan diaplikasikan pada pusat pelayanan kesehatan.
Irisin, A Fascinating and Multifunctional Protein: Implication for Health Defi, Irma Ruslina; Meiliana, Anna; Dewi, Nurrani Mustika; Wijaya, Andi
The Indonesian Biomedical Journal Vol 16, No 2 (2024)
Publisher : The Prodia Education and Research Institute (PERI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18585/inabj.v16i2.2996

Abstract

BACKGROUND: Fibronectin type III domain-containing protein 5 (FNDC5), or also known as irisin, has been identified for two decades but almost completely disregarded for 10 years. It is present in skeletal muscle, heart, and brain, and in reaction to exercise can transform white adipose tissue into brown. Since then, irisin has gained a lot of attention for its potencies in treating metabolic disorders. In this review article, the potential future of irisin especially on metabolism and aging process will be discussed.CONTENT: Sedentary lifestyle is acknowledged as risk factor for type 2 diabetes mellitus, obesity, immune system issues, asthma, and neurological or heart illness. Irisin is secreted by muscle cells when exercising, produced after the proteolytic cleavage of FNDC5 protein. Irisin has positive impacts on maintaining physiological balance including reducing inflammation, keeping the bone homeostasis, as well as influencing metabolic processes and the neurological system function. Due to these many and advantageous characteristics, irisin could be a possible choice for preventing and managing disorders associated with modern society, and finding the agents to increase irisin can be beneficial.SUMMARY: Irisin offers a fresh potential basis for kinesitherapy and shows promise as a therapeutic target due to its various biological activities. Irisin pathway can be activated through dietary changes, the use of natural substances and drugs and can interact with this signalling pathway which involved peroxisome proliferator-activated receptor-γ coactivator 1α (PGC-1α) and uncoupling protein mRNA 1 (UCP1) to resolve obesity and its metabolic comorbidities.KEYWORDS: irisin, FNDC5, exercise, inflammation, obesity, nervous system
Sarcopenic Obesity: The Underlying Molecular Pathophysiology and Prospect Therapies Meiliana, Anna; Dewi, Nurrani Mustika; Defi, Irma Ruslina; Rosdianto, Aziiz Mardanarian; Qiantori, Adziqa Ammara; Wijaya, Andi
The Indonesian Biomedical Journal Vol 16, No 4 (2024)
Publisher : The Prodia Education and Research Institute (PERI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18585/inabj.v16i4.3176

Abstract

BACKGROUND: Age contributes to body composition alteration, rises a common disorder in elderly known as sarcopenic obesity (SO), which is characterized by the combination of obesity (excess fat mass) and sarcopenia (reduced skeletal muscle mass) clinical form and function.CONTENT: The primary cause of SO is insulin resistance. Glucose transporter 4 (GLUT4) dysfunction results in impaired fatty acids oxidation. Decreased muscle mass results in lower mitochondria number and volume. Both will increase oxidative stress. Together with altered myokines in SO, oxidative stress was promoted and lead to higher M1 macrophages and failure in autophagy. The pro-inflammatory condition and dysbiosis links SO to a variety of cardiometabolic conditions, including non-alcoholic fatty liver disease, type 2 diabetes, and cardiovascular disease. The mortality, comorbidities, cardiometabolic diseases, and disability or impairment of SO is higher compare to obesity or sarcopenia alone. Some treatments have been developed for SO including adequate dietary intake, vitamin D and antioxidant supplementation, and exercises.SUMMARY: SO is more prevalent among the elderly and has a significant negative impact on their quality of life. Therefore, maintaining muscle mass and strength as well as preventing obesity should be the key goals of initiatives to support healthy aging.KEYWORDS: aging, body composition, obesity, sarcopenia, skeletal muscle, metabolic syndrome
Effect of Overground Walking and Treadmill Exercise on Walking Speed and Walking Ability in Elderly Novy, Theresia Chandra Tania; Vitriana, Vitriana; Sastradimaja, Sunaryo Barki; Defi, Irma Ruslina
International Journal of Integrated Health Sciences Vol 1, No 1 (2013)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (438.865 KB)

Abstract

Objective: To compare the effect of overground walking and treadmill exercise on walking speed and ability in elderly from week to week.  Methods: This study was conducted in 6 weeks to 18 elderly at Panti Wreda Karitas and Nazareth Bandung (September–December 2011). They were divided into two groups; overground walking exercise group and treadmill group. Walking speed and ability was measured using 10 meter walk test and 6 minute walk test consecutively. Results: Both group walking speed was improved after 1 and 2 weeks exercise (p=0.019 and p=0.050), consecutively. Walking ability in the overground and treadmill group was improved after 1 and  3 weeks  exercise (p=0.019 and p=0.009), consecutively. Overground walking group showed greater improvement in walking speed and ability after 3 weeks exercise (p=0.008 and p=0.017) consecutively. Conclusions: Three weeks overground walking exercise improves walking speed and ability better  than treadmill exercise.    Keywords: Elderly, overground walking exercise, treadmill exercise, walking ability, walking speed DOI: 10.15850/ijihs.v1n1.105
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 Dessy Novita 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 Novaria Puspita NURJANAH, FARIDA A Nurrani Mustika Dewi, Nurrani Mustika Panji Fortuna Hadisoemarto 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