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All Journal Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Universitas Sriwijaya SRIWIJAYA JOURNAL OF MEDICINE
Nyimas Fatimah
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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The Effect of Hydrotherapy on Pain Intensity and Functional Ability in Lumbar Disk Herniation (LDH) Patients that Undergo Non-operative Procedure Pre-experimental Study at Medical Rehabilitation Installation of RSUP dr. Mohammad Hoesin Palembang Rahmadhani, Theresa; Nyimas Fatimah; Eka Febri Zulissetiana
Sriwijaya Journal of Medicine Vol. 3 No. 3 (2020): Sriwijaya Journal of Medicine
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/sjm.v3i3.214

Abstract

The effect of hydrotherapy on pain intensity and functional ability in lumbar disk herniation (LDH) patients thatundergo non-operative procedure; pre-experimental study at medical rehabilitation installation of RSUPdr. Mohammad Hoesin Palembang. Lumbar disk herniation (LDH) is the most common disease that becaused low backpain and functional disability. Some studies mentioned that hydrotherapy is an effective treatment for low back pain.Therefore, this study was conducted to determine the effect of hydrotherapy on reducing pain intensity and improvingfunctional ability in LDH patients. This study was a pre-experimental study with one group pretest-posttest design. Datawas collected by direct interviews to the patients using visual analogue scale (VAS) to measure pain intensity andModified Oswestry Low Back Pain Disability Questionnaire to assess functional ability before and after underwenthydrotherapy once a week for 4 weeks. The data then undergo Shapiro-Wilk normality test and continue with Paired t-Test or Wilcoxon test. From 30 subjects, it was found that there are effects of hydrotherapy on reducing pain intensity(p<0,001) and improving functional ability (p<0,001) in LDH patients that undergo non-operative procedure at theMedical Rehabilitation Installation of RSUP Dr. Mohammad Hoesin Palembang. There are effects of hydrotherapy onpain intensity and functional ability in LDH patients that undergo non-operative procedure.
Correlation of Radiological Severity of Genu Osteoarthritis (Kellgren and Lawrence) with Functional Disabilities (Womac Score) Novita, Mitha; Nyimas Fatimah
Sriwijaya Journal of Medicine Vol. 3 No. 3 (2020): Sriwijaya Journal of Medicine
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/sjm.v3i3.216

Abstract

Background: Osteoarthritis (OA) is a degenerative disease that most often causes functional disabilities. Thecomplaints that most often cause functional disabilities in people with OA are pain and stiffness. The severity of OAcan be seen radiologically. The aim of this study was to assess the correlation of radiological severity of OA (Kellgrenand Lawrence) with functional disabilities (WOMAC score). Method: This type of research is an analytic observationalstudy with a cross sectional design. The population who became the respondents of this study were patients sufferingfrom knee osteoarthritis at the Medical Rehabilitation Installation of Dr. Mohammad Hoesin Hospital, Palembang inNovember 2018 who met the inclusion criteria. Samples were taken by consecutive sampling technique. Thefunctional ability of the patient will be assessed using the WOMAC score and the severity of OA radiologicallyinterpreted based on the Kellgren and Lawrence criteria. Result: Statistical test used Somer's correlation test. From 32respondents' data, it was found that there was no significant correlation between the radiological severity of OA andfunctional disability (p = 0.097). Conclusion: There is no significant correlation between radiological severity of OA(Kellgren and Lawrence) with functional disabilities (WOMAC score).
The Effect of Hydrotherapy in Low Back Pain Patients Walean, Monica Karina; Nyimas Fatimah
Sriwijaya Journal of Medicine Vol. 3 No. 3 (2020): Sriwijaya Journal of Medicine
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/sjm.v3i3.217

Abstract

Background: Low back pain (NPB) is the first disease that causes disabilities at all ages, and its incidence increases withage. A number of previous studies have reported that hydrotherapy has an effect on improving low back pain andincreasing flexibility.Therefore, this study aims to determine the effect of hydrotherapy on pain intensity andlumbosacral flexibility in low back pain patients at dr. Mohammad Hoesin Palembang. Methods: This study is a pre-experimental study with a one group pretest-posttest design with a sample size of 35 NPB patients. Inclusion criteriawere NPB patients who did not undergo operative action, had no contraindications to undergo hydrotherapy, andwere > 29 years old. The exclusion criteria were patients with communication disabilities and a history of low backpain due to infection, tumor and metastases. Subjects dropped out of the study if they underwent hydrotherapy lessthan three times or withdrew. Pain intensity and lumbosacral flexibility data were obtained before and after thesubject underwent hydrotherapy once a week for one month. Results: There was a decrease in pain intensity from5.57 to 4.00 (p <0.001) and an increase in lumbosacral flexibility from 48.10 to 48.73 (p = 0.014) in low back painpatients undergoing hydrotherapy. Conclusion: There is an effect of hydrotherapy on reducing pain intensity andincreasing lumbosacral flexibility in low back pain patients undergoing hydrotherapy at the Medical RehabilitationInstallation Dr. Mohammad Hoesin Palembang
The Correlation of the Limitations of Movement of the Shoulder Joint with the Functional Ability of Frozen Shoulder Patients at the Medical Rehabilitation Institute Dr. Mohammad Hoesin Palembang Sintia, Ine; Nyimas Fatimah
Sriwijaya Journal of Medicine Vol. 3 No. 3 (2020): Sriwijaya Journal of Medicine
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/sjm.v3i3.218

Abstract

Background: Frozen shoulder is a condition of the shoulder joint that experiences inflammation, pain, adhesions, atrophyand shortening of the joint capsule resulting in limited motion. In frozen shoulder patients, the limited range of motion ofthe shoulder joint can affect and reduce functional ability. This study aims to analyze the correlation between the limitedarea of motion of the shoulder joint with the functional ability of frozen shoulder patients at the Medical RehabilitationInstallation Dr. Mohammad Hoesin Palembang. Methods: This study was an observational analytic study, correlationtest, with a cross sectional design. There were 29 frozen shoulder patients who met the inclusion criteria in the MedicalRehabilitation Installation Dr. Mohammad Hoesin Palembang in November 2018 was taken as a sample using consecutivesampling techniques. Functional ability was assessed using the quickDASH questionnaire and the area of motion wasmeasured using a goniometer, then analyzed. Results: The results of the correlation test showed significant resultsbetween functional abilities and the area of motion of the shoulder joints. Active flexion (p = 0.000; r = -0.669), activeextension (p = 0.004; r = -0.520), active abduction (p = 0.000; r = -0.663), active adduction (p = 0.022; r = -0.423 ), passiveflexion (p = 0.001; r = -0.589), passive extension (p = 0.002; r = -0.543), passive abduction (p = 0.000; r = -0.676), passiveadduction (p = 0.038; r = -0.388). Conclusion: There is a significant correlation between limited joint motion andfunctional ability in frozen shoulder patients at the Medical Rehabilitation Installation of Dr. Mohammad HoesinPalembang
Korelasi kecepatan hantaran saraf tepi nervus medianus dengan derajat keparahan carpal tunnel syndrome (cts) menggunakan global symptom score (gss) Rona Hawa Kamilah; Nyimas Fatimah; Eka Febri Zulissetiana
JURNAL KEDOKTERAN DAN KESEHATAN Vol 5, No 2 (2018)
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/JKK.v5i2.6128

Abstract

Carpal tunnel syndrome (CTS) merupakan cidera akibat pekerjaan terbanyak kedua yang sering dijumpai. Beberapa studi menyebutkan bahwa kompresi saraf akan menyebabkan kondisi iskemik yang menyebabkan terjadinya perubahan kecepatan hantaran saraf dan berhubungan dengan derajat keparahan klinis yang dialami penderita CTS. Oleh karena itu, penelitian ini dilakukan untuk mengetahui korelasi kecepatan hantaran saraf tepi nervus medianus dengan derajat keparahan klinis CTS menggunakan global symptom score (GSS). Penelitian ini menggunakan metode analitik dengan desain potong lintang. Populasi penelitian ini adalah semua pasien CTS di Intalasi Rehabiltasi Medik RSUP dr. Mohammad Hoesin. Sampel penelitian menggunakan teknik consecutive sampling, yaitu penentuan sampel dengan mengambil semua pasien CTS yang datang ke Instalasi Rehabilitasi Medik pada bulan September-Oktober tahun 2017 secara berurutan sampai memenuhi sampel minimal dan memenuhi kriteria inklusi dan eksklusi. Analisis data dilakukan dengan menggunakan uji Pearson. Dari 28 subjek penelitian, terdapat korelasi antara kecepatan hantaran saraf tepi nervus medianus dengan derajat keparahan CTS menggunakan GSS di Instalasi Rehabilitasi Medik RSUP dr. Mohammad Hoesin Palembang. KHS sensorik memilki korelasi bermakna (p=0,000) dengan arah korelasi positif dan kekuatan korelasi kuat (r=0,667) terhadap total skor GSS. KHS motorik memilki korelasi bermakna (p=0,048) dengan arah korelasi positif dan kekuatan korelasi sedang (r=0,436) terhadap total skor GSS. Terdapat korelasi yang bermakna antara kecepatan hantaran saraf tepi nervus medianus dan derajat keparahan klinis CTS.
Co-Authors Amelia, Alda Trie Eka Febri Zulissetiana Margareta Dewi Dwiwulandari Novita, Mitha Rahmadhani, Theresa Rona Hawa Kamilah Sintia, Ine Walean, Monica Karina