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All Journal Medica Hospitalia Diponegoro International Medical Journal (DIMJ)
Rahmawati, Maria Belladonna
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Dentistry Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health

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Pengaruh Robotic Therapy dalam Meningkatkan ROM dan Memperbaiki Tonus Pasien Stroke Iskemik Pangesti, Adelia; Julianti, Hari Peni; Pudjonarko, Dwi; Rahmawati, Maria Belladonna; Ismail, Rifky
Medica Hospitalia : Journal of Clinical Medicine Vol. 8 No. 1 (2021): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (563.006 KB) | DOI: 10.36408/mhjcm.v8i1.530

Abstract

Background: After stroke occurs, the patients generally have upper extremity hemiparesis. It makes movement restrictions due to decreased elbow active ROM and abnormal upper arm muscle tone, so they need to get rehabilitation therapy. Besides conventional therapy, robotic therapy has now been developed to restore their motor funtions. Objective: To prove that the effect of robotic therapy in increasing elbow active ROM and improving upper arm muscle tone in ischemic stroke patients is better than the effect of conventional rehabilitation exercises. Methods: A quasy-experimental study with two groups pre-test and post-test design was carried out among outpatient ischemic stroke patients in Diponegoro National Hospital and William Booth General Hospital Semarang which was chosen using consecutive sampling.The interventions were by doing exercises using an exoskeleton robotic hand in the robotic group and conventional rehabilitation exercises in the control group. Pre-test and post-test data of robotic group were analyzed using Wilcoxon test, while pre-test dan post-test data of control group were analyzed using Wilcoxon test and paired t-test. Pre-test an post-test data between two groups were analyzed using Mann-Whitney test and unpaired-t test. Results: The robotic group experienced an insignificant increase in ROM (p= 0,593) and significant improvement in muscle tone (p= 0,025). The control group experienced insignificant reduction in ROM (p= 0,980) and insignificant improvement in muscle tone (p= 0,081). Conclusion: There was a significant improvement of upper arm muscle tone in ischemic stroke patients after had exoskeleton robotic hand exercise. Keywords: Stroke, elbow active ROM, muscle tone, exoskeleton robotic
The Relationship Between Severity of Periodontitis With the Degree of Atherosclerosis in Ischemic Stroke Patients Tikalaka, Elisabeth Romana; Husni, Amin; -, Retnaningsih; Tugasworo, Dodik; Hartono, Jimmy Eko Budi; Rahmawati, Maria Belladonna; Puspitasari, Iva
Diponegoro International Medical Journal Vol 2, No 2 (2021): December
Publisher : Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/dimj.v2i2.9605

Abstract

AbstractBackground : Periodontal diseases affect up to 80% of the global population. Periodontitis is a long-term inflammatory disease that affects the soft and hard tissues around the teeth. It may also play a role in the pathogenesis of atheroma formation and is associated with cerebrovascular disease. The Carotid Intima Media Thickness (CIMT) is a good marker for detecting early and progressive atherosclerosis. Several hypotheses link chronic infectious diseases, including periodontal tissue disease, to the atherosclerosis process and are risk factors for stroke.Objective : To determine the relationship between the severity of periodontitis and the degree of atherosclerosis in ischemic stroke.Methods : This is an analytic observational study with a case-control approach. Subjects were ischemic stroke patients with inclusion criteria. Analyzed the severity of periodontitis with Miller’s Mobility Index (MMI), the degree of progression of atherosclerosis assessed by measuring the CIMT using an ultrasound device or B mode to detect the presence and progression of atherosclerosis.Results : 54 subjects with a mean age were 63,43 ± 7,19 years, and the dominant sex was male. There was a significant relationship between severity of periodontitis  ( P : 0,011, OR : 3,425, CI 95% 1,332-8,807) and type of profile lipid triglyceride ( P : 0,027, OR : 6,840, CI 95% 1,242-37,676)  to Carotid intima media thickness.Conclusion :  There is an association between the severity of periodontitis and the degree of atherosclerosis. Severe periodontitis is related to the increases of CIMT, which is a marker of atherosclerosis, a risk factor for stroke.
Co-Authors -, Retnaningsih Amin Husni Dodik Tugasworo Dwi Pudjonarko Hari Peni Julianti Hartono, Jimmy Eko Budi Iva Puspitasari, Iva Pangesti, Adelia Rifky Ismail Tikalaka, Elisabeth Romana