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Meta-Analysis of Risk Factors for Lower Extremity Amputation in Diabetes Mellitus Patients with Foot Ulcers Septiani, Anissa Eka; Rahardjo, Setyo Sri; Prasetya, Hanung
Indonesian Journal of Medicine Vol. 5 No. 4 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (31.044 KB)

Abstract

Background: Diabetic foot ulcer is a compli­cation of diabetes mellitus which costs high, takes long wound care, increases mortality, morbidity and causes non-traumatic amputa­tion. There are risk factors that are thought to be the cause of lower limb amputation in diabetic foot ulcers, namely peripheral artery disease, hypertension and gender. This study aims to estimate the influence of peripheral artery disease, hypertension and gender on the risk of lower limb amputation in diabetes mellitus patients with leg ulcers.Subjects and Method: Meta-analysis studies and systematic reviews were applied to this study using electronic databases of Pubmed, Scopus, Google Scholar, and Springer Link. The keywords to search for articles are as follows: "diabetic foot", "lower limb amputation", "low­er extremity amputation", "risk factor", "predic­tor", "cohort", "retrospective", "adjusted odds ratio". Articles were collected using PRISMA diagrams, and analyzed using the Review Manager 5.3 application.Results: Meta-analysis of 9 cohort articles of diabetic foot ulcer patients with peripheral artery disease (aOR= 2.46; 95% CI= 1.70 - 3.55; p<0.01); Meta-analysis of 8 cohort articles, diabetic foot ulcer patients with hypertension (aOR= 1.05; 95% CI= 0.66 - 1.68; p= 0.83); Meta-analysis of 9 cohort articles of male diabetic foot ulcer patients (aOR= 1.60; 95% CI= 1.32 - 1.94; p<0.01); Peripheral artery disease, hypertension and male gender are risk factors that can increase the incidence of lower limb amputation.Conclusion: Peripheral artery disease, hypertension and male gender are risk factors that can increase the incidence of lower limb amputation.Keywords: Peripheral artery disease, diabetic foot ulcer, lower limb amputationCorrespondence: Anissa Eka Septiani. Masters Program in Public Health. Universitas Sebelas Maret. Jl. Ir. Suta­mi 36A, Surakarta 57126, Central Java,. Email: sanissaeka@gmail.com. Mobile: 08951­464­6458.Indonesian Journal of Medicine (2020), 05(04): 343-355https://doi.org/10.26911/theijmed.2020.05.04.10. 
MODEL LATIHAN KHUSUS UNTUK MENGURANGI NYERI PADA ICHIALGIA Zubaidi, Alfan; Septiani, Anissa Eka; Akbar, Muh. Syaiful
J-KESMAS: Jurnal Kesehatan Masyarakat Vol 10, No 2 (2024): J-KESMAS Volume 10 Nomor 2, November 2024
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Universitas Al Asyariah Mandar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35329/jkesmas.v10i2.5370

Abstract

Research on specialised exercise therapy is needed to improve the effectiveness and efficiency in reducing ichialgia pain, which is a painful condition in the buttock area that radiates down the leg, even to the sole of the foot. The pain is often caused by nerve entrapment around the ichiadicus muscle. In the long term, the pain can radiate to both legs and the waist, causing fatigue and impaired function. This study aims to measure the effectiveness of specialised exercise therapy designs in reducing ichialgia pain. This type of research is a Randomised Control Trial (RCT). The study sample was 100 ichialgia patients at Muhammadiyah Karanganyar Hospital. Each group consists of 80 patients. The sampling technique used random sampling. Based on the results of statistical analysis, the Sig. (2 Tailed) of 0.001, which indicates a significant average difference in pain reduction after therapy. 
The Effect of Medial Arch Support on Reducing Plantar Fasciitis Pain with Isolated Gastrocnemius Tightness (IGT) in Elementary School Teachers of Tetuko, Masaran Syaifuddin, Muhammad; Septiani, Anissa Eka
Journal of Prosthetics Orthotics and Science Technology Vol. 4 No. 1 (2025): Journal of Prosthetics Orthotics and Science Technology (JPOST)
Publisher : Poltekkes Kemenkes Jakarta I

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36082/jpost.v4i1.2145

Abstract

Background: Plantar fasciitis is an inflammatory condition of the plantar fascia that is often triggered by muscle tension, such as Isolated Gastrocnemius Tightness (IGT) causing pain in the heel and arch of the foot. Teachers, the risk of plantar fasciitis increases due to prolonged standing during teaching. The use of medial arch support is expected to reduce tension on muscles and ligaments, reducing pain due to plantar fasciitis with IGT. Aims: To evaluate the effectiveness of using medial arch support in reducing plantar fasciitis pain with IGT. Methods: The research is quantitative using a quasi-experimental one-group pre-test and post-test design. The study was conducted at Tetuko Elementary School. The sample consisted of 37 plantar fasciitis patients with IGT. Pain was measured using VAS before and after 4 weeks of intervention using medial arch support. Results: Wilcoxon Signed Rank Test results showed a decrease in pain of 0.000 (p <0.05). The average pain score before intervention was 5.38, which decreased to 3.11. The mean value of the Silfverskiold Test before intervention was 9.700 after the use of medial arch support increased to 15.350. Conclusion: This study shows that the use of medial arch support significantly reduces plantar fasciitis pain with IGT. The results of the analysis showed a significant reduction in pain based on VAS measurements of 42.19%. In addition, there was a significant increase in the Silfverskiold Test results for IGT of 47.94%, indicating improved flexibility of the gastrocnemius muscle.
PENGARUH PENGGUNAAN ELASTIC LUMBAL CORSET TERHADAP NYERI PUNGGUNG BAWAH PADA PEGAWAI ANGKAT-ANGKUT Anggriani, Atika Febri; Septiani, Anissa Eka; Meidiani, Hersya
Medical Journal of Nusantara Vol. 4 No. 3 (2025): Medical Journal of Nusantara (MJN)
Publisher : Tahta Media Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55080/mjn.v4i3.1590

Abstract

Background: Repetitive physical activity and non-ergonomic work postures in building store employees increase the risk of lower back pain. Elastic lumbar corsets are used as a method to reduce these complaints by providing stability to the lumbar area. Purpose: this study aims to determine the effect of using elastic lumbar corsets on lower back pain. Research methodology: quantitative research using a pre-experimental research type with a one-group pretest-posttest design method with a sample size of 18 selected using inclusion and exclusion criteria. Analysis of this research data using the Wilcoxon test. Result: the results of the hypothesis test showed a p value of 0.001 and the value <0.05, which means there is an effect of using elastic lumbar corsets on reducing the degree of lower back pain in lifting and transporting employees. Discussion: There is a limitation of back mobility, especially in lumbar flexion movements that are often performed in daily activities, and it is known to contribute to increased pain and the presence of abdominal pressure that helps reduce pain. Conclusion: elastic lumbar corsets are able to reduce the degree of lower back pain in lifting and transporting.