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All Journal The Indonesian Biomedical Journal Indonesian Journal of Rheumatology PREPOTIF : Jurnal Kesehatan Masyarakat Jurnal Abdi Insani Babali Nursing Research Physical Therapy Journal of Indonesia UNBI Mengabdi
Wulansari Manuaba, Ida Ayu Ratih
Program Studi Fisoterapi, Fakultas Ilmu-Ilmu Kesehatan, Universitas Bali Internasional
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HUBUNGAN Q-ANGLE DENGAN KESEIMBANGAN DINAMIS PADA LANJUT USIA DENGAN DIAGNOSIS OSTEOARTRITIS LUTUT DI PUSKESMAS TEGALLALANG I Ni Wayan Teza Andika; I Putu Astrawan; Komang Tri Adi Suparwati; Ida Ayu Ratih Wulansari Manuaba
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 5 No. 2 (2021): Oktober 2021
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v5i2.2551

Abstract

Latar Belakang: Osteoartritis lutut merupakan proses degeneratif pada lanjut usia 60 tahun ke atas. Keluhan utama adalah nyeri lutut, kekakuan, keterbatasan gerak sendi, penurunan fleksibilitas dan kekuatan otot, hingga menyebabkan abnormalitas alignmen lutut. Terjadinya abnormalitas alignmen menyebabkan distribusi tekanan yang lebih tinggi pada sendi sehingga akan mengakibatkan ketidakstabilan pada patella akibatnya terjadi kelemahan pada otot quadriceps femoris yang mengakibatkan terjadi penurunan kemampuan mempertahankan keseimbangan dinamis. Tujuan: Tujuan penelitian ini untuk mengetahui hubungan antara Q-angle dengan keseimbangan dinamis pada lanjut usia dengan diagnosis osteoartritis lutut di Puskesmas Tegallalang I. Metode: Penelitian ini menggunakan metode studi potong lintang yang dilakukan pada 15 Maret sampai 9 April 2021 dengan populasi lanjut usia yang di diagnosis osteoartritis lutut yang telah memenuhi kriteria inklusi dan kriteria eksklusi. Responden dipilih dengan menggunakan teknik non probability sampling dengan bentuk purposive sampling, berdasarkan rumus besar sampel didapatkan 38 responden. Pengukuran Q-angle dengan menggunakan goniometer dan keseimbangan dinamis menggunakan time up and go test. Hasil: Hasil penelitian menunjukan analisis hubungan antara Q-angle dengan keseimbangan dinamis pada lanjut usia dengan diagnosis osteoartritis lutut dengan uji pearson dengan hasil p sebesar 0,003 (p<0,05) dengan nilai koefisien korelasi sebesar 0,476 (r>0,05) yang menunjukkan hubungan yang kuat. Simpulan: Terdapat hubungan antara Q-angle dengan keseimbangan dinamis pada lanjut usia dengan diagnosis osteoartritis lutut.
PEMERIKSAAN DAN EDUKASI KESEIMBANGAN DINAMIS PADA KELOMPOK LANSIA KARANG LANSIA RAHAYU BANJAR KERTHA BHUWANA, DENPASAR I Made Dhita Prianthara; I. A Pascha Paramurthi; Komang Tri Adi Suparwati; Ida Ayu Astiti Suadnyana; I Putu Prisa Jaya; I Putu Astrawan; I Gusti Ayu Sri Wahyuni Novianti; Ida Ayu Ratih Wulansari Manuaba
Jurnal Abdi Insani Vol 10 No 2 (2023): Jurnal Abdi Insani
Publisher : Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/abdiinsani.v10i2.968

Abstract

Balance refers to the body's ability to maintain balance while adjusting to gravity, the ground, and other objects in its environment. Balance disorders can reduce the quality of life and reduce the independence of the elderly. Elderly people with balance disorders are at higher risk of falling, which can result in a variety of traumas, including broken bones, serious injuries, and even death. This activity aims to examine and provide education to the elderly regarding balance and various kinds of risks caused by balance disorders as well as preventive measures that can be carried out in the form of balance exercises. The method used in this activity is divided into several stages, namely the licensing and audience stages with the elderly, then the implementation stage of the activity by carrying out a balance check using the Fukuda step test. The next stage is to provide education about balance and preventive measures that can be taken to prevent balance disorders. The output of this activity is an increase in the quality of life of the elderly, while the outcome is the satisfaction of the elderly with the services provided. The results of this community service activity were the number of elderly who participated in the activity as many as 26 people with details of men totaling 8 (30.8%) people, while women totaling 18 (69.2%) people. There were 17 (65.4%) elderly who experienced balance disorders and 9 (34.6%) people with good balance. Based on these results, it can be concluded that many elderly people experience balance disorders in the Karang Lansia Rahayu Elderly Group, Banjar Kertha Bhuwana, Denpasar.
Indonesian Rheumatology Association (IRA) Recommendations for Diagnosis and Management of Osteoarthritis (Knee, Hand, Hip) Rakhma Yanti Helmi; Najirman; Ida Ayu Ratih Wulansari Manuaba; Andri Reza Rahmadi; Pande Ketut Kurniari; Malikul Chair; Ika Vemilia Warlisti; Eka Kurniawan; Harry Isbagio; Handono Kalim; Rudy Hidayat; Laniyati Hamijoyo; Cesarius Singgih Wahono; Sumariyono
Indonesian Journal of Rheumatology Vol. 15 No. 1 (2023): Indonesian Journal of Rheumatology
Publisher : Indonesian Rheumatology Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/ijr.v15i1.225

Abstract

Background: Osteoarthritis (OA) is the most common form arthritis in the world, and its prevalence is predicted to rise higher in the future due to increasing life expectancy and growing number of elderly population. With the emergence of new treatment options in the last several years, a better understanding of OA diagnosis and management is required by every physician in Indonesia. Methods: A panel of eight selected rheumatologists from the Indonesian Rheumatologist Association (IRA) developed recommendations based on key questions formulated by a steering committee from IRA. These recommendation materials were taken from several online databases such as PubMed, Science Direct, and Google Scholar. Level of evidence and grades of recommendation were then assigned, and each member of the panelist team will assign a score to express their level of agreement. Results: A total of 25 recommendations discussing the diagnosis, pharmacological and non-pharmacological therapies, as well as monitoring for OA were formulated. Conclusion: These recommendations can be used to help clinicians in accurately diagnosing OA and choosing the most suitable therapy for their patients. All recommendation statements were tailored to the clinical setting, facility, and drug availability in Indonesia.
The relationship of smoking habits to sleep quality and the risk of hypertension in adolescents in Banjar Adat Pande, Bangli district I.A. Pascha Paramurthi; I Gusti Ayu Sri Wahyuni Novianti; Ida Ayu Ratih Wulansari Manuaba; Luh Dian Raika Pramesti
Physical Therapy Journal of Indonesia Vol. 4 No. 1 (2023): January-June 2023
Publisher : Universitas Udayana dan Diaspora Taipei Medical University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/ptji.v4i1.62

Abstract

Background: Adolescence is a period of transition and search for identity, which makes adolescents often follow trends that affect society and the environment. One of the adolescent behaviors caused by environmental exposure is smoking. Repeated smoking behavior will become a habit that can affect sleep quality and the risk of hypertension. This study aimed to determine the relationship between smoking habits and sleep quality with the risk of hypertension in adolescents. Methods: This study used a cross-sectional study design. The sample is determined by purposive sampling. The number of study participants was 52 adolescents. Smoking habits were measured using the Brinkman Index questionnaire, a Sphygmomanometer to measure blood pressure, and the Pittsburgh Quality Index Questionnaire (PSQI) to measure adolescent sleep quality. Computer software analyzed data using a chi-square test to determine the relationship between smoking habits to sleep quality and the risk of hypertension in adolescents. Results: The chi-square test of smoking habits and adolescent sleep quality was shown with a p-value of 0.008. The chi-square test results of smoking habits with risk of hypertension in adolescents were indicated by a p-value of <0.001. Conclusion: There was a significant positive relationship between smoking habits to sleep quality and the risk of hypertension in adolescents.
The Benefits of Mediterranean Diet in Systemic Lupus Erythematosus: A Literatur Review Manuaba, Ida Ayu Ratih Wulansari
Babali Nursing Research Vol. 5 No. 4 (2024): October
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2024.54414

Abstract

Introduction: Dietary patterns have been studied for their influence on the burden of disease in patients with SLE. The Mediterranean diet has been shown to be beneficial in lowering chronic inflammation, but no study has summarized its effect on SLE. This article aims to review the association between the Mediterranean diet and SLE. Methods: A literature review was conducted following PRISMA guidelines. PubMed, ScienceDirect and Google Scholar databases were searched using the keywords Mediterranean diet and SLE. Articles published in English between 2013 and 2023 were included. The initial search yielded 526 records, which were narrowed down to five studies for final inclusion. A narrative synthesis approach was used to analyze the impact of the Mediterranean diet on SLE disease activity. Results: Five cross-sectional studies were included, with a total of 1,165 participants. The studies used the SLE Disease Activity Index (SLEDAI) and the Systemic Lupus International Collaborating Clinics/American College of Rheumatology (SLICC/ACR) Damage Index (SDI) as outcome measurements. Three of the five studies found that higher adherence to the Mediterranean diet was associated with a lower burden of SLE, as measured by reduced SLEDAI and SDI scores. One study found no association between adherence to the Mediterranean diet and SLEDAI or SDI scores, while another study found no association between adherence and the risk of developing SLE. Conclusion: High adherence to a Mediterranean diet may help reduce the damage caused by SLE. Further cohort studies or clinical trials are needed to investigate the impact of diet on SLE.
Peningkatan Kesadaran Osteoporosis pada Penderita Lupus di Denpasar Yoga, I Gusti Made Suandinata; Manuaba, Ida Ayu Ratih Wulansari; Astrawan, I Putu; Suparwati, Komang Tri Adi; Novianti, I Gusti Ayu Sri Wahyuni; Paramurthi, IA Pascha; Prianthara, I Made Dhita; Jaya, I Putu Prisa; Suadnyana, Ida Ayu Astiti
UNBI Mengabdi Vol. 4 No. 2 (2023): UNBI Mengabdi Juli
Publisher : Universitas Bali Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34063/um.v4i2.398

Abstract

Systemic Lupus Erythematosus (SLE) adalah penyakit autoimun kronis yang meningkatkan risiko osteoporosis akibat pengobatan dan peradangan kronis. Program pengabdian masyarakat ini bertujuan untuk mengedukasi 25 pasien SLE di Laboratorium Prodia, Denpasar, tentang risiko dan pencegahan osteoporosis. Metode yang digunakan adalah ceramah informatif, kuesioner, dan pemeriksaan tanda vital. Hasil penelitian menunjukkan bahwa 92% peserta memiliki pengetahuan mengenai osteoporosis, dan 88% berkomitmen untuk meningkatkan kesehatan tulang melalui suplementasi kalsium dan olahraga. Namun, beberapa peserta mengalami kesulitan untuk melakukan aktivitas fisik yang konsisten. Inisiatif ini menyoroti pentingnya edukasi kesehatan secara teratur dalam mencegah komplikasi sekunder seperti osteoporosis pada pasien SLE.   Systemic lupus erythematosus (SLE) is a chronic autoimmune disease that increases the risk of osteoporosis due to medication and chronic inflammation. This community service program aimed to educate 25 SLE patients at Prodia Laboratory, Denpasar, about osteoporosis risks and prevention. The methods included informative lectures, questionnaires, and vital sign checks. The results showed that 92% of participants gained awareness about osteoporosis, with 88% committed to improving bone health through calcium supplementation and exercise. However, a few participants struggled with consistent physical activity. This initiative highlights the importance of regular health education in preventing secondary complications like osteoporosis in SLE patients.
Serum DNase1, sTNFR1 and sTNFR2 as Risk Factors for Lupus Nephritis in Systemic Lupus Erythematosus Patients Manuaba, Ida Ayu Ratih Wulansari; Suryana, Ketut; Bakta, I Made; Sudarmaja, I Made
The Indonesian Biomedical Journal Vol 16, No 3 (2024)
Publisher : The Prodia Education and Research Institute (PERI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18585/inabj.v16i3.3052

Abstract

BACKGROUND: Early detection and management of lupus nephritis (LN) in systemic lupus erythematosus (SLE) are essential to prevent irreversible kidney damage and improve patient outcomes; therefore, identifying reliable biomarkers to predict LN is paramount. However, there are still relatively few studies examining the potential biomarkers for LN in SLE patients. This study was conducted to investigate serum deoxyribonuclease I (DNase), soluble tumor necrosing factor 1 (sTNFR1) and soluble tumor necrosing factor 2 (sTNFR2) as a risk factor for LN in SLE patients.METHODS: A case-control study involving SLE patients aged 20-60 years was conducted. Blood was withdrawn from each subject for the measurement of serum level of DNase1, sTNFR1, and sTNFR2 that was performed using enzyme-linked immunoassay (ELISA) methods. Data was then analyzed using Chi-Square test and logistic regression tests.RESULTS: A total of 22 patients with LN and 22 without LN were included. The cut-off value for DNase1, sTNFR1, and sTNFR2 were 5.05 ng/mL, 6.52 ng/mL, and 7.02 ng/mL, respectively. The risk factors of LN in SLE patients were the low level of serum DNase1 (aOR=6.64; 95%CI: 1.25-35.29; p=0.026), low level of serum sTNFR1 (aOR=8.12; 95% CI: 1.56-42.10; p=0.013), and low level of serum sTNFR2 (aOR=5.57; 95%CI: 1.03-30.11; p=0.046).CONCLUSION: Serum DNase1 lower than 5.05 ng/mL, sTNFR1 lower than 6.52 ng/mL, and sTNFR2 lower than 7.02 ng/mL were risk factors for lupus nephritis in SLE patients. Hence, serum DNase1, sTNFR1 and sTNFR2 could be used as risk factors predictors for LN in SLE patients.KEYWORDS: DNase1, sTNFR1, sTNFR2, SLE, lupus nephritis
EDUKASI DAN PEMERIKSAAN POSTUR TUBUH PADA SISWA-SISWI DI SMA NEGERI 7 DENPASAR Novianti, I Gusti Ayu Sri Wahyuni; Paramurthi, I.A.Pascha; Prianthara, I Made Dhita; Suadnyana, Ida Ayu Astiti; Suparwati, Komang Tri Adi; Astrawan, I Putu; Jaya, I Putu Prisa; Manuaba, Ida Ayu Ratih Wulansari
Jurnal Abdi Insani Vol 11 No 2 (2024): Jurnal Abdi Insani
Publisher : Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/abdiinsani.v11i2.1619

Abstract

Adolescence is a time when growth and development occur rapidly both physically, psychologically and intellectually. One of the physical changes that occur in adolescents is in the form of changes in the musculoskeletal system such as changes in body posture. Changes in posture can occur due to the use of bags and sitting positions. Adolescent knowledge about good posture is still lacking so there is a need for education and posture checks to prevent the impact of posture changes. The method used in this study is divided into three stages, namely the licensing stage, audience with the school and the implementation of activities by conducting posture checks using postural charts and reedco posture assessment. After conducting the examination then continued with the provision of education about body posture. The output of this activity is an improvement in the quality of health in adolescents who avoid musculoskeletal disorders with awareness of the importance of maintaining posture. The result of this community service activity was the number of students who participated in this activity as many as 44 people with details of men amounting to 18 people (41%), while women amounted to 26 people (59%). Students who experienced good posture as many as 37 people (84%) and students who experienced bad posture as many as 7 people (16%). Based on these results, it can be concluded that students at SMA Negeri 7 have good posture.
Webinar Manfaat Vitamin D Pada Sistem Imun Dan Muskuloskeletal Manuaba, Ida Ayu Ratih Wulansari; Astrawan, I Putu; Resty Wasita, Rai Riska; Widowati, I Gusti Ayu Rai; Witriasih, Made Ayu
UNBI Mengabdi Vol. 2 No. 2 (2021): UNBI Mengabdi
Publisher : Universitas Bali Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34063/um.v2i2.240

Abstract

Imunitas atau daya tahan tubuh sangat diperlukan terutama dalam situasi pandemi Covid-19. Kadar Vitamin D yang sufisien meningkatkan imun, tidak hanya bagi pasien osteoporosis dan spondylosis namun juga bagi tenaga kesehatan dan masyarakat umum. Pengabdian Masyarakat oleh Forum Komunikasi Reumatologi Fisioterapi Geriatri (ReFIT) berkolaborasi dengan Program Studi Fisioterapi dan Farmasi Klinis Universitas Bali Internasional bertujuan memberikan pembelajaran berkelanjutan bagi tenaga kesehatan dan edukasi kepada masyarakat umum tentang Vitamin D dalam system imun dan muskuloskeletal. Metode pengabdian dilakukan dengan webinar dengan platform zoom dan youtube. Dilanjutkan dengan diskusi dan tanya jawab dilakukan setelah pemaparan oleh narasumber. Dilakukan posttest untuk mengetahui tingkat serapan partisipan sesudah pemaparan materi. Partisipan berjumlah kurang lebih 1500 dari tenaga kesehatan maupun masyarakat umum. Rerata nilai posttest (respon rate 96.6%) yaitu sebesar 82.3% menjawab benar terhadap 5 pertanyaan. Webinar berjalan lancer didukung dengan atensi yang sangat baik dari partisipan. Penyelenggaraan webinar dengan berbagai pihak perlu diintensifkan sehingga dapat memberikan manfaat ilmiah bagi tenaga kesehatan dan manfaat praktis bagi masyarakat.
Edukasi Pengetahuan Postur Tubuh Yang Baik Di Panti Asuhan Putra William Both Bala Keselamatan Padangsambian Kaja Suparwati, Komang Tri Adi; Prianthara, I Made Dhita; Paramurthi, I.A Pascha; Astrawan, I Putu; Suadnyana, Ida Ayu Astiti; Jaya, I Putu Prisa; Manuaba, Ida Ayu Ratih Wulansari
UNBI Mengabdi Vol. 3 No. 1 (2022): UNBI Mengabdi Januari
Publisher : Universitas Bali Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34063/um.v3i1.333

Abstract

Pengabdian masyarakat yang dilakukan Program Studi Fisioterapi dilaksanakan di Panti Asuhan Putra William Both Bala Keselamatan Padangsambian Kaja yang melibatkan seluruh dosen Program Studi Fisioterapi dan Himpunan Mahasiswa Fisioterapi Universitas Bali Internasional. Kegiatan ini melibatkan 12 orang panitia pelaksana yang terdiri dari 7 dosen Fisioterapi dan 5 mahasiswa. Peserta dalam kegiatan ini berjumlah 35 orang yang mengikuti sosialisasi dalam bentuk ceramah tentang edukasi pengetahuan postur tubuh yang baik. Tujuan dari kegiatan ini agar masyarakat terutama anak-anak dan remaja di Panti Asuhan Putra William Both Bala Keselamatan memiliki kesadaran pentingnya pentingnya menjaga sikap tubuh yang baik dan benar untuk mencegah kelainan tulang belakang sehingga dapat melakukan aktivitas sehari-hari dengan nyaman dan aman. Metode yang digunakan dalam kegiatan ini adalah metode sosialisasi berupa pemberian edukasi pada peserta. Adanya kegiatan ini diharapkan agar anak-anak dan remaja di Panti Asuhan Putra William Both Bala Keselamatan dapat menjaga postur tubuh dengan baik
Co-Authors Andri Reza Rahmadi Eka Kurniawan Handono Kalim Harry Isbagio I Made Bakta I Made Dhita Prianthara I Made Sudarmaja I Putu Astrawan I Putu Astrawan . I Putu Prisa Jaya . I.A. Pascha Paramurthi I.A. Pascha Paramurthi Ika Vemilia Warlisti Ketut Suryana Komang Tri Adi Suparwati Laniyati Hamijoyo, Laniyati Luh Dian Raika Pramesti Malikul Chair Najirman Najirman Ni Wayan Teza Andika Novianti, I Gusti Ayu Sri Wahyuni Pande Ketut Kurniari Paramurthi, I.A.Pascha Pramesti, Luh Dian Raika Rakhma Yanti Helmi Resty Wasita, Rai Riska Rudy Hidayat Suadnyana, Ida Ayu Astiti Sumariyono Wahono, Cesarius Singgih Wahyuni Novianti, I Gusti Ayu Sri Widowati, I Gusti Ayu Rai - Witriasih, Made Ayu Yoga, I Gusti Made Suandinata