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Physical training and activity in people with diabetic peripheral neuropathy: A case report Amelia Tirta Lestari; Dwi Rosella Komala Sari
Malahayati International Journal of Nursing and Health Science Vol 6, No 5 (2023)
Publisher : Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v6i5.12455

Abstract

Background: Diabetes mellitus (DM) is the most common endocrine disorder affecting more than 100 million people worldwide, around 6% of the population. This matter characterized by hyperglycemia (high glucose levels in blood) caused by a lack or ineffective production of insulin by the pancreas which results in an increase or decrease in the concentration of glucose in the blood. Diabetic peripheral neuropathy (DPN) or what is called diabetic peripheral neuropathy is the most common complication in cases of diabetes mellitus. DPN is a disease of loss of motor, sensory and autonomic nerve function, which can affect the peripheral nervous system. Sensorimotor training is considered a technique that can improve balance. This emphasizes the function of the sensorimotor system as a unit that works to increase sensory input and motor recruitment patterns in maintaining joint stability and regulating movement through the central nervous system (CNS). Aerobic exercise is a type of physical activity that can prevent and reduce DPN. Aerobic exercise such as treadmill can train balance. Balance training shows a high positive effect on improving motor and sensory symptoms in peripheral neuropathyPurpose: To examine the effects of sensorimotor training and lower limb muscle activity in DPN patients using treadmill.Method: The research uses a case study design, namely a research method that uses various data sources that can be used as research material, describing and explaining comprehensively various aspects of an individual, group, program, organization or event systematically. Participants in this study were patients aged 64 years, female, diagnosed diabetes mellitus type 2 (T2DM) for 10 years by a doctor. This research uses an aspect identification questionnaire instrument. DPN is screened using Michigan Neuropathy Screening Instrument (MNSI). Static balance is determined by romberg test and for dynamic balance it is measured by timed up and go test. Functional lower limb muscle strength is checked using tests Five Time Sit to Stand (5xSST).Results: The data for the respondent is a housewife aged 64 years, last education is junior high school with status as a housewife. The patient suffered from T2DM for 10 years with a hemoglobin 1AC level of 6.8 mg/dl, was overweight as indicated by the patient's BMI of 26 kg/m2. Often feels pain in both legs, when the patient walks and does strenuous activities with a score of 9, and the pain decreases when resting with a score of 3. Apart from that, the patient also has vision problems with a score of 20/40, meaning the patient can only see letters. at a distance of 20 feet. Even though normally letters can be seen clearly, namely 40 feet, this visual disturbance can cause the patient's balance to be disturbed. Providing treatment for 6 weeks can significantly improve the patient's quality of life as seen from the initial WHO QoL score of 58 to 86.Conclusion: Providing treadmill training for 6 weeks carried out 3 times a week showed significant results in reducing hemoglobin levels and DPN scores in T2DM patients. 
HUBUNGAN KESEIMBANGAN TUBUH DAN KEBUGARAN FISIK DENGAN KUALITAS HIDUP PADA LANJUT USIA DI DESA BENDOSARI, SUKOHARJO Desi Rahmadhina Putri; Dwi Rosella Komalasari; Arin Supriyadi; Wijianto -
Physio Journal Vol. 2 No. 2 (2022): SEPTEMBER
Publisher : P3M Universitas 'Aisyiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30787/phyjou.v2i2.851

Abstract

Latar belakang: Seiring dengan peningkatan jumlah populasi lansia, maka kualitas hidup lansia juga perlu diperhatikan. Lansia merupakan seseorang yang telah mencapai usia diatas 60 tahun. Lansia mengalami perubahan pada strukur di berbagai sistem organ serta perubahan-perubahan tersebut akan berpengaruh pada keseimbangan tubuh, kebugaran fisik, serta kualitas hidup pada lanjut usia. Tujuan: untuk mengetahui hubungan keseimbangan tubuh dan kebugaran fisik dengan kualitas hidup lansia di desa Bendosari, Sukoharjo serta mencari faktor dominan apa saja yang mempengaruhi kualitas hidup lansia di desa Bendosari, Sukoharjo. Metode: Studi cross sectional dilakukan pada 94 lansia didesa Bendosari pada bulan Desember 2021. Instrumen yang digunakan adalah Modified Clinical Test of Sensory Interaction in Balance (mCTSIB), Timed Up and Go test (TUG), Two Minutes Walking Test (2MWT) serta WHOQOL-BREF versi Ina. Hasil: Terdapat hubungan antara keseimbangan dinamik dan kebugaran fisik terhadap kualitas hidup dengan koefisien korelasi masing-masing yaitu -0,299 dan 0,240. Keseimbangan dinamik sebagai variabel yang mempengaruhi kualitas hidup dengan [OR -0,401, 95% CI: (-0,707) – (-0,095), P=0,011] dan Body Mass Index menjadi faktor dominan yang mempengaruhi kualitas hidup dengan [OR 0,379, (95% CI: 0,022 – 0,736, P=0,038]. Kesimpulan: Variabel yang paling dominan mempengaruhi kualitas hidup lansia di desa Bendosari adalah keseimbangan dinamik serta Body Mass Index. 
DAMPAK KECEMASAN AKAN JATUH DAN DEPRESI TERHADAP KUALITAS HIDUP LANSIA DI DESA BENDOSARI, SUKOHARJO Salsabila Nurul Fitri; Dwi Rosella Komalasari; Arin Supriyadi; wijianto -
Physio Journal Vol. 2 No. 2 (2022): SEPTEMBER
Publisher : P3M Universitas 'Aisyiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30787/phyjou.v2i2.852

Abstract

Latar Belakang: Kualitas hidup lanjut usia di rural mempunyai peran penting dalam kebijakan pembangunan pedesaan. Penurunan fungsi pada lansia menurunkan performa fisik yang akan meningkatkan kecemasan lansia akan jatuh. Depresi pada lansia di duga menjadi faktor psikologi tertinggi yang menurunkan kualitas hidup lansia. Tujuan: untuk mengetahui pengaruh depresi dan kecemasan akan jatuh terhadap kualitas hidup lansia di daerah rural kota Surakarta serta mencari faktor dominan apa saja yang mempengaruhi kualitas hidup lansia di daerah rural kota Surakarta. Metode: study cross sectional dengan teknik pengambilan sampel quota sampling, jumlah responden sebanyak 94 lansia. Falls Efficacy Scale International (FES-I), Geriatric Depression Scale 15 (GDS-15), WHOQOL BREF-Ina digunakan untuk mengukur kecemasan akan jatuh, depresi dan kualitas hidup. Hasil: Terdapat pengaruh antara kecemasan akan jatuh terhadap kualitas hidu lansi sebesar 0.304 (30.4%). Depresi dan kualitas hidup lansia tidak saling mempengaruhi koefisein determinasi sebesar 0,080 (8%). Faktor dominan yang paling mempengaruhi kualitas hidup lansia yaitu status perkawinan [OR -1.537, 95% CI: (-3,015) – (-0.058), P=0.042)] Body Mass Index [OR 0.366, 95% CI: 0.011-0.721, P= 0.043] dan kecemasan akan jatuh [OR -0.322, 95% CI: (-0.565)-(-0.079), P=0.010] Kesimpulan: Variabel yang paling dominan mempengaruhi kualitas hidup lansia di daerah rural adalah status perkawinan, Body Mass Index dan kecemasan akan jatuh.
HUBUNGAN KEKUATAN OTOT EKSTREMITAS BAWAH, FUNGSI KOGNITIF DAN KESEIMBANGAN TUBUH PADA LANJUT USIA DI DAERAH RURAL, SURAKARTA Mely Erlika Sari; Dwi Rosella Komalasari; Wijianto -; Adnan Faris Naufal
Physio Journal Vol. 2 No. 2 (2022): SEPTEMBER
Publisher : P3M Universitas 'Aisyiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30787/phyjou.v2i2.894

Abstract

ABSTRAKLatar belakang: proses penuaan merupakan tahapan akhir dari fase kehidupan. Lansia adalah seseorang yang telah mencapai usia 60 tahun ke atas. Lansia mengalami perubahan struktur dalam berbagai sistem organ yang mana perubahan tersebut mempengaruhi penurunan pada kekuatan otot ekstremitas bawah, fungsi kognitif pada keseimbangan tubuh lansia. Tujuan: untuk mengetahui hubungan antar variable kekuatan otot ekstremitas bawah, fungsi kognitif, dan keseimbangan tubuh serta mengetahui faktor dominan yang mempengaruhi keseimbangan tubuh pada lansia di rural kota Surakarta. Metode: studi cross sectional study dengan mengambil 94 responden dengan teknik pengambilan sampel quota sampling. Hasil: Uji korelasi dengan uji Spearman Rho, tidak terdapat hubungan antara kekuatan otot ekstremitas bawah (FTSTS) dengan keseimbangan statik (mCTSIB) nilai r=-0.173, tidak terdapat hubungan antara fungsi kognitif (Moca-Ina) dengan keseimbangan statik (mCTSIB) nilai r=0.051, terdapat hubungan antara kekuatan otot ekstremitas bawah (FTSTS) dengan keseimbangan dinamik (TUG) nilai r=0.430, terdapat hubungan antara fungsi kognitif (Moca-Ina) dengan keseimbangan dinamik (TUG) nilai r=-0.207. Riwayat jatuh sebagai faktor dominan yang mempengaruhi keseimbangan static [OR -2.920, (95% CI= -5.282 - -0.558), p = 0.016], status pekerjaan sebagai faktor dominan yang mempengaruhi keseimbangan dinamik [OR -0.475, (95% CI = -0.933 - -0.016), p = 0,043] sedangkan varibel kekuatan otot ekstremitas bawah sebagai variabel kedua yang mempengaruhi keseimbangan dinamik [OR 0.299 (95% CI = -0.146 0.007), p = 0,001]. Kesimpulan: Tidak terdapat hubungan antara kekuatan otot ekstremitas bawah, fungsi kognitif dengan keseimbangan statik. Terdapat hubungan antara kekuatan otot ekstremitas bawah, fungsi kognitif dengan keseimbangan dinamik. 
PENGARUH PEMBERIAN PNF TERHADAP PENURUNAN NYERI PADA PASIEN OSTEOARTHRITIS GENU: A CASE SERIES Salsabila Nurul Fitri; Dwi Rosella Komala Sari; Kingkinarti
Physio Journal Vol. 3 No. 2 (2023): SEPTEMBER
Publisher : P3M Universitas 'Aisyiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30787/phyjou.v3i2.1246

Abstract

Pendahuluan Lutut merupakan bagian yang sangat penting pada manusia sebagai penopang beban tubuh. Sering dijumpai pada penderita OA mengalami nyeri yang luar biasa. Sehingga dapat mengganggu aktivitas fungsional penderita sehingga fisioterapi berperan penting dalam penanganan osteoerthritis lutut dalam mengurangi nyeri. PNF merupakan salah satu Teknik peregangan untuk meningkatkan elastisitas otot dan telah terbukti memiliki efek positif terhadap penurunan nyeri. Tujuan dari penelitian ini untuk mengetahui efek dari intervensi PNF terhadap penurunan nyeri pada penderita OA genu berdasarkan karakteristik nyeri yang dirasakan. Metode penelitian yang digunakan berupa case series yang dilakukan pada lansia berumur 64 tahun dengan diagnosa medis OA genu.Subjek diberikan intervensi PNF dan evaluasi dilakukan setiap 12 jam. Hasil dari pemberian PNF pada pasien OA Genu didapatkan hasil penurunan nyeri pada 36 jam setelah pemberian intervensi. Kesimpulan dari penelitian ini didapatkan bahwa terdapat penurunan tingkat nyeri pada 36 jam setelah diberikan 1 kali intervensi.
The Relationship of Bag Load to Changes Vertebra Curves in Students (Study on Students Age 9-12 Years at SDIT Al Ikhlas, Magetan) Andera Prastina Sukmawati; Arif Pristianto; Dwi Rosella Komalasari
Gaster Vol 21 No 2 (2023): AGUSTUS
Publisher : P3M Universitas 'Aisyiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30787/gaster.v21i2.1100

Abstract

In children aged 9-12, reduced bone density, length of schooling, duration of daily bag use and bag weight exceeding the recommended weight of 10-15% of body weight can affect changes in the vertebral curve either into kyphosis, lordosis or scoliosis. The purpose of this study was to determine the relationship between bag load and changes in the vertebral curve as measured by the plumb line and scoliometer. The load of the bag is seen from 2 things, namely the weight of the bag and the duration of use of the bag. The research method used a cross sectional study with a sample of 207 school children aged 9-12 years using 2 analytical tests. The results of the Kendall's tau-b analysis test showed p-value = 0.773 and 0.262 (>0.005) which showed that there was no relationship between the weight and duration of bag use and changes in the vertebral curve. The results of the Spearman Rho test analysis showed p-value = 0.448 and 0.407 (> 0.005) which showed no relationship between weight and duration of bag use with the degree of change in the vertebral curve (Angle of Trunk Rotation/ATR).
The effect of proprioceptive neuromuscular facilitation stretching exercises on pain and postural balance in patients with knee osteoarthritis Dwi Rosella Komala Sari; Raden Andrea Zalfa Zaki Gazella
Physical Therapy Journal of Indonesia Vol. 4 No. 2 (2023): July-December 2023
Publisher : Universitas Udayana dan Diaspora Taipei Medical University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/ptji.v4i2.117

Abstract

Background: Osteoarthritis is a degenerative disease that can cause pain, stiffness, and reduce balance function, thus interfering with daily activities. Proprioceptive Neuromuscular Facilitation Stretching (PNFS) can increase proprioceptive stimulation and activate muscles, reducing pain and improving postural balance in the OA knee. This study aimed to determine the effect of PNFS on reducing pain and increasing postural balance in patients with knee OA. Methods: This type of research was an experimental study with a quick experimental approach without a control group. Nineteen respondents with knee OA were taken by purposive sampling and met the inclusion and exclusion criteria. PNFS was done with the hamstring and quadriceps muscles twice a week for four weeks. The pain was evaluated using a numeric rating scale (NRS), while the dynamic balance was assessed by the timed up and go test (TUG), and static balance was examined by the one-leg stance (OLS) as well as Functional Reach Test (FRT). Results: There was a significant positive effect of PNFS to reduce pain and improve TUG, OLS, and FRT with p-values <0,05, respectively. Conclusion: Pain is the main problem in OA knee and reduced balance. However, PNFS exercises were recommended for rehabilitation management in patients with knee OA.
Pengaruh Pemberian Ultrasound Therapy, Wrist Stretching dan Tendon Gliding Exercise pada Kondisi Carpal Tunnel Syndrome Dextra : Laporan Kasus Dwi Rosella Komalasari; Leo Muchamad Dachlan; Serina Laurenza Putri Rianto; Dian Lestari
Jurnal Mahasiswa Ilmu Kesehatan Vol. 2 No. 4 (2024): Oktober: Jurnal Mahasiswa Ilmu Kesehatan
Publisher : STIKes Ibnu Sina Ajibarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59841/jumkes.v2i4.1642

Abstract

Introduction: Carpal Tunnel Syndrome is a stretch of the median nerve caused by pressure on the median nerve in the carpal tunnel when the nerve passes through the tunnel. So that pain, paraesthesia, and numbness appear in the area through which the median nerve passes. Purpose: This case report was aimed to determine the effect of physiotherapy interventions in the form of Ultrasound Therapy, Wrist Stretching, and Tendon Gliding exercise on a female patient aged 66 years. Method: A Case report was conducted 3 times over two weeks by evaluating pain using the Numeric Rating Scale (NRS), a wide range of motion using a goniometer, and the patient’s functional activity using the DASH questionnaire. Result: There was a decrease in motion pain from the value of the NRS scale 6 to the NRS scale 4, and tenderness from the value of the NRS scale 2 to the NRS scale 1. An increase in the range of motion of the joint in dorsiflexion and active palmar flexion movements from T1 (S: 40̊ - 0̊ - 45̊) to T3 (S: 40̊ - 0̊ - 45̊), in the active radial and ulnar deviation movements from T1 (F: 15̊ - 0̊ - 20̊) to T3 (F: 15̊ - 0̊ - 25̊). Functional improvement in patients with DASH results from 61 to 50. Conclusion: The effects of ultrasound therapy, wrist stretching, and tendon gliding exercises are that they can reduce pain, increase ROM, and increase functional activity in patients with carpal tunnel syndrome.
Peningkatan Pengetahuan Kader Tentang Kesehatan dan Kebugaran pada Lansia di Posyandu Lansia Melati, Bendosari, Sukoharjo Tsania Haifa’ Kurniahadi; Fahra Fadhilla; Aldin Nasrun Minalloh; Muhammad Isa Hanafi; Siti Azzura Zain; Dwi Rosella Komalasari
jurnal ABDIMAS Indonesia Vol. 2 No. 2 (2024): Juni : Jurnal ABDIMAS Indonesia
Publisher : STIKes Ibnu Sina Ajibarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59841/jurai.v2i2.1274

Abstract

Health and fitness for the elderly is important in maintaining their quality of life and independence. This community service activity aimed to increase cadres' knowledge about health and fitness for the elderly at Posyandu Lansia. Posyandu cadres are important in providing information and health services for the elderly. Through structured training and education, it is hoped that cadres better understand and implement optimal health practices for the elderly. The methods used counselling sessions, material discussions, assisting cadres in providing physical exercise to improve physical fitness, assisting cadres in carrying out elderly fitness checks using the six-minute walking test (6MWT), as well as pre-post tests to determine the success of cadres' understanding, about the material that has been given. The activity results showed a significant increase in cadres' knowledge regarding the fitness and health aspects of the elderly, with the average score on the pre-test being 65,625 to 90 on the post-test. In addition, cadres reported increased confidence in providing physical exercise education to the elderly and measuring physical fitness with the 6MWT. In conclusion, this training program effectively increases the knowledge and capacity of cadres, which can contribute to improving the quality of life of elderly people in elderly communities. This service activity recommends implementing similar programs in other posyandu to improve the fitness and health of the elderly at large.
Peningkatan Pengetahuan Ibu Balita Tentang Pemberian Makan Bayi dan Anak (PMBA) Di Desa Jetis Dwi Rosella Komalasari; Amar busro; Lu'lu'ul Muslimah; Tiara Sang Ether Asy shifa; Aviva Tunisyia; Valentina Febri Marzaleva; Rabiatul Adawiya
jurnal ABDIMAS Indonesia Vol. 2 No. 2 (2024): Juni : Jurnal ABDIMAS Indonesia
Publisher : STIKes Ibnu Sina Ajibarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59841/jurai.v2i2.1657

Abstract

The practice of feeding infants and children (PMBA) by mothers of toddlers must be carried out correctly and precisely. Mistakes in feeding toddlers will result in malnutrition in children and result in stunting. Prevention of stunting needs to be balanced with the knowledge and understanding of mothers of toddlers about PMBA. This activity aimed to provide education to mothers of toddlers about the importance of feeding infants and children well (PMBA). The method used is to provide education about PMBA demonstrate making modisco and measure the level of knowledge of mothers of toddlers before and after the activity to determine changes in knowledge in mothers of toddlers. The evaluation results obtained regarding the level of knowledge of mothers of toddlers before the activity was carried out, most participants were in the poor category (88.6%), while after the activity the level of knowledge of most participants was good (95.5%)
Co-Authors Abidah Aristawati, Salwa Abyori Daru Murtama Adnan Faris Naufal Agus Widodo Agus Widodo Ahmad Rifai Aifa Azzahra Aldin Nasrun Minalloh Amar busro Amelia Tirta Lestari Anas Rusmanto, Salma Andera Prastina Sukmawati Anggraini, Ricky Diah Ayu Annisa Khusnul Khotimah Arif Pristianto Arin Supriyadi Arin Supriyadi Asrani, Muhammad Atikasari, Dewi Ayu Aulia Safa’ Nabila Aviva Tunisyia Ayu Maharani, Brilian Mustika Bahertha Rachmatika D Dermin Dela Ramona Desi Rahmadhina Putri Devia Putri Agnesia DIAN LESTARI Eka Widya Susanti Endrawati, Mira Yuga Ernanda Zainovita Fahra Fadhilla Fakhri Khairullah Farid Rahman Farita Adhynda Amithya Fatikhul Ikhsan, Diyas Fauziah, Salsabila Fitra, Hapsari Winanti Fitri Kurniasari Fitri Naida Pitaloka Halim, Mardianto Hanabilla Rawdhatul Jannah HERU PURNOMO Hifayati, Laily Maulida Nur I Ismadi Iin Rohayani Ilham Yugantara Indra Pratama Isnaeni Herawati Kingkinarti Konara Budi Sudrajat Kurniady, Devi Arhamevia Leo Muchamad Dachlan lestari, sulis Lu'lu'ul Muslimah M. Herman Mely Erlika Sari Muhammad Isa Hanafi Muhammad Raihan Maulidan Nadhirah, Sabina Azka Nafisa Destriana Putri Nur Fauziyah, Luluk Nur Laisya Mayeda Nuraini, Farah Hanifah Nurbaity, Annisa Nurul Azizah Perdana, Suryo Saputra Pipit, Kurniawati Pratama, Cafin Surya Putra Pratiwi, Rossy Eka Prihastomo, Teguh Purbasasana, P Rabiatul Adawiya Raden Andrea Zalfa Zaki Gazella Raden Shafira Saniyyah Ramadhani Radinda, Indiana Rahma Septiara Rezky Guna Putra Rina Koesoema Wardani Ririt Eka Lestari Ronald Rizal Shidiq Sabina Afifatuzzahra Safari Wahyu Jatmiko Saffanah, Dintha Nadhira Safitri, Weni Salmi, Umi Salsabila Nurul Fitri Salsabila Nurul Fitri Serina Laurenza Putri Rianto Shafira Rizky Nur Khairunnisa Siti Azzura Zain Siti Fadhilah Sudarmi Suryo Saputra Perdana Susilo, Ridwan Andi Suwendra, Ria Syaharani Altrisnisa, Anindya Tambing, Nabila Yusril Ihza Lestari Sallu Tessya Hadika Novitasari Theofany, Audina Puteri Fasya Theresia, Ribka Tiara Sang Ether Asy shifa Tomiana Tomiana Tri Nurhidayati Tsania Haifa’ Kurniahadi Ulfa, Merinda Umi Budi Rahayu Valentina Febri Marzaleva Wahyu Tri Sudaryanto Wahyuni Wahyuni Wardani, Rina Koesoema Warih Sri Widodo Widiatmi, Sri Widya Rendranandini wijianto - Wijianto - Wijianto Wijianto Yeni Setyaningratri Yngvie Salma Kirani Zara Sugiyarti