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All Journal Medical Journal of Indonesia Mutiara Medika: Jurnal Kedokteran dan Kesehatan Universa Medicina Health Notions Amerta Nutrition Indonesia Journal of Physical Medicine and Rehabilitation
Angela BM Tulaar
Department Of Physical Medicine And Rehabilitation, Faculty Of Medicine, Universitas Indonesia, Jakarta
Decision Sciences, Operations Research & Management Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Physics Public Health Other

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Massage Therapy Can Prevent the Risk of Autism Spectrum Disorders in Children Aged 18-36 Months Andy Martahan Andreas; Ratna Djuwita; Helda Helda; Rini Sekartini; Sri Hartati R. Suradijono; Thjin Wiguna; Angela B. M. Tulaar; Jusuf Kristianto
Health Notions Vol 5, No 11 (2021): November
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hn51102

Abstract

 Background: Research on massage therapy for children with autism spectrum disorders conducted over a period of 10-15 years is mostly aimed at children who have been diagnosed with autism spectrum disorders with the average age of children being between 3-6 years. Meanwhile, research on massage therapy in children at risk for autism spectrum disorders, especially in Indonesia, has not been widely published. Aims:  This study aims to provide an overview of the results of massage therapy in an effort to prevent the risk of autism spectrum disorders in children aged 18-36 months. Methods: The study was conducted from May 2019 to March 2020 at three community health centers in Jakarta, 10 children aged 18-36 months who were previously screened with M-Chat were then given massage therapy for 40 times to see the effect on changes in status risk of autism spectrum disorderThe results of therapy were then assessed by modifying the M-Chat score through the receiver operating characteristic (ROC) in order to obtain a new cut off point to determine the risk status of autism spectrum disorders. Results: The results of massage therapy showed that there was a decrease in M-Chat scores and changes in the risk status of autism spectrum disorders starting in the third period of 30 days of massage therapy. Conclusion: The conclusion of this study is that massage therapy can change the risk status of ASD children from autism risk to normal to prevent the risk of autism spectrum disorders.Keywords: massage therapy; autism spectrum disorder risk; modified check list for autism in toddler
Foot Arch and Plantar Pressure in the Age of 17-21 Years Arif Wicaksono; Sasanthy Kusumaningtyas; Angela BM Tulaar
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 21, No 2 (2021): July
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v21i2.10799

Abstract

Research on the plantar segment has not been widely carried out in Indonesia’s population, even though the plantar segment data will be essential in further research and therapy of plantar-related problems. Therefore, this research intends to describe the plantar profile: the foot arch and the plantar pressure difference between the right and left foot. This research applied a cross-sectional study. Subjects were recruited from the Faculty of Medicine students, Universitas Indonesia, class 2012, with inclusion criteria aged 17-21 years and normal gait. Meanwhile, the exclusion criteria consisted of having postural abnormalities, a history of neuromusculoskeletal disorders in the lower limbs, a history of fractures in the spine and legs, a history of surgery on the spine and legs, and refusing to participate in the study. Research subjects stood on a plantar scanner, conducted at the Anatomy Laboratory, the Faculty of Medicine, Universitas Indonesia. The Mann-Whitney test was then used to analyze the difference in plantar pressure between the right and left foot. The results revealed that a hundred research subjects had a proportion of a low foot arch of 4%, a normal foot arch of 89%, and a high foot arch of 7%. The median right plantar pressure was 273.5 KPa, while the median left plantar pressure was 253.5 KPa. The Mann-Whitney test showed a p-value of 0.954 for the pressure difference between right and left foot. There was no plantar pressure difference between the right and left foot.
Foot orthoses improve kinematic measurement in young women with biomechanical abnormality Maria Regina Rachmawati; Angela BM Tulaar; Muctarudin Mansyur; Ferial Hadipoetro Idris; Ismail Ismail; Ratna Darjanti Haryadi
Universa Medicina Vol. 32 No. 3 (2013)
Publisher : Faculty of Medicine, Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2013.v32.187-196

Abstract

BACKGROUNDFoot pronation causes biomechanical abnormalities in the form of functional leg-length disparity. Foot orthoses are often used in the treatment of abnormal pronation. The aim of the study was to evaluate the effect of foot orthoses on abnormal kinematic chain the differences of pelvic height, step length, and walking distance on walking test in young women with biomechanical abnormality.METHODS A randomized double blind controlled clinical trial was conducted on 27 young adult women having abnormal biomechanical abnormalities. By random allocation the subjects were divided into the intervention group (14 subjects) receiving correction of foot pronation using foot orthoses, and the control group (13 subjects) receiving no orthoses. Before and during use of foot orthoses, we determined pelvic height difference (mm), step length difference (cm), and walking distance at maximal walking speed for 15 minutes. RESULTS Correction of foot pronation resulted in decreased pelvic height difference from 4.7 ± 2.1 mm to 1.7 ± 1.3 mm (p<0.001) and in a reduction in step length difference, from 4.9 ± 2.9 cm to 2.1 ± 1.5 cm (p=0.002). Walking test distance of the intervention group was 1318.5 ± 46.3 m, as compared with that of the control group of 1233 ± 114.7 m (p = 0.05). Walking distance of the intervention group rose steadily in the second test to 1369.3 ± 27 m, and in the third test to 1382.14 ± 10.5 m (p<0.001). CONCLUSIONS Foot orthoses improved the kinematic chain, resulting in a more symmetrical pelvic height, reduced step length difference, and increased functional walking ability.
Towards Healthy Aging with Physical Activity and Nutrition Listya Tresnanti Mirtha; Angela Tulaar; I Dewa Putu Pramantara
Amerta Nutrition Vol. 4 No. 1SP (2020): AMERTA NUTRITION SUPPLEMENTARY EDITION
Publisher : Universitas Airlangga, Kampus C, Mulyorejo, Surabaya-60115, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v4i1SP.2020.15-20

Abstract

Background. Indonesia has become the country with the highest elderly population in Southeast Asia which around 27 million people within 2020. Demographic bonus, where the productive age is higher than the non-productive age, should be optimized so that it becomes an opportunity to decrease the dependency ratio of the elderly over 65 years. However, increasing life expectancy has other implications which as the increase in health problems associated with the aging process, including the emergence of degenerative diseases. The concept of healthy aging formed due to the increase of public awareness to live within quality life and maintaining a healthy lifestyle through physical activity and good nutrition. Healthy aging is the process of developing and maintaining the functional ability that enables wellbeing in older age. Lifestyle improvement from the early stage will have a better effect on a person's lifelong health. Unfortunately, it is not widely known by the public, so awareness is not yet evident and benefits cannot be obtained optimally.Objectives. Healthy aging is the process of developing and maintaining the functional ability that enables wellbeing in older age. The aim of this review is to raise awareness among the adult age group about the important role of physical activity and nutrition in achieving a healthy aging condition.Discussion. American College of Sports Medicine (ACSM) and Centers for Disease Control and Prevention (CDC) recommend adults aged 18–65 year to participate in moderate-intensity aerobic physical activity for a minimum of 30 minutes on five days per week, or vigorous-intensity aerobic activity for a minimum of 20 minutes on three days per week. Moreover, recent WHO (2020) guideline towards physical activity and sedentary behavior recommend all adults to have moderate-intensity for 150 – 300 min or vigorous-intensity for 75 – 150 min per week. But this recommendation has not been able to reduce physical inactivity number in Indonesian society, especially adult and senior adult. There are some nutrition elements related to mobility health, mainly are protein, vitamin D, calcium, antioxidant and omega-3, and many studies report that Indonesian adults suffer deficiencies on these nutrition elements and cause health problems related to mobility. Health interventions should involved many stakeholders, e.g government, private sectors, NGO, mass media, and many more.Conclusions: The concept of healthy aging and interventions related to this need to be recognized and implemented as early as possible to get optimal results, and preferably starting from adulthood. Health interventions carried out must be holistic and synergize between physical activity, nutrition, mental health and other factors that play a role. A community-based approach is the easiest and fastest way to change mindsets and behavior patterns, and can be implemented in the work environment or other communities.
Foot Posture Characteristics in Medial Knee Osteoarthritis Patients Leni Kopen; Angela BM. Tulaar; Nyoman Murdana
Indonesian Journal of Physical Medicine & Rehabilitation Vol 7 No 02 (2018): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (276.288 KB) | DOI: 10.36803/ijpmr.v7i02.139

Abstract

Introduction: Alteration of foot posture may influence the knee loading, particularly in medial compartment. The purpose of this study was to find the relation of foot postures with clinical finding in medial knee osteoarthritis (KOA).Methods: Subjects with medial KOA who met inclusion criteria were recruited consecutively, in Nursing home on August to October 2018. The foot posture has determined by Foot Posture Index (FPI). The severity of KOA has measured by Kelgreen-Lawrence (KL) grading system, and pain level using numeric rating score (NRS).Results: There were 37 subjects consisted of male and female with normal foot subsequently 17(8.5%) and 3(15%), male and female with abnormal food subsequently 3(15%) and 1(16%). There were 12 (32.43%) of pronated foot, 5 (13.51%) of supinated foot, and 20 (54.06%) of normal foot subjects. The subjects with abnormal foot posture have severe medial KOA (p<0.001), while the pain sensation similar between groups (p=0.321, p=0.688).Conclusion: There was a correlation between foot posture and the severity of medial KOA.Keywords: Foot posture, Knee osteoarthritis, Foot posture index, Numeric rating score
Correlation Between Gender and Knowledge, with Practice and Referral Rate of Continuum Rehabilitation Cases by General Practitioners Hari Hari Peni Julianti; Angela BM Tulaar BM Tulaar; Tirza Z Tamin; Tanti Ajoe Kesoema,; Endang Ambarwati,; Sri Wahyudati
Indonesian Journal of Physical Medicine & Rehabilitation Vol 8 No 01 (2019): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (961.129 KB) | DOI: 10.36803/ijpmr.v8i01.180

Abstract

Introduction: Indonesian Health Ministry had a strategy to make the primary care, including rhabilitation program by continuum of care. The purpose of this study was to determine factors related to the levelof knowledge, practice, and referral for continuum care cases that required rehabilitation services in Primary Health Care Doctors.Methods: The study design was cross-sectional. Participants were 23 Primary Health Care Doctors in Wonosobo District. Data collection was conducted in December 2017. The independent variablesconsist of gender, length of work, employment status, while the dependent variables were the level of knowledge, practice and referral cases of maternal, infants and toddlers, adolescents, adults and elderly.The measuring instrument was a questionnaire. Data were tested with chi-square, significance level <0.05.Results: Gender has correlation with the level of knowledge in maternal cases (PR = 0.121, 95% CI = 0.017-0.087, p = 0.026). Gender has correlation to the level of practice in maternal case (PR = 0.121,95% CI = 0.017-0.867, p = 0.026). Employment status has correlation to the referral rate of elderly cases(PR = 10.500, 95% CI = 1.015-108.577, p = 0.029).Conclusion: Gender has correlation with the level of knowledge and practice of maternal cases. Employment status has correlation with the level of referral rate of elderly cases.Keywords: Primary care doctors, Knowledge, Referral, Continuum Rehabilitation
Co-Authors Achmad, Harry R. Amendi Nasution Andy Martahan Andreas Anita Ratnawati Aria Kekalih Arif Wicaksono Chozie, Novie A. Corrie Wawolumaya Deswaty Furqonita Dharma, Rahayuningsih Djajadiman Gatot Elida Ilyas Endang Ambarwati, Faisal Yunus Fanny Aliwarga Ferial Hadipoetro Ferial Hadipoetro Idris Ferius Soewito Hari Hari Peni Julianti Helda Helda Helena Turnip Hindun Saadah, Hindun I Dewa Putu Pramantara Ismail Ismail Jusuf Kristianto Leni Kopen Listya Tresnanti Mirtha Lugyanti Sukrisman Marcel Prasetyo Maria Regina Rachmawati Mira Muhammad Muchtaruddin Mansyur Muctarudin Mansyur Nuryani Sidarta, Nuryani Nyoman Murdana Ratna Darjanti Haryadi Ratna Djuwita Rini Sekartini Ronald Pakasi Rosiana Pradanasari Saptawati Bardosono Saptawati Bardosono Sari, Teny T. Sarwono Waspadji Sasanthy Kusumaningtyas Siti Annisa Nuhonni Sri Hartati R. Suradijono Sri Wahyudati Sumariyono Surjanto H Surjanto Hartono, Surjanto Surjanto M.A Suryanto Suryanto Tanti Ajoe Kesoema, Thjin Wiguna Tirza Z Tamin Wahju Hidajati1, Yefta Daniel Bastiana, Yefta Daniel Yoga Iwanoff Kasjmir Zuljasri Albar