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Profile of Muscle Strength and Physical Performance with the Incidence of Urinary Incontinence in Elderly Women Jihan Nabila Pranjasdhina; Novira Widajanti; Rwahita Satyawati Dharmanta
Health Notions Vol 5, No 3 (2021): March
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hn50304

Introduction: The 200 million people in the world experience urinary incontinence. In general, with increasing age, the capacity of the bladder decreases. The remaining urine in the bladder tends to increase and irregular contraction of the bladder muscles becomes more frequent. This situation often makes the elderly experience problems with the fulfillment of urine elimination needs, namely urinary incontinence. Efforts to overcome urinary incontinence in the form of bladder training programs are aimed at developing muscle tone and bladder sphincter so that it can function optimally. Objective: Knowing the profile of muscle strength and physical performance with the incidence of urinary incontinence in elderly women. Methods: This research was a retrospective descriptive study based on the results of filling out the questionnaire and evaluating it directly. Based on tabulated data, 38 elderly women were selected as the study sample. Results: There were (42.1%) urinary incontinence on elderly with very poor left hand muscle strength and (50%) urinary incontinence on elderly with very poor right hand muscle strength. In physical performance with urinary incontinence as many as (57.8%) were normal and (42.1%) were poor. Conclusions: Muscle strength and physical performance can be used as a measurement to early detection of the urinary incontinence. Keywords: urinary incontinence; muscle strength; physical performance; descriptive retrospective study

A Comparison between the Effectiveness of Platelet-Rich Plasma Injection and Corticosteroid Injection in Plantar Fasciitis Patients: A Systematic Review Fikri Rasikh Pritanto; Rwahita Satyawati; Mouli Edward; Rr. Indrayuni Lukitra Wardhani
Indian Journal of Forensic Medicine & Toxicology Vol. 16 No. 3 (2022): Indian Journal of Forensic Medicine and Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v16i3.18278

A systematic review using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses chart(PRISMA) was used in this study. About 7 articles have been included. A month post-injection, corticosteroidinjection reduced pain more than PRP injection (Mean: 1.22; 95% CI:-1.10 to 3.54; p=0.30).However, PRP injectionreduced pain significantly more than corticosteroid injection in three months after injection (Mean: -0.77, 95%CI:-1.46 to -0.96; p=0.03), and in six months later (Mean:-1.22, 95% CI:-2.02 to -0.42; p=0.003). The effectivenessdifference between Platelet-Rich Plasma injection and corticosteroid injection in patients with plantar fasciitisvaries depending on peak period and facial thickness.

Moderate Intensity Physical Exercise Decreases Gastrocnemius Caspase-3 Expression on Mus musculus with Statin Treatment Junita Jeanne Paliman; Ratna Darjanti Haryadi; Rwahita Satyawati Darmanta; Willy Sandhika; Martha Kurnia Kusumawardani
Indonesian Journal of Physical Medicine & Rehabilitation Vol 10 No 01 (2021): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

ABSTRACTIntroduction: Dyslipidemia is a lipid metabolism abnormality marked by increase or decrease of lipid fraction in the plasma. Statin or 3-Hydroxy-3-Methylglutaryl coenzyme A (HMG-CoA) reductase inhibitor is an important dyslipidemia medication that may induce apoptosis of the skeletal muscle.Decrease of Bcl-2 and Bax ratio causing caspase-9 activation followed by caspase-3 activation occur in apoptosis. Moderate intensity physical exercise (MIPE) decreases DNA fragmentation, increases Bcl-2 protein level and decreases Bax transcript level.Methods: Thirty healthy BALB/C strain Mus musculus divided into 3 groups: first intervention group with statin only treatment (S), second intervention group with statin treatment plus MIPE using motorized treadmill (ST), and control (C) group with no statin and nor exercise. The duration of treatmentwas 28 days. Statin treatment dose was 2.06mg/kg bodyweight. Measurement caspase-3 was done by immunohistochemistry evaluation and the expression of capase-3 was calculated by cells count which expressing caspase-3.Results: There were more muscle cells expressing caspase-3 in the S group (47.00±12.92cells) than the C group (2.70±1.94 cells); p=0.000, the ST group (21.44±10.13 cells) than the C group (p=0.001), as well as S group and the ST group (p=0.000).Conclusion: Moderate intensity physical exercise can decrease caspase-3 expression in statin treated subject.Keywords: apoptosis, caspase-3, dyslipidemia, moderate intensity physical exercise, statin.

Moderate Intensity Physical Exercise Decreases Gastrocnemius Caspase-3 Expression on Mus musculus with Statin Treatment Junita Jeanne Paliman; Ratna Darjanti Haryadi; Rwahita Satyawati Darmanta; Willy Sandhika; Martha Kurnia Kusumawardani
Indonesian Journal of Physical Medicine & Rehabilitation Vol 10 No 01 (2021): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

ABSTRACTIntroduction: Dyslipidemia is a lipid metabolism abnormality marked by increase or decrease of lipid fraction in the plasma. Statin or 3-Hydroxy-3-Methylglutaryl coenzyme A (HMG-CoA) reductase inhibitor is an important dyslipidemia medication that may induce apoptosis of the skeletal muscle.Decrease of Bcl-2 and Bax ratio causing caspase-9 activation followed by caspase-3 activation occur in apoptosis. Moderate intensity physical exercise (MIPE) decreases DNA fragmentation, increases Bcl-2 protein level and decreases Bax transcript level.Methods: Thirty healthy BALB/C strain Mus musculus divided into 3 groups: first intervention group with statin only treatment (S), second intervention group with statin treatment plus MIPE using motorized treadmill (ST), and control (C) group with no statin and nor exercise. The duration of treatmentwas 28 days. Statin treatment dose was 2.06mg/kg bodyweight. Measurement caspase-3 was done by immunohistochemistry evaluation and the expression of capase-3 was calculated by cells count which expressing caspase-3.Results: There were more muscle cells expressing caspase-3 in the S group (47.00±12.92cells) than the C group (2.70±1.94 cells); p=0.000, the ST group (21.44±10.13 cells) than the C group (p=0.001), as well as S group and the ST group (p=0.000).Conclusion: Moderate intensity physical exercise can decrease caspase-3 expression in statin treated subject.Keywords: apoptosis, caspase-3, dyslipidemia, moderate intensity physical exercise, statin.

The Role of Pelvic Floor Muscles Exercises with Biofeedback as Adjuvant Treatment in Men with Erectile Dysfunction Guido O Vianney; Ratna D Haryadi; Rwahita Satyawati; Onny P Sono
Indonesian Journal of Physical Medicine & Rehabilitation Vol 3 No 01 (2014): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Objective: To evaluate the efficacy of pelvic floor muscle exercise programs for men with erectile dysfunction problems.Methods: A randomized controlled group designed study. Sixteen men with erectile dysfunction who had undergone pharmacological treatment from the Andrology Clinic and were referred to thePhysical Medicine and Rehabilitation Department Dr. Soetomo Hospital were divided into 2 groups. The first group was treated with pelvic floor muscle exercises for 12 weeks, while the second groupacted as control. The parameters of this study were evaluated in weeks 4, 8 and 12. This consisted of an evaluation of pelvic floor muscle strength, which was performed by digital anal assessment, and pressurebiofeedback Myomed 932. The evaluation of erectile function was based on the IIEF-5 (International Index of Erectile Function – 5) questionnaire and the EHS (Erectile Hardness Score).Results: An increase in the maximum contraction of pelvic floor muscles was seen in the intervention group after 8 weeks of treatment (p=0.011). Six subjects in the intervention group (75%) gained anormal anal strength based on digital anal assessment at the end of study. The IIEF-5 score of the intervention group improved after 8 weeks of treatment (p=0.012). Threesubjects (37.5%) in the intervention group got a maximum hardness score and 4 subjects (50%) gained an improvement of the hardness score.Conclusion: Comparing of the results of the protocol reported here shows that pelvic floor muscle exercises improve erectile function in men with erectile dysfunction problems.Keywords: pelvic floor muscle exercises, biofeedback, erectile dysfunction

The Role of Pelvic Floor Muscles Exercises with Biofeedback as Adjuvant Treatment in Men with Erectile Dysfunction Guido O Vianney; Ratna D Haryadi; Rwahita Satyawati; Onny P Sono
Indonesian Journal of Physical Medicine & Rehabilitation Vol 3 No 01 (2014): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Objective: To evaluate the efficacy of pelvic floor muscle exercise programs for men with erectile dysfunction problems.Methods: A randomized controlled group designed study. Sixteen men with erectile dysfunction who had undergone pharmacological treatment from the Andrology Clinic and were referred to thePhysical Medicine and Rehabilitation Department Dr. Soetomo Hospital were divided into 2 groups. The first group was treated with pelvic floor muscle exercises for 12 weeks, while the second groupacted as control. The parameters of this study were evaluated in weeks 4, 8 and 12. This consisted of an evaluation of pelvic floor muscle strength, which was performed by digital anal assessment, and pressurebiofeedback Myomed 932. The evaluation of erectile function was based on the IIEF-5 (International Index of Erectile Function – 5) questionnaire and the EHS (Erectile Hardness Score).Results: An increase in the maximum contraction of pelvic floor muscles was seen in the intervention group after 8 weeks of treatment (p=0.011). Six subjects in the intervention group (75%) gained anormal anal strength based on digital anal assessment at the end of study. The IIEF-5 score of the intervention group improved after 8 weeks of treatment (p=0.012). Threesubjects (37.5%) in the intervention group got a maximum hardness score and 4 subjects (50%) gained an improvement of the hardness score.Conclusion: Comparing of the results of the protocol reported here shows that pelvic floor muscle exercises improve erectile function in men with erectile dysfunction problems.Keywords: pelvic floor muscle exercises, biofeedback, erectile dysfunction

Correlation between History of Fall and Timed Up and Go Test in Geriatric Nurmalasari, Mifta; Widajanti, Novira; Dharmanta, Rwahita Satyawati
Jurnal Penyakit Dalam Indonesia Vol. 5, No. 4
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Introduction. Fall is the global major problem in geriatrics as it causes physical and physicological impairment, even leads to mortality. Timed up and go test (TUG) is the screening method which commonly used in medical practice as standard examination to assess mobility, balance, and fall risk.This study aimed to determine the correlation between TUG and history of falls in geriatric patients at General Hospital Dr. Soetomo Surabaya, Indonesia. Methods. A cross-sectional study was conducted among geriatric patients in Dr. Soetomo hospital with criteria ≥ 60 years old, mini mental state examination (MMSE) score ≥ 17, did not suffer from hemiplegic stroke, and did not use walking aids. Subjects with these criteria were interviewed to know the fall history from the past 12 months, level of education, and comorbidity. Then the subjects carried out MMSE assessment, BMI (body mass index) measurement, and TUG assessment. Statistical analysis was done with Fisher exact test.. Results. A total of 73 subjects participated in this study of which 56.16% were women. Among 73 subjects, 18 subjects had a history of falls and 72.22% of them were women. The Fisher test results showed a significant relationship between history of falls and TUG with p value= 0.048 and a contingency coefficient= 0.305. Conclusion. There was weak correlation between history of falls and TUG. Subsequent studies need to add and select samples with uniform distribution of characteristics, so that the results could represent the entire elderly population at General Hospital Dr. Soetomo Surabaya, Indonesia.

Risk Factors and Prevalence of Urinary Incontinence in Elderly Women, a Case Study in Japan and Taiwan Hewiz, Alya Shafira; Widajanti, Novira; Hakim, Lukman; Satyawati, Rwahita
Journal Medical Informatics Technology Volume 1 No. 2, June 2023
Publisher : SAFE-Network

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37034/medinftech.v1i2.9

Knowledge of the conditions of elderly women in Japanese and Taiwanese communities, particularly in relation to risk factors and their association with urinary incontinence, is of interest. This study aimed to identify risk factors and prevalence of urinary incontinence in elderly women in the community of the Japanese and Taiwanese case study areas. The research method used was a systematic review based on PRISMA guidelines. Data sources were obtained from PubMed and Science Direct for the period 2000-2020 using specific inclusion and exclusion criteria. Evaluation was conducted for quality and bias risk using a standardized assessment system. Results showed that the prevalence of urinary incontinence in elderly women in Japanese and Taiwanese communities ranged from 29.8% to 31.3%. Many factors influenced urinary incontinence, such as age, body mass index (BMI), and smoking habits. From the two selected articles in Japan and Taiwan, it was concluded that urinary incontinence was commonly experienced by elderly women in the community, and awareness of this condition could help improve management.

Profile of Sarcopenia in Elderly Patients at The Medical Rehabilitation Outpatient Department Dr. Soetomo General Academic Hospital Farhan Nurdiansyah; Rwahita Satyawati Dharmanta; Hadiq Firdausi; Nuniek Nugraheni Sulistiawati
Surabaya Physical Medicine and Rehabilitation Journal Vol. 6 No. 2 (2024): SPMRJ, AUGUST 2024
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v6i2.55119

The elderly group is the age group that is most susceptible to geriatric syndromes, one of which is sarcopenia. Sarcopenia is a syndrome characterized by a progressive and overall decrease in muscle mass and skeletal muscle strength with an increased risk of disability, decreased quality of life, and death. Currently, research on sarcopenia profiles, particularly in Indonesia, is still limited. This research data is expected to help determine policies to improve the quality of services in the health sector. This study used the SARC-F questionnaire and the risk factor questionnaire for sarcopenia in elderly patients at the Medical Rehabilitation Outpatient Department RSUD Dr. Soetomo and has been permitted by the Penelitian dan Pengembangan (LitBang) section RSUD Dr. Soetomo, Surabaya. Several variables used in this study were gender, age, weight, height, body mass index (BMI), other diseases, physical activity, mood, and sarcopenia. There were 25 elderly patients at the Medical Rehabilitation Outpatient Department at RSUD Dr. Soetomo, Surabaya in November 2022”January 2023 which met the research inclusion criteria. The age of elderly patients at the Medical Rehabilitation Outpatient Department at RSUD Dr. Soetomo ranged from 60”81 years old, with an average of 60.48 years old. Female is the most common gender among the elderly patients at the Medical Rehabilitation Outpatient Department RSUD Dr. Soetomo, there are 17 (68%) female elderly patients. 80% of the elderly patients were in the young elderly group (60”69 years old), 16% in the middle elderly group (70”79 years old), and 4% in the old elderly group (â‰¥80 years old). Age, gender, other diseases, and physical activity are risk factors that have a significant correlation with sarcopenia among elderly patients at the Medical Rehabilitation Outpatient Department RSUD Dr. Soetomo.

Association between Muscle Mass and Muscle Strength with Physical Performance in Elderly in Surabaya Kristiana, Titin; Widajanti, Novira; Satyawati, Rwahita
Surabaya Physical Medicine and Rehabilitation Journal Vol. 2 No. 1 (2020): SPMRJ, Februari 2020
Publisher : Faculty of Medicine, Universitas Airlangga

ABSTRACTBackground: Sarcopenia is a decrease in muscle mass and strength that mostly happens in the elderly. Sarcopenia is a problem that is often found in the elderly who are at risk of disability, hospitalization and death. This data on muscle mass and strength with physical performance is expected to support the theory of sarcopenia and as a reference in promoting and preventing sarcopenia in elderly.Aims: To analyze the association between muscle mass and strength (handgrip strength) with physical performance assessed using Short Physical Performance Battery (SPPB) in an elderly community.Methods: This study was a cross-sectional observational analytic study involving 203 sample of elderly (age >60 years old). The subjects were categorized as the strong and weak muscle mass and muscle strength, also the high, moderate and low physical performance. We used Bioimpedance Analysis (BIA) and hand dynamometer to measure muscle mass and muscle strength (handgrip strength). SPPB was used to assess physical performance.The association between muscle mass and strength with physical performance was displayed in bivariate analysis with chi square.Result: Of all 203 subjects, 57 were males and 146 were females. Chi square test showed association between muscle strength (handgrip strength) with physical performance (SPPB) (p=0.001), with a weak correlation (r=0.26) and no association between muscle mass and physical performance (SPPB) (p=0.517).Conclusion: There is a positive association between muscle strength with physical performance, with a weak correlation and no association between muscle mass and physical performance in the elderly community in Surabaya.

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