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Journal : SURABAYA PHYSICAL MEDICINE AND REHABILITATION JOURNAL

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

Abstract

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 (≥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

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (573.533 KB) | DOI: 10.20473/spmrj.v2i1.16313

Abstract

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.
Effect of High Frequency Transcranial Magnetic Stimulation (TMS) on Extensor Digitorum Communis Muscle Strength in Ischemic Stroke Patients Juatmadja, Bastianus Alfian; Andriana, Meisy; Satyawati, Rwahita
Surabaya Physical Medicine and Rehabilitation Journal Vol. 2 No. 1 (2020): SPMRJ, Februari 2020
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (511.145 KB) | DOI: 10.20473/spmrj.v2i1.17014

Abstract

Abstract Background: Stroke may disrupt a patient's motor function, consequently affecting the quality of life. A stroke surviving brain has the ability to repair itself through neuroplasticity mechanism. Transcranial Magnetic Stimulation (TMS) is a non-invasive device which can be used to stimulate the lesioned part of the brain in hope of triggering neuroplasticity.Aims: To find prove of the repetitive Transcranial Magnetic Stimulation (rTMS) effect on extensor digitorum communis muscle strength improvement in ischemic stroke patients.Methods: Subjects suitable with the inclusion criteria (N=18) were divided into two groups,  control group and intervention group. The control group underwent conventional therapy exclusively every day for 5 days in a row, while the intervention group underwent rTMS therapy and conventional therapy every day for 5 days in a row. Extensor digitorum communis muscle strength was measured using surface electromyography (sEMG) before and after treatment.Result: Significant increase of sEMG numbers were found on control group (p=0,003) and intervention group (p=0,001). The increase from the intervention group was not different when compared to the control group (p=0,067).Conclusion: TMS can increase extensor digitorum communis muscle strength but with no difference with a conventional therapy.