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All Journal e-CliniC JURNAL BIOMEDIK Jurnal Kedokteran Klinik Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia Medical Scope Journal (MSJ) Jurnal Inovasi Global
Joudy Gessal
Universitas Sam Ratulangi Manado
Astronomy Biochemistry, Genetics & Molecular Biology Education Engineering Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Mathematics Medicine & Pharmacology Nursing Public Health Social Sciences

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PERBANDINGAN KECEPATAN BERJALAN PADA PASIEN NYERI PUNGGUNG BAWAH MEKANIK SUBAKUT DAN KRONIK MENGGUNAKAN TIMED UP AND GO TEST Kalangi, Patricia; Angliadi, Engeline; Gessal, Joudy
e-CliniC Vol 3, No 1 (2015): Jurnal e-CliniC (eCl)
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v3i1.6755

Abstract

Abstract: The purpose of this research is to know and compare the gait velocity between subacute and chronic mechanical low back pain patients using Timed Up and Go Test at Installation Medical Rehabilitation Hospital Prof. Dr R.D. Kandou Manado. This research used observational analytic design with cross-sectional study. The samples choosen using consecutive sampling technique. Data obtained from the gait velocity measurement using Timed Up and Go Test conducted by researcher. From this research obtained the average gait velocity in patient group of subacute mechanical LBP is 18.92 seconds and the average gait velocity in patient group of chronic mechanical LBP is 17.17 seconds. The results of independent t-test hypothesis testing showed that there is a significant difference between gait velocity in subacute and chronic mechanical LBP patients (p = 0.034). Conclusion, gait velocity in chronic mechanical LBP patients is better than subacute mechanical LBP patients.Keywords: Gait velocity, mechanical LBP, TUG testAbstrak: Penelitian ini bertujuan untuk mengetahui dan membandingkan kecepatan berjalan antara pasien nyeri punggung bawah (NPB) mekanik subakut dan kronik menggunakan Timed Up and Go (TUG) Test di Instalasi Rehabilitasi Medik RSUP Prof. Dr. R.D. Kandou Manado. Penelitian ini menggunakan desain penelitian analitik observasional dengan pengamatan sewaktu (studi cross sectional). Penentuan sampel dilakukan dengan menggunakan teknik consecutive sampling. Data diperoleh dari hasil pengukuran kecepatan berjalan menggunakan Timed Up and Go Test yang dilakukan sendiri oleh peneliti. Dari penelitian ini diperoleh kecepatan berjalan rata-rata pada kelompok pasien NPB mekanik subakut adalah 18,92 detik dan kecepatan berjalan rata-rata pada pasien NPB mekanik kronik adalah 17,17 detik. Hasil uji hipotesis independent t-test menunjukkan bahwa terdapat perbedaan bermakna antara kecepatan berjalan pada pasien NPB mekanik subakut dengan kecepatan berjalan pada pasien NPB mekanik kronik (p = 0,034). Kesimpulan, kecepatan berjalan pasien NPB mekanik kronik lebih baik dibandingkan kecepatan berjalan pada pasien NPB mekanik subakut.Kata kunci: Kecepatan berjalan, NPB mekanik, tes TUG
ANALISIS TINGKAT KEPUASAN PASIEN TERHADAP PENANGANAN TERAPI OKUPASI DI INSTALASI REHABILITASI MEDIK RSUP PROF. DR. R. D. KANDOU MANADO Wongkar, Meilany D.; Gessal, Joudy; Angliadi, Leonard S.
e-CliniC Vol 3, No 2 (2015): Jurnal e-CliniC (eCl)
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v3i2.8434

Abstract

Abstract: Medical rehabilitation aims to lessen the impact of a disability and enhance the ability of people with disabilities, therefore, they can be involved in social interaction. One of the rehabilitation treatments is occupation therapy which helps individuals by giving suggestions and enhancing independence. Quality is a dynamic condition which fills or surpass the expectations. Quality is closely related to costumers’ satisfaction. It encourages the costumers to create a strong bond of relationship. This study aimed to obtain patients’ satisfaction degree toward the implementation of occupation therapy in the Medical Rehabilitation Installation Prof. Dr. R. D Kandou Hospital, Manado. This was a descriptive observational study. Sampleds were collected by using purposive sampling. The result of the T Test analysis showed that there was a significant difference between before and after the therapy with a p value = 0.000. Based on the result of the satisfaction degree to the variable of expectation and reality, the average obatined was 7.9. Conclusion: Patients’ expectation degree was higher than the reality of service that they received.Keywords: medical rehabilitation, occupation therapy, patients satisfaction degree.Abstrak: Rehabilitasi medik bertujuan untuk mengurangi dampak keadaan cacat dan meningkatkan kemampuan penyandang cacat sampai interaksi sosial. Salah satu pelayanan rehabilitasi ialah terapi okupasi, yang membantu individu dalam memberi anjuran dan menjamin bantuan untuk meningkatkan kemandirian. Kualitas merupakan kondisi dinamis yang memenuhi atau melebihi harapan. Kualitas memiliki hubungan yang sangat erat dengan kepuasan pelanggan, yaitu kualitas memberikan suatu dorongan kepada pelanggan untuk menjalani ikatan hubungan yang kuat. Penelitian ini bertujuan untuk mengetahui gambaran tingkat kepuasan pasien terapi okupasi di Instalasi Rehabilitas Medik RSUP. Prof. Dr. R. D. Kandou. Penelitian ini bersifat deskriptif observasional. Pengambilan sampel dilakukan secara purposive sampling. Hasil analisis uji t menunjukkan terdapat perbedaan bermakna sebelum dan sesudah terapi dengan nilai p = 0,000. Berdasarkan hasil uji nilai tingkat kepuasan terhadap variabel harapan dan kenyataan menunjukkan perbedaan dengan nilai rata-rata 7,9. Simpulan: Nilai harapan pasien lebih besar dari kenyataan pelayanan yang mereka terima.Kata kunci: rehabilitasi medik, terapi okupasi, tingkat kepuasan pasien
Hubungan Perilaku Sedentary dengan Indeks Massa Tubuh dan Tekanan Darah serta Denyut Jantung pada Pegawai Struktural dan Administrasi RSUD Provinsi Sulawesi Utara Walukouw, Caesario S. J.; Lampah, Christopher; Gessal, Joudy
e-CliniC Vol 8, No 1 (2020): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.8.1.2020.27357

Abstract

Abstract: Due to high technology, sedentary behavior develops worldwide. Some conse-quences that might arise due to sedentary behavior inter alia increases in body mass index, blood pressure, and heart rate. The prevalences of obesity and high blood pressure in North Sulawesi are the highest ones in Indonesia. This study was aimed to identify the relationship between sedentary behavior and body mass index (BMI), blood pressure as well as heart rate among structural and administrative employees of North Sulawesi Regional Hospital as subjects. This was an analytical and observational study with a cross sectional design. Direct observation was performed on all subjects. The results showed that there were 37 employees as subjects. There was a strong correlation between sedentary behavior and blood pressure (r=0.684); a negative and very weak correlation between sedentary behavior and BMI (r=-0.101); and a very strong correlation between sedentary behavior and heart rate (r=0.796). In conclusion, there were relationships between sedentary behavior and blood pressure as well as heart rate. Albeit, there was no relationship between sedentary behavior and body mass indexKeywords: sedentary behavior, body mass index, blood pressure, heart rate Abstrak: Dengan kemajuan teknologi maka perilaku sedentary makin meningkat di seluruh dunia. Beberapa akibat yang dapat terjadi akibat perilaku sedentary ialah meningkatnya indeks massa tubuh (IMT), tekanan darah, dan denyut jantung. Prevalensi obesitas dan tekanan darah tinggi di Sulawesi Utara ialah yang tertinggi di seluruh Indonesia. Penelitian ini bertujuan untuk mengetahui hubungan antara perilaku sedentary dengan IMT, tekanan darah, serta denyut jantung pada pegawai struktural dan administrasi RSUD Provinsi Sulawesi Utara. Jenis penelitian ialah analitik observasional dengan desain potong lintang. Pada penelitian ini dilakukan pengamatan langsung terhadap subyek penelitian yaitu pegawai struktural dan administrasi RSUD Provinsi Sulawesi Utara yang memenuhi kriteria inklusi. Hasil penelitian mendapatkan korelasi kuat antara perilaku sedentary dengan tekanan darah (r=0,684); korelasi negatif yang sangat lemah antara perilaku sedentary dengan IMT (r=-0,101); dan korelasi sangat kuat antara perilaku sedentary dengan denyut jantung (r=0,796). Simpulan penelitian ini ialah terdapat hubungan antara perilaku sedentary dengan tekanan darah dan denyut jantung tetapi tidak terdapat hubungan antara perilaku sedentary dan indeks massa tubuhKata kunci: perilaku sedentary, indeks massa tubuh, tekanan darah, denyut jantung
Pengaruh latihan gerak aktif menggenggam bola pada pasien stroke diukur dengan handgrip dynamometer Prok, Winona; Gessal, Joudy; Angliadi, L. S.
e-CliniC Vol 4, No 1 (2016): Jurnal e-CliniC (eCl)
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.4.1.2016.10939

Abstract

Abstract: Stroke is the clinical signs are growing rapidly as a result of brain dysfunction focal (or global), with symptoms lasting for 24 hours or more, can cause death, regardless of the cause other than vascular. Stroke can cause deficit of hand function. Design of study is quasi experiment with pre and post test design. Study was done at Public Hospital of Prof.R.D. Kandou Manado on october until november 2015 with 18 samples of stroke patients and was selected by using purposive sampling method. The ball handgrip active exercise carried out for a month. Force of handgrip was measured by using handgrip dynamometer. The result of study showed mean of force of handgrip before exercise 10,56 Kg, after exercise 14,06 Kg. There was significant different of mean of muscle power before and after exercise (p = 0.000). Conclusion of study there was significant affect of the ball handgrip active exercise program to muscle power of hand on stroke patients.Keywords: stroke, ball handgrip active exercise, muscle powerAbstrak: Stroke adalah tanda-tanda klinis yang berkembang cepat akibat gangguan fungsi otak fokal (atau global), dengan gejala-gejala yang berlangsung selama 24 jam atau lebih, dapat menyebabkan kematian, tanpa penyebab lain selain vaskular. Stroke dapat menyebabkan gangguan pada fungsi tangan. Penelitian menggunakan desain quasi experiment dengan rancangan pre and post test one group design. Penelitian dilaksanakan di Rumah sakit umum Prof kandou Manado pada bulan oktoberl sampai dengan november 2015. Sampel berjumlah 18 pasien stroke yang diambil dengan purposive sampling. Perlakukan dalam penelitian ini yaitu latihan gerak aktif menggenggam bola karet selama 1 bulan. Kekuatan otot diukur dengan handgrip dynamometer. Hasil penelitian menunjukkan bahwa rata-rata kekuatan otot sebelum latihan sebesar 10,56 Kg dan sesudah latihan 14,06 Kg. Hasil analisis data menunjukkan ada perbedaan bermakna rata-rata kekuatan otot sebelum dan sesudah latihan (p= 0,000). Hasil penelitian dapat disimpulkan bahwa ada pengaruh bermakna latihan gerak aktif menggenggam bola terhadap kekuatan otot tangan pada pasien stroke .Kata kunci: stroke, latihan gerak aktif menggenggam bola, kekuatan otot
Deteksi dini skoliosis menggunakan skoliometer pada siswa kelas VI SD di Kecamatan Mapanget Manado Parera, Amy C.; Sengkey, Lidwina S.; Gessal, Joudy
e-CliniC Vol 4, No 1 (2016): Jurnal e-CliniC (eCl)
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v4i1.10831

Abstract

Abstract: Most of scoliosis has been diagnosed in 10 to 15 year old children. Untreated scoliosis may become worse and may affect the cardiopulmonary function, limited mobilitiy for people and have a negative impact on posture. Early detection of scoliosis plays an important role in preventing deformity and damages. This study aimed to obtain the number of the sixth grader students who were potentially scoliosis in Mapanget Manado. This was an observational descriptive study. Data were collected by measuring the Angle of Trunk Rotation of 81 students of sixth grade who met the inclusion criteria by using scoliometer. The results showed that there were three students (4%) aged 11 years who were highly potential scoliosis. There were 28 of the 37 female students (76%) categorized as intermediate and highly potential scoliosis groups. All students with highly potential scoliosis were from independent school. Conclusion: The percentage of the sixth grader students in Mapanget Manado who were detected as highly potential scoliosis was 4%.Keywords: early detection, scoliosis, scoliometerAbstrak: Sebagian besar skoliosis terdiagnosis pada anak dengan rentang usia 10 hingga 15 tahun. Skoliosis yang tidak ditangani dapat menjadi lebih buruk, berpengaruh pada fungsi kardiopulmoner, keterbatasan mobilitas bagi penderita dan berdampak buruk pada postur tubuh. Deteksi dini skoliosis berperan penting dalam mencegah kelainan dan kerusakan yang bertambah parah. Penelitian ini bertujuan untuk mengetahui jumlah siswa kelas VI SD yang dideteksi berpotensi skoliosis di Kecamatan Mapanget Manado. Metode: Penelitian ini bersifat observasional deskriptif. Data diperoleh melalui pengukuran langsung Angle of Trunk Rotation pada 81 siswa kelas VI SD yang memenuhi kriteria inklusi dengan menggunakan alat skoliometer. Hasil penelitian mendapatkan tiga siswa (4%) berusia 11 tahun yang berpotensi tinggi skoliosis. Terdapat 28 dari 37 orang (76%) siswa perempuan termasuk dalam golongan intermediate dan potensi tinggi skoliosis Semua siswa berpotensi tinggi skoliosis berasal dari sekolah swasta. Simpulan: Persentase jumlah siswa kelas VI SD di Kecamatan Mapanget yang dideteksi berpotensi tinggi skoliosis sebanyak 4%.Kata kunci: deteksi dini, skoliosis, skoliometer.
Medical Rehabilitation in Patient with Cerebral Palsy Spastic Diplegic GMFCS IV MACS I CFCS IV EDACS II Rondonuwu, Gloria; Gessal, Joudy; Angelina, Chelsy
e-CliniC Vol. 12 No. 2 (2024): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v12i2.46884

Abstract

Abstract: Children with cerebral palsy are present with three types of motor problems. The major disturbances in muscle tone, balance, strength, and selectivity are directly related to damage of the central nervous system. Treatment programs encompass physical and behavioral therapy, pharmacologic and surgical treatments, mechanical aids, and management of associated medical conditions. In physical, occupational, speech, and behavioral therapies, the goals include enhancing patient and caregiver interactions while providing family support. We reported a female, 7-year-old, with cerebral palsy spastic diplegic GMFCS IV MACS I CFCS IV EDACS II. The patient was treated with USD intensity 1 watt/cm2, frequency 3.3 MHz in 5 minutes and continuous stretching in four extremity for 10 minutes each. It showed improvement from the popliteal angle assessment and MAS score, therefore, additional invasive therapy, such as botox injection, might be not needed in the meantime. Stiffness in lower extremities especially at gastrocnemius muscle was treated with ESWT energy of 0.15mJ/mm2; total shots dose 1500 shocks per each treated muscle (gastrocnemius); frequency 4 Hz. The patient presented with lumbar hyperlordotic and anterior pelvic tilt, and also tended to sway posteriorly during standing and walking, resulting poor protection reaction on the anterior side. It will be beneficial to add abdominal core and hip extensor strengthening exercise into the program. For walking aids, we considered about using anterior walker or posterior walker. However, since the patient was 4 years old and could not take complex instruction, it might become challenging to modify the exercise protocol. Regular daily stretching was beneficial for the home program and should be continued. Referral to surgery was not required at this moment due to no joint contracture. Keywords: cerebral palsy; motor problem; gait rehabilitation
Rehabilitation for Marfan Syndrome Hartanto, Christi E.; Rondonuwu, Gloria E .; Gessal, Joudy
e-CliniC Vol. 12 No. 2 (2024): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v12i2.54474

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Abstract: Marfan syndrome is a spectrum of disorders caused by a heritable genetic defect of connective tissue that has an autosomal dominant mode of transmission. The defect itself has been isolated to the FBN1 gene on chromosome 15, which codes for the connective tissue protein fibrillin. Abnormalities in this protein cause a myriad of distinct clinical problems, of which the musculoskeletal, cardiac, and ocular system problems predominate. The skeleton of patients with Marfan syndrome typically displays multiple deformities. Mitral valve prolapses that requires valve replacement can occur as well. Given the variable expressivity of Marfan Syndrome, no single sign is pathognomonic; the diagnosis is made on clinical grounds on the basis of typical abnormalities. We reported a boy, 12 years old, referred from surgeon with diagnosis pectus carinatum pro brace. Chest protusion appeared since age 6, getting bigger without any complaint but cosmetic. Other complaints on feet which looked flat, sometimes ankle sore after long distance running or futsal. He was the first child and no family history had a condition like him. His hobby was playing futsal, and daily activities were independent without assistive devices. General appearance and vital signs were normal, cardiorespiratory assessment was normal, BMI on percentile 10-25, arm span to height ratio 1.09, lens subluxation of left eye, lens dislocation of right eye, poor standing balance, inadequate toe off, thoracic hyperkyphotic, positive wrist sign, true leg length discrepancy of 1 cm (left>right), bilateral ankle ROM limitation, rigid flat feet suspected bilateral vertical talus, left hallux valgus, Marfan syndrome score 9, and normal echocardiography. In this patient, we gave semi rigid thoraco-lumbo-sacral orthosis (TLSO) with 3 points pressure system and rigid bar on protution area (custom molded).  resistance exercise (F: 3x/week, I: moderate fatigue, Borg scale 13-15/20, T: 8-15 reps/ set, 2-3 set/ session, T: major muscle group upper and lower extremities aerobic exercise (F: 3x/week, I: moderate to vigorous, borg scale 13-15/20, T: ≥60 min/session, @5-10 min warming up and cooling down (stretching), T: sport (swimming, running, cycling). The patient was referred to a surgeon for a brace. In conclusion, this case report highlights the multidisciplinary management of patients with Marfan syndrome. Keywords: Marfan syndrome; typical abnormalities; multiple deformities
Gambaran Kasus Nyeri Bahu pada Pasien di Instalasi Rehabilitasi Medik RSUP Prof. Dr. R. D. Kandou Manado Periode Tahun 2020-2022 Geraldine, Petria F.; Lampah, Christopher; Gessal, Joudy
e-CliniC Vol. 13 No. 1 (2025): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v13i1.60774

Abstract

Abstract: Shoulder pain is one of the leading causes of health problems with a high incidence rate increaseing with age. This condition is the third most common musculoskeletal problem encountered in primary health care visits. This study aimed to obtain the description of shoulder pain cases in patients at the Medical Rehabilitation Installation of Prof. Dr. R. D. Kandou Hospital Manado from 2020 to 2022. This was a descriptive and retrospective study with a cross-sectional design. The results obtained a population of 240 patients; 223 of them met the inclusion and exclusion criteria. Patients who came with complaints of shoulder pain in this study were dominated by patients diagnosed with frozen shoulder (43.9%), the age group of the late elderly (56–65 years) (28.3%), female gender (54.7%), had a work background as housewives (26.5%), had a previous history of hypertension (39%), and had a non-traumatic etiology of the problem (51.2%). In conclusion, patients who presented with shoulder pain were diagnosed with frozen shoulder, aged in the late old elderly, female gender, worked as housewives, had a history of hypertension, and had a nontraumatic etiology. Keywords: shoulder pain; patient characteristics; non-traumatic etiology     Abstrak: Nyeri bahu merupakan salah satu penyebab utama gangguan kesehatan dengan tingkat kejadian yang tinggi seiring pertambahan usia dan menempati masalah muskuloskletal ketiga paling sering dijumpai dalam kunjungan ke layanan kesehatan primer. Penelitian ini bertujuan untuk mengetahui gambaran nyeri bahu pada pasien di Instalasi Rehabilitasi Medik di RSUP Prof. Dr. R. D. Kandou Manado periode tahun 2020-2022. Jenis penelitian ialah deskriptif retrospektif dengan rancangan potong lintang. Hasil penelitian mendapatkan populasi sebanyak 240 pasien dengan nyeri bahu; 223 di antaranya memenuhi kriteria inklusi dan ekslusi. Pasien yang datang dengan keluhan nyeri bahu pada peneltitian ini didominasi oleh pasien yang terdiagnosis frozen shoulder (43,9%), kelompok usia masa lansia akhir (56–65 tahun) (28,3%), berjenis kelamin perempuan (54,7%), pekerjaan sebagai ibu rumah tangga (26,5%), memiliki riwayat hipertensi sebelumnya (39%), dan memiliki etiologi permasalahan secara non traumatik (51,2%). Simpulan penelitian ini ialah pasien dengan nyeri bahu terbanyak dengan diagnosis frozen shoulder, berusia masa lansia akhir, berjenis kelamin perempuan, pekerjaan sebagai ibu rumah tangga, mempunyai riwayat hipertensi, serta beretiologi non traumatik. Kata kunci: nyeri bahu; karakteristik pasien, etiologi nontraumatik
Co-Authors Amy C. Parera, Amy C. Angelina, Chelsy Anggana, Brain Baka, Reinaldi S. F. N. Dullu, Saron Karmelina Alvita Engeline Angliadi Fadilah, Fitria Geraldine, Petria F. Hartanto, Christi E. L. S. Angliadi Lampah, Christopher Leonard S. Angliadi Lidwina S. Sengkey Lidwina Sengkey Marpaung, Elfrida Meilany D. Wongkar, Meilany D. Novina Santoso Parauba, Mercy C. K. Patricia Kalangi Rondonuwu, Gloria Rondonuwu, Gloria E . Sitorus, Fransisca Sitorusca Santa Anna Boru Suyono, Jonathan Prayogi Theresia Isye Mogi, Theresia Isye Walukouw, Caesario S. J. Widya Utari Winona Prok, Winona