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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)
Joudy Gessal
Universitas Sam Ratulangi Manado
Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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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

Abstract

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
Efek Latihan Menggunakan Gim Virtual Reality terhadap Rasa Takut Jatuh dan Kualitas Hidup pada Pasien Pasca Stroke Iskemik Subakut Gessal, Joudy; Anggana, Brain; Suyono, Jonathan Prayogi
Majalah Kedokteran Indonesia Vol 74 No 4 (2024): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.74.4-2024-1478

Abstract

Introduction: Fear of falling after a stroke can be caused by a lack of balance, muscle weakness, or impaired motor control. This can affect a patient's ability to move around and their overall quality of life after a stroke. However, virtual reality (VR) technology has the potential to help with this issue by providing simulated physical exercises that are safe and controlled. By combining VR rehabilitation with conventional stroke care, it's possible to improve a patient's ability to move around safely and their quality of life after a stroke.Methods: An experimental study was conducted on 18 ischemic post-stroke patients who sought treatment at the Medical Rehabilitation Installation of Prof. Dr. R. D. Kandou Hospital Manado from June to July 2023. The study aimed to analyze the impact of VR game training using Xbox 360° and KinectTM devices on fear of falling and post-stroke quality of life. The assessment of fear of falling was done using the Fall Efficacy Scale (FES) and quality of life using the EQ-5D. The intervention included four types of game exercises scheduled three times per week, with each session lasting 30 minutes with a total of eight sessions for each subject.Results: Following VR game training, there was a significant reduction in fear of falling (t = 15.353, p less than 0.001) and an improvement in quality of life across five dimensions of health problems as well as EQ-5D (t = 23.777, p less than 0.001).Conclusion: VR game training combined with conventional stroke care can reduce the fear of falling and improve the quality of life of post-stroke patients.
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
Gambaran Kasus Nyeri Punggung Bawah di RSUP Prof. Dr. R. D. Kandou Manado Periode Tahun 2020– 2022 Baka, Reinaldi S. F. N.; Gessal, Joudy; Lampah, Christopher
Medical Scope Journal Vol. 7 No. 2 (2025): Medical Scope Journal
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/msj.v7i2.59519

Abstract

Abstract: Low back pain (LBP) is a common musculoskeletal complaint that often leads to impairment and disability, with a continuously increasing global incidence. This study aimed to obtain the overview of low back pain cases at the Installation of Medical Rehabilitation of Prof. Dr. R. D. Kandou Hospital in Manado during the period from 2020-2022. This was a descriptive and retrospective study with a cross-sectional design, using medical record data. The results obtained 379 medical records of patients with LBP. The majority of patients were ≥ 56 years (79.2%), female (63.1%), housewives (31.7%), body mass index above 25 kg/m2 (49.6%), non-smokers (88.4%), mechanical etiology (50.1%), and had radiating pain (50.1%). In conclusion, the majority of patients with low back pain were ≥56 years old, female, housewives, excess body mass index, non-smokers, and had mechanical etiology and radiating pain. Keywords: low back pain; age; gender; occupation; body mass index; smoking; etiology; radiating pain    Abstrak: Nyeri punggung bawah (NPB) merupakan keluhan muskuloskeletal yang sering menyebabkan gangguan dan disabilitas, dengan insiden global yang terus meningkat. Penelitian ini bertujuan untuk mengetahui gambaran kasus NPB pada pasien di Instalasi Rehabilitasi Medik di RSUP Prof. Dr. R. D. Kandou periode tahun 2020-2022. Jenis penelitian ialah deskriptif retrospektif dengan desain potong lintang menggunakan data rekam medis. Hasil penelitian mendapatkan 379 rekam medik pasien dengan NPB (n=379). Mayoritas pasien berusia 56 tahun ke atas (79,2%), didominasi oleh perempuan (63,1%), berlatar belakang sebagai ibu rumah tangga (31,7%), indeks massa tubuh di atas 25 kg/m2 (49,6%), tidak merokok(88,4%), terdapat etiologi mekanik (50,1%), dengan nyeri menjalar (50,1%). Simpulan penelitian ini ialah pasien yang datang dengan nyeri punggung bawah mayoritas berusia 56 tahun ke atas, didominasi perempuan, pekerjaan sebagai ibu rumah tangga, memiliki indeks massa tubuh berlebih, tidak merokok, etiologi mekanik, dan nyeri menjalar. Kata kunci: nyeri punggung bawah; usia; jenis kelamin; pekerjaan, indeks massa tubuh, merokok, etiologi, nyeri menjalar
Co-Authors Amy C. Parera, Amy C. Angelina, Chelsy Anggana, Brain Baka, Reinaldi S. F. N. Dullu, Saron Karmelina Alvita Engeline Angliadi 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