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All Journal Jurnal Kedokteran Syiah Kuala World Nutrition Journal SURABAYA PHYSICAL MEDICINE AND REHABILITATION JOURNAL Budapest International Research in Exact Sciences (BirEx Journal) Prosiding Seminar Nasional Teknik UISU (SEMNASTEK)
Safrizal Rahman
Orthopedics And Traumatology Division, Department Of Surgery, School Of Medicine, Universitas Syiah Kuala, Banda Aceh, Aceh 23111, Indonesia
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Civil Engineering, Building, Construction & Architecture Engineering Health Professions Medicine & Pharmacology Physics Public Health Transportation

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PENGARUH PENAMBAHAN LATIHAN ISOMETRIK OTOT PLANTAR FLEKSOR TERHADAP AKTIVITAS OSTEOBLAST PADA PASIEN PASCA OPEN REDUCTION INTERNAL FIXATION FRAKTUR TIBIA Nasyaruddin Herry Taufik; Safrizal Rahman
Jurnal Kedokteran Syiah Kuala Vol 15, No 1 (2015): Volume 15 Nomor 1 April 2015
Publisher : Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/jks.v15i1.3257

Abstract

Abstrak. Aktivitas sel osteoblast merupakan proses fisiologi dalam penyembuhan fraktur. Stimulasi mekanik akan memicu aktivitas osteoblast tersebut. Belum diketahui efek kontraksi isometrik otot plantar fleksor terhadap aktivitas osteoblast. Marker aktivitas osteoblast adalah kadar Bone specific alkhaline phosphatase (BSAP). Tujuan Penelitian ini untuk mengetahui  efek kontraksi isometrik otot plantar fleksor terhadap peningkatan aktivitas osteoblast pada pasien fraktur tibia. Penelitian ini menggunakan metode true experimental dengan pre-post test control group design. Analisa pengujian  hipotesa dengan menggunakan uji beda dua mean independen dengan tingkat kepercayaan nilai α  0,05. Peningkatan mean BSAP kelompok I; 14,44 dan kelompok II;3,65. Uji T2 sampel bebas ( α 0.05 dan Confidence Interval 95 %) diperoleh nilai  Sig.2 tail 0.000 yang artinya  ada perbedaan yang significan peningkatan kadar BSAP kelompok I (melakukan latihan isometrik) dengan kelompok II(tidak melakukan latihan isometrik) pada pasien pasca Open Reduction Internal Fixation fraktur tibia. Kesimpulan dari penelitian ini adalah Latihan isometrik otot plantar fleksor pada pasien pasca Open Reduction Internal Fixation fraktur tibia meningkatkan aktivitas osteoblast yang akan mempercepat proses penyembuhan.  Abstract. Osteoblast cell activity is a physiological process in fracture healing. Mechanical stimulation will trigger the activity of osteoblasts. Unknown effects of plantar flexor muscle isometric contraction of the activity of osteoblasts. Marker osteoblast activity is bone specific levels alkhaline phosphatase (BSAP). Purpose of this study was to determine the effects of plantar flexor muscle isometric contraction against an increase in osteoblast activity in patients with fractures of the tibia. This study uses a true experimental method with pre-posttest control group design. Analysis of hypothesis testing using different test two independent mean the confidence level α value of 0.05. Mean increase in BSAP group I; 14.44 and group II; 3.65. T2 test of independent samples (α of 0.05 and confidence interval 95%) was obtained tail Sig.2 value of 0.000, which means there is a significant difference in increased levels of BSAP group I (do isometric exercises) with group II (not doing isometric exercises) in patients with post Open Reduction Internal Fixation of fracture of the tibia. The conclusion of this study is Isometric Exercise plantar flexor muscles in patients with post Open Reduction Internal Fixation of fracture of the tibia increases the activity of osteoblasts which will accelerate the healing process.
LIMB LENGTHENING: METODE ILIZAROV DAN WAGNER Safrizal Rahman
Jurnal Kedokteran Syiah Kuala Vol 16, No 1 (2016): Volume 16 Nomor 1 April 2016
Publisher : Universitas Syiah Kuala

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Abstract

Abstrak. Limb lenghthening adalah teknik pemanjangan tulang melalui metode pembedahan khusus yang memiliki prinsip bahwa tulang dan jaringan lunak dapat melakukan regenerasi jika diberikan tekanan (tarikan) secara simultan. Law of tension stress merupakan dasar dari proses limb lengthening, yang mana jika jaringan tubuh yang berfungsi normal dan mempunyai sistem perdarahan yang baik, apabila diberikan tarikan (tegangan) maka jaringan tersebut akan mengalami proses neohistogenesis, yang mana pada tulang yang diberi distraksi disebut osteogenesis. Terdapat beberapa penyebab terjadinya pemendekan ektremitas yaitu berupa kelainan kongenital, trauma, infeksi, kelainan neurologis dan iatrogenik. Prosedur limb lengthening terbagi kedalam 3 fase utama yaitu fase laten, fase distraksi, dan fase konsolidasi. Metode Ilizarov dan Wagner merupakan metode limb lengthening yang menggunakan eksternal fiksasi. Perbedaan kedua jenis metode tersebut adalah dari jenis aparatur yang digunakan untuk melakukan distraksi, yang mana pada metode Ilizarov menggunakan cincin sirkular yang mengelilingi anggota gerak (multiaksial) sedangkan metode Wagner menggunakan distraksi pada satu sisi ekstremitas (uniaksial). Penambahan panjang perhari metode Ilizarov adalah 1 mm dan metode Wagner 1,5 mm. Dalam penerapanya, metode Ilizarov lebih sulit dipasang namun memiliki insidensi komplikasi mayor yang lebih rendah dibandingkan metode Wagner.(JKS 2016; 1: 26-33)Kata Kunci: Limb lengthening, ilizarov, wagnerAbstract. Limb lengthening is a technique of lengthening the bone through a special surgical method which has a principle that bone and soft tissue can regenerate if given the pressure (tension) simultaneously. Law of tension stress is the basis of the process of limb lengthening, which if tissues have normal function and good vascularisation given the distraction, the tissue will undergo a neohistogenesis process, in which the bone by distraction called osteogenesis. There are several causes of shortening of extremity in the form of congenital abnormalities, trauma, infection, neurological disorders and iatrogenic. Limb lengthening procedures are divided into three main phases, namely the latent phase, distraction phase, and consolidation phase.Wagner and Ilizarov method is a method of limb lengthening which use external fixation. Differences in the two types of methods are of the type of apparatus used to perform distraction, which the Ilizarov method using a circular ring surrounding a limb (multiaxial) while Wagner method using distraction on one side of the limb (uniaxial). The elongated of Ilizarov method is 1 mm per day and 1.5 mm per day for Wagner method. In applicability, Ilizarov method is more difficult to perform but by use this method, the incidence of major complications is lower than Wagner method. (JKS 2016; 1: 26-33)Key words: Limb lengthening, ilizarov, wagner
PENGARUH PENAMBAHAN LATIHAN ISOMETRIK OTOT PLANTAR FLEKSOR TERHADAP AKTIVITAS OSTEOBLAST PADA PASIEN PASCA OPEN REDUCTION INTERNAL FIXATION FRAKTUR TIBIA Nasyaruddin Herry Taufik; Safrizal Rahman
Jurnal Kedokteran Syiah Kuala Vol 15, No 2 (2015): Volume 15 Nomor 2 Agustus 2015
Publisher : Universitas Syiah Kuala

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Abstract

Abstrak. Aktivitas sel osteoblast merupakan proses fisiologi dalam penyembuhan fraktur. Stimulasi mekanik akan memicu aktivitas osteoblast tersebut. Belum diketahui efek kontraksi isometrik otot plantar fleksor terhadap aktivitas osteoblast. Marker aktivitas osteoblast adalah kadar Bone specific alkhaline phosphatase (BSAP). Tujuan Penelitian ini untuk mengetahui  efek kontraksi isometrik otot plantar fleksor terhadap peningkatan aktivitas osteoblast pada pasien fraktur tibia. Penelitian ini menggunakan metode true experimental dengan pre-post test control group design. Analisa pengujian  hipotesa dengan menggunakan uji beda dua mean independen dengan tingkat kepercayaan nilai α  0,05. Peningkatan mean BSAP kelompok I; 14,44 dan kelompok II;3,65. Uji T2 sampel bebas ( α 0.05 dan Confidence Interval 95 %) diperoleh nilai  Sig.2 tail 0.000 yang artinya  ada perbedaan yang significan peningkatan kadar BSAP kelompok I (melakukan latihan isometrik) dengan kelompok II(tidak melakukan latihan isometrik) pada pasien pasca Open Reduction Internal Fixation fraktur tibia. Kesimpulan dari penelitian ini adalah Latihan isometrik otot plantar fleksor pada pasien pasca Open Reduction Internal Fixation fraktur tibia meningkatkan aktivitas osteoblast yang akan mempercepat proses penyembuhan.  Abstract. Osteoblast cell activity is a physiological process in fracture healing. Mechanical stimulation will trigger the activity of osteoblasts. Unknown effects of plantar flexor muscle isometric contraction of the activity of osteoblasts. Marker osteoblast activity is bone specific levels alkhaline phosphatase (BSAP). Purpose of this study was to determine the effects of plantar flexor muscle isometric contraction against an increase in osteoblast activity in patients with fractures of the tibia. This study uses a true experimental method with pre-posttest control group design. Analysis of hypothesis testing using different test two independent mean the confidence level α value of 0.05. Mean increase in BSAP group I; 14.44 and group II; 3.65. T2 test of independent samples (α of 0.05 and confidence interval 95%) was obtained tail Sig.2 value of 0.000, which means there is a significant difference in increased levels of BSAP group I (do isometric exercises) with group II (not doing isometric exercises) in patients with post Open Reduction Internal Fixation of fracture of the tibia. The conclusion of this study is Isometric Exercise plantar flexor muscles in patients with post Open Reduction Internal Fixation of fracture of the tibia increases the activity of osteoblasts which will accelerate the healing process.
The correlation between body mass index and the risk of osteoporosis in Acehnese adult females in Zainoel Abidin General Hospital Nadia Safhira Putri Ananda; Husnah Husnah; Safrizal Rahman
World Nutrition Journal Vol. 5 No. 1 (2021)
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V05.i1.0015

Abstract

Background: Osteoporosis is a condition in which bone become weak and brittle characterized with lower bone density and quality causing increased risk of fracture. The elderly is the most common group to be affected and female is more prone compared to male. One of modifiable risk factors of osteoporosis is low body mass index or underweight. This study aimed to investigate the correlation between body mass index and the risk of osteoporosis on Acehnese adult females in RSUDZA.Methods: This was an analytic observational-cross sectional study which was completed at the Internal Medicine and Orthopedic Policlinic at Zainoel Abidin General Hospital Banda Aceh from August 27th to September 13th 2019. The sampling method used was nonprobability sampling with accidental sampling technique. The body mass index was obtained by measuring respondents’ height and weight while the risk of osteoporosis was assessed by measuring OSTA Score.Results: Results showed that most of respondents was aged between 40-45 years old (55.4%) and there are 62 respondents (74.7%) with abnormal body mass index consisted of 9 underweight respondents (10.8%), 11 overweight respondents (13.3%), and 42 obese respondents (50.6%). The risk of osteoporosis was dominantly mild (69.9%). There were 7 underweight respondents (77.8) had moderate risk of osteoporosis while 2 underweight respondents had severe risk (22.2%). Meanwhile, 41 obese respondents had mild risk of osteoporosis (97.6%). Correlation test using Spearman showed p value 0.000 (p < 0.05) and rs = -0,731 which means that there is a strong correlation between body mass index and the risk of osteoporosis.Conclusions: Lower body mass index is directly proportional with higher risk of osteoporosis.
Unregistered Traditional Bone Setting Practice in Aceh, Indonesia: A Problem that Need to be Solved? Safrizal Rahman; Azharuddin Azharuddin; Amanda Yufika; Rovy Pratama
Budapest International Research in Exact Sciences (BirEx) Journal Vol 3, No 1 (2021): Budapest International Research in Exact Sciences, January
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birex.v3i1.1623

Abstract

Little is known about traditional bone setting (TBS) practise in Aceh, Indonesia despite of its common utilisation. The aim of this study was to explore the characteristics of TBS practise in Aceh, Indonesia. Thirty-nine participants from ten regencies in Aceh were interviewed from January to December 2019. Most of the participants were male (82.1%), and aged between 31-50 years old (79,5%). Half of the participants were elementary school graduates (51,3%). More than half (59%) of participants had been practicing bone setting for 5-10 years, and many of them (48.7%) used traditional massages combined with splints and herbal mixtures. None (0%) of the participant obtained legal permission to practice bone setting. More than half (71.8%) obtained the knowledge of TBS from their ancestral heritage, only one participant obtained it through apprenticeships. We concluded that TBS practices in Aceh were unregistered, and the practitioners were mostly untrained. There is a need to provide training and permits for TBS practise to ensure patients’ safety.
Medical Emergency and Public Health Response in Disaster Settings: A Case Series of Pidie Jaya, Lombok and Palu Earthquakes Safrizal Rahman; Muhammad Bayu Zohari Hutagalung
Budapest International Research in Exact Sciences (BirEx) Journal Vol 2, No 2 (2020): Budapest International Research in Exact Sciences, April
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birex.v2i2.1016

Abstract

Indonesia is one of the most disaster-prone countries, often regarded as a “world disaster laboratory.” Natural disasters cause destruction and human suffering, especially in low- and middle-income countries Objective: This paper presents the overview of a medical emergency and public health response towards several recent earthquakes in Pidie Jaya, Lombok, and Palu of Indonesia. Case Series: The authors examine the appropriateness and effectiveness of the organized disaster response of the Pidie Jaya, Lombok, and Palu earthquakes in medical emergency response. Pidie Jaya Earthquake: A 6.4 magnitude earthquake struck off Pidie Jaya Regency, province of Aceh in Sumatra Island, Indonesia, resulting in 104 people died and others 395 injured. Lombok Earthquake: A series of moderate and strong earthquakes have rocked cities and regencies in Lombok Island, West Nusa Tenggara (NTB) causing 436 people died, 783 people with severe injury and 570 people with a mild injury. Palu Earthquake: The 7.7 magnitude earthquake hit Donggala district and also affected Palu city and Parigi Mountong regency causing 2657 people died, 4471 people with severe injury and 87,835 people with a mild injury. Important Findings: Though Indonesia has made outstanding progress in disaster management, the country still has many challenges and problems to overcome. The integration of data and information about health needs the progress of relief work, and about various other problems related to health is one of the most urgent and vital for better improving the medical emergency response and public health-related support in disaster settings.
Profile of Patients’ Osteoarthritis at Tertiary and Teaching in Aceh, Indonesia Alex Kurniawan Gan; Safrizal Rahman; Armia Indra Nur Alam; Bellinda Paterasari
Surabaya Physical Medicine and Rehabilitation Journal Vol. 5 No. 1 (2023): SPMRJ, FEBRUARY 2023
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v5i1.36881

Abstract

Background: Osteoarthritis is a degenerative joint disease characterized by damage of cartilage in the joints and subchondral bones that cause pain in a joint. Aim: To describe the patients’ profile of osteoarthritis at the Dr Zainoel Abidin Hospital Banda Aceh. Material and Methods: A retrospective observational descriptive study on osteoarthritis patients who were treated at the Orthopaedic Clinic of RSUDZA Banda Aceh for the period March 2020 to February 2022. Results: Two years of observation yielded a total of 397 osteoarthritis patients. Most cases are in female patients (63.4%), with the majority of those in the age bracket >55 years (61.9%), with the majority of patients being from Banda Aceh City (37.2%). The most diagnoses are knee OA, which is 330 patients (82.9%) and hip OA, which is 39 patients (9.9%). Only 108 patients received surgery, operations for knee OA, total knee replacement were 78 patients (23.63%), while for hip OA patients who needed total hip teplacement surgery there were were 26 patients (66.66%) and partial hip replacement was 4 patients (10.25%). Conclusion: Osteoarthritis often occurs in female patients and mostly in the patient age group >55 years. Indications for surgery in OA are based on symptoms, stage of OA, and patient-related factors such as age, level of physical activity, and patient comorbidities.
PENGARUH SISTEM KERJA TIDAK ERGONOMIS TERHADAP POSTUR TUBUH NELAYAN Meri Andriani; Samsul Rizal; Hamdani Hamdani; Iskandar Hasanuddin; Safrizal Rahman
Prosiding Seminar Nasional Teknik UISU (SEMNASTEK) SEMNASTEK UISU 2023
Publisher : Fakultas Teknik Universitas Islam Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (304.675 KB)

Abstract

Sistem kerja yang tidak ergonomis membawa dampak produktivitas menurun, seperti postur kerja tidak ergonomis. Postur kerja yang tidak ergonomis juga terlihat pada pekerjaan manual yang dilakukan nelayan. Pekerjaan nelayan pada penelitian kali inidibatasi pada pekerjaan menarik jaring yang penuh terisi ikan. Tujuan penelitian yaitu menentukan postur kerja tidak ergonomis serta menentukan level resiko tindakannya. Metode yang dipergunakan adalah Rapid Entire Body Assissment (REBA). Hasil dan Pembahasan, penilaian REBA dibagi dua grup. Grup A, pada postur bagian batang tubuh terdapat skor tertinggi yakni skor empat di dapat dari enam operator yaitu operator 1, 4, 8, 9, 12, 13, pada postur bagian leher ada enam operator yang mempunyai skor tertinggi yaitu operator 2, 5, 9, 10, 12, 13. Postur bagian kaki terdapat tiga operator yang mempunyai skor tertinggi yaitu operator 6, 7, 12. Pada Beban, setiap operator mempunyai skor tinggi. Grup B, skor tertinggi postur lengan atas terdapat pada operator nomor 12. Pada postur bagian lengan bawah skor tertinggi ditemukan pada operator 13. Pada postur bagian pergelangan tangan, skor tertinggi ada tiga operator yaitu operator 2, 5 dan 9. Seluruh operator mempunyai pegangan dengan skor yang tertinggi. Kesimpulan,  Grup A, postur kerja yang tidak ergonomis ditentukan dari skor tertinggi setiap bagian yaitu pada postur bagian batang tubuh ada enam operator yang mempnuyai skor tertinggi nilai 4, postur bagian leher terdapat enam operator yang mempunyai skor tertinggi yang bernilai 2, postur bagian kaki terdapat tiga operator yang mempunyai skor tertinggi nilai 3, sementara untuk beban seluruh operator mempunyai skor tertinggi. Grup B, postur bagian lengan atas terdapat satu operator yang mempunyai skor tertinggi nilai 4, postur bagian lengan bawah juga hanya terdapat satu operator skor tertinggi nilai 2, postur bagian pergelangan tangan terdapat tiga operator mendapatkan skor tertinggi nilai 3, sementara untuk pegangan seluruh operator mendapatkan skot tertinggi. Level resiko tindakan seluruh operator dibagi atas dua level resiko tindakan yaitu level resiko tinggi dengan tindakan segera ditentukan untuk operator 5, 6, 8, 11. Sementara untuk level resiko sangat tinggi dengan Tindakan sekarang juga ditentukan untuk operator 1, 2, 3, 4, 7, 9, 10, 12, 13. 
Co-Authors Alex Kurniawan Gan Amanda Yufika Armia Indra Nur Alam Azharuddin Azharuddin Baidillah Zulkifli Bellinda Paterasari Hamdani Umar Husnah Husnah Iskandar Hasanuddin Meri Andriani Misbahul Badri Muhammad Bayu Zohari Hutagalung Nadia Safhira Putri Ananda Nasyaruddin Herry Taufik Rizal, Samsul Rovy Pratama Zulfitri, Zulfitri