Wardhani, Indrayuni Lukitra
Department Of Physical And Rehabilitation Medicine, Faculty Of Medicine Universitas Airlangga, Surabaya, Indonesia - Dr. Soetomo General Hospital Surabaya

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Association between Running Activity and Pronated Foot Posture in East Java Puslatda Athletes Yani Christina1, Indrayuni Lukitra Wardhani1, Bayu Santoso1
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 2 (2020): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v14i2.2762

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Background: Athlete begins intense exercise at a young age when the musculoskeletal system is still immature, thus it has the potential to cause specific changes in body. A more pronated foot have a greater mobility in both lateral medial plane and vertical plane. Hyperpronated foot allegedly can increase injury risk because it will cause a great moment of force and instability. The research aimed to determine correlation between running activity and pronated foot posture, and to obtain foot posture description of East Java puslatda athletes during running activity in their exercise. Methods: The research employed cross sectional design using 75 athletes, consisting of 43 athletes who run more than 20 km per week and 32 athletes who run less than 20 km per week. The research variables were running activity obtained from questionnaire and foot posture obtained from the Foot Posture Index examination. The study protocol was approved by the ethics committees of Dr. Soetomo Teaching Hospital (Surabaya, Indonesia). Results: The subjects’ demographic data characteristics based on age and exercise duration showed no difference between the two sample groups. On the other hand, the research found a significant difference between age (p = 0.001) and body mass index (p = 0.049). There was no significant correlation between running activity and pronated foot posture, with p = 0.293. Conclusion: The study found that running activity more than 20 km per week had no correlation with pronated foot percentage. Pronated foot posture was commonly found in the sample group with running activity more than 20 km per week, but it was not statistically significant.
The Duration of Hemodialysis and its Implication to Barthel Score and Laboratory Parameters among End Stage Renal Disease Patients Jahidi, Savero Mizan; Mardiana, Nunuk; Wardhani, Indrayuni Lukitra
Clinical and Research Journal in Internal Medicine Vol 2, No 1 (2021): First Issue of 2021
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.crjim.2021.002.01.3

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Background: While it was proven that hemodialysis for treating patients with end stage renal disease (ESRD) provided the reduced mortality rate, the reports on its adequacy in the context of laboratory parameters and psychological function were limited. Aim: To assess the implication of hemodialysis duration on Barthel score and laboratory parameters among ESRD patients.  Methods: During the period, a cross-sectional study was conducted at Dr. Soetomo General Hospital. Information related to age, gender, history of hypertension, history of diabetes mellitus, and the levels of hemoglobin, albumin, calcium, and phosphor were retrieved from medical records. While, we performed the interview to each participant using Barthel index questionnaire to assess the function independence. We used multiple logistic regression analysis to determine the correlation and estimate of effect. Results: We totally include we included 65 patients with the hemodialysis duration of more than one year and 16 patients with the hemodialysis duration of less than one year. Our results found that the higher levels of albumin and hemoglobin were observed in patients with hemodialysis duration of more than one year. While, the duration of hemodialysis did not affect the Barthel score and serum mineral parameters. Conclusion:  The duration of hemodialysis of more than one year is associated with the improvement of albumin and hemoglobin levels
Conventional Low Intensity Pulsed-Ultrasound Therapy Increase Osteoblast, Serum Alkaline Phosphatase and Serum Calcium Levels in Fracture Healing Process Wardhani, Indrayuni Lukitra; Agus Budi Wirawan, I Ketut Gede; Pawana, I Putu Alit; -, Andriati; Maria, Patricia
Cermin Dunia Kedokteran Vol 45, No 3 (2018): Muskuloskeletal
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (411.148 KB) | DOI: 10.55175/cdk.v45i3.179

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Introduction: Application of ultrasound waves to improve bone healing generally use specific bone stimulator equipment not available in Indonesia. Frequency and duration of therapy from previous studies are very difficult to apply in clinical practice. This study aims to observe the therapeutic effect of conventional low-intensity pulsed-ultrasound to osteoblast, alkaline phosphatase and serum calcium levels. Method: Thirty six male white rats were divided into three groups (control, USD 5x/week, and USD 3x/week). Tibial fracture in ultrasound groups were treated 3x/week and 5x/week with ultrasound waves (1 MHz, pulsed mode, 20% of duty cycle, intensity of 0.2 W/cm2, duration 10 minutes, stationary) for 3 weeks. Callus tissue and blood from all animals were assessed quantitatively using histological and biochemical analyses. Result: Significant differences (p<0.05) in the average number of osteoblasts, level of alkaline phosphatase and serum calcium among all three groups. Conclusion: Conventional low intensity pulsed-ultrasound either 5x/week or 3x/week improve bone healing process.
Comparison of Dynamic Balance between East Java Puslatda Athletes with Plantar Fasciitis and without Plantar Fasciitis Wicaksono Alim Budihartanto; Hening Laswati Putra; Indrayuni Lukitra Wardhani; Yudith Dian Prawitri; Rosy Setiawati
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i3.16017

Abstract

Lower extremity injuries are the most common cases of athlete’s injury. Sports athletes often experience perturbations that disturb their balance. Poor balance is associated with an increased risk of injury in athletes. Plantar fasciitis affects the biomechanics of the foot and impairs pressure distribution and balance during walking and running. To compare the dynamic balance between athletes with plantar fasciitis and without plantar fasciitis. This analytic observational with a cross sectional retrospective study design was performed on 101 athletes, aged 16-32 years. There were 49 male athletes and 52 female athletes have undergone dynamic balance checked with the star excursion balance test (SEBT) and plantar fasciitis examinations based on ultrasonography (USG) examination. There was no difference in the normalized SEBT value between the athlete’s group with plantar fasciitis and the athletes without plantar fasciitis, with p value for the anterior direction = 0.317, anterolateral = 0.215, lateral = 0.062, posterolateral = 0.180, posterior = 0.246, posteromedial = 0.354, medial = 0.409, and anteromedial = 0.245. In summary, there is no difference in the dynamic balance between athletes with plantar fasciitis and without plantar fasciitis. Further research is needed to determine the compensation mechanism in athletes with plantar fasciitis and specific exercises for different sport.
High-Fat Diet Increases Serum HDL, but Not for LDL and HDL/LDL Ratio in MICE Iqbal Laksana; Purwo Sri Rejeki; Lilik Herawati; Mohammad Anam Al Arif; Indrayuni Lukitra Wardhani
Folia Medica Indonesiana Vol. 57 No. 2 (2021): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (236.031 KB) | DOI: 10.20473/fmi.v57i2.16123

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The use of a ketogenic diet with an increased proportion of fat is rampant lately, both as a therapy or even lifestyle. The use of a ketogenic diet is feared to cause dyslipidemia. It will also lead to atherosclerosis and thrombosis. This study aimed to determine the effect of a high-fat diet on HDL, LDL, and HDL/LDL ratio in mice. Thirty male Mus Musculus, 2-3 mo, 15-25 g divided into five groups diet. K1 (12% fat, 20% protein, 62% carb), K2 (30% fat, 60%protein), K3 (45% fat, 45% protein), K4 (60% fat, 30% protein) and K5 (75% fat, 15% protein) for 4 weeks. Feed and water by adlibitum. Blood for serum was taken from the ventricle, while in the measurement of HDL serum level, the LDL used ELISA. Normality of data analyzed by Shapiro Wilk, and homogeneity by Levene test. HDL serum was analyzed using equality test followed by Games Howell, LDL serum and ratio of HDL/LDL was tested by ANOVA followed by LSD with significance 0,05. HDL serum in K1 (62,50±9.94) mg/dL, K2 (78,40±18,76) mg/dL, K3 (79,00±3,81) mg/dL, K4 (80,00±2,16) mg/dL, and K5 (83,50±5,62) mg/dL with p<0,05 in K1, K2 to K3, K4 and K5. LDL serum in K1 (21,67± 4,80) mg/dL, K2 (23,00±12,70) mg/dL, K3 (18,40±4,34) mg/dL, K4 (24,00 ±1,83) mg/dL and K5 (22,00 ± 4,08) mg/dL with p>0,05. Ratio HDL/LDL K1 (3,01±0,91), K2 (4,10±1,86), K3 (4,53±1,5), K4 (3,35±0,34), and K5 (3,96 ± 1,25) with p>0,05.
Risk Factors of Body Mass Index (BMI), Age of Menarche, Parity and Hormonal Contraception of Genu Osteoarthritis in Female Patients Alisiya Alisiya; Sulistiawati Sulistiawati; Patricia Maria Kurniawati; RR Indrayuni Lukitra Wardhani
Folia Medica Indonesiana Vol. 57 No. 2 (2021): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (224.454 KB) | DOI: 10.20473/fmi.v57i2.23029

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Osteoarthritis (OA) is a degenerative disease related to joint cartilage and commonly occurs in the knee joint. The 2013 National Survey recorded the prevalence of joint diseases in East Java was 26.9%. OA affected more women than men due to the estrogen and caused disabilities in many women. This study aimed to find the relationship between Body Mass Index (BMI), age of menarche, parity, and the use of hormonal contraceptives against OA in genu at Universitas Airlangga Hospital, Surabaya. This was an analytic observational study with a case-control approach. Data collection was carried out through a short interview using a questionnaire. The sample size was calculated using a formula and found that the study required 42 patients with OA in the case group and 42 patients without OA in the control group. The case group was dominated by patients with 56-60 years old age (62.1%), BMI 23-24.9 kg/m2 (58.7%), menarche age 12-13 years (53.6%), multiparous (52.6%), having contraception pill usage history (62.3%) particularly using combination pills (60.5%) with a mean duration of use > 1 year (56.8%). There was a relationship between BMI and type of hormonal contraceptive used against genu OA in female patients at Universitas Airlangga Hospital Surabaya.
Does Treadmill Training Improve Balance Function of Healthy Untrained Young Adult Male? Stephanie Theodora; Damayanti Tinduh; Rr. Indrayuni Lukitra Wardhani
Surabaya Physical Medicine and Rehabilitation Journal Vol. 1 No. 2 (2019): SPMRJ, Agustus 2019
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (312.29 KB) | DOI: 10.20473/spmrj.v1i2.16175

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Background: Number of falls increase among elders and young adults prior to any cause. Occult balance disorder may become one of the morbidity factors that causes fall in young adults and eventually elders. One leg stance test reflects static balance function that might show occult balance disorder in healthy population. Closed eyes crossed arms one leg stance (CECAOLS) used to eliminate balance factors such as visual and arms sways that can elevate limit of stability (LOS). Treadmill used as a dynamic balance exercise with inclination and speed level as its’ component to challenge the balance function.Aim: to compare CECAOLS value in subjects with gradual increase of speed versus inclination in moderate intensity treadmill exercise.Methods: Nineteen healthy young adults male with sedentary lifestyle aged from 26 to 37 years old were recruited. Nine people in inclination group, ten people in speed group. Treadmill exercise with moderate intensity (70% maximal heart rate), exercise duration was 30 minutes (5 minutes warming up, 20 minutes core exercise, 5 minutes cooling down), 3 times/week, for 4 weeks. Measurement of CECAOLS value were done prior to first exercise and after completion of exercise in 4th week.Results: Significant increase of CECAOLS value at right leg inclination group with p=0.038. No significant increase of CECAOLS value in speed group (p>0.05).Conclusion: Moderate intensity treadmill exercise with gradual inclination increase 30 minutes duration, 3 times/week, for 4 week was proven to increase CECAOLS value in young adult healthy untrained male.
Comparison of Hamstrings and Quadriceps Femoris Muscle Thickness Increment between Agonist-Antagonist Paired Set and Traditional Set Resistance Training in Untrained Healthy Subjects Gutama Arya Pringga; R. A. Meisy Andriana; Indrayuni Lukitra Wardhani; Lydia Arfianti
Surabaya Physical Medicine and Rehabilitation Journal Vol. 3 No. 2 (2021): SPMRJ, AUGUST 2021
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v3i2.20976

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Background: Resistance training is an effective way to increase muscle mass. Resistance training with agonist-antagonist paired set method can be an alternative to increase muscle mass within a relatively short training time.Aim: To compare the increase in hamstrings and quadriceps femoris muscle thickness between agonist-antagonist paired set (APS) and traditional set (TS) resistance training in untrained healthy subjects.Material and Methods: This study was an experimental study on 16 untrained healthy men which were randomly assigned to the APS and the TS group. Each group got leg curl and leg extension exercises with equal training volume for 6 weeks. For the APS group, 1 set of leg curls was followed by 1 set of leg extensions, repeated for 3 sets. For the TS group, 3 sets of leg curls were followed by 3 sets of leg extensions. Muscle thickness was compared from pre- to post-training and between the intervention groups using B-mode ultrasound.Results: Muscle thickness of the hamstrings and quadriceps femoris increased significantly from pre- to post-training in both groups (p<0.05). The increase in muscle thickness between the two groups was not significantly different (p> 0.05).Conclusion: Resistance training with the APS method did not give a higher increment of hamstrings and quadriceps femoris muscle thickness compared to the TS method in healthy untrained subjects.
LDL Level in Ischaemic Stroke Patients at Dr. Soetomo General Hospital Surabaya Mayori Rachmawati; Paulus Sugianto; Rr. Indrayuni Lukitra Wardhani
Biomolecular and Health Science Journal Vol. 2 No. 1 (2019): Biomolecular and Health Science Journal
Publisher : Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (249.042 KB) | DOI: 10.20473/bhsj.v2i1.12743

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Introduction: Stroke is one of the top killers amongst the non-infectious diseases. Ischemic stroke dominates the rate by 87.0% amongst all type of strokes. One of the risk factors for stroke ischemic stroke is atherosclerosis which caused by lipid build-up in the arteries.Methods: This research is a retrospective study on secondary data. Admitted Ischaemic stroke patients. Lipid profile, and Barthel Index were collected from medical record and presented descriptively.Results: Of the 248 patients, 144 (58.1%) were men, mean age was 59.33. 61.7% ischemic stroke patients have their LDL level elevated, 59.7% HDL decreased, 39.1% total cholesterol elevated, and 33.9% TG elevated. This study also observe the dependency based on Barthel Index of the admitted stroke patients. 75% percents amongst subjects were categorized as “total dependece” are having their LDL level elevated.Conclusion: Most of stroke patients have elevated LDL and HDL while the TG and total cholesterol are mostly optimized. Stroke patients whose admitted with “total dependence” most likely to have elevated LDL in this 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

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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.