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Leg Length Discrepancy Berianto Agustian; Tertianto Prabowo; Dian Marta Sari
Indonesian Journal of Physical Medicine & Rehabilitation Vol 11 No 01 (2022): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36803/ijpmr.v11i01.322

Abstract

ABSTRACT Leg length discrepancy (LLD) is a condition of length differences in the lower extremity, caused by variety of factors, both congenital and acquired. Measurement using measuring tape, block test, and supine-tositting test based on bony landmarks is considered less accurate than imaging techniques. Measuring LLD can be difficult in certain cases such as obesity, leg deformities, and post arthroplasty. Individuals will develop biomechanical strategies to compensate inequality of leg when standing, walking, andrunning on their feet, ankles, knees, hip, and or pelvis to minimize energy consumption. It can causes several complications, including osteoarthritis, functional scoliosis, intervertebral disc degeneration, stress fractures, cardiovascular and neuromuscular problems. Management varies from wearing a shoelift, relieve muscle and joint contracture, and surgical procedures. This paper was written to review measurement technique, biomechanical compensation strategies, complication, and management of LLD from Physical Medicine and Rehabilitation point of view .Keyword: biomechanical compensation strategies, leg length discrepancy, lower extremity, management, measurement
ANALISIS KINERJA KEUANGAN BADAN LAYANAN UMUM (BLU) DALAM RANGKA PENERAPAN SEBAGAI SATKER BADAN LAYANAN UMUM RS. BHAYANGKARA KEDIRI DI ERA BPJS Dian Martasari; Abu Talkah; Arisyaidin Arisyaidin
REVITALISASI : Jurnal Ilmu Manajemen Vol 6 No 4 (2017): REVITALISASI : Jurnal Ilmu Manajemen
Publisher : Universitas Islam Kadiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (705.075 KB) | DOI: 10.32503/revitalisasi.v6i4.423

Abstract

Quality of service is the overall characteristics of the service which is demonstrated in satisfying of consumers’s needs , and BPJS Health Care is a statutory body that set up to organize the health insurance program, as well as patient satisfaction is a feeling of the patient’s level arising as a result of the performance of health service obtained after comparing with what patient’s expected. According to DJSN after doing the monitoring and evaluation of BPJS Health Care program, many participants complained with tiered referral service system that applied by BPJS Health Care, especially in Class II Inpatient Sekayu Regional General Hospital. The purpose of this study was to determine the relationship of BPJS Health Care service quality with patient’s satisfaction in Class II Inpatient Sekayu Regional General Hospital. This study using Analytical research design. The independent variable is the BPJS Health Care service quality and the dependent variable is patient’s satisfaction. Samples taken using Proportional Stratified Random Sampling technique that found 146 patients in Class II Inpatient Sekayu Regional General Hospital. The research instrument used questionnaire. The data were analyzed using Chi Square statistical tests with significance level of p Value ≤ 0,05. The results showed as many as 65 respondents (44,5%) stated the BPJS Health Care service quality is not good, and patient’s satisfaction as many as 69 respondents (47,3%) said not satisfied with the BPJS Health Care service. Results of statistical test Chi Square stating there is a relationship between BPJS Health Care service quality with level of patient satisfaction in Class II Inpatient Sekayu Regional General Hospital (p Value = 0,000).
The Impact of Periodized Sit-to-Stand Exercises on Enhancing Gross Motor Skills and Balance in Children with Down Syndrome Prananta, Marietta Shanti; Sari, Dian Marta; Paramita, Ika Ayu; Trianasari, Nurvita; Wijaya, Laurentia Cindy Gani; Santoso, Patricia Helena Christiani
Surabaya Physical Medicine and Rehabilitation Journal Vol. 7 No. 2 (2025): SPMRJ, AUGUST 2025
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v7i2.66296

Abstract

Background: Down syndrome (DS) is a congenital disorder with multiple chromosomal disorders. That causes growth disorders and changes the structure of the brain, like physical growth retardation, inability to learn, and other ailments of the cardiovascular system, thyroid glands, and blood cancer. The brain diminishes in size and maturation problems, and pathophysiological processes cause delayed motor development. Disorders often found in children with DS include hypotonia, ligamentous laxity, decreased muscle strength, postural control, proprioception, and cognitive disorders. Strengthening exercises in Down Syndrome children is thought to improve their motor and balance skills. The objective of this study was to assess the effect of periodic sit-to-stand strengthening exercises on Down Syndrome.Material and Methods: Children aged 7-12 years with Down Syndrome from Perhimpunan Orang Tua Anak Down Syndrome (POTADS) in Bandung participated in a seven-week sit-to-stand exercise intervention using a quasi-experimental design with a Pretest-Posttest Group approach (n=16). The initial load was 30% of body weight at 1 RM, progressively increasing to 70% by the seventh week, with adjustments based on re-measurements at week four. The intervention incorporated unloading and overloading phases and was performed thrice weekly at participants' homes. GMFM dimensions D and E and PBS were used to assess outcomes.Result: The result showed an increase in the D and E dimensions from the GMFM and PBS scores.Conclusion: Standing, walking, running, jumping motor, and balance skills in children with DS administered sit-to-stand exercise intervention with increased periodization.
Mobilisasi Dini di Intensive Care Unit (ICU): Tinjauan Pustaka Sari, Dian Marta; Widjanantie, Siti Chandra; Poerwandari, Dewi; Paulus, Anitta Florence Stans; Tedjasukmana, Deddy; Nusdwinuringtyas, Nury; Ratnawati, Anita; Putra, Hening Laswati
Majalah Kedokteran Indonesia Vol 72 No 1 (2022): 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.72.1-2022-315

Abstract

Patients in the intensive care unit (ICU) usually have muscle weakness problems that are not related to their primary diseases when admitted ICU. This problem may become a clinical syndrome that we called ICU-Acquired Weakness (ICU-AW). There is currently no specific treatment for ICU-AW, therefore preventing patients from ICU-AW by controlling associated risk factors such as immobility, becoming a critical approach. Early mobilization (EM) has many benefits in the ICU setting for patients with or without mechanical ventilation. Besides that, the realization of EM needs consider the safety criteria and the barriers to their application. Thus, there are guidelines for the realization of EM to give the best outcomes while minimalizing the adverse events.
Physical activity profile of the professors of padjadjaran university based on global physical activity questionnaire Maulida, Mutia Nur; Lubis, Leonardo; Sari, Dian Marta
Folia Medica Indonesiana Vol. 53, No. 4
Publisher : Folia Medica Indonesiana

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Physical activity is one of the factors which determines one's health and fitness, including the professors of Padjadjaran University, as it might support their academic performances. Global Physical Activity Questionnaire (GPAQ) may describe physical activity. The purpose of this study was to describe physical activity profile of the professors of Padjadjaran University based on GPAQ. Physical activity profile which was classified as gender, age group, recommendation fulfillment, and intensity variables by present-ing quantity (n) and percentage (%) was obtained from 141 professors who fulfilled the inclusion criteria. The result of this des-criptive-quantitative study showed that 109 of the respondents were male, and 32 were female. According to WHO age group cate-gories, 35 respondents were middle aged, 78 were elderly, and 28 were late elderly. Fifty-eight respondents (41.1%) did not fulfill minimal recommendation for physical activity, 114 respondents (80.8%) underwent moderate activity and 29 respondents (20.6%) underwent vigorous activity. Therefore, it can be concluded that professors of Padjadjaran University, which were mostly middle-aged men, did not fulfill minimal recommendation for physical activities, although many of them underwent moderate activities in their daily routines.