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Pengaruh rehabilitasi paru terhadap MVV dan VEP1 terhadap pasien penyakit paru obstruktif kronik stabil di RSUP H. Adam Malik Medan Fatma Hani Lubis; Pandiaman Pandia; Amira P Tarigan
Majalah Kedokteran Nusantara The Journal Of Medical School Vol 47, No 1 (2014): The Journal of Medical School
Publisher : Fakultas Kedokteran USU

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Abstract

Introduction : In COPD patient, need to lung function examination and measurement ventilatory muscle strength. MVV recommended as a test more spesific to measure ventilatory muscle fatigue, lung and chest mechanically capacity. MVV is a maximal air breathing exhaled in a period during hardly and fastly breathing. The aim of this study is to assess effect of pulmonary rehabilitation program in copd patient to MVV and FEV1 value before and after pulmonary rehabilitation.Method : This study as clinical trial with pretest and post test design during 12 weeks from october 2013 until december 2013 as many as 14 persons. Spirometry examination doing in these patients with MVV and FVC manouver and also pulmonary rehabilitation.Results : There is no difference in FEV1 value but increasing MVV value although not significant based on statistic. Mean of MVV value before rehabilitation is 37.379 (SD 17.1296) and after rehabilitation is 38.229 (SD 16.5461) with p= 0.849. mean of FEV1 value before rehabilitation is 45.93 (SD 21.334) and after rehabilitation is 45.21 (SD 19.510) with p= 0.768. Conclusion : Statistically there is no significant changed in FEV1 value before and after rehabilitation (p=0.768) Keywords : copd; mvv; fev128
LATIHAN KETAHANAN EKSTREMITAS ATAS DAN SUPLEMENTASI PUTIH TELUR TERHADAP MASSA OTOT PASIEN PENYAKIT PARU OBSTRUKTIF KRONIS (PPOK) Yessi Andriani Zainal; Amira Permatasari Tarigan; Pandiaman Pandia; Putri Chairani Eyanoer
Medika Kartika : Jurnal Kedokteran dan Kesehatan Vol 6 No 3 (2023): Medika Kartika : Jurnal Kedokteran dan Kesehatan
Publisher : Fakultas Kedokteran Universitas Jenderal Achmad Yani

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Abstract

Malnutrisi mempunyai pengaruh negatif terhadap struktur, elastisitas, dan fungsi paru serta kekuatan, ketahanan otot pernafasan, dan akan berdampak pada penurunan kapasitas fungsional serta meningkatkan risiko mortalitas. Pemberian latihan ketahanan otot dan pemberian nutrisi pada pasien Penyakit Paru Obstruktif Kronis (PPOK) dapat meminimalisasi gejala, dan meningkatkan aktivitas sehari-hari. Studi klinis ini menggunakan desain quasi-experimental dengan satu kelompok pre-test post-test yang melibatkan 11 pasien PPOK stabil. Latihan selama 30 menit dilakukan empat kali seminggu selama satu bulan dengan tambahan asupan tujuh butir putih telur per latihan dalam diet. Responden mendapatkan instruksi latihan pada satu sesi di rumah sakit, setelah itu mereka harus melakukannya secara mandiri di rumah dan dipantau dengan telepon dan WhatsApp (WA) grup. Sebelum dan setelah penelitian selesai, massa otot kedua kelompok diukur menggunakan Carada Scan. Setelah diberikan latihan ketahanan ekstremitas atas, pada kelompok ini menunjukkan adanya peningkatan massa otot yang signifikan dari baseline 27,99±6,58 menjadi 30,0±7,23. Setelah menjalani program rehabilitasi paru, terdapat peningkatan massa otot yaitu menjadi 30,0±7,23. Kesimpulannya setelah dilakukan latihan ketahanan dan penambahan nutrisi putih telur dilaporkan bahwa terdapat manfaat yang signifikan terhadap pasien PPOK dengan bukti terdapatnya peningkatan massa otot. Kata kunci : latihan ketahanan ekstremitas atas, ppok, putih telurDOI : 10.35990/mk.v6n3.p230-239
COMPARISON OF UPPER EXTREMITY MUSCLE STRENGTH BETWEEN PATIENTS WITH STABLE AND EXACERBATED CHRONIC OBSTRUCTIVE PULMONARY DISEASE AT A HOSPITAL IN MEDAN Rocky Malindo Sidabutar; Amira Permatasari Tarigan; Pandiaman Pandia; Taufik Ashar
Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Universitas Sriwijaya Vol. 12 No. 3 (2025): Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Univers
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/jkk.v12i3.688

Abstract

One of the main complications in patients with COPD is muscle weakness or atrophy, which becomes more pronounced during exacerbations, leading to a decline in quality of life, prognosis, and an increased risk of future exacerbations. This study compared upper limb muscle strength between stable COPD patients and those experiencing exacerbations. A cross-sectional study design was used, with an independent sample t-test to compare the mean values of two unpaired groups. Sampling was conducted using a non-probability consecutive sampling technique. Researchers assessed upper limb muscle strength using a Hand-grip Dynamometer on a predetermined sample size that met the inclusion and exclusion criteria. The results showed a significant correlation between the history of exacerbations within the past year and COPD in both groups (p < 0.05). Upper limb muscle strength in the exacerbation group was lower than in the stable COPD group. The independent t-test yielded a p-value of 0.001, indicating a significant difference in upper limb muscle strength between the stable and exacerbation COPD groups.