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EFEK LATIHAN RETROWALKING TERHADAP KEKUATAN OTOT QUADRICEPS PADA INDIVIDU DENGAN OBESITAS Nelfidayani; Tamin, Tirza Z
Majalah Kedokteran Indonesia Vol 69 No 2 (2019): Journal of the Indonesian Medical Association Majalah Kedokteran Indonesia Volum
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

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

Pendahuluan: Konsensus dalam literatur menunjukkan bahwa individu dengan obesitas mengalami penurunan kekuatan otot quadriceps yang relatif terhadap massa tubuh dibandingkan pada individu non-obesitas. Hal ini terbukti meningkatkan risiko terjadinya osteoarthritis, gangguan keseimbangan, dan potensi keterbatasan fungsional. Program latihan retrowalking menunjukkan manfaat dalam meningkatkan kekuatan otot quadriceps. Tujuan dari studi ini adalah untuk mengetahui efek latihan retrowalking terhadap kekuatan otot quadricep pada individu dengan obessitas. Metode: Studi ini merekrut subjek sehat dengan obesitas derajat I di Departemen Rehabilitasi Medik, RSCM-Jakarta. Latihan retrowalking dilakukan selama 4 minggu (2 sesi/minggu, 15 menit/sesi). Kekuatan otot quadriceps diukur oleh satu penguji tunggal menggunakan handheld dynamometer dalam beberapa interval waktu (pretest, minggu ke-2, minggu ke-4). Analisi data dan uji hipotesis menggunakan uji T berpasangan. Hasil: Sebanyak 7 individu yang direkrut dengan rerata usia adalah 29,57 ± 2,94 tahun dan Indeks Massa Tubuh 26,47 ± 0,8. Kekuatan otot quadriceps meningkat secara signifikan pada akhir minggu ke-2 (D = +3,04, p <0,001) dan minggu ke-4 (D = +5,59, p<0,001) dibandingkan sebelum latihan. Tidak ada efek samping yang dilaporkan selama latihan retrowalking pada studi ini. Kesimpulan: Latihan retrowalking terbukti meningkatkan kekuatan otot quadricep pada individu dengan obesitas. Secara bersamaan, latihan retrowalking merupakan latihan yang aman.

Extracoporeal shockwave treatment decreases pain, functional limitations and medial collateral ligament thickness in subjects aged 50-70 years with knee osteoarthritis Kokok, Andwi Setiawan; Tamin, Tirza Z; Murdana, Nyoman; Widyahening, Indah Suci
Universa Medicina Vol. 40 No. 2 (2021)
Publisher : Faculty of Medicine, Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2021.v40.121-132

BackgroundPain from knee and hip osteoarthritis (OA) can have a significant impact on the physical function and quality of life of affected individuals worldwide. The objective of this study was to evaluate the effect of extracorporeal shockwave therapy (ESWT) on pain, flexibility, function, and medial collateral ligament (MCL) thickness in knee osteoarthritis (KOA). MethodsA study of quasi experimental design was performed involving 15 subjects aged 50 â€“ 70 years with Kellgren-Lawrence grade 2-3 KOA. All subjects were evaluated regarding baseline -pain using visual analogue scale (VAS), range of motion (ROM), functional outcome using Western Ontario and McMaster Universities Arthritis Index (WOMAC), and MCL size. Extracorporeal shock wave therapy was given 3 times, at baseline, and 4 and 8 weeks after intervention. All subjects were given 4000 shocks at intensities of 1.5 â€“ 4 Bar (raised gradually) per session. The shocks were given in the supine position, knee flexed 90o, without topical anesthetic. Statistical analyses were conducted using a dependent t-test. ResultsAfter 8 weeks of intervention, ESWT significantly improved pain score (p<0.01), WOMAC (p<0.01) and MCL thickness (p<0.01) in patients with OA of the knee. However, there was no significant difference in knee ROM, both for degree of flexion and extension (p>0.05). ConclusionThe use of ESWT for treatment of knee OA had a beneficial effect on pain relief, function outcome and MCL thickness. However, there remains a lack of clarity regarding the frequency and dosage levels of ESWT required to achieve maximum improvement.

Relationship between Calcium Deposit Size with the Pain Intensity in Patients with Calcified Rotator Cuff Tendinitis Indri Wijayanti; I Nyoman Murdana; Tirza Z. Tamin
Indonesian Journal of Physical Medicine & Rehabilitation Vol 5 No 02 (2016): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Background: Calcified tendinitis is a disease characterized by calcification of multifocal cells mediated byliving tissue. Calcified tendinitis may occur due to the collection of calcium in the supraspinatus tendon pouchor may be spread between rotator cuff muscle fibers and bursa, it may not cause pain or may cause mild painor discomfort. The aim is to determine the correlation of calcium deposit size to the pain intensity in patientswith calcified tendinitis.Methods: Methods in this study was a cross-sectional study, twenty subjects, aged 50-70 years old, diagnosedwith calcified tendinitis rotator cuff through musculoskeletal ultrasonography examination.Results: No significant correlations were found between calcium deposit size and pain intensity using VAS,r=0.238, p=0.312.Conclusion : The size of the calcium deposit was not correlated with the pain intensity in rotator cuff calcifiedtendinitis patients. But further research is needed whether the location and form of calcium deposits affect thepain intensity in calcified tendinitis rotator cuff patients.Keywords: calcified tendinitis; calcium deposit size; pain intensity.

Severe Degree of The Obesity Has More Comorbid Factors and more Severe of The Knee Osteoarthritis Natalia Loekito; Tirza Z. Tamin; I Nyoman Murdana
Indonesian Journal of Physical Medicine & Rehabilitation Vol 5 No 02 (2016): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Background : Obesity is a risk factor for knee osteoarthritis (OA). The major problem of OA are pain and decreased of knee muscle strength cause a decline of functional capacity, and lead to disability. Aim of this study is to describe the profile of obese patients with knee OA to prevent disability. Methods : A descriptive study was conducted from September 2016 - March 2017. Subjects were obese patients with knee OA, age ranging from 40-80 years with sedentary lifestyle, with Physical level (PAL)<1.4. Results : Most of the subjects have age>60 y.o(58.8%) anf were female (92.7%). The frequency of Obesity grade II (56.1%) and OA knee grade III (56.1%) were the most frequent. There were higher prevalence of comorbid factors on subjects with grade II of obesity i.e, hypertension, dyslipidemia, and diabetes mellitus (32 vs 27, 18 vs 5, 7 vs 2) respectively. THis study found 41 subjects has knee OA, consist grade II was 18 (43,9%), grade II was 23 (56,1%), Besides, there were higher prevalence of more severe knee OA on grade II than grade I of obesity subjects (29 vs 12).Conclusions : Higher grading of obesity has more prevalence of comorbid factors, as well as has more severe of knee OA Keyword : obesity, comorbid factors, knee osteo arthritis

Hamstring Muscle Flexibility among KONI Volleyball Players of DKI Jakarta Province – A Pilot Study for Sport Injury Prevention. Hendriko; Tirza Z Tamin; I Nyoman Murdana; Aria Kekalih
Indonesian Journal of Physical Medicine & Rehabilitation Vol 2 No 01 (2013): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Objectives: To find hamstring muscle flexibility among KONI Propinsi DKI Jakarta’s volleyball players,based on age, sex and playing position particularly.Methods: A cross sectional study performed in 25 female and 24 male athletes using Sit and Reach Test (SRT) box had done 3 times trial with the best score was recorded.Results: Hamstring muscle’s mean value score was 18.21 (SD 6.5) cm, male athletes was 17.6 (SD 6.5) cm, female athletes was 18.8 (SD 6.6) cm, middle adolescence 14-16 years old was 15.55 (SD 6.1) cm,late adolescence 17-20 years old was 19.91 (SD 6.9) cm, young adulthood 21-24 years old was 18.79 (SD 4.6) cm, hitter was 18.8 (SD 6.6) cm, center was 15.5 (SD 6.3) while allround players was 20.4 (SD5.9).Conclusions: Average value of hamstring flexibility among volleyball athletes of KONI DKI Jakarta based on SRT was 18.21 ± 6.5 cm, particularly within middle adolescence (14-16 years old) was 15.55± 6.1 cm, late adolescence (17-20 years old) was 19.91 ± 6.9 cm, and young adulthood (21-24 year old) was 18.79 ± 4.6 cm. While by sex was 17.6 ± 6.5 cm among male and 18.8 ± 6.6 cm among female.Based on playing position, hitters were 18.8 ± 6.6, setters were 15.5 ± 6.3 and all-round player were 20.4 ± 5.9 cm.Keywords: Flexibility, Hamstring muscle, SRT

Relationship between Calcium Deposit Size with the Pain Intensity in Patients with Calcified Rotator Cuff Tendinitis Indri Wijayanti; I Nyoman Murdana; Tirza Z. Tamin
Indonesian Journal of Physical Medicine & Rehabilitation Vol 5 No 02 (2016): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Background: Calcified tendinitis is a disease characterized by calcification of multifocal cells mediated byliving tissue. Calcified tendinitis may occur due to the collection of calcium in the supraspinatus tendon pouchor may be spread between rotator cuff muscle fibers and bursa, it may not cause pain or may cause mild painor discomfort. The aim is to determine the correlation of calcium deposit size to the pain intensity in patientswith calcified tendinitis.Methods: Methods in this study was a cross-sectional study, twenty subjects, aged 50-70 years old, diagnosedwith calcified tendinitis rotator cuff through musculoskeletal ultrasonography examination.Results: No significant correlations were found between calcium deposit size and pain intensity using VAS,r=0.238, p=0.312.Conclusion : The size of the calcium deposit was not correlated with the pain intensity in rotator cuff calcifiedtendinitis patients. But further research is needed whether the location and form of calcium deposits affect thepain intensity in calcified tendinitis rotator cuff patients.Keywords: calcified tendinitis; calcium deposit size; pain intensity.

Severe Degree of The Obesity Has More Comorbid Factors and more Severe of The Knee Osteoarthritis Natalia Loekito; Tirza Z. Tamin; I Nyoman Murdana
Indonesian Journal of Physical Medicine & Rehabilitation Vol 5 No 02 (2016): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Background : Obesity is a risk factor for knee osteoarthritis (OA). The major problem of OA are pain and decreased of knee muscle strength cause a decline of functional capacity, and lead to disability. Aim of this study is to describe the profile of obese patients with knee OA to prevent disability. Methods : A descriptive study was conducted from September 2016 - March 2017. Subjects were obese patients with knee OA, age ranging from 40-80 years with sedentary lifestyle, with Physical level (PAL)<1.4. Results : Most of the subjects have age>60 y.o(58.8%) anf were female (92.7%). The frequency of Obesity grade II (56.1%) and OA knee grade III (56.1%) were the most frequent. There were higher prevalence of comorbid factors on subjects with grade II of obesity i.e, hypertension, dyslipidemia, and diabetes mellitus (32 vs 27, 18 vs 5, 7 vs 2) respectively. THis study found 41 subjects has knee OA, consist grade II was 18 (43,9%), grade II was 23 (56,1%), Besides, there were higher prevalence of more severe knee OA on grade II than grade I of obesity subjects (29 vs 12).Conclusions : Higher grading of obesity has more prevalence of comorbid factors, as well as has more severe of knee OA Keyword : obesity, comorbid factors, knee osteo arthritis

Hamstring Muscle Flexibility among KONI Volleyball Players of DKI Jakarta Province – A Pilot Study for Sport Injury Prevention. Hendriko; Tirza Z Tamin; I Nyoman Murdana; Aria Kekalih
Indonesian Journal of Physical Medicine & Rehabilitation Vol 2 No 01 (2013): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Objectives: To find hamstring muscle flexibility among KONI Propinsi DKI Jakarta’s volleyball players,based on age, sex and playing position particularly.Methods: A cross sectional study performed in 25 female and 24 male athletes using Sit and Reach Test (SRT) box had done 3 times trial with the best score was recorded.Results: Hamstring muscle’s mean value score was 18.21 (SD 6.5) cm, male athletes was 17.6 (SD 6.5) cm, female athletes was 18.8 (SD 6.6) cm, middle adolescence 14-16 years old was 15.55 (SD 6.1) cm,late adolescence 17-20 years old was 19.91 (SD 6.9) cm, young adulthood 21-24 years old was 18.79 (SD 4.6) cm, hitter was 18.8 (SD 6.6) cm, center was 15.5 (SD 6.3) while allround players was 20.4 (SD5.9).Conclusions: Average value of hamstring flexibility among volleyball athletes of KONI DKI Jakarta based on SRT was 18.21 ± 6.5 cm, particularly within middle adolescence (14-16 years old) was 15.55± 6.1 cm, late adolescence (17-20 years old) was 19.91 ± 6.9 cm, and young adulthood (21-24 year old) was 18.79 ± 4.6 cm. While by sex was 17.6 ± 6.5 cm among male and 18.8 ± 6.6 cm among female.Based on playing position, hitters were 18.8 ± 6.6, setters were 15.5 ± 6.3 and all-round player were 20.4 ± 5.9 cm.Keywords: Flexibility, Hamstring muscle, SRT

Peranan USG Muskuloskeletal di Bidang Rehabilitasi Medik pada Pasien Diduga Cedera Anterior Cruciate Ligament: An Evidence â€“ Based Case Report Tamin, Tirza Z.; Ricky, Andreas; Wreksoatmodjo, Edbert S.; Mulya Santausa, Febrian; Maharani, Intan Sari; Ramadhany, Mellisya; Widyaningrum, Satyanaya; Takwarif, Tesa; -, Tiffany; Sabansya, Tsaqyla
Cermin Dunia Kedokteran Vol 46, No 1 (2019): Obstetri - Ginekologi
Publisher : PT. Kalbe Farma Tbk.

Latar Belakang. Anterior cruciate ligament (ACL) sering mengalami cedera. Cedera ACL dapat mengganggu aktivitas fungsional sehari-hari. Di bidang rehabilitasi medik, modalitas USG muskuloskeletal merupakan salah satu pilihan untuk penegakan diagnosis cedera ACL. Studi ini bertujuan untuk mengetahui peranan USG muskuloskeletal dalam penegakan diagnosis pasien diduga cedera ACL dan sebagai panduan; dilakukan melalui telusur PubmedÂ®, CochraneÂ®, EBSCOÂ®, SCOPUSÂ®, ProQuestÂ®, dan SpringerlinkÂ®. Artikel terpilih akan ditelaah kritis melalui lembar kerja diagnostik dan systematic review berdasarkan Oxford Centre for Evidence-based Medicine Levels of Evidence. Hasil. Didapatkan empat studi terpilih yang membandingkan akurasi penggunaan USG dengan MRI. Studi pertama mendapatkan sensitivitas dan spesifisitas diagnostik 91% dan 100%. Studi kedua mendapatkan sensitivitas, spesifisitas, LR +, LR â€“, PPV, dan NPV sebesar 91,9%, 95,6%, 20,9, 0,1, 94,4%, dan 93,9%. Studi ketiga mendapatkan sensitivitas, spesifisitas, LR +, LR â€“, PPV, dan NPV sebesar 96,9%, 87,5%; 7,75, 0,035, 26,9%, dan 12,5%. Studi keempat berupa systematic review-meta analysis dengan hasil kombinasi sensitivitas dan spesifisitas, LR +, LR -, dan heterogenitas sebesar 90% dan 97%, dan 31,08 dan 0.11 63.69 (24.27 hingga 100.00). Simpulan. Pemeriksaan USG muskuloskeletal merupakan pemeriksaan non-invasif yang akurat untuk mendiagnosis cedera ACL.Background: Anterior cruciate ligament (ACL) is a knee ligament that often injured. ACL injury can cause limitation of daily activities. In physical medicine and rehabilitation, musculoskeletal ultrasonography (USG) is a promising diagnostic tool for musculoskeletal injury. This study assess the role of musculoskeletal USG in the diagnosis of ACL injury and as a guide to perform intraarticular injection. Article search was performed using PubmedÂ®, CochraneÂ®, EBSCOÂ®, SCOPUSÂ®, ProQuestÂ®, and SpringerlinkÂ®. Four selected articles were reviewed using appraisal sheet from Oxford Centre for Evidence-based Medicine Levels of Evidence. Result: Three primary studies showed excellent sensitivity (0.91-0.97) and specificity (0.88-1.00), as well as positive predictive value (0.97-1.00). One systematic review also showed excellent sensitivity (0.90) and specificity (0.97) but with high heterogeneity (I2=63.69). Conclusion: Musculoskeletal USG is an accurate, non-invasive diagnostic tool for ACL injury.Â

Role of Denver II and Development Quotients in the management of several pediatric developmental and behavioral disorders Titi Sularyo; Bernie Endyarni; Tri Lestari H; Tirza Z. Tamin; Gitayanti Gitayanti
Paediatrica Indonesiana Vol 52 No 1 (2012): January 2012
Publisher : Indonesian Pediatric Society

Background Autism spectrum disorder (ASD) and attention deficitand hyperactivity disorder (ADHD) are nowadays becoming moreand more frequently found. Parents are worried of the possibilitythat their children suffer from them. Growth and developmentclinics (GDC) should be able to deliver professional services. Thusa practica~ applicable, objective, valid, reliable, and able to measuredevelopment quotient (DQ) values instrument is needed.Objective To find out whether the Denver II instrument andDQ values can be used in the management of children with ASDandADHD.Methods A study was carried out on cases of children withASD, multisystem development disorder (MSDD), pervasivedevelopment disorder - n ot otherwise specified (PDD-NOS), andattention deficit and hyperactivity disorder (ADHD), consistingof history taking, physical examination, establishing diagnosis,therapy, evaluation, and follow-up. The Denver II instrumentwas used and DQ values in all development streams established.The study was done at the GDC of Hermina Depok Hospital inJuly 2008 - June 2009.Results It revealed that results of the Denver II as seen on thefilled Denver II form showed "typical" features related to kind ofdisorder as far as category ofDQ value, dissociation, global delayeddevelopment (GDD) as well as abnormality of the test behaviorwere concerned. It also revealed that establishing the diagnosesby the use of the Denver II and DQ values gave exactly the samediagnoses as when using the conventional way by the expert.Conclusion The Denver II instrument with DQ values can beused in the management of ASD and ADHD cases. [Paediatrlndones. 2012;52:51-6].

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