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All Journal International Journal of Integrated Health Sciences Majalah Kedokteran Bandung Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Althea Medical Journal Global Medical and Health Communication Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education
Vitriana Vitriana
Physical Medicine And Rehabilitation Department, Hasan Sadikin General Hospital, Faculty Of Medicine Universitas Padjadjaran Bandung, Indonesia
Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health

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Prevalensi Sarkopenia pada Lansia di Komunitas (Community Dwelling) berdasarkan Dua Nilai Cut-off Parameter Diagnosis Vitriana, Vitriana; Defi, Irma Ruslina; Irawan, Gaga Nugraha; Setiabudiawan, Budi
Majalah Kedokteran Bandung Vol 48, No 3 (2016)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v48n3.417

Abstract

Sarkopenia, sindrom penurunan massa dan fungsi otot terkait usia dapat mengurangi kualitas hidup dan peningkatan mortalitas pada lanjut usia (lansia). Banyak metode penapisan dan definisi operasional menyebabkan angka prevalensi sarkopenia bervariasi di dunia. Penelitian ini bertujuan mengetahui prevalensi sarkopenia pada lansia yang tinggal di komunitas berdasarkan massa otot yang diukur dengan bioimpedance analysis, kekuatan genggam tangan menggunakan hand dynamometer, serta performa fisik melalui uji jalan 6 menit dengan mempergunakan dua nilai cut-off, nilai rekomendasi Asian Working Group for Sarcopenia (AWGS) dan nilai populasi lansia Taiwan karena belum didapatkan nilai cut-off populasi lansia Indonesia. Penelitian deskriptif potong lintang pada 229 partisipan (71 orang laki-laki dan 158 orang perempuan) dengan menggunakan teknik consecutive sampling dilakukan pada bulan Agustus sampai Desember 2014 pada populasi lansia di Kota Bandung dan Jatinangor. Hasil penelitian menunjukkan angka prevalensi sarkopenia berdasarkan nilai cut-off rekomendasi AWGS adalah 9,1% (7,4% untuk laki-laki dan 1,7% untuk perempuan), sedangkan prevalensi sarkopenia berdasarkan nilai cut-off populasi Taiwan sebesar 40,6% (20,1% untuk laki-laki dan 20,5% untuk perempuan). Perbedaan prevalensi yang cukup besar mendorong diperlukan penetapan nilai cut-off parameter diagnosis sarkopenia spesifik pada populasi lansia Indonesia yang tinggal di komunitas untuk dapat menentukan prevalensi sarkopenia lebih akurat. [MKB. 2016;48(3):164–70]Kata kunci: Cut-off, lansia, komunitas, prevalensi, sarkopenia Sarcopenia Prevalence In Community-Dwelling Elderly based on Two Cut-off Points Diagnosis ParametersSarcopenia, aging muscle mass loss, and function syndromes can lead to decreased quality of life and increased elderly mortality. The availability of various screening methods and operational definitions in different studies has produced different findings of sarcopenia prevalence. The purpose of this study was to discover the prevalence of sarcopenia in Indonesian community-dwelling elderly based on muscle mass measured by bioimpedance analysis, handgrip strength using hand dynamometer, and physical performance based on six minutes walking test  with two different cut-off point parameters of sarcopenia, i.e. the cut-off point recommended by Asian Working Group for Sarcopenia (AWGS) and the cut-off point based on the reference used in  Taiwan elderly population reference due to the lack of references for Indonesian elderly population. A cross-sectional study was conducted to 229 participants (71 men and 158 women) from the community-dwelling elderly population between August and December 2014 in Bandung and Jatinangor. The results of the study showed that the sarcopenia prevalence in this study based on AWGS was 9.1% (7.4% in men and 1.7% in women) while the prevalence based on the Taiwan reference revealed a prevalence of 40.6% (20.1% in men and 20.5% in women). This highly different prevalences shows the importance of defining a specific cut-off point for elderly population in community-dwelling Indonesia to get a more accurate sarcopenia prevalence. [MKB. 2016;48(3):164–70Key words: Community dwelling, cut-off, elderly, prevalence, sarcopenia
Three-Year Study of Geriatric Skeletal Muscle Strength at a Top Referral General Hospital, West Java, Indonesi Sigop Elliot Parsaulian Lumbantoruan; Vitriana Vitriana; Lazuardhi Dwipa
Althea Medical Journal Vol 4, No 3 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (613.46 KB) | DOI: 10.15850/amj.v4n3.1195

Abstract

Background: One of the aging effects is the decrease of skeletal muscle strength. The objectives of this study was to analyze the geriatric skeletal muscle strength by hand grip strength according to the characteristics of the elderly.Methods: An analytic retrospective study was carried out to 99 medical records of elderly who sought medication at the Geriatric policlinic of Dr. Hasan Sadikin General Hospital as the top referral hospital in West Java, Indonesia from 2012–2014. The result of hand grip strength measurement were grouped based on the characteristics of gender, age, body mass index (BMI), Barthel Index score, Mini Nutritional Assessment (MNA) score, number of disease and number of medication. All data were taken from patient’s medical records. The collected data were statistically analyzed with unpaired T-test and one way ANOVA test.Results: Among the 99 subjects, most of the subjects were male, under 80 years old,   independent living persons, had normal BMI, and normal nutritional level according to Mini Nutritional Assessment. Most of the subjects had more than 3 diseases per person and less than 5 sorts of medication. Male had higher hand grip strength compared to female and it was statistically significant (p=0.04). Based on ADL score, Independent living had higher hand grip strength compared to other level (p=0.008).Conclusions: From all the variables measured, only gender and  Activity Daily Living level contibute to the hand grip strength. 
Comparison of wound healing of skin incision on albino rat (Rattus norwegicus) by treatment of electrical stimulations Rina Puspasari Herdiawan; Andri Rezano; . Vitriana; Irma Ruslina; Pritha Pitaloka; . Achadiyani
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 51, No 2 (2019)
Publisher : Journal of the Medical Sciences (Berkala Ilmu Kedokteran)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (2670.363 KB) | DOI: 10.19106/JMedSci005102201901

Abstract

Wound interferes with the equilibrium of skin functions. It disrupts a barrier function of the skin as external barrier of the internal organ from physical, chemical and biological environment. The wound can be easily treated but neglected wound can lead to several complications. Accelerate wound healing will prevent complications and reduce aesthetic problem in anti-aging treatment. Previous studies showed that physical modulation as electrical stimulation could enhance wound healing processes. This study purposed to compare three different modes of electrical stimulation on wound healing such as transcutaneous electrical nerve stimulation (TENS), high voltage pulse current (HVPC) and low-intensity direct current (LIDC). This in vivo study used incisional skin biopsy of albino rat (Rattus norvegicus). Qualitative and quantitative parameters were analyzed to compare three different electrical stimulations on the wound healing response on the epidermis, dermis, inflammation, and angiogenesis phase. The highest histological score on the epidermis and dermis was found on LIDC whereas the highest histological score on the inflammation and angiogenesis phase was found on HVPC. This result of this study may provide useful information for selecting additional treatment for wound healing.
Physical Factors in Age-Related Decline Physical Performance among the Older Adults in Bandung Vitriana Vitriana; Irma Ruslina Defi
Majalah Kedokteran Bandung Vol 52, No 3 (2020)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v52n3.1992

Abstract

The aging process is associated with increased body fat and decreased muscle mass and strength in older adults. This condition is frequently associated with loss of mobility and functions. This study aimed to explore the relationship between physical performance and handgrip strength, body composition, and anthropometry in community-dwelling older adults living in Bandung, West Java Province, Indonesia. A cross-sectional study was performed from December 2015 to June 2016 on community-dwelling older adults above 60 years old who were the members of the West Java Branch of Lembaga Lansia Indonesia, Indonesia, with the ability to walk without an assistive device and to perform hand grip properly as an additional inclusion criterion. Subjects were excluded if they experienced severe cardiorespiratory or vascular abnormalities, used artificial implants, underwent hormone therapy, and had any disease that would affect the accuracy of the variable measurement. A total of 106 subjects (60-85 years old) participated in this study. A significant negative correlation between total body fat and physical performance and a positive correlation between handgrip strength to physical performance were observed among subjects. However, no correlation was found between the anthropometric measurement and physical performance. The total body fat percentage, muscle mass index, and handgrip strength correlate significantly to the physical performance in older adults and may be used as a good indicator to preserve physical function and quality of life in the elderly.Faktor-Faktor Fisik yang Memengaruhi Penurunan Performa Fisik Lanjut Usia di Lembaga Lansia Indonesia Cabang Jawa BaratProses penuaan sering dihubungkan dengan peningkatan lemak tubuh yang disertai dengan berkurangnya massa dan kekuatan otot pada lanjut usia. Kondisi ini sering berkaitan dengan hilangnya kemampuan mobilisasi dan fungsi lainnya. Tujuan penelitian ini adalah melihat hubungan antara performa fisik dengan kekuatan genggam tangan, komposisi tubuh dan antropometri pada komunitas lanjut usia yang tinggal di Bandung, Jawa Barat, Indonesia. Penelitian potong lintang dilakukan periode Desember 2015 sampai dengan Juni 2016 pada lanjut usia yang tinggal dalam komunitas dan merupakan anggota Lembaga Lansia Indonesia Cabang Jawa Barat, berusia lebih dari 60 tahun, serta mampu berjalan tanpa alat bantu dan dapat menggenggam tangan dengan baik. Partisipan dieksklusi bila menderita gangguan kardiorespirasi atau vaskuler yang berat, menggunakan implan artifisial, menjalani terapi hormonal dan mempunyai penyakit yang berpotensi mempengaruhi akurasi penilaian variabel. Dari total 106 partisipan dengan rentang usia 60–85 tahun, ditemukan korelasi negatif antara total lemak tubuh dengan performa fisik, dan korelasi positif antara kekuatan genggam tangan dengan performa fisik, akan tetapi tidak ditemukan hubungan antara komponen antropometri dengan performa fisik. Persentasi total lemak tubuh, indeks massa otot dan kekuatan tangan mempunyai hubungan yang bermakna dengan performa fisik pada lanjut usia dan dapat menjadi indikator yang baik dalam mempertahankan fungsi fisik dan kualitas hidup pada lanjut usia.
Elastic Band Training Effect to Parameters of Sarcopenia in Elderly Community-Dwelling Vitriana Biben; Irma Ruslina Defi; Derry Suselo
Global Medical & Health Communication (GMHC) Vol 7, No 2 (2019)
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (87.459 KB) | DOI: 10.29313/gmhc.v7i2.4468

Abstract

Physiologically aging causes the decreased of muscle mass, strength, and or limited activity known as sarcopenia in the elderly. The decrease in muscle capacity occurs in all elderly, active, or sedentary. Exercise for the elderly is considered not enough to prevent the decrease of function that will occur. Therefore, it is necessary to add strength training to the elderly, such as elastic band exercise. The effect of strength training in 12 weeks with elastic band strengthening exercise on muscle mass, muscle strength, and physical performance as sarcopenia parameters measured in this study. The interventional study design was conducted in elderly community-dwelling in Bandung city, West Java, from May to July 2016. Thirty elderly (60–81 years old) muscle mass measured using bioelectrical impedance analysis (BIA), handgrip strength using hand dynamometer and walking distance as the parameter of physical performance, using 6-minute walking test. Significant differences found in hand muscle strength (p=0.007), walking distance (p=0.000) after elastic band strengthening exercise, but there were no significant changes in muscle mass (p=0.236) even though the muscle mass increased after 12 weeks of strengthening exercise. In conclusion, additional elastic band strength exercise for regular elderly exercise can increase muscle strength and physical performance. PENGARUH LATIHAN DENGAN PITA ELASTIK TERHADAP PARAMETER SARKOPENIA PADA USIA LANJUT DI KOMUNITASPenuaan secara fisiologis menyebabkan penurunan massa, kekuatan otot dan/atau keterbatasan aktivitas pada usia lanjut (usila). Penurunan kemampuan otot ini terjadi pada semua usila, baik yang aktif maupun nonaktif sehingga senam usila yang ada dianggap tidak mencukupi untuk mencegah penurunan fungsi yang akan terjadi. Oleh karena itu, diperlukan penambahan latihan kekuatan pada usila seperti latihan kekuatan menggunakan pita elastik. Penelitian ini bertujuan mengetahui pengaruh latihan kekuatan dengan pita elastik selama 12 minggu terhadap massa otot, kekuatan otot, dan performa fisik yang merupakan parameter sarkopenia pada usila. Desain penelitian intervensi dilakukan pada usila di komunitas Kota Bandung, Jawa Barat periode bulan Mei sampai Juli 2016. Sebanyak 30 partisipan (usia 60–81 tahun) diukur massa otot menggunakan bioelectrical impedance analysis (BIA) dan kekuatan otot menggunakan dinamometer tangan, serta uji jalan 6 menit untuk mengukur performa fisik. Perbedaan bermakna ditemukan pada kekuatan otot tangan (p=0,007) dan jarak tempuh jalan (p=0,000) setelah dilakukan latihan kekuatan dengan pita elastik, tetapi tidak didapatkan perbedaan bermakna pada massa otot tangan dan kaki (p=0,236) walaupun terjadi peningkatan massa otot setelah dilakukan latihan selama 12 minggu. Simpulan, penambahan latihan kekuatan dengan pita elastik pada program senam usila meningkatkan secara bermakna kekuatan otot dan performa fisik usila.
FACTORS THAT CONTRIBUTE TO THE SATISFACTION OF STUDENT IN THE MEDICAL RESIDENCY PROGRAM Vitriana Biben; Dian Marta Sari; Farida Arisanti; Sunaryo B Sastradimadja
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 7, No 3 (2018): November 2018
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (255.964 KB) | DOI: 10.22146/jpki.41844

Abstract

Background: A high demand of physiatrist should be supported by quality assurance in education system of Physical Medicine & Rehabilitation (PMR) residency program, that could be done by evaluating satisfaction of its service users. This study was conducted to find the dimensions of service quality that influences the students satisfaction.Methods: A cross-sectional study with fifty subjects using total sampling technique was conducted. Service quality was evaluated using ServQual questionnaire consisted of five dimensions: ‘tangible’, ‘reliability’, ‘responsiveness’, ‘assurance’ and ‘empathy’. Statistical analysis consisted of bivariate analysis followed by a multivariate analysis was performed to determine the most significant dimension associated with student satisfaction which was measured using Likert scale.Results: Bivariate analysis revealed that all dimensions had significant association with satisfaction (p value < 0,05) except for ‘tangible’(p value = 0,060). Further multivariate analysis resulted in ‘reliability’ dimension as the most significant dimension associated with satisfaction (p value = 0,005; Adjusted OR = 142,67; CI 95% = 15,460-1316,587).Conclusion: Reliability is the most significant dimension associated with student satisfaction. Improvement of this dimension, followed by other significant dimensions would lead to satisfaction of the students.
Translation and Validation of Indonesian Version of Scleroderma Health Assessment Questionnaire Irma Ruslina Defi; Jennie Jennie; Vitriana Vitriana; Farida Arisanti
Majalah Kedokteran Bandung Vol 52, No 1 (2020)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v52n1.2004

Abstract

Systemic sclerosis (SSc) or Scleroderma is a chronic autoimmune disease characterized by vasculopathy, fibrosis, and autoimmunity. Scleroderma Health Assessment Questionnare (SHAQ) is a measurement of SSc that is more specific than Health Assessment Questionnaire (HAQ) disability index(DI) to measure disability and function.The aim of this study was to translate SHAQ into Indonesian language and assess its validity and reability. The SHAQ was translated into Indonesian language and then back translated to ensure the meaning. The Indonesian version was then applied to the SSc outpatients. The validity of HAQ-DI and VAS scores was assessed using Pearson Product Moment Correlation and Cronbach’s alpha for the reability test of SSc HAQ score. To determine the convergent validity, comparisons were made between HAQ-DI, Scleroderma Visual Analog Scale (VAS), and Short Form 36 (SF 36). Eighteen females, ranging between 42 to 66 years old, were included in this study from Desember 2019 to February 2020. The results of the validity test in all variables of HAQ-DI and SSc-VAS were valid (r-count >0.361). Cronbach’s alpha for these variables were higher than the standardized items (r > 0.700), reflecting very good reability and acceptable. There was a statistically significant correlation between SSc HAQ score and HAQ-DI with most of SF-36 physical domains, except for general health.The Indonesian version of SHAQ demonstrates a good construct and discriminant validity as well as the reproducibility. Thus, it can be used for measuring disability in systemic sclerosis patients. Translasi  dan Validasi  Scleroderma Health Assessment Questionnaire versi  Bahasa IndonesiaSklerosis sistemik atau skleroderma merupakan penyakit autoimun kronik dengan vaskulopati, fibrosis dan autoimunitas. Scleroderma Health Assessment Questionnaire (SHAQ)menilai disabilitas dan fungsi pada pasien sklerosis sistemiklebih spesifik dibandingkan Health Assessment Questionnaire (HAQ) Disability Index (DI). Tujuan dari penelitian ini adalah menerjemahkan SHAQ ke dalam bahasa Indonesia dan menilai validitas serta relialibilitasnya. Scleroderma Health Assessment Questionnaire diterjemahkan ke dalam bahasa Indonesia dan kemudian dilakukan translasi balik lalu kuesioner diisi oleh pasien sklerosis sistemik rawat jalan. Tes validitas HAQ-DI dan Visual Analog Scale (VAS) dinilai menggunakan korelasi Pearson dan reliabilitas menggunakan Cronbach’s alpha. Perbandingan antara HAQ-DI, Scleroderma-VAS, dan Short Form 36 (SF 36) dilakukan untuk menilai validitas konvergen. Subjek terdiri dari 18 orang wanita yang berusia antara 42 sampai 66 tahun dari Desember 2019 sampai Februari 2020. Hasil validitas pada semua parameter HAQ-DI dan SSc-VAS ditemukan valid (r hitung>0,361). Terdapat reliabilitas yang baik dilihat dari nilai Cronbach’s alpha yang lebih tinggi dari nilai r tabel (r>0,700). Terdapat korelasi yang signifikan antara Skleroderma-HAQ dan HAQ-DI dengan domain SF-36 kecuali domain kesehatan umum. Simpulan, bahwa SHAQ versi Indonesia memiliki konstruk dan validitas diskriminan serta reproduktifitas yang baik sehingga dapat digunakan untuk menilai disabilitas pada pasien sklerosis sistemik.
Effect of Overground Walking and Treadmill Exercise on Walking Speed and Walking Ability in Elderly Novy, Theresia Chandra Tania; Vitriana, Vitriana; Sastradimaja, Sunaryo Barki; Defi, Irma Ruslina
International Journal of Integrated Health Sciences Vol 1, No 1 (2013)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (438.865 KB)

Abstract

Objective: To compare the effect of overground walking and treadmill exercise on walking speed and ability in elderly from week to week.  Methods: This study was conducted in 6 weeks to 18 elderly at Panti Wreda Karitas and Nazareth Bandung (September–December 2011). They were divided into two groups; overground walking exercise group and treadmill group. Walking speed and ability was measured using 10 meter walk test and 6 minute walk test consecutively. Results: Both group walking speed was improved after 1 and 2 weeks exercise (p=0.019 and p=0.050), consecutively. Walking ability in the overground and treadmill group was improved after 1 and  3 weeks  exercise (p=0.019 and p=0.009), consecutively. Overground walking group showed greater improvement in walking speed and ability after 3 weeks exercise (p=0.008 and p=0.017) consecutively. Conclusions: Three weeks overground walking exercise improves walking speed and ability better  than treadmill exercise.    Keywords: Elderly, overground walking exercise, treadmill exercise, walking ability, walking speed DOI: 10.15850/ijihs.v1n1.105
Co-Authors Achadiyani Aih Cahyani Alwin Tahid, Alwin Anam Ong Andri Rezano Arlinda De Hafsari, Arlinda De Bin, Tan Yong Budi Setiabudiawan Cynthia, Jessica Derry Suselo Devi, Irma Ruslina Dian Marta Sari Farida Arisanti Farida Arisanti Gaga Irawan Nugraha Irma Ruslina Irma Ruslina Defi Jennie Jennie Juliati, Juliati Lazuardhi Dwipa Leonardo Lubis Lumbantoruan, Sigop Elliot Parsaulian Pitaloka, Pritha Prakoso, Kurniawan Prayudi Santoso Raden Muhammad Tanri, Raden Muhammad Razif Fiil Ikhlas, Razif Fiil Rina Puspasari Herdiawan Sigop Elliot Parsaulian Lumbantoruan Sunaryo B Sastradimadja Sunaryo Barki Sastradimaja Theresia Chandra Tania Novy Titing Nurhayati Vita Muniarti Lubis, Vita Muniarti Wattimena, Richi Hendrik Whitiana, Greesea Dinamaria