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Effect of Ankle Pumping Exercise to Ankle Brachial Index in Type 2 Diabetes Mellitus Patients with Ulcer Tjie Haming Setiadi; Widjajalaksmi; Elida Ilyas; Em Yunir; Arini Setiawati
Indonesian Journal of Physical Medicine & Rehabilitation Vol 1 No 1 (2012): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Objectives: To analyze the effect of ankle pumping exercise and other factors such as gender, age, duration of Diabetic Mellitus, nutritional status, history of smoking, hypercholesterolemia, ulcer degreeand HbA1c to Ankle Brachial Index (ABI) in type 2 Diabetes Mellitus patients with diabetic ulcer.Methods: The quasi experimental design study with consecutive sampling and one-week interval of intervention was conducted in this study. Analysis of changes in pre-post test ABI used paired t-testwhile other factors were measured with multiple regression.Results: Ankle pumping effect to right foot after exercise as 0.048 while ABI 0,017 on left foot and ABI 0.038 after exercise on both feet. It was not a statistically significant increase on both feet (p>0.05). The relations of multifactors to ABI : Gender 0.47(p 0.829), age 51.32 (p 0.743), duration of DM 83.16(p 0.490), BMI 21.82 (p 0.452), history of smoking 0.47 (p 0.769), hypercholesterolemia 0.11 (p 0.195), degree of ulcer 3.74 (p 0.635), HbA1c 0.89 (p 0.798).Conclusions: There is statistically no effect of ankle pumping exercise to ABI. We also did not find an effect of gender, age, and duration of DM, nutritional status, history of smoking, history of hypercholesterolemia, ulcer grade and HbA1c to increase of ABI in diabetic subjects with foot ulcer after ankle pumping exercise. Nevertheless, we found a sufficiently noted increase of systolic blood pressure of Dorsal Pedis Artery and Posterior Tibia Artery after ankle pumping exercise in type 2 DM subjects although this not statistically significant.Keywords : Diabetes Mellitus, diabetic ulcer ankle pumping, ankle-brachial index.

Effect of Ankle Pumping Exercise to Ankle Brachial Index in Type 2 Diabetes Mellitus Patients with Ulcer Tjie Haming Setiadi; Widjajalaksmi; Elida Ilyas; Em Yunir; Arini Setiawati
Indonesian Journal of Physical Medicine & Rehabilitation Vol 1 No 1 (2012): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Objectives: To analyze the effect of ankle pumping exercise and other factors such as gender, age, duration of Diabetic Mellitus, nutritional status, history of smoking, hypercholesterolemia, ulcer degreeand HbA1c to Ankle Brachial Index (ABI) in type 2 Diabetes Mellitus patients with diabetic ulcer.Methods: The quasi experimental design study with consecutive sampling and one-week interval of intervention was conducted in this study. Analysis of changes in pre-post test ABI used paired t-testwhile other factors were measured with multiple regression.Results: Ankle pumping effect to right foot after exercise as 0.048 while ABI 0,017 on left foot and ABI 0.038 after exercise on both feet. It was not a statistically significant increase on both feet (p>0.05). The relations of multifactors to ABI : Gender 0.47(p 0.829), age 51.32 (p 0.743), duration of DM 83.16(p 0.490), BMI 21.82 (p 0.452), history of smoking 0.47 (p 0.769), hypercholesterolemia 0.11 (p 0.195), degree of ulcer 3.74 (p 0.635), HbA1c 0.89 (p 0.798).Conclusions: There is statistically no effect of ankle pumping exercise to ABI. We also did not find an effect of gender, age, and duration of DM, nutritional status, history of smoking, history of hypercholesterolemia, ulcer grade and HbA1c to increase of ABI in diabetic subjects with foot ulcer after ankle pumping exercise. Nevertheless, we found a sufficiently noted increase of systolic blood pressure of Dorsal Pedis Artery and Posterior Tibia Artery after ankle pumping exercise in type 2 DM subjects although this not statistically significant.Keywords : Diabetes Mellitus, diabetic ulcer ankle pumping, ankle-brachial index.

Kegiatan Peningkatan Kebugaran Fisik Melalui Edukasi Pencegahan Nyeri Punggung Belakang pada Dewasa Muda di Pejagalan Jakarta Barat Tjie Haming Setiadi; Susy Olivia; Nanang Wahyu; Dondie Dondie
Compromise Journal Community Proffesional Service Journal Vol. 2 No. 3 (2024): Compromise Journal: Community Professional Service Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/compromisejournal.v2i3.295

Physical fitness is explored in relation to muscle strength. Back pain is a musculoskeletal complaint that often occurs in productive young adults in today's digital era. The aim of the service activity is to increase knowledge regarding muscle strength training to prevent back pain and early detection of factors that cause back pain. The method of implementing the activity is screening for BMI, back pain, muscle endurance and education on back strengthening exercises. Educational and examination activities were carried out on Friday 10 November 2023 at 15.00-18.00 attended by 25 participants with 11 male participants and 14 female participants. The average age of service participants was 24.32 years, in the range of 20-28 years. There were 15 participants with overweight and obesity nutritional status. There were 18 participants who often experienced stiffness in their shoulders and back during activities. There were 22 participants who often experienced back pain, 14 participants had never done muscle strength training and 1 participant did exercise more than 5 times in 1 week. Health education is also carried out regarding the knowledge that there is no need to be afraid to move actively if the shoulder or back muscles are weak or tense. Participants are introduced to types of exercise as well as exercises to strengthen and stabilize the inner abdominal muscles (stomach), back and pelvis, as well as stretching exercises for the calf and hip muscles. and thighs.

Upaya Deteksi Dini Osteoarthritis pada Karyawan Universitas Tarumanagara dengan Instrumen WOMAC Tjie Haming Setiadi; Noer Saelan Tadjudin; Alexander Halim Santoso; Susy Olivia Lontoh
SEWAGATI: Jurnal Pengabdian Masyarakat Indonesia Vol. 4 No. 2 (2025): Juni : SEWAGATI: Jurnal Pengabdian Masyarakat Indonesia
Publisher : BADAN PENERBIT STIEPARI PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56910/sewagati.v4i2.2212

Osteoarthritis (OA) is a degenerative joint disease that commonly affects individuals in their productive and elderly years, significantly impairing quality of life. Early detection is essential to prevent disability due to OA, particularly in vulnerable groups such as university employees. This community service activity involved OA screening of 26 employees at Tarumanagara University using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). In addition to screening, participants received education on risk factors and OA prevention. The screening revealed varied levels of joint pain, stiffness, and functional limitations. The average WOMAC score was 32.27 (SD 17.63), ranging from 4 to 66 points. Several participants exhibited moderate to severe symptoms, especially during activities such as climbing stairs and performing household tasks. The WOMAC instrument proved effective in detecting early functional joint complaints. The educational component played a crucial role in raising participants’ awareness of the importance of healthy lifestyles and early OA management. This initiative successfully identified OA risks among university employees and enhanced their knowledge regarding disease prevention. Early detection and education should be established as routine workplace health programs. Keywords: Early Detection, Community Service, Osteoarthritis, University Employees, WOMAC

Peningkatan Kesadaran Masyarakat Terhadap Hiperurisemia Melalui Pemeriksaan Asam Urat dan Edukasi Gaya Hidup Sehat di Yayasan Baptis Cengkareng Tjie Haming Setiadi; Alexander Halim Santoso; Edwin Destra; Steven Hizkia Lucius; Ryan Dafano Putra Mahendri; Andrew Philo
Karunia: Jurnal Hasil Pengabdian Masyarakat Indonesia Vol. 4 No. 2 (2025): Jurnal Hasil Pengabdian Masyarakat Indonesia
Publisher : Fakultas Teknik Universitas Maritim AMNI Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58192/karunia.v4i2.3465

Uric acid is the final product of purine metabolism, which can increase due to high purine intake or impaired renal excretion. Accumulation of uric acid in the body is at risk of causing joint inflammation and other metabolic disorders. Early detection and dietary education are strategic steps to prevent complications of hyperuricemia. This activity uses the Plan-Do-Check-Act (PDCA) approach by examining uric acid levels using POCT and education on managing purine consumption. The examination was carried out on 62 adult participants. Educational leaflets were delivered directly and individually to each participant. All participants had uric acid levels in the normal range (median 4.2 mg/dL), with the lowest value of 3.5 mg/dL and the highest 6.5 mg/dL. Most participants were women and were in the middle to elderly age group. Although no cases of hyperuricemia were identified, preventive education remains essential to maintain uric acid levels within optimal ranges and reduce future metabolic risks. Lifestyle interventions focusing on diet and hydration are critical for sustainable uric acid control and long-term health outcomes. Keywords: Uric Acid, Purine, Hyperuricemia, Diet, Nutrition Education

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