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All Journal Majalah Kedokteran Bandung Universa Medicina Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia
Maria Regina Rachmawati, Maria Regina
Unknown Affiliation
Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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Prevalence of osteoporosis increased in postmenopausal women with postural scoliosis Rachmawati, Maria Regina; Sidarta, Nuryani; Bastian, Yefta D.
Universa Medicina Vol 31, No 1 (2012)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2012.v31.63-70

Abstract

BackgroundMenopause is an aging process of the female reproductive system characterized by reduced estrogen levels. This results in increased osteoclastic activity, causing increased bone resorption and thus reduced bone mineral density (BMD). In addition to being influenced by osteoclastic activity, BMD of the lumbar vertebrae is also affected by the erector spinae muscle. The purpose of this study was to determine an association between postural scoliosis and erector spinae muscle endurance and its relation to BMD in postmenopausal women. MethodsThis was a cross-sectional study conducted on postmenopausal women, who were selected by simple random sampling among residents of Mampang Prapatan subdistrict. The postural abnormality of scoliosis was determined by physical examnation, while erector spinae muscle endurance time was assessed using a modified Biering-Sorensen technique, and BMD was measured by bone mineral densitometry, to categorize into normal, osteopenia, and osteoporosis.ResultsA total of 213 postmenopausal women with mean age of 53.52 ± 3.64 years participated in the study. The prevalence of scoliosis was 54.0%, and osteoporosis was 38.1%. The prevalence of osteoporosis was higher in women with scoliosis (48.7%) in comparison with those without scoliosis (31.6%) (p=0.411). In postmenopausal women with strong erector spinae muscle endurance the risk of of scoliosis was lower (0.76;95% Confidence Interval = 0.58 - 0.99) ConclusionsIn post menopausal women with postural scoliosis found a higher incidence of osteoporosis. High endurance of erector spinae muscle lowers the risk of scoliosis. Exercise to improve posture and increase endurance of erector spinae muscle need to be done to prevent decline of BMD.
Effect of clean intermittent self-catheterization on urinary tract infection in subject with spinal cord injury Rachmawati, Maria Regina; S, Suleiman; Wirawan, Rosiana P.
Universa Medicina Vol 27, No 1 (2008)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2008.v27.12-17

Abstract

Patients with spinal cord injury are often unable to empty their bladders sufficiently. If this condition is left untreated, urinary tract infection (UTI) is unavoidable, with potentially lethal consequences. The objective of this study was to evaluate the effect of clean intermittent self-catheterization (CIC) on urinary tract infection in subject with spinal cord injury. A randomized controlled design was conducted in subjects who lived at two dormitories were included in this study. They were randomized to clean intermittent self- catheterization or control group. All the subjects were followed for one months. Primary outcome measure was symptomatic urinary tract infection as diagnosed by, pyuria (leukocytes of 100,000 or more per high power field.). Twenty-six patients between 22 to 62 years with cervical spinal cord injuries and urine residue more than 50 cc were recruited. Of the 26 subjects, 18 (69.2%) developed urinary tract infection. The incidence rate of UTI in the CIC group was 5/13 (38.5%); significantly lower than the control group 11/13 (84.6%) (p=0.016). Clean intermittent self catheterization in patient with spinal cord injury decreased the risk of developing urinary tract infection.
Musculoskeletal pain and posture decrease step length in young adults Rachmawati, Maria Regina; Samara, Diana; Tjhin, Purnamawati; Wartono, Magdalena; Bastian, Yefta
Universa Medicina Vol 28, No 2 (2009)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2009.v28.92-99

Abstract

Pain of the musculoskeletal system, especially low back pain, is one of the most frequent problems with a high risk of disability. The aim of this research study was to determine the existence of an association between low back pain on one hand,  posture and step length on the other. This cross-sectional study was conducted on 77 healthy young adult subjects. Step length was measured with the Biodex Gait Trainer 2 (230 VAC). The study results indicate that 62.3% of the young adult subjects had suffered from low back pain. There was no significant association between gender and pain. In male subjects no significant association was found between pain on one hand and mean difference in step length and posture on the other. However, in female subjects with abnormal posture, there was a highly significant difference in left step length between subjects with back pain and those without (p=0.007).  The results of a multiple regression analysis indicate that posture has the greatest influence on left step length (B=4.135; 95% Confidence Interval 0.292-7.977). It is recommended that in the examination of low back pain an assessment be made of posture, step length and difference in step lengths.
High erector spinae endurance reduced low back pain in postmenopausal women Rachmawati, Maria Regina
Universa Medicina Vol 30, No 2 (2011)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2011.v30.111-119

Abstract

Low back pain (LBP) is the most frequent health problem in all age groups, including postmenopausal women, who are at risk of disability, due to degenerative processes affecting all organ systems, including the erector spinae muscles. In addition, postmenopausal women also experience a decrease in esterogen levels, which stimulates osteoclastic activity and initiates a reduction in bone mineral density (BMD). The aims of the present study were to determine the relationship between LBP prevalence and erector spinae endurance, BMD reduction, and body mass index (BMI) respectively. This was a cross-sectional study, conducted on 213 postmenopausal women, selected by simple random sampling. Assessment of pain, expressed on a visual analog scale (VAS), was performed by interviews and measurement of erector spinae muscle endurance time using a modified Biering-Sorensen technique, while BMD was assessed by bone densitometry. The results of the study showed that the postmenopausal women had a mean age of 53.5 ± 3.6 years. The prevalence of LBP and osteoporosis in the postmenopausal women was 58.2% and 21.6%, respectively. A significant positive linear correlation was found between BMI and VAS (r=0.165; p=0.016). In addition, the t-test demonstrated a significant difference in mean VAS scores between good and poor erector spinae endurance (p=0.008). However, the chi-square test showed no significant relationship between reduced BMD and LBP (p>0.05). It is recommended that low back pain in postmenopausal women be managed by strengthening exercises of the erector spinae.
Differences in Physical Activity, Lactic Acid Concentration, and Quality of Life between Gender among First Year Medical Students Rachmawati, Maria Regina; Sidarta, Nuryani; Mediana, Dian
Majalah Kedokteran Bandung Vol 51, No 4 (2019)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v51n4.1636

Abstract

Medical students have fewer opportunities to do physical activities (PA) that may increase the risk for chronic diseases. The aim of this study was to assess the correlation between PA, as assessed using the International Physical Activity Questionnaire (IPAQ), and Lactic acid (LA) concentration, as well as the differences in IPAQ, LA, and quality of life (QoL) between genders. This was a cross-sectional study conducted in April - November 2017 by a private university in West Jakarta. Subjects of the study were selected using simple random sampling approach with female subjects as the more dominant gender ( n=76, 60%) from the 126 subjects recruited. The median of IPAQ, La- 1, and La-2 in male and female were 707 (474–944) vs 423 (392–501) Mets (p=0.7), 4.6 (3.8–5.4) vs 2.8 (2–3) mmol/L (p=0.001), and 8.4 (7.7–8.9) vs 10 (9.3-10.5) mmol/L (p<0.001) respectively. The higher the IPAQ, the lower of the La- 2 concentration (p=0.012) was when analyzed using Kruskal-Wallis test. Total score of QoL in males and females were 2628.6 (2,496-2757) and 2,765 (2,687–2,859) (p=0.067), respectively, while the concepts of Role Limitation due to Physical Health was higher in female (p=0.006), as shown by Mann-Whitney test. In conclusion, subjects arephysically inactive with females are less active and have a higher La-2 concentration than males. However, the QoL concept of the RLPH is better in female students.Perbedaan Aktivitas Fisik, Asam Laktat, dan Kualitas Hidup antara Jenis Kelamin pada Mahasiswa Kedokteran Tahun PertamaMahasiswa Fakultas Kedokteran memiliki sedikit kesempatan untuk melakukan aktivitas fisik yang dapat meningkatkan terjadi penyakit kronis. Tujuan penelitian menemukan korelasi aktivitas fisik (PA) yang dinilai menggunakan the International Physical Activity Questionnaire (IPAQ) dengan kadar asam laktat (LA), serta perbedaan IPAQ, LA dan kualitas hidup (QoL) antar jenis kelamin. Desain penelitian adalah potong lintang, seleksi subjek secara acak sederhana, pada April–November 2017, pada universitas swasta di Jakarta Barat. Hasil penelitian diperoleh 126 subjek, 76 (60%) perempuan. Rerata IPAQ, LA -1, dan LA -2 pada laki-laki dan perempuan secara berurutan adalah; 707(474–944) vs 423 (392–501) Mets (p=0,7), 4,6 (3,8–5,4) vs 2,8 (2–3) mmol/L (p=0,001), dan 8,4 (7,7–8,9) vs 10 (9,3-10.5) mmol/L (p<0,001). Semakin tinggi IPAQ, semakin rendah LA (p=0,012), dengan Uji Kruskal-Wallis. Skor total QoL pada pria dan wanita adalah 2.628.6 (2496–2.757) vs 2.765 (2.687–2.859) (p=0,067), sementara nilai konsep Role Limitation due to Physical Health (RLPH) pada perempuan lebih tinggi (p=0,006) dengan Uji Mann-Whitney. Kesimpulan, subjek memiliki PA tidak aktif, sementara perempuan lebih tidak aktif dan memiliki LA-2 lebih tinggi. Namun, QoL pada konsep RLPH lebih baik pada mahasiswa perempuan.
Efektivitas Insersi Penyangga Sepatu dan Terapi Laser Intensitas Tinggi Terhadap Penurunan Intensitas Nyeri pada Nyeri Myofascial Piriformis dengan Disparitas Panjang Tungkai Fungsional Rachmawati, Maria Regina; Chahyani, Wiwit Ida; Hartati, Nirwana Tri
Majalah Kedokteran Indonesia Vol 74 No 6 (2024): 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.74.6-2024-1181

Abstract

Introduction: Myofascial pain in the piriformis muscle associated with functional leg length disparities (LLD) in patients with non-specific low back pain (NSLBP) is often undetected, resulting in inappropriate management. High-intensity laser therapy (HILT) is a noninvasive modality for treating piriformis syndrome. However, correction of leg length with the insertion of a shoe lift is also necessary as an adjunctive treatment. This study aims to assess the effectiveness of HILT with and without the use of shoe-lift inserts in reducing myofascial pain in NSLBP patients with LLD. Methods: This single-blind, randomized clinical trial was conducted at the Medical Rehabilitation Clinic of Pasar Minggu General Hospital, Jakarta, from December 2022 to August 2023. Inclusion criteria were adult age, who endured NSLBP for 3-6 months, have LLD, and have myofascial pain in the piriformis muscle with a numerical rating scale (NRS). The Pelvic tilt was measured using an inclinometer. NRS scores in the treatment and control groups were calculated from week 1 to week 4.Results: This study involved 26 subjects assigned to intervention and control groups. The average age was 49.8 years, and 69% of them were female. There was no significant difference in pelvic tilt between groups (p=0.39). The decreasing NRS scores were lower in the intervention than in the control group during the first and second weeks (p=0.015 and p less than 0.001). There was no significant difference in NRS scores between the second and third weeks in intervention and control groups (p=0.157 and p=0.06 ), however, the control group showed a tendency to increase NRS scores in the third week.Conclusion: HILT combined with shoe lift insertion is more effective in reducing the intensity of piriformis myofascial pain in patients with NSLBP and LLD.
Co-Authors Chahyani, Wiwit Ida Dian Mediana, Dian Hartati, Nirwana Tri Magdalena Wartono Nuryani Sidarta, Nuryani Purnamawati Tjhin, Purnamawati Rosiana P. Wirawan, Rosiana P. Suleiman S, Suleiman Tjam Diana Samara Yefta Bastian, Yefta Yefta D. Bastian, Yefta D.