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Efek Latihan Retrowalking terhadap Kekuatan Otot Quadriceps pada Individu dengan Obesitas Nelfidayani, Nelfidayani; Tamin, Tirza Z
Majalah Kedokteran Indonesia Vol 69 No 2 (2019): 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.69.2-2019-73

Abstract

Introduction: The consensus within the literature show that obese individuals have reduced maximum quadriceps muscle strength relative to body mass ascompared to non-obese individuals. These effects were shown to increase therisk of developing osteoarthritis, balance impairment, and potentially cause functional limitations. Retrowalking training programs have beenfound to in-crease quadriceps strength. The aim of this study is to examinethe effect ofretrowalking on Quadriceps strength in obese individuals. Methods: This study recruited healthy subjects withgrade I obesity at Reha-bilitation Departemen, RSCM- Jakarta. The subjects performed retrowalking training for 4 weeks (2 sessions/week, 15 min/session). Quadriceps strengthwas examined by one single examiner with handheld dynamometer inseveraltime intervals until training is completed (pretest, 2th week, 4th week). To ana-lyze the data and test the hypotheses, paired t-test was used. Result: Seven, obese grade I individuals were recruited in thisstudy. Theirmean age was 29,57±2,94 years old and Body Mass Index was 26,47±0,8. The Quadriceps strength improved significantly at the end of 2th week (D = +3,04,p less than 0,001) and 4th week (D = +5,59, p less than 0,001) as compared with their pretreat-ment values. There is no adverse effect that was reported during the wholecourse of training. Conclusion: a 2 weeks and 4 weeks retrowalking training is proven to be aneffective quadriceps strenghtening for obese individuals. Simultaneously, retrowalking training is a safe exercise to be performed.
Developing A Community-Based Rehabilitation Programs in Elderly Nursing Home: A Brief Descriptive Analysis Harini, Melinda; Dosmaria, Dosmaria; Herry, Herry; Emilda, Lisa; Herman, Listyani; Nelfidayani, Nelfidayani; Mahardini, Putu K; Hantogo, Shynta D; Meiliana, Widya; Johnson, Ikhsan; Peggy, Peggy; Aries, Wanarani; Kusumaningsih, Widjajalaksmi; Wahyuni, Luh K
ASEAN Journal of Community Engagement Vol. 5, No. 2
Publisher : UI Scholars Hub

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Abstract

The need for rehabilitation services in nursing homes (NH) for the elderly is increasing each year, and this need is fulfilled both with ordinary clinical rehabilitation center visits, as well as community-based rehabilitation (CBR) inside the facility. However, a proper situation analysis is needed to establish a well-delivered CBR program in the NH, a niche to be fulfilled in this study. This study used a descriptive measurement and cross-sectional design to target the elderly who are living in the NHs. Consecutive sampling was done in the largest NH in Jakarta, in Cipayung District. Participants who were dependently ambulated were assessed in the NH clinic, whereas the independent ones were assessed in their room. Nutritional status and blood pressure measurement was done in the first visit, whereas psychiatric and activity of daily living (ADL) were done in the second visit. In the first visit, 32 (20%) participants were undernourished, whereas 25 (83%) participants have a psychiatric disorder in the second visit. More than half of the participants were also dependent on their ADL (n: 17; 57%). Malnourishment, mental illness, and higher dependency were found in subjects, which affect the conducted CBR programs. An inter-professional team (including a nutritionist, public health expertise, physiatrist, and psychiatrist) may be needed to conduct a well-established CBR program, as well as further study to find magnitudes of each aspect.