Irma Ruslina Defi
Departemen Ilmu Kedokteran Fisik dan Rehabilitasi Fakultas Kedokteran Universitas Padjadjaran/Rumah Sakit Dr. Hasan Sadikin Bandung

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Characteristic of Older Adult with Balance Disorder in Rehabilitation Clinic Dr. Hasan Sadikin General Hospital 2014

Althea Medical Journal Vol 3, No 1 (2016)
Publisher : Althea Medical Journal

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Abstract

Background: Older adult population is increasing worldwide. Balance has an important role in conducting daily activities and mobility, with impaired balance it can lead to negative impacts for example fall. This study is conducted to obtain common factors and characteristics of older adults with balance disorder to provide better rehabilitation services.Method: A descriptive study was conducted in the Physical Medicine and Rehabilitation Clinic of Dr. Hasan Sadikin General Hospital, Bandung from August-October 2014 using total sampling method and a 5 times sit-to-stand (5STS) test was conducted. The total sample obtained was 34.Result: The characteristics of older adult with balance disorder in this study were mostly from young old (n=17), male gender (n=19), and mean 5STS test is 18.48 seconds. Most of the patients had high blood pressure (n=29), normal body mass index (BMI) (n=22), independent activity of daily living (ADL) (n=21), and use of greater than 3 medication (n=21).The most common disease found is musculoskeletal disease and majority of patients had one medical disease.Conclusion: Older adults categorized as young old has the greatest frequency of having balance disorder. Increase in age, increases the duration of 5STS test conducted. The most common problem among older adult is high blood pressure, musculoskeletal disease and hypertension and majority of the patients consume greater than 3 medication. Lastly, most of the BMI and the ADL of the older adults were normal. DOI: 10.15850/amj.v3n1.718

Prevalensi Sarkopenia pada Lansia di Komunitas (Community Dwelling) berdasarkan Dua Nilai Cut-off Parameter Diagnosis

Majalah Kedokteran Bandung Vol 48, No 3 (2016)
Publisher : Faculty of Medicine, Universitas Padjadjaran

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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

Flatfoot decreases school functioning among children < 11 years of age

Universa Medicina Vol 37, No 1 (2018)
Publisher : Faculty of Medicine, Trisakti University

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Abstract

Background Flatfoot is a musculoskeletal abnormality commonly found in children that could result in a reduction of quality of life because of its related symptoms and functional abnormalities. This study aimed to determine the association between flatfoot and the quality of life among children 5-18 years of age. Methods A cross sectional design was used in this study of children aged 5-18 years. The diagnosis of flatfoot was made in accordance with the Chippaux-Smirak Index classification, whereas general and domain-specific quality of life were measured using the Indonesian version of PedsQL™ that has been previously validated. Mann Whitney test was used to compare quality of life between children with flatfoot and normal feet, along with other variables that potentially may influence a child’s quality of life. Results A total of 79 out of 120 subjects was used to analyze the data. There was a statistically significant difference in the quality of life score in the school functioning domain between children with flatfoot (64.46 ±18.22) and those with normal feet (75.90 ±17.29) in children <11 years of age (p=0.029). Apart from this, the study did not find any statistically significant differences in the total quality of life score or in other quality of life domains between the two groups. Conclusions Flatfoot significantly decreases children’s quality of life in the school functioning domain. Early detection and correction of flatfoot may be necessary to improve the educational attainment of children suffering from this condition.

Correlation between Handgrip Strength, Mobilization Function, Physical Activity Level, and Muscle Mass in Community-Dwelling Elderly in Bandung, West Java Province, Indonesia

International Journal of Integrated Health Sciences VOL 6, NO 1 March (2018)
Publisher : International Journal of Integrated Health Sciences

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Abstract

Objective: To investigate correlation between handgrip strength, mobilization function, and physical activity level (PAL), and muscle mass in community-dwelling Indonesian elderly.Methods: This was a cross-sectional study 193 subjects aged 60–90 years. Handgrip strength was measured using handgrip dynamometer while the mobilization function was assessed by performing gait speed test. Global Physical Activity Questionnaire (GPAQ) was used to assess the participant’s PAL and Bio Impedance Analyzer was used to measure the participant’s muscle mass based on skeletal mass index.Results: Significant positive correlations were discovered between handgrip strength and walking speed (rs. 0.501; p<0.001), PAL (rs. 0.153; p=0.003), and muscle mass (rs. 0,452; p<0.001).Conclusion: Stronger handgrip determines greater mobilization function, physical activity level, and bigger muscle mass in community-dwelling Indonesian elderly. Keywords: Gait speed, handgrip strength, muscle mass, physical activity DOI: 10.15850/ijihs.v6n1.1047

Correlation between Physical Activity Level and Health–Related Quality of Life among Elderly

Althea Medical Journal Vol 3, No 3 (2016)
Publisher : Althea Medical Journal

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Abstract

Background: The elderly population will keep growing in Indonesia. Decreased body function in elderly will affect their health–related quality of life. The aim of this study was to know the correlation between physical activity level and health–related quality of life among elderlyMethods: A cross-sectional analytical study was conducted from September to November 2014 in Panti Sosial Tresna Wredha Budi Pertiwi. The level of physical activity was measured with General Practice Physical Activity Questionnaire (GPPAQ) and health–related quality of life using the 36–Item Short Form Health Survey version 2 (SF–36v2). There were 14 out of 29 female elderly who met the inclusion criteria. The data were collected using validated questionnaires and tested with simple linear regression.Results: The physical activity level includes one inactive, three moderately inactives, eight moderately actives, and two actives. The average score of the health–related quality of life was 41.121±8.88 for the physical component scale (below average) and 57.629±7.54 (above average) for the mental component scale. No significant correlation was found between the level of physical activity with the physical component scale (p–value = 0.731) and mental component scale (p–value = 0.901).Conclusions: The most frequently found physical activity level is the moderately active level. The score for the physical component scale is under average, while the mental component scale is above average. There is no correlation between the physical activity level and health–related quality of life for the physical component scale and the mental component scale. [AMJ.2016;3(3):405–10]DOI: 10.15850/amj.v3n3.890

Correlations between Muscle Mass, Muscle Strength, Physical Performance, and Muscle Fatigue Resistance in Community-Dwelling Elderly Subjects

International Journal of Integrated Health Sciences VOL 4, NO 1, March (2016)
Publisher : International Journal of Integrated Health Sciences

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Objective: To determine the correlations between muscle mass, muscle strength, physical performance, and muscle fatigue resistance in community-dwelling elderly people in order to elucidate factors which contribute to elderly’s performance of daily activities.Methods: A cross-sectional study was conducted on community-dwelling elderly in Bandung from September to December 2014. One hundred and thirty elderly, 60 years old or above, were evaluated using bioelectrical impedance analysis to measure muscle mass; grip strength to measure muscle strength and muscle fatigue resistance; habitual gait speed to measure physical performance; and Global Physical Activity Questionnaire (GPAQ) to assess physical activity. Results: There were significant positive correlations between muscle mass (r=0,27, p=0,0019), muscle strength (r=0,26, p=0,0024), and physical performance (r=0,32, p=0,0002) with muscle fatigue resistance. Physical performance has the highest correlation based on multiple regression test (p=0,0025). In association with muscle mass, the physical activity showed a significant positive correlation (r=0,42, p=0,0000). Sarcopenia was identified in 19 (14.61%) of 130 subjects. Conclusions: It is suggested that muscle mass, muscle strength, and physical performance influence muscle fatigue resistance. Keywords: Community-dwelling, elderly, muscle fatigue resistance, muscle mass, sarcopenia DOI: 10.15850/ijihs.v4n1.684

Effect of Overground Walking and Treadmill Exercise on Walking Speed and Walking Ability in Elderly

International Journal of Integrated Health Sciences VOL 1, NO 1, July (2013)
Publisher : International Journal of Integrated Health Sciences

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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

Cognitive Function Profile of Post-Stroke Patients

International Journal of Integrated Health Sciences VOL 5, NO 1, March (2017)
Publisher : International Journal of Integrated Health Sciences

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Objective: To discover cognitive function profile of post-stroke patients undergoing rehabilitation to inform rehabilitation professionals in planning for a program and provide services that meet the patient’s need. Methods: This study was a descriptive cross-sectional study involving 32 post-stroke patients undergoing rehabilitation at the Physical Medicine and Rehabilitation clinic of Dr. Hasan Sadikin General Hospital Bandung in August–September 2014. An examination was conducted using the Mini Mental State Examination (MMSE) to obtain the cognitive function profile of post-stroke patients. Results: The results showed that almost all post-stroke patients undergoing rehabilitation had normal cognitive functions (93.8%), only few patients had probable cognitive impairment (6.2%). Probable cognitive impairment were found in male and female patients who were in the age range of 50–60 years who were elementary school graduates and in the sub acute phase of stroke. Conclusions: Almost all post-stroke patients undergoing rehabilitation have normal cognitive functions, only minority of patients have probable cognitive impairment, and there are no patients with definite cognitive impairment. Keywords: Cognitive function, education, rehabilitation, stroke DOI: 10.15850/ijihs.v5n1.962

Relationship between Neutrophil-Lymphocyte Ratio and Cardiac Autonomic Neuropathy in Diabetes Mellitus Type 2 Patients

International Journal of Integrated Health Sciences VOL 5, NO 1, March (2017)
Publisher : International Journal of Integrated Health Sciences

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Objective: To analyze the correlation between cardiac autonomic neuropathy (CAN) and neutrophil-lymphocyte ratio (NLR) in DM type 2 patients.Methods: This was a cross-sectional study which was conducted at the Internal Medicine Clinic of Dr. Hasan Sadikin General Hospital, Bandung and Chronic Disease Management (CDM) Club in Garut District, West Java, Indonesia from October to December 2015. Subjects were 57 DM type 2 patients who met the inclusion criteria. Cardiac autonomic neuropathy examination and complete blood count (CBC) were performed to discover the subjects’ neutrophil-lymphocyte ratio. Results: A strong correlation was found between CAN in DM type 2 patients and NLR (r=0.679; p=0.000) based on Rank Spearman correlation test. The NLR to CAN cut off point was 1.34. Conclusions: NLR examination can be used as an indicator of CAN in DM type 2 patients with NLR cut off point. There was a correlation between CAN and DM type 2 diagnosis duration. Keywords: Cardiac autonomic neuropathy, diabetes mellitus type 2, Ewing test, neutrophil-lymphocyte ratio DOI: 10.15850/ijihs.v5n1.961

Characteristic of Older Adult with Balance Disorder in Rehabilitation Clinic Dr. Hasan Sadikin General Hospital 2014

Althea Medical Journal Vol 3, No 1 (2016)
Publisher : Althea Medical Journal

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Abstract

Background: Older adult population is increasing worldwide. Balance has an important role in conducting daily activities and mobility, with impaired balance it can lead to negative impacts for example fall. This study is conducted to obtain common factors and characteristics of older adults with balance disorder to provide better rehabilitation services.Method: A descriptive study was conducted in the Physical Medicine and Rehabilitation Clinic of Dr. Hasan Sadikin General Hospital, Bandung from August-October 2014 using total sampling method and a 5 times sit-to-stand (5STS) test was conducted. The total sample obtained was 34.Result: The characteristics of older adult with balance disorder in this study were mostly from young old (n=17), male gender (n=19), and mean 5STS test is 18.48 seconds. Most of the patients had high blood pressure (n=29), normal body mass index (BMI) (n=22), independent activity of daily living (ADL) (n=21), and use of greater than 3 medication (n=21).The most common disease found is musculoskeletal disease and majority of patients had one medical disease.Conclusion: Older adults categorized as young old has the greatest frequency of having balance disorder. Increase in age, increases the duration of 5STS test conducted. The most common problem among older adult is high blood pressure, musculoskeletal disease and hypertension and majority of the patients consume greater than 3 medication. Lastly, most of the BMI and the ADL of the older adults were normal. DOI: 10.15850/amj.v3n1.718