Tertianto Prabowo
Department of Physical Medicine and Rehabilitation Faculty of Medicine, Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital Bandung

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Perbedaan Efek Terapi Penggunaan Dua Ukuran Jarum Dry Needling dengan Penurunan Nyeri dan Tenderness pada Sindrom Nyeri Miofasial Otot Upper Trapezius Tipe Aktif Taofik, Nora; Prabowo, Tertianto; Sastradimaja, Sunaryo. B.
Majalah Kedokteran Bandung Vol 47, No 2 (2015)
Publisher : Faculty of Medicine, Universitas Padjadjaran

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Sindrom nyeri miofasial adalah kumpulan gejala sensorik, motorik, dan autonom akibat miofasial trigger point. Sindrom ini paling sering didapatkan pada usia muda dan mengenai otot postural, salah satunya adalah otot upper trapezius. Terapi yang digunakan berupa terapi invasif maupun noninvasif. Terapi invasif dengan ukuran jarum yang berbeda dapat memberikan penurunan gejala dalam beberapa saat setelah terapi. Uji klinis dilakukan dengan metode pengambilan sampel consecutive sampling. Penelitian dilakukan di Departemen Kedokteran Fisik dan Rehabilitasi Medik Rumah Sakit Dr. Hasan Sadikin Bandung periode April–Mei 2104. Subjek penelitian kelompok I diberikan terapi dry needling menggunakan jarum injeksi 25G (0,50x25 mm) dan kelompok II diberikan terapi dry needling menggunakan jarum akupuntur 1 cun (0,25x25 mm). Subjek penelitian sebanyak 74 orang dibagi menjadi 2 kelompok. Perbandingan nilai numeric rating scale antara terapi dengan jarum injeksi 25G dan jarum akupunktur 1 cun tidak didapatkan perbedaan bermakna (p=0,230). Perbandingan nilai algometer antara terapi dengan jarum injeksi 25G dan jarum akupunktur 1 cun tidak didapatkan perbedaan bermakna (p=0,134). Tidak ada perbedaan efek terapi dry needling terhadap penurunan nyeri dan tenderness pada penderita sindrom nyeri miofasial otot upper trapezius tipe aktif antara menggunakan jarum injeksi 25G dan jarum akupunktur 1 cun. [MKB. 2015;47(2):91–5]Kata kunci: Dry needling, jarum akupunktur, jarum injeksi, upper trapezius, sindrom nyeri miofasialEffect of Treatment Differences between the Use of Two Different Sizes of Dry Needling to Decrease Pain and Tenderness in Active Upper Trapezius Myofascial Pain SyndromeAbstractMyofascial pain syndrome is a collection of sensoric, motoric, and autonomic symptoms due to myofascial trigger points. This is commonly seen in young age and involves postural muscles; one of those is upper trapezius muscle. Invasive and non-invasive therapies have been used as modalities to treat myofascial pain syndrom. Invasive therapy is superior due to its mechanical mechanism in deactivating trigger points. Different sizes of needles are used in invasive therapy to decrease symptoms.  A clinical trial has been conducted in the outpatient clinic of Department of Physical Medicine and Rehabilitation, Dr. Hasan Sadikin Hospital, Bandung in the period of April–May 2014 with consecutive sampling method. Subjects in group I were given dry needling therapy with 25G injection needle (0.50x25 mm) and subjects in group II received the therapy using 1 cun accupuncture needle (0.25x25 mm). Seventy four subjects participated in this study. The comparison of numeric rating scale between the 25G injection needle therapy group and the 1 cun accupuncture needle therapy group was not significantly different (p=0.230). The comparison of algometer value between the 25G injection needle therapy group and the 1 cun accupuncture needle therapy group was also not significantly different (p=0.134). In conclusion, there is no difference in pain and tenderness decrease in dry needling therapy using 25G injection needle and 1 cun accupuncture needle for active type of myofascial pain syndrome of upper trapezius muscle therapies. [MKB. 2015;47(2):91–5]Key words: Acupuncture needle, dry needling, myofascial pain syndrome, needle, upper trapezius DOI: 10.15395/mkb.v47n2.462
Demographic Profile of Knee Osteoarthritis Patients in a Teaching Hospital West Java, 2013 Nugrahaputra, Tranggana; Prabowo, Tertianto; Sadeli, Henny Anggraini
Althea Medical Journal Vol 2, No 4 (2015)
Publisher : Althea Medical Journal

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Background: Osteoarthritis is the most common degenerative musculoskeletal diseases occur worldwide. It usually affects the weight-bearing joint such as knee and vertebra. Osteoarthritis is influenced by various risk factors. The aim of the study was to identify the demographic profile of knee osteoarthritis patients.Methods: A retrospective descriptive study was performed to 247 medical records of knee osteoarthritis patients who attended to Physical Medicine and Rehabilitation of Dr. Hasan Sadikin General Hospital Bandung in 2013. The inclusion criteria were medical records that consisted of age, sex and occupation of the patients, and payment methods. Exclusion criteria were incomplete of the necessary data mentioned in the inclusion criteria. The study was conducted from August until November 2014. The collected data were analyzed and presented using frequency distribution.Results: From all the patients, 40.9% was 60-69 years old, 77.7% were women and 82.6% were retired patients. Most of the patients had a social health insurance.Conclusions: Majority of patients is 60–69 years old women, retired and has the financial protection. [AMJ.2015;2(4):597–600] DOI: 10.15850/amj.v2n4.468
Body Mass Index and Western Ontario & McMaster Universities Osteoarthritis Index in Patients with Knee Osteoarthritis in Dr. Hasan Sadikin General Hospital, Bandung in November 2012 Mohamad Dat, Ainna Binti; Prabowo, Tertianto; Tahid, Alwin
Althea Medical Journal Vol 2, No 3 (2015)
Publisher : Althea Medical Journal

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Background: Osteoarthritis is one of the major disabilities among elderly. One of its well-recognized potent risk factors is obesity. The aim of this study was to identify the body mass index and severity of knee osteoarthritis patients who were treated in Dr. Hasan Sadikin General Hospital Bandung.Methods: A descriptive study was carried out to 9 patients of the Medical Rehabilitation Policlinic at Dr. Hasan Sadikin General Hospital Bandung in November 2012. Patients were diagnosed as having knee Osteoarthritis based on American College of Rheumatology clinical classification. Exclusion criteria were patient having previous trauma in spine and lower limb, having bleeding disorder like hemophilia, incomplete data in medical records and incomplete data in questionnaire. Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) was used to measure the intensity of pain, stiffness, and functional difficulty.  The weight (kg) and height (cm) of the patients were measured and the Body Mass Index was calculated by Weight (kg)/Height² (m). The data were analyzed using frequency distribution.Results: The patients who came to the Medical Rehabilitation Policlinic had ranged in age from 57 to78 years, mostly female with knee Osteoarthritis bilateral. Out of 9 patients, 5 patients were overweight, followed by normal BMI and obese type I. Patient with obese type 1 had the highest WOMAC score.  Conclusions: Most of the patients with knee osteoarthritis bilateral are overweight and the patient with obese type 1 has the highest WOMAC score. DOI: 10.15850/amj.v2n3.521
Prediction of Jamar Grip Strength Value Using Modified Aneroid Spyhgmomanometer Cuff Method Pujianita, Lusia; Prabowo, Tertianto; Prananta, Marietta Shanti
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 examine the prediction of Jamar grip strength value by using aneroid sphygmomanometer cuff method in adults.Methods: This study involved 120 subjects, aged 20–59 years old. The grip strength of subjects were measured using Jamar dynamometer and aneroid sphygmomanometer cuff method. Spearman analysis was used to evaluate the correlation between variables and grip strength. Forward stepwise was used to analyze the regression of Jamar dynamometer using aneroid sphygmomanometer cuff method. Results: There was a weak correlation (r<0.4) between grip strength with age and BMI, moderate correlation (r = 0.4–0.6) for grip circumference, and also strong correlation r= (0.6–0.8) for sex, hand length, and hand width. Jamar grip strength value can be predicted using spyghmomanometer with the formula of (0.1157 x Sphygmomanometer grip strength value) – (5.696 x sex) + (0.0824 x age) (female =1, male= 0).Conclusions: Grip strength correlates with physiological variables. The variables to predict Jamar grip strength using sphygmomanometer are sex and age. Regression analysis shows that spyhgmomanometer can be used as an alternative to measure grip strength and has a valid value to predict the Jamar grip strength value. Keywords: Adult, grip strength, Jamar dynamometer, sphygmomanometer, prediction formula DOI: 10.15850/ijihs.v5n1.958
Fall Risk Based on Timed Up and Go Test in Elderly at Nursing Home in West Java, Indonesia Selvadurai, Thiruchelvam; Prabowo, Tertianto; Pratiwi, Yuni S.
Althea Medical Journal Vol 4, No 1 (2017)
Publisher : Althea Medical Journal

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Background: Falls are major cause of morbidity and mortality in elderly patients. Mobility assessment is important in preventing  falls in elderly. This study was conducted to determine the level of fall risk in elderly people at Karitas Cimahi Nursing Home, West Java, Indonesia by using ‘timed up and go test’(TUG).Methods:This cross-sectional descriptive study was conducted at Karitas Cimahi Nursing Home from June–November 2013. The risk of falls was categorized into two; high and low risk of falls. High risk of falls indicated when the participants complete the TUG test with time taken >10 seconds, and low risk of falls indicated when the time taken is <10 seconds. To identify the level of fall risk in elderly people the test which is recommended by the American Geriatric Society was used. The sampling technique used was total sampling. Data was analyzed and presented by using frequency tables.Results: From a total of 32 elderly population at Karitas Cimahi Nursing Home, a total of 20 participated in this study. The ‘Timed up and go test’ result for all the participants were >10 seconds. Conclusions: The level of fall risk in elderly people at Karitas Cimahi Nursing Home based on the  test showed  that all participants,  both male and female, regardless of using assistive device have high level risk of falls. [AMJ.2017;4(1):83–6] DOI: 10.15850/amj.v4n1.1025
Physical Performance of West Java Soccer Athletes during February to December 2012 Anwary, Army Zaka; Purba, Ambrosius; Prabowo, Tertianto
Althea Medical Journal Vol 2, No 1 (2015)
Publisher : Althea Medical Journal

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  Background: Soccer is one of the sports included in the 18th National Sports Week (Pekan Olahraga Nasional, (PON) 2012, in Riau. Soccer requires a good physical condition to perform various football techniques such as running, shooting, dribbling, tackling, sliding, throw-in and heading. A good physical component can be achieved through a well-rounded program in accordance to the periodization training program. This study was conducted to describe the physical performance of the West Java’s football athletes in order to develop periodization training program and to predict the athletes’ performance.Methods: A descriptive study was carried out on 23 West Java’s football athletes using secondary data from West Java’s KONI sports medicine team test reports during the period of February to December 2012. The variables in this study were 7 predominant physical components in football as follows: muscle strength, muscle endurance, speed, agility, flexibility, explosive leg muscle power, and general endurance (VO2 max). All components were categorized asInsufficient, Fair, Good, Excellent, and Perfect compared to the central KONI standards.Results: The leg muscle strength, abdominal muscle endurance, speed, agility of all athletes were not considered perfect. Not one of the components was above 50% which was the excellent category. Only Arm and shoulder endurance (56.5%), speed (68.18%), and leg muscle power (52.17%) were in good category. The most of the results regarding the athletes’ leg muscle strength was categorized as fair. All results in the abdominal endurance were in insufficient category.Conclusion: Not all physical performance components are achieved perfectly by all of the football athletes.Keywords: Athletes, football, physical performance DOI: 10.15850/amj.v2n1.442 
Correlation between Body Mass Index and Disability in Patient with Chronic Low Back Pain Teck, Tiang Soon; Prabowo, Tertianto; Kurniani, Nani
Althea Medical Journal Vol 3, No 4 (2016)
Publisher : Althea Medical Journal

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Background: Low back pain is discomfort presented below the margin of the 12th thoracic rib and above the inferior gluteal fold with or without leg pain. It is also a major cause of disability. Several risk factors have been identified for contributing low back pain. It is important to determine whether body mass index (BMI) can affect the disability in patients with chronic low back pain. Oswestry disability index (ODI) questionnaire has been used to measure the severity of disability. Thus, the focus of study was to determine correlation between BMI and disability in patients with chronic low back pain. Methods: Sixty two patients aged 18 years old or more who were clinically diagnosed as having low back pain at least 3 months participated in this study in the period of October to November 2015 in the Department of Physical Medicine and Rehabilitation of Dr. Hasan Sadikin General Hospital Bandung. Total sampling method was used. Gender, age, weight, height, BMI and disability were recorded using ODI questionnaire. This analytical study was cross sectional study and the ordinal variable was analyzed using linear regression analysis.Results: Females had higher proportion (77). Chronic low back pain patients were equally distributed on normal weight and overweight categories. Patient with chronic low back pain had higher chances of developing moderate disability. There were positive correlation between BMI and disability. Nevertheless, there was no statistically analysis difference between model 1 and 2.Conclusions: The BMI affects the disability in patients with chronic low back pain. [AMJ.2016;3(4):624–8] DOI: 10.15850/amj.v3n4.949
Correlation between Forced Expiratory Volume One Second and Vital Capacity with VO2 Maximum Rahmania, Siti Khadijah; Prabowo, Tertianto; Tessa, Putri
Althea Medical Journal Vol 3, No 3 (2016)
Publisher : Althea Medical Journal

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Background: Medical students need to cope with their tight schedule, which also demand a good physical fitness to do those activities. Insufficient leisure time and exhausting activities impede students’ capacity on having routine physical exercise to maintain their physical fitness. Cardiopulmonary endurance describes a person physical fitness level, and lung function is one basic component of cardiopulmonary endurance. Without optimal lung function, circulatory system in the body cannot work properly. This study aimed to determine whether lung function giving a significant correlation with the cardiorespiratory endurance which are measured by Forced Expiratory Volume One Second (FEV1), Vital Capacity (VC), and VO2Maximum (VO2max), respectively.Methods: This study was conducted in September–October 2013 to the students of Faculty of Medicine at Universitas Padjadjaran academic year 2010–2012, using the cross-sectional method. Sample was taken through simple random sampling process. There were 34 male and 34 female students after controlling for covariates. Direct measurement using spirometer used to determine lung function and maximum oxygen uptake was measured by assessing Rhyming Step Test result. Correlation coefficient was then calculated by Pearson correlation test.Results: The correlation between FEV1with VO2max of male students giving a value of p=0.442, while for VC obtained a value of p=0.259. Female students result giving a value of p=0.746 for the FEV1with VO2max, and p=0.489 for the VC with the VO2max.Conclusions: There is no significant correlation between FEV1 and VC with the VO2max of the respondents. [AMJ.2016;3(3):430–3] DOI: 10.15850/amj.v3n3.868
Correlation between Computer Workstation and Location of Musculoskeletal Disorders Bagaskoro, Hafiz Ambyo; Prabowo, Tertianto; Setiawan, Setiawan
Althea Medical Journal Vol 3, No 2 (2016)
Publisher : Althea Medical Journal

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Background: The use of computer has been widely increased. This intensifies the risk of musculoskeletal disorders on long-term office workers. This study aims to find out the characteristics of musculoskeletal disorders in office workers with computer workstation which then lead to the presence or absence of the correlation between the two in order to avoid the pains endured.Methods: This was a cross-sectional study carried out from September–November 2014 in Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia. Seventeen samples were obtained from three different departments (finance and academics) by total sampling. The data was collected by validated questionnaire and it was analyzed by using simple linear regression method.Results: From 17 samples in total, 16 claimed that their workstation needs to be evaluated. Furthermore, the prevalent areas of musculoskeletal were shoulders (12 persons), lower back (10 persons), neck (9 persons), knee (9 persons), upper back (7 persons). The analysis using simple linear regression method showed no significant correlation between workstation characteristics and musculoskeletal disorders (p-value = 0.515).Conclusions: There is no correlation found between workstation characteristics and musculoskeletal disorders. [AMJ.2016;3(2):323–8]DOI: 10.15850/amj.v3n2.793
Effects of Core Strength Training Using Stable Versus Unstable Surfaces on Lower Body Quality in 8th Grade Male and Female Students in a Junior High School in Bandung Dwidarti, Sitti Juhana; Prabowo, Tertianto; Sungkar, Ellyana
International Journal of Integrated Health Sciences VOL 6, NO 1 March (2018)
Publisher : International Journal of Integrated Health Sciences

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Objective: To investigate the effects of core strength training performed on stable (CSTS) compared to unstable surfaces (CSTU) on physical fitness in school-aged boys and girls.Methods: In this study, 72 (36 males, 36 females) untrained healthy subjects (mean age: 14±1 years, age range: 13–15 years) were randomly assigned to a CSTS group for stable surface (n = 36; 18 males and 18 females) or a CSTU group for unstable surface (n = 36; 18 males and 18 females). Core strength training performed on stable as compared to unstable surfaces were assessed on pre- and post-tests. Training period lasted 6 weeks (2 sessions/week). The components of physical fitness were assessed using standing long jump test,  stand-and-reach  test,  20-m  sprint  test, jumping  sideway test, and y balance  test.   Results: This study showed significant results in increased components of physical fitness in both CSTS and CSTU groups (p<0.05). The increase of physical fitness for CSTU was better than CSTS (p<0.05). There were differences of physical fitness between gender in both groups (p<0.05) except for stand-and-reach test (p>0.05).Conclusion: Core strength training performed on unstable and stable surfaces increases all components of physical fitness in youths. Core strength training performed on unstable surface can better improve the physical fitness compared to the stable surface. There were differences of physical fitness between gender in both groups except for stand-and-reach test.Keywords: Resistance training, physical fitness, gender DOI: 10.15850/ijihs.v6n1.1050