Marina A. Moeliono, Marina A.
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Level of Dependency Based on Barthel and Lawton Score in Older People Living in Panti Werdha, Ciparay Diyanto, Rizky Nurwan; Moeliono, Marina A.; Dwipa, Lazuardhi
Althea Medical Journal Vol 3, No 4 (2016)
Publisher : Althea Medical Journal

Show Abstract | Original Source | Check in Google Scholar | Full PDF (182.08 KB)

Abstract

Background: The population of older people continues to increase. Thus, many kinds of health-related problems can occur, such as a decrease independence level in performing activities of daily living (ADL) which can be assessed by using Barthel and Lawton index. Barthel index assesses basic ADL such as mobility function, continence, and self-care. Lawton index assesses instumental ADL that are a person’s ability to use tools and face other people. There are no data available reflecting the dependency of the older people at Panti Werdha, Ciparay . This study aimed to observe the level of dependence of the older people in Panti Werdha using Barthel and Lawton index.Methods: This study was a descriptive study and was conducted at Panti Werdha, Ciparay from September to November 2015 using the total population. The level of dependence in the older people was assessed by Barthel and Lawton index. Barthel index was divided into independent, mild dependent, moderate dependent, severe dependent, and totally dependent. Lawton index was divided into independent, low dependent, high dependent, and totally dependent.Results: A total of 144 older people participated as respondents in this study. Based on the Barthel index score, it showed that 51.4% of the subjects were dependent. As for the Lawton index scor¬¬e, it showed that 81.2% of the subjects were dependent.Conclusions: Most of the older people in Panti Werdha, Ciparay are categorized as dependent, where they will need help in performing basic and instrumental ADL. [AMJ.2016;3(4):493–8] DOI: 10.15850/amj.v3n4.929
Functional Status of Stroke Patients at Neurologic Outpatient Clinic Dr. Hasan Sadikin General Hospital Chen, Lee Shok; Moeliono, Marina A.; Amalia, Lisda
Althea Medical Journal Vol 3, No 1 (2016)
Publisher : Althea Medical Journal

Show Abstract | Original Source | Check in Google Scholar | Full PDF (529.992 KB)

Abstract

Background: Functional status refers to the ability of an individual to perform normal daily activity required to meet basic needs, fulfill usual roles, and maintain health and well-being. The objective of this study was to evaluate the level of disability and independency of stroke patients who had undergone rehabilitation therapy as the routine activity using Instrumental Activity of Daily Living (IADLs) and basic Activity of Daily Living (BADLs). Methods: This descriptive study carried out from September to October 2014 at Neurologic outpatient clinic Dr. Hasan Sadikin General Hospital Bandung with a total 33 subjects. Barthel index and IADLs questionnaire was used as an instrumental tool. Barthel index was used to measure the level of disability and IADLs was used to measure the level of independency of an individual.Results: From the 33 patients, 20 patients completed their rehabilitation therapy; 5 patients showed a moderate disability and 15 patients showed a mild disability at the Barthel Index of ADLs. The result of IADLs showed that 7 patients who completed the therapy had moderate level of independency, and 3 patients were at the category of high level of independency.Conclusions: Most of the stroke patients have moderate disability in Barthel Index and had low level of independency in IADLs. [AMJ.2016;3(1):126–31] DOI: 10.15850/amj.v3n1.720
Correlation Between Radiographic Grading of Osteoarthritis, Pain Severity and Functional Status in Knee Osteoarthritis Patients Khairina, Annisa Dwi; Moeliono, Marina A.; Rahmadi, Andri Reza
Althea Medical Journal Vol 5, No 1 (2018)
Publisher : Althea Medical Journal

Show Abstract | Original Source | Check in Google Scholar | Full PDF (560.319 KB)

Abstract

Background: Osteoarthritis is a joint degenerative disease characterized with structural changes of joint. The structural changes can be assessed with radiological assessment. Major clinical manifestations may include pain, inflammation, and stiffness, resulting in limitations for performing daily activities. The purpose of this study was to determine the correlation between radiographic grading of osteoarthritis, pain severity, and lower extremities functional status in patients with knee osteoarthritis.Methods: The study involved 29 patients with knee osteoarthritis in Dr. Hasan Sadikin General Hospital, Bandung and Bandung District General Hospital during the period of August to October 2014 using the cross sectional method. This study used NRS (Numeric Rating Scale) for pain severity assessment, Kellgren-Lawrence criteria for radiographic grading of osteoarthritis, and Modified Lower Extremity Funcional Scale for functional status assessment. The data were analyzed using statistical analysis tools. If the data were normally distributed, the correlation test will be carried out  by using the Pearson correlation test and if the data were not normally distributed then the Spearman’s Correlation test will be used.Results: Correlation coefficient between severity of pain and functional status is r= -0,439 with p value= 0.17 (p<0.05). There was no significant correlation between radiographic grading of osteoarthritis and functional status (p > 0.05).Conclusions: The severity of pain correlates with the functional status of patients with osteoarthritis of the knee, while radiographic grading of osteoarthritis does not correlate with functional status. Keywords: 
Quadriceps and Hamstring Muscle Strength in Elderly based on Lifestyle Sze Lyn, Pang; Moeliono, Marina A.; Dewi, Sumartini
Althea Medical Journal Vol 4, No 3 (2017)
Publisher : Althea Medical Journal

Show Abstract | Original Source | Check in Google Scholar | Full PDF (594.042 KB)

Abstract

Background: Studies have shown that muscle strength will decline with aging and inactivity, with 1% to 3% loss of muscle strength each day. Nevertheless, different lifestyles have different effect on muscle strength. This study was conducted to analyze the differences in quadriceps and hamstring muscle strength in elderly from 60–79 years olds according to lifestyle.Methods: A cross-sectional study was conducted from September to November 2015. The subjects were 31 older persons from community who voluntarily participated the research procedure and were divided into 2 groups, active group and sedentary group according to International Physical Activity Questionnaire (IPAQ). Quadriceps and hamstring muscle strengths were measured using the push and pull dynamometer. The collected data were analyzed using the Wilcoxon rank sum test and the unpaired t-test. Results: This study discovered that the mean difference in hamstring muscle strength was 6.09 ± 0.70, p< 0.001; median difference in Quadriceps muscle strength was 5.00 (13.00, 6.50), p<0.001. Conclusions: There is a higher Quadriceps and Hamstring muscle strength in elderly active lifestyle compared to elderly sedentary lifestyle.  
Loaded and Unloaded Sit-to-Stand Strengthening Exercises Effect to Gross Motor Function Measure in Spastic Diplegia Cerebral Palsy Patients Safei, Imran; Moeliono, Marina A.; Prabowo, Tertianto
International Journal of Integrated Health Sciences VOL 4, NO 1, March (2016)
Publisher : International Journal of Integrated Health Sciences

Show Abstract | Original Source | Check in Google Scholar | Full PDF (180.736 KB)

Abstract

Objective: To examine sit-to-stand and loaded sit-to-stand exercises effect in standing, walking, and running dimensions of gross motor function measure (GMFM) in spastic diplegia cerebral palsy (SDCP) patients.Methods: This study was conducted in the period of May to October 2014 and included 24 children with SDCP as the subjects. The methods used in the study were interventional study with randomized controlled trial, and investigation of CP before and after the exercise intervention. The subjects were divided into two groups, sit-to-stand exercise group and loaded sit-to-stand exercise group. Results: The results showed that the increase of standing, walking, and running dimension scores of GMFM in the loaded group were higher (standing dimension score 12.00 vs 11.08 and walking and running dimensions 13.58 vs 13.42) compared to the unloaded group.Conclusions: Both sit-to-stand and loaded sit-to-stand exercise groups do not show significant differences in improving motor skills in standing, walking, and running dimensions of GMFM. Children with SDCP may receive the exercise to improve their motor skills in mobility aspects, such as standing, walking, and running. Keywords: Cerebral palsy, gross motor function measure, rehabilitation, sit-to-stand exercise DOI: 10.15850/ijihs.v4n1.680
Loaded and Unloaded Sit-to-Stand Strengthening Exercises Effect to Gross Motor Function Measure in Spastic Diplegia Cerebral Palsy Patients Safei, Imran; Moeliono, Marina A.; Prabowo, Tertianto
International Journal of Integrated Health Sciences Vol 4, No 1 (2016)
Publisher : International Journal of Integrated Health Sciences

Show Abstract | Original Source | Check in Google Scholar | Full PDF (180.736 KB)

Abstract

Objective: To examine sit-to-stand and loaded sit-to-stand exercises effect in standing, walking, and running dimensions of gross motor function measure (GMFM) in spastic diplegia cerebral palsy (SDCP) patients.Methods: This study was conducted in the period of May to October 2014 and included 24 children with SDCP as the subjects. The methods used in the study were interventional study with randomized controlled trial, and investigation of CP before and after the exercise intervention. The subjects were divided into two groups, sit-to-stand exercise group and loaded sit-to-stand exercise group. Results: The results showed that the increase of standing, walking, and running dimension scores of GMFM in the loaded group were higher (standing dimension score 12.00 vs 11.08 and walking and running dimensions 13.58 vs 13.42) compared to the unloaded group.Conclusions: Both sit-to-stand and loaded sit-to-stand exercise groups do not show significant differences in improving motor skills in standing, walking, and running dimensions of GMFM. Children with SDCP may receive the exercise to improve their motor skills in mobility aspects, such as standing, walking, and running. Keywords: Cerebral palsy, gross motor function measure, rehabilitation, sit-to-stand exercise DOI: 10.15850/ijihs.v4n1.680
Quadriceps and Hamstring Muscle Strength in Elderly based on Lifestyle Sze Lyn, Pang; Moeliono, Marina A.; Dewi, Sumartini
Althea Medical Journal Vol 4, No 3 (2017)
Publisher : Althea Medical Journal

Show Abstract | Original Source | Check in Google Scholar | Full PDF (494.695 KB)

Abstract

Background: Studies have shown that muscle strength will decline with aging and inactivity, with 1% to 3% loss of muscle strength each day. Nevertheless, different lifestyles have different effect on muscle strength. This study was conducted to analyze the differences in quadriceps and hamstring muscle strength in elderly from 60–79 years olds according to lifestyle.Methods: A cross-sectional study was conducted from September to November 2015. The subjects were 31 older persons from community who voluntarily participated the research procedure and were divided into 2 groups, active group and sedentary group according to International Physical Activity Questionnaire (IPAQ). Quadriceps and hamstring muscle strengths were measured using the push and pull dynamometer. The collected data were analyzed using the Wilcoxon rank sum test and the unpaired t-test. Results: This study discovered that the mean difference in hamstring muscle strength was 6.09 ± 0.70, p< 0.001; median difference in Quadriceps muscle strength was 5.00 (13.00, 6.50), p<0.001. Conclusions: There is a higher Quadriceps and Hamstring muscle strength in elderly active lifestyle compared to elderly sedentary lifestyle.  
Correlation Between Radiographic Grading of Osteoarthritis, Pain Severity and Functional Status in Knee Osteoarthritis Patients Khairina, Annisa Dwi; Moeliono, Marina A.; Rahmadi, Andri Reza
Althea Medical Journal Vol 5, No 1 (2018)
Publisher : Althea Medical Journal

Show Abstract | Original Source | Check in Google Scholar | Full PDF (560.319 KB)

Abstract

Background: Osteoarthritis is a joint degenerative disease characterized with structural changes of joint. The structural changes can be assessed with radiological assessment. Major clinical manifestations may include pain, inflammation, and stiffness, resulting in limitations for performing daily activities. The purpose of this study was to determine the correlation between radiographic grading of osteoarthritis, pain severity, and lower extremities functional status in patients with knee osteoarthritis.Methods: The study involved 29 patients with knee osteoarthritis in Dr. Hasan Sadikin General Hospital, Bandung and Bandung District General Hospital during the period of August to October 2014 using the cross sectional method. This study used NRS (Numeric Rating Scale) for pain severity assessment, Kellgren-Lawrence criteria for radiographic grading of osteoarthritis, and Modified Lower Extremity Funcional Scale for functional status assessment. The data were analyzed using statistical analysis tools. If the data were normally distributed, the correlation test will be carried out  by using the Pearson correlation test and if the data were not normally distributed then the Spearman’s Correlation test will be used.Results: Correlation coefficient between severity of pain and functional status is r= -0,439 with p value= 0.17 (p<0.05). There was no significant correlation between radiographic grading of osteoarthritis and functional status (p > 0.05).Conclusions: The severity of pain correlates with the functional status of patients with osteoarthritis of the knee, while radiographic grading of osteoarthritis does not correlate with functional status. Keywords: 
Functional Status of Stroke Patients at Neurologic Outpatient Clinic Dr. Hasan Sadikin General Hospital Chen, Lee Shok; Moeliono, Marina A.; Amalia, Lisda
Althea Medical Journal Vol 3, No 1 (2016)
Publisher : Althea Medical Journal

Show Abstract | Original Source | Check in Google Scholar | Full PDF (529.992 KB)

Abstract

Background: Functional status refers to the ability of an individual to perform normal daily activity required to meet basic needs, fulfill usual roles, and maintain health and well-being. The objective of this study was to evaluate the level of disability and independency of stroke patients who had undergone rehabilitation therapy as the routine activity using Instrumental Activity of Daily Living (IADLs) and basic Activity of Daily Living (BADLs). Methods: This descriptive study carried out from September to October 2014 at Neurologic outpatient clinic Dr. Hasan Sadikin General Hospital Bandung with a total 33 subjects. Barthel index and IADLs questionnaire was used as an instrumental tool. Barthel index was used to measure the level of disability and IADLs was used to measure the level of independency of an individual.Results: From the 33 patients, 20 patients completed their rehabilitation therapy; 5 patients showed a moderate disability and 15 patients showed a mild disability at the Barthel Index of ADLs. The result of IADLs showed that 7 patients who completed the therapy had moderate level of independency, and 3 patients were at the category of high level of independency.Conclusions: Most of the stroke patients have moderate disability in Barthel Index and had low level of independency in IADLs. [AMJ.2016;3(1):126–31] DOI: 10.15850/amj.v3n1.720
Level of Dependency Based on Barthel and Lawton Score in Older People Living in Panti Werdha, Ciparay Diyanto, Rizky Nurwan; Moeliono, Marina A.; Dwipa, Lazuardhi
Althea Medical Journal Vol 3, No 4 (2016)
Publisher : Althea Medical Journal

Show Abstract | Original Source | Check in Google Scholar | Full PDF (182.08 KB)

Abstract

Background: The population of older people continues to increase. Thus, many kinds of health-related problems can occur, such as a decrease independence level in performing activities of daily living (ADL) which can be assessed by using Barthel and Lawton index. Barthel index assesses basic ADL such as mobility function, continence, and self-care. Lawton index assesses instumental ADL that are a person’s ability to use tools and face other people. There are no data available reflecting the dependency of the older people at Panti Werdha, Ciparay . This study aimed to observe the level of dependence of the older people in Panti Werdha using Barthel and Lawton index.Methods: This study was a descriptive study and was conducted at Panti Werdha, Ciparay from September to November 2015 using the total population. The level of dependence in the older people was assessed by Barthel and Lawton index. Barthel index was divided into independent, mild dependent, moderate dependent, severe dependent, and totally dependent. Lawton index was divided into independent, low dependent, high dependent, and totally dependent.Results: A total of 144 older people participated as respondents in this study. Based on the Barthel index score, it showed that 51.4% of the subjects were dependent. As for the Lawton index scor¬¬e, it showed that 81.2% of the subjects were dependent.Conclusions: Most of the older people in Panti Werdha, Ciparay are categorized as dependent, where they will need help in performing basic and instrumental ADL. [AMJ.2016;3(4):493–8] DOI: 10.15850/amj.v3n4.929