Background: Sarcopenia’s definition are low muscle strength, low muscle quantity or quality, and low muscle performance. Several studies have found that skeletal mass can decrease as a result of a lack of physical activity and it along have to increase risk of adverse outcomes including falls, frailty, disability, morbidity and mortality. Exercise interventions is the most effective strategy for increasing the skeletal muscle mass and maintain functional independence of elderly people. In this review will discuss about how physical activity be a habitual exercise that less cost and easy to do, will be home based exercise for elderly people with sarcopenia to decrease of exacerbate. Methods: The literature had selected studies from the following databases: PubMed, Google Scholar and PEDro. We explored evidence which relevant topic using the following database with keyword ‘sarcopenia and pre-sarcopenia’, ‘exercise for sarcopenia and pre-sarcopenia’, 'home-based exercise’, ‘physical activity for elderly’, ‘elderly with sarcopenia’ and selection by inclusion and exclusion criteria. Results: Four studies were corresponded with home exercise-based habitual physical activity for people with pre sarcopenia and prevent sarcopenia which have been analyzed as results of the study. The habitual physical activity that can be home based exercise for prevent decreasing of muscle mass in elderly people are exercise snacking, stretching exercise, walking and tele exercise. All of the exercises showed significantly increased muscle mass and were easy to do, and those safety. The easiest is exercise snacking, but stretching exercise and walking around are more effective to increase the muscle mass and muscle strength compared to exercise snacking along. Conclusion: Sarcopenia can be prevented in older adults with in home-based exercise from habitual physical activity such as exercise snacking, stretching exercise, walking around, and tele-exercise.
Myasthenia gravis (MG) is an autoimmune disorder characterized by fluctuating muscle fatigue, worsening with increased activity, and improving at rest. Physiotherapy plays a role in reducing symptoms such as shortness of breath, respiratory muscle weakness, and airway obstruction due to decrease the sputum in the lung lobes and prevent of the exacerbation. Respiratory training and postural drainage techniques are part of intervention that given by physiotherapy for patients diagnosed with MG and had symptoms hospital acquired pneumonia (HAP). A male, 28 years old patient diagnosed with HAP and had history of MG hospitalized a month with dyspnoea and disable to do activity daily living. Physiotherapy treatment that given to the patient from 18th July 2018 till 28th July 2018 are respiratory training included breathing exercise, cough exercise, shoulder expansion, Active Range of motion (ROM) exercise, stretching of respiratory muscle and home program exercise that helped by nurse and caregiver. Patient had medical treatment from all medical team by pulmonologist, neurologist and nurse too. Combined this new technique postural drainage and all physiotherapy programs showed significant in patient such as dyspnoea decreased.
ABSTRACT Using smartphone in different size can give different effectwhilehold and swipe smartphone so, this study was to analyze the relationship between the size of smartphone and paresthesia in palmar caused by constriction at carpal tunnel. Cross sectional analytic study with subjects were 109 students of Medical Faculty Udayana University. The sample of this study is the students who scored SAS (Smartphone Addiction Scale) ? 84, inclusion and exclusion. The participants asked to use a smartphone for 30 minutes, one-handed while maintaining comfortable sitting postures on a chair. The result showed no significant correlation between the size of smartphone and paresthesia in palmar caused by constriction at carpal tunnel and also was found that smartphone large more cause paresthesia in palmar (46,5%) than small category (39,5%) and medium (14,0%). Subjects were more fatigue in thumb and finger after using smartphone than paresthesia. So, the use of smartphones with large category can caused paresthesia and continued with musculoskeletal problem especially in thumb. Keywords: size of smartphone, paresthesia, constriction at carpal tunnel
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