Background: Stroke is the leading cause of disability and dependency which directly decrease patient'slife quality . Disability caused by stroke can be prevented by holistic and comprehensive management plan of stroke. Until now, there was no study conducted to evaluate management for post stroke patients in Dr. Hasan Sadikin General Hospital (RSHS). Therefore, this studyaimed to describe level of activities of daily living (ADL) in post stroke patients in Neurology unit of RSHS as a basic evaluation for a better management hereafter.Methods: This descriptive quantitative study participated by 31 post-stroke outpatients in Neurology Policlinic of RSHS was conducted from September to October 2015. Interviews were done to assess level of ADL by the Barthel Index score. Variables correlated with ADL (age, gender, stroke type, stroke occurrence, stroke risk factors and muscle strength) were collected from medical records. Collected data was input and presented in tables. Results: There were 19 females and 12 males with the age group of 55-64 year old (35.5%). Most subjects had first stroke attack (71.0%). The most common type and risk factor were ischemic stroke (83.9%) and hypertension (81%) respectively. Patients with a maximum score in the entire extremity muscle strength were in the range of 60-70%. Out of the 31 patients, 18 (58.1%) were classified as independent in ADL. Conclusions: The majority of post stroke patients in the Neurology unit of RSHS wereindependent in ADL.
Systemic sclerosis (SSc) or scleroderma is a chronic autoimmune disease characterized by vasculopathy, fibrosis, and autoimmunity. Scleroderma health assessment questionnare (SHAQ) is a measurement of SSc that is more specific than health assessment questionnaire (HAQ) disability index (DI) to measure disability and function.The aim of this study was to translate SHAQ into Indonesian language and assess its validity and reability. The SHAQ was translated into Indonesian language and then back translated to ensure the meaning. The Indonesian version was then applied to the SSc outpatients. The validity of HAQ-DI and VAS scores was assessed using Pearson Product Moment Correlation and Cronbach's alpha for the reability test of SSc HAQ score. To determine the convergent validity, comparisons were made between HAQ-DI, scleroderma visual analog scale (VAS), and short form 36 (SF 36). Eighteen females, ranging between 42 to 66 years old, were included in this study from Desember 2019 to February 2020. The results of the validity test in all variables of HAQ-DI and SSc-VAS were valid (r-count >0.361). Cronbach's alpha for these variables were higher than the standardized items (r>0.700), reflecting very good reability and acceptable. There was a statistically significant correlation between SSc HAQ score and HAQ-DI with most of SF-36 physical domains, except for general health. The Indonesian version of SHAQ demonstrates a good construct and discriminant validity as well as the reproducibility. Thus, it can be used for measuring disability in systemic sclerosis patients.
Objective: To determine the correlations between muscle mass, muscle strength, physical performance, and muscle fatigue resistance in communitydwelling 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.
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.
Background: Osteoarthritis (OA) is a degenerative joint disorder caused by progressive erosion of articular cartilage. The joint which is commonly affected is theknee joint. Patient with knee OA has increasing pain with decreasing postural stability, and may cause decrease infunctional mobility of the body. The aim of this study was to analyze the correlation between stability and mobility in patients with knee OA. Methods: A cross sectional study was performed to 43 patients from the Rheumatology Clinic ofDr. Hasan Sadikin General Hospital, Bandung, during September−October 2013. The 'Timed Up and Go' (TUG) test and stabillometric platform examination were performed to analyze the mobility and stability in subjects. The data were analyzed with Spearman's Correlation. Results: Four subjects (9.30%) had normal functional mobility, 31 subjects (72.09%) had good mobility and need no help of others in their activities, and 8 subjects (18.60%) had problems and could not stand and walk without help. This study also found 39 subjects (90.69%) had high risk of fall. The p value were 0.005 for correlation between knee OA and lateral static postural stability, 0.
Background:To be a good athlete, an athlete needs to possess good predominant components of physical fitness. Futsal Team of Universitas Padjadjaran has never won any competition. This study was conducted to identify the predominant component profiles of physical fitness of Futsal Team members of Universitas Padjadjaran. The predominant component profiles were classified based on the Indonesian National Sport Committee (KONI) standard. Methods: This study was carried out at the Faculty of Medicine Student Center of Universitas Padjadjaran in November 2012. Twenty two members of the Futsal Team were enrolled as subjects of the study. The study used the step test to examine aerobic endurance; the leg dynamometer to measure leg muscle strength; the squat jump test to test the leg muscle endurance; the vertical jump test to measure leg muscle power; and the sit and reach test to measure lower extremity flexibility. The data collected were analyzed using percentage. Results: Leg muscle strength was mostly in the fair category (95%). Leg muscle power was mostly in the good category (41%). Leg muscle endurance was mostly in the good category (82%). Leg flexibility was mostly in the excellent category (91%) and aerobic endurance was mostly in the good category (41%). Conclusions: Only several members of Universitas Padjadjaran Futsal Team have an excellent physical fitness profile. Most of the members fell into the fair and good category. [AMJ.2015;2(3):440-7] AbstractBackground: Corneal ulcer is an emergency condition in ophthalmology, causing visual impairment, mostly by bacterial infection with rapid pathogenesis. The aim of this study was to discover the characteristics of bacterial corneal ulcer patients in the National Eye Center, Cicendo Eye Hospital, Bandung.. Methods: A total of 99 medical records consisted of patients diagnosed with bacterial corneal ulcer were selected in this descriptive study. The clinical patterns and predisposing factors of the patients were analyzed. The study also identified the pathogenic bacteria of the cases. This study was carried out in the National Eye Center, Cicendo Eye Hospital, Bandung from January to December 2011 Clinical patterns. The collected data were analyzed and presented in frequency tabulation. Results: The male to female ratio was 2:1, with the average age of 44.4 years. The most common presenting symptom was eye pain (70.7%). Most patients came with decreased visual acuity that was categorized as (near-) blindness (78.8%) and the location of the ulcer was in central area of the cornea (56.5%). The most common predisposing factor was ocular trauma (74.7%) that was caused by exposed to plants. Singlebacterial infection (67.7%) was predominant, with 56 cases (56.6%) of Gram-positive cocci infection. Conclusions: Bacterial corneal ulcer contributes to 48.8% of all microbial corneal ulcers. Most patients came with mild condition, centralized location, and poor visual function. The common predisposing factor was trauma associated with exposed to plants.
Objective: To determine the average skeletal muscle mass (SMM) value in young adults as a reference population; to analyze the correlation of gender, and body mass index to the cut off point; and to determine skeletal muscle mass cut off points of population in Bandung, Indonesia.Methods: This was a cross-sectional study involving 199 participants, 122 females and 77 males. The sampling technique used was the multistage random sampling. The participants were those who lived in four major regions in Bandung, Indonesia: Sukajadi, Cicadas, Buah Batu, and Cibaduyut. Results:The average appendicular skeletal mass index (ASMI) in females and males based on body mass index (BMI) were identified. The average ASMI values for normal BMI in females was 5.982±0.462 kg/m 2 while the average ASMI values normal BMI for males was 7.581±0.744 kg/m 2 Conclusions: A correlation between BMI and ASMI that was considered statistically significant was found in females (0.7712; p<0.05) and a very significant correlation was seen in males (0.870; p<0.05). The cut off points were defined by the normal BMI, which were 5.059 for females and 6.093 for males.
Objective: To examine the correlation between physical activity using the Global Physical Activity Questionnaire (GPAQ), anthropometry (body mass index/BMI), and forced expiratory volume in one second (FEV 1 ) value with six-minute walk distance in healthy community-dwelling elderly. Methods:A cross-sectional design study with consecutive sampling was conducted. This study included sixty nine participants (30 males and 39 females), aged ≥60 years who lives at Batununggal region in Bandung, Indonesia. The data was analyzed statistically by using normality, correlation, and multiple regresion tests. Results:The results showed that there was a correlation between sixminute walk distance and BMI in females (p=0.006), and FEV 1 value in males (p=0.010). No significant correlation was found between GPAQ value and sixminute walk distance in females (p=0.4074) and in males (p=0.0926). Conclusions:There was a correlation between anthropometry and FEV 1 value with six-minute walk distance in healthy elderly. There was no significant correlation between physical activity and six-minute walk distance.
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