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"ABSTRAKPenelitian ini bertujuan untuk mencari nilai fleksibilitas otot hamstring pada atlit voli KONI Propinsi DKI Jakarta, khususnya berdasarkan usia, jenis kelamin dan posisi bermain. Studi potong lintang terhadap 25 atlit putri dan 24 putra dengan menggunakan kotak Sit and Reach Test (SRT), dilakukan sebanyak 3 kali percobaan dan diambil nilai tertinggi diantara ketiganya. Nilai rerata fleksibilitas otot hamstring sebesar 18,21 (SD 6,5) cm, atlit putra sebesar 17,6 (SD 6,5) cm, atlit putri sebesar 18,8 (SD 6,6) cm, middle adolescence 14-16 tahun sebesar 15,55 (SD 6,1) cm, late adolescence 17-20 tahun sebesar 19,91 (SD 6,9) cm, young adulthood 21-24 tahun sebesar 18,79 (SD 4,6) cm, pemain penyerang sebesar 18,8 (SD 6,6) cm, pemberi bola 15,5 (SD 6,3) dan pemain serba bisa 20,4 (SD 5,9) cm.

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ABSTRACT

This study tends to find hamstring muscle flexibility among KONI Propinsi DKI Jakarta?s volleyball players, based on age, sex and playing position on particularly. A cross sectional study performed in 25 female and 24 male athletes using Sit and Reach Test (SRT) box had done 3 times trial with the best score was recorded. Hamstring muscle?s mean value score was 18,21 (SD 6,5) cm, male athletes was 17,6 (SD 6,5) cm, female athletes was 18,8 (SD 6,6) cm, middle adolescence 14-16 years old was 15,55 (SD 6,1) cm, late adolescence 17-20 years old was 19,91 (SD 6,9) cm, young adulthood 21-24 years old was 18,79 (SD 4,6) cm, hitters was 18,8 (SD 6,6) cm, centers was 15,5 (SD 6,3) while allround players was 20,4 (SD 5,9)."

"[ABSTRAKLATAR BELAKANG. Rasa takut jatuh merupakan gejala psikologis yang umum terjadi pada usia lanjut. Faktor-faktor yang berkontribusi terhadap rasa takut jatuh merupakan multifaktorial antara lain kecemasan, depresi, aktivitas dasar sehari-hari dan penyakit kronis yang dimiliki. Rasa takut jatuh yang menimbulkan efek negatif akan menyebabkan menurunnya mobilitas fungsional dan kualitas hidup. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan mobilitas fungsional dan kualitas hidup pada populasi usia lanjut dengan rasa takut jatuh serta faktor mana yang paling mempengaruhi.METODE. Disain observasional potong lintang. Penelitian dilakukan terhadap 108 usia lanjut yang didapat secara konsekutif. Analisis bivariat dengan uji Chi-Square dan analisis multivariat dengan regresi logistik. Penilaian rasa takut jatuh dengan kuesioner Falls Efficacy Scale-International (FES-I), tingkat kognisi dengan kuesioner Mini Mental State Examination (MMSE), rasa depresi dengan kuesioner Geriatric Depression Scale (GDS), rasa cemas dengan kuesioner Hamilton Rating Scale for Anxiety (HAM-A), aktivitas dasar dengan kuesioner Barthel Index, mobilitas fungsional dengan uji Timed Up and Go (TUG) dan kualitas hidup dengan European Quality of Life ? 5 Dimensions (EQ-5D).HASIL. Subyek penelitian memiliki median Barthel Index 20 (15-20), median GDS 2 (0-13), dan median HAM-A 2 (0-22). Berdasarkan analisis bivariat, didapatkan hubungan yang bermakna secara signifikan antara variabel aktivitas dasar dengan mobilitas fungsional (OR 3.421; IK95% 1.324-8.841). Juga didapatkan hubungan yang bermakna secara signifikan antara variabel aktivitas dasar dan depresi dengan kualitas hidup (OR 4.789; IK95% 1.836-12.497 dan OR 3.000; IK95% 1.172-7.682) . Hasil analisis multivariat dengan regresi logistik menunjukan variabel aktivitas dasar merupakan variabel yang paling berpengaruh terhadap mobilitas fungsional (OR 3,421; IK95% 1,324-8,841) dan kualitas hidup (OR 4,789; IK95% 1,836-12,497).KESIMPULAN. Faktor aktivitas dasar merupakan faktor yang paling berpengaruh terhadap mobilitas fungsional dan kualitas hidup pada usia lanjut dengan rasa takut jatuh.

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ABSTRACTBACKGROUND.Fear of falling is one of psychological symptom which is common among older adults. Factors which is contributed to fear of falling are multifactorial such as anxiety, depression, basic activity daily living (ADL) and chronic disease. Negative effect caused by fear of falling will lead to decreasing in functional mobility and quality of life. The purpose of this study is to find factors that affects functional mobility and quality of life in elderly population and also to find which factors that most affect it.METHODS.Cross-sectional observasional study design in 108 subjects taken consecutively. Bivariat analysis use chi-square test and multivariat analysis use logistic regression. Fear of falling assessed with Falls Efficacy Scale-International (FES-I) questionnaire, cognitive state with Mental State Examination (MMSE), depression with Geriatric Depression Scale (GDS), anxiety with Hamilton Rating Scale for Anxiety (HAM-A), basic ADL with Barthel Index, functional mobility with Timed Up and Go test (TUG) and quality of life with European Quality of Life ? 5 Dimensions (EQ-5D).RESULTS. Median of Barthel Index, GDS and HAM-A are 20 (15-20), 2 (0-13) and 2 (0-22). Bivariat analysis show that there is significantly relationship between basic ADL variable and functional mobility (OR 3.421; IK95% 1.324-8.841). There are also significantly relationship between basic ADL variable, depression variable and quality of life (OR 4.789; IK95% 1.836-12.497 dan OR 3.000; IK95% 1.172-7.682). Multivariat analysis show that basic ADL is the most influence variable to functional mobility (OR 3,421; IK95% 1,324-8,841) and to quality of life (OR 4,789; IK95% 1,836-12,497).CONCLUSIONS. Basic activity daily living of elderly with fear of falling is the most influence factor to functional mobility and quality of life.;BACKGROUND.Fear of falling is one of psychological symptom which is common among older adults. Factors which is contributed to fear of falling are multifactorial such as anxiety, depression, basic activity daily living (ADL) and chronic disease. Negative effect caused by fear of falling will lead to decreasing in functional mobility and quality of life. The purpose of this study is to find factors that affects functional mobility and quality of life in elderly population and also to find which factors that most affect it.METHODS.Cross-sectional observasional study design in 108 subjects taken consecutively. Bivariat analysis use chi-square test and multivariat analysis use logistic regression. Fear of falling assessed with Falls Efficacy Scale-International (FES-I) questionnaire, cognitive state with Mental State Examination (MMSE), depression with Geriatric Depression Scale (GDS), anxiety with Hamilton Rating Scale for Anxiety (HAM-A), basic ADL with Barthel Index, functional mobility with Timed Up and Go test (TUG) and quality of life with European Quality of Life ? 5 Dimensions (EQ-5D).RESULTS.Median of Barthel Index, GDS and HAM-A are 20 (15-20), 2 (0-13) and 2 (0-22). Bivariat analysis show that there is significantly relationship between basic ADL variable and functional mobility (OR 3.421; IK95% 1.324-8.841). There are also significantly relationship between basic ADL variable, depression variable and quality of life (OR 4.789; IK95% 1.836-12.497 dan OR 3.000; IK95% 1.172-7.682). Multivariat analysis show that basic ADL is the most influence variable to functional mobility (OR 3,421; IK95% 1,324-8,841) and to quality of life (OR 4,789; IK95% 1,836-12,497).CONCLUSIONS.Basic activity daily living of elderly with fear of falling is the most influence factor to functional mobility and quality of life.;BACKGROUND.Fear of falling is one of psychological symptom which is common among older adults. Factors which is contributed to fear of falling are multifactorial such as anxiety, depression, basic activity daily living (ADL) and chronic disease. Negative effect caused by fear of falling will lead to decreasing in functional mobility and quality of life. The purpose of this study is to find factors that affects functional mobility and quality of life in elderly population and also to find which factors that most affect it.METHODS.Cross-sectional observasional study design in 108 subjects taken consecutively. Bivariat analysis use chi-square test and multivariat analysis use logistic regression. Fear of falling assessed with Falls Efficacy Scale-International (FES-I) questionnaire, cognitive state with Mental State Examination (MMSE), depression with Geriatric Depression Scale (GDS), anxiety with Hamilton Rating Scale for Anxiety (HAM-A), basic ADL with Barthel Index, functional mobility with Timed Up and Go test (TUG) and quality of life with European Quality of Life ? 5 Dimensions (EQ-5D).RESULTS.Median of Barthel Index, GDS and HAM-A are 20 (15-20), 2 (0-13) and 2 (0-22). Bivariat analysis show that there is significantly relationship between basic ADL variable and functional mobility (OR 3.421; IK95% 1.324-8.841). There are also significantly relationship between basic ADL variable, depression variable and quality of life (OR 4.789; IK95% 1.836-12.497 dan OR 3.000; IK95% 1.172-7.682). Multivariat analysis show that basic ADL is the most influence variable to functional mobility (OR 3,421; IK95% 1,324-8,841) and to quality of life (OR 4,789; IK95% 1,836-12,497).CONCLUSIONS.Basic activity daily living of elderly with fear of falling is the most influence factor to functional mobility and quality of life., BACKGROUND.Fear of falling is one of psychological symptom which is common among older adults. Factors which is contributed to fear of falling are multifactorial such as anxiety, depression, basic activity daily living (ADL) and chronic disease. Negative effect caused by fear of falling will lead to decreasing in functional mobility and quality of life. The purpose of this study is to find factors that affects functional mobility and quality of life in elderly population and also to find which factors that most affect it.METHODS.Cross-sectional observasional study design in 108 subjects taken consecutively. Bivariat analysis use chi-square test and multivariat analysis use logistic regression. Fear of falling assessed with Falls Efficacy Scale-International (FES-I) questionnaire, cognitive state with Mental State Examination (MMSE), depression with Geriatric Depression Scale (GDS), anxiety with Hamilton Rating Scale for Anxiety (HAM-A), basic ADL with Barthel Index, functional mobility with Timed Up and Go test (TUG) and quality of life with European Quality of Life – 5 Dimensions (EQ-5D).RESULTS.Median of Barthel Index, GDS and HAM-A are 20 (15-20), 2 (0-13) and 2 (0-22). Bivariat analysis show that there is significantly relationship between basic ADL variable and functional mobility (OR 3.421; IK95% 1.324-8.841). There are also significantly relationship between basic ADL variable, depression variable and quality of life (OR 4.789; IK95% 1.836-12.497 dan OR 3.000; IK95% 1.172-7.682). Multivariat analysis show that basic ADL is the most influence variable to functional mobility (OR 3,421; IK95% 1,324-8,841) and to quality of life (OR 4,789; IK95% 1,836-12,497).CONCLUSIONS.Basic activity daily living of elderly with fear of falling is the most influence factor to functional mobility and quality of life.]"

"ABSTRAKLatar Belakang: Limfedema merupakan salah satu komplikasi yang relatif sering ditemukan akibat terapi kanker payudara dan mengakibatkan keterbatasan fungsi fisik, psikologis serta menurunkan kualitas hidup. Latihan aktif resistif merupakan salah satu terapi limfedema yang menstimulasi kontraksi otot skeletal sehingga membantu drainase cairan limfe. Penelitian ini bertujuan untuk menilai efek dari penambahan latihan aktif resistif pada Complete Decongestive Therapy (CDT) terhadap pengurangan volume lengan pasien dengan limfedema dan perbaikan kualitas hidup pada pasien kanker payudara dengan limfedema. Metode: Desain uji klinik acak terkontrol. Penelitian dilakukan pada 37 orang pasien kanker payudara dengan limfedema dan secara acak dibagi ke dalam kelompok intervensi dan kelompok kontrol. Kelompok intervensi mendapatkan tambahan latihan aktif resistif setelah CDT, sedangkan kelompok kontrol hanya mendapatkan CDT. Perubahan volume lengan dengan menggunakan volumeter dan kualitas hidup dengan SF-36 dinilai sebelum dan sesudah 8 minggu intervensi. Hasil: Terdapat perbedaan bermakna terhadap perubahan volume lengan pre dan pasca terapi (p≤0,05) pada kelompok intervensi sedangkan pada kelompok kontrol tidak didapatkan perbedaan bermakna (p≥0,05). Pada pasca terapi tidak didapatkan perbedaan yang bermakna antar kelompok kontrol dan intervensi (p≥0,05). Terdapat perbedaaan bermakna dari selisih pengurangan volume antar kelompok (p ≤0,05). Terdapat perbedaan bermakna untuk semua domain SF-36 pre dan pasca terapi pada kelompok intervensi (p≤0,05). Terdapat perbedaan bermakna (p≤0,05) domain Rasa Nyeri (RN) pada pasca terapi antar kelompok. Terdapat perbedaan bermakna pada domain utama Komponen Fisik (KF) antar kelompok (p≤0,05). Simpulan: Pengurangan volume lengan dengan limfedema pada kelompok yang mendapatkan latihan aktif resistif dengan CDT lebih besar dibandingkan dengan kelompok CDT saja, dan didapatkan peningkatan kualitas hidup.

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ABSTRACTBackground: Lymphedema presence as a relatively common complication of treatment of breast cancer and causes limitation of physical function, psychologic and decreases Quality of Life. Active resistive exercise is one of the treatment of lymphedema which can stimulate contraction of the skeletal muscle to increase the drainage of lymphatic fluid. The aim of the study was to investigate the effect of addition of active resistive exercise to Complete Decongestive Therapy (CDT) in reduction of arm volume and improvement of quality of life in patients with breast cancer-related lymphedema. Methods: Randomized controlled-group study. This research was done to 37 breast cancer patients with lymphedema and they were divided randomly to intervention group and control group. The intervention group underwent additional active resistive exercise after CDT, while the control group underwent only CDT. The change of arm volume was assessed with volumeter and quality of life was assessed with SF-36 at pretreatment and 8 weeks posttreatment. Results: There was significant reduction of arm volume from pre- to posttreatment in intervention group (p≤0.05) while there was no significant reduction in control group (p≥0.05). There was no significant difference between control and intervention group in posttreatment (p≥0.05). There were significant differences in all domains of SF-36 at pre- and posttreatment in intervention group (p≤0.05). There was significant different in body pain domain in between groups at posttreatment (p≤0.05). There was significant different Physical Component Summary in between groups at posttreatment (p≤0.05). Conclusions: Active resistive exercise with CDT makes better reduction of arm volume on lymphedema and better improvement of QOL in breast cancer patients than CDT only"

"ABSTRAK LATAR BELAKANG: Penurunan Kualitas Hidup terkait Kanker Kepala dan Leher banyak dirasakan oleh pasien yang sedang menjalani pengobatan kanker tersebut. Pengukuran dari perubahan kondisi ini membutuhkan suata alat ukur valid yang dapat diimplementasikan untuk pasien Kanker Kepala dan Leher di Indonesia. EORTC QLQ-H N 35 merupakan suatu kuesioner kualitas hidup khusus Kanker Kepala dan Leher yang telah divalidasi ke berbagai bahasa. Penelitian ini bertujuan untuk menghasilkan EORTC QLQ-H N 35 versi Bahasa Indonesia yang memiliki validitas bahasa yang baik dapat diujicobakan lebih lanjut untuk uji kesahihan dan keandalan.METODE: Penelitian ini merupakan suatu studi kualitatif yang melaporkan proses penerjemahan kuesioner EORTC QLQ-H N 35 ke dalam Bahasa Indonesia berdasarkan persyaratan yang ditulis didalam EORTC Quality of Life Group Translation Procedure, 4th edition, 2016 serta respons pasien terhadap hasil terjemahan tersebut. Populasi terjangkau untuk fase uji coba kuesioner adalah laki-laki dan perempuan usia 18-70 tahun dengan diagnosa kanker kepala dan leher yang datang ke poliklinik rawat jalan Rehabilitasi Medik dan poliklinik rawat jalan THT Rumah Sakit dr. Cipto Mangunkusumo, Jakarta, yang memenuhi kriteria penelitian. Pemilihan sampel untuk fase uji coba kuesioner dilakukan secara consecutive sampling. Peserta diminta mengisi kuesioner EORTC QLQ-H N35 versi 1 Bahasa Indonesia dan diwawancarai untuk menilai respons mereka terhadap kuesioner. Wawancara ulang dilakukan untuk mengkonfirmasi pemahaman pasien terhadap pertanyaan yang diduga bermasalah saat penyusunan terjemahan kuesioner.HASIL: Sebanyak 14 subyek mengikuti uji coba kuesioner. Dari wawancara awal dan wawancara konfirmasi didapatkan masih ada 13 dari total 35 pertanyaan yang dirasa pasien sulit dijawab, membingungkan, menggunakan kata yang sulit dipahami, atau membuat tidak nyamanKESIMPULAN: Masih banyak pertanyaan yang yang dipersepikan berbeda dari makna aslinya oleh pasien. Adaptasi EORTC QLQ-H N35 dalam Bahasa Indonesia versi 1 belum dapat dipahami dan digunakan untuk menilai kualitas hidup pasien Kanker Kepala dan Leher di Indonesia. Uji coba dan penelitian lebih lanjut dibutuhkan untuk menghasilkan hasil terjemahan yang valid.

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ABSTRACT BACKGROUND Head and Neck Cancer related changes in Quality of Life has been reported by patients undergoing cancer treatment. A valid measurement tool that can detect the changes in Quality of Life of Head and Neck Cancer patient can enhance the quality of treatment and management of this type of cancer. The EORTC QLQ H N 35 is a specific quality of life assessment module for Head and Neck Cancer patients that had been validated into many languages. This study aims to translate EORTC QLQ H N 35 into Bahasa Indonesia so that it may be used for validity and reliability study.METHODS This is a descriptive qualitative study that reports the translation process of The EORTC QLQ H N 35 into Bahasa Indonesia as described in the EORTC Quality of Life Group Translation Procedure, 4th edition, 2016 and the patient rsquo s response to the translation result. The sample for the pilot testing phase of the study are men and women age 18 70 years old, diagnosed with Head and Neck Cancer who came to the outpatient Rehabilitation and ENT clinic Cipto Mangunkusumo Hospital that fulfilled the study criteria. Sampling for the pilot testing phase is done via consecutive sampling. The participants were asked to fill the EORTC QLQ H N35 version 1 Bahasa Indonesia and interviewed to record their response of the the questionnaire. A second interview was conducted to confirm the patients understanding of the questions that are noted to be problematic during the translation phase.RESULTS Fourteen subjects participated in the questionnaire pilot testing phase. From the first and second interview, it is found that out of 35 set of questions, there are 13 questions that are deemed by the patients to be difficult to answer, confusing, using difficult words, or upsettingCONCLUSION There are still many questions that had been perceived differently by the patient from what had been intended. Version 1 of the EORTC QLQ H N 35 Bahasa Indonesia cannot be fully understand by the patient and cannot be used to measure the Quality of Life of Head and Neck Cancer patient in Indonesia. Further tests and research is required to produce a valid translation of the questionnaire."