Hasil Pencarian  ::  Simpan CSV :: Kembali

"Myofascial Pain Syndrome (MPS) adalah salah satu keluhan muskuloskeletal terbanyak dalam pelayanan kesehatan. MPS diduga dapat menyebabkan gangguan pada koordinasi otot-otot skapula. Penelitian ini bertujuan untuk membuktikan adanya hubungan terhadap kejadian MPS upper trapezius dengan ketidakseimbangan eksitasi otot upper trapezius, otot lower trapezius dan serratus anterior.Penelitian ini adalah studi potong lintang observasional. Sebanyak 34 subjek penelitian yang terdiri dari 17 subjek dengan MPS kronis dan 17 subjek non-MPS berusia 18-59 tahun dikumpulkan. Pengambilan data dilakukan menggunakan alat EMG permukaan Neurotrac MyoplusPro 4. Pengukuran eksitasi otot dilakukan pada otot upper trapezius, lower trapezius, dan serratus anterior. Pengukuran tersebut dilakukan pada saat bahu abduksi 0-180° tanpa beban, 25% beban maksimal, dan 50% beban maksimal. Pengukuran dilakukan tiga kali dan diambil reratanya. Rerata eksitasi diambil rasio perbandingan antara ketiga otot tersebut dan dibandingkan antara populasi MPS dengan populasi non-MPS. Uji statistik yang digunakan adalah uji T tidak berpasangan jika data pada sebaran normal. Jika sebaran tidak normal maka digunakan Mann-Whitney test. Hasil penelitian ini menemukan bahwa terdapat perbedaan rasio eksitasi yang bermakna pada otot upper trapezius dengan lower trapezius pada penderita MPS kronis dibandingkan dengan non-MPS pada ketiga tingkatan beban yang dilakukan, ditemukan perbandingan antara kedua kelompok tersebut dengan rata-rata perbedaan 2:1. Sedangkan, tidak terdapat perbedaan bermakna dari rasio otot upper trapezius dengan serratus anterior, dan lower trapezius dengan serratus anterior antara kedua populasi tersebut.

---

Myofascial Pain Syndrome (MPS) is one of the most common musculoskeletal complaints in health services. MPS is suggested to cause a discoordination of the scapula muscles. This study aims to prove that there is a relationship between the incidence of upper trapezius MPS and the imbalance of excitation of the upper trapezius, lower trapezius and serratus anterior muscles.

This study was an observational cross-sectional study. A total of 34 study subjects consisting of 17 subjects with chronic MPS and 17 non-MPS subjects aged 18-59 years were collected. Data were collected using the Neurotrac MyoplusPro 4 surface EMG device. Muscle excitation was measured on the upper trapezius, lower trapezius, and serratus anterior muscles. These measurements were carried out when the shoulder was abducted 0-180° with no load, 25% of the maximum load, and 50% of the maximum load. Measurements were made three times and the average was taken. The average excitation ratio was taken between the three muscles and compared between the MPS population and the non-MPS population. The statistical test used was the unpaired T test if the data were in a normal distribution. If the distribution is not normal, then the Mann-Whitney test is used.

The results of this study found that there was a significant difference in the excitation ratio of the upper trapezius and lower trapezius muscles in patients with chronic MPS compared to non-MPS at the three levels of load carried out, a comparison between the two groups was found with an average ratio of 2:1. Meanwhile, there was no significant difference in the ratio of the upper trapezius muscle to the serratus anterior, and the lower trapezius to the serratus anterior between the two populations."

"Latar Belakang: Osteoartritis (OA) lutut seringkali menyebabkan disabilitas akibat nyeri dan penurunan kemampuan fungsional berjalan. Low Level Laser Therapy (LLLT) dan High Intensity Laser Therapy (HILT) telah terbukti mampu menurunkan nyeri dan kemampuan fungsional pada OA lutut, namun hingga saat ini belum ada penelitian di Indonesia yang membandingkan kedua modalitas tersebut.Tujuan: Mengetahui perbedaan efek LLLT dan HILT terhadap derajat nyeri dan kemampuan fungsional pasien OA lutut.Metode: Studi ini merupakan uji klinis acak terkontrol tersamar ganda yang melibatkan 61 subjek yang diacak ke dalam kelompok LLLT (n=31) dan HILT (n=30). Subjek adalah pasien OA lutut di Poliklinik Muskuloskeletal Departemen Rehabilitasi Medik RSUPN Cipto Mangunkusumo dengan VAS ≥ 4 dan mampu berjalan 15 meter. Terapi laser diberikan 3 kali seminggu selama 2 minggu. Derajat nyeri dinilai dengan VAS dan kemampuan fungsional dinilai dengan uji jalan 15 meter.Hasil: Setelah 6 kali terapi, didapatkan penurunan VAS kelompok LLLT dan HILT sebesar 3 (2 – 4) dan 3 (2 – 5) serta peningkatan kecepatan berjalan sebesar 0,23(0,02 – 1,24) meter/detik dan 0,22 (0,08 – 0,7) meter/detik) yang bermakna secara statistik (p<0,001) maupun secara klinis. Pada perbandingan antar kelompok didapatkan kelompok HILT mengalami penurunan VAS yang lebih cepat dan lebih besar dibanding kelompok LLLT (p<0.001), namun tidak didapatkan perbedaan perubahan kecepatan berjalan yang bermakna antara kedua kelompok (p=0,655).Simpulan: Pemberian HILT pada pasien OA lutut mampu menurunkan derajat nyeri dengan lebih cepat dan lebih besar dibandingkan dengan pemberian LLLT.

---

Background: Osteoarthritis (OA) of the knee causes disability due to pain and decreased functional ability to walk. The degree of pain will affect the functional ability to walk. Low Level Laser Therapy (LLLT) has been shown to reduce pain in knee OA, while High Intensity Laser Therapy (HILT) is able to reach deeper joint areas.

Aim: To compare the differences of LLLT and HILT on pain and functional capacity knee OA.

Methods: This is a double-blind randomized controlled trial with 61 subjects randomized into LLLT (n=31) and HILT (n=30) groups . Subject was knee OA patient with VAS ≥ 4 in Muskuloskeletal Polyclinic of Medical Rehabilitation RSUPN Cipto Mangunkusumo. Laser therapy was given 3 times per week for 2 weeks. Pain measured with VAS and functional capacity evaluated with 50-feet walk test.

Result: After 6 therapy sessions, both LLLT and HILT group showed reduced VAS score [LLLT = 3 (2 – 4), HILT = 3 (2 – 5)] and increased walking speed (LLLT =

0.23 (0.02 – 1.24) m/s, HILT = 0.22 (0.08 – 0.7) m/s) which was statistically (p<0.001) and clinically significant. HILT group had faster and greater VAS reduction compared to LLLT group (p<0.001), but there was no significant difference in walking speed between the two groups (p=0.655).

Conclusion: HILT and LLLT combined with exercise were effective in reducing pain and increasing functional capacity in knee OA patient after 6 sessions of treatment. Pain improvement was faster and greater in HILT group than LLLT group.

"

"Tesis ini disusun untuk mengetahui gambaran kualitas hidup pasien adolescence idiopathic scoliosis (AIS). Desain penelitian merupakan studi potong pada 100 pasien AIS yang berusia di atas 13 tahun dengan menggunakan kuesioner Scoliosis Research Society 30 (SRS-30) sebagai alat ukur kualitas hidup. Dilakukan analisis faktor-faktor yang berhubungan yang meliputi faktor penyakit (usia terdiagnosis, derajat keparahan kurva, tipe kurva) faktor terapi (exercise, brace, operasi) dan faktor sosiodemografik (kelompok usia, jenis kelamin, body mass index). Hasil penelitian didapatkan skor total yaitu 3.42 ± 0.46. Didapatkan skor tertinggi pada domain nyeri yaitu 3.66 (2-5), serta skor terendah pada domain citra diri yaitu 3.33 ± 0,9. Pada faktor penyakit, didapatkan skor domain kepuasan terhadap manajemen yang lebih tinggi secara bermakna pada kurva derajat ringan. Pada faktor terapi, didapatkan skor total dan skor domain fungsi yang lebih tinggi secara bermakna pada kelompok exercise, skor domain citra diri dan kepuasan terhadap manajemen yang lebih rendah secara bermakna pada kelompok brace, serta skor domain citra diri yang lebih tinggi, tetapi skor domain fungsi dan kepuasan terhadap manajemen yang lebih rendah secara bermakna pada kelompok operasi. Tidak didapatkan perbedaan skor yang bermakna pada faktor sosiodemografi (usia, jenis kelamin, body mass index).

---

This thesis aimed to determine the quality of life of patients with adolescent idiopathic scoliosis (AIS). The study design was a cross-sectional study of 100 AIS patients aged over 13 years using the Scoliosis Research Society 30 (SRS-30) questionnaire as a measurement tool of quality of life. Analysis of related factors including disease factors (age at diagnosis, degree of curve severity, type of curve), therapeutic factors (exercise, brace, surgery), and sociodemographic factors (age group, sex, body mass index) was performed. The results showed a total score of 3.42 ± 0.46. The highest score was in the pain domain (3.66 (2-5)), and the lowest score was in the self-image domain (3.33 ± 0.9). In the disease factors, a significantly higher score of satisfaction for management was found in mild degree curve. In the therapeutic factors, a significantly higher total score and function domain score was found in the exercise group, a significantly lower in self-image and satisfaction with management domain score in the brace group, and a significantly higher self-image domain score but lower in function and satisfaction with management domain score was found in the operating group. There were no significant differences in sociodemographic factors (age, gender, body mass index)."

"ABSTRAKTesis ini disusun untuk mengetahui kondisi kualitas hidup ibu yang mengasuh anak dengan palsi serebral (PS), serta hubungannya dengan kondisi PS anak, faktor sosial demografik dan kondisi mental ibu. Penelitian menggunakan desain potong lintang. Subjek ibu diminta untuk mengisi kuesioner WHOQOL-BREF dan dilakukan wawancara untuk penilaian faktor sosial demografik dan kondisi mental ibu menggunakan MINI ICD-10, serta penilaian kondisi PS anak melalui pemeriksaan dan data rekam medis. Analisa statistik untuk menilai kualitas hidup ibu serta korelasinya dengan kondisi PS anak, faktor sosial demografik, dan kondisi mental ibu. Hasil penelitian menyatakan bahwa nilai tengah dari kualitas hidup ibu sebesar 50 (31-88), 63 (13-94), 62,5 (0-100), dan 50 (25-75) pada setiap domain. Faktor sosial demografik mempengaruhi kualitas hidup ibu pada faktor usia ibu, usia anak, pendapatan keluarga, jarak dari rumah ke pusat terapi, status tempat tinggal, jenis kelamin anak, pekerjaan ibu, dan pendidikan ibu. Tidak terdapat hubungan yang bermakna antara kondisi PS anak dan kondisi mental ibu terhadap kualitas hidup ibu. Maka, penelitian ini dapat menjadi pertimbangan untuk mulai memberikan pendampingan dan pelayanan yang komperhensif kepada para ibu yang mengasuh anak dengan PS ataupun kondisi disabilitas lainnya.

---

ABSTRACTThis thesis was aimed to determine the mother s quality of life (QoL) who caring for cerebral palsy (CP) child, also its relationship with CP child s condition, socio-demographic factors and mother s mental conditions. The design was cross-sectional. Mothers were asked to fill out the WHOQOL-BREF questionnaire and interviews to assess the social demographic factors and mental conditions using the MINI ICD-10, also assess the CP child s condition from examination and medical record data. Statistical analysis was conducted to assess the mother s QoL and its correlation with the CP child s condition, socio-demographic factors, and the mother s mental condition. The results stated that the mean value of mother s QoL were 50 (31-88), 63 (13-94), 62.5 (0-100), and 50 (25-75) in each domain. Social demographic factors affect the mother s QoL on the mother s age, child s age, family income, distance from home to the therapy center, residence state, child s sex, mother s occupation, and mother s education. There is no significant correlation between the CP child s condition and mother s mental condition to the mother s QoL. Thus, this research can be considered to start providing comprehensive assistance and services to mothers with CP child or other disability conditions. "

"ABSTRAKLATAR BELAKANG. Memori kerja merupakan ranah kognisi yang bertanggungjawabterhadap sebagian besar masalah kognisi yang dialami seorangusia lanjut.Tujuan penelitian ini adalah untuk mengetahui manfaat mengisiSudoku terhadap fungsi memori kerja dan fungsi kognisi global usia lanjut. METODE. Desain studi adalah uji klinis tidak tersamar. Subjek merupakanwarga Panti Sosial TresnaWerda I dan III DKI Jakarta yang diambil secarakonsekutif kemudian dibagi acak menjadi dua kelompok, perlakuan dan kontrol.Kelompok perlakuan melakukan latihan Sudoku 3x/minggu selama 12 minggu.Memori kerja dinilai dengan Trail Making Test part B (TMT-B), fungsi kognisiglobal dinilai dengan Montreal Cognitive Assesment versi bahasa Indonesia(MoCA-Ina). HASIL. Terdapat 24 subjek pada kelompok perlakuan dan 27 subjek padakelompok kontrol. Terdapat 13 subjek yang memberikan kesan positif terhadaplatihan Sudoku. Penurunan waktu penyelesaian TMT-B sebesar 11,1 detik padakelompok perlakuan dan 18,8 detik pada kelompok kontrol, meskipun tidakdidapatkan perbedaan bermakna antar kedua kelompok (p = 0,816). Terdapat 8subjek (33,3%) dari kelompok perlakuan dan 11 subjek (40,7%) dari kelompokkontrol yang mengalami peningkatan nilaiMoCA-Ina (p = 0,530). KESIMPULAN. Sudoku belum terbukti dapat meningkatkan fungsi memorikerja dan fungsi kognisi global pada usia lanjut sehat, namun peningkatan fungsimemori kerja yang terlihat pada kedua kelompok menandakan adanya plastisitasneural pada usia lanjut yang bermanfaat untuk pemeliharaan fungsi kognitif.

---

ABSTRACTBACKGROUND. Working memory deficit is responsible for most of thecognitive problem experienced by older adults.The aim of the present study was todetermine whether Sudoku training might improves these deficits and if so,whether such changes might be transferred to other cognitive domains.METHODS. This was non-blinding randomized controlled trial. Subjects wereconsecutively taken from Panti Sosial TresnaWerda I dan III DKI Jakarta afterseries of screening. All subjects were assessed with Indonesian version ofMontreal Cognitive Assessment (MoCA-Ina) for cognitive function and TrailMaking Test part B (TMT-B) for working memory. The experimental group wasgiven 12 weeks of cognitive alternate-day training based on Sudoku exercises.RESULTS. There are 24 subjects in experimental group and 27 subjects incontrol group. Nine subjects from each group showed improvement in the TMT-Bcompletion time, although this difference were not statistically significant(experimental group 11.1s Vs control group 18.8s; p = 0.816). There were 8subjects (33.3 %) on experimental group and 11 subjects (40.7 %) on controlgroup had increment in MoCA-Ina scores (p = 0.530). Thirteen subjects reportedimprovements in memory, attention and concentration span.CONCLUSIONS. The use of Sudoku as one of the cognitive training tools on elderly still need further study and discussion regarding limitation of this presentstudy. But the improvement of working memory function as seen in resultprovides potential brain plasticity for maintaining cognitive function in elderly. ;BACKGROUND. Working memory deficit is responsible for most of thecognitive problem experienced by older adults.The aim of the present study was todetermine whether Sudoku training might improves these deficits and if so,whether such changes might be transferred to other cognitive domains.METHODS. This was non-blinding randomized controlled trial. Subjects wereconsecutively taken from Panti Sosial TresnaWerda I dan III DKI Jakarta afterseries of screening. All subjects were assessed with Indonesian version ofMontreal Cognitive Assessment (MoCA-Ina) for cognitive function and TrailMaking Test part B (TMT-B) for working memory. The experimental group wasgiven 12 weeks of cognitive alternate-day training based on Sudoku exercises.RESULTS. There are 24 subjects in experimental group and 27 subjects incontrol group. Nine subjects from each group showed improvement in the TMT-Bcompletion time, although this difference were not statistically significant(experimental group 11.1s Vs control group 18.8s; p = 0.816). There were 8subjects (33.3 %) on experimental group and 11 subjects (40.7 %) on controlgroup had increment in MoCA-Ina scores (p = 0.530). Thirteen subjects reportedimprovements in memory, attention and concentration span.CONCLUSIONS. The use of Sudoku as one of the cognitive training tools on elderly still need further study and discussion regarding limitation of this presentstudy. But the improvement of working memory function as seen in resultprovides potential brain plasticity for maintaining cognitive function in elderly. ;BACKGROUND. Working memory deficit is responsible for most of thecognitive problem experienced by older adults.The aim of the present study was todetermine whether Sudoku training might improves these deficits and if so,whether such changes might be transferred to other cognitive domains.METHODS. This was non-blinding randomized controlled trial. Subjects wereconsecutively taken from Panti Sosial TresnaWerda I dan III DKI Jakarta afterseries of screening. All subjects were assessed with Indonesian version ofMontreal Cognitive Assessment (MoCA-Ina) for cognitive function and TrailMaking Test part B (TMT-B) for working memory. The experimental group wasgiven 12 weeks of cognitive alternate-day training based on Sudoku exercises.RESULTS. There are 24 subjects in experimental group and 27 subjects incontrol group. Nine subjects from each group showed improvement in the TMT-Bcompletion time, although this difference were not statistically significant(experimental group 11.1s Vs control group 18.8s; p = 0.816). There were 8subjects (33.3 %) on experimental group and 11 subjects (40.7 %) on controlgroup had increment in MoCA-Ina scores (p = 0.530). Thirteen subjects reportedimprovements in memory, attention and concentration span.CONCLUSIONS. The use of Sudoku as one of the cognitive training tools on elderly still need further study and discussion regarding limitation of this presentstudy. But the improvement of working memory function as seen in resultprovides potential brain plasticity for maintaining cognitive function in elderly. ;BACKGROUND. Working memory deficit is responsible for most of thecognitive problem experienced by older adults.The aim of the present study was todetermine whether Sudoku training might improves these deficits and if so,whether such changes might be transferred to other cognitive domains.METHODS. This was non-blinding randomized controlled trial. Subjects wereconsecutively taken from Panti Sosial TresnaWerda I dan III DKI Jakarta afterseries of screening. All subjects were assessed with Indonesian version ofMontreal Cognitive Assessment (MoCA-Ina) for cognitive function and TrailMaking Test part B (TMT-B) for working memory. The experimental group wasgiven 12 weeks of cognitive alternate-day training based on Sudoku exercises.RESULTS. There are 24 subjects in experimental group and 27 subjects incontrol group. Nine subjects from each group showed improvement in the TMT-Bcompletion time, although this difference were not statistically significant(experimental group 11.1s Vs control group 18.8s; p = 0.816). There were 8subjects (33.3 %) on experimental group and 11 subjects (40.7 %) on controlgroup had increment in MoCA-Ina scores (p = 0.530). Thirteen subjects reportedimprovements in memory, attention and concentration span.CONCLUSIONS. The use of Sudoku as one of the cognitive training tools on elderly still need further study and discussion regarding limitation of this presentstudy. But the improvement of working memory function as seen in resultprovides potential brain plasticity for maintaining cognitive function in elderly. "

"Tesis ini disusun untuk mengetahui gambaran kualitas hidup pasien adolescence idiopathic scoliosis (AIS). Desain penelitian merupakan studi potong pada 100 pasien AIS yang berusia di atas 13 tahun dengan menggunakan kuesioner Scoliosis Research Society 30 (SRS-30) sebagai alat ukur kualitas hidup. Dilakukan analisis faktor-faktor yang berhubungan yang meliputi faktor penyakit (usia terdiagnosis, derajat keparahan kurva, tipe kurva) faktor terapi (exercise, brace, operasi) dan faktor sosiodemografik (kelompok usia, jenis kelamin, body mass index). Hasil penelitian didapatkan skor total yaitu 3.42  0.46. Didapatkan skor tertinggi pada domain nyeri yaitu 3.66 (2-5), serta skor terendah pada domain citra diri yaitu 3.33  0,9. Pada faktor penyakit, didapatkan skor domain kepuasan terhadap manajemen yang lebih tinggi secara bermakna pada kurva derajat ringan. Pada faktor terapi, didapatkan skor total dan skor domain fungsi yang lebih tinggi secara bermakna pada kelompok exercise, skor domain citra diri dan kepuasan terhadap manajemen yang lebih rendah secara bermakna pada kelompok brace, serta skor domain citra diri yang lebih tinggi, tetapi skor domain fungsi dan kepuasan terhadap manajemen yang lebih rendah secara bermakna pada kelompok operasi. Tidak didapatkan perbedaan skor yang bermakna pada faktor sosiodemografi (usia, jenis kelamin, body mass index).

---

This thesis aimed to determine the quality of life of patients with adolescent idiopathic scoliosis (AIS). The study design was a cross-sectional study of 100 AIS patients aged over 13 years using the Scoliosis Research Society 30 (SRS-30) questionnaire as a measurement tool of quality of life. Analysis of related factors including disease factors (age at diagnosis, degree of curve severity, type of curve), therapeutic factors (exercise,

brace, surgery), and sociodemographic factors (age group, sex, body mass index) was performed. The results showed a total score of 3.42  0.46. The highest score was in the

pain domain (3.66 (2-5)), and the lowest score was in the self-image domain (3.33  0.9). In the disease factors, a significantly higher score of satisfaction for management was found in mild degree curve. In the therapeutic factors, a significantly higher total score and function domain score was found in the exercise group, a significantly lower in selfimage and satisfaction with management domain score in the brace group, and a significantly higher self-image domain score but lower in function and satisfaction with management domain score was found in the operating group. There were no significant differences in sociodemographic factors (age, gender, body mass index)."

"Latar Belakang. Perbaikan fungsi berjalan adalah target fungsional yang paling relevan pasca-stroke. Oleh karena itu diperlukan alat ukur yang dapat menilai kemampuan fungsional pasca-stroke yang aman dan tidak menimbulkan kelelahan. Tujuan dari penelitian ini untuk menilai korelasi antara Fatigue Severity Scale dan Skala Borg dengan uji jalan 2 menit pada penderita stroke.Metode. Studi potong lintang pada 35 subjek stroke subakut dan kronik di RSUPN Cipto Mangunkusumo. Dilakukan uji korelasi Pearson antara Fatigue Severity Scale dan Skala Borg dengan hasil pengukuran uji jalan 2 menit.Hasil. Pada pasien stroke terdapat korelasi sedang yang signifikan pada Skala Borg kaki lelah ge;3 dengan uji jalan 2 menit baik pada jarak tempuh r=-0,505, p=0,046 maupun kecepatan r=-0,498, p=0,050 namun tidak terdapat korelasi antara FSS dengan hasil pengukuran uji jalan 2 menit. Tidak terdapat korelasi antara Skala Borg usaha dan sesak dengan jarak tempuh uji jalan 2 menit.Kesimpulan. Terdapat korelasi sedang yang bermakna secara statistik antara Skala Borg kaki lelah dengan hasil pengukuran uji jalan 2 menit.Tidak terdapat korelasi antara FSS dengan uji jalan 2 menit.

---

Background. Improvement of walking function is the most relevant functional target post stroke Therefore we need a measuring tool that can assess the functional ability of post stroke that is safe and does not cause fatigue. Aim of this study to assess the correlation between Fatigue Severity Scale and Borg Scale with 2 minute walking test in stroke patient.Method. Cross sectional study on 35 subacute and chronic stroke subjects at RSUPN Cipto Mangunkusumo. A Pearson correlation test was conducted between FSS and Borg Scale with 2 minute walking test.Result. In stroke patients there was a significant moderate correlation between Borg Scale leg fatigue ge 3 with 2 minute walking test on distance r 0,505, p 0.046 and walking speed r 0,498, p 0,050 but there was no correlation between FSS and 2 minute walking test. There was no correlation between the Borg Scale dypsnea and leg fatigue with 2 minute walking test.Conclusion. There was a statistically significant correlation between Borg Scale leg fatigue with 2 minute walking test. There was no correlation between FSS with 2 minute walking test."

"

Tesis ini disusun untuk menilai hubungan antara kebugaran kardiorespirasi terhadap kualitas hidup pada pasien hemodialisis, dan faktor terkait lainnya. Penelitian menggunakan desain uji potong lintang. Subjek penelitian merupakan pasien hemodialisis kronik yang berusia diatas 18 tahun. Kebugaran kardiorespirasi dinilai dengan konversi ambilan oksigen puncak (VO2peak) dari hasil uji jalan enam menit dan kualitas hidup dinilai dengan menggunakan kuesioner Short Form-36 (SF-36). Hasil keluaran penelitian ini berupa nilai konversi VO2peak, skor total dan setiap domain dari SF-36 sebagai penilaian kualitas hidup. Hasil penelitian menyatakan bahwa terdapat hubungan antara kebugaran kardiorespirasi dengan kualitas hidup pada pasien hemodialisis. Rerata jarak tempuh adalah 375,49±79 meter dengan nilai konversi VO2peak adalah 15,24±2,37 ml/kg/menit. Skor total SF-36 adalah 63,8 ± 20,8. VO2peak berkorelasi positif terhadap skor total SF-36 (r=0,611), domain fungsi fisik (r=0,725), kesehatan umum (r=0,532) dan nyeri (r=0,362). Kualitas hidup juga berkorelasi positif terhadap kecukupan dialisis atau Kt/V (r=0,32). Usia, jenis kelamin dan komorbiditas juga secara signifikan mempengaruhi kualitas hidup, namun tidak didapatkan hubungan pada tingkat pendidikan, pekerjaan, heamoglobin dan durasi dialisis. Rerata VO2peak dan kualitas hidup pasien hemodialisis lebih rendah daripada populasi umum. Peningkatan VO2peak diikuti dengan kualitas hidup yang lebih baik.

 

---

This thesis was aim to determine the relationship between cardiorespiratory fitness and quality of life in hemodialysis patients, and other related factors. The design was cross-sectional study. The subjects were chronic hemodialysis patients aged over 18 years old. Cardiorespiratory fitness was assessed by conversion of peak oxygen uptake (VO2peak) from the distance of the six minute walk test  and quality of life was assessed using the Short Form-36 questionnaire (SF-36). The results of the study stated that cardiorespiratory fitness was related to quality of life in hemodialysis patients. The mean diatance in 6MWT was 375.49±79 meters with VO2peak conversion value was 15.24±2.37 ml/kg/minute. The total score of SF-36 was 63.8±20.8. VO2peak were positively correlated to the total SF-36 score (r=0.611), the domain of physical function (r = 0.725), general health (r = 0.532) and pain (r = 0.362. Quality of life also has a positive correlation with adequacy of dialysis (r = 0.32). Age, sex and comorbidity also significantly related to quality of life. The VO2peak value and quality of life is lower in hemodialysis patients than the general population. The increase in VO2peak was followed by a better quality of life.

"

"Tesis ini disusun untuk mengetahui efektivitas stimulasi elektrik saraf tibialis posterior pada pasien overactive bladder (OAB). Penelitian ini menggunakan desain uji eksperimental Randomized Control Trial. Subjek penelitian merupakan pasien OAB diatas usia 18 tahun. Dua puluh pasien dibagi secara acak menjadi 2 kelompok yaitu kelompok perlakuan dan kontrol. Semua subjek dari kedua kelompok mendapatkan tatalaksana standar berupa terapi perilaku, latihan otot dasar panggul dan pemberian antimuskarinik imidafenacine 2 x 0,1 mg. Sebagai tambahan, kelompok perlakuan diberikan stimulasi elektrik saraf tibialis posterior secara transkutan 10 Hz, 200 us, dengan intensitas yang masih dapat ditoleransi pasien, dilakukan 2x/minggu selama 8 minggu. Hasil keluaran penelitian ini berupa Overactive Bladder Symptom Score (OABSS) dan parameter catatan berkemih sebelum intervensi (T0), setelah 4 minggu (T1) dan setelah 8 minggu intervensi (T2). Analisis statistik dilakukan untuk membandingkan perubahan nilai OABSS dan parameter catatan berkemih sesudah intervensi pada kelompok perlakuan dan kontrol. Hasil penelitian menyatakan bahwa stimulasi elektrik saraf tibialis posterior efektif dalam menurunkan frekuensi berkemih pada pasien OAB setelah diberikan intervensi selama 8 minggu. Rerata penurunan frekuensi berkemih pada kelompok perlakuan dan kontrol masing-masing sebesar 6,81±3,09 dan 3,74±1,83 dan didapatkan perbedaan signifikan dengan nilai p = 0,009. Diperlukan penelitian lebih lanjut dengan waktu intervensi yang lebih lama untuk menilai efektivitas stimulasi elektrik saraf tibialis posterior pada pasien OAB.

---

This thesis was aimed to determine the effectiveness of posterior tibial nerve stimulation in overactive bladder (OAB). This study design was randomized control trial. The subjects were OAB patients aged over 18 years old. Twenty subjects were randomly divided into 2 groups: intervention and control groups. The subjects from both groups received standard therapy consist of : behavioral therapy, pelvic floor exercise and antimuscarinic (imidafenacine 0,1 mg twice daily). In addition, the intervention group was given transcutaneous posterior tibial nerve stimulation of 10 Hz, 200 us, 30 minutes, with an intensity tolerable pain, 2 times/ week for 8 weeks. The Overactive Bladder Symptom Score (OABSS) and voiding diary parameters were used to measure before the intervention (T0), after 4 weeks (T1) and after 8 weeks of intervention(T2). Statistical analysis was performed to compare changes in OABSS and voiding diary between the intervention and control groups. The results stated that the posterior tibial nerve stimulation was effective in reducing the frequency of urination in OAB patients after being given an intervention for 8 weeks. The mean reduction in voiding frequency in the intervention and control groups was 6.81 ± 3.09 and 3.74 ± 1.83, respectively, and a significant difference was obtained with a value of p = 0.009. Further studies are needed with longer intervention times to assess the effectiveness of posterior tibial nerve electrical stimulation in OAB patients"

"Disfungsi ereksi pada laki-laki sering ditemukan dan berdampak pada penurunan kualitas hidup. Benign prostate hyperplasia (BPH) dengan lower urinary tract symptoms merupakan salah satu komorbid terjadinya disfungsi ereksi dimana terdapat kesamaan jalur patofisiologi pada keduanya. Kontraksi dari otot-otot bulbokavernosus dan isciokavernosus sebagai bagian dari otot dasar panggul akan menginisiasi dan mempertahankan ereksi sehingga latihan penguatan otot-otot tersebut akan membantu rigiditas ereksi penis. Studi laporan kasus berbasis bukti ini dilakukan untuk menjawab pertanyaan klinis yaitu bagaimana efektivitas pemberian latihan penguatan otot-otot dasar panggul terhadap fungsi ereksi pada pasien BPH. Pencarian literatur dilakukan pada database elektronik yaitu Cochrane, PubMed, Scopus, Science direct, Oxford Academic dan Sage Journal dengan kata kunci sesuai dengan pertanyaan klinis. Hasil pencarian didapatkan sebuah studi kajian sistematik setelah dilakukan penapisan terhadap kriteria eligibilitas, adanya duplikasi dan penilaian seluruh isi naskah pada 142 artikel. Kajian sistematik tersebut menunjukkan latihan penguatan otot-otot dasar panggul memberikan respon komplit perbaikan fungsi ereksi pada 35-47% subjek, peningkatan domain ereksi pada International Index of Erectile Function (p<0,05) dan peningkatan tekanan intrakavernosa serta maximal anal pressure. Kesimpulan penelitian adalah latihan penguatan otot-otot dasar panggul dilakukan dengan kontraksi cepat (1 detik) dan kontraksi lambat (tahan 6-10 detik) dengan frekuensi 9-30 repetisi, 2-3 kali per hari selama 3-12 bulan yang dilakukan pada posisi berbaring, duduk dan berdiri, latihan tersebut dapat diberikan sebagai program latihan di rumah dan perlu dilakukan identifikasi dan pengendalian faktor-faktor komorbid disfungsi ereksi lainnya.

---

Erectile dysfunction (ED) often found in men and has an impact on reducing the quality of life. Benign prostate hyperplasia (BPH) with lower urinary tract symptoms is one of the comorbid which share the similar pathophysiology with ED. Contraction of the bulbocavernosus and ischiocavernosus muscles as part of the pelvic floor muscles (PFM) will initiate and maintain an erection so strengthening for these muscles will help stiffen the penis. This evidence-based case report study was conducted to answer the clinical question, how effective is giving PFM training on erectile function in BPH patients. Literature search was carried out on electronic databases, namely Cochrane, PubMed, Scopus, Science direct, Oxford Academic and Sage Journal with the keywords according to the clinical question. A systematic review study was obtained after screening from the eligibility criteria, duplication and assessment of the entire contents of the manuscript in 142 articles acquired. The study showed that PFM training improve erectile function in 35-47% of subjects, increased erectile domain in International Index of Erectile Function (p<0.05) and increased intracavernous pressure and maximal anal pressure. The conclusions are PFM training are carried out by fast and slow contractions with 9-30 repetitions, 2-3 times per day for 3-12 months which are carried out in lying, sitting and standing positions, these exercises can be given as a home exercise program and it is necessary to identify and control other comorbid factors of ED."