Irma Ruslina Defi
Departemen Ilmu Kedokteran Fisik dan Rehabilitasi Fakultas Kedokteran Universitas Padjadjaran/Rumah Sakit Dr. Hasan Sadikin Bandung

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Characteristic of Older Adult with Balance Disorder in Rehabilitation Clinic Dr. Hasan Sadikin General Hospital 2014 Yun, Ku Shi; Defi, Irma Ruslina; Dwipa, Lazuardhi
Althea Medical Journal Vol 3, No 1 (2016)
Publisher : Althea Medical Journal

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Background: Older adult population is increasing worldwide. Balance has an important role in conducting daily activities and mobility, with impaired balance it can lead to negative impacts for example fall. This study is conducted to obtain common factors and characteristics of older adults with balance disorder to provide better rehabilitation services.Method: A descriptive study was conducted in the Physical Medicine and Rehabilitation Clinic of Dr. Hasan Sadikin General Hospital, Bandung from August-October 2014 using total sampling method and a 5 times sit-to-stand (5STS) test was conducted. The total sample obtained was 34.Result: The characteristics of older adult with balance disorder in this study were mostly from young old (n=17), male gender (n=19), and mean 5STS test is 18.48 seconds. Most of the patients had high blood pressure (n=29), normal body mass index (BMI) (n=22), independent activity of daily living (ADL) (n=21), and use of greater than 3 medication (n=21).The most common disease found is musculoskeletal disease and majority of patients had one medical disease.Conclusion: Older adults categorized as young old has the greatest frequency of having balance disorder. Increase in age, increases the duration of 5STS test conducted. The most common problem among older adult is high blood pressure, musculoskeletal disease and hypertension and majority of the patients consume greater than 3 medication. Lastly, most of the BMI and the ADL of the older adults were normal. DOI: 10.15850/amj.v3n1.718
Flatfoot decreases school functioning among children < 11 years of age Damayanti, Yuke; Hadisoemarto, Panji Fortuna; Defi, Irma Ruslina
Universa Medicina Vol 37, No 1 (2018)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2018.v37.50-56

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Background Flatfoot is a musculoskeletal abnormality commonly found in children that could result in a reduction of quality of life because of its related symptoms and functional abnormalities. This study aimed to determine the association between flatfoot and the quality of life among children 5-18 years of age. Methods A cross sectional design was used in this study of children aged 5-18 years. The diagnosis of flatfoot was made in accordance with the Chippaux-Smirak Index classification, whereas general and domain-specific quality of life were measured using the Indonesian version of PedsQL™ that has been previously validated. Mann Whitney test was used to compare quality of life between children with flatfoot and normal feet, along with other variables that potentially may influence a child’s quality of life. Results A total of 79 out of 120 subjects was used to analyze the data. There was a statistically significant difference in the quality of life score in the school functioning domain between children with flatfoot (64.46 ±18.22) and those with normal feet (75.90 ±17.29) in children &lt;11 years of age (p=0.029). Apart from this, the study did not find any statistically significant differences in the total quality of life score or in other quality of life domains between the two groups. Conclusions Flatfoot significantly decreases children’s quality of life in the school functioning domain. Early detection and correction of flatfoot may be necessary to improve the educational attainment of children suffering from this condition.
CORRELATION BETWEEN HANDGRIP STRENGTH, MOBILIZATION FUNCTION, PHYSICAL ACTIVITY LEVEL, AND MUSCLE MASS IN COMMUNITY-DWELLING ELDERLY IN BANDUNG, WEST JAVA PROVINCE, INDONESIA Sekarsari, Sari; Vitriana, Vitriana; Defi, Irma Ruslina
International Journal of Integrated Health Sciences Vol 6, No 1 (2018)
Publisher : International Journal of Integrated Health Sciences

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/ijihs.v6n1.1047

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Objective: To investigate correlation between handgrip strength, mobilization function, and physical activity level (PAL), and muscle mass in community-dwelling Indonesian elderly.Methods: This was a cross-sectional study 193 subjects aged 60?90 years. Handgrip strength was measured using handgrip dynamometer while the mobilization function was assessed by performing gait speed test. Global Physical Activity Questionnaire (GPAQ) was used to assess the participant?s PAL and Bio Impedance Analyzer was used to measure the participant?s muscle mass based on skeletal mass index.Results: Significant positive correlations were discovered between handgrip strength and walking speed (rs. 0.501; p<0.001), PAL (rs. 0.153; p=0.003), and muscle mass (rs. 0,452; p<0.001).Conclusion: Stronger handgrip determines greater mobilization function, physical activity level, and bigger muscle mass in community-dwelling Indonesian elderly. Keywords: Gait speed, handgrip strength, muscle mass, physical activity DOI: 10.15850/ijihs.v6n1.1047
RELATIONSHIP BETWEEN NEUTROPHIL-LYMPHOCYTE RATIO AND CARDIAC AUTONOMIC NEUROPATHY IN DIABETES MELLITUS TYPE 2 PATIENTS Nurlaelatiningsih, Cahyandari; Sastradimaja, Sunaryo Sastradimaja Barki; Defi, Irma Ruslina
International Journal of Integrated Health Sciences Vol 5, No 1 (2017)
Publisher : International Journal of Integrated Health Sciences

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Objective: To analyze the correlation between cardiac autonomic neuropathy (CAN) and neutrophil-lymphocyte ratio (NLR) in DM type 2 patients.Methods: This was a cross-sectional study which was conducted at the Internal Medicine Clinic of Dr. Hasan Sadikin General Hospital, Bandung and Chronic Disease Management (CDM) Club in Garut District, West Java, Indonesia from October to December 2015. Subjects were 57 DM type 2 patients who met the inclusion criteria. Cardiac autonomic neuropathy examination and complete blood count (CBC) were performed to discover the subjects? neutrophil-lymphocyte ratio. Results: A strong correlation was found between CAN in DM type 2 patients and NLR (r=0.679; p=0.000) based on Rank Spearman correlation test. The NLR to CAN cut off point was 1.34. Conclusions: NLR examination can be used as an indicator of CAN in DM type 2 patients with NLR cut off point. There was a correlation between CAN and DM type 2 diagnosis duration. Keywords: Cardiac autonomic neuropathy, diabetes mellitus type 2, Ewing test, neutrophil-lymphocyte ratio DOI: 10.15850/ijihs.v5n1.961
COGNITIVE FUNCTION PROFILE OF POST-STROKE PATIENTS Larasati, Dila; Defi, Irma Ruslina; Sadeli, Henny Anggraini
International Journal of Integrated Health Sciences Vol 5, No 1 (2017)
Publisher : International Journal of Integrated Health Sciences

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Objective: To discover cognitive function profile of post-stroke patients undergoing rehabilitation to inform rehabilitation professionals in planning for a program and provide services that meet the patient?s need. Methods: This study was a descriptive cross-sectional study involving 32 post-stroke patients undergoing rehabilitation at the Physical Medicine and Rehabilitation clinic of Dr. Hasan Sadikin General Hospital Bandung in August?September 2014. An examination was conducted using the Mini Mental State Examination (MMSE) to obtain the cognitive function profile of post-stroke patients. Results: The results showed that almost all post-stroke patients undergoing rehabilitation had normal cognitive functions (93.8%), only few patients had probable cognitive impairment (6.2%). Probable cognitive impairment were found in male and female patients who were in the age range of 50?60 years who were elementary school graduates and in the sub acute phase of stroke. Conclusions: Almost all post-stroke patients undergoing rehabilitation have normal cognitive functions, only minority of patients have probable cognitive impairment, and there are no patients with definite cognitive impairment. Keywords: Cognitive function, education, rehabilitation, stroke DOI: 10.15850/ijihs.v5n1.962
EFFECT OF OVERGROUND WALKING AND TREADMILL EXERCISE ON WALKING SPEED AND WALKING ABILITY IN ELDERLY Novy, Theresia Chandra Tania; Vitriana, Vitriana; Sastradimaja, Sunaryo Barki; Defi, Irma Ruslina
International Journal of Integrated Health Sciences Vol 1, No 1 (2013)
Publisher : International Journal of Integrated Health Sciences

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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.    Keywords: Elderly, overground walking exercise, treadmill exercise, walking ability, walking speed DOI: 10.15850/ijihs.v1n1.105
CORRELATIONS BETWEEN MUSCLE MASS, MUSCLE STRENGTH, PHYSICAL PERFORMANCE, AND MUSCLE FATIGUE RESISTANCE IN COMMUNITY-DWELLING ELDERLY SUBJECTS Elizabeth, Elizabeth; Vitriana, Vitriana; Defi, Irma Ruslina
International Journal of Integrated Health Sciences Vol 4, No 1 (2016)
Publisher : International Journal of Integrated Health Sciences

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Objective: To determine the correlations between muscle mass, muscle strength, physical performance, and muscle fatigue resistance in community-dwelling 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. Keywords: Community-dwelling, elderly, muscle fatigue resistance, muscle mass, sarcopenia DOI: 10.15850/ijihs.v4n1.684
EFEKTIVITAS LATIHAN INCENTIVE SPIROMETRY DENGAN LATIHAN PERNAPASAN DIAFRAGMA TERHADAP FUNGSI PARU, KAPASITAS FUNGSIONAL, DAN KUALITAS HIDUP PENDERITA ASMA BRONKIAL ALERGI Nikmah, Sitti Nurun; Purba, Ambrosius; Defi, Irma Ruslina
Majalah Kedokteran Bandung Vol 46, No 1 (2014)
Publisher : Faculty of Medicine, Universitas Padjadjaran

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Prevalensi eksaserbasi asma alergi semakin mengalami peningkatan. Berbagai upaya dilakukan untuk dapat menurunkannya, antara lain dengan latihan pernapasan diafragma dan incentive spirometry, namun, perbandingan efektivitas kedua latihan masih belum jelas. Penelitan ini bertujuan untuk mengetahui perbandingan efektivitas kedua latihan tersebut. Penelitian dilakukan di Rumah Sakit Dr. Hasan Sadikin dan Rumah Sakit Paru Dr. H. A. Rotinsulu Bandung (September?Desember 2012). Sejumlah 20 orang perempuan, berusia 26?40 tahun, penderita asma bronkial alergi terkontrol sebagian yang mengikuti penelitian, dibagi ke dalam 2 kelompok. Tiap kelompok diberi latihan incentive spirometry dan pernapasan diafragma selama 8 minggu. Sebelum dan sesudah perlakuan, dilakukan pengukuran fungsi paru dengan forced expiratory volume in 1 second (FEV1), kapasitas fungsional dengan jarak tempuh (uji jalan 6 menit), dan kualitas hidup dengan St George?s Respiratory Questionnaire (SGRQ). Karakteristik penderita menunjukkan distribusi normal dan homogen. Uji-t independen menunjukkan bahwa latihan incentive spirometry lebih efektif dibandingkan dengan pernapasan diafragma dalam meningkatkan FEV1 (6,19±2,63 vs 0,40±0,33 % prediksi), jarak tempuh (229,07±21,84 vs 140,69±16,91 m) dan memperbaiki SGRQ (nilai total 1.036,51±341,14 vs 360,09±182,10). Simpulan, latihan incentive spirometry lebih efektif dalam meningkatkan fungsi paru, kapasitas fungsional, dan kualitas hidup dibandingkan dengan pernapasan diafragma pada penderita asma bronkial alergi. [MKB. 2014;46(1):39?47]Kata kunci: FEV1, Incentive spirometry, jarak tempuh, latihan pernapasan diafragma, SGRQEffectiveness of Incentive Spirometry and Diaphragmatic Breathing Exercise in Lung Function, Functional Capacity and Quality of Life of Bronchial Asthma Allergic PatientsExacerbation of allergic asthma prevalence is increasing. Various attempts were made to lower it with diaphragm breathing and incentive spirometry exercise. However, comparison of the effectiveness of both exercises are unclear. This study aims to compare those effects. Research conducted in Dr. Hasan Sadikin General Hospital and Dr. H. A. Rotinsulu Pulmonary Hospital (September?December 2012). Twenty female, aged 26?40 years, partially controlled bronchial asthma allergic patients who consented for this study were divided into 2 groups. Each group was given incentive spirometry and diaphragm breathing exercise for 8 weeks. Before and after treatment lung function with forced expiratory volume in 1 second - FEV1, functional capacity with walking distance (6 minute walking test) and quality of life (St George?s Respiratory Questionnaire-SGRQ) were assessed. The characteristics of the subjects were normally distributed and homogeneous. Independent T test results showed incentive spirometry compared to diaphragm breathing exercise was more effective in improving FEV1 (6.19±2.63 vs 0.40±0.33% predicted), walking distance (229.07±21.84 vs 140.69±16.91 m), and SGRQ (total value 1,036.51±341.14 vs 360.09 ±182.10). In conclusion, incentive spirometry is more effective in improving lung function, functional capacity, and quality of life compared to diaphragm breathing exercises in patients with allergic bronchial asthma. [MKB. 2014;46(1):39?47]Key words: Diaphragm breathing exercise, FEV1, incentive spirometry, SGRQ, walking distance DOI: 10.15395/mkb.v46n1.226
TRANSLATION AND VALIDATION OF INDONESIAN VERSION OF SCLERODERMA HEALTH ASSESSMENT QUESTIONNAIRE Defi, Irma Ruslina; Jennie, Jennie; Biben, Vitriana; Arisanti, Farida
Majalah Kedokteran Bandung Vol 52, No 1 (2020)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v52n1.2004

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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. Translasi  dan Validasi  Scleroderma Health Assessment Questionnaire versi  Bahasa IndonesiaSklerosis sistemik atau skleroderma merupakan penyakit autoimun kronik dengan vaskulopati, fibrosis dan autoimunitas. Scleroderma Health Assessment Questionnaire (SHAQ)menilai disabilitas dan fungsi pada pasien sklerosis sistemiklebih spesifik dibandingkan Health Assessment Questionnaire (HAQ) Disability Index (DI). Tujuan dari penelitian ini adalah menerjemahkan SHAQ ke dalam bahasa Indonesia dan menilai validitas serta relialibilitasnya. Scleroderma Health Assessment Questionnaire diterjemahkan ke dalam bahasa Indonesia dan kemudian dilakukan translasi balik lalu kuesioner diisi oleh pasien sklerosis sistemik rawat jalan. Tes validitas HAQ-DI dan Visual Analog Scale (VAS) dinilai menggunakan korelasi Pearson dan reliabilitas menggunakan Cronbach?s alpha. Perbandingan antara HAQ-DI, Scleroderma-VAS, dan Short Form 36 (SF 36) dilakukan untuk menilai validitas konvergen. Subjek terdiri dari 18 orang wanita yang berusia antara 42 sampai 66 tahun dari Desember 2019 sampai Februari 2020. Hasil validitas pada semua parameter HAQ-DI dan SSc-VAS ditemukan valid (r hitung>0,361). Terdapat reliabilitas yang baik dilihat dari nilai Cronbach?s alpha yang lebih tinggi dari nilai r tabel (r>0,700). Terdapat korelasi yang signifikan antara Skleroderma-HAQ dan HAQ-DI dengan domain SF-36 kecuali domain kesehatan umum. Simpulan, bahwa SHAQ versi Indonesia memiliki konstruk dan validitas diskriminan serta reproduktifitas yang baik sehingga dapat digunakan untuk menilai disabilitas pada pasien sklerosis sistemik.
Correlation between Physical Activity Level and Health–Related Quality of Life among Elderly Anguda, Ricky; Setiawan, Setiawan; Defi, Irma Ruslina
Althea Medical Journal Vol 3, No 3 (2016)
Publisher : Althea Medical Journal

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Background: The elderly population will keep growing in Indonesia. Decreased body function in elderly will affect their health–related quality of life. The aim of this study was to know the correlation between physical activity level and health–related quality of life among elderlyMethods: A cross-sectional analytical study was conducted from September to November 2014 in Panti Sosial Tresna Wredha Budi Pertiwi. The level of physical activity was measured with General Practice Physical Activity Questionnaire (GPPAQ) and health–related quality of life using the 36–Item Short Form Health Survey version 2 (SF–36v2). There were 14 out of 29 female elderly who met the inclusion criteria. The data were collected using validated questionnaires and tested with simple linear regression.Results: The physical activity level includes one inactive, three moderately inactives, eight moderately actives, and two actives. The average score of the health–related quality of life was 41.121±8.88 for the physical component scale (below average) and 57.629±7.54 (above average) for the mental component scale. No significant correlation was found between the level of physical activity with the physical component scale (p–value = 0.731) and mental component scale (p–value = 0.901).Conclusions: The most frequently found physical activity level is the moderately active level. The score for the physical component scale is under average, while the mental component scale is above average. There is no correlation between the physical activity level and health–related quality of life for the physical component scale and the mental component scale. [AMJ.2016;3(3):405–10]DOI: 10.15850/amj.v3n3.890