Vitriana Vitriana
Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Universitas Padjadjaran-Dr. Hasan Sadikin General Hospital

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CORRELATION BETWEEN BODY MASS INDEX, GENDER, AND SKELETAL MUSCLE MASS CUT OFF POINT IN BANDUNG Wattimena, Richi Hendrik; Vitriana, Vitriana; Devi, Irma Ruslina
International Journal of Integrated Health Sciences Vol 5, No 2 (2017)
Publisher : International Journal of Integrated Health Sciences

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Abstract

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/m2 while the average ASMI values normal BMI for males was 7.581±0.744 kg/m2Conclusions: 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. Keywords: Appendicular skeletal muscle mass index, body mass index, cut off point, gender, skeletal muscle mass DOI: 10.15850/ijihs.v5n2.990
EFFECT OF TREADMILL EXERCISE USING 80% INTENSITY OF SIX MINUTE WALK TEST ON WALKING DISTANCE AND QUALITY OF LIFE IN MODERATE STAGE CHRONIC OBSTRUCTIVE PULMONARY DISEASE PATIENTS Arisanti, Farida; Vitriana, Vitriana; Santoso, Prayudi
Majalah Kedokteran Bandung Vol 48, No 2 (2016)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v48n2.764

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Skeletal muscle dysfunction poses as one of the systemic manifestation of chronic obstructive pulmonary disease (COPD) in the impact of inactivity and deconditioning from early fatigue to the end of declining quality of life (QoL). Giving pulmonary rehabilitation program of treadmill exercise will overcome the problem, but standard method for moderate stage of COPD is not yet available. This study aimed to evaluate the effect of treadmill exercise using 80% intensity of six minute walk test on walking distance and QoL in moderate stage COPD in order to overcome muscle dysfunction. Samples were taken from Physical Medicine and Rehabilitation and Respirology subdivision of Internal Medicine outpatient clinic of Dr. Hasan Sadikin General Hospital Bandung, from March 2012?April 2013. Data analysis was tested using t-test for comparison of two independent mean data. Otherwise, non parametric test of Mann Whitney and Wilcoxon Match Pair test. Thirty three subjects of moderate stage COPD were divided into 2 groups (intervention and control). Intervention group received treadmill exercise with 80% intensity from preliminary 6MWT for 30?60 minutes/session, 3 session/week for 6 weeks. Significant increase on walking distance was found in intervention group (70.66 m) compared to control group (7.43 m) after 6 weeks (p?0.05). QoL using St. George Respiratory Questionnaire (SGRQ) showed significant decrease in intervention group for all components in the end of 6 weeks (total p=0.0038, symptoms p=0.0162, activities p=0.0043 and impact p=0.0057, p?0.05). Eighty percent intensity of 6MWT in treadmill exercise for 6 weeks was well tolerated and could overcome skeletal muscle dysfunction in moderate stage COPD. It also revealed higher values in aerobic capacity and QoL compared to previous studies. In conclusion, treadmill exercise using 80% intensity of 6MWT provides further walking distance and higher QoL compared to control  in moderate stage COPD. [MKB. 2016;48(2):105?11]Key words: Moderate stage COPD, quality of life, treadmill exercise, 6MWDPengaruh Latihan Erobik Menggunakan Treadmill dengan Intensitas 80% Uji Jalan 6 Menit terhadap Jarak Tempuh dan Kualitas Hidup Pasien PPOK Derajat SedangDisfungsi otot rangka merupakan salah satu manifestasi sistemik penyakit paru obstruktif kronik (PPOK), menyebabkan penderita mengalami inaktivitas dan dekondisi akibat kelelahan dini sehingga menurunkan kualitas hidupnya. Latihan erobik menggunakan treadmill merupakan modalitas dalam rehabilitasi PPOK untuk mengatasinya, namun hingga saat ini belum ada metode baku pada PPOK derajat sedang. Penelitian ini bertujuan menilai pengaruh latihan erobik menggunakan treadmill dengan intensitas 80% uji jalan 6 menit terhadap jarak tempuh dan kualitas hidup pada pasien PPOK derajat sedang. Penelitian ini dilakukan di Departemen Ilmu Kedokteran Fisik dan Rehabilitasi Fakultas Kedokteran Universitas Padjadjaran/Rumah Sakit Dr. Hasan Sadikin Bandung periode Maret 2012?April 2013. Naracoba berjumlah 33 orang, dibagi menjadi kelompok kontrol dan perlakuan. Latihan dilakukan dengan intensitas 80% kecepatan uji jalan 6 menit, 30?60 menit/sesi, 3x/minggu selama 6 minggu. Terjadi peningkatan bermakna jarak tempuh (p?0,05) dan penurunan nilai St. George Respiratory Questionnaire (SGRQ) di seluruh komponennya (total, dampak, gejala dan aktivitas, p?0,05) kelompok perlakuan dibanding dengan kontrol setelah 6 minggu latihan. Latihan erobik menggunakan treadmill dengan intensitas 80% kecepatan uji jalan 6 menit selama 6 minggu ditoleransi dengan baik dan dapat memperbaiki disfungsi otot rangka pada pasien PPOK derajat sedang. Simpulan, latihan erobik menggunakan treadmill dengan intensitas 80% dari uji jalan 6 menit memberikan peningkatan jarak tempuh dan kualitas hidup dibanding dengan kontrol pada PPOK derajat sedang. [MKB. 2016;48(2):105?11]Kata kunci: Jarak tempuh uji jalan 6 menit, kualitas hidup, latihan treadmill, PPOK derajat sedang
Correlation between Mid Upper Arm Muscle Area/Size and Muscle Strength Bin, Tan Yong; Vitriana, Vitriana; Nurhayati, Titing
Althea Medical Journal Vol 3, No 4 (2016)
Publisher : Althea Medical Journal

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Abstract

Background: Muscle area/size reflects the true magnitude of muscle tissue changes. Muscle strength is an active tension generated by muscle that depends on its capacity to exert force on an object. The relation between the quantity of muscle area and the amount of muscle strength is suggested. The aim of this study was to analyze the correlation between mid-upper arm muscle area/size and muscular strength.Methods: This analytic study with ten subjects (medical students) who met the inclusion and exclusion criteriawas conducted at the Faculty of Medicine Universitas Padjadjaran in Jatinangor campus from 22th of April to 1st of November 2014. A skinfold calliper was used to measure triceps skinfold while a measuring tape measured the mid-upper arm circumference and a dynamometer measured the muscle strength. A formula was used to determine the mid-upper arm muscle area/size using mid-upper arm circumference and triceps skinfold. The collected data were analyzed statistically using correlation test and simple linear regression.Results: There was a strong correlation between mid-upper arm muscle area/size and muscular strength (correlation cooefficient 0.746). Moreover, the higher the Body Mass Index, the stronger the muscle strength was to some point. If the BMI was more than 25 kg/m2, this findings did not occurred.Conclusions: There is a strong positive correlation between mid-upper arm muscle area/size and arm muscle strength. [AMJ.2016;3(4):590–5]
Spatial Ability Differences in Athletes and Non-Athletes Cynthia, Jessica; Lubis, Leonardo; Vitriana, Vitriana
Althea Medical Journal Vol 3, No 4 (2016)
Publisher : Althea Medical Journal

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Background: Cognitive processes, specifically spatial abilities, are responsible for integration of daily activities. Many factors contribute to the plasticity of the brain which, furthermore, alter the spatial ability. Physical activity, which can be further grouped into sport and exercise, is a modifiable factor that enhances the cognitive processes through a divergent mechanism. This study aimed to gain further understanding on whether sport differs from exercise in altering spatial ability in athletes and non-athletes.Methods: This observational study compared the spatial ability score of athletes of Indonesia National Sport Comitte (Komite Olahraga Nasional Indonesia, KONI) in West Java (n= 21) and non-athletes (n= 21). Sampling were performed using stratified random technique and data were collected between August and October 2015 which included spatial scores and demographic of subjects.Results: The difference in spatial scores between athletes and non-athletes were not significant (p=0.432).Conclusions: This study suggests an insignificant difference in spatial ability in athletes performing sport and non-athletes performing exercise. Hence, the cognitive component skills in sport experience do not alter the spatial ability. [AMJ.2016;3(4):533–7] DOI: 10.15850/amj.v3n4.934
Physical Fitness Component Profiles of Futsal Team Members of Universitas Padjadjaran in November 2011 Tanri, Raden Muhammad; Juliati, Juliati; Vitriana, Vitriana
Althea Medical Journal Vol 2, No 3 (2015)
Publisher : Althea Medical Journal

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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. DOI: 10.15850/amj.v2n3.524
Correlation between Postural Stability and Functional Mobility in Patients with Knee Osteoarthritis Hafsari, Arlinda De; Vitriana, Vitriana; Tahid, Alwin
Althea Medical Journal Vol 2, No 4 (2015)
Publisher : Althea Medical Journal

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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 of Dr. HasanSadikin 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, 0.138 with anteroposterior static stability, 0.067 with dynamic to position of top right stability, 0.344 with dynamic to position of top left stability, 0.384 with dynamic to position of bottom left stability and 0.357 with dynamic to position of bottom right stability.Conclusions: There is a strong correlation between functional mobility with static postural stability, especially to the lateral position. [AMJ.2015;2(4):550–4] DOI: 10.15850/amj.v2n4.639
Level of Activity Daily Living in Post Stroke Patients Whitiana, Greesea Dinamaria; Vitriana, Vitriana; Cahyani, Aih
Althea Medical Journal Vol 4, No 2 (2017)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (86.066 KB) | DOI: 10.15850/amj.v4n2.1068

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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.  DOI: 10.15850/amj.v4n2.1068
Correlation between Cognitive Functions and Activity of Daily Living among Post-Stroke Patients Prakoso, Kurniawan; Vitriana, Vitriana; Ong, Anam
Althea Medical Journal Vol 3, No 3 (2016)
Publisher : Althea Medical Journal

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Background: Cognitive impairment is one of the most common post-stroke complications; however, neither patients nor health professionals are often aware of this complication. The impact of cognitive impairment on quality of life is reflected through basic activity daily living (bADL) and instrumental activity daily living (IADL). Prior studies concerning the correlation between cognitive impairment and activity daily living has shown contradictive results. This study was conducted in order to analyze the correlation between the cognitive functions and activity daily living in post stroke patients at Dr. Hasan Sadikin General Hospital.Methods: This cross-sectional study was carried out to 23 post-stroke patients from September–November 2015. Samples were collected through consecutive sampling at Dr. Hasan Sadikin General Hospital. Mini Mental State Examination (MMSE) was used to assess the cognitive functions and Lawton and Brody Scale to assess both bADL and IADL. Spearman correlation was selected to analyze the existing correlation between each cognitive domain and activity daily living.Results: Spearman statistical correlation showed an insignificant correlation between the cognitive functions and bADL (r2=0.181, p=0.408) and a significant correlation with IADL was obtained (r2=0.517, p=0.03). The only cognitive domain positively correlated with IADL was orientation to time and verbal recall.Conclusions: There is a correlation between cognitive functions and IADL among post-stroke patients at Dr. Hasan Sadikin General Hospital. [AMJ.2016;3(3):329–33] DOI: 10.15850/amj.v3n3.874
Three-Year Study of Geriatric Skeletal Muscle Strength at a Top Referral General Hospital, West Java, Indonesi Lumbantoruan, Sigop Elliot Parsaulian; Vitriana, Vitriana; Dwipa, Lazuardhi
Althea Medical Journal Vol 4, No 3 (2017)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (613.46 KB) | DOI: 10.15850/amj.v4n3.1195

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Background: One of the aging effects is the decrease of skeletal muscle strength. The objectives of this study was to analyze the geriatric skeletal muscle strength by hand grip strength according to the characteristics of the elderly.Methods: An analytic retrospective study was carried out to 99 medical records of elderly who sought medication at the Geriatric policlinic of Dr. Hasan Sadikin General Hospital as the top referral hospital in West Java, Indonesia from 2012–2014. The result of hand grip strength measurement were grouped based on the characteristics of gender, age, body mass index (BMI), Barthel Index score, Mini Nutritional Assessment (MNA) score, number of disease and number of medication. All data were taken from patient’s medical records. The collected data were statistically analyzed with unpaired T-test and one way ANOVA test.Results: Among the 99 subjects, most of the subjects were male, under 80 years old,   independent living persons, had normal BMI, and normal nutritional level according to Mini Nutritional Assessment. Most of the subjects had more than 3 diseases per person and less than 5 sorts of medication. Male had higher hand grip strength compared to female and it was statistically significant (p=0.04). Based on ADL score, Independent living had higher hand grip strength compared to other level (p=0.008).Conclusions: From all the variables measured, only gender and  Activity Daily Living level contibute to the hand grip strength. 
The Influence of Pre-Match Logical Stimulus for Applying and Developing Strategy to Basketball Team of Faculty of Medicine Universitas Padjadjaran Ikhlas, Razif Fiil; Lubis, Vita Muniarti; Vitriana, Vitriana
Althea Medical Journal Vol 2, No 3 (2015)
Publisher : Althea Medical Journal

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Background: Logical game is rarely used in sport program as a menu for athletes to prepare their condition in pre-match to improve their cognitive performance. The athletes who have good cognitive performance can think, analyze and solve the problem appeared. Griffith builds a method to improve the athletes’ performance by stimulating their cognitive resources. This study aimed to know the influence of pre-match logical stimulus in applying and developing strategy in basketball players.Methods: The subject of this study was the basketball team players of Faculty of Medicine Universitas Padjadjaran; they were chosen by total sampling based on inclusion and exclusion criteria. Then, they were divided into two groups randomly: control and exposed groups. Both groups will be compared based on the score of each item (in total of 17 items). The assessed items were technique and tactics in the game of basketball. This study was conducted in November 2012 for three weeks. The collected data were analyzed using paired-T test.Results: Score increased significantly (p<0.05) in all items for first to third from four times of data retrieval in the exposed group, whereas in the control group, score decreased significantly (p<0.05) in all items for first to third from four times of data retrieval.Conclusions: Pre-match logical stimulus can improve the performance, especially technique and tactic in the basketball game. DOI: 10.15850/amj.v2n3.480