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"ABSTRAKTujuan : Untuk mengetahui perbandingan efek latihan William Back denganProper Body Mechanism yang dikombinasi dengan Infrared dalam penurunannyeri dan peningkatan fleksibilitas pada pasien obesitas dengan nyeri pinggangmekanik.Metode : Desain penelitian adalah studi intervensi dengan menggunakansampling konsekutif. Subjek yang sesuai dengan kriteria penerimaan danpengeluaran dilakukan randomisasi dan dibagi menjadi dua kelompok perlakuanyaitu latihan William Back dan Infrared dengan Proper body Mechanism danInfrared. Sebanyak 42 subjek yang berhasil dianalisis. Nilai nyeri dan fleksibilitasdiukur sebelum perlakuan dan dievaluasi setiap minggu selama 6 minggu.Hasil : Terdapat penurunan nilai VAS pada kedua perlakuan, baik pada kelompoklatihan William back dan Infrared maupun kelompok Proper Body Mechanismdan Infrared yang secara statistik bermakna (p=0,001 dan p=0,001) serta terdapatpeningkatan nilai fleksibilitas, baik kelompok William Back dan Infrared maupunkelompok Proper Body Mechanism dan Infrared, yang secara statistik bermakna(p=0,001 dan p=0,001 ). Terdapat kecenderungan peningkatan fleksibilitas lebihcepat pada kelompok latihan William Back dan Infrared dibandingkan kelompokProper body Mechanism dan Infrared ( minggu pertama p=0,016)Kesimpulan : Meskipun tidak terdapat perbedaan yang signifikan antara kelompoklatihan William Back dan Infrared maupun kelompok Proper Body Mechanism danInfrared dalam penurunan nyeri maupun peningkatan fleksibilitas, namun fleksibilitaslebih cepat meningkat pada kelompok latihan William Back dan Infrared, walaupunsecara statistik tidak bermakna

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ABSTRACTThe aim : To determine comparative effects of exercise William Back withProper Body Mechanism combined with Infrared to decrease pain and increaseflexibility in obese patients with mechanical low back pain.Method : The study design was intervention studies using consecutive sampling.Subjects were randomized into two groups namely : William Back with Infraredand Proper Mechanism with Infrared. 42 subjects were evaluate of pain andflexibility before treatment and every week for 6 weeks.Results : There were significant decreasing pain (VAS scale) in William Backexercise with Infrared group (p=0,001) and Proper Body Mechanism with Infrared(p = 0.001). There were significant increasing flexibility both William Backexercise with Infrared (p=0.001) and Body Proper Mechanism with Infrared, (p =0.001). There was a trend of increased flexibility more quickly in William Backexercise with Infrared group compared to Proper Body Mechanism and Infraredgroup (first week p = 0.016)Conclusion: Although there is no significant difference between Back Williamexercise and Infrared and Proper Body Mechanism and Infrared in decrease painand increase flexibility, but flexibility faster increases in Back William exerciseand Infrared group, although not statistically significant"

"ABSTRAKTujuan: Penelitian ini bertujuan untuk mengevaluasi perbedaan berbagai parameterposturografi pada risiko jatuh derajat ringan dan sedang.Metode: Dilakukan studi potong lintang pada 163 usila yang mampu ambulasimandiri, terdiri dari 108 subjek dengan risiko jatuh ringan dan 55 subjek denganrisiko jatuh sedang yang datang ke poli geriatri terpadu dan poli DepartemenRehabilitasi Medik RSCM. Parameter posturografi statik (Gravicorder GS-Anima3000, Tokyo-Japan) adalah panjang ayun tubuh (PA), kecepatan ayun tubuh (KA),Luas area (LA), Romberg quotient (RQ) dan deviasi Centre of Pressure (COP).Penilaian posturografi dilakukan dalam 4 kondisi yaitu keadaan mata terbuka dantertutup serta dengan atau tanpa busa. Risiko jatuh dinilai dengan Berg Balance Scale(BBS).Hasil: Hasil penelitian menunjukkan adanya perbedaan nilai PA, KA, LA dan RQantara kedua kelompok risiko jatuh, namun hanya nilai LA yang bermakna secarastatistik. Terdapat kecenderungan deviasi COP ke arah antero-posterior (AP)dibandingkan ke arah medio-lateral (ML) pada kedua kelompok risiko jatuh.Kesimpulan: Tidak terdapat perbedaan yang bermakna antara panjang ayun tubuh,kecepatan ayun tubuh serta Romberg quotient pada kelompok usila dengan risikojatuh ringan dan risiko jatuh sedang. Terdapat perbedaan yang bermakna luas areaayun tubuh pada kelompok usila dengan risiko jatuh ringan dan risiko jatuh sedang.Kata kunci: usila, risiko jatuh, posturografi statik, Berg Balance Scale

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ABSTRACTStudy purpose: To evaluate different parameters of static posturography in elderlywith mild and moderate risk of falls that lives in community.Methods: A cross sectional study was conducted in 163 elderly who can ambulateindependently without assistive device in Poliklinik Geriatri Terpadu, PM&Rdepartment and Neuro-Otology division ENT department RSCM. There were 108subjects with mild risk of falls and 55 subjects with moderate risk of falls. Staticposturography (Gravicorder GS-Anima 3000, Tokyo-Japan) parameters were lengthof body sway (LNG), velocity of body sway (LNG/TIME), Envelope Area (ENV),Romberg quotient (RQ) and Centre of Pressure (COP) deviation. Posturographymeasurement was taken in four conditions, with eyes open (EO) and closed (EC) andalso with and without rubber foam (R). Risk of falls measurement was using BergBalance Scale (BBS).Results: There were different values in length of body sway (LNG), velocity of bodysway (LNG/TIME) and Romberg quotient (RQ). Envelope Area (ENV) hasstatistically significant value between mild and moderate risk of falls. The COP wastended to deviate more in antero-posterior (AP) than in medio-lateral (ML) direction.Conclusion: The values of length of body sway (LNG), velocity of body sway(LNG/TIME) and Romberg quotient (RQ) has not statistically significant. EnvelopeArea (ENV) has statistically significant value between mild and moderate risk of falls"

"ABSTRAKLatar Belakang: Osteoartritis (OA) merupakan penyakit sendi degeneratif yangberkaitan dengan kerusakan kartilago sendi, paling sering mengenai sendi lutut.Gejala yang dominan adalah nyeri dan kelemahan otot yang menyebabkanpenurunan kapasitas fungsional. Kemampuan berjalan merupakan salah satukapasitas fungsional pada OA lutut yang dapat diukur dengan uji jalan. Penelitianini bertujuan untuk menilai kesahihan dan keandalan uji jalan 15 meter untukmengukur kapasitas fungsional pasien OA lutut. Metode: Desain studi potong lintang. Penelitian dilakukan terhadap 42 pasien OAlutut yang didapat secara konsekutif. Kapasitas fungsional subjektif dinilai dengankuesioner Indeks Lequesne. Kapasitas fungsional objektif dinilai mengunakan ujijalan 15 meter dengan mengukur kecepatan jalan. Penilaian uji kesahihanmenggunakan korelasi Pearson antara kecepatan jalan 15 meter dengan IndeksLequesne. Penilaian uji keandalan intrarater dan inter-rater menggunakanIntraclass Correlation Coefficient (ICC). Hasil: Didapatkan korelasi negatif kuat bermakna antara kecepatan jalan 15 meterdengan Indeks Lequesne (r= -0,62, p=0,000). Nilai keandalan intrarater ICC 0,990(Rentang kepercayaan 95% 0,981-0,995, p= 0,000). Nilai keandalan inter-raterICC 0,999 (Rentang kepercayaan 95% 0,998-0,999, p= 0,000). Simpulan: Uji jalan 15 meter terbukti sahih dan andal untuk mengukur kapasitas fungsional pasien OA lutut.

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ABSTRACTBackground: Osteoarthritis (OA), a degenerative joint disease, is associated with a breakdown of cartilage in the joints, with the knee being the most commonlyaffected joint. Symptoms include pain and muscle weakness which causedeclining functional capacity. Walking ability, one of the functional capacities ofpatients with knee OA, is measurable using walk test. The aim of the study was tolook at the validity and reliability of 15-meter walk test to measure the functionalcapacity of patients with OA of the knee. Methods: The study was a cross sectional study which looked at 42 consecutiveknee OA patients. Functional capacity of these patients were evaluatedsubjectively using Lequesne Index questionnaire. In addition, functional capacitywas measured objectively using 15-meter walk test by measuring their walkingspeed. Validity was evaluated using Pearson correlation coefficient between the15-meter walk test and Lequesne Index questionnaire. Intrarater and inter-raterreliability was assessed using Intraclass Correlation Coefficient (ICC). Results: There was a significant negative correlation between 15-meter walk testand Lequesne Index questionnaire (r= -0,62, p=0,000). Intrarater ICC reliabilityscore 0,990 (95% confidence interval 0,981-0,995, p=0,000). Inter-rater ICCreliability score 0,999 (95% confidence interval 0,998-0,999, p=0,000). Conclusions: 15-meter walk test was proven to be valid and reliable to assess the functional capacity of patients with OA of the knee. "