Maria Regina Rachmawati - Academia.edu (original) (raw)

Papers by Maria Regina Rachmawati

PubMed, Jun 30, 2023

Background: Although diaphragmatic training has been shown to improve gastroesophageal reflux dis... more Background: Although diaphragmatic training has been shown to improve gastroesophageal reflux disease (GERD) symptoms, its effectiveness in adults with GERD after COVID-19 has not been evaluated. This study examined the effectiveness of modified diaphragmatic training (MDT) on GERD questionnaire (GERDQ) score, diaphragmatic excursion, and maximum inspiratory pressure (MIP) in adults with GERD after COVID-19. Methods: This single-blinded randomized control trial was conducted at Persahabatan Hospital from February to April 2023. The medical records of 364 patients with persistent gastrointestinal symptoms were evaluated; among these potential participants, 302 had symptoms before, and 62 after, COVID-19 infection. Fifty of these patients fulfilled the study inclusion and exclusion criteria and were randomly assigned to the intervention (n = 25) or control (n = 25) groups. Four weeks of diaphragmatic training were followed by MDT or standard diaphragmatic training. A follow-up assessment was conducted 30 days after the beginning of the training. Results: The GERDQ score was significantly decreased in the pre-post-intervention group (10.44 ± 2.00 vs 1.84 ± 2.17) and the control group (8.64 ± 0.57 vs 3.32 ± 1.49), with p < 0.001. The intervention group showed significant improvements in the right diaphragmatic excursion (RDE) (44% vs 11.87%), left diaphragmatic excursion (LDE) (46.61% vs 13.62%), and MIP (75.26% vs 23.97%) compared with the control group. Conclusion: MDT in adults after COVID-19 with GERD enhanced diaphragmatic excursion and MIP and decreased symptoms of gastroesophageal reflux by 8.60 points of GERDQ. Respiratory symptoms and other side effects were comparable between the groups.

Jurnal Biomedika dan Kesehatan, Jun 30, 2018

Seiring dengan meningkatnya jumlah lansia di Indonesia, semakin banyak lansia yang berisiko terha... more Seiring dengan meningkatnya jumlah lansia di Indonesia, semakin banyak lansia yang berisiko terhadap penyakit degeneratif salah satunya adalah Diabetes melitus (DM). Jenis DM lebih sering ditemukan yaitu 85-90% dari total penderita DM. Faktor resiko DM tipe 2 pada lansia yaitu antara lain aktivitas fisik rendah, pola makan tinggi karbohidrat, gaya hidup dan obesitas. Aktivitas fisik adalah salah satu yang memungkinkan untuk dikendalikan. Penelitian ini bertujuan untuk mengetahui hubungan aktivitas fisik dengan kadar gula darah puasa pada lansia. METODE Penelitian dilakukan terhadap 86 orang lansia, berusia 60-74 tahun. Dilakukan pada bulan Agustus-Oktober tahun 2017 di Panti Sosial Tresna Werdha Budi Mulia 2, Cengkareng, Kota Jakarta Barat. Metode yang digunakan dalam penelitian ini adalah observasional analitik dengan pendekatan potong silang (cross sectional). Variabel yang dinilai adalah tingkat aktivitas fisik yang dinilai menggunakan IPAQ, serta kadar gula darah puasa yang dinilai menggunakan ACCU-chek. Data yang didapatkan dianalisis dengan uji korelasi Spearman. HASIL Hasil penelitian di dapatkan dari 86 responden dengan rerata usia 66.71, rerata berjenis kelamin laki-laki, rerata kadar gula darah 81.85, rerata tingkat aktivitas fisik 332.53. Hasil uji korelasi spearman menyatakan tidak terdapat korelasi antara aktivitas fisik dan kadar gula darah puasa pada lansia (r=-0.134)(p = 0.220) dimana nilai p> alpha 0,05.. KESIMPULAN Berdasarkan hasil penelitian, rerata kadar gula darah puasa pada lansia di panti adalah normal, rerata tingkat aktivitas fisik adalah aktif minimal, dan tidak terdapat hubungan antara tingkat aktivitas fisik dengan kadar gula darah puasa pada lansia di panti jompo PSTW Budi Mulya 2. Kata kunci : aktivitas fisik, kadar gula darah puasa, lansia

Universa Medicina, Aug 23, 2011

Low back pain (LBP) is the most frequent health problem in all age groups, including postmenopaus... more Low back pain (LBP) is the most frequent health problem in all age groups, including postmenopausal women, who are at risk of disability, due to degenerative processes affecting all organ systems, including the erector spinae muscles. In addition, postmenopausal women also experience a decrease in esterogen levels, which stimulates osteoclastic activity and initiates a reduction in bone mineral density (BMD). The aims of the present study were to determine the relationship between LBP prevalence and erector spinae endurance, BMD reduction, and body mass index (BMI) respectively. This was a cross-sectional study, conducted on 213 postmenopausal women, selected by simple random sampling. Assessment of pain, expressed on a visual analog scale (VAS), was performed by interviews and measurement of erector spinae muscle endurance time using a modified Biering-Sorensen technique, while BMD was assessed by bone densitometry. The results of the study showed that the postmenopausal women had a mean age of 53.5 ± 3.6 years. The prevalence of LBP and osteoporosis in the postmenopausal women was 58.2% and 21.6%, respectively. A significant positive linear correlation was found between BMI and VAS (r=0.165; p=0.016). In addition, the t-test demonstrated a significant difference in mean VAS scores between good and poor erector spinae endurance (p=0.008). However, the chi-square test showed no significant relationship between reduced BMD and LBP (p>0.05). It is recommended that low back pain in postmenopausal women be managed by strengthening exercises of the erector spinae.

Indonesian Journal of Physical Medicine and Rehabilitation, 1970

Background: Scoliosis is a deformity of spine that has excessive lateral curve. The deformity cou... more Background: Scoliosis is a deformity of spine that has excessive lateral curve. The deformity could be caused by postural adaptation to an imbalance of local trunk muscles or by another risk factors. There are two risk factors, that are obesity and physical activity, which have not been studied in Indonesia yet about their correlation with scoliosis The aim of this study was to analyze the relationship between body mass index and physical activity with scoliosis in young adults. Method: Study design was cross sectional. The subjects were High School students in Depok, recruited by consecutive non-random sampling. The body mass index (BMI) was measured by body weight (Kg)/body height (m 2). The intensity of physical activity measured subjectively by International Physical Activity Questionnaires (IPAQ). Detection of postural scoliosis was by inspection and palpation and the deviation measured by scoliometer. The data were presence in univariate and bivariate, analyzed by the Pearsen Chisquare. Results: This study conducted in 165 subjects, the mean of age was 16-17 years old. There was no correlation between BMI and scoliosis (p=0,11). However the higher intensity of physical activity has correlated with the lower frequency of scoliosis (p=0.00). Conclusions: The lower intensity of physical activity increase the frequency of the postural scoliosis, in the other hand there was no correlation between BMI and scoliosis in young adults.

Asian Bioethics Review, Mar 30, 2023

Research Square (Research Square), Apr 12, 2023

Physical inactivity is associated with increased rates of noncommunicable diseases (NCDs). Some o... more Physical inactivity is associated with increased rates of noncommunicable diseases (NCDs). Some of the factors that indicate a person has risk for future NCDs are obesity and reduced measures of physical performance, such as appendicular muscle mass (ASM), hand grip strength (HGS), and gait speed (GS). Objectives: Study to analyze the risk of physical inactivity for obesity and physical performance in young adults. Method: The cross-sectional study included 419 young adults consisting of 206 (49.2%) men and 213 (50.8%) women. Physical activity (PA) values were determined using the International PA Questionnaire (IPAQ), with an inactive score <600 METs and an obesity standard ≥ 25 kg/m 2. The values of lower ASM, HGS, and GS were based on the 2019 AWGS criteria. Results: Physical inactivity rates were 327 (78%), 154 (47%) in men and 173 (53%) in women (p=0.125). Obesity rates were 162 (39%); however, in men, they were slightly higher than in women: 101 (62.3%) vs 61 (37.7%) (p<0.001). The low ASM rates were 104 (25%), i.e., in men were lower than in women; 34 (32.7%) vs 70 (67.3%) (p<0.001). The low HGS rates were 32 (8%), which was relatively similar between genders, 18 (56.3%) and 14 (43.8%) (p=0.464), and the low GS rates were 55 (13%), which was also similar between genders, 23 (42%) and 32 (58%) (p=0.25). Physically inactive was a risk factor for obesity in men (OR (95% CI)=1.2 (0.6-2)) and in women (OR (95% CI) = 1.5 (0.7-3)), for lower ASM (OR (95% CI) = 1.6 (0.9-3)), and for lower HGS (OR (95% CI) = 1.6 (0.6-4.2)). Physically inactive was not a risk factor for lower GS of OR (95% CI= 1 (0.6-2)). Conclusion: Most young adults were physically inactive, thus increasing the risk of obesity and decreasing muscle mass and muscle strength.

angket, metode tes dan metode dokumentasi. Data yang terkumpul dianalisis dengan teknik regresi s... more angket, metode tes dan metode dokumentasi. Data yang terkumpul dianalisis dengan teknik regresi sederhana. Dari hasil perhitungan rata-rata pemahaman ibadah siswa diketahui nilainya sebesar 57,73 terletak pada interval 57-59, sedangkan perhitungan rata-rata akhlak karimah siswa nilainya sebesar 55,83 terletak pada interval 55-57. Sedangkan hasil dari analisis menunjukkan bahwa persamaan regresi variabel Y (akhlak karimah) pada variabel X (pemahaman ibadah) adalah Y = 19,883+ 0,585X. Hasil uji hipotesis menunjukkan bahwa persamaan tersebut signifikan (F= 70,924; p < 000), terlihat dari Fh > Ft(1%) = 7,04 dan Fh > Ft (5%) = 3,99. Sedangkan sumbangan X untuk memprediksi variabel Y sebesar 51,8%. Dengan demikian, maka hipotesis penelitian "terdapat hubungan antara pemahaman ibadah dengan akhlak karimah siswa SMA Sudirman 2 Banyumanik Semarang" dapat diterima. Dengan kata lain, semakin tinggi pemahaman ibadah siswa, maka makin tinggi akhlak karimah siswa.

DOAJ (DOAJ: Directory of Open Access Journals), Dec 1, 2015

BACKGROUND Menopause is an aging process of the female reproductive system characterized by reduc... more BACKGROUND Menopause is an aging process of the female reproductive system characterized by reduced estrogen levels. This results in increased osteoclastic activity, causing increased bone resorption and thus reduced bone mineral density (BMD). In addition to being influenced by osteoclastic activity, BMD of the lumbar vertebrae is also affected by the erector spinae muscle. The purpose of this study was to determine an association between postural scoliosis and erector spinae muscle endurance and its relation to BMD in postmenopausal women. METHODS This was a cross-sectional study conducted on postmenopausal women, who were selected by simple random sampling among residents of Mampang Prapatan subdistrict. The postural abnormality of scoliosis was determined by physical examnation, while erector spinae muscle endurance time was assessed using a modified Biering-Sorensen technique, and BMD was measured by bone mineral densitometry, to categorize into normal, osteopenia, and osteoporosis. RESULTS A total of 213 postmenopausal women with mean age of 53.52 ± 3.64 years participated in the study. The prevalence of scoliosis was 54.0%, and osteoporosis was 38.1%. The prevalence of osteoporosis was higher in women with scoliosis (48.7%) in comparison with those without scoliosis (31.6%) (p=0.411). In postmenopausal women with strong erector spinae muscle endurance the risk of of scoliosis was lower (0.76;95% Confidence Interval = 0.58-0.99) CONCLUSIONS In post menopausal women with postural scoliosis found a higher incidence of osteoporosis. High endurance of erector spinae muscle lowers the risk of scoliosis. Exercise to improve posture and increase endurance of erector spinae muscle need to be done to prevent decline of BMD.

Universa Medicina, Mar 25, 2008

Patients with spinal cord injury are often unable to empty their bladders sufficiently. If this c... more Patients with spinal cord injury are often unable to empty their bladders sufficiently. If this condition is left untreated, urinary tract infection (UTI) is unavoidable, with potentially lethal consequences. The objective of this study was to evaluate the effect of clean intermittent self-catheterization (CIC) on urinary tract infection in subject with spinal cord injury. A randomized controlled design was conducted in subjects who lived at two dormitories were included in this study. They were randomized to clean intermittent self-catheterization or control group. All the subjects were followed for one months. Primary outcome measure was symptomatic urinary tract infection as diagnosed by, pyuria (leukocytes of 100,000 or more per high power field.). Twenty-six patients between 22 to 62 years with cervical spinal cord injuries and urine residue more than 50 cc were recruited. Of the 26 subjects, 18 (69.2%) developed urinary tract infection. The incidence rate of UTI in the CIC group was 5/13 (38.5%); significantly lower than the control group 11/13 (84.6%) (p=0.016). Clean intermittent self catheterization in patient with spinal cord injury decreased the risk of developing urinary tract infection.

Majalah Kedokteran Neurosains Perhimpunan Dokter Spesialis Saraf Indonesia

ABSTRAK Pendahuluan: Stroke iskemik merupakan salah satu komplikasi neurologis dari infeksi Coro... more ABSTRAK Pendahuluan: Stroke iskemik merupakan salah satu komplikasi neurologis dari infeksi Corona Virus Disease 19 (COVID-19) yang mengancam nyawa. Penelitian mengenai luaran pasien stroke iskemik akut dengan infeksi COVID-19 di Indonesia belum banyak dilaporkan. Tujuan: Peneliti ingin mengetahui bagaimana luaran pasien stroke iskemik akut dengan infeksi COVID-19 dan faktor apa saja yang mempengaruhi luaran tersebut di Rumah Sakit Umum Daerah (RSUD) Pasar Minggu, sebagai salah satu rumah sakit rujukan khusus COVID-19 di Jakarta. Metode: Penelitian ini merupakan studi potong lintang yang bersifat deskriptif analitik menggunakan data rekam medis pasien stroke iskemik akut dengan infeksi COVID-19 berusia ≥18 tahun yang dirawat di RSUD Pasar Minggu periode Maret 2020-Juni 2021. Analisis statistik menggunakan uji Chi Square dan uji T tidak berpasangan. Hasil: Didapatkan 36 subjek yang memenuhi kriteria penelitian. Mayoritas berusia ≥50 tahun (69,4%), perempuan (58,3%), nilai Natio...

Paediatrica Indonesiana, 2018

Background Asthma is a chronic inflammatory disease of the airways characterized by involvement o... more Background Asthma is a chronic inflammatory disease of the airways characterized by involvement of a variety of inflammatory cells. Asthma is associated with imbalances between Th1/Th2 cells and their characteristic cytokine profiles. Nigella sativa is a plant that possesses immunomodulatory and anti-inflammatory properties.Objective To investigate the potential anti-asthmatic effect of Nigella sativa oil on Th1/Th2 cells, IFN-ɣ/IL-4 cytokines, and improvement of asthma control.Methods Children aged 6-15 years with asthma in Dr. Saiful Anwar Hospital, Malang, were enrolled in this study. All patients were treated based on standard treatment guidelines for asthma. Nigella sativa oil (NSO) was given per oral as supplementary treatment at a dose of 15-30 mg/kg/day for 8 weeks, in a randomized, single-blind, controlled trial. Peripheral Th1 and Th2 cells were counted by flow cytometry and IFN-ɣ and IL-4 cytokines were measured by ELISA. Improvement of asthma control was assessed by the ...

SKRIPSI-2017, May 8, 2018

LATAR BELAKANG Beberapa studi Jepang telah menemukan hubungan antara jam kerja yang panjang denga... more LATAR BELAKANG Beberapa studi Jepang telah menemukan hubungan antara jam kerja yang panjang dengan hipertensi. Hal ini menunjukan bahwa pengukuran tekanan darah pada pegawai yang tuntutan pekerjaan lebih tinggi akan menyebabkan tekanan darah yang tinggi pula, dibandingkan dengan pegawai yang kurang sibuk atau tuntutan pekerjaan yang tidak tinggi. Oleh karna itu peneliti tertarik untuk meneliti hubungan lama kerja pada pegawai kantor X tersebut. Suatu kantor yang bekerja dibidang pertanian,sosial, dan perbatasan. METODE Penelitian menggunakan analitik dengan menggunakan pendekatan cross-sectional. Populasi dalam penelitian ini ialah semua pegawai kantor pemerintahan Kabupaten Keerom, dengan menggunakan sistem random sampling. Data dikumpulkan dengan kuesioner dan pengukuran tekanan darah setiap responden. Besar sampel adalah 146 responden, dengan berbagai karakteristik seperti jenis kelamin, usia, dan ditanyakan juga lama kerja (tahun) di kantor tersebut serta bagaimana kegiatan fisik dan tingkat stresnya. HASIL Dengan menggunakan chi-square didapatkan hasil terdapat sepuluh responden yang bekerja > 20 tahun yang mengalami hipertensi sedangkan 136 responden lainnya tidak mengalami hipertensi, dengan p value sebesar 0,004. Didapatkan juga hasil OR sebesar 1,813, yang menyatakan bahwa jika responden bekerja >20 tahun memiliki resiko untuk mengalami hipertensi sebesar 1,813 kali lipat daripada yang bekerja kurang dari 20 tahun. KESIMPULAN Penelitian ini menunjukkan bahwa ada hubungan antara lama kerja dengan kejadian hipertensi pada pegawai kantor X. Pegawai yang bekerja > 20 tahun memiliki resiko untuk mengalami hipertensi lebih banyak dari pada yang bekerja < 20 tahun

SKRIPSI-2017, Jul 24, 2018

LATAR BELAKANG Nyeri leher adalah nyeri yang dirasakan pada bagian atas tulang belakang dan merup... more LATAR BELAKANG Nyeri leher adalah nyeri yang dirasakan pada bagian atas tulang belakang dan merupakan salah satu keluhan musculoskeletal yang menjadi masalah kesehatan pada anak usia sekolah. Penyebab nyeri leher pada anak sekolah biasanya disebabkan oleh penggunaan tas ransel. Sesuai dengan tuntutan kurikulum yang tinggi terjadi peningkatan berat tas ransel yang dibawa. Ransel yang dibawa oleh siswa sekolah, yang dikenal sebagai tugas sehari-hari dalam hidup mereka diduga berhubungan dengan peningkatan risiko masalah kesehata seperti nyeri leher. METODE Penelitian menggunakan studi analitik observasional dengan desain Crosssectional. Penelitian ini mengambil sample dengan cara simple random sampling. Sampel yang digunakan adalah 176 siswa yang menggunakan tas ransel usia 7-12 tahun selama bulan September hingga Oktober 2016. Pengumpulan data dengan melakukan wawancara meliputi karakteristik subjek, riwayat keluhan nyeri leher, pengukuran berats tas ransel, dan berat badan. Pengukuran keluhan nyeri leher menggunakan Visual Analog Scale. Analisi data menggunakan uji anova dan uji korelasi Pearson dengan tingkat kemaknaan p<0,05 software SPSS for Windows versi 21. HASIl Hasil menunjukan terdapat hubungan antara berat tas ransel dengan nyeri leher dengan menggunakan analisis regresi linear (anova) dengan hasil p=0,00 (p<0,05) dan dengan uji korelasi Pearson p=0,00 dengan r=0,326 yang menandakan adanya korelasi searah yang lemah antara berat tas ransel dengan nyeri leher. KESIMPULAN Semakin tinggi berat tas ransel yang dibawa, maka semakin tinggi pula intensitas nyeri leher yang dirasakan

Skoliosis berasal dari bahasa Yunani yang berarti kurva atau bengkok. Skoliosis didefinisikan seb... more Skoliosis berasal dari bahasa Yunani yang berarti kurva atau bengkok. Skoliosis didefinisikan sebagai abnormalitas lengkungan ke lateral dari tulang belakang dengan ukuran lengkungan lebih besar dari 10o. Pada skoliosis terjadipenyempitan cavum thorax yang akan menghambat pengembangan fungsi paru. Penderita skoliosis diperkirakan akan terjadi penurunan kapasitas vital paksa 5%setiap terjadinya 10o peningkatan kurva skoliosis. Skoliosis yang tidak ditanganidapat menjadi lebih buruk dan dapat menyebabkan nyeri punggung kronik, sertadapat menurunkan fungsi kardiopulmoner. Metode Penelitian menggunakan studi analitik observasional dengan desain Crosssectional.Penelitian ini mengambil sample dengan cara simple random sampling.Sampel yang digunakan adalah 116 pelajar Sekolah Dasar selama bulan Desember2016. Pengumpulan data dengan melakukan pengambilan sampel secara langsung. Analisi data menggunakan uji chi-square dengan tingkat kemaknaan 95%software SPSS versi 22 for windows 8.1. Hasil ...

Indonesian Journal of Physical Medicine & Rehabilitation, 2018

According to the definition from international association for the study of pain (IASP), pain is ... more According to the definition from international association for the study of pain (IASP), pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage. Besides, there are many term of unpleasant sensory that complaint by patient as a pain, such as allodynia, hyperalgesia, and hyperesthesia. The pain is one of the most cases that came to seeking a doctor. The data from Indonesian National Health Insurance (JKN) from 2014-2017 have revealed that pain cases were the most frequent in Rehabilitation Medicine Services, i.e. low back pain, knee pain, and shoulder pain. The prevalence of pain is increasing along with ageing, sedentary life style, obesity and chronic diseases.

Anatomy & Cell Biology, 2016

decrease the quality of life. Prevalence of muscle injury due to works or sports is about 30% of ... more decrease the quality of life. Prevalence of muscle injury due to works or sports is about 30% of the population. Lower limb is part of the body that has a high risk of injury, because of the function in ambulation and bearing the body weight on the activities of daily living [1, 2]. Women had the higher risk of muscle injury, due to the smaller sizes of their muscle mass, and the risk will be increased as they age [3, 4]. The most frequent of the biomechanical abnormalities in the population was the functional leg length disparity, with a prevalence rate of between 60%-90%. There was an association between the functional leg length disparity with the

Universa Medicina, 2009

Pain of the musculoskeletal system, especially low back pain, is one of the most frequent problem... more Pain of the musculoskeletal system, especially low back pain, is one of the most frequent problems with a high risk of disability. The aim of this research study was to determine the existence of an association between low back pain on one hand, posture and step length on the other. This cross-sectional study was conducted on 77 healthy young adult subjects. Step length was measured with the Biodex Gait Trainer 2 (230 VAC). The study results indicate that 62.3% of the young adult subjects had suffered from low back pain. There was no significant association between gender and pain. In male subjects no significant association was found between pain on one hand and mean difference in step length and posture on the other. However, in female subjects with abnormal posture, there was a highly significant difference in left step length between subjects with back pain and those without (p=0.007). The results of a multiple regression analysis indicate that posture has the greatest influence...