scholarly journals Assessment of the lumbo-pelvic-hip complex mobility with the Trunk-Pelvis-Hip Angle test: intraobserver reliability and differences in ranges of motion between girls with idiopathic scoliosis and their healthy counterparts

2016 ◽  
Vol 30 (3) ◽  
pp. 27-39 ◽  
Author(s):  
Agnieszka Stępień ◽  
Katarzyna Guzek ◽  
Witold Rekowski ◽  
Iwona Radomska ◽  
Jolanta Stępowska

Abstract Introduction: The Trunk-Pelvis-Hip Angle (TPHA) test is used for assessing the mobility of lumbo-pelvic-hip complex. The aim of the research was to assess the intraobserver reliability of the TPHA test in girls with and without idiopathic scoliosis and to compare the test values obtained by the girls in both groups. Material and methods: The research included girls without scoliosis and girls with double idiopathic scoliosis aged 8-16. The trunk-pelvis-hip angle was measured three times on each body side within one session. Statistical analysis was performed with the use of ANOVA intraclass correlation coefficient for dependent groups, Kolmogorov-Smirnov test as well as non-parametric Wilcoxon signed-rank test for dependent groups and Mann-Whitney U test for independent groups. Results: The research included 49 healthy girls (aged 11.8 ± SD 2.5 years) and 49 girls with double idiopathic scoliosis (aged 12.7 ± SD 2.6 years; Cobb angle Th 27.7° ± SD 13.4° and L Cobb 25.8° ± SD 10.5°). The intraobserver reliability for the TPHA measurements was very high (ICC>0.85). In both groups the left-side TPHA value was significantly higher than the right-side value (p=0.001). The TPHA range of motion on the right side of the body was more limited in the scoliotic girls than in the healthy ones (p=0.001). Conclusions: The TPHA test is a reliable means of assessing mobility in the lumbo-pelvic-hip complex in girls by one observer. The asymmetry of movements in the lumbo-pelvic-hip complex in healthy girls needs to be observed since it may constitute one of the factors predisposing to scoliosis which limits spine rotation range of motion. The TPHA test needs further research.

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Ivan Micic ◽  
Erica Kholinne ◽  
Hanpyo Hong ◽  
Hyunseok Choi ◽  
Jae-Man Kwak ◽  
...  

Abstract Background Suture anchor placement for subscapularis repair is challenging. Determining the exact location and optimum angle relative to the subscapularis tendon direction is difficult because of the mismatch between a distorted arthroscopic view and the actual anatomy of the footprint. This study aimed to compare the reliability and reproducibility of the navigation-assisted anchoring technique with conventional arthroscopic anchor fixation. Methods Arthroscopic shoulder models were tested by five surgeons. The conventional and navigation-assisted methods of suture anchoring in the subscapularis footprint on the humeral head were tested by each surgeon seven times. Angular results and anchor locations were measured and compared using the Wilcoxon signed rank test. Interobserver intraclass correlation coefficients (ICCs) were analyzed among the surgeons. Results The mean angular errors of the targeted anchor fixation guide without and with navigation were 17° and 2° (p < 0.05), respectively, and the translational errors were 15 and 3 mm (p < 0.05), respectively. All participants showed a narrow range of anchor fixation angular and translational errors from the original target. Among the surgeons, the interobserver reliabilities of angular errors for ICCs of the navigation-assisted and conventional methods were 0.897 and 0.586, respectively, and the interobserver ICC reliabilities for translational error were 0.938 and 0.619, respectively. Conclusions The navigation system may help surgeons be more aware of the surrounding anatomy and location, providing better guidance for anchor orientation, including footprint location and anchor angle.


2021 ◽  
Vol 2 (1) ◽  
pp. 64-69
Author(s):  
HIJRA HIDAYANA ◽  
Suswati Suswati

Hemoglobin is the red pigment-protein contained in red blood cells. The function of hemoglobin is to transport oxygen from the lungs and in the bloodstream to be carried to the tissues. Hemoglobin can increase by increasing the intake of iron in the body. One way to increase hemoglobin can be done by giving method Infused Water Dates. Infused water is a drink consisting of plain water with fresh fruit added and soaking or settling together for a certain time. The making of infused water is carried out by soaking for a period of 0 to 12 hours, so that the infused water becomes a liquid medium that carries more nutrients than ordinary water and will be more easily absorbed by cells and distributed throughout the body (Sidauruk, 2018 ). In several studies, it is stated that dates can increase hemoglobin levels in the blood. Where dates contain iron, vitamin A, vitamin C, protein to form red blood cells. With the method, Infused Water the date palm water becomes alkaline so that it can accelerate the absorption process in the body. The purpose of this study was to determine the effectiveness of dates infused water provision to increase hemoglobin levels of midwifery adolescent girls at Medan Health Polytechnic in 2020. This research was quasi-experimental study using the One Group Pretest-Posttest Without Control Design approach. The sample in this study were 20 respondents of midwifery adolescent girls from Medan Health Polytechnic, using the technique of purposive sampling. The statistical test used wa the Wilcoxon Signed Rank Test because the data was not normal. The results of the Wilcoxon Signed Rank Test obtained the value of P-Value = 0.001. So it can be concluded that the date infused water  is effective in increasing hemoglobin levels of midwifery adolescent girls at Medan Health Polytechnic in 2020.   Keywords: Dates Infused Water, Increased Hemoglobin Levels, Girls Adolescent


2018 ◽  
Vol 35 (4) ◽  
pp. 706-712 ◽  
Author(s):  
Anjana Srinivasan ◽  
Alex Al Khoury ◽  
Svetlana Puzhko ◽  
Carole Dobrich ◽  
Meira Stern ◽  
...  

Background: Infant tongue-tie can cause breastfeeding problems, which may be improved by frenotomy. However, controversy exists among the medical community. Research aim: To examine the influence of frenotomy on infants with posterior ankyloglossia, by quantifying the changes in breastfeeding and maternal nipple pain using standardized tools. Methods: Newborns ( N = 30) below 12 weeks of age were recruited from the Herzl–Goldfarb Breastfeeding Clinic between April 2014 and April 2015. Diagnosis of posterior ankyloglossia was made clinically. Frenotomy was performed. Mothers received breastfeeding counseling before and after the procedure. Pain and breastfeeding were assessed before the procedure, immediately after the procedure, and after 2 days, 7 days and 14 days. Breastfeeding was assessed using the LATCH Tool and by subjective questioning. Maternal nipple pain was assessed using the Numeric Rating System. Results: No complications were reported with frenotomy. There was a significant improvement in LATCH score immediately post-frenotomy, with an increase in median scores from 7.5 to 8.5 ( p < .0001, Wilcoxon signed rank test). There was a significant decrease in median pain score immediately post-frenotomy, from 3.0 on the left nipple and 3.25 on the right nipple, to 0 bilaterally ( p < .0001, Wilcoxon signed rank test). Subjective improvement in breastfeeding was reported by 90% of mothers immediately after frenotomy and 83% of mothers at Day 14. Conclusion: Frenotomy for posterior ankyloglossia may improve breastfeeding and nipple pain.


2021 ◽  
Vol 6 (2) ◽  
pp. 94
Author(s):  
Agus Sutiono ◽  
Dedy Purwito

Diabetes mellitus is one of cronical degenerative disease. The prevalence of sufferers continues to increase every year, one of the non-pharmacological therapies is exercise such as gymnastics prolanis DM and walking exercises to decrease the glucose level by the body muscles during the physical body. Objective this research is to find out the effectiveness of Prolanis and walking exercises in reducing blood sugar levels in DM patients type II. Method this study uses the Quasi experiment with pre and post with two group design. The study population was 92 DM patients type II with a sample of 82 people. Glucometer (Auto check blood glucose monitor) is used to collect the data. Wiloxon Test is used to analyze the statistical data. Results the research shows that the value of Prolanis Exercises (DM) is p=0.002 which means a significant influence on decrease of the sugar level of DM patients type II. Meanwhile the value of walking exercises is p=0.001. From the statistic test of WIlconxon Signed Rank Test, It obtained Z correlation = 7.886. It means that there is a significant correlation between Prolanis and walking exercises towards the decrease of blood sugar level of Diabetes Mellitus patients type II. Physical activities done regularly, measurably, and correctly are suggested to be considered as non-pharmacological therapies for Diabetes Mellitus patients type II to decrease blood sugar level. Keywords: Prolanis Exercises (DM), Walking, sugar blood level.


2020 ◽  
Vol 11 (1) ◽  
pp. 32-57
Author(s):  
Maleakhi Fernandes ◽  
Patricia Diana

Penelitian ini bertujuan untuk menguji perbedaan likuiditas, profitabilitas dan solvabilitas perusahaan yang terdaftar di BEI periode 2012-2013 selain sektor keuangan pada periode sebelum dan sesudah akuisisi. Likuiditas diproksikan dengan Current Ratio, profitabilitas diproksikan dengan Return on Asset Ratio, Return on Equity Ratio dan Net Profit Margin Ratio, serta solvabilitas diproksikan dengan Debt to Total Asset Ratio dan Debt to Total Equity Ratio. Penelitian ini menggunakan data berbagai perusahaan yang terdaftar di Bursa Efek Indonesia selain sektor keuangan yang melakukan akuisisi pada periode 2012-2013. Sampel penelitian diambil dengan menggunakan metode purposive sampling. Sampel yang memenuhi kriteria dalam penelitian sebanyak lima perusahaan. Uji normalitas dilakukan dengan metode Kolmogorov Smirnov dan uji hipotesis dilakukan dengan metode Paired Sample t-test apabila data terdistribusi normal dan Wilcoxon Signed Rank test apabila data tidak terdistribusi normal. Hasil penelitian mengindikasikan bahwa tidak ada perbedaan yang signifikan untuk likuiditas yang diproksikan dengan Current Ratio, profitabilitas yang diproksikan dengan Return on Asset Ratio, Return on Equity Ratio dan Net Profit Margin Ratio, serta solvabilitas yang diproksikan dengan Debt to Total Asset Ratio dan Debt to Total Equity Ratio. Kata Kunci: Akuisisi, Likuiditas, Profitabilitas, Solvabilitas


2019 ◽  
Vol 5 (1) ◽  
pp. 40-44
Author(s):  
Didien Ika S ◽  
Erni Dwi E ◽  
Ari Kusmiwiyati

Uric acid is the final result of purine metabolism in the body, which excreted through urine. In gout conditions, there is uric acid crystals deposit in joints. In the women's uric acid levels did not increase until menopause because estrogen helps to increase spending uric acid in the kidneys by reducing the amount of uric acid reabsorption. Phaleria macrocarpa (Scheff) Boerl is a plant that has medicinal properties to treat gout because Phaleria macrocarpa (Scheff) Boerl contains flavonoids that can lower uric acid by the mechanism of resistance to the activity of xanthine oxidase on purine bases so that it will reduce production of uric acid. The purpose of this study was to determine the effect of giving Phaleria macrocarpa (Scheff) Boerl’s decoction water on uric acid’s level in postmenopausal women in RW 01 Kelurahan Kebonsari Sukun Malang. This research is Pre Experiment with one group pre-post test design. Using 24 postmenopausal women who suffer from uric acid with total sampling technique. Test data analysis using the Wilcoxon Signed Rank Test on the significant level α = 0.05. The results showed 87.5% of respondents had decreased levels of uric acid and 12.5% of respondents did not experience changes in uric acid’s level or are likely to remain. Results of analysis of test data with Wilcoxon Signed Rank Test Zhitung obtained (-4.02) < ZTable (1,96). It’s means there is influence of Phaleria macrocarpa (Scheff) Boerl’s decoction water to reduction of uric acid levels in postmenopausal women. Referring to these results it is expected that Phaleria macrocarpa (Scheff) Boerl can be used as therapy in the treatment of gout. Keywords : Water decoction of Mahkota Dewa, Levels of Uric Acid, Female Menopause


UNIVERSUM ◽  
2016 ◽  
Vol 10 (2) ◽  
Author(s):  
Lutfi Atmasari

The purpose of this study is to explore the effectiveness of cognitive-behavioral therapy to women depression who are living with HIV that’s infected by her husband. This study involved two variables, depression as dependent variable and cognitive-behavioral therapy as independent variable. Depression is emotional condition that following attibutes: spesific alteration in mood, a negative self-concept, regressive and self-punitive wishes, vegetative changes, and change in activity level. While cognitive-behavioral therapy is a cognitive and behavioral therapy for helping depression. Cognitive therapy is used for changing the maladaptive thought, and behavioral therapy is used for relaxing the body and brain or decreasing the physical problems.This study was pre-experimental study that involved two depression women who living with HIV, that’s infected by her husband. Beck Depression Inventory is used for collecting data, it consists of 21 statements to determine the depression of women who living with HIV, that’s infected by her husband. Data analysis was done by non-parametric analysis, and the technique for calculated data was Wicoxon signed-rank test with SPSS 18.00 for windows.The calculation of Wicoxon signed-rank test based on the positive ranks was z = -1.342 and the result of the significance was p = 0.180(p < 0.05). It explained that the treatment was not effective for decrease the depression of women who living with HIV, that’s infected by her husband. However, that result was contrary with the real condition that the scores of BDI showed the reducing of depression. That result was also supported by the interview records. Keywords; Cognitive-Behavioral Therapy, Depression, Women living with HIV that’s infected by her husband.


2021 ◽  
Vol 7 (1) ◽  
pp. 1
Author(s):  
Erismon Erismon ◽  
Yeni Karneli

Penelitian ini bertujuan untuk mendeskripsikan efektivitas pendekatan <em>rational emotive behavior threapy</em> dalam mengatasi perilaku <em>bullying</em> siswa. Rancangan penelitian ini menggunakan pendekatan kuantitatif eksperimen. Sampel dalam penelitian ini adalah siswa yang perilaku <em>bullyin</em><em>g </em>sebanyak 20 orang. 10 orang untuk pelaksanaan kelompok eksperimen dan 10 orang untuk pelaksanaan kelompok kontrol. Instrument penelitian ini menggunakan skala perilaku <em>bullying </em>siswa yang telah memenuhi syarat instrumen penelitian, kemudian data di analisis dengan menggunakan uji <em>Wilcoxon Signed Rank Test</em> dan <em>Uji Kolmogorov Smirnov</em><em> 2 Independent Samples</em>. Hasil penelitian menunjukkan bahwa: 1) Terdapat perbedaan yang signifikan perilaku <em>bullying</em> peserta didik kelompok eksperimen sebelum dan sesudah mengikuti pendekatan <em>rational emotive behavior therapy</em> format kelompok. 2) Terdapat perbedaan yang signifikan perilaku <em>bullying</em> peserta didik kelompok kontrol sebelum dan sesudah mengikuti layanan bimbingan kelompok tanpa menggunakan pendekatan <em>rational emotive behavior therapy</em>. 3) Terdapat perbedaan yang signifikan perilaku <em>bullying</em> peserta didik kelompok eksperimen yang diberikan pendekatan <em>rational emotive behavior therapy </em>format kelompok dengan peserta didik kelompok kontrol yang diberikan layanan konseling kelompok tanpa pendekatan <em>rational emotive behavior therapy</em>. kelompok eksperimen dan kontrol sama-sama mengalami penurunan, akan tetapi rata-rata penurunan kelompok eksperimen lebih besar pada kelompok kontrol.


2021 ◽  
Vol 21 (2) ◽  
pp. 129-135
Author(s):  
Karyna Pirohova ◽  
Оlha Мyкytchyk ◽  
Sergiy Afanasiev ◽  
Olena Omelchenko ◽  
Tetiana Sydorchuk ◽  
...  

The study purpose was to determine the effectiveness of a differentiated approach to aqua fitness classes with women of the first period of adulthood. Materials and methods. 30 adult women, whose average age was 30.57 years, took part in the study. The study was conducted during 2019-2020. Anthropometric measurements included body length, body weight, chest, shoulder, calf, thigh, waist, buttocks and wrist circumferences. To determine the overweight we calculated the body mass index. Measurements were taken at the end of each mesocycle of wellness training. Statistical analysis covered determination of mean, standard deviation, reliability of the differences (Wilcoxon signed-rank test). Results. The effectiveness of a differentiated approach to aqua fitness classes was proven by improvement of women’s body type. By the end of the study, there were no women with obesity class II and underweight. The number of women with obesity class I decreased by 3.33%. The number of women with normal body weight increased by 13.37%. Conclusions. The implementation of a differentiated approach to aqua fitness classes with adult women has significantly corrected their body proportions. This allows recommending a differentiated approach according to a body type to implement into aqua fitness classes.


2020 ◽  
Vol 258 (12) ◽  
pp. 2729-2736 ◽  
Author(s):  
Maddalena De Bernardo ◽  
Vincenzo Altieri ◽  
Alessia Coppola ◽  
Marco Gioia ◽  
Nicola Rosa

Abstract Purpose To detect any choroidal thickness (CT) change in patients after alpha-lytic drugs withdrawal that could help in the cataract surgery timing decision. Methods Twenty-five eyes of 25 patients (mean age: 76 ± 7 years) under alpha-lytic therapy, and 25 eyes of 25 control subjects (CS) (mean age: 75 ± 7 years) without alpha-lytic therapy, both scheduled for cataract surgery in the fellow eye, were included in this observational, prospective, non-randomized study. All patients underwent EDI-OCT during the first preoperative visit and approximately 1 month (range 28–31 days) after alpha-lytic withdrawal. In the CS group, the OCT during preoperative visit and approximately 1 month after (range 28–31 days) the first examination was performed. Data normality with Kolmogorov-Smirnov test was checked and statistical evaluation with the Wilcoxon-signed rank test was performed. Results The mean subfoveal CT was 224 ± 79.7 μm during therapy and 217 ± 70.4 μm after withdrawal; 1.5 mm nasally from the fovea CT was 198 ± 83.8 μm and 194 ± 82.8 μm, respectively; and 1.5 mm temporally from the fovea CT was 217 ± 55.9 μm and 205 ± 54.4 μm, respectively. A statistically significant reduction (p < 0.05) in all the 3 measured CT points was found. In the CS no significant changes were detected (p > 0.05). Conclusion No severe floppy iris syndrome was detected at the time of surgery. In these patients, CT decrease could be an important sign for cataract surgery timing decision.


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