scholarly journals PENGARUH LATIHAN RANGE OF MOTION (ROM) TERHADAP PERUBAHAN SKALA NYERI PADA LANSIA DENGAN OSTEOARTRITIS DI POSYANDU LANSIA DESA KALIANGET TIMUR KECAMATAN KALIANGET KABUPATEN SUMENEP

2018 ◽  
Vol 1 (2) ◽  
pp. 55-62
Author(s):  
Mujib Mujib ◽  
Emdat Suprayitno
Keyword(s):  
Range Of Motion ◽  
Joint Stiffness ◽  
Simple Random Sampling ◽  
The Elderly ◽  
Total Sample ◽  
Pain Scale ◽  
Degenerative Joint Disease ◽  
Pharmacological Therapy ◽  
Wilcoxon Test ◽  
Joint Disease

Background: Osteoarthritis is a degenerative joint disease in which damage to the joints of aging been anticipated plays an important role in the development of osteoarthritis (Stanley, 2006). It forced a decline in activity or immobilization so it accelerate the prognosis of the disease. This study aimed to determine the Range of Motion (ROM) exercise influence in changing the pain scale in elderly with osteoarthritis in the elderly Posyandu Kalianget Timur Kalianget Sumenep. Method: This Research design is pre experiment one group pre and post test design with simple random sampling. The population are 76 people with total sample of 64 people. Data were analyzed using wilcoxon test. Result: The results of the study prior to Range of Motion (ROM) exercise pain scale at nearly half the respondents (48.4%) had moderate pain (scale 4-6). And after Range of Motion (ROM) exercise pain scale at nearly half the respondents (46.9%) had mild pain (scale 1-3). Data were analyzed using wilcoxon test. The results obtained p = 0.000 which means Range of Motion (ROM) exercise significantly effective in changing the pain scale in osteoarthritis patients in the elderly Posyandu Kalianget Timur Sumenep. Conclusion: ROM exercises is non pharmacological therapy that can aplied to reduce the scale of pain in elderly with osteoarthritis. The result of this study is expected to increase the knowledge and prevent pain by creating and ROM maintaining positive habit to avoid degenerative joint stiffness that caused by pain.

scholarly journals The Effect of Guided Imagery on Insomnia in the Elderly in the Jara Mara Pati Technical Implementation Unit (UPT) Kab. Buleleng

2021 ◽  
Vol 5 (1) ◽  
pp. 103-107
Author(s):  
Grenda Aprilyawan ◽  
Tri Suryo Wibowo
Keyword(s):  
Guided Imagery ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
The Elderly ◽  
Pharmacological Therapy ◽  
Wilcoxon Test ◽  
Attention And Memory ◽  
Psychosocial Conditions ◽  
Impaired Attention ◽  
Improve Sleep Quality

Background: The aging process is a natural process faced by humans where there is a decrease or change in physical, emotional, psychosocial conditions which will certainly affect their productivity. This situation tends to have the potential to cause health problems, one of which is insomnia. There are some serious effects on sleep disorders such as excessive daytime sleepiness, impaired attention and memory, mood, depression, and decreased quality of life.Purpose: This study aimed to determine the effect of giving guided imagery to insomnia in the elderly at the Technical Implementation Unit (UPT) Jara Mara Pati Kab. Buleleng.Methods: The research design used was pre-experimental with a one-group pre-test post-test design. The population in this study were all elderly people who experienced insomnia in the Technical Implementation Unit (UPT) of Jara Mara Pati Kab. Buleleng with a sample size of 36 respondents, by using a simple random sampling technique. Data collection using a checklist sheet. The data obtained were then coded, scored, tabulated, and analyzed with the Wilcoxon test with a significant value of 0.05.Results: The results of this study show the results of value < which means that there is an influence of guided imagery on insomnia in the elderly.Conclusion: Seeing the results of this study can be used as non-pharmacological therapy by the elderly in (UPT) Jara Mara Pati Kab. Buleleng to improve sleep quality which is done once a month on a scheduled basis

Aromatase inhibitor (AI)-associated arthralgia (A) and bone pain (BP): Frequency and characterization in clinical practice

2006 ◽  
Vol 24 (18_suppl) ◽  
pp. 6137-6137 ◽  
Author(s):  
C. A. Presant ◽  
C. Kelly ◽  
L. Bosserman ◽  
G. Upadhyaya ◽  
M. Vakil ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Bone Pain ◽  
Pain Scale ◽  
Degenerative Joint Disease ◽  
Joint Disease ◽  
Consecutive Series ◽  
Disc Disease ◽  
Cancer Centers ◽  
Age Range ◽  
And Control

6137 Background: Prior studies of AI have identified A and/or BP as side effects. Reported incidences have varied from 4% (IMPACT) to 35.6% (ATAC). In order to determine the frequency of A or BP in clinical practice, we reviewed a consecutive series of patients (PTs) receiving AI in community cancer centers. Methods: The charts of consecutive PTs receiving AI were reviewed, and PTs were interviewed regarding the occurrence of A or BP (ABP), severity, whether ABP was worse than before AI therapy, preexisting co-morbidities, type of therapy for ABP, and pain characterization. Results: 56 PTs were receiving AI. The type of AI used was anastrazole in 44 PTs, letrozole in 10 PTs, and exemestane in 2 PTs. The age range was 45 to 89 years. All PTs had breast cancer. The duration AI usage was 1 to 44 mo. Worsening of ABP compared to pretreatment ABP was reported in 34 PTs (61%). In 11 Pts (20%), severity was sufficient and control poor enough to result in discontinuation of AI at a median of 2 mo of AI therapy. The median severity of ABP, when present, was 7.5 on a 10 point pain scale. The character of the ABP was continuous in 20 (59%) and intermittent in 14 (41%), affected central/axial bones in 20 (36%), and peripheral bones in 35 (64%). Coexisting conditions possibly contributing to worsening of ABP occurred in 36%, consisting of degenerative joint disease 10, fibromyalgia 1, osteoporosis 4, and degenerative disc disease 1. Therapy associated with amelioration of symptoms included acetaminophen in 26%, NSAIDs in 45%, mild opiates in 11%, strong opiates in 5%, and glucosamine in 13%. The occurrence of ABP was not associated with age (68% in PTs less than 60 versus 57% in PTs over 60). The occurrence of ABP was not associated with duration of use of AI (50% of 16 Pts on AI for 3–6 mo, 75% for 7–12 mo, and 56% for over 12 mo). Conclusions: The occurrence of AI associated ABP is higher in a non-clinical trial population of PTs than reported in most clinical trials. This side effect is severe enough to cause discontinuation of needed AI therapy in 20%. Further studies are warranted to determine the mechanism of AI associated ABP, and optimal therapy. It is reasonable to consider glucosamine as well as standard analgesics in controlling this syndrome. No significant financial relationships to disclose.

scholarly journals Latihan Range of Motion Berpengaruh Terhadap Mobilitas Fisik pada Lansia di Balai Pelayanan Sosial Tresna Werdha Unit Abiyoso Yogyakarta

2017 ◽  
Vol 4 (3) ◽  
pp. 169
Author(s):  
Hermina Desiane Hastini Uda ◽  
Muflih Muflih ◽  
Thomas Aquino Erjinyuare Amigo
Keyword(s):  
Muscle Strength ◽  
Life Expectancy ◽  
Range Of Motion ◽  
Social Services ◽  
Gait Speed ◽  
Joint Stiffness ◽  
The Elderly ◽  
Fine Motor ◽  
Population Number ◽  
Physical Mobility

<p><em>The increasing of Life Expectancy has raised the population of the elderly. The highest population number of elderly in Indonesia can be found in Yogyakarta Special Region with 13.05%. The increasing life expectancy brings normal and pathological changes in the elderly as it relates to aging process in various systems. Normal changes are seen in the musculoskeletal system that is in the complete loss of muscle at the age of 80 (30%-50%). The changes can be found in such cases as rheumatoid arthritis, osteoarthritis, and osteoporosis. Such changes have made the elderly susceptible to hindrances of physical mobility which can be treated by giving range of motion (ROM) Exercises. The purpose of study to find out the effect of ROM Exercises against physical mobility for the elderly in </em><em>Center for Social Services, Tresna Werdha, Unit Abiyoso Yogyakarta</em><em>. This study was a qualitative research with an action research design. A purposive sampling method was used to collect the data from 5 respondents. Results: Physical mobility in elderly consists of five themes, namely range of motion, muscle strength, comfort, posture, and movement. ROM exercises provides changes in the ROM, comfort, and movement, but no change in the muscle strength and posture. Changes in the range of motion are found in the increased level of the range of motion which is seen in neck area and in reduced joint stiffness. Changes in comfort are seen in a feeling of happiness and less pain; yet, shortness of breath is not reduced. Changes in movement, which are different for every elderly, can be seen in increased gait speed, increased comfort which is the effect of fine motor skills, and decreased trembling. Conclusion: Some ROM exercises show effects on the physical mobility of the elderly. The effects can be traced from increased range of motion, comfort, and gait speed. Yet, the elderly’s posture and muscle strength do not experience any changes. </em></p>

scholarly journals The Effect of the Foot Reflection Therapy toward Systolic Blood Pressure in Patients with Primary Hypertension

2018 ◽  
Vol 1 (3) ◽  
Author(s):  
Liota Marsha Renardiyarto ◽  
Dwi Ari Murti Widigdo ◽  
Tulus Puji Hastuti
Keyword(s):  
Blood Pressure ◽  
Systolic Blood Pressure ◽  
Relaxation Effect ◽  
Simple Random Sampling ◽  
Pharmacological Therapy ◽  
Primary Hypertension ◽  
Wilcoxon Test ◽  
Control Group ◽  
Post Test ◽  
Clinically Significant

Hypertension is a high blood pressure disorder which disrupts blood flow resulting in blocking of oxygen and nutrition carried by the blood to body tissue. Based on Dinas Kesehatan Jawa Tengah's data, hypertension became one of the health issues with a percentage of 37%. One of non-pharmacological therapy is foot-reflexology therapy. This method gives a relaxation effect that could make blood circulating better, decay the blocking in blood vessel, nourish muscles and nerves, and strenghten heart activity. Objective: To determine the effect of foot reflection therapy toward systolic blood pressure in primary hypertension patient at Ngadirojo, Secang, Magelang Method: This study used the pre-experiment method with one group pre-test post-test design without a control group. Simple random sampling technic was used to get 46 subjects. Result: Wilcoxon Test result showed different significant in this study between pre-post test foot reflection therapy by p=0.000 (p<0.05). It meant there was an effect of foot-reflection therapy on systolic blood pressure in primary hypertension. The average of blood pressure decrease was 3,7 mmHg. Although, the results of this study showed that there was a significantly different decrease in this decrease was not clinically significant. The recommendation is made to conduct a study in a combination of pharmacology and non-pharmacology intervention to lower blood pressure.

scholarly journals Correlation between histopathologic and radiological changes in articular cartilage of the knee joint with degenerative joint disease

2017 ◽  
Vol 4 (2) ◽  
pp. 450
Author(s):  
Hakan Cift ◽  
Ali Seker ◽  
Bulent Kilic ◽  
Murat Demiroglu ◽  
Asli Erdogan Cakir ◽  
...  
Keyword(s):  
Subchondral Bone ◽  
The Elderly ◽  
Degenerative Joint Disease ◽  
Joint Disease ◽  
Lateral Condyle ◽  
Replacement Procedure ◽  
Tibial Condyle ◽  
Stage 4 ◽  
Significant Difference ◽  
The Difference

Background: Osteoarthritis (OA) of the knee is among the most common disabling diseases which may cause pain and decrease in functional status. It is the commonest form of arthritis and is most prevalent in the elderly, with 50% of adults aged 65-75 years and almost 70% of those 75+ years suffer from this disease. The aim of this study was to investigate consistency of radiologic findings with histomorphologic structure of bone in patients with severe gonarthrosis.Methods: 62 knees of 57 patients over 60 years old who had stage 3-4 gonarthrosis according to Kellgren-Lawrence classification were included in the study. Patients were separated into two groups as having stage 3 or stage 4 gonarthrosis. All the patients underwent total knee replacement procedure. During the operation distal femoral medial/lateral condyle and proximal tibial medial/lateral plateau were removed and sent to histologic examination for the measurement of thickness of cartilage layer and subchondral bone, number and thickness of trabeculae, space between two trabeculae.Results: Average thickness of subchondral bone was measured at stage 3 gonarthrosis and at stage 4 gonarthrosis. Only the difference between medial tibial condyle values of two groups was statistically significant. Average trabecula thickness was measured both at stage 3 and at stage 4 gonarthrosis. Only the difference between lateral tibial condyle values of two groups was statistically significant. Furthermore, as for the number of trabeculas and cavity between trabeculae, a significant difference couldn’t be found.Conclusions: Despite having radiological differences two groups can be said to show similar histopathological characteristics.

scholarly journals PENGARUH TERAPI AKTIVITAS TERHADAP ANSIETAS PADA LANSIA DI PANTI JOMPO TRESNA WERDHA ABDI DHARMA ASIH KOTA

2021 ◽  
Vol 16 (3) ◽  
pp. 579-585
Author(s):  
Tinah
Keyword(s):  
Mental Health Problems ◽  
Test Group ◽  
The Elderly ◽  
Total Sample ◽  
Group Activity ◽  
Anxiety Level ◽  
Wilcoxon Test ◽  
P Value ◽  
Activity Therapy ◽  
Group Activity Therapy

Anxiety is one of the most common mental health problems in the elderly. The provision of appropriate and accurate psychopharmacology as well as nursing therapy is not enough, but must be followed up with selected therapy modalities regularly and continuously until the normal functioning of stable normative behavior or adaptive behavior, one of which is group activity therapy. To determine the effect of group activity therapy on the level of anxiety in the elderly. The design of this study is a quasi-experimental design with a pre-post test group design with a total sample of 44 people. The independent variable is group activity therapy (TAK) and the dependent variable is anxiety. The instruments used are questionnaire sheets and observation sheets. The statistical test used the Wilcoxon test with a significance value of = 0.05. The anxiety level of the majority of the elderly before TAK therapy was severe anxiety as much as 40.91% and after TAK therapy the majority of the elderly with mild anxiety level as much as 47.73%. There was a difference in anxiety before and after giving group activity therapy with a P value of 0.000 (P <0.05). Group activity therapy has an effect on reducing anxiety levels in the elderly.

scholarly journals PENGARUH PEMBERIAN TERAPI NAFAS DALAM UNTUK MENURUNKAN SKALA NYERI SAAT DILAKUKAN RANGE OF MOTION (ROM) PADA PASIEN ASAM URAT DI PANTI WREDHA DHARMA BHAKTI KASIH SURAKARTA

2017 ◽  
pp. 135-138
Author(s):  
Isnaini Rahmawati ◽  
Happy Indri Hapsari
Keyword(s):  
Range Of Motion ◽  
Gouty Arthritis ◽  
Pain Scale ◽  
Wilcoxon Test ◽  
P Value ◽  
Sampling Techniques ◽  
Deep Breathing ◽  
Biological Condition ◽  
Control Approach ◽  
Breathing Therapy

ABSTRAK Proses penuaan merupakan proses alamiah yang ditandai dengan penurunan kondisi biologis, psikologis, maupun sosial. Kondisi biologis yang dapat menimbulkan masalah pada lanjut usia salah satunya adalah nyeri akibat dari kadar asam urat yang tinggi. Tujuan dari penelitian ini adalah untuk menganalisis pengaruh terapi nafas dalam untuk menurunkan skala nyeri saat dilakukan Range of Motion (ROM) pada pasien asam urat di Panti Wredha Dharma Bhakti Kasih Surakarta. Metode penelitian menggunakan desain pre experimental dengan pendekatan pretest-posttest without control. Pengambilan sampel dilakukan dengan total sampling sebanyak 12 lansia yang mengalami penyakit asam urat. Intervensi diberikan setiap hari satu kali selama 21 hari. Analisa data menggunakan uji Wilcoxon dan menunjukkan adanya penurunan skala nyeri yang signifikan pada lansia dengan penyakit asam urat (p value 0,002)   Kata Kunci : nafas dalam, nyeri, lansia, asam urat     ABSTRACT The aging process is naturally process that accompanied with the decrease of their bilogical, psycological and social condition. Biological condition that cause healthy condition in elderly is pain that causes by highly uric acid levels. The aim of this study was to analyze the the influence of deep breathing therapy to reduce the pain scale during Range of Motion (ROM) in elderly with gouty arthritis in Panti Wredha Dharma Bhakti Kasih Surakarta. The methode of this study is pre experimental design with pretest- postest without control approach. The sampling techniques was done with total sampling of 12 elderly who suffer from gouty arthritis. This deep breathing therapy performed once in every day for 21 days. Data were analyzed using Wilcoxon test, and the result showed that decrased pain scale significantly in elderly with gouty arthritis (p value 0,002)   Keywords : deep breathing, pain, elderly, gouty arthritis

scholarly journals Therapeutic Effect Of Warm Fragrant Lemongrass Foot Soak Against Changes In The Joint Pain Scale Of Rheumatoid Arthritis Patients

2021 ◽  
Vol 2 (4) ◽  
pp. 1229-1233
Author(s):  
Muhammad Syahwal ◽  
Aluddin
Keyword(s):  
Rheumatoid Arthritis ◽  
Joint Pain ◽  
Joint Stiffness ◽  
Pain Scale ◽  
Wilcoxon Test ◽  
Chemical Effect ◽  
Control Group ◽  
Post Test ◽  
Warm Sensation ◽  
Bath Therapy

Uric acid is a natural antioxidant produced by the human body, but it can trigger rheumatoid arthritis if the amount exceeds the normal threshold with typical symptoms in the form of pain accompanied by swelling in the joint area, even in advanced conditions there is joint stiffness. Cymbopogon nardus (L.) Rendle or lemongrass is an effective plant to reduce joint pain and swelling. The purpose of this study was to describe the effect of warm lemongrass foot bath therapy on changes in the scale of joint pain in patients with rheumatoid arthritis. This study is a pre-experimental study with one group pre-test and post-test design without a control group, changes after two days of soaking warm lemongrass feet by observing changes in the pain scale of 23 respondents. The Wilcoxon test results showed that there was a change in the pain scale after intervention with a value of p = 0.01, which means that warm scented lemongrass foot soak affects reducing the pain scale of patients with rheumatoid arthritis. The warm sensation of the foot soaking intervention provides a peripheral vasodilation effect which causes a decrease in joint pain in inflamed tissues, the chemical effect of citronellal compounds is around 32-45%, geraniol 12-18%, and citronellol 12-25% in citronella plants are also proven to play a role in reducing pain. This study concluded that warm lemongrass foot soaking therapy affected the changes in the scale of joint pain in Rheumatoid Arthritis.

scholarly journals Analgesic effect of intra-articular ropivacaine injection after arthroscopic surgery on the shoulder joint in dogs

2018 ◽  
Vol 63 (No. 11) ◽  
pp. 513-521 ◽  
Author(s):  
J.H. Kim ◽  
S.H. Seok ◽  
T.Y. Park ◽  
H.J. Kim ◽  
S.W. Lee ◽  
...  
Keyword(s):  
Pain Management ◽  
Shoulder Joint ◽  
Analgesic Effect ◽  
Shoulder Arthroscopy ◽  
Short Form ◽  
Arthroscopic Surgery ◽  
Pain Scale ◽  
Degenerative Joint Disease ◽  
Human Medicine ◽  
Joint Disease

Shoulder joint disorders are a major cause of forelimb lameness in dogs, and osteochondrosis, degenerative joint disease, and bicipital tenosynovitis are common joint disorders that have been reported in dogs. Many studies have investigated pain management after arthroscopy in human medicine, but reports from veterinary medicine are rare. Ropivacaine is a new amide local anaesthetic drug and a single isomer drug that is used more widely than bupivacaine in human medicine because it has fewer side effects. The present study was conducted to evaluate the analgesic effect of intra-articular injection of ropivacaine after arthroscopic surgery in dog shoulder joints. To accomplish this, ten dogs were randomly divided into two groups of five who underwent the same anaesthesia protocol and shoulder arthroscopic examination. After shoulder arthroscopy, ropivacaine or 0.9% NaCl was injected into the shoulder joint cavity and the dogs were evaluated at one hour, two hours, four hours, six hours, 12 hours and 24 hours after surgery. The evaluated parameters were heart rate, respiratory rate, lameness score, visual analogue scale and the short form of the Glasgow composite measure pain scale. Ropivacaine showed a higher analgesic effect than 0.9% NaCl, indicating that it may be useful for pain management following arthroscopic surgery in dogs.

scholarly journals Proximal interphalangeal joint replacement with an unconstrained pyrocarbon prosthesis (Ascension®): a long-term follow-up

2012 ◽  
Vol 38 (6) ◽  
pp. 680-685 ◽  
Author(s):  
G. Heers ◽  
H. R. Springorum ◽  
C. Baier ◽  
J. Götz ◽  
J. Grifka ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Limited Range ◽  
Degenerative Joint Disease ◽  
Proximal Interphalangeal Joint ◽  
Joint Disease ◽  
Long Term Results ◽  
Complication Rates ◽  
Limited Range Of Motion

There have been limited publications that report long-term outcomes of pyrocarbon implants. This report describes both clinical and radiographic long-term results for patients who have been treated with pyrocarbon proximal interphalangeal implants. Thirteen implants in ten patients are reported for an average follow-up of 8.3 years (range 6.2–9.3). All patients were suffering from degenerative joint disease. Five of the 13 digits were free of pain, the remaining eight digits had mild to moderate pain (visual analogue scale 2–5). The average active range of motion was 58° (SD 19°) at latest examination. X-ray results were unremarkable in six digits with an acceptable position of the prosthesis. However, in seven patients significant radiolucent lines (≥ 1 mm) were observed. Three prostheses demonstrated a migration of the proximal component, and one a subsidence of the distal component. Our study does not support the use of this implant for treatment of osteoarthritis of the finger joint owing to high complication rates and limited range of motion.

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