scholarly journals PELATIHAN SENAM REMATIK UNTUK MENURUNANKAN NYERI PADA PENDERITA RHEUMATOID ARTHRITIS DIDESA PERIGI KECAMATAN PULAU PINANG KABUPATEN LAHAT TAHUN 2020

2021 ◽  
Vol 5 (1) ◽  
pp. 428
Author(s):  
Yeni Elviani ◽  
Zuraidah S. ◽  
Wahyu Dwi Ari Wibowo
Keyword(s):  
Rheumatoid Arthritis ◽  
Physical Activity ◽  
Cerebral Cortex ◽  
Health Center ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Pain Scale ◽  
Physical Activity Program ◽  
Activity Program ◽  
Numerical Rating

ABSTRAKRheumatoid arthritis (RA) merupakan permasalahan sistem muskuloskeletal yang paling banyak terjadi di seluruh dunia, dampak dari RA menyebabkan gangguan kenyamanan, nyeri, keterbatasan mobilitas sampai dengan resiko kecacatan dan kelumpuhan. Program aktifitas fisik yang efektif sangat direkomendasikan bagi penderita RA adalah senam rematik yang sudah terbukti mampu mengurangi skala nyeri bagi para penderita RA. Berdasarkan studi pendahuluan ternyata penderita RA belum mengetahui cara melakukan senam rematik untuk mengurangi nyeri sendi. Sehingga pengenalan dan pemeberian senam rematik bagi para penderita RA wilayah kerja Puskesmas Pulau Pinang perlu untuk dilakukan sebagai program aktifitas fisik yang diharapkan mampu menurungkan skala nyeri bagi para penderita RA. Metode yang dilakukkan adalah melakukan studi pendahuluan, bekerjasama dengan tenaga kesehatan, tokoh masyarakat dan kader yang ada di wilayah Puskesmas Pulau Pinang, pelaksanaan kegiatan dengan memberikan pelatihan dengan cara menonton video dan praktek secara langsung senam rematik, selanjutnya dlakukan pemantaun sebelum dan sesudah intervensi dengan menggunakan lembar observasi Numerical Rating scale (NRS). Hasilnya setelah diberikan senam rematik selama 1 bulan, dengan 1x kegiatan setiap minggu dengan durasi 8 menit, terjadi penurunan skala nyeri 15 orang peserta yang mengalami nyeri sedang menjadi nyeri ringan. Senam rematik mampu mempengaruhi kerja cerebral cortex meliputi aspek kognitif maupun emosi, sehingga dapat memberikan persepsi positif dan relaksasi, yang berdampak pada perasaan bahagia dan mengurangi nyeri. Kata Kunci : senam rematik; rheumatoid arthritis; nyeri; komunitas. ABSTRACT Rheumatoid arthritis (RA) is the most common musculoskeletal system problem worldwide, the impact of RA causing discomfort, pain, limited mobility, and the risk of disability and paralysis. An effective physical activity program highly recommended for RA sufferers is rheumatic gymnastics, which has been proven to reduce pain scales for RA sufferers. Based on preliminary studies, RA patients do not know how to do rheumatic gymnastics to reduce joint pain. The introduction and intervention of rheumatic gymnastics for patients with RA in the Pulau Pinang Health Center need to be carried out as a physical activity program to reducing the pain scale for the sufferer of RA. The method used is conducting a preliminary study, collaboration with health workers, community leaders, and cadres in the Pulau Pinang Health Center area, implementing activities by providing training by watching videos and practicing rheumatic gymnastic, and then monitoring before and after the intervention using Numerical Rating scale (NRS) observation. The result was that after being given rheumatic exercise for one month, with one activity per week in 8 minutes duration, there was a decrease in the pain scale of 15 participants who experienced moderate pain to mild pain. Rheumatic gymnastics can affect the work of the cerebral cortex, including cognitive and emotional aspects, providing positive perceptions and relaxation, which has an impact on feelings of happiness and reduces pain. Keywords: rheumatic gymnastics; rheumatoid arthritis; pain; community. 

scholarly journals Pengaruh Senam Rematik Terhadap Penurunan Nyeri Pada Pasien Rheumatoid Arthritis

2021 ◽  
Vol 1 ◽  
pp. 2084-2089
Author(s):  
Vanesa Tri Novana ◽  
Firman Faradisi ◽  
Nuniek Nizmah Fajriyah
Keyword(s):  
Rheumatoid Arthritis ◽  
Joint Pain ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Alternative Therapy ◽  
Signs And Symptoms ◽  
Joint Inflammation ◽  
Pain Scale ◽  
Numerical Rating

Abstract Rheumatoid arthritis is an autoimmune disease when a person’s immune system attacks the body’s cells. Signs and symptoms of rheumatoid arthritis include joint inflammation and joint deformity. In most cases, patients with rheumatoid arthritis experience joint pain. Rheumatic Gymnastics is an alternative therapy that has been proven to reduce joint pain in rheumatic patients. The purpose of this case study is to describe the use of rheumatic exercise therapy in arthritic patients. The purpose of this case study is to examine therapeutic gymnastic in reducing pain among patients with rheumatoid arthritis. Two patients were taught to exercise therapeutic gymnastic. The research instrument is a pain scale observation sheet (Numerical Rating Scale). Two patients reported that there was a decreasing intensity of joint pain after doing exercise. This study concludes this particular exercise may reduce joint pain. Nurses are suggested to implement therapeutic gymnastics exercise in reducing pain among patients with Rheumatoid arthritis.Keywords : rheumatoid arthritis; pain; therapeutic gymnastics exercise Abstrak Rematik merupakan penyakit auto imun ketika sistem imun pada tubuh seseorang menyerang sel-sel tubuhnya sendiri. Gejala rematik yaitu inflamasi, deformitas, dan nyeri sendi yang paling dirasakan oleh penderita rematik. Senam Rematik merupakan terapi alternative yang sudah terbukti dapat menurunkan nyeri sendi pada pasien rematik. Tujuan studi kasus ini adalah untuk menggambarkan penggunaan terapi senam rematik pada pasien rematik. Metode yang digunakan adalah asuhan keperawatan dengan menerapkan terapi senam rematik. Instrumen penelitian berupa lembar observasi skala nyeri (Numerical Rating Scale). Hasil yang didapatkan pada klien 1 maupun 2 yaitu mengalami penurunan nyeri. Kesimpulan pada studi kasus ini bahwa senam rematik dapat menurunkan skala nyeri. Saran bagi perawat diharapkan dapat menerapkan tindakan senam rematik untuk menurunkan skala nyeri pada pasien rematik.Kata kunci : Rematik, nyeri, senam rematik

scholarly journals Content and Construct Validity, Reliability, and Responsiveness of the Rheumatoid Arthritis Flare Questionnaire: OMERACT 2016 Workshop Report

2017 ◽  
Vol 44 (10) ◽  
pp. 1536-1543 ◽  
Author(s):  
Susan J. Bartlett ◽  
Skye P. Barbic ◽  
Vivian P. Bykerk ◽  
Ernest H. Choy ◽  
Rieke Alten ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Construct Validity ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Field Testing ◽  
Sensitivity Factor ◽  
Instrument Selection ◽  
Item Functioning ◽  
Numerical Rating ◽  
The Rasch Model

Objective.The Outcome Measures in Rheumatology (OMERACT) Rheumatoid Arthritis (RA) Flare Group was established to develop a reliable way to identify and measure RA flares in randomized controlled trials (RCT). Here, we summarized the development and field testing of the RA Flare Questionnaire (RA-FQ), and the voting results at OMERACT 2016.Methods.Classic and modern psychometric methods were used to assess reliability, validity, sensitivity, factor structure, scoring, and thresholds. Interviews with patients and clinicians also assessed content validity, utility, and meaningfulness of RA-FQ scores.Results.People with RA in observational trials in Canada (n = 896) and France (n = 138), and an RCT in the Netherlands (n = 178) completed 5 items (11-point numerical rating scale) representing RA Flare core domains. There was moderate to high evidence of reliability, content and construct validity, and responsiveness. Factor analysis supported unidimensionality. Rasch analysis showed acceptable fit to the Rasch model, with items and people covering a broad measurement continuum and evidence of appropriate targeting of items to people, ordered thresholds, minimal differential item functioning by language, sex, or age. A summative score across items is defensible, yielding an interval score (0–50) where higher scores reflect worsening flare. The RA-FQ received endorsement from 88% of attendees that it passed the OMERACT Filter 2.0 “Eyeball Test” for instrument selection.Conclusion.The RA-FQ has been developed to identify and measure RA flares. Its review through OMERACT Filter 2.0 shows evidence of reliability, content and construct validity, and responsiveness. These properties merit its further validation as an outcome for clinical trials.

scholarly journals Cardiovascular Autonomic Function Changes and Predictors During a 2-Year Physical Activity Program in Rheumatoid Arthritis: A PARA 2010 Substudy

2021 ◽  
Vol 8 ◽  
Author(s):  
David Hupin ◽  
Philip Sarajlic ◽  
Ashwin Venkateshvaran ◽  
Cecilia Fridén ◽  
Birgitta Nordgren ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Physical Activity ◽  
Machine Learning ◽  
Heart Rate ◽  
Autonomic Function ◽  
Maximal Exercise ◽  
Machine Learning Algorithms ◽  
Physical Activity Program ◽  
Activity Program ◽  
Increased Risk

Background: Chronic inflammation leads to autonomic dysfunction, which may contribute to the increased risk of cardiovascular diseases (CVD) in patients with rheumatoid arthritis (RA). Exercise is known to restore autonomic nervous system (ANS) activity and particularly its parasympathetic component. A practical clinical tool to assess autonomic function, and in particular parasympathetic tone, is heart rate recovery (HRR). The aim of this substudy from the prospective PARA 2010 study was to determine changes in HRR post-maximal exercise electrocardiogram (ECG) after a 2-year physical activity program and to determine the main predictive factors associated with effects on HRR in RA.Methods: Twenty-five participants performed physiotherapist-guided aerobic and muscle-strengthening exercises for 1 year and were instructed to continue the unsupervised physical activity program autonomously in the next year. All participants were examined at baseline and at years 1 and 2 with a maximal exercise ECG on a cycle ergometer. HRR was measured at 1, 2, 3, 4, and 5 min following peak heart rate during exercise. Machine-learning algorithms with the elastic net linear regression models were performed to predict changes in HRR1 and HRR2 at 1 year and 2 years of the PARA program.Results: Mean age was 60 years, range of 41–73 years (88% women). Both HRR1 and HRR2 increased significantly from baseline to year 1 with guided physical activity and decreased significantly from year 1 to year 2 with unsupervised physical activity. Blood pressure response to exercise, low BMI, and muscular strength were the best predictors of HRR1/HRR2 increase during the first year and HRR1/HRR2 decrease during the second year of the PARA program.Conclusion: ANS activity in RA assessed by HRR was improved by guided physical activity, and machine learning allowed to identify predictors of the HRR response at the different time points. HRR could be a relevant marker of the effectiveness of physical activity recommended in patients with RA at high risk of CVD. Very inactive and/or high CVD risk RA patients may get substantial benefits from a physical activity program.

On the electronic measurement of pain intensity: Can we use different pain intensity scales interchangeably?

2016 ◽  
Vol 22 (13) ◽  
pp. 1658-1667 ◽  
Author(s):  
Elisabet Sánchez-Rodríguez ◽  
Elena Castarlenas ◽  
Rocío de la Vega ◽  
Roman Roset ◽  
Jordi Miró
Keyword(s):  
Visual Analogue Scale ◽  
Pain Intensity ◽  
Analogue Scale ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Pain Scale ◽  
Maximum Intensity ◽  
Bland Altman Method ◽  
Numerical Rating ◽  
Electronic Measurement

The objective of this work was to study the agreement between four pain intensity scales when administered electronically: the Numerical Rating Scale-11, the Faces Pain Scale-Revised, the Visual Analogue Scale and the Coloured Analogue Scale. In all, 180 schoolchildren between 12 and 19 years old participated in the study. They had to report the maximum intensity of their most frequent pain using the electronic versions of the four scales. Agreement was calculated using the Bland–Altman method. Results show that the electronic versions of Numerical Rating Scale-11, Coloured Analogue Scale and Visual Analogue Scale can be used interchangeably.

scholarly journals Strategy to prevent nerve injury and deep vein thrombosis in radiofrequency segmental thermal ablation of the saphenous veins using a new objective pain scale

2021 ◽  
pp. 026835552110105
Author(s):  
Kenji Yamamoto ◽  
Senri Miwa ◽  
Tomoyuki Yamada ◽  
Shuji Setozaki ◽  
Mamoru Hamuro ◽  
...  
Keyword(s):  
Deep Vein Thrombosis ◽  
Nerve Injury ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Pain Scale ◽  
Vein Thrombosis ◽  
Numerical Rating ◽  
Endovenous Ablation ◽  
The Mean ◽  
Deep Vein

Objective We evaluated the benefit of local anesthesia including tumescent anesthesia and active walking soon after surgery in preventing nerve injury and deep vein thrombosis caused during endovenous ablation. Methods Endovenous ablation was performed in 1334 consecutive patients. Varicectomy was performed using the stab avulsion technique. After surgery, patients were encouraged to walk 100–200 m inside the ward for 3–5 times/h. The pain was evaluated objectively using the Okamura pain scale and subjectively using the numerical rating scale. Results Stab avulsion was performed at 11.8 ± 8.0 sites and the mean operative time was 33.9 ± 15.2 min. The mean Okamura pain scale and numerical rating scale scores were 1.6 ± 1.3 and 3.0 ± 2.0, respectively. Deep vein thrombosis and pulmonary embolism were absent. The incidence of nerve injury was 0.3%. Conclusions Endovenous ablation should be performed with the patients under local anesthesia to prevent nerve injury and deep vein thrombosis.

scholarly journals Cat Stretch Exercise sebagai Salah Satu Solusi Mengatasi Dismenore pada Remaja Putri

2020 ◽  
Vol 1 (1) ◽  
pp. 50-57
Author(s):  
Yunita Wulandari ◽  
Ika Subekti Wulandari ◽  
Atiek Murharyati
Keyword(s):  
Community Service ◽  
Severe Pain ◽  
Rating Scale ◽  
Control Method ◽  
Numerical Rating Scale ◽  
Pain Scale ◽  
Lower Abdomen ◽  
Before And After ◽  
Post Test ◽  
Numerical Rating

Background: Dysmenorrhea is a result of menstruation. Dysmenorrhea can cause a variety of complaints in young women such as irregular pain, severe pain and cramps in the lower abdomen that will spread to the back of the back, legs, groin. Cat Stretch Exercise is one of the interventions that is considered to reduce dysmenorrhea pain. The purpose of this study was to determine changes in pain levels in Pondok Imam Bukhari students who were given Cat Stretch Exercise. Methods: The study design used a quasi-two-group pre-test and post-test without control method. Pain measurement with a Numerical Rating Scale (NRS) to assess the level of pain before and after the Cat Stretch Exercise exercise. Respondents in the community service were 31 students who experienced dismenore. Results: Obtained decreased respondents' pain scale from moderate to mild pain. Conclusion: CSE interventions are recommended as one of the non-pharmacological steps to deal with the pain of dysmenorrhea.

scholarly journals Measuring Pain Intensity in Elderly Patients

2021 ◽  
Vol 1 (2) ◽  
pp. 77-81
Author(s):  
Sasikaan Nimmaanrat
Keyword(s):  
Pain Intensity ◽  
Vital Sign ◽  
Pain Measurement ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Pain Scale ◽  
Measurement Tool ◽  
Measurement Tools ◽  
Aging Populations ◽  
Numerical Rating

Pain intensity is considered as the fifth vital sign. However, it is the only vital sign which is subjective, with there being many pain measurement tools for adults to rate their level of pain. Additionally, there is an increasing number of aging populations throughout the world, and pain measurement in this group of people is challenging as geriatrics have both physical and cognitive impairment. The most frequently utilized pain measurement tools are; the Visual Analogue Scale (VAS), Verbal Rating Scale (VRS), Numerical Rating Scale (NRS); and faces scales [Faces Pain Scale (FPS) and Faces Pain Scale-Revised (FPS-R) are the faces scales studied most often] tend to be valid for measuring pain severity in cognitively intact elderly. When problems arise, the VAS is the pain measurement tool found to have more difficulties (including higher rates of failure) than the other tools. In elderly with cognitive deficits, fewer difficulties tend to occur as the tools become simpler, with the most valid and useful tools in the following order: the FPS/FPS-R, the VRS, the 0-10 NRS, and the VAS. Furthermore, simpler pain measurement tools tend to be favored over more complicated tools. Keywords: aging; elderly; geriatrics; older; pain measurement; pain measurement tools

Sign in / Sign up

Export Citation Format

Share Document