Three Wheel Bike as Physical Therapy Equipment for Post-Stroke Patient

2015 ◽  
Vol 776 ◽  
pp. 337-342 ◽  
Author(s):  
I. Made Londen Batan ◽  
Rodika ◽  
Muhamad Riva'i
Keyword(s):  
Body Mass Index ◽  
Energy Consumption ◽  
Physical Therapy ◽  
Body Mass ◽  
Stroke Patient ◽  
Stroke Patients ◽  
Post Stroke ◽  
A Value ◽  
Risk Of Injury ◽  
Before And After

Three wheel bike as a physical therapy equipment for post-stroke patients was designed with length of 1937 mm, 1010 mm in width and height of 905 mm. The bike is designd ergonomic and can be driven by rider foot or hand simultaneously. By using CATIA software the strength of material bike frame was analyst to support 100 kg of load. The design is realized into a prototype. The performance of bike prototype is tested, and the result sows that the function of bike mechanisme is fulfilled. By 10 respondents, who have a standard body mass index, the pedal test was conducted, and the result indicates that, the higher the speed of the pedal, the higher the energy consumption to pedaling. Leg tension muscles is measured by leg-dynamometer before and after pedaling, and the result shows the tension muscle is proportional to the increase of pedal speed. In order to evaluate the ergonomic aspect of bike design, the risk angle of extrem position of body during cycling are measured by goneo-set. By RULA method the risk of injury value of rider body is calculated while pedaling, and the result showed that 70% of respondents have a value of risk injury 2, while 30% had a value of 3. It means that, the bike design is ergonomic and comfortable to ride. In oder to evaluate the benefits of disigned bike, the pedal test is conducted by 4 post-stroke patients for 30 days periodical once every 3 days. The result shows that during 1 month exercise, the average number of cycling to pedal increase up to 100%. This means that the ability of post-stroke patients to pedal the bike increase significantly. That result showed that the bike design is useful as a tool for physical therapy post-stroke patients.

scholarly journals Factors Associated With Post-Stroke Self Efficacy

2021 ◽  
Vol 4 (3) ◽  
pp. 226
Author(s):  
Fuji Istiana ◽  
Fitria Handayani ◽  
Muhamad Thohar Arifin
Keyword(s):  
Physical Activity ◽  
Body Mass Index ◽  
Body Mass ◽  
Stroke Patient ◽  
Self Efficacy ◽  
Inclusion Criteria ◽  
Stroke Patients ◽  
Cross Sectional ◽  
Post Stroke ◽  
Emotional Function

One of the psychological problems experienced by stroke patients is self-efficacy. Stroke patients on average lack confidence in themselves to do exercises or activities that will have an impact on the recovery process of stroke patients. Several factors that vary related to low self-efficacy in stroke patients are one of the causes. The scoping review aims to identify factors related to self-efficacy in a post-stroke patient. The methods use a systematic review through review articles relevant to the topic from CINAHL database, MEDLINE, Academic search ultimate, science direct, and Taylor & Francis with a publication year spanning 2015 to 2020 and with the keyword “self-efficacy” and “stroke” then analyzed using a synthesis matrix. The inclusion criteria in this study were articles in English with longitudinal study design or cross-sectional study and self-efficacy as the dependent variable. The results of a review of four journals that met the inclusion criteria found factors related to self-efficacy in a post-stroke patient including depression, age, vascular history, fear, physical activity, Body Mass Index (BMI) and emotional function. The study concludes that depression, age, vascular history, fear, physical activity, Body Mass Index (BMI) and emotional function are factors related to self-efficacy in post-stroke patients. The factor most strongly associated with post-stroke patients self-efficacy is depression.

scholarly journals Pengaruh Pelatihan Tentang Perawatan Pasien Pasca Stroke Terhadap Peningkatan Pengetahuan Kader

2021 ◽  
Vol 1 ◽  
pp. 2098-2104
Author(s):  
Wahyu Ersila ◽  
Lia Dwi Prafitri ◽  
Syavira Nooryana
Keyword(s):  
Physical Exercise ◽  
Patient Care ◽  
Community Service ◽  
Stroke Patient ◽  
Neurological Disease ◽  
Stroke Patients ◽  
Post Stroke ◽  
A Value ◽  
Before And After ◽  
The Brain

AbstractStroke is a neurological disease that can cause damage to the brain, the damage has an impact on the decline of the body's functional organs. Physical exercise carried out by post-stroke patients is also able to restore recovery, it is necessary to have a companion when doing these exercises from family members or closest neighbors, one of which can be done by Elderly Cadres. Cadre training can increase the knowledge of cadres which is expected to be able to improve the services provided to post-stroke patients. The purpose of this community service is to determine the effect of training on increasing the knowledge of cadres regarding post-stroke patient care. The method used is a question and answer lecture, discussion, and demonstration. The number of cadres who participated in this activity was 20 cadres. The instrument used to determine the increase in knowledge is a questionnaire. The results of this community service show that before the cadre training was carried out there were 15 cadres (75%), and after the cadre training the knowledge increased to Good as many as 17 cadres (85%). The effect of increasing the knowledge of cadres statistically is training with a value of 0.003 (<0.05), this means that training changes the knowledge of cadres before and after regarding post-stroke patient care. Suggestions for puskesmas in order to increase the knowledge of cadres can be through similar training with other themes.Keywords: Cadre; training; knowledge AbstrakStroke merupakan penyakit neurologi yang dapat menyebabkan kerusakan pada otak, kerusakan tersebut berdampak pada kemunduran organ fungsional tubuh. Latihan fisik yang dilakukan pasien pasca stroke juga mampu mempercepat pemulihan, perlunya ada pendamping ketika lansia melakukan latihan tersebut bisa dari anggota keluarga atau tetangga terdekat salah satunya dapat dilakukan oleh Kader Lansia. Pelatihan kader dapat meningkatkan pengetahuan kader yang diharapkan mampu untuk meningkatkan pula pelayanan yang diberikan kepada pasien pasca stroke. Tujuan dari pengabdian masyarakat ini adalah untuk mengetahui pengaruh pelatihan terhadap peningkatan pengetahuan kader mengenai perawatan pasien pasca stroke. Metode yang digunakan adalah ceramah tanya jawab, diskusi, dan demontrasi. Jumlah kader yang mengikuti kegiatan ini adalah 20 kader. Instrumen yang digunakan untuk mengetahui peningkatan pengetahuan adalah kuesioner. Hasil pengabdian masyarakat ini bahwa sebelum dilakukan pelatihan pengetahuan kader ada pada kategori cukup sebanyak 15 kader (75%), dan setelah dilakukan pelatihan pengetahuan kader meningkat menjadi Baik sebanyak 17 kader (85%). Pengaruh pelatihan dalam meningkatkan pengetahuan kader secara statistic dengan nilai p 0,003 (<0,05) hal ini berarti pelatihan berpengaruh mengubah pengetahuan kader sebelum dan setelah pelatihan mengenai perawatan pasien pasca stroke. Saran bagi puskesmas agar dapat meningkatkan pengetahuan kader dapat melalui pelatihan sejenis dengan tema yang lain. Keywords: Kader;pelatihan;pengetahuan

scholarly journals Factors Associated With Post-Stroke Self Efficacy

2021 ◽  
Vol 4 (3) ◽  
pp. 236
Author(s):  
Fuji Istiana ◽  
Fitria Handayani ◽  
Muhamad Thohar Arifin
Keyword(s):  
Physical Activity ◽  
Body Mass Index ◽  
Body Mass ◽  
Stroke Patient ◽  
Self Efficacy ◽  
Inclusion Criteria ◽  
Stroke Patients ◽  
Cross Sectional ◽  
Post Stroke ◽  
Emotional Function

One of the psychological problems experienced by stroke patients is self-efficacy. Stroke patients on average lack confidence in themselves to do exercises or activities that will have an impact on the recovery process of stroke patients. Several factors that vary related to low self-efficacy in stroke patients are one of the causes. The scoping review aims to identify factors related to self-efficacy in a post-stroke patient. The methods use a systematic review through review articles relevant to the topic from CINAHL database, MEDLINE, Academic search ultimate, science direct, and Taylor & Francis with a publication year spanning 2015 to 2020 and with the keyword “self-efficacy” and “stroke” then analyzed using a synthesis matrix. The inclusion criteria in this study were articles in English with longitudinal study design or cross-sectional study and self-efficacy as the dependent variable. The results of a review of four journals that met the inclusion criteria found factors related to self-efficacy in a post-stroke patient including depression, age, vascular history, fear, physical activity, Body Mass Index (BMI) and emotional function. The study concludes that depression, age, vascular history, fear, physical activity, Body Mass Index (BMI) and emotional function are factors related to self-efficacy in post-stroke patients. The factor most strongly associated with post-stroke patients self-efficacy is depression.

Flexible and Ergonomically Three Wheel Bike for Post Stroke Patient

2016 ◽  
Vol 836 ◽  
pp. 14-19 ◽  
Author(s):  
I. Made Londen Batan ◽  
Syifa ◽  
Danny Prasetyo
Keyword(s):  
Aluminum Alloy ◽  
Physical Therapy ◽  
Muscle Contraction ◽  
Stroke Patient ◽  
Rear Wheel ◽  
Steering System ◽  
Stroke Patients ◽  
Post Stroke ◽  
Prototype Test

This paper explains the new design of the three wheel bike for post-stroke patients as a equipment for physical therapy. The bike can be pedaled by foot and / or by hand simultaneously. Bike frame is made of aluminum alloy pipe and consists of front and rear frame. The front frame is equipped with a steering system that can regulate the moving of two wheels of diameter of 22 ". The rear frame is equipped with a fold mechanism, shock breaker, seat and chain stay pipes for clamping the rear wheel with diameter of 22 ". The rear frame is also equipped with a mechanism of transfer speed in three levels. Bike length is 1645 mm, width 615 mm and height 1035 mm. However, after folded the bike dimension became 725 mm long, 460 mm wide and 1035 mm high. By using CATIA software the strength frame material is simulated and analyzed. The bike design is evaluated from ergonomics aspect with RULA method. The proposed design is performed into a prototype. The prototype test is conducted. The result test show, that the bike is pedaled, either by hand or foot, strong, safe and comfortable to ride. In order to evaluate the design benefit, the pedal test is also conducted in various pedal velocities by 3 post stroke patients as respondent. During 6 minutes pedaling number of rider heartbeat is measured. The result shows all the number of heartbeat is not exceeded than 120 HR. That means the bike is enough light to pedal or the patient must not give extra power to ride the bike. Moreover, during 4 weeks therapy by cycling the bike, pedal velocity each respondents is increase significantly around 26-96%, this means the muscle contraction of respondents is reduce and developed bike can be used as alternative equipment for physical therapy of post stroke patient. Because light and foldable, the bike can be moved easily and put in the trunk of a car without problem.

Abstract P72: The Obesity Paradox: Association Between Body Mass Index (BMI) and Disability After Stroke

Stroke ◽  
2021 ◽  
Vol 52 (Suppl_1) ◽  
Author(s):  
Brianna R Helms
Keyword(s):  
Body Mass Index ◽  
Ischemic Stroke ◽  
Functional Status ◽  
Hospital Discharge ◽  
Body Mass ◽  
Obesity Paradox ◽  
Normal Weight ◽  
Stroke Recurrence ◽  
Inverse Association ◽  
Stroke Patients

Background: Present rise in the incidence of obesity has led to several opposing reports regarding the association between obesity and stroke outcomes. The objective of this study was to investigate a proposed paradoxical relationship between body mass index (BMI) and functional status in ischemic stroke patients at time of hospital discharge. Methods: Saint Francis Hospital Comprehensive Stroke Center patient databases were utilized in identifying 948 patients eligible for retrospective chart review over a period of 15 months. Subjects were divided into 4 groups according to BMI: underweight (BMI < 18.5 kg/m 2 ), normal weight (BMI 18.5-24.9 kg/m 2 ), overweight (BMI 25.0-29.9 kg/m 2 ), and obese (BMI ≥ 30.0 kg/m 2 ). Covariates, such as age, gender, prior to event modified Rankin scale (mRS), stroke recurrence, and smoking, were considered. Functional status and disability of stroke patients was scored via mRS at hospital discharge. Ordered logistic regression, Pearson’s chi-squared test, and Pearson’s r correlation were used for analysis to assess the association of BMI and functional status in ischemic strokes. Results: Of 948 eligible subjects, 49.9% were female and mean (SD) age was 69.4 (14.5) years. According to BMI, 22 (2.3%) were underweight, 247 (26.1%) normal weight, 319 (33.7%) overweight, and 360 (37.9%) obese. After adjusting for covariates, ischemic stroke patients with an increased BMI (OR, 0.98; 95% CI, 0.96-0.99) were not associated with increased disability risk upon discharge. Obese (16.2%) and overweight (14.1%) patients discharged with a mRS of 0 (back to baseline) or 1 more frequently compared to normal weight (6.1%) and underweight (0.21%) patients ( P <0.001). Furthermore, an inverse association between BMI status and disability was significantly evident ( r = -0.17, P < 0.001). Conclusion: Obese and overweight stroke patients discharge with a lower risk of disability than normal weight and underweight patients, supporting the existence of the “obesity paradox” in stroke. An inverse association between obesity status and functional outcome was identified and remained significant regardless of covariates.

Mechanical effects of obesity on airway responsiveness in otherwise healthy humans

2009 ◽  
Vol 107 (2) ◽  
pp. 408-416 ◽  
Author(s):  
Roberto Torchio ◽  
Alessandro Gobbi ◽  
Carlo Gulotta ◽  
Raffaele Dellacà ◽  
Marco Tinivella ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Lung Function ◽  
Body Mass ◽  
Airway Hyperresponsiveness ◽  
Healthy Subjects ◽  
Rest Period ◽  
Healthy Humans ◽  
Before And After ◽  
Maximum Expiratory Flow ◽  
Residual Capacity

We investigated whether obesity is associated with airway hyperresponsiveness in otherwise healthy humans and, if so, whether this correlates with a restrictive lung function pattern or a decreased number of sighs at rest and/or during walking. Lung function was studied before and after inhaling methacholine (MCh) in 41 healthy subjects with body mass index ranging from 20 to 56. Breathing pattern was assessed during a 60-min rest period and a 30-min walk. The dose of MCh that produced a 50% decrease in the maximum expiratory flow measured in a body plethysmograph (PD50MCh) was inversely correlated with body mass index ( r2 = 0.32, P < 0.001) and waist circumference ( r2 = 0.25, P < 0.001). Significant correlations with body mass index were also found with the maximum changes in respiratory resistance ( r2 = 0.19, P < 0.001) and reactance ( r2 = 0.40, P < 0.001) measured at 5 Hz. PD50MCh was also positively correlated with functional residual capacity ( r2 = 0.56, P < 0.001) and total lung capacity ( r2 = 0.59, P < 0.001) in men, but not in women. Neither PD50MCh nor body mass index correlated with number of sighs, average tidal volume, ventilation, or breathing frequency. In this study, airway hyperresponsiveness was significantly associated with obesity in otherwise healthy subjects. In obese men, but not in women, airway hyperresponsiveness was associated with the decreases in lung volumes.

Long-term mild jogging increases insulin action despite no influence on body mass index or VO2 max

1989 ◽  
Vol 66 (5) ◽  
pp. 2206-2210 ◽  
Author(s):  
Y. Oshida ◽  
K. Yamanouchi ◽  
S. Hayamizu ◽  
Y. Sato
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Clearance Rate ◽  
Insulin Action ◽  
Metabolic Clearance ◽  
Metabolic Clearance Rate ◽  
Before And After ◽  
Plasma Insulin Levels ◽  
Improve Glucose Tolerance

Physical training has been shown to improve glucose tolerance and insulin sensitivity. In the present study, insulin action was determined using the euglycemic clamp technique in six untrained nonobese subjects before, during, and after long-term mild regular jogging. After 1 yr of jogging, steady-state plasma insulin levels (I) decreased significantly, and the metabolic clearance rate of insulin was increased by 87%, although insulin infusion rate during the clamp was constant for each individual. The amount of glucose infused (glucose metabolism, M) tended to increase from 6.16 +/- 0.94 to 8.15 +/- 1.94 mg.kg-1.min-1 after regular jogging for 1 yr, although that was not statistically significant. However, M/I increases significantly from 0.060 +/- 0.012 to 0.184 +/- 0.056 (P less than 0.05) after 1 yr. The concentrations of plasma free fatty acids during the hyperinsulinemic clamp decreased more significantly after 1 yr of jogging (P less than 0.05). The concentrations of plasma glycerol decreased gradually before and after long-term regular jogging, showing only a 50–60% reduction in 120 min. Therefore, long-term mild regular jogging, which did not influence either body mass index or maximal O2 uptake, appears to improve insulin action in both carbohydrate and lipid metabolism and to increase the metabolic clearance rate of insulin.

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