Pengaruh Transtibial Prosthesis terhadap Activity Of Daily Living Pasien Amputasi Bawah Lutut

Background: The physical condition of patients with transtibial amputations affects the fulfillment of activity of daily living. Transtibial Prosthesis is used to increase the patient's activity abilities. This research is to find the effect of using transtibial prostheses on the activity of daily living. This study aims to determine the effect of the use of transtibial prostheses on the activities of daily life. Methods: This research method uses Quasi Experiment in the form of two-group post test only design. The study population was transtbial amputee at PT. Kuspito Prosthetic Orthotics. The sample in this study 40 people, namely 20 people using Transtibial Prosthesis, 20 people using Axial Crutches. The study was conducted at PT. Kuspito Prosthetic Orthotics from April to May 2019. This study used an observation sheet prepared by Kempen, et al (1996), namely The Groningen Activity Restriction Scale. Results: The normality test used is Shapiro Wilk. Mann Whitney test resuls shows an average difference of ADL between users of transtibial prosthesis users (22.40) and axillary crutch users (19.95) with a p value = 0.008 where a p value <0.05. Conclusion: So there is a difference in ADL which is statistically significant in patients using transtibial prosthesis and patients using axillary crutches. Where for transtibial prosthesis users better in ADL than axillary crutch users.

HUBUNGAN ANTARA STATUS MEDICAL CHECK UP TERHADAP KEJADIAN DISABILITAS FISIK PADA LANSIA DI KECAMATAN PUNUNG KABUPATEN PACITAN

Disabilitas adalah penurunan fungsi individu dalam melakukan aktivitas sehari-hari, dimana aktivitas tersebut sebelumnya dapat dilakukan sendiri atau tanpa bantuan orang lain. Disabilitas menyebabkan lansia tidak dapat mencapai tujuan menjadi tua tetap sehat (healthy aging) dan menjadi tua yang aktif (active aging). Penelitian ini membahas tentang status medical check up dan keterkaitannya dengan disabilitas pada lansia di Kecamatan Punung, Kabupaten Pacitan. Jenis penelitian ini adalah analitik observasional dengan pendekatan case control. Jumlah sampelnya adalah 134 terdiri dari 67 kasus dan 67 kontrol yang diambil dengan teknik accidental sampling. Instrumen yang digunakan dalam penelitian ini adalah kuesioner dan skala keterbatasan GARS (Groningen Activity Restriction Scale). Analisis data dilakukan dengan uji chi-square (α=0,05). Hasil penelitian menunjukkan bahwa variabel status medical check up mempunyai hubungan dengan kejadian disabilitas fisik yaitu dengan nilai p value 0,034 dan OR=5,702, yang berarti lansia yang tidak pernah melakukan medical check up ≥40 tahun berisiko 5,702 untuk mengalami kejadian disabilitas fisik. Disability is a decreasing function of individuals in performing daily activities, where these activities can be done alone or in advance without the help of others. Disability caused elderly can not achieve the goal of becoming elderly stay healthy (healthy aging) and become active elderly (active aging). This research was to identify about the status of the medical check-up and its association with disability in the elderly in District Punung, Pacitan. This research was analytic observational with case control approach. Total sample was composed 134 consist of 67 cases and 67 controls were taken by accidental sampling technique. The instrument used in this study was a questionnaire and scale limitations of GARS (Groningen Activity Restriction Scale ). Data analysis was performed with chi-square test (α=0.05). The results showed that the medical check-up status variables influences the occurence of phsycal disability (p value=0.034 and OR = 5.702). The suggests that elderly who have never done medical check up in ≥40th, would have a chance five times to occurence of phsycal disability compared with receive medical check-up.

Measuring fear of falling and its effect on quality of life and activity

SummaryIn this review, we analyse original research articles in English and Spanish in which fear of falling (FoF) as a long-term syndrome defines the participants, or is the main outcome, or in cases where FoF is a secondary outcome, falls or activity are the main outcomes.FoF is difficult to measure. Attempts are made to do so by use of single questions or scales. Restriction in activity due to FoF is a secondary outcome and can be an important influence on a person's quality of life. There are also various methods of measuring it by use of single questions or scales, and general questions in basic or instrumental activities of daily living (ADL) indices are frequently used. Other scales or questionnaires about quality of life (such as the SF-36) or activity (such as the Survey of Activity and Fear of Falling Scales (SAFE), or the Groningen Activity Restriction Scale (GARS)) are also used. The varying objectives of the analysed articles explain some of the variations in measures used. Further work is required to reach a consensus on definition and standardized measurement of FoF and its effect on quality of life and activity.