Pub Date : 2021-03-18DOI: 10.17921/2447-8938.2021V23N1P56-61
Moisés A. S. Queiroz, P. Barbosa, A. C. L. Porto, Izabella dos Santos Nogueira de Andrade
AbstractCerebral palsy (CP) is a disorder in postural and movement tone resulting from involvement in the motor centers of the immature brain. Thus, this work sought to expose the global motor, oral, and deglutition characteristics in children with CP. To this end, it performed a cross-sectional study of 100 children with CP. The data collection consisted in the detection of the main global motor and oral alterations, their repercussions on the deglutition process, and the main manifestations of dysphagia according to different consistencies of food and types of cerebral palsy. All children exhibited global motor and oral alterations. There were significant differences between age and global motor alterations. Alterations in the tongue mobility were more present in spastics (p=<0.031). The main manifestations of dysphagia, in decreasing order of occurrence were: premature liquids spillage (70%), cough (60%), decreased bolus formation in solids (57,9%), presence of food residues in the oral cavity (47,4%), increased pasty oral transit (47,1%) and presence of wet voice after the liquids swallowing (30%). Therefore, the influence of pelvic instability and compensatory patterns was observed in the presence of clinical signs of tracheal aspiration. Regardless the type of CP, the global and oral motor alterations lead to deglutition disorders. Keywords: Cerebral Palsy. Child. Deglutition Disorders. Posture ResumoA paralisia cerebral (PC) e uma desordem no tonus postural e de movimento decorrentes de um acometimento nos centros motores do cerebro imaturo. Com isso buscou apresentar as caracteristicas motoras globais, orais e de degluticao em criancas com PC. Assim, realizou um estudo transversal com amostra de 100 criancas com PC. A coleta de dados consistiu na deteccao das principais alteracoes motoras globais e orais, a repercussao na dinâmica da degluticao e as principais manifestacoes disfagicas em diferentes consistencias alimentares. Todas as criancas apresentaram comprometimentos motores globais e orais. Houve diferenca significante entre a idade e as alteracoes globais. Alteracao na mobilidade da lingua esteve mais presente em espasticos (p=<0,031). As principais manifestacoes disfagicas, em ordem decrescente de ocorrencia, foram: escape anterior de liquidos (70%), tosse (60%), diminuicao da formacao do bolo alimentar no solido (57,9%), presenca de residuos alimentares na cavidade oral apos a degluticao de solidos (47,4%), aumento do trânsito oral de pastoso (47,1%) e presenca da voz molhada apos a degluticao de liquidos (30%). Entao, observou-se a influencia das alteracoes tonicas e posturais na presenca de sinais clinicos de aspiracao traqueal. Alteracoes tonicas e posturais com comprometimentos motores orais acarretam transtornos da degluticao em criancas com PC. Palavras-chave: Paralisia Cerebral. Crianca. Transtornos da Degluticao. Postura
摘要脑瘫(CP)是一种由未成熟大脑运动中枢受累引起的体位和运动张力紊乱。因此,本研究试图揭示脑瘫儿童的整体运动、口腔和吞咽特征。为此,对100名脑瘫儿童进行了横断面研究。数据收集包括检测主要的整体运动和口腔改变,它们对吞咽过程的影响,以及根据不同的食物浓度和脑瘫类型的吞咽困难的主要表现。所有儿童均表现出整体运动和口腔改变。年龄和整体运动改变之间存在显著差异。舌头活动能力的改变在痉挛中更为明显(p=<0.031)。吞咽困难的主要表现,发生率由高到低依次为:液体过早溢出(70%)、咳嗽(60%)、固体颗粒形成减少(57.9%)、口腔内存在食物残留物(47.4%)、糊状口腔转运增加(47.1%)和吞咽液体后出现湿音(30%)。因此,盆腔不稳定和代偿模式的影响被观察到存在气管误吸的临床症状。无论何种类型的CP,全身和口腔运动的改变都会导致吞咽障碍。关键词:脑瘫;的孩子。吞咽障碍。姿势恢复脑麻痹症(PC)是一种无张力体位运动障碍的疾病,其主要表现为神经中枢运动功能的恢复。Com的问题通常表现为全球电机的特点,或者是PC的特点。在此基础上,实现了一种基于PC机的横向连接方式。A coleta de dados consistu na deteccao das principais alteracoes motoras globais, A repercusate na dinmica da degluticao as principais manifestaces disdisicices差异一致性和食性。今天的标准是对全球汽车市场的妥协。在全球范围内,有几个不同的显著中心。结果表明:大鼠、大鼠、大鼠、大鼠、大鼠、大鼠、大鼠、大鼠均存在显著差异(p=< 0.031)。作为principais manifestacoes disfagicas, em解密decrescente de ocorrencia有孔虫:逃离前de liquidos(70%)、tosse(60%)、diminuicao da formacao做大刀alimentar没有solido(57岁的9%),presenca de residuos alimentares na cavidade口服apo degluticao de solidos(47岁的4%),aumento transito做口头de pastoso(47岁,1%)e presenca da voz molhada apo degluticao de liquidos(30%)。因此,观察性的、影响性的、互换性的、体位性的、临床的、临床的、可观察性的、可观察性的、可观察性的、可观察性的。alteracacoes的优点在于,它可以降低电机的性能,也可以降低变压器的性能,从而降低PC的性能。Palavras-chave:脑瘫。Crianca。Degluticao的变形金刚。Postura
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Pub Date : 2021-03-18DOI: 10.17921/2447-8938.2021V23N1P18-24
M. Toma, Jéssica-Rico Bocato, C. M. Goshi, Thaís Teixeira Borsato, A. Conti, T. Fernandes, P. Oltramari
AbstractAmelogenesis imperfecta (AI) is an inherited disease that expresses a disorder in the development of enamel structure. In its mildest form, it promotes tooth color change; and in more severe cases, it presents a loss of enamel structure initiated during the eruption phase. Different AI manifestations can coexist in the same patient or in the same tooth, both in the primary and permanent dentures. In addition, several subtypes are described, characterized according to the variety of phenotype and genotype. Successful treatment requires early diagnosis and therapeutic solutions involving different dental specialties. Although some professionals prefer to postpone permanent rehabilitation until the development of complete permanent dentures, the aesthetic and functional impact of this disease in childhood and adolescence requires that restorative treatment be started as soon as possible. The proposed therapies demonstrate numerous challenges such as extreme dentinal sensitivity, difficulties installing and maintaining the orthodontic appliance and the need for restorative and prosthetic intervention in malformed teeth. This work aims to demonstrate the interaction between Orthodontics, Restorative Dentistry and Prosthesis in the treatment of a patient with AI, reporting the success of treatment involving aesthetics, function and well-being and the long-term benefit of this interdisciplinary approach for patients with this disease. Keywords: Orthodontics. Amelogenesis Imperfecta. Mouth Rehabilitation. ResumoA amelogenese imperfeita (AI) e uma doenca hereditaria que expressa uma desordem no desenvolvimento da estrutura do esmalte. Na sua forma mais branda, promove alteracao na cor dos dentes; e em casos mais severos, apresenta perda de estrutura do esmalte iniciada durante a fase de irrupcao. Diferentes manifestacoes da AI podem coexistir no mesmo paciente ou no mesmo dente, tanto na dentadura decidua quanto na permanente. Alem disso, sao descritos diversos subtipos, caracterizados de acordo com a variedade do fenotipo e genotipo. O sucesso do tratamento requer diagnostico precoce e solucoes terapeuticas que envolvam diversas especialidades odontologicas. Embora alguns profissionais prefiram adiar a reabilitacao definitiva ate o desenvolvimento da dentadura permanente completa, o impacto estetico e funcional desta doenca na infância e adolescencia exige que o tratamento restaurador seja iniciado o mais cedo possivel. As terapias propostas demonstram inumeros desafios como a sensibilidade dentinaria extrema, as dificuldades para instalacao e manutencao do aparelho ortodontico e a necessidade de intervencao restauradora e protetica em dentes com ma formacao. O presente trabalho tem como finalidade demonstrar a interacao entre a Ortodontia, a Dentistica Restauradora e a Protese no tratamento de um paciente com AI, relatando o sucesso do tratamento envolvendo estetica, funcao, bem estar e o beneficio em longo prazo desta abordagem interdisciplin
{"title":"Interdisciplinary Approach of Amelogenesis Imperfecta: 10 Years of Clinical Follow-Up","authors":"M. Toma, Jéssica-Rico Bocato, C. M. Goshi, Thaís Teixeira Borsato, A. Conti, T. Fernandes, P. Oltramari","doi":"10.17921/2447-8938.2021V23N1P18-24","DOIUrl":"https://doi.org/10.17921/2447-8938.2021V23N1P18-24","url":null,"abstract":"AbstractAmelogenesis imperfecta (AI) is an inherited disease that expresses a disorder in the development of enamel structure. In its mildest form, it promotes tooth color change; and in more severe cases, it presents a loss of enamel structure initiated during the eruption phase. Different AI manifestations can coexist in the same patient or in the same tooth, both in the primary and permanent dentures. In addition, several subtypes are described, characterized according to the variety of phenotype and genotype. Successful treatment requires early diagnosis and therapeutic solutions involving different dental specialties. Although some professionals prefer to postpone permanent rehabilitation until the development of complete permanent dentures, the aesthetic and functional impact of this disease in childhood and adolescence requires that restorative treatment be started as soon as possible. The proposed therapies demonstrate numerous challenges such as extreme dentinal sensitivity, difficulties installing and maintaining the orthodontic appliance and the need for restorative and prosthetic intervention in malformed teeth. This work aims to demonstrate the interaction between Orthodontics, Restorative Dentistry and Prosthesis in the treatment of a patient with AI, reporting the success of treatment involving aesthetics, function and well-being and the long-term benefit of this interdisciplinary approach for patients with this disease. \u0000Keywords: Orthodontics. Amelogenesis Imperfecta. Mouth Rehabilitation. \u0000ResumoA amelogenese imperfeita (AI) e uma doenca hereditaria que expressa uma desordem no desenvolvimento da estrutura do esmalte. Na sua forma mais branda, promove alteracao na cor dos dentes; e em casos mais severos, apresenta perda de estrutura do esmalte iniciada durante a fase de irrupcao. Diferentes manifestacoes da AI podem coexistir no mesmo paciente ou no mesmo dente, tanto na dentadura decidua quanto na permanente. Alem disso, sao descritos diversos subtipos, caracterizados de acordo com a variedade do fenotipo e genotipo. O sucesso do tratamento requer diagnostico precoce e solucoes terapeuticas que envolvam diversas especialidades odontologicas. Embora alguns profissionais prefiram adiar a reabilitacao definitiva ate o desenvolvimento da dentadura permanente completa, o impacto estetico e funcional desta doenca na infância e adolescencia exige que o tratamento restaurador seja iniciado o mais cedo possivel. As terapias propostas demonstram inumeros desafios como a sensibilidade dentinaria extrema, as dificuldades para instalacao e manutencao do aparelho ortodontico e a necessidade de intervencao restauradora e protetica em dentes com ma formacao. O presente trabalho tem como finalidade demonstrar a interacao entre a Ortodontia, a Dentistica Restauradora e a Protese no tratamento de um paciente com AI, relatando o sucesso do tratamento envolvendo estetica, funcao, bem estar e o beneficio em longo prazo desta abordagem interdisciplin","PeriodicalId":15873,"journal":{"name":"Journal of Health Science","volume":"18 1","pages":"18-24"},"PeriodicalIF":0.0,"publicationDate":"2021-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81723951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-03-18DOI: 10.17921/2447-8938.2021V23N1P44-46
Vitória Teixeira Baldo, Gabriela Schmidt de Freitas, Karine Lima Kido de Carvalho, Elâine Patrícia Alves de Araújo Gomes, L. Volpato
AbstractThis study aimed to analyze the salivary flow of irradiated patients for the head and neck cancer treatment after the conclusion of their treatment, and to compare it to the salivary flow of a group of non-irradiated patients. The salivary flow measurement was performed using the stimulated saliva analysis technique by masticatory action. The data collected were organized in planning using the Microsoft Excel program and then analyzed through the program IBM SPSS 20.0. The independent T-test was used to compare the median values between the groups that had normal distribution. 54 patients were evaluated, 18 from Group 1, of irradiated patients with an average time of ending radiotherapy of 11 months; and 36 patients from Group 2, with non-cancerous and non-irradiated patients. The mean salivary flow of Group 1 patients was 0.39 (± 0.85) and 100% of the patients expelled less than 3.5mL of saliva after stimulation for five minutes. Among the patients from Group 2, the mean salivary flow was 3.22 (± 2.65), and 77.78% of the patients had a salivary stimulation of less than 3.5 mL. This difference was statistically significant (p = 0.004). Through the methodology used, a high prevalence of hyposalivation was observed in patients irradiated in head and neck for cancer treatment even after months of the treatment conclusion and among patients without cancer and not submitted to radiotherapy. However, a deficiency in saliva production was statistically higher among patients irradiated in the head and neck. Keywords: Neoplasms. Radiotherapy. Saliva. Xerostomia. ResumoEste estudo teve como objetivo analisar o fluxo salivar de pacientes irradiados no tratamento do câncer de cabeca e pescoco apos a conclusao de seu tratamento, e compara-lo com o fluxo salivar de um grupo de pacientes nao irradiados. A medicao do fluxo salivar foi realizada utilizando a tecnica de analise de saliva estimulada por acao masticatoria. Os dados coletados foram organizados no planejamento utilizando o programa Microsoft Excel e, em seguida, analisados atraves do programa IBM SPSS 20.0. O teste T independente foi utilizado para comparar os valores medianos entre os grupos que apresentaram distribuicao normal. Foram avaliados 54 pacientes, 18 do Grupo 1, de pacientes irradiados com tempo medio de termino da radioterapia de 11 meses; e 36 pacientes do Grupo 2, com pacientes nao cancerosos e nao irradiados. O fluxo salivar medio dos pacientes do Grupo 1 foi de 0,39 (± 0,85) e 100% dos pacientes expeliram menos de 3,5 mL de saliva apos estimulacao por cinco minutos. Entre os pacientes do Grupo 2, o fluxo salivar medio foi de 3,22 (± 2,65), e 77,78% dos pacientes apresentaram estimulacao salivar inferior a 3,5 mL. Essa diferenca foi estatisticamente significante (p = 0,004). Por meio da metodologia utilizada, observou-se alta prevalencia de hiposalivacao em pacientes irradiados na cabeca e pescoco para tratamento de câncer mesmo apos meses da conclusao do tratamento e entre p
{"title":"Salivary Flow Analysis of Head and Neck Irradiated Patients","authors":"Vitória Teixeira Baldo, Gabriela Schmidt de Freitas, Karine Lima Kido de Carvalho, Elâine Patrícia Alves de Araújo Gomes, L. Volpato","doi":"10.17921/2447-8938.2021V23N1P44-46","DOIUrl":"https://doi.org/10.17921/2447-8938.2021V23N1P44-46","url":null,"abstract":"AbstractThis study aimed to analyze the salivary flow of irradiated patients for the head and neck cancer treatment after the conclusion of their treatment, and to compare it to the salivary flow of a group of non-irradiated patients. The salivary flow measurement was performed using the stimulated saliva analysis technique by masticatory action. The data collected were organized in planning using the Microsoft Excel program and then analyzed through the program IBM SPSS 20.0. The independent T-test was used to compare the median values between the groups that had normal distribution. 54 patients were evaluated, 18 from Group 1, of irradiated patients with an average time of ending radiotherapy of 11 months; and 36 patients from Group 2, with non-cancerous and non-irradiated patients. The mean salivary flow of Group 1 patients was 0.39 (± 0.85) and 100% of the patients expelled less than 3.5mL of saliva after stimulation for five minutes. Among the patients from Group 2, the mean salivary flow was 3.22 (± 2.65), and 77.78% of the patients had a salivary stimulation of less than 3.5 mL. This difference was statistically significant (p = 0.004). Through the methodology used, a high prevalence of hyposalivation was observed in patients irradiated in head and neck for cancer treatment even after months of the treatment conclusion and among patients without cancer and not submitted to radiotherapy. However, a deficiency in saliva production was statistically higher among patients irradiated in the head and neck. \u0000Keywords: Neoplasms. Radiotherapy. Saliva. Xerostomia. \u0000ResumoEste estudo teve como objetivo analisar o fluxo salivar de pacientes irradiados no tratamento do câncer de cabeca e pescoco apos a conclusao de seu tratamento, e compara-lo com o fluxo salivar de um grupo de pacientes nao irradiados. A medicao do fluxo salivar foi realizada utilizando a tecnica de analise de saliva estimulada por acao masticatoria. Os dados coletados foram organizados no planejamento utilizando o programa Microsoft Excel e, em seguida, analisados atraves do programa IBM SPSS 20.0. O teste T independente foi utilizado para comparar os valores medianos entre os grupos que apresentaram distribuicao normal. Foram avaliados 54 pacientes, 18 do Grupo 1, de pacientes irradiados com tempo medio de termino da radioterapia de 11 meses; e 36 pacientes do Grupo 2, com pacientes nao cancerosos e nao irradiados. O fluxo salivar medio dos pacientes do Grupo 1 foi de 0,39 (± 0,85) e 100% dos pacientes expeliram menos de 3,5 mL de saliva apos estimulacao por cinco minutos. Entre os pacientes do Grupo 2, o fluxo salivar medio foi de 3,22 (± 2,65), e 77,78% dos pacientes apresentaram estimulacao salivar inferior a 3,5 mL. Essa diferenca foi estatisticamente significante (p = 0,004). Por meio da metodologia utilizada, observou-se alta prevalencia de hiposalivacao em pacientes irradiados na cabeca e pescoco para tratamento de câncer mesmo apos meses da conclusao do tratamento e entre p","PeriodicalId":15873,"journal":{"name":"Journal of Health Science","volume":"28 1","pages":"44-46"},"PeriodicalIF":0.0,"publicationDate":"2021-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91317965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-03-18DOI: 10.17921/2447-8938.2021V23N1P39-43
Matheus Bruno Costa, Erika Terumi Tomisaki, Daiane Cristina Mendonça dos Santos, M. G. Hoeppner, S. A. Cardoso
AbstractFactors such as aesthetics and adhesion to dental substrates have consolidated composite resin as a restorative material for posterior teeth, however, the performance is unsatisfactory regarding the longevity of these restorations. The purpose of this retrospective cross-sectional observational study was to evaluate the reasons that resulted in failure of class I and II Black composite resin restorations, performed by undergraduate dental students at the State University of Londrina. The patients were selected from the research of the medical charts filed at the University Dental Clinic's Screening Department. The restorations were evaluated by two calibrated dentists. The data collected were tabulated and analyzed using descriptive statistics, function Cont IF. Of the 261 class I and II restorations evaluated, 150 (57.5%) were in need of replacement. The main causes of failure of class I and II restorations were secondary caries (46.7%), followed by fracture (19.3%) and loss of marginal adaptation (16.7%). Of all the restorations made by the 3rd grade students, 68.4% failed, 57.4% performed by the 4th grade students and 53.9% of the 5th grade students. Based on the results, it is concluded that the main reasons for restorations failure were secondary caries, fracture and loss of marginal adaptation according to the evaluation criteria. Restorations performed by students in the 3rd grade showed a higher percentage of failures compared to those performed by students in the 4th and 5th grades. Keywords: Permanent Dental Restoration. Composite Resins. Dental Restoration Failure. Resumo Fatores como estetica e adesao aos substratos dentarios tem consolidado a resina composta como material restaurador para dentes posteriores, entretanto, o desempenho mostra-se insatisfatorio em relacao a longevidade destas restauracoes. O objetivo desse estudo observacional transversal retrospectivo foi avaliar as razoes que resultaram em falhas das restauracoes de resina composta de classe I e II de Black, realizadas por alunos de graduacao em Odontologia da Universidade Estadual de Londrina. Os pacientes foram selecionados a partir da pesquisa dos prontuarios arquivados no Setor de Triagem da Clinica Odontologica Universitaria. As restauracoes foram avaliadas por dois avaliadores, cirurgioes-dentistas, calibrados. Os dados coletados foram tabulados e analisados por meio de estatistica descritiva, funcao Cont SE. Das 261 restauracoes classes I e II avaliadas, 150 (57,5%) apresentavam-se com necessidade de substituicao. As principais causas de falhas das restauracoes classes I e II foram: carie secundaria (46,7%), seguido de fratura (19,3%) e perda de integridade marginal (16,7%). Dentre as restauracoes realizadas por alunos da 3a serie e avaliadas, 68,4% falharam, da 4a serie 57,4% e da 5a serie 53,9%. Com base nos resultados, conclui-se que as principais razoes de falha das restauracoes foram carie secundaria, fratura e perda de integridade marginal, de ac
摘要复合树脂作为后牙的修复材料,由于美观性和与牙基质的粘附性等因素的影响,其使用寿命并不理想。这项回顾性横断面观察性研究的目的是评估导致I类和II类黑色复合树脂修复失败的原因,这些修复是由伦敦州立大学的牙科本科生进行的。这些患者是从大学牙科诊所筛查部存档的病历中挑选出来的。修复体由两名校准的牙医评估。将收集到的数据制成表格,并使用描述性统计进行分析。261个I、II级修复体中,有150个(57.5%)需要修复。I类和II类修复体失败的主要原因是继发性龋齿(46.7%),其次是骨折(19.3%)和边缘适应丧失(16.7%)。在所有三年级学生做的修复中,68.4%不成功,57.4%为四年级学生,53.9%为五年级学生。结果表明,根据评价标准,牙体修复失败的主要原因是继发性龋病、骨折和边缘适应性丧失。与四年级和五年级的学生相比,三年级的学生进行修复的失败率更高。关键词:恒牙修复;复合树脂。牙齿修复失败。resume: resume: resume: resume: resume: resume: resume: resume: resume:复合材料resume: resume:复合材料resume: resume:复合材料resume: resume:复合材料resume: resume: resume: resume: resume: resume: resume: resume: resume: resume: resume:简历目的:通过观察性的横向回顾性研究,对伦敦大学牙科学学院牙科学专业毕业生的牙科学水平进行研究。临床牙科学大学临床牙科学大学临床牙科学大学临床牙科学学院。就像餐馆里有牙医,餐馆里有牙医,餐馆里有牙医。在统计描述方面,数据分析是一项非常重要的工作。在261家1 - 2类餐厅中,有150家(57.5%)表示需要进行替代。作为造成这些疾病的主要原因,第一类和第二类有:继发性龋齿(46.7%)、自然性龋齿(19.3%)和综合边缘龋齿(16.7%)。Dentre作为餐馆实现了穷人的目标,其中3a级e级餐馆占68.4%,4a级57,4%,5a级53,9%。Com base no resultados, condise que as principais razoes de falha, restauracaces forforcarsecondaria,自然的perda de integridade边际,de acdo Com os criteria de aliacao。由于餐馆实现的利润较低,因此3a系列是主要的百分比损失,而相比而言,3a系列的利润较低,3a系列的利润较高。Palavras-chave: Restauracao Dentaria Permanente。Resinas Compostas。Falha de Restauracao Dentaria。
{"title":"Clinical Evaluation of Composite Resin Restorations in Posterior Teeth","authors":"Matheus Bruno Costa, Erika Terumi Tomisaki, Daiane Cristina Mendonça dos Santos, M. G. Hoeppner, S. A. Cardoso","doi":"10.17921/2447-8938.2021V23N1P39-43","DOIUrl":"https://doi.org/10.17921/2447-8938.2021V23N1P39-43","url":null,"abstract":"AbstractFactors such as aesthetics and adhesion to dental substrates have consolidated composite resin as a restorative material for posterior teeth, however, the performance is unsatisfactory regarding the longevity of these restorations. The purpose of this retrospective cross-sectional observational study was to evaluate the reasons that resulted in failure of class I and II Black composite resin restorations, performed by undergraduate dental students at the State University of Londrina. The patients were selected from the research of the medical charts filed at the University Dental Clinic's Screening Department. The restorations were evaluated by two calibrated dentists. The data collected were tabulated and analyzed using descriptive statistics, function Cont IF. Of the 261 class I and II restorations evaluated, 150 (57.5%) were in need of replacement. The main causes of failure of class I and II restorations were secondary caries (46.7%), followed by fracture (19.3%) and loss of marginal adaptation (16.7%). Of all the restorations made by the 3rd grade students, 68.4% failed, 57.4% performed by the 4th grade students and 53.9% of the 5th grade students. Based on the results, it is concluded that the main reasons for restorations failure were secondary caries, fracture and loss of marginal adaptation according to the evaluation criteria. Restorations performed by students in the 3rd grade showed a higher percentage of failures compared to those performed by students in the 4th and 5th grades. \u0000Keywords: Permanent Dental Restoration. Composite Resins. Dental Restoration Failure. \u0000Resumo Fatores como estetica e adesao aos substratos dentarios tem consolidado a resina composta como material restaurador para dentes posteriores, entretanto, o desempenho mostra-se insatisfatorio em relacao a longevidade destas restauracoes. O objetivo desse estudo observacional transversal retrospectivo foi avaliar as razoes que resultaram em falhas das restauracoes de resina composta de classe I e II de Black, realizadas por alunos de graduacao em Odontologia da Universidade Estadual de Londrina. Os pacientes foram selecionados a partir da pesquisa dos prontuarios arquivados no Setor de Triagem da Clinica Odontologica Universitaria. As restauracoes foram avaliadas por dois avaliadores, cirurgioes-dentistas, calibrados. Os dados coletados foram tabulados e analisados por meio de estatistica descritiva, funcao Cont SE. Das 261 restauracoes classes I e II avaliadas, 150 (57,5%) apresentavam-se com necessidade de substituicao. As principais causas de falhas das restauracoes classes I e II foram: carie secundaria (46,7%), seguido de fratura (19,3%) e perda de integridade marginal (16,7%). Dentre as restauracoes realizadas por alunos da 3a serie e avaliadas, 68,4% falharam, da 4a serie 57,4% e da 5a serie 53,9%. Com base nos resultados, conclui-se que as principais razoes de falha das restauracoes foram carie secundaria, fratura e perda de integridade marginal, de ac","PeriodicalId":15873,"journal":{"name":"Journal of Health Science","volume":"2 1","pages":"39-43"},"PeriodicalIF":0.0,"publicationDate":"2021-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82031542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Work-related musculoskeletal disorders (WRMSDs) are the most common work-related diseases and describe a wide range of degenerative and inflammatory conditions affecting blood vessels, peripheral nerves, joints, ligaments, tendons, and muscles. WRMSDs are becoming an increasing problem in modern society. They are the second biggest cause of short-term or temporary incapacity for work just following a cold. At the workplace, health professionals represent a very vulnerable category in terms of musculoskeletal disorders (MSDs) development. It is estimated that almost one-third of all cases of absence from work among health care professionals are related to MSDs. Studies also show that a large number of health professionals report the occurrence of MSDs in one or more regions of the body, with a problem with the lower back being one of the most common.Methods: This article presents a non-experimental (qualitative) research, or a scientific review of the published literaturewhere the databases were reviewed in which the keywords for the review were: MSDs, work, health, intervention program,and ergonomics. Various databases were used in the preparation of this article, including PubMed, Google Scholar, Medline, Hrcak, Dabar, Science Direct, and Science Citation.Results: The results include a review and analysis of eighteen published scientific articles in the period 2001-2020. The studies published in these articles has been conducted in the United States, Australia, Switzerland, Portugal, Slovenia, Turkey, China, Nigeria, Israel, Tunisia, Iran, Croatia, Taiwan, Bangladesh, Serbia, Macedonia, and Greece.Conclusion: This article should indicate the magnitude of the problems of WRMSDs in health professionals and that this topic is an inexhaustible and very interesting basis for further studies by current and future researchers to create strategies for the prevention and treatment of this disorder and to eliminate its causes.
{"title":"Work Caused Musculoskeletal Disorders in Health Professionals","authors":"Dženan Pleho, Amra Mačak Hadžiomerović, Kenan Pleho, Jasmina Pleho, Dinko Remić, Davor Arslanagić, Milojko Lazić, Aldina Alibegović","doi":"10.17532/JHSCI.2021.1209","DOIUrl":"https://doi.org/10.17532/JHSCI.2021.1209","url":null,"abstract":"Introduction: Work-related musculoskeletal disorders (WRMSDs) are the most common work-related diseases and describe a wide range of degenerative and inflammatory conditions affecting blood vessels, peripheral nerves, joints, ligaments, tendons, and muscles. WRMSDs are becoming an increasing problem in modern society. They are the second biggest cause of short-term or temporary incapacity for work just following a cold. At the workplace, health professionals represent a very vulnerable category in terms of musculoskeletal disorders (MSDs) development. It is estimated that almost one-third of all cases of absence from work among health care professionals are related to MSDs. Studies also show that a large number of health professionals report the occurrence of MSDs in one or more regions of the body, with a problem with the lower back being one of the most common.Methods: This article presents a non-experimental (qualitative) research, or a scientific review of the published literaturewhere the databases were reviewed in which the keywords for the review were: MSDs, work, health, intervention program,and ergonomics. Various databases were used in the preparation of this article, including PubMed, Google Scholar, Medline, Hrcak, Dabar, Science Direct, and Science Citation.Results: The results include a review and analysis of eighteen published scientific articles in the period 2001-2020. The studies published in these articles has been conducted in the United States, Australia, Switzerland, Portugal, Slovenia, Turkey, China, Nigeria, Israel, Tunisia, Iran, Croatia, Taiwan, Bangladesh, Serbia, Macedonia, and Greece.Conclusion: This article should indicate the magnitude of the problems of WRMSDs in health professionals and that this topic is an inexhaustible and very interesting basis for further studies by current and future researchers to create strategies for the prevention and treatment of this disorder and to eliminate its causes.","PeriodicalId":15873,"journal":{"name":"Journal of Health Science","volume":"77 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76440084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Received: July, 16, 2020 Revised: November, 15, 2020 Available online: February, 2021 Toddlers require basic needs – stimulation, love, and care – in the process of growth and development. Parents, especially mothers, are the most important factors in performing these three tasks: honing, loving, and fostering. The mother's physical and psychological conditions, including the mother's age at marriage, education, and stimulation, will impact children's development. This study aims to determine the factors that influence toddlers' development in the Pamekasan Regency. The research method used was descriptive-analytic, with a retrospective design. This study consisted of 110 mothers with toddlers by fixed exposure sampling in Waru, Batu Marmar, and Pasen Public Health Center. The dependent variable was the toddlers' development. The independent variables were the mother's age at marriage, family income, stimulation, mother's LILA during pregnancy, and birth weight. The analysis used the path analysis method. The results showed that the toddlers' development was influenced by the mother's age at marriage (b = 0.07, SE = 0.02, p = 0.001), family stimulation (b = 0.02, SE = 0.01, p = <0.001) and birth weight (b = 0.00, SE = 0.00, p = 0.373). This study concludes that maternal marriage age, family stimulation, and birth weight affect toddlers' development.
收稿日期:2020年7月16日修稿日期:2020年11月15日在线发布日期:2021年2月幼儿在成长和发展的过程中需要基本的需求——刺激、爱和照顾。父母,尤其是母亲,是完成这三项任务中最重要的因素:磨练、爱和培养。母亲的身体和心理状况,包括母亲的结婚年龄、受教育程度和受到的刺激,都会影响孩子的发展。本研究旨在探讨影响帕梅卡桑县幼儿发展的因素。使用的研究方法是描述性分析,具有回顾性设计。本研究通过固定暴露抽样在Waru, Batu Marmar和Pasen公共卫生中心对110名有幼儿的母亲进行了研究。因变量是幼儿的发展。自变量为母亲的结婚年龄、家庭收入、刺激、母亲怀孕期间的LILA和出生体重。分析采用通径分析法。结果表明,幼儿发育受母亲结婚年龄(b = 0.07, SE = 0.02, p = 0.001)、家庭刺激(b = 0.02, SE = 0.01, p = <0.001)和出生体重(b = 0.00, SE = 0.00, p = 0.373)的影响。本研究的结论是,母亲的结婚年龄、家庭的刺激和出生体重影响幼儿的发展。
{"title":"Factors Affecting Toddlers'Development In Pamekasan Regency","authors":"Nur Jayanti, Uliyatul Laili, Rohemah Rohemah","doi":"10.33086/JHS.V14I1.1176","DOIUrl":"https://doi.org/10.33086/JHS.V14I1.1176","url":null,"abstract":"Received: July, 16, 2020 Revised: November, 15, 2020 Available online: February, 2021 Toddlers require basic needs – stimulation, love, and care – in the process of growth and development. Parents, especially mothers, are the most important factors in performing these three tasks: honing, loving, and fostering. The mother's physical and psychological conditions, including the mother's age at marriage, education, and stimulation, will impact children's development. This study aims to determine the factors that influence toddlers' development in the Pamekasan Regency. The research method used was descriptive-analytic, with a retrospective design. This study consisted of 110 mothers with toddlers by fixed exposure sampling in Waru, Batu Marmar, and Pasen Public Health Center. The dependent variable was the toddlers' development. The independent variables were the mother's age at marriage, family income, stimulation, mother's LILA during pregnancy, and birth weight. The analysis used the path analysis method. The results showed that the toddlers' development was influenced by the mother's age at marriage (b = 0.07, SE = 0.02, p = 0.001), family stimulation (b = 0.02, SE = 0.01, p = <0.001) and birth weight (b = 0.00, SE = 0.00, p = 0.373). This study concludes that maternal marriage age, family stimulation, and birth weight affect toddlers' development.","PeriodicalId":15873,"journal":{"name":"Journal of Health Science","volume":"1 1","pages":"38-42"},"PeriodicalIF":0.0,"publicationDate":"2021-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89727866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Received: November, 1, 2020 Revised: December, 13, 2020 Available online: February, 2021 Extrinsic and intrinsic factors influence skin aging. Hormonal changes, especially estrogen, significantly affect intrinsic skin aging. Decreased circulating estrogen levels reduce skin collagen content and skin elasticity. Isoflavones in Marsilea crenata (MC) leaf are active substances containing compounds that mimic estrogen. This study aims to analyze MC leaf extract against the estrogen receptor (ER)-β. The sample for this research was female Wistar Rats (Rattus norwegicus). All of them were 12 months old, with their weight was between 350 to 550 grams divided into five groups. P1 P2 and P3 were grouping with MC leaf extract administration in sequential doses 20 mg/kg BW, 30 mg/kg BW, and 40 mg/kg BW. At the same time, P4 was a positive control group, and P5 was a negative control group. The independent variable was M.crenata leaf extract. The dependent variables were (ER)-β expression and dermal thickness. The data analysis utilized the one-way analysis of variance (ANOVA) showed significant differences (p< 0.05). Each group showed significant results, and group P2 showed the highest expression of (ER)-β and dermal thickness. The result showed that there were significant correlations between both variables (P<0.05). This research has proved that water clover extract could become an alternative treatment in the future for skin aging. However, further research should find a proper dose for human consumption.
{"title":"Effect Of Water Clover (Marsilea Crenata) Leaf Extract On Estrogen Receptors-Β In Skin Aging","authors":"W. wina, Maria Maria","doi":"10.33086/JHS.V14I1.1811","DOIUrl":"https://doi.org/10.33086/JHS.V14I1.1811","url":null,"abstract":"Received: November, 1, 2020 Revised: December, 13, 2020 Available online: February, 2021 Extrinsic and intrinsic factors influence skin aging. Hormonal changes, especially estrogen, significantly affect intrinsic skin aging. Decreased circulating estrogen levels reduce skin collagen content and skin elasticity. Isoflavones in Marsilea crenata (MC) leaf are active substances containing compounds that mimic estrogen. This study aims to analyze MC leaf extract against the estrogen receptor (ER)-β. The sample for this research was female Wistar Rats (Rattus norwegicus). All of them were 12 months old, with their weight was between 350 to 550 grams divided into five groups. P1 P2 and P3 were grouping with MC leaf extract administration in sequential doses 20 mg/kg BW, 30 mg/kg BW, and 40 mg/kg BW. At the same time, P4 was a positive control group, and P5 was a negative control group. The independent variable was M.crenata leaf extract. The dependent variables were (ER)-β expression and dermal thickness. The data analysis utilized the one-way analysis of variance (ANOVA) showed significant differences (p< 0.05). Each group showed significant results, and group P2 showed the highest expression of (ER)-β and dermal thickness. The result showed that there were significant correlations between both variables (P<0.05). This research has proved that water clover extract could become an alternative treatment in the future for skin aging. However, further research should find a proper dose for human consumption.","PeriodicalId":15873,"journal":{"name":"Journal of Health Science","volume":"11 1","pages":"68-76"},"PeriodicalIF":0.0,"publicationDate":"2021-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89981458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Received: September, 1, 2020 Revised: November, 6, 2020 Available online: February, 2021 Diabetes is a chronic disease of glucose metabolism, which causes blood circulation obstruction such as tingling and leg pain, and itching. This study aims to determine the effect of diabetic foot spa and sauna bathing on sleep quality and blood glucose levels in individuals with type 2 diabetes. The design used a quasi-experimental. This study's population was all individuals with type 2 diabetes, applied simple random sampling, and a sample size of 60 respondents. The inclusion criteria were individuals with type 2 diabetes who did not have complications. The independent variables were sleep quality and blood glucose levels. The dependent variables were diabetic foot spa and sauna bathing. The instrument used a Pittsburgh Sleep Quality Index (PQSI) and a glucometer. The data analysis test utilized the paired t-test and independent t-test with a p-value of 0.000 (p <0.005). The results of this study showed that 60 respondents, mostly (70%) women, 58.3% were aged 4560 years, almost half of the respondents (48.3%) had diabetes for less than one year up to five years and from the results t-test obtained p=0.000 (p <0.05). There was an effect of diabetic foot spa and sauna bathing on sleep quality and blood glucose levels.
{"title":"Implementation Of Diabetic Foot Spa And Sauna Bathing On Quality Of Sleep And Blood Glucose Levels In Individuals With Type 2 Diabetes","authors":"N. Ainiyah, Erika Martining Wardani","doi":"10.33086/JHS.V14I1.1750","DOIUrl":"https://doi.org/10.33086/JHS.V14I1.1750","url":null,"abstract":"Received: September, 1, 2020 Revised: November, 6, 2020 Available online: February, 2021 Diabetes is a chronic disease of glucose metabolism, which causes blood circulation obstruction such as tingling and leg pain, and itching. This study aims to determine the effect of diabetic foot spa and sauna bathing on sleep quality and blood glucose levels in individuals with type 2 diabetes. The design used a quasi-experimental. This study's population was all individuals with type 2 diabetes, applied simple random sampling, and a sample size of 60 respondents. The inclusion criteria were individuals with type 2 diabetes who did not have complications. The independent variables were sleep quality and blood glucose levels. The dependent variables were diabetic foot spa and sauna bathing. The instrument used a Pittsburgh Sleep Quality Index (PQSI) and a glucometer. The data analysis test utilized the paired t-test and independent t-test with a p-value of 0.000 (p <0.005). The results of this study showed that 60 respondents, mostly (70%) women, 58.3% were aged 4560 years, almost half of the respondents (48.3%) had diabetes for less than one year up to five years and from the results t-test obtained p=0.000 (p <0.05). There was an effect of diabetic foot spa and sauna bathing on sleep quality and blood glucose levels.","PeriodicalId":15873,"journal":{"name":"Journal of Health Science","volume":"28 1","pages":"21-26"},"PeriodicalIF":0.0,"publicationDate":"2021-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84713751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Children will grow faster when their mother stimulate their development. But in fact, parents' awareness is still low due to parents' reluctance. They believe that stimulation is for children with developmental delay. This research aims to describe the mothers' motivation in the developmental stimulation of children aged 1-3 years old in Sambungrejo Village District Sidoarjo. This study used a descriptive design. The population was mothers with children age 1–3 years in Sambungrejo Village Sukodono Sidoarjo. There were 50 respondents with simple random sampling. The research variable was mothers' motivation in the developmental stimulation of children aged 1-3 years. The instrument utilized a questionnaire. The data analysis was frequency distribution. The results showed that 62,5% of respondents had low motivation, while 37,5% of respondents had a high motive to perform stimulation in developing children aged 1–3. The study concludes that most mothers have low motivation in developmental stimulation. Health workers should give health education about the developmental stimulation of children to mothers.
{"title":"Description Of Mothers' Motivation In Developmental Stimulation Of Children Aged 1 - 3 Years Old In","authors":"R. Anggraini, Wahyu Anjas Sari","doi":"10.33086/JHS.V14I1.1534","DOIUrl":"https://doi.org/10.33086/JHS.V14I1.1534","url":null,"abstract":"Children will grow faster when their mother stimulate their development. But in fact, parents' awareness is still low due to parents' reluctance. They believe that stimulation is for children with developmental delay. This research aims to describe the mothers' motivation in the developmental stimulation of children aged 1-3 years old in Sambungrejo Village District Sidoarjo. This study used a descriptive design. The population was mothers with children age 1–3 years in Sambungrejo Village Sukodono Sidoarjo. There were 50 respondents with simple random sampling. The research variable was mothers' motivation in the developmental stimulation of children aged 1-3 years. The instrument utilized a questionnaire. The data analysis was frequency distribution. The results showed that 62,5% of respondents had low motivation, while 37,5% of respondents had a high motive to perform stimulation in developing children aged 1–3. The study concludes that most mothers have low motivation in developmental stimulation. Health workers should give health education about the developmental stimulation of children to mothers.","PeriodicalId":15873,"journal":{"name":"Journal of Health Science","volume":"13 1","pages":"43-47"},"PeriodicalIF":0.0,"publicationDate":"2021-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82859532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Received: April, 8, 2020 Revised: October, 26, 2020 Available online: February, 2021 Decreased muscle strength is a musculoskeletal disorder in the elderly, resulting in slow movements and impaired physical mobility. Physical changes that occur in the elderly cause the risk of falling. This study analyzes the ankle strategy exercise's effect on static balance in the elderly at Regional Technical Implementation Unit (UPTD) Griya Werdha Surabaya. This study was Pre-Experimental with One Group Pre-Post Test Design. From the population, there were thirty-five respondents by simple random sampling. This study's independent variable was ankle strategy exercises with frequency three times a week within a month. The dependent variable was a static balance with the instrument Time Up Go (TUG) test. The authors analyzed the data with the Wilcoxon test. The study results showed a significant effect of the ankle strategy exercise on static balance in the elderly (p=0,000). The result showed a decrease in the number of elderly who have the high-risk of falling before the ankle strategy exercise (60% of elderly have a high risk of falling) and after the intervention (34% of elderly have a decreased risk of falling). The elderly should do the ankle strategy exercise independently or with assistant three times a week to improve their static balance and decrease their high-risk of falls.
收稿日期:2020年4月8日修稿日期:2020年10月26日在线发布日期:2021年2月肌力下降是老年人的一种肌肉骨骼疾病,导致运动缓慢和身体活动能力受损。老年人的身体变化会导致跌倒的风险。本研究分析了区域技术实施单位(UPTD) Griya Werdha Surabaya的踝关节策略运动对老年人静态平衡的影响。本研究采用一组前-后测试设计。从人群中,通过简单随机抽样得到35名回答者。这项研究的自变量是脚踝策略运动,频率为一个月内每周三次。因变量为静平衡,采用仪器Time Up Go (TUG)检验。作者用Wilcoxon检验分析了数据。研究结果显示踝关节策略运动对老年人静态平衡有显著影响(p= 0000)。结果显示,踝关节策略运动前(60%的老年人有较高的跌倒风险)和干预后(34%的老年人跌倒风险降低)的老年人数量有所减少。老年人应独立或在辅助下每周进行3次踝关节策略运动,以提高其静态平衡能力,降低跌倒的风险。
{"title":"The Effect of Ankle Strategy Exercises on Static Balance in The Elderly","authors":"Dwi Yuniar Ramadhani, Putri Arivia","doi":"10.33086/JHS.V14I1.1521","DOIUrl":"https://doi.org/10.33086/JHS.V14I1.1521","url":null,"abstract":"Received: April, 8, 2020 Revised: October, 26, 2020 Available online: February, 2021 Decreased muscle strength is a musculoskeletal disorder in the elderly, resulting in slow movements and impaired physical mobility. Physical changes that occur in the elderly cause the risk of falling. This study analyzes the ankle strategy exercise's effect on static balance in the elderly at Regional Technical Implementation Unit (UPTD) Griya Werdha Surabaya. This study was Pre-Experimental with One Group Pre-Post Test Design. From the population, there were thirty-five respondents by simple random sampling. This study's independent variable was ankle strategy exercises with frequency three times a week within a month. The dependent variable was a static balance with the instrument Time Up Go (TUG) test. The authors analyzed the data with the Wilcoxon test. The study results showed a significant effect of the ankle strategy exercise on static balance in the elderly (p=0,000). The result showed a decrease in the number of elderly who have the high-risk of falling before the ankle strategy exercise (60% of elderly have a high risk of falling) and after the intervention (34% of elderly have a decreased risk of falling). The elderly should do the ankle strategy exercise independently or with assistant three times a week to improve their static balance and decrease their high-risk of falls.","PeriodicalId":15873,"journal":{"name":"Journal of Health Science","volume":"1 1","pages":"32-37"},"PeriodicalIF":0.0,"publicationDate":"2021-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72631008","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}