Perbedaan Kelainan Postur Tubuh Berdiri pada Berbagai Derajat Penyakit Parkinson

Nisrin Nur Azizah Kurniawan, Nurdjaman Nurimaba, Budiman Budiman

Abstract


Abstract. Parkinson's disease is one of the neurodegenerative diseases of the elderly. In Indonesia there are an estimated 400,000 people with Parkinson's disease in 2015. Along with the increase of life expectancy, the prevalence of Parkinson's disease increased by 1% at the age above 60 years. One of the six cardinal signs of Parkinson's disease is a disorder of standing posture. Parkinson's disease stage describes the progressiveness of symptoms experienced. The purpose of this study was to find differences in standing posture abnormalities in various degrees of Parkinson's disease in RSAU dr. M. Salamun. This research was conducted for 3 months from March 1 to May 31, 2018, and this is a quantitative research with observational analytic approach and cross-sectional design using consecutive sampling on 36 elderly with 24 men and 12 women who had met the inclusion criteria. The degree of Parkinson's disease assessed according to the classification of Hoehn and Yahr using measured tragus to wall distance (TWD) as a measure of abnormalities of standing posture. The results were analyzed by One Way ANOVA and post hoc Bonferroni. The results showed differences in posture abnormalities in various Parkinson's degrees between stage I and stage II (p <0.001), between stage I and stage III (p <0.001), and between stage II and III (p <0.001). This study shows there are differences in standing posture abnormalities in various degrees of Parkinson's disease in RSAU dr. M. Salamun period March 1 - May 31, 2018.

Keywords: Abnormalities of Standing Posture, Degree of Parkinson's Disease, Parkinson's Disease

Abstrak. Penyakit Parkinson adalah salah satu penyakit neurodegeneratif pada lansia. Di Indonesia diperkirakan terdapat 400.000 penderita penyakit Parkinson pada tahun 2015. Seiring dengan meningkatnya angka usia harapan hidup, prevalensi penyakit Parkinson meningkat 1% pada usia diatas 60 tahun. Salah satu dari enam tanda kardinal penyakit Parkison adalah kelainan postur tubuh berdiri. Stadium penyakit Parkinson menggambarkan progresivitas gejala yang dialami. Tujuan penelitian ini adalah untuk menemukan perbedaan kelainan postur tubuh berdiri pada berbagai derajat penyakit Parkinson di RSAU dr. M. Salamun. Penelitian ini dilakukan 3 bulan yaitu periode 1 Maret – 31 Mei 2018 dan merupakan penelitian kuantitatif dengan pendekatan analitik observasional dan desain cross sectional. Teknik pengambilan data sampel adalah consecutive sampling sehingga didapatkan 36 lansia terlibat pada penelitian ini dengan 24 orang pria dan 12 orang wanita yang telah memenuhi kriteria inklusi. Setiap orang dinilai derajat penyakit Parkinson menurut klasifikasi Hoehn dan Yahr kemudian diukur tragus to wall distance (TWD) sebagai alat ukur kelainan postur tubuh berdiri. Hasil penelitian dianalisis dengan One Way ANOVA dan post hoc Bonferroni. Hasil penelitian menunjukan terdapat perbedaan kelainan postur tubuh berdiri pada berbagai derajat penyakit Parkinson antara stadium I dan stadium II (p<0,001), antara stadium I dan stadium III (p<0,001), dan antara stadium II dan III (p<0,001). Penelitian ini menunjukan terdapat perbedaan kelainan postur tubuh pada berbagai derajat penyakit Parkinson di RSAU dr. M. Salamun periode 1 Maret – 31 Mei 2018.   

Kata kunci: Derajat Penyakit Parkinson, Kelainan Postur Tubuh Berdiri, Penyakit Parkinson


Keywords


Derajat Penyakit Parkinson, Kelainan Postur Tubuh Berdiri, Penyakit Parkinson

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DOI: http://dx.doi.org/10.29313/kedokteran.v0i0.12388

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