Osteoarthritis (OA) is a chronically progressive degenerative joint disease associated with joint cartilage damage. It is usually affected the joints of the hands, vertebrae, hips, and knee which is reported as the most common affected location. Risk factors of OA are divided into non-modifiable factors and modifiable factors. The non-modifiable risk factors are age, gender, race, and genetic factors, while the modifiable factors are body mass index, occupation, knee injury, blood pressure, blood sugar level, and cholesterol level. This study was aimed to determine the non-modifiable risk factors and modifiable risk factors in patients with knee OA at the Medical Rehabillitation Unit of Prof. Dr. R. D. Kandou Hospital Manado. This was a quantitative descriptive study using medical record data in the Medical Rehabilitation Unit. There were 36 cases of knee OA during the period of January-June 2017; 27 cases had complete medical record data. The highest distribution of knee OA were patients in the 70-79 age group (33.3%), females (70.4), Minahasa ethnic (59.3%), no family history of OA (70.4%), BMI ≥23 (66.7%), retired (51.9%), history of knee injury (77.8%), prehypertension (51.9%), no history of DM (70.4%) and of hypercholesterolemia (66.7%). Conclusion: Based on the non-modifiable risk factors, females were more at risk of developing knee OA and based on modifiable risk factors, knee injury was the most common factor in the occurrence of knee OA.Keywords: knee osteoarthritis, risk factors Abstrak: Osteoartritis (OA) merupakan penyakit sendi degeneratif yang berkaitan dengan kerusakan kartilago sendi dan bersifat kronik-progresif. Lokasi yang biasanya terkena adalah sendi pada tangan, vertebra, panggul dan lutut, dimana lutut dilaporkan sebagai lokasi yang paling sering terkena. Faktor risiko OA terbagi atas faktor yang dapat di modifikasi dan faktor yang tidak dapat di modifikasi. Faktor risiko yang tidak dapat dimodifikasi ialah antara lain umur, jenis kelamin, suku/ras dan genetik. Faktor risiko yang dapat dimodifkasi berupa indeks massa tubuh, pekerjaan, cedera/trauma, tekanan darah, gua darah, dan kadar kolesterol dalam darah. Penelitian ini bertujuan untuk mengetahui faktor risiko yang tidak dapat dimodifikasi maupun dapat dimodifikasi pada penderita OA lutut di Instalasi Rehabilitasi Medik RSUP Prof. Dr.R. D. Kandou Manado. Jenis penelitian ialah deskriptif kuantitatif menggunakan data rekam medik di Instalasi Rehabilitasi Medik. Terdapat 36 kasus OA lutut selama periode Januari-Juni 2017; hanya 27 kasus yang memiliki data rekan medik lengkap. Pada penelitian didapatkan distribusi OA lutut terbanyak pada kelompok usia 70-79 tahun (33,3%), jenis kelaimin perempuan (70,4%), suku Minahasa (59,3%), tidak memiliki riwayat OA dalam keluarga (70,4%), IMT ≥23 (66,7%), pensiunan (51,9%), riwayat cedera lutut (77,8%), tekanan darah pre-hipertensi (51,9%), tanpa riwayat DM (70,4%) dan riwayat hiperkolesterolemia (66,7%). Simpulan : Berdasarkan distribusi faktor risiko yang tidak dapat dimodifikasi, jenis kelamin perempuan paling rentan terhadap OA lutut dan berdasarkan faktor risiko yang dapat dimodifikasi, cedera/trauma lutut merupakan faktor yang paling sering.Kata kunci: osteoatritis lutut, faktor risiko

Stroke is one of the important problems in public health due to its morbidity, mortality, and high cost. In many countries in the world, stroke is the third leading cause of death after coronary heart disease and cancer. This study aimed to obtain the profile of medical rehabilitation treatment for stroke patients with hemipharesis. This was a retrospective descriptive study. Subjects were medical records of stroke patients with hemiparesis at Installation of Medical Rehabilitation at Prof. Dr. R. D. Kandou Hosipital Manado. The results showed that the medical rehabilitation treatment for stroke patients with hemiparesis in the period January-March 2016 in the Installation of Medical Rehabilitation at RSUP Prof. Dr. R. D. Kandou Manado was as follows: physiotherapy with infrared (31.402%), classis physical exercise (27.744%), active creative exercise (18.293%), daily activity adaptation (13.415%), therapeutic USD (2.449%), breathing exercise (2.134%), language exercise 0.610%), psychology rehabilitation (1.829%), proper body mechanisms (1.829%), and therapeutic medical social (0.305%). Keywords: stroke, hemiparesis, therapy Abstrak: Stroke adalah salah satu masalah penting bagi kesehatan masyarakat karena memiliki angka kesakitan, angka kematian, dan biaya yang tinggi. Di banyak negara di dunia, stroke menduduki peringkat ketiga penyebab kematian sesudah penyakit jantung koroner dan kanker. Penelitian ini bertujuan untuk mendapatkan jenis-jenis penanganan rehabilitasi medik pada pasien stroke dengan hemiparesis. Jenis penelitian ini ialah deskriptif retrospektif. Subjek penelitian ialah data rekam medik pasien stroke dengan hemiparesis di Instalasi Rehabilitasi Medik RSUP. Prof. Dr. R. D. Kandou Manado. Hasail penelitian memperlihatkan pemberian terapi yang paling sering diberikan kepada pasien stroke dengan hemiparesis pada periode Januari-Maret 2016 di Instalasi Rehabilitasi Medik RSUP Prof. Dr. R. D. Kandou Manado ialah fisioterapi dengan pemberian infra merah (31,402%), latihan fisik klasik (27,744%), latihan aktif kreatif (18,293%), adaptasi AKS (13,415%), terapi USD (2,449%), latihan pernapasan (2,134%), latihan berbahasa (0,610%), rehabilitasi psikologi (1,829%), proper body mechanism (1,829%), dan terapi sosial medik (0,305%).Kata kunci: stroke, hemiparesis, terapi

Objective: To investigate the effectiveness of dual-task-based ball exercise program to improve walking ability for executing a dual task.Methods: Experimental research, pretest – posttest design. Sixteen subjects, 1 woman and fifteen men, meanage 61 years old that come in Rehabilitation outpatient clinic BLU. RSUP. Prof. dr.R. D. Kandou Manado. Subjects were intervened with dual task-exercise using one or two balls while walking for about 10 m in length within 30 minutes. The frequency of exercise was three times a weekfor about four weeks. Subjects were assessed throught their walking velocity changes in single task and dual task exercises. The evaluation scores were noted on the questionnaire of walking ability.Results: The walking ability value in single task condition has significant change with p<0.001, and the walking ability in dual task condition has significant change also with p<0.001. These indicatethat subjects’ walking ability after intervention is faster than walking ability before the intervention. Walking ability based on walking ability questionnaire has significant change with p<0.001, showswalking ability after intervention has significant change.Conclusions: Dual task-exercise can improve walking ability of stroke chronic patient in singla task condition and dual task condition.Keywords: Chronic stroke, Dual task-exercise.