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Yoga versus neuromuscular coordination exercise in improving fall predictor parameters and nerve growth factor levels among adult population: a randomized controlled trial Wahyuni, Nila; Adiputra, Nyoman; Adiatmika, I Putu Gede; Sundari, Luh Putu Ratna; Indrayani, Agung Wiwiek; Vittala, Govinda
Public Health and Preventive Medicine Archive Vol. 12 No. 1 (2024)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2024.v12.i1.p04

Abstract

Background and purpose: The incidence of fracture-related falls in young adults has been increased and the population with walking disorders has an increased risk of falling. It is very important to improve fall predictor parameters early in adulthood to reduce the risk of falling and injury in the future. This study aims to explore the differences of effectiveness between yoga and neuromuscular coordination exercise in improving several fall predictor parameters and Nerve Growth Factor (NGF) levels. Methods: This study was a randomized controlled trial involving 30 participants who met the inclusion and exclusion criteria. Participants were divided into two groups randomly. Group one was given yoga training intervention and group two was given neuromuscular coordination exercise. Participants` gait speed measurements were carried out using Shuttle Run Test. Participants` agility measurements were carried out using Hexagonal Obstacle Test. Participants` visual and auditory reaction time measurements were carried out using Whole Body Measuring equipment II type TKK – 1264 B. NGF measurement used the ELISA technique. Results: Paired sample Wilcoxon test showed yoga training was effective in improving all fall risk predictor parameters and NGF with p<0.05, but neuromuscular coordination exercise only showed improvement in one fall predictor parameter, namely speed. The unpaired sample Mann Whitney test proved that yoga training was significantly more effective with p<0.05 compared to neuromuscular coordination exercise in improving fall risk parameters, namely agility, visual reaction time, auditory reaction time, but not more effective in improving speed gait and NGF level. Conclusion: The We conclude that yoga training is the most effective exercise in improving fall risk parameters, namely agility, visual and auditory reaction time. Yoga training is a promising intervention in improving various aspects of fall risk.
Effects of yoga exercise in reducing the risk of knee osteoarthritis and fibulin-3 levels among overweight population: a randomized controlled trial Wahyuni, Nila; Adiatmika, I Putu Gede; Vittala, Govinda; Nova Mahendra, Agung
Public Health and Preventive Medicine Archive Vol. 11 No. 2 (2023)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2023.v11.i2.p04

Abstract

Background and purpose: One of the main risk factors for knee osteoarthritis is overweight. The purpose of this study is to determine the effectiveness of yoga exercise in reducing the risk of knee osteoarthritis and fibulin-3 levels in overweight populations. Methods: This study was a randomized controlled trial involving 24 participants who met the inclusion and exclusion criteria. Participants were randomly divided into two groups: group one was given yoga exercise intervention and group two was given neuromuscular coordination exercise as the control group. Risk of knee osteoarthritis measurements were carried out using The Western Ontario and McMasters University Osteoarthritis Index (WOMAC). Fibulin-3 measurement used ELISA technique using human fibulin-3 kit, FBLN3 BT-LABkit 96T E4667Hu. Results: Participants of both groups were comparable, except for age where the control group is slightly older. Pre and post-test comparison showed improvement in pain, stiffness, physical function, total WOMAC score, and fibulin-3 levels in both groups. While, the post-test comparison between the two groups showed that yoga group has better scores on all indicators compared to the control groups which was statistically significant (p≤0.001). Conclusion: Both interventions are effective in reducing the risk of knee osteoarthritis and fibulin-3 levels, but yoga showed better result. We recommend yoga training to reduce the risk of knee osteoarthritis compared to conventional training. Future research is needed to measure other knee osteoarthritis biomarkers that describe the pathological process of knee osteoarthritis.
The The Effectiveness of Myofascial Release Technique and Self Exercise in Reducing Pain & Disability in Elderly with Myofascial Pain Syndrome Saraswati, Putu Ayu Sita; Thanaya, Sayu Aryantari Putri; Vittala, Govinda
Jurnal Keterapian Fisik Jurnal Keterapian Fisik Volume 9 Issue 1 Year 2024
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkf.v9i1.414

Abstract

Background: Neck pain is a major public health problem, especially for the elderly. One cause of neck pain is myofascial pain syndrome. Myofascial pain syndrome is characterized by the presence of trigger points that arise from the junction bands of muscle fibers. Three studies found that the prevalence of neck pain in the elderly was between 8.8% and 11.6%. Chronic neck pain causes increased muscle tone, decreased joint range of motion, functional impairment and activities of daily living, and decreased quality of life in the elderly. This study aimed to compare the effectiveness of combining myofascial release technique and ultrasound with self-exercise and ultrasound in reducing pain and neck disability for the elderly. Methods: This experimental study used a randomized pre- and post-test control group design. The variables in this study were pain and neck disability. The participants were 24 people who were divided into Group 1 with myofascial release technique (n = 12) and Group 2 with self-exercise (n = 12). The intervention was given 3 times per week for 4 weeks. Results: The results showed that neck disability significantly decreased before and after the intervention in both groups (p<0.001). There was also a significant difference between the two groups. Conclusion: Myofascial release technique and self-exercise are effective in reducing neck pain and disability in the elderly with myofascial pain syndrome. However, the combination of ultrasound and myofascial release technique is more effective than ultrasound and self-exercise in reducing neck pain and disability in the elderly with myofascial pain syndrome.
Training hotel staff in early emergency management to enhance tourist comfort at Ubud Raya Resort area Ani, Luh Seri; Hendrayana, Made Agus; Gandari, Ni Komang Matalia; Laksmi, Ida Ayu Agung; Agastiya, I Made Cahyadi; Vittala, Govinda; Juniartha, I Gusti Ngurah; Dwija, Ida Bagus Nyoman Putra
Abdimas: Jurnal Pengabdian Masyarakat Universitas Merdeka Malang Vol. 9 No. 1 (2024): February 2024
Publisher : University of Merdeka Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26905/abdimas.v9i1.12128

Abstract

Tourists who stay at the hotel have a risk of illness and/or experiencing emergency problems that interfere with the sense of security and comfort for tourists. One factor for successful emergency management is first aid proficiency. However, the knowledge and skills of hotel staff are relatively lacking in handling emergency problems for tourists.  Based on this, this service was held to train the skills of hotel staff in handling emergencies for tourists. Service activities are carried out by presentation methods and practice on basic life support. The target of this activity is the hotel staff of Ubud Raya Resort. Dedication materials were given in 5 meetings. The training material has been adjusted to travel medicine subjects and based on the results of previous research by the implementation team. The implementation of this service went smoothly and as planned. Based on the results of the pretest and posttest, an increase in the knowledge and skills of participants was obtained. Based on interviews, it was found that service participants received positive benefits from the service carried out. Thus, concluded that this service was successfully carried out despite the limitations in its implementation. This community service advice re-conducting basic life support training for hotel staff so that the knowledge and skills received are beneficial in the long term.
Nutritional Status and Toddler Development: Cross-Sectional Study at Mawar Health Post, Tegal Harum Village Natha, Florensia Sutji Putri; Puspa Negara, Anak Agung Gede Angga; Vittala, Govinda; Pramita, Indah
Majalah Ilmiah Fisioterapi Indonesia Vol 12 No 3 (2024): Majalah Ilmiah Fisioterapi Indonesia
Publisher : Bachelor and Profession of Physiotherapy Study Program, Faculty of Medicine, Udayana University in collaboration with Indonesian Physiotherapy Association (IPA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/mifi.2024.v12.i03.p02

Abstract

Introduction: Development is an integral part of the human life cycle, and the under-five years old (toddlers) period is crucial in this process. A child's nutritional status is one aspect that influences development across various domains. However, stunted development and malnutrition persist, particularly in Indonesia. Bali province, especially Denpasar City, exhibits a high level of good nutritional conditions. Nevertheless, some children still face problems, including excessive, inadequate, or poor nutrition. This study aims to determine the relationship between nutritional status and toddler development at the Mawar Integrated Health Post in Tegal Harum Village. Methods: The research employed an analytical observational approach with a cross-sectional design. Purposive sampling was used to select 58 children under five as subjects. Data collection involved measuring nutritional status using Weight-for-Age (WAZ) and toddler development using the Pre-Screening Development Questionnaire (PSDQ). Results: A chi-square test was conducted to analyze the relationship between nutritional status and toddler development. The results showed a significant relationship with a p-value of 0.000 < 0.05. Conclusion: Based on the findings, it can be concluded that there is a significant relationship between nutritional status and toddler development at the Mawar Integrated Health Post in Tegal Harum Village. Keywords: nutritional status, development, toddlers
Validity and reliability of the ABC-6 Scale Questionnaire: Cross-cultural adaptation study among Pejeng Village elders Mutia Pramesti, Anak Agung Istri Queen; Puspa Negara, Anak Agung Gede Angga; Saraswati, Ni Luh Putu Gita Karunia; Vittala, Govinda
Majalah Ilmiah Fisioterapi Indonesia Vol 12 No 3 (2024): Majalah Ilmiah Fisioterapi Indonesia
Publisher : Bachelor and Profession of Physiotherapy Study Program, Faculty of Medicine, Udayana University in collaboration with Indonesian Physiotherapy Association (IPA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/mifi.2024.v12.i03.p03

Abstract

Introduction: The percentage of the elderly population in Bali increased to 12.47% in 2020, leading to heightened risks and fear of falling with age. One measure to assess fear of falling is the ABC-6 Scale, which gauges self-confidence in maintaining body balance. A well-measured instrument requires good validity and reliability. Testing the validity and reliability of the questionnaire is essential to demonstrate its usefulness in measuring fear of falling and screening fall risks in the future. Methods: This study employed a descriptive survey method to assess content validity using expert evaluation and a cross-sectional design with a purposive sampling technique involving 49 subjects. Validity testing utilized Pearson product-moment correlation for construct validity and Content Validity Index for content validity assessment. Reliability testing employed Cronbach's alpha to assess internal consistency. Results: The analysis revealed good construct validity values (0.509-0.823) and excellent content validity index scores (S-CVI/Ave=0.98). Reliability analysis using Cronbach's alpha demonstrated good reliability (0.775). Conclusion: The modified Indonesian version of the ABC-6 Scale is valid and reliable for screening and evaluating fear of falling among older people. Keywords: cross-cultural adaptation, Indonesia, ABC-6 Scale questionnaire, reliability, validity
Pengenalan Pelatihan Akuatik: Solusi Aman Dan Menyenangkan Sebagai Alternatif Pelatihan Untuk Kesejahteraan Lansia Sirada, Andy; Anggraeni, Risa Kusuma; Wahyudi, Chandra Tri; Oktarina, Mona; Vittala, Govinda; Rahim, Nur Tsarwah
Journal Of Human And Education (JAHE) Vol. 5 No. 1 (2025): Journal of Human And Education (JAHE)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jh.v5i1.1787

Abstract

Abstrak Populasi lansia di Indonesia yang terus meningkat dan mencapai sekitar hampir mencapai 10% dari total penduduk, memerlukan perhatian khusus terhadap kesehatan fisik dan mental mereka. Aktivitas fisik yang aman, seperti pelatihan akuatik, efektif untuk meningkatkan kebugaran lansia. Pelatihan ini dapat mengurangi tekanan pada sendi, meningkatkan keseimbangan, dan kekuatan otot. Dalam pengabdian masyarakat oleh Fakultas Ilmu Kesehatan UPNVJ bersama Paguyuban Warga Lanjut Usia (WULAN) Indonesia, 62 lansia mengikuti penyuluhan terkait manfaat latihan akuatik, dengan peningkatan skor pengetahuan berdasar nilai pre-test rata-rata adalah 6,37, sementara post-test rata-rata 9,10, menunjukkan peningkatan sebesar 2,73 atau 42,8%. Diharapkan, pelatihan ini dapat memotivasi lansia untuk rutin beraktivitas di air, yang lebih menyenangkan dan aman. Kata Kunci: Edukasi Kesehatan, Lansia, Pelatihan Akuatik, Hidroterapi Abstract The elderly population in Indonesia which continues to grow and now accounts for nearly 10% of the total population, requires special attention to their physical and mental health. Safe physical activities, such as aquatic training, are effective in improving the fitness of the elderly. This training can reduce joint stress, improve balance, and strengthen muscles. In a community service program by the Faculty of Health Sciences UPNVJ in collaboration with the Paguyuban Warga Lanjut Usia (WULAN) Indonesia, 62 elderly participants attended a seminar on the benefits of aquatic training. The average pre-test score was 6.37, while the average post-test score was 9.10, showing an improvement of 2.73 or 42.8%. It is hoped that this training will motivate the elderly to engage in regular aquatic activities, which are safer and more enjoyable. Keywords: Health Education, Elderly, Aquatic Training, Hydrotherapy
HUBUNGAN TIPE GRAFT TERHADAP FUNGSI LUTUT DAN FUNGSI PERGELANGAN KAKI PASCA ACLR Ni Nyoman Ratnaningsih; Adhitya, I Putu Gde Surya; Vittala, Govinda; Wahyuni, Nila; Kurniawati, Ida
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 9 No. 1 (2025): APRIL 2025
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v9i1.44075

Abstract

Cedera anterior cruciate ligament (ACL) merupakan salah satu cedera yang paling sering dialami oleh individu muda, terutama mereka yang aktif di bidang olahraga. Sebagian besar robekan ACL terjadi pada atlet melalui mekanisme kontak dan non-kontak. Wanita memiliki risiko lebih tinggi mengalami cedera ACL, dengan jumlah kasus mencapai 200.000 per tahun dan sebanyak 100.000 menjalani rekonstruksi. Penelitian ini menggunakan desain studi observasional analitik dengan pendekatan cross-sectional pada 55 pasien ACL yang telah menjalani ACLR dan merupakan anggota Komunitas ACL Indonesia. Data dikumpulkan menggunakan kuesioner lysholm dan foot and ankle outcome score (FAOS) yang dikirimkan melalui platform online. Analisis data dilakukan menggunakan analisis deskriptif dan bivariat dengan uji spearman untuk melihat hubungan antar variabel. Hasil penelitian menunjukkan bahwa tipe graft memiliki hubungan signifikan dengan fungsi pergelangan kaki, khususnya pada kualitas hidup (QOL). Analisis korelasi menunjukkan bahwa tipe graft memiliki korelasi positif yang signifikan dengan QOL (r=0.319, p=0.017). Hal ini menunjukkan bahwa jenis tipe graft yang digunakan saat ACLR memberikan pengaruh terhadap fungsi pergelangan kaki khususnya pada QOL.Penelitian ini menemukan bahwa terdapat hubungan signifikan antara tipe graft dengan fungsi pergelangan kaki pasca operasi ACLR. Hasil penelitian ini menunjukkan bahwa penggunaan tipe graft yang tepat dapat mempengaruhi hasil fungsional pergelangan kaki.
HUBUNGAN FREKUENSI DAN DURASI MENARI DENGAN DERAJAT KURVATURA LUMBAL PADA PENARI BALI Trisnarini, Silviya Anindhita; Kinandana, Gede Parta; Tianing, Ni Wayan; Vittala, Govinda
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 9 No. 2 (2025): AGUSTUS 2025
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v9i2.47987

Abstract

Tari tradisional Bali merupakan warisan budaya yang masih lestari dan menjadi daya tarik utama wisatawan. Penari Bali umumnya mulai belajar sejak usia dini dan menjalani latihan rutin dalam jangka panjang. Latihan menari yang intens dan berulang dapat memengaruhi kelengkungan kurvatura lumbal, yang berisiko menyebabkan gangguan seperti hiperlordosis serta berdampak pada kesehatan dan kenyamanan gerak penari. Tujuan dari penelitian ini adalah untuk mengetahui hubungan antara frekuensi dan durasi menari dengan kelengkungan kurvatura lumbal pada penari Bali. Penelitian ini merupakan penelitian observasional analitik dengan pendekatan cross sectional dan menggunakan teknik purposive sampling, melibatkan 64 penari Bali. Frekuensi dan durasi menari diukur melalui wawancara langsung dengan subjek, sedangkan derajat kurvatura lumbal diukur menggunakan flexicurve. Hasil uji Spearman’s rho menunjukkan adanya hubungan positif antara frekuensi menari dengan derajat kelengkungan kurvatura lumbal (p=0,001; r=0,398), serta antara durasi menari dengan derajat kelengkungan kurvatura lumbal (p=0,009; r=0,325), meskipun keduanya memiliki kekuatan hubungan yang lemah. Dengan demikian, dapat disimpulkan bahwa terdapat hubungan antara frekuensi dan durasi menari dengan derajat kelengkungan kurvatura lumbal pada penari Bali, yaitu semakin tinggi frekuensi dan durasi menari maka semakin tinggi pula derajat kelengkungan kurvatura lumbal pada penari Bali
Penatalaksanaan Fisioterapi pada Kasus ACL Partial Tear dan Meniscus Lateral & Medial Tear pada Pemain Frisbee: A Case Report: Physiotherapy Management in Cases of ACL Partial Tear and Meniscus Lateral & Medial Tear in Frisbee Players: A Case Report Puriyanti, Ni Made Rika; Sunantara, Anak Agung Alit Wahyu; Widiyantari, Komang Ayu; Dewi, Kadek Agung Ayu Laksmi; Vittala, Govinda; Kamayoga, I Dewa Gede Alit; Nugraha, Made Hendra Satria
Annual Physiotherapy Scientific Meeting Proceeding 2023: Annual Physiotherapy Scientific Meeting Proceeding
Publisher : Ikatan Fisioterapi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Latar Belakang: pariwisata merupakan kegiatan perjalanan dengan tujuan untuk mendapatkan kepuasan, kenikmatan, bersantai, peningkatan pengetahuan, bekerja, berolahraga, dan lain-lain. Bali merupakan salah satu Provinsi di Indonesia yang memiliki potensi dalam perkembangan pada bidang pariwisata. Menurut penelitian, cedera olahraga lebih banyak dengan prevalensi tertinggi ditemukan pada olahraga lari, bola basket, sepak bola, dan latihan beban pada orang dewasa, terutama pada pria. Cedera yang sering terjadi adalah cedera ligament pada lutut. Ligament yang paling sering mengalami cedera adalah Anterior Cruciate Ligament (ACL) yang dimana sekitar 30 hingga 81 per 100.000 orang mengalami cedera setiap tahunnya. Tujuan: penelitian ini bertujuan untuk mengetahui efektivitas intervensi yang diberikan pada wisatawan yang mengalami cedera ACL partial tear dan meniskus lateral dan medial tear tanpa adanya tindakan operatif. Case Report: pasien saat ini menjalani rehabilitasi fisioterapi, berjenis kelamin laki-laki, berusia 39 tahun berprofesi sebagai trader mengeluhkan nyeri dan keterbatasan gerak pada lutut kiri. Diketahui sebelumnya pasien mengalami cedera saat pertandingan frisbee pada Desember 2022, saat pasien meloncat ada genangan air sehingga membuat pasien menumpu dengan posisi hiperekstensi. Setelah itu pasien melakukan MRI dan didapatkan hasil ligamen ACL pasien mengalami partial tear dan robekan pada meniscus medial dan lateral. Pasien menjalani proses rehabilitasi fisioterapi mertanadi sejak 28 Februari 2023. Setelah kurang lebih 1 bulan menjalani proses rehabilitasi fisioterapi, kemampuan fungisonal pasien hampir simetris antara kedua kaki namun masih ada ketakutan untuk mencederai kembali lututnya. Pasien dapat berlari dan melompat lebih nyaman, namun pada tanggal 1 April saat pasien melakukan latihan dirumah, saat gerakan memutar pasien merasakan nyeri kembali. Hasil Penelitian: penelitian ini menunjukkan bahwa program latihan yang diberikan dapat menurunkan rasa nyeri, namun untuk peningkatan kekuatan otot dan lingkar segmen masih belum tercapai.