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All Journal Majalah Ilmiah Fisioterapi Indonesia Jurnal Keterapian Fisik PREPOTIF : Jurnal Kesehatan Masyarakat Abdimas: Jurnal Pengabdian Masyarakat Universitas Merdeka Malang Journal Of Human And Education (JAHE) Public Health and Preventive Medicine Archive Physical Therapy Journal of Indonesia PROMOTIF: Jurnal Pengabdian Kepada Masyarakat
Vittala, Govinda
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Humanities Decision Sciences, Operations Research & Management Education Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Other

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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.
Physical therapy management for muscle tightness in a surfing athlete: a case report study Vittala, Govinda; I Putu Prananda Dinata; Putu Devinda Ardaswari; Tabita Febyola Wijaya; Lanang Imam Herlambang; I Dewa Gede Alit Kamayoga
Physical Therapy Journal of Indonesia Vol. 5 No. 1 (2024): January-June 2024
Publisher : Universitas Udayana dan Diaspora Taipei Medical University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/ptji.v5i1.171

Abstract

Background: Muscle tightness refers to the sensation of tension or stiffness in the muscles, often resulting from factors such as excessive physical activity, inadequate warm-up before exercise, muscle injury, or underlying medical conditions. This article describes a case of a surfer patient with muscle tightness who has had ACL reconstruction meniscectomy and physical therapy management. Case description: The patient was a 51-year-old male surfing athlete from New Zealand diagnosed with muscle tightness. The patient had a history of ACL and meniscus injuries, followed by ACL reconstruction and meniscectomy of the right knee. The patient was on vacation in Bali, and he was surfing every day. The patient underwent physical therapy twice a week. The intervention program included modalities (transcutaneous electrical nerve stimulation and ultrasound), manual therapy (massage and patellar mobilization), and exercise therapy (range of motion exercises, strength training, and stretching). Conclusion: The physical therapy intervention program designed for one week can yield positive results in reducing pain levels, improving the range of motion of the right knee, increasing the circumference of the right knee segment, and enhancing the functional activities of the right knee.
The body mapping of musculoskeletal complaints for surfers Putu Sri Putri Laksmi; Wibawa, Ari; M. Widnyana; Kinandana, Gede Parta; Vittala, Govinda
Physical Therapy Journal of Indonesia Vol. 5 No. 1 (2024): January-June 2024
Publisher : Universitas Udayana dan Diaspora Taipei Medical University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/ptji.v5i1.187

Abstract

Background: Surfing is an extreme water sport that consists of various movements, including paddling, popping-up, and wave riding, and has a risk of musculoskeletal complaints. This study aimed to determine the description of musculoskeletal complaints in surfers. Methods: The study used a descriptive observational design with a cross-sectional approach. This study was conducted from February to May 2023 at the halfway club in Kuta Beach, Sanur Beach, and Canggu Beach using the total sampling technique with a total available population of 60 surfers. We included the sample with inclusion criteria and excluded the sample with exclusion criteria. Fifty-one surfers were eligible for the study. Data collection was carried out by interviews using the Nordic Body Map questionnaire. Results: Based on the Nordic Body Map questionnaire, musculoskeletal complaints in surfing players in Bali were a score of 2 (somewhat painful); most of them experienced complaints in the right knee (45.10%) and upper neck (39.22%). The risk level for musculoskeletal complaints in surfers in Bali was 46 people (90.2%) with a low-risk level and five people (9.8%) with a moderate risk level. Conclusion: The most musculoskeletal complaints in surfers in Bali are in the right knee, upper neck, right shoulder, left shoulder, waist, and ankle areas. The risk level for musculoskeletal complaints among surfers in Bali was mainly low, and some had a moderate risk level.
The duration and position of sitting associated with the occurrence of low back pain in e-sports players Kemenuh, Ida Bagus Adi Wahyu Wiraduta; Kamayoga, I Dewa Gede Alit; Wahyuni, Nila; Vittala, Govinda
Physical Therapy Journal of Indonesia Vol. 5 No. 2 (2024): July-December 2024
Publisher : Universitas Udayana dan Diaspora Taipei Medical University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/ptji.v5i2.222

Abstract

Background: In the modern era, the rapid development of technology has affected many aspects of life, including the increasing popularity of online gaming among teenagers and adults. As a form of professional video game competition, e-sports has been recognized globally and nationally. However, prolonged gaming activities in a static sitting position often lead to health problems, one of which is low back pain (LBP). This study aimed to assess the association between sitting position and sitting duration with the incidence of LBP in e-sports players. Methods: This study used an observational design with a cross-sectional approach. The study sample totaled 68 e-sports players in East Denpasar who were selected through a purposive sampling method. The inclusion criteria were 20-30 years old and had an average body mass index (BMI), while the exclusion criteria had injuries to the wrist or spine. Data were collected using the rapid whole body assessment (REBA) worksheet questionnaire to assess the sitting position and the modified oswestry low back pain disability questionnaire (M-ODI) to determine the incidence of LBP. Data were analyzed using the Spearman correlation test. Results: The results showed that most of the sample had a moderate risk of sitting position (95.7%) and sitting more than 4 hours per day (67.6%). Correlation analysis showed a significant relationship between sitting position and LBP incidence (r = 0.371; p < 0.05) and between sitting duration and LBP incidence (r = 0.585; p < 0.05). The positive correlation value indicates that the worse the sitting position and the longer the sitting duration, the higher the risk of LBP. Conclusion: This study concludes that sitting position and duration are significantly associated with the incidence of LBP in e-sports players. This study is expected to educate e-sports players on the importance of ergonomic sitting positions and limiting sitting duration to reduce the risk of LBP.
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
Co-Authors Adhitya, I Putu Gde Surya Agastiya, I Made Cahyadi Agung Wiwiek Indrayani Andy Sirada Anggraeni, Risa Kusuma Antari, Ni Komang Ayu Juni Ari Wibawa Artiana, Pande Kadek Agus Dwija, Ida Bagus Nyoman Putra Gandari, NK. Matalia Gede Parta Kinandana I Dewa Gede Alit Kamayoga I Gusti Ngurah Juniartha I Nyoman Adi Putra I Putu Gede Adiatmika I Putu Prananda Dinata Ida Kurniawati, Ida Indah Pramita Kamayoga, I Dewa Gede Alit Kemenuh, Ida Bagus Adi Wahyu Wiraduta Laksmi, Ida Ayu Agung Lanang Imam Herlambang Luh Putu Ratna Sundari Luh Seri Ani M Widnyana Made Agus Hendrayana Mutia Pramesti, Anak Agung Istri Queen Natha, Florensia Sutji Putri Ni Luh Nopi Andayani, Ni Luh Nopi Ni Nyoman Ratnaningsih Ni Wayan Tianing Nila Wahyuni Nova Mahendra, Agung Oktarina, Mona Puspa Negara, Anak Agung Gede Angga Putu Devinda Ardaswari Putu Sri Putri Laksmi Rahim, Nur Tsarwah Saraswati, Ni Luh Putu Gita Karunia Saraswati, Putu Ayu Sita Tabita Febyola Wijaya Thanaya, Sayu Aryantari Putri Trisnarini, Silviya Anindhita Wahyudi, Chandra Tri