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Differences in the Effect of the Combination of Home-Based Walking Exercise and Pursed Lip Breathing with Pranayama Exercise on Increasing Lung Capacity in COPD Conditions Haritsah, Nurul Fithriati; Windiastoni, Yoga Handita; Noerdjannah, Noerdjannah
Indonesian Journal of Medicine Vol. 7 No. 4 (2022)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (31.871 KB) | DOI: 10.26911/theijmed.2022.7.4.590

Abstract

Background:  Data from the pulmonary disease polyclinic at Bangil Hospital showed an increase in Chronic Obstructive Pulmonary Disease (COPD) patient visits. In 2018 the number of COPD patients who visited the pulmonary disease clinic for the last 3 months was 219 COPD patients. COPD patients experience deficits in caring for themselves due to various symptoms that manifest as a manifestation of the development of COPD disease. This study aimed to determine the differences in the effect of the combination of home-based walking exercise and pursed lip breathing with pranayama exercise on increasing lung capacity in COPD conditions.Subjects and Method:  The design of this study is a two-group pre and post-test design. As many as 8 respondents to the pursed lip breathing intervention and home-based walking exercise and 8 respondents to the pranayama exercise according to the inclusion and exclusion criteria. This study compared the effect of walking exercises combined with pursed lip breathing and pranayama exercise on increasing lung vital capacity in COPD patients. The independent variable is lung capacity. The dependent variable is home-based walking exercise and pursed lip breathing This research was conducted once a week for 12 weeks in May-August 2021 at Dungus Madiun Lung Hospital. All categories were analyzed using a Mann-Whitney run on SPSS.Results:  The results before being given the combination of pursed lip breathing and home-based exercises (Mean= 95.39; SD= 0.70) compared to after being given the combination of pursed lip breathing and home-based exercises (Mean= 98.08; SD= 1.23) and statistically significant p<0.001 increases lung capacity in COPD conditions. The results before being given pranayama exercises (Mean= 95.83; SD= 0.71), after being given pranayama exercises (Mean= 97.54; SD= 0.81) and statistically significant p<0.001 increased lung capacity in COPD conditions. score in the elderly was 32.57 (Mean= 32.57; SD= 4.49).Conclusion:  There is an effect of giving a combination of home-based walking exercises and pursed lip breathing in increasing the lung capacity of COPD patients. There is an effect of providing pranayama exercise in increasing the lung capacity of COPD patients.Keywords: home-based walking exercise, pranayama exercise, pursed lip breathing, lung capacityCorrespondence:  Nurul Fithriati Haritsah. Department of Physiotherapy, Health Polytechnic Surakarta, Ministry of Health. Jl. Letjend Sutoyo, Mojosongo, Jebres, Surakarta 57127, Central Java, Indonesia. Email: nurulfithriati_haritsa@yahoo.com.Indonesian Journal of Medicine (2022), 07(04): 439-448https://doi.org/10.26911/theijmed.2022.07.04.09 
Effect of Cryotherapy Combined with William Flexion Exercise in Reducing Myogenic Low Back Pain Windiastoni, Yoga Handita; Basuki, Nur; Haritsah, Nurul Fithriati
Indonesian Journal of Medicine Vol. 8 No. 2 (2023)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2023.8.2.641

Abstract

Background: Health problems related to daily activities can be experienced by individuals or groups. The most common complaint in the musculoskeletal system is low back pain. Low Back Pain according to the Ministry of Health of the Republic of Indonesia in 2018 means pain that is felt in the lower back area, between the lowest costal angle to the sacrum. The purpose of this study was to determine the effect of adding cold pack therapy to the William flexion exercise on reducing pain in myogenic LBP patients. Subjects and Method: This was an experiment study conducted at Dr. Moewardi Hospital, Surakarta, Central Java, in September 2022. A sample of 22 patients with myogenic low back pain was allocated into two groups. The dependent variable was pain. The independent variable was cryotherapy combined with William flexion exercise. Pain was measured using quadripel visual analogue scale. Mean between groups after intervention was analyzed using independent t test. Results: Mean of pain in the intervention group (Mean= 6.27; SD= 1.00) was lower than control group (Mean= 7.09; SD= 0.94), and it was statistically significant (p<0.001). Conclusion: Cryotherapy combined with William flexion exercise is better to reduce pain in patients with myogenic low back pain. Keywords: low back pain myogenic, cryotherapy, William flexion exercise. Correspondence: Yoga Handita Windiastoni. Study Program of Physiotherapy, Health Polytechnic, Ministry of Health Surakarta, Karanganyar, Central Java. Email: handitayoga@gmail.com. Mobile: 081329036114.    
Perbedaan Pengaruh Progressive Muscular Relaxation dan Senam Yoga terhadap Penurunan Hipertensi pada Lansia di Desa Tohudan, Colomadu, Karanganyar Windiastoni, Yoga Handita; Basuki, Nur; Haritsah, Nurul Fithriati
Jurnal Terapi Wicara dan Bahasa Vol. 3 No. 2 (2025): Juni 2025
Publisher : Politeknik Kesehatan Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59686/jtwb.v3i2.181

Abstract

Background: Hypertension or high blood pressure is a condition where a person's blood pressure is at 130/80 mmHg or more. Hypertension can also be called a silent killer disease, meaning that this disease often occurs without any complaints and signs that appear beforehand (WHO 2018). If this hypertension is left untreated, it can cause complications such as heart disease, kidney disease, and stroke. The estimated number of people with hypertension in Indonesia is 63,309,620 people, and the death rate from hypertension is 427,218. In Indonesia, hypertension that occurs in the 31-44 age group is 31.6%, 45-54 years old 45.3%, 55-64 years old 55.2% Therefore, hypertension cannot be underestimated (Riskesdas, 2018). Objectives: (1) to determine the effect of yoga on reducing blood pressure in elderly people with hypertension, (2) to determine the effect of progressive muscular relaxation on reducing blood pressure in elderly people with hypertension, (3) to determine whether there is a difference in the effect between yoga and progressive muscular relaxation on reducing blood pressure in elderly people with hypertension, (4) to determine which has a greater effect between yoga and progressive muscular relaxation on reducing blood pressure in elderly people with hypertension. Methods: This study is an experimental study, using a two group pre-test and post-test design involving 20 subjects who were randomly divided into 2 groups. Group I was given progressive muscular relaxation treatment and group II was given yoga treatment. With a frequency of exercise once a week for 3 weeks. The measuring instrument in this study used a sphygmomanometer. Results: Hypothesis I test using paired sample t-test obtained a p value: 0.000 (p <0.05) while hypothesis II test using paired sample t-test obtained a p value: 0.000 (p <0.005) for hypothesis III test using independent sample t-test obtained a p value: 0.042 (p <0.005). Conclusion: (1) there is an effect of yoga on reducing blood pressure in elderly people with hypertension, (2) there is an effect of progressive muscular relaxation on reducing blood pressure in elderly people with hypertension, (3) to find out whether there is a difference in the effect between yoga and progressive muscular relaxation on reducing blood pressure in elderly people with hypertension, (4) yoga has a greater effect than progressive muscular relaxation on reducing blood pressure in elderly people with hypertension. Keywords : Yoga, Progressive Muscular Relaxation, Hypertension, Elderly
Efektivitas Program Latihan Aerobik pada Penurunan Nyeri Dismenore Primer: Meta-analysis Fadli, Arif; Rustanti, Marti; Windiastoni, Yoga Handita
Jurnal Kesehatan Vokasional Vol 9, No 1 (2024): February
Publisher : Sekolah Vokasi Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkesvo.92667

Abstract

Latar Belakang: Wanita dengan Dismenore Primer (DP) dapat merasakan nyeri hebat akibat hiperkontraktilitas saat menstruasi, hipoksia, dan iskemia otot rahim. Wanita dengan DP akan mengalami hambatan aktivitas belajar dan keseharian. Obat analgetik efektif menurunkan nyeri dismenore primer dengan efek samping mual dan muntah. Program latihan aerobik bisa menjadi solusi pengobatan nyeri  DP tanpa efek samping.Tujuan: Penelitian ini bertujuan untuk mengevaluasi efektivitas program latihan aerobik untuk pengurangan nyeri akibat dismenore primer.Metode: Systematic review dan meta-analisis artikel publikasi tahun 2013 s/d 2023 pada desain Randomized Control Trial di databased PubMed, Google Scholar, OVID, ResearchGate, ScienceDirect. Program Revman 5.3 digunakan dalam analisis data dengan ukuran efek terapi pada penurunan nyeri DP.Hasil: Lima artikel dengan 312 wanita DP dimasukan sintesis meta-analisis. Hasilnya menunjukan bahwa latihan aerobik efektif menurunkaan nyeri akibat dismenore primer dibandingkan dengan kelompok kontrol tanpa intervensi dengan ukuran efek terapi adalah besar (d= -2,03; CI= -3,37 – 0,69; P <0,00001).Kesimpulan: Program latihan aerobik efektif menurunkan nyeri akibat dismenore primer. Latihan aerobik dapat menurunkan nyeri melalui peningkatan sirkulasi darah sistemik yang disertai penurunan sensitifitas gerak akibat dismenore primer.