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The comparative effect of core stability exercise and aquatic exercise therapy on reducing pain in patients with low back pain Haritsah, Nurul Fithriati; Handita W, Yoga; Basuki, Nur
Science Midwifery Vol 12 No 4 (2024): October: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v12i4.1682

Low Back Pain (LBP) is a prevalent health issue caused by improper posture during activities, resulting in pain, stiffness, or muscle tension in the lower back (Minghelli, 2017). It is a major cause of disability, particularly among adults, and a common reason for seeking healthcare (Bento et al., 2019). The Indonesian Ministry of Health (2022) reports that 60-80% of the global population experiences at least one episode of LBP in their lifetime. This study used a pre- and post-test two-group design with random assignment. Group I received Core Stability Exercise therapy, while Group II received Aquatic Exercise Therapy. Both groups underwent treatment twice weekly for eight weeks. The study involved outpatients at KRMT Wongsonegoro Hospital, Semarang. Results: Core Stability Exercise significantly reduced pain in myogenic LBP patients (p=0.00). Aquatic Exercise Therapy also showed significant pain reduction (p=0.00). A significant difference was found between the two therapies (p=0.036), with Aquatic Exercise Therapy having a greater effect (mean=3.942) compared to Core Stability Exercise (mean=3.275). Core Stability Exercise and Aquatic Exercise Therapy both significantly reduce pain in myogenic LBP patients, with Aquatic Exercise Therapy being more effective.

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

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

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

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

The effect of aerobic exercise on blood sugar control in diabetes mellitus patients Haritsah, Nurul Fithriati; Kurniawati, Dwi
Science Midwifery Vol 13 No 5 (2025): Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i5.2150

Diabetes mellitus is a global health problem with increasing prevalence. According to data from the International Diabetes Federation (1), more than 537 million people worldwide suffer from DM. Aerobic exercise has been recommended as a non-pharmacological intervention to control blood glucose levels, but further research is needed to determine its effectiveness in various clinical contexts. Various measures are taken to prevent and control diabetic neuropathy and improve peripheral circulation through the five pillars of DM management, namely education, nutrition, physical activity, pharmacological therapy, and blood glucose monitoring. Physical activity is an important element in preventing and managing type 2 DM. Aerobic exercise is a series of deliberately selected movements that follow the rhythm of music that is also selected so as to create certain rhythmic, continuity, and duration provisions. Subjects and Method: This study used 30 subjects with a quasi-experimental method with one group pretest and posttest design with control. The total sample was 30 patients, namely 15 in the intervention group and 15 in the control group. This study was conducted on subjects aged 40-60 years in Tohudan Village, Colomadu, Karanganyar. The intervention group underwent an aerobic exercise program three times a week for 12 weeks, while the control group did not receive any intervention. Blood sugar levels were measured before and after the intervention. Results: There was a significant effect between random blood glucose levels in patients given the intervention, with a mean difference of -46,000, indicating that after being given an aerobic exercise intervention, random blood glucose could decrease by about 46 mg/dl. Conclusion: There is an effect of aerobic exercise on blood sugar control in patients with diabetes mellitus.

Beda Pengaruh Post Isometric Relaxation dan Stretching Exercise terhadap Penurunan Nyeri Leher Non Spesifik : Studi Kasus Ananta, Diella Khaerani; Haritsah, Nurul Fithriati; Ghufroni, Afif
Jurnal Terapi Wicara dan Bahasa Vol. 4 No. 1 (2025): Desember 2025
Publisher : Politeknik Kesehatan Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59686/jtwb.v4i1.219

Background: Non-ergonomic work positions and monotonous postures, when maintained for extended periods, can have detrimental effects on workers, leading to muscle tension in the neck and shoulders, which may result in neck pain. Non specific neck pain refers to pain that can be provoked by static neck postures over long durations, neck movements, and tenderness upon palpation of cervical muscles without accompanying pathological conditions. Physiotherapy interventions that can be applied to reduce non-specific neck pain include post-isometric relaxation and stretching exercises. Objectives: To determine which intervention is more effective between post-isometric relaxation and stretching exercises in reducing non-specific neck pain. Methods: An experimental study with a two-group pre-and-post test design was conducted over two weeks in September 2024. Subjects were workers in a garment factory who met the inclusion criteria. A total of 52 subjects were randomly divided into two groups. Group I (n=27) received treatment through post isometric relaxation, while Group II (n=25) received treatment through stretching exercises. The Visual Analog Scale (VAS) was used to measure the reduction in neck pain. Results: Based on the results of the pre-post test statistical test of groups I and II, a value of p = 0.000 (p< 0.05) was obtained, which means that there is an effect of the pre-post test statistical test of groups I and II. For the post-test statistics of groups I and II, a value of p = 0.000 (p < 0.05) This indicates a difference in effect, with a mean difference of 26.51 in the PIR group and 14.2 in the stretching exercise group.Conclusion: Post-isometric relaxation is more effective in reducing pain in non-specific neck pain. Keywords: Non-specific neck pain, Post isometric relaxation, Stretching exercise, Visual Analogue Scale (VAS).

The effect of aerobic exercise on blood sugar control in diabetes mellitus patients Haritsah, Nurul Fithriati; Kurniawati, Dwi
Science Midwifery Vol 13 No 5 (2025): December: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i5.2150

Diabetes mellitus is a global health problem with increasing prevalence. According to data from the International Diabetes Federation (1), more than 537 million people worldwide suffer from DM. Aerobic exercise has been recommended as a non-pharmacological intervention to control blood glucose levels, but further research is needed to determine its effectiveness in various clinical contexts. Various measures are taken to prevent and control diabetic neuropathy and improve peripheral circulation through the five pillars of DM management, namely education, nutrition, physical activity, pharmacological therapy, and blood glucose monitoring. Physical activity is an important element in preventing and managing type 2 DM. Aerobic exercise is a series of deliberately selected movements that follow the rhythm of music that is also selected so as to create certain rhythmic, continuity, and duration provisions. Subjects and Method: This study used 30 subjects with a quasi-experimental method with one group pretest and posttest design with control. The total sample was 30 patients, namely 15 in the intervention group and 15 in the control group. This study was conducted on subjects aged 40-60 years in Tohudan Village, Colomadu, Karanganyar. The intervention group underwent an aerobic exercise program three times a week for 12 weeks, while the control group did not receive any intervention. Blood sugar levels were measured before and after the intervention. Results: There was a significant effect between random blood glucose levels in patients given the intervention, with a mean difference of -46,000, indicating that after being given an aerobic exercise intervention, random blood glucose could decrease by about 46 mg/dl. Conclusion: There is an effect of aerobic exercise on blood sugar control in patients with diabetes mellitus.

KORELASI DURASI MENATAP LAYAR GADGET DAN TINGKAT AKTIVITAS FISIK DENGAN KUALITAS TIDUR PADA MAHASISWA DI JURUSAN FISIOTERAPI POLTEKKES KEMENKES SURAKARTA Irawan, Rendhy; Suhardi; Haritsah, Nurul Fithriati
Jurnal Nasional Fisioterapi Vol. 3 No. 3 (2025): Oktober 2025
Publisher : Jurusan Fisioterapi Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64974/jnf.v3i3.89

Latar belakang: Kualitas tidur yang buruk berdampak pada sistem kardiovaskuler, neuromuskuler, dan muskuloskeletal. Mahasiswa fisioterapi berisiko mengalami gangguan tidur akibat stres, kurangnya aktivitas fisik, dan paparan layar gadget yang tinggi. Tujuan: Mengetahui hubungan antara durasi menatap layar gadget dan tingkat aktivitas fisik terhadap kualitas tidur mahasiswa fisioterapi Poltekkes Kemenkes Surakarta. Metode: Penelitian observasional analitik dengan pendekatan cross-sectional pada 87 mahasiswa. Kualitas tidur diukur menggunakan PSQI, aktivitas fisik diestimasi melalui VO₂max, dan durasi screen time dicatat per hari. Analisisstatistik menggunakan uji korelasi Spearman dan regresi logistik biner untuk mengevaluasi pengaruh gabungan variabel. Hasil: Terdapat hubungan signifikan antara aktivitas fisik dan kualitas tidur (r = +0,518; p < 0,01), tetapi tidak terdapat hubungan signifikan antara screen time dan kualitas tidur (r = -0,173; p = 0,132). Analisis regresi logistik menunjukkan bahwa aktivitas fisik secara signifikan memengaruhi kualitas tidur (OR = 8,556; 95% CI: 3,015–24,276; p < 0,001), sedangkan screen time tidak berpengaruh signifikan (OR = 0,584; 95% CI: 0,203–1,684; p = 0,320). Kesimpulan: Aktivitas fisik berhubungan positif terhadap kualitas tidur dan memiliki pengaruhdominan dibandingkan durasi screen time. Saran: Intervensi untuk meningkatkan kualitas tidur pada mahasiswa sebaiknya fokus pada peningkatan aktivitas fisik, sementara manajemen screen time dapat dipertimbangkan sebagai pendukung.

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