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Analgesik dan Anti-Inflamasi pada Cedera Sprain Pergelangan Kaki: Evidence Based Case Report Chikih, Chikih; Sudarsono, Nani Cahyani
Majalah Kedokteran Indonesia Vol 72 No 6 (2022): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.72.6-2022-799

Abstract

Introduction: Ankle sprain injury is an injury that often occurs in sports activities with an incidence up to 40%. The main management is by doing conservative management in the form of RICE and strengthening exercises. However, over time, many doctors and athletes use analgesics and anti-inflammatory drugs to treat the perception of pain and swelling. This article aims to find the latest evidence-based medicine on the use of analgesics and anti-inflammatory drugs relevant to ankle sprain injuries. Methods: The study was conducted by Evidence Base Medicine approach. Literature search from two digital databases; PubMed and Cochrane and selection based on Prism Flow Charts with inclusion and exclusion criteria. No statistical analysis was performed in this study. Results: The investigation was obtained six studies, consisting of 5 systematic review studies discussing the use of NSAIDs, Opioids, Acetaminophen and Cox-inhibitors in ankle sprain injury patients. The use of NSAIDs was less edible than the use of placebo and there was no significant difference between the use of NSAIDs and other analgesics. Topical use has a perceived better effectiveness than oral NSAID use. Conclusion: The use of analgesics in case of ankle sprain injury still needs further research; the main consideration is based on the patient’s pain perception. Conservative therapy remains the mainstay.
Periodization method of physical exercise for obese people Chikih, Chikih; Anggunadi, Angelica
Jurnal Keolahragaan Vol. 11 No. 1: April 2023
Publisher : Universitas Negeri Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21831/jk.v11i1.53332

Abstract

During the COVID-19 pandemic, The Centers for Disease Control and Prevention CDC, stated that obesity prevalence increased by 52%. In Indonesia, the prevalence of obesity is 21.8%. Obesity triggers an increase in pro-inflammatory cytokines, which induces chronic inflammation both locally and systemically, which can cause health problems, such as cardiovascular disease, diabetes mellitus, metabolite syndrome, and an increased risk of infection. One of the components of obesity management is increasing physical activity. One of the domains of physical activity is exercise. Exercise with the appropriate frequency, duration, intensity, type, and periodization can influence cytokine modulation so that it can reduce systemic inflammation and increase physical fitness. This evidence-based case report (EBCR) aims to determine the type of exercise periodization in obesity management and its effect on health-related fitness. The process of searching for literature on EBCR uses the PRISMA method on 3 databases, namely: PubMed, EBSCOhost, and ProQuest. From the search results, it was found that the combination of endurance and strength training exercises with linear periodization 3 times a week, was found to be better in improving fitness in obese people. Linear periodization increases cardiopulmonary fitness with a relative mean difference of 17.8(0.3 to 35.3) %, maximal strength with 1 RM bench press and 1 RM leg press test also increased, and also reduce body fat percentage about 2.1(-4.8 to 0.5) %. Thus, the combination of strength and cardiorespiratory exercise with linear periodization gives a positive response to the components of health-related fitness in obese people.