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Daba, Mariel
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PENGARUH CORE EXERCISE TERHADAP PENINGKATAN KESEIMBANGAN DINAMIS PADA LANSIA Putri, Elsa Melinda; Daba, Mariel
Medika Respati : Jurnal Ilmiah Kesehatan Vol 18, No 4 (2023)
Publisher : Universitas Respati Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35842/mr.v18i4.963

Abstract

Latar belakang: Proses penuaan adalah hal yang normal, namun bisa saja diiringi dengan masalah medis misal gangguan keseimbangan yang menyebabkan jatuh, pada lansia masalah gaya berjalan serta keseimbangan lansia disebabkan oleh kelemahan otot-otot penegak tubuh. Salah satu cara penguatan otot adalah  Core exercise, yang merupakan prinsip penguatan pada otot-otot inti tubuh  Penelitian ini bertujuan untuk mengetahui pengaruh core exercise terhadap peningkatan keseimbangan dinamis pada lansia di RS Lira Medika. Tujuan: mengetahui pengaruh core exercise terhadap peningkatan keseimbangan dinamis. Metode :  Randomized Pre and Post Control Group Design. Jumlah responden 14 orang lansia yang berusia 60 tahun keatas yang berkunjung ke Poli Rehabilitasi Medis RS Lira Medika yang dipilih dengan purposive sampling, dibagi dua kelompok, yaitu kelompok perlakuan dengan diberikan core exercise selama 2 kali dalam seminggu selama 6 minggu dan kelompok kontrol tanpa diberikan latihan. Teknik pengumpulan data dengan melakukan pengukuran keseimbangan dinamis dengan Times Up And Go Test (TUTG). Hasil: Kelompok perlakuan diuji menggunakan unpaired t-test didapatkan hasil nilai yang signifikan p value sebesar <0,0001, sedangkan pada kelompok kontrol menunjukan tidak terdapat perubahan yang signifikan dengan p value sebesar 0,1690. Kesimpulan: Ada pengaruh core exercise terhadap peningkatan kesimbangan dinamis pada lansia.
Efek Suplementasi Selenium terhadap Marker Darah Pasca Cedera Kontusio Daba, Mariel; Goenawan, Hanna; Tarawan, Vita Murniati; Rosdianto, Aziis Mardanarian; Lesmana, Ronny
Jurnal Kesehatan Andalas Vol. 10 No. 2 (2021): Online July 2021
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v10i2.1787

Abstract

Selenium is a trace element that has antioxidant properties and is a component of selenoproteins. In certain circumstances, such as injury, selenium supplementation is required to regulate the inflammatory response. Contusion injury increases the inflammatory response to a muscle or tissue that begins with vasodilation, increases blood flow, increases vascular permeability, and leads to edema formation at the site of injury. Objectives: To determine the effect of selenium supplementation on changes in blood markers in rats treated with contusion injury. Methods: Experimental design, using experimental male rats (Rattus norwegius), eight weeks old, weighing 200-220 grams, divided into three groups, namely: The Control group, the contusion group, the contusion + Selenium group. Selenium supplementation was given orally on days 1-3 after injury at a dose of 0.0153 mg into 2% PGA. Examination of markers such as White Blood cells (WBC), lymphocytes, monocytes, and neutrophils was carried out on day three after treatment. Results: This study found that the administration of post-muscular selenium supplementation based on examination of blood markers such as WBC, Lymphocytes, Monocytes was higher in the contusion group and lower in the selenium group. Neutrophils were higher in the contusion and selenium groups. This was not significantly different from the control group. The result of blood marker examination tended to change, but it was not statistically significant. Conclusion: Selenium supplementation in post-contusive injury mice did not provide significant changes in blood markers such as WBC, lymphocytes, monocytes, and neutrophils.Keywords:  antioxidant, blood marker, contusion, selenium
Pengaruh Aerobic Exercise Terhadap Aktivitas Serum Creatin Kinase Myocardial Band (CK-MB) pada Lansia Pasca Stroke Daba, Mariel; Fatria, Ilham; Padaallah, Ananda Patuh
Jurnal Kesehatan Andalas Vol. 13 No. 3 (2024): November 2024
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v13i3.2433

Abstract

Stroke can cause changes in the heart, which are associated with excessive activation of the sympathetic nervous system as a response to damage occurring in the insular cortex. Cardiac biomarkers such as creatine kinase myocardial band (CK-MB) show increased levels in some patients with acute cerebrovascular accidents without direct cardiac injury. CK-MB activity has been found to increase in the early phase of patients with ischemic stroke, subarachnoid hemorrhage, and head trauma. Objective: To determined the effect of aerobic exercise on serum creatine kinase myocardial band (CK-MB) activity in elderly post-stroke patients. Methods: This was a pre-experimental study with a one-group pretest-posttest design. The study involved 16 elderly post-stroke respondents who received aerobic exercise using a static cycle at light to moderate intensity for 10-15 minutes, 2-3 times per week, over the course of 4 weeks. CK-MB activity was evaluated using the Enzyme-Linked Immunosorbent Assay (ELISA) method. Results: There was a significant effect of aerobic exercise on serum CK-MB activity in elderly post-stroke patients, with a p-value of 0.000 or p < 0.05. The mean serum CK-MB level increased to 29.43µL, while the mean serum CK-MB level decreased to 23.12 µL after receiving aerobic exercise with a static cycle for 4 weeks. Conclusion: Aerobic exercise using a static cycle at light to moderate intensity for 10-15 minutes, 2-3 times per week, over the course of 4 weeks, had a significant effect on serum creatine kinase myocardial band (CK-MB) activity in elderly post-stroke. Keywords:  aerobic exercise, static cycle, creatine kinase-myocardial band, stroke, elderly  
PENGARUH STATIC CYCLE DAN DEEP BREATHING EXERCISE PADA PASIEN PASCA STROKE DENGAN PENURUNAN KARDIORESPIRASI DI RUMAH SAKIT SENTRA MEDIKA CIKARANG Daba, Mariel; Azahra Putri Prisila; Muhammad Rifki Aliwafa
Cakrawala Medika: Journal of Health Sciences Vol. 3 No. 2 (2025): Cakrawala Medika: Journal of Health Sciences
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Universitas Medika Suherman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59981/psarw437

Abstract

Stroke merupakan penyebab kematian tertinggi kedua di dunia, dengan sekitar 15 juta kasus setiap tahunnya. Pada penderita stroke, terjadi penurunan fungsi kardiovaskular dan denyut nadi yang berdampak pada distribusi oksigen, gangguan pergerakan dinding dada, serta kelemahan otot, yang secara keseluruhan memengaruhi mekanisme dan efisiensi pernapasan. Latihan aerobik yang dilakukan secara teratur, terukur, dan dengan dosis yang sesuai, dapat membantu meningkatkan VO₂max dan METs. Penelitian ini bertujuan untuk mengetahui pengaruh latihan static cycle dan deep breathing exercise pada pasien pasca stroke yang mengalami penurunan fungsi kardiorespirasi di RS Sentra Medika Cikarang. Penelitian ini menggunakan metode kuasi-eksperimental dengan rancangan pretest-posttest two group. Pelaksanaan dilakukan di Instalasi Rehabilitasi Medik Fisioterapi RS Sentra Medika Cikarang. Sebanyak 16 subjek dipilih melalui teknik purposive sampling, dan dibagi menjadi dua kelompok perlakuan yang masing-masing terdiri dari 8 orang. Kelompok pertama menjalani latihan static cycle dengan intensitas ringan hingga sedang selama 10–15 menit, sementara kelompok kedua menjalani deep breathing exercise selama 3–5 menit. Intervensi dilakukan 2–3 kali per minggu selama 4 minggu. Instrumen yang digunakan untuk pengukuran adalah Six-Minute Walking Test (6MWT). Hasil penelitian menunjukkan adanya pengaruh signifikan dari pemberian latihan static cycle maupun deep breathing exercise dengan nilai p = 0,0002 (p < 0,05) pada masing-masing kelompok. Latihan static cycle dan deep breathing exercise berpengaruh terhadap peningkatan hasil pemeriksaan 6MWT pada pasien pasca stroke dalam masing-masing kelompok perlakuan.
PEMBERIAN AKTIVITAS FISIK DENGAN SIX MINUTED WALKING TEST PADA LANSIA DENGAN KONDISI STROKE Daba, Mariel; Maulina, Luluk
SELAPARANG: Jurnal Pengabdian Masyarakat Berkemajuan Vol 7, No 4 (2023): December
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jpmb.v7i4.17127

Abstract

ABSTRAKAktivitas fisik berpotensi mempengaruhi beberapa domain fungsional dan status kesehatan pada individu dengan stroke, pemberian latihan/olahraga disarankan dikarenakan berpengaruh pada tingkat aktivitas fisik. Six minuted walking test adalah alat ukur sekaligus latihan yang digunakan untuk menilai kapasitas berjalan secara klinis dan banyak digunakan untuk menilai aspek kinerja terkait berjalan pada pasien stroke. Six minuted walking test telah direkomendasikan sebagai tes berjalan dengan jangka waktu yang lebih singkat, oleh karena itu lebih mudah untuk digunakan pada lansia. Tujuan dari kegiatan pengabdian ini adalah untuk memberikan aktivitas fisik atau latihan kepada lansia berupa six minuted walking test, pemberian six minuted walking test dengan tujuan membantu meningkatkan kemampuan fungsional lansia pasca stroke. Dalam kegiatan pengabdian ini selain diberikan Latihan juga diberikan edukasi kepada lansia agar lansia dapat mengetahui tentang pentingnya aktivitas fisik dalam membantu meningkatkan kemampuan aktivitas fungsional pada lansia pasca stroke.  Metode kegiatan ini adalah pemberian aktivitas fisik dengan Latihan six minuted walking test pre-test dan post-test yang diberikan pada lansia dengan kondisi stroke di Rukun Senior Living yang dilaksanakan dari bulan Januari – Februari 2023. Kegiatan ini dimulai dari studi pendahuluan, pemberian materi dan demo video Latihan, dan evaluasi. Hasil dari kegiatan pengabdian ini adalah terjadi peningkatan kemampuan aktivitas fungsional pada lansia yang signifikan dengan nilai p value = 0,0047**setelah pemberian latihan dengan six minuted walking test pada lansia dengan kondisi stroke. Kata kunci: aktivitas fisik; kemampuan aktivitas fungsional; stroke; six minuted walking test. ABSTRACTPhysical activity has the potential to influence several functional domains and health status in individuals with stroke, providing exercise/exercise is recommended because it affects the level of physical activity. The six minute walking test is a measurement and exercise tool used to clinically assess walking capacity and is widely used to assess performance aspects related to walking in stroke patients. The six minute walking test has been recommended as a shorter walking test, therefore easier to use in the elderly. The aim of this service activity is to provide training to the elderly in the form of a six minute walking test, giving a six minute walking test with the aim of helping improve the functional abilities of the elderly after a stroke. In this service activity, apart from providing exercise, education is also provided to the elderly so that the elderly can know about the importance of physical activity in helping to improve functional activity abilities in the elderly after a stroke. The method of this activity is providing physical activity with six minute walking test pre-test and post-test exercises given to elderly people with stroke conditions at Rukun Senior Living which will be carried out from January – February 2023. This activity starts with a preliminary study, providing materials and practice video demos, and evaluations. The result of this service activity was that there was a significant increase in functional activity abilities in elderly people with a p value = 0.0047** after providing training with the six minute walking test in elderly people with stroke conditions. Keywords: physical activity; functional activity ability; strokes; six minute walking test.
Pengaruh Latihan Motorik Berbasis Virtual Reality Terhadap Aktivitas Serum Brain-Derived Neurotrophic Factor (BDNF) Pada Pasien Dengan Kondisi Stroke Daba, Mariel; Ferdyastari, Nathasya; Lela, Luh Ade
Jurnal Kesehatan Terpadu (Integrated Health Journal) Vol 16 No 2 (2025): Jurnal Kesehatan Terpadu (Integrated Health Journal)
Publisher : Poltekkes Kemenkes Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32695/jkt.v16i2.713

Abstract

Stroke remains a leading cause of disability worldwide, and rehabilitation strategies that enhance neuroplasticity are essential for functional recovery. VR has emerged as an innovative approach to motor control training, providing multisensory stimulation and increasing patient engagement. This study aimed to evaluate the effect of VR-based motor control training on serum BDNF levels and upper extremity motor function in stroke patients. A quasi-experimental two-group pretest–posttest design was conducted with 30 stroke patients recruited through purposive sampling, divided equally into VR and control groups. The VR intervention, delivered using Oculus Quest 2, consisted of four sessions (10–20 minutes/session, 2–3 times per week) incorporating modules for bilateral coordination, reaching, gripping, balance, and cognitive–motor dual tasks. Motor function was assessed using the WMFT, and serum BDNF levels were measured pre- and post-intervention using ELISA. Results showed that BDNF levels in the control group remained unchanged (1.24 ng/mL), while the VR group demonstrated a significant increase from 1.45 to 1.54 ng/mL (p < 0.0001). WMFT scores improved in both groups, but the improvement was greater in the VR group (38 ± 0.39 to 42 ± 0.39; p < 0.0001). These findings indicate that VR-based motor training effectively enhances serum BDNF levels and motor function in stroke patients. Further studies with larger samples, more intensive interventions, and long-term follow-up are recommended. Keywords: Virtual Reality, BDNF, Neuroplastisitas, Motor Function, Stroke
Pemberian aktivitas fisik dengan brain gym exercise pada lansia pasca stroke Warasti, Nabila Salsabillah; Daba, Mariel; Fatria, Ilham
SELAPARANG: Jurnal Pengabdian Masyarakat Berkemajuan Vol 8, No 2 (2024): June
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jpmb.v8i2.23468

Abstract

AbstrakAktivitas fisik mempengaruhi kesehatan fungsional pada lansia pasca stroke, lansia pasca stroke diberikan latihan untuk meningkatkan aktivitas fisik. Activitas daily living adalah alat ukur untuk menilai aktivitas fungsional pada lansia pasca stroke. Activitas daily living telah direkomendasikan sebagai tes fungsional dengan jangka waktu yang lebih singkat, oleh karena itu lebih mudah untuk digunakan pada lansia. Tujuan dari kegiatan pengabdian ini adalah untuk memberikan aktivitas fisik atau latihan kepada lansia pasca stroke berupa brain gym exercise dengan tujuan membantu meningkatkan kemampuan fungsional lansia pasca stroke. Dalam kegiatan pengabdian ini selain diberikan latihan juga diberikan edukasi kepada lansia agar lansia dapat mengetahui tentang pentingnya aktivitas fisik dalam membantu meningkatkan kemampuan aktivitas fungsional pada lansia pasca stroke. Metode kegiatan ini adalah pemberian aktivitas fisik dengan brain gym exercise pre-test and post-test yang diberikan pada lansia dengan kondisi stroke di Desa PAsir Gombong yang dilaksanakan dari bulan  Februari 2024. Kegiatan ini dimulai dari studi pendahuluan, pemberian materi dan demo video latihan, dan evaluasi. Hasil dari kegiatan pengabdian ini adalah terjadi peningkatan kemampuan aktivitas fungsional pada lansia yang signifikan dengan nilai p value = <0,0001  setelah pemberian latihan dengan activity daily living pada lansia dengan kondisi stroke. Kata Kunci: aktivitas fisik; brain gym; activity daily living. AbstractPhysical activity affects functional health in elderly people after stroke. Elderly people after stroke are given exercises to increase physical activity. Daily living activity is a measuring tool to assess functional activity in the elderly after stroke. Daily living activities have been recommended as a functional test with a shorter duration, therefore it is easier to use in the elderly. The purpose of this activity is to provide physical activity or exercise to elderly people after stroke in the form of brain gym exercises with the aim of helping improve the functional abilities of elderly people after stroke. In this service activity, apart from providing exercise, education is also provided to the elderly so that the elderly can know about the importance of physical activity in helping to improve functional activity abilities in the elderly after a stroke. The method of this activity is providing physical activity with brain gym exercises pre-test and post-test given to elderly people with stroke conditions in PAsir Gombong Village which will be implemented from February 2024. This activity starts with a preliminary study, providing materials and exercise video demos, and evaluation. The result of this service activity is that there is a significant increase in functional activity abilities in the elderly with a p value = <0.0001 after providing training with daily living activities in elderly people with stroke conditions. Keywords: physical activity; brain gym; activities daily living.
Co-Authors Ananda Patuh Padaallah Azahra Putri Prisila Fatria, Ilham Ferdyastari, Nathasya Hanna Goenawan Lela, Luh Ade Maulina, Luluk Muhammad Rifki Aliwafa Putri, Elsa Melinda Ronny Lesmana Rosdianto, Aziis Mardanarian Vita Murniati Tarawan Warasti, Nabila Salsabillah