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All Journal International Journal of Public Health Science (IJPHS) Jurnal Keolahragaan Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia eJournal Kedokteran Indonesia
Chikih Chikih
Program Pendidikan Dokter Spesialis Ilmu Kedokteran Olahraga Universitas Indonesia
Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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Effect of acute submaximal physical exercise before decompression dive on tumor necrosis factor alpha concentration among male trained divers Chikih Chikih; Guritno Suryokusumo; Astrid Sulistomo
International Journal of Public Health Science (IJPHS) Vol 10, No 2: June 2021
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v10i2.20666

Abstract

The increase of inflammatory biomarkers due to decompression dive is one of the factors that could cause decompression sickness (DCS), one of them is tumor necrosis alpha (TNFα). According to the preconditioning theory, exercise before dive can reduce amount of gas bubble to prevent DCS. This study aimed to prove that exercise before diving can prevent increase of TNFα. This study employed quasi-experimental design with trained male divers. The subject divided into two groups, treatment and control. The treatment group got submaximal exercise with 70% heart rate intensity, using cycle ergometer with young men's Christian association (YMCA) procedure modify by Guritno, 24 hours before decompression dive 280 kPa bottom time 80 minute with US-NAVY table, whereas the control group only do decompression dive. TNFα expression was checked three times, at beginning of study, before dive and after dive. In treatment group there was insignificant decrease TNFα, from 7.06±1.85pg./ml to 6.75±1.81pg./ml, whereas the control group showed a significant increased TNFα, from 8.22 (1.45 to 13.11)pg./ml to 8.39 (1.73 to 12.18)pg/ml, and significant difference was found between the mean difference for two groups p<0.05. It can be concluded that acute submaximal exercise prevents an increase of TNFα after single dive decompression to prevent possibility occurring DCS).
Athletes sleep duration during COVID-19 pandemic and its relationship with health condition Jull Kurniarobbi; Chikih Chikih; Muhammad Andeansah; Ria Lestari; Irfan Sukendar
International Journal of Public Health Science (IJPHS) Vol 11, No 1: March 2022
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v11i1.21089

Abstract

During the coronavirus desease 2019 (COVID-19) pandemic, athletes must be able to adapt to new habits, such as: social restriction, change of competition schedule, and sending back home. This situation has led to an 18.2% increase in sleep disturbances. This study aimed to look at the sleep duration of adolescent athletes during the COVID-19 pandemic and its impact on athlete’s health conditions. A total of 126 adolescent athletes from 15 sports were recruited in this cross-sectional study. Adequate sleep duration was assessed according to the American Academy of Sleep Medicine criteria. Data on health conditions, medical history, injury history, were taken using a questionnaire. Behavioral assessment was assessed through the strengths and difficulties questionnaire. About 80.2% of adolescent athletes had insufficient sleep, and there was a significant relationship between sleep duration and disease incidence with a relative risk (RR) of 3.31 (1.32-8.28) 95% convidence interval (CI). There was no significant relationship between adequate sleep duration and health conditions (p>0.05). Things that may be the cause of sleep disturbances; use of electronic devices (37.6%), environmental conditions (53.4%), and worry (9%). In the end, this indicates adolescent athletes face difficulties in achieving adequate sleep duration during this pandemic and a continuous surveillance system is needed to monitor athletes outside the dormitory.
Prognostic of Recurrence of Ankle Sprain Injury in Athletes who Return to Sports Early Chikih Chikih; Nani Cahyani Sudarsono; Elina Widiastuti; Anggia Prathama Nasution
eJournal Kedokteran Indonesia Vol 9, No. 2 - Agustus 2021
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (369.38 KB) | DOI: 10.23886/ejki.9.11.137

Abstract

Ankle sprains can occur in all athletes. The injuries are often considered minor but can occur repeatedly which can cause chronic complications. This evidence-based case report aims to determine the prognosis of recurrent ankle sprains resulting from returning to exercise too early. This report uses two databases for evidence collection, namely PubMed and Cochrane. Of the four articles, it was found that recurrent ankle sprains incidence rate was 33%, and neuromuscular training significantly reduced ankle sprain recurrence rates with relative risk 0.63 (95 % CI: 0.34-0.99) and hazard ratio 0.18 (95 % CI: 0.07-0.43). The healing time to the pre-injury state reached 93.8 ± 1.2 days for conventional therapy and 97.6 ± 1.5 days for a surgical procedure, and the time to return to exercise was 46.6 (95 % CI:15.4-70) days for conventional treatment and 55.2 ± 15.8 (95 % CI: 41.7 ± 9.8) days for surgical procedure. Using an ankle brace can help in healing and preventing recurrent injuries. Future more, proper handling and education about injuries and when is the optimal time to return to exercise can prevent relapse. Keywords: ankle sprain, return to sports, recurrence injury.   Prognosis Kekambuhan Cedera Sprain Pergelangan Kaki Olahragawan Setelah Kembali Berolahraga Lebih Awal Abstrak Cedera sprain pergelangan kaki dapat terjadi pada semua atlet. Cedera tersebut sering dianggap ringan namun jika terjadi berulang dapat menyebabkan komplikasi kronik. Laporan kasus berbasis bukti ini bertujuan untuk mengetahui prognosis kejadian berulang cedera sprain pergelangan kaki akibat kembali berolahraga terlalu awal. Dua basis data digunakan dalam pengumpulan bukti, yakni PubMed dan Cochrane. Dari empat artikel didapati cedera sprain pergelangan kaki dapat terjadi berulang dengan incidence rate 33% dan menyatakan neuromuscular training secara signifikan mengurangi tingkat kekambuhan sprain pergelangan kaki dengan relative risk 0.63 (95% CI: 0.34-0.99) dan hazard ratio 0.18 (95% CI: 0.07-0.43). Waktu penyembuhan ke keadaan sebelum cedera 93.8±1.2 hari untuk terapi konvensional, 97.6±1.5 hari untuk tindakan operatif, waktu kembali berolahraga adalah 46.6 (95% CI:15.4-70) hari untuk tindakan konvensional dan 55.2 ± 15.8 (95 % CI: 41.7 ± 9.8) hari untuk tindakan operasi. Penggunaan penyangga pergelangan kaki dapat membantu proses penyembuhan dan pencegahan cedera berulang. Oleh karena itu penanganan dan edukasi yang tepat mengenai cedera dan menetapkan waktu yang tepat untuk kembali berolahraga dapat mencegah kekambuhan. Kata kunci: cedera pergelangan kaki, kembali berolahraga, cedera berulang.
Periodization method of physical exercise for obese people Chikih Chikih; Angelica Anggunadi
Jurnal Keolahragaan Vol 11, No 1: April 2023
Publisher : Program Studi Ilmu Keolahragaan Program Pascasarjana 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.
Analgesik dan Anti-Inflamasi pada Cedera Sprain Pergelangan Kaki: Evidence Based Case Report Chikih Chikih; Nani Cahyani Sudarsono
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.
Co-Authors Angelica Anggunadi Anggia Prathama Nasution Astrid Sulistomo Elina Widiastuti Guritno Suryokusumo Irfan Sukendar Jull Kurniarobbi Muhammad Andeansah Nani Cahyani Sudarsono Nani Cahyani Sudarsono Ria Lestari