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All Journal Journal of Nutrition and Health Jurnal Kedokteran Diponegoro Indonesian Journal of Urology LINK Jurnal Teknologi dan Sistem Komputer Medica Hospitalia Jurnal Pembelajaran Pemberdayaan Masyarakat (JP2M) SURABAYA PHYSICAL MEDICINE AND REHABILITATION JOURNAL Jurnal Penyakit Dalam Indonesia

Hari Peni Julianti

Department Of Rehabilitation Medicine, Faculty Of Medicine, Diponegoro University

Author-ID : 293349

Chemical Engineering, Chemistry & Bioengineering Computer Science & IT Dentistry Education Electrical & Electronics Engineering Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences

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Effectivity of Exoskeleton Robot-Assisted Therapy on Improving Muscle Strength in Post-Stroke Patient Aulia Salwa Alfaina; Rahmi Isma Asmara Putri; Hari Peni Julianti; Trianggoro Budisulistyo; Rifky Ismail
Medica Hospitalia : Journal of Clinical Medicine Vol. 8 No. 3 (2021): Med Hosp
Publisher : RSUP Dr. Kariadi

Background: Upper limb weakness is the most disability caused by stroke. The availability of physiotherapists is still limited in Indonesia. The exoskeleton robot is a developing technology that involve in stroke rehabilitation therapy. Objective: To evaluate the effectiveness of exoskeleton robot-assisted therapy on improving muscle strength of patients after stroke. Methods: An experimental study with two groups pre-test and post-test design carried out using consecutive sampling among outpatient stroke patients in Diponegoro National Hospital (RSND) and William Booth Hospital (RSWB), Semarang. Patients in the robotic group (RG) (n=8) received 16 training sessions. Each session consists of 30 passive and ten active-weighted elbow flexion-extension with the exoskeleton robot. Meanwhile, the control group (CG) (n=8) received equivalent training of conventional therapy. The primary outcome of muscle strength was measured by Manual Muscle Testing (MMT) and handheld dynamometer. Pre and post-test MMT score data in each group were analyzed by Wilcoxon test, while handheld dynamometer score data were analyzed by paired t-test. Data between the two groups were analyzed by Mann-Whitney test and unpaired t-test. Results: Significant improvements were shown for the MMT score (RG: p=0.014, CG: p=0.034). There were significant handheld dynamometer score improvements on muscle strength for elbow flexor and extensor in RG (p = 0.008 and p = 0.005 respectively) and in CG (p=0.036 and p=0.008 respectively). No significant differences for MMT and handheld dynamometer score between the two groups. Conclusion: The exoskeleton robot-assisted therapy was as effective as conventional therapy for improving muscle strength in stroke patients.

Pengaruh Senam Sehat Anak Indonesia terhadap FEV1 (Forced Expired Volume in one second) dan FVC (Forced Vital Capacity) pada Anak Underweight Setiawati, Erna; Kesoema, Tanti Ajoe; Asmara Putri, Rahmi Isma; Julianti, Hari Peni
Medica Hospitalia : Journal of Clinical Medicine Vol. 7 No. 2 (2020): Med Hosp
Publisher : RSUP Dr. Kariadi

Pendahuluan: Indonesia masih mengalami masalah gizi yaitu masih terdapatnya status gizi kurang bahkan gizi buruk. Nutrisi yang rendah atau buruk dapat mengurangi massa otot skeletal dan pernapasan, yang menyebabkan penurunan FVC dan FEV. FVC dan FEV merupakan parameter dari fungsi paru. Penelitian terdahulu menyebutkan bahwa olahraga dapat meningkatkan fungsi dari sistim pernapasan. Senam Sehat Anak Indonesia (SSAI) merupakan salah satu pilihan olahraga pada anak. Penelitian ini bertujuan menganalisis pengaruh SSAI terhadap FEV1 dan FVC pada anak underweight. Metoda: Penelitian ini menggunakan one group pre and posttest design. Populasi target adalah 24 anak underweight berusia 9-12 tahun di SDN Tembalang. Dilakukan pemeriksaan FEV1 dan FVC sebelum dan setelah pasien melakukan SSAI. Perbedaan sebelum dan sesudah perlakuan menggunakan uji t-berpasangan. Nilai p dianggap bermakna apabila nilai p<0,05. Hasil: Peningkatan FEV1 (0,66±0,25) liter, FVC (0,22±0,28) liter setelah SSAI berturut-turut p=0,23 dan p=0,71. Diskusi: Pada SSAI dilakukan gerakan-gerakan senam yang dapat meningkatkan elastisitas paru serta memperkuat otot-otot pernapasan sehingga meningkatkan volume udara yang dapat diambil saat bernapas. Peningkatan nilai FVC dapat disebabkan oleh peningkatan volume dan elastisitas paru-paru. FEV1, FEV bervariasi dan tergantung dari otot pernapasan. Pada penelitian ini walaupun tidak bermakna secara statistik namun dalam rerata nilai FEV1 dan FVC terdapat peningkatan setelah SSAI. Hal ini mungkin dikarenakan frekuensi senam yang digunakan adalah frekuensi yang paling minimal yaitu 2 kali per minggu. Simpulan: SSAI 2 kali per minggu selama 6 minggu sebagai salah satu pilihan olahraga pada anak underweight usia 9-12 tahun namun dalam penelitian ini tidak didapatkan peningkatan bermakna pada FEV1 dan FVC. Diperlukan penelitian lebih lanjut menggunakan frekuensi latihan yang lebih banyak dan durasi yang lebih panjang serta menggunakan kelompok kontrol. Kata kunci: Anak underweight; Forced Expired Volume in one second (FEV1); Forced Vital Capacity (FVC); Senam Sehat Anak Indonesia (SSAI) Introduction: Indonesia is still facing nutritional problems, the presence of low nutritional status and even poor nutrition. Low or poor nutrition can reduce skeletal and respiratory muscle mass, which causes a decrease in FVC and FEV. FVC and FEV are parameters of lung function. Previous research suggests that exercise can improve the function of the respiratory system. Senam Sehat Anak Indonesia (SSAI) is one of the sports for children. This study aims to analyze the effect of SSAI on FEV1 and FVC in underweight children. Method: The design of this study was one group pre and post test design. The target population was underweight children at Tembalang Elementary School. FEV1 and FVC were examined before and after the patient underwent SSAI. Difference before and after treatment using paired t-test. The p value is considered significant if the p value <0.05. Results: There was no significant increase of FEV1 (0.66 ± 0.25) liters, FVC (0.22 ± 0.28) liters after SSAI with p= 0.23 and p = 0.71, respectively. Discussion: At SSAI, gymnastic movements are performed that can increase lung elasticity and strengthen breathing muscles, thereby increasing the volume of air that can be taken while breathing. Increased FVC is caused by an increase in lung volume and elasticity. FEV1, FEV varies and depends on the respiratory muscles. In weak expiratory muscles, a person's ability to expiration rapidly decrease and also the FEV1.FVC index. The mean of FEV1 and FVC values ??after SSAI increased but were not significant. In this study, although not statistically significant, the mean values ??of FEV1 and FVC were increased after SSAI. This may be due to the frequency of gymnastics used is the most minimal frequency of 2 times per week. Conclusion: SSAI twice per week for 6 weeks as one of the exercise choices in underweight children aged 9-12 years but in this study no significant increase in FEV1 and FVC was found. Further research is needed using more exercise frequency and longer duration and using a control group.Keywords: Underweight children; Forced Expired Volume in one second (FEV1); Forced Vital Capacity (FVC); Senam Sehat Anak Indonesia (SSAI)

Hubungan Antara Mekanisme Koping Dengan Derajat Depresi Pada Caregiver Pasien Skizofrenia Studi di unit rawat jalan Rumah Sakit Jiwa Amino Gondo Hutomo Provinsi Jawa Tengah Supiyarti, Retti; Noerhidajati, Elly; Julianti, Hari Peni
Medica Hospitalia : Journal of Clinical Medicine Vol. 7 No. 2 (2020): Med Hosp
Publisher : RSUP Dr. Kariadi

Latar Belakang: Memiliki anggota keluarga yang menderita skizofrenia merupakan suatu stressor yang mengakibatkan stres yang bersifat kronik. Stress kronik lebih banyak dihubungkan dengan tingkat derajat depresi. Derajat depresi dibedakan sesuai dengan banyak dan beratnya gejala terhadap fungsi kehidupan pasien. Caregiver pasien skizofrenia akan melakukan mekanisme koping dalam mengatasi stressor tersebut yang terbagi atas problem focused coping dan emotion focused coping. Mekanisme koping memiliki peranan penting dalam interaksi antara situasi yang menekan dan proses adaptasi. Tujuan: Mengetahui hubungan mekanisme koping dan derajat depresi pada caregiver pasien skizofrenia. Metode: Penelitian ini merupakan penelitian analitik kuantitatif dengan rancangan cross sectional. Sampel adalah caregiver pasien skizofrenia di unit rawat jalan Rumah Sakit Amino Gondohutomo Jawa Tengah dan memenuhi kriteria inklusi penelitian. Subyek penelitian sebanyak 58 responden di pilih dengan metode consecutive sampling. Instrumen penelitian yang digunakan adalah Beck Depression Inventory (BDI) II dan Kuesioner The Ways of Coping serta kuesioner karakteristik sosiodemografi. Analisis dengan program komputer SPSS. Hasil : 27 responden (46,6%) menggunakan emotional focused coping. 31 responden (53,4%) menggunakan problem focused coping. 43 responden (74,1%) tidak depresi, 12 responden (20,7%) depresi ringan, 2 responden (3,4%) depresi sedang dan 1 responden (1,7%) depresi berat. Hasil analisis hubungan mekanisme koping dengan derajat depresi caregiver pasien skizofrenia dengan menggunakan uji Chi-square didapatkan P value > 0,05 bahwa tidak ada hubungan yang signifikan antara mekanisme koping dengan derajat depresi caregiver pada pasien skizofrenia. Simpulan: Tidak terdapat hubungan antara mekanisme koping dengan derajat depresi pada caregiver pasien skizofrenia Kata kunci :Mekanisme koping, Depresi, Caregiver Background: Having family members who suffer from schizophrenia is a stressor that results in chronic stress. Long life events or chronic stress are more associated with depression. Derajat depresi dibedakan sesuai dengan banyak dan beratnya gejala terhadap fungsi kehidupan Caregiver schizophrenic patients will carry out coping mechanisms in dealing with these stressors which are divided into problem focused coping and emotion focused coping. Coping mechanisms have an important role in the interaction between situations that suppress and adaptation processes. Objective: To analyze the relationship between coping mechanisms and the degree of depression in caregiver schizophrenic. Method: This study is a quantitative analytic study with a cross sectional design. The sample was a schizophrenic caregiver in the outpatient unit of Amino GondoHutomo Hospital in Central Java and fulfilled the study inclusion criteria. Sampling using consecutive sampling method. The research instruments used were the Beck Depression Inventory (BDI) II and The Ways of Coping Questionnaire and the socio-demographic characteristic questionnaire. Analysis with computer programs. Results: 27 respondents (46.6%) used emotional focused coping. 31 respondents (53.4%) used problem focused coping. 43 respondents (74.1%) were not depressed, 12 respondents (20.7%) mild depression, 2 respondents (3.4%) moderate depression and 1 respondent (1.7%) had severe depression. The results of the analysis of the relationship between coping mechanism with the degree of caregiver depression in schizophrenic patients using the Chi-square test obtained P value> 0.05 that there was no significant relationship between coping mechanisms with caregiver depression degrees in schizophrenic patients. Conclusion: There is no relationship between coping mechanism and the degree of depression in the caregiver of schizophrenic patients Keywords: Coping mechanism, Depression, Caregiver

Pengaruh Robotic Therapy dalam Meningkatkan ROM dan Memperbaiki Tonus Pasien Stroke Iskemik Pangesti, Adelia; Julianti, Hari Peni; Pudjonarko, Dwi; Rahmawati, Maria Belladonna; Ismail, Rifky
Medica Hospitalia : Journal of Clinical Medicine Vol. 8 No. 1 (2021): Med Hosp
Publisher : RSUP Dr. Kariadi

Background: After stroke occurs, the patients generally have upper extremity hemiparesis. It makes movement restrictions due to decreased elbow active ROM and abnormal upper arm muscle tone, so they need to get rehabilitation therapy. Besides conventional therapy, robotic therapy has now been developed to restore their motor funtions. Objective: To prove that the effect of robotic therapy in increasing elbow active ROM and improving upper arm muscle tone in ischemic stroke patients is better than the effect of conventional rehabilitation exercises. Methods: A quasy-experimental study with two groups pre-test and post-test design was carried out among outpatient ischemic stroke patients in Diponegoro National Hospital and William Booth General Hospital Semarang which was chosen using consecutive sampling.The interventions were by doing exercises using an exoskeleton robotic hand in the robotic group and conventional rehabilitation exercises in the control group. Pre-test and post-test data of robotic group were analyzed using Wilcoxon test, while pre-test dan post-test data of control group were analyzed using Wilcoxon test and paired t-test. Pre-test an post-test data between two groups were analyzed using Mann-Whitney test and unpaired-t test. Results: The robotic group experienced an insignificant increase in ROM (p= 0,593) and significant improvement in muscle tone (p= 0,025). The control group experienced insignificant reduction in ROM (p= 0,980) and insignificant improvement in muscle tone (p= 0,081). Conclusion: There was a significant improvement of upper arm muscle tone in ischemic stroke patients after had exoskeleton robotic hand exercise. Keywords: Stroke, elbow active ROM, muscle tone, exoskeleton robotic

Hubungan Faktor Fisik, Penyakit Komorbid, dan Faktor Psikis Terhadap Kualitas Hidup Lansia dengan Osteoartritis Rasyidin, Nur Laelatul; Julianti, Hari Peni; Ngestiningsih, Dwi; Purwoko, Yosef
Medica Hospitalia : Journal of Clinical Medicine Vol. 8 No. 2 (2021): Med Hosp
Publisher : RSUP Dr. Kariadi

ABSTRACT BACKGROUND: Osteoarthritis were the fourth cause of disability in the world in 2020. Limitation of physical activity that occurred in elderly with osteoarthritis can affect the socio-economic aspects of the elderly, causing a decrease in health-related quality of life (HRQoL). In addition to osteoarthritis, recent studies have shown an association between history of hypertension, diabetes, and family support on quality of life in the elderly. OBJECTIVE: To analyze the relationship between physical factors, comorbid diseases, and psychological factors on the quality of life of the elderly with knee osteoarthritis. METHOD: This study was an observational analytic study with a cross-sectional design. The samples were patients with knee OA who underwent therapy at the William Booth Hospital Semarang and the Diponegoro National Hospital that met the inclusion criteria. The research subjects were 61 respondents selected through consecutive sampling. The analysis test performed using the Chi-square method and logistic regression with p-value considered significant if p <0.05. The instrument used in this study was a demographic characteristic questionnaire, VAS, family APGAR, and OPQOL-35. RESULTS: There was a significant relationship in the assessment of the level of pain and family function on the quality of life of the elderly with knee OA (p = 0.003 and p = 0.042). Assessment of other physical factors consisting of gender (p = 0.637), duration of illness (p = 0.2), and degree of radiology (p = 0.532), as well as comorbid factors consisting of hypertension (p = 0.37) and diabetes (p = 0.663), showed an insignificant relationship to the quality of life of the elderly with knee OA. The dominant factor that affected the quality of life of the elderly with knee OA is the level of pain (p = 0.022) with OR value 14.1. CONCLUSION: Factors that affected the quality of life of the elderly with knee OA were the level of pain and family function. Key: knee OA, Quality of Life, Elderly

Perbedaan Skor OSDI Pre dan Post Senam "PERMATA-KU" pada Computer Vision Syndrome Uyun, Fuadah; Rahmi, Fifin Luthfia; Saubig, Arnila Novitasari; Julianti, Hari Peni
Medica Hospitalia : Journal of Clinical Medicine Vol. 8 No. 2 (2021): Med Hosp
Publisher : RSUP Dr. Kariadi

ABSTRACT DIFFERENCE OF OSDI SCORE BEFORE AND AFTER ‘SENAM PERMATA-KU’ IN COMPUTER VISION SYNDROME Background: Computer Vision Syndrome (CVS) is a group of symptoms that affects the eye and vision due to prolonged use of computer, cellphone, tablet, and e-reader. Dry eye is one of the symptoms that appear in CVS. In this study we did ‘senam PERMATA-KU’ (Pelihara Mata–Kendorkan Bahu) as additional exercise to reduce dry eye in CVS. Aim: Observe there is any improvement of OSDI (Ocular Surface Disease Index) score before and after doing “senam PERMATA-KU” in CVS. Methods: This was a Pre-Post with Control Design quasi experimental study. The subjects were students of Faculty of Medicine of Diponegoro University who had CVS and met the inclusion and exclusion criteria that were divided randomly into control group and experimental group. The experimental group were given an education about using computer ergonomically and ‘senam PERMATA-KU’ for 14 days. The control group were given an education about using computer ergonomically. OSDI score were measured before and after intervention was given using Ocular Surface Disease Index questionnaire. Result: The subjects were 32 students with 16 students in the experimental group and 16 students in the control group. One student in the control group and one student in the experimental group dropped out because they could not complete the procedure so that only 30 subjects were analyzed. OSDI score after intervention in experimental group was decreased significantly (p<0.05). OSDI score after intervention in experimental group was better compared to control group (p<0.05). OSDI score improvement in experimental group was higher compared to control group but statistically is not significant (p=0.595). Conclusion: ‘senam PERMATA-KU’ that was done for 14 days can improve OSDI score in Computer Vision Syndrome. Keywords: Computer Vision Syndrome (CVS), Ocular Surface Disease Index (OSDI), dry eye, ‘senam PERMATA-KU’

Perbedaan Efektivitas Latihan Core dengan Swissball dan Resistance Band terhadap Peningkatan Endurance Otot Core Remaja Obesitas Hurriawati, Iceu Helmina; Handoyo, Rudy; Julianti, Hari Peni
Medica Hospitalia : Journal of Clinical Medicine Vol. 8 No. 2 (2021): Med Hosp
Publisher : RSUP Dr. Kariadi

Latar belakang : Otot core berperan penting dalam aktivitas sehari-hari. Individu yang mengalami obesitas cenderung memiliki endurance otot core yang rendah. Remaja adalah masa dimana seseorang banyak melakukan aktivitas fisik seperti naik turun tangga di sekolah dan masa kritis pertumbuhan untuk menjdi dewasa. Remaja obesitas dengan endurance otot core yang rendah berisiko mengalami cedera otot saat aktivitas atau nyeri punggung bawah pada jangka panjang. Endurance otot core dapat ditingkatkan dengan latihan core menggunakan swissball atau resistance band. Tujuan : membuktikan perbedaan efektivitas latihan core dengan swissball dan resistance band terhadap endurance otot core remaja obesitas. Metode : Penelitian ini merupakan randomized controlled trial. Sebanyak 36 remaja obesitas yang memenuhi kriteria inklusi dan eksklusi dirandomisasi dan dibagi kedalam dua kelompok latihan core dengan swissball (n=18) dan resistance band (n=18). Kelompok latihan core dengan swissball dan resistance band masing-masing menjalani latihan selama 6 minggu dengan frekuensi 3 kali per minggu, dengan durasi latihan 40 menit tiap sesi. Endurance otot core dinilai dengan McGill Core Endurance test. Kesimpulan : Latihan core dengan resistance band dapat meningkatkan endurance otot core remaja obesitas lebih tinggi dibandingakan dengan latihan core dengan menggunakan swissball.

Dry Eyes Syndrome pada Penderita Diabetes Melitus Tipe 2 Setyorini, Desti Putri; Wildan, Arief; Nugroho, Trilaksana; Julianti, Hari Peni; HS, Heri-Nugroho
Medica Hospitalia : Journal of Clinical Medicine Vol. 8 No. 3 (2021): Med Hosp
Publisher : RSUP Dr. Kariadi

BACKGROUND : Type 2 diabetes mellitus patients have risk to suffer from dry eyes syndrome (DES), caused by peripheral and autonomic neuropathy, oxidative stress, and metabolic dysfunction. DES can reduce the patient’s quality of life then it could induce blindness if the patient didn’t get any therapy for DES. It is important to prevent DES by controlling its risk factors. OBJECTIVE : To investigate risk factors of DES in patients with type 2 diabetes mellitus. METHOD : . This study was an analytical observational study with cross-sectional design and purposive sampling. Subjects were examined by using questionnaire and slit lamp, then followed by deep interview in some subjects. This study was also using subject’s medical record to complete the required data. Subjects were diagnosed to suffer DES if OSDI score >12 and schirmer score <10mm. Data was analyzed by using statistic software. RESULT : . From 42 subjects, 19 subjects (45,2%) suffered from DES whereas another 23 subjects (54,8%) didn’t. There was significant relation between diabetic retinopathy (p=0.009) and DES in patients with type 2 diabetes mellitus showed by p value under 0,05 (OR 5.700, 95% CI:1.364-23.821). However, age (p=0.516), gender (p=1.000), level of knowledge (p=0.555), accessibility to health provider (p=1.000), occupation (p=0.644), economic level (p=0.105), smoke exposure (p=0.432), duration of diabetic (p=0.707), diabetic controlling (p=0.305), and history of dyslipidemia (p=0.155) had no significant relations with DES in patients with type 2 diabetes mellitus. CONCLUSION : There is a significant relation between diabetic retinopathy and DES in patients with type 2 diabetes mellitus. Diabetic retinopathy is the most dominant risk factor among the other factors in this study.

Berbagai Faktor Risiko Retinopati Diabetik pada Penderita Diabetes Melitus Tipe 2 Nafia, Nisa Khoirun; Nugroho, Trilaksana; Wildan, Arief; Julianti, Hari Peni; Purnomo, Hery Djagat
Medica Hospitalia : Journal of Clinical Medicine Vol. 8 No. 3 (2021): Med Hosp
Publisher : RSUP Dr. Kariadi

BACKGROUND: More than 75% of people with type 2 DM will anguish diabetic retinopathy 20 years after being diagnosed. However, the current changing of people’s lifestyle contributes to the tendency in type 2 DM that diagnosed at a younger age. This causes diabetic retinopathy can be occurred earlier and blindness will occur more quickly. It is important to prevent diabetic retinopathy by controlling some associated factors. OBJECTIVE: To investigate associated factors of diabetic retinopathy in people with type 2 DM. METHOD: Analytic observational study with cross-sectional design. Subjects were determined by purposive sampling. The subjects were interviewed using a questionnaire meanwhile, funduscopic examination is aimed to assess diabetic retinopathy and followed by deep interview. This study also used the subject’s medical record to complete the required data. The results were analyzed by using statistic software. RESULT: From 43 subjects, there wes no significant relation among age (p=0.965), gender (p=0.437), level of knowledge (p=0.640), accessibility (p=1.000), economic level (p=0.680), duration of DM (p=0.477), history of hypertension (p=0.708), and history of dyslipidemia (p=0.244) with diabetic retinopathy in people with type 2 DM. However, there was significant relation among controlling blood glucose (p=0.014) with diabetic retinopathy in people with type 2 DM. Uncontrolled blood glucose was 13 times more affected in diabetic retinopathy than controlled blood glucose (OR 13.417, 95% CI:1.474-122.117). CONCLUSION: There was a significant relation between controlling blood glucose and diabetic retinopathy in people with type 2 DM. Controlling blood glucose is the most dominant risk factor among the other factors in this study. Keywords: diabetic retinopathy; risk factor; type 2 diabetes mellitus

Efek Radial Shock Wave Therapy pada Latihan Gliding Nervus Medianus terhadap Derajat Nyeri dan Fungsional Tangan Penderita Carpal Tunnel Syndrome Amalina, Nurika; Indriastuti, Lanny; Julianti, Hari Peni; Zuhdiana, Hindun; Kusumawati, Noviolita Dwi
Medica Hospitalia : Journal of Clinical Medicine Vol. 8 No. 3 (2021): Med Hosp
Publisher : RSUP Dr. Kariadi

Background: Carpal tunnel syndrome (CTS), which was resulted from local compression of the median nerve, was a common entrapment neuropathy. Median nerve gliding exercise required a combination of other conservative therapies to provide optimal clinical improvement in CTS. Radial shock wave therapy (RSWT) was a safe, effective, practical, and non-invasive therapeutic method, can be used as a additional therapy for relieving pain and disability in CTS patients. Objective: This study was aimed to examine the effect of RSWT on median nerve gliding exercise on improving the degree of pain and hand functional scores in patients with CTS. Method: This study was a randomized controlled trial. The subjects were 22 patients from the Physical Medicine and Rehabilitation Polyclinic of RSUD KRMT Wongsonegoro, Semarang. They were divided into 2 groups randomly. The intervention group (n=11) was received RSWT 4 times in median nerve gliding exercise 3 times a day, every day for 4 weeks. The control group (n=11) was received only median nerve gliding exercise. The degrees of pain were measured with a manual algometer and hand functional scores were assessed by BCTQ. Results: The mean of improving pain degree were 2,53 + 0,74 kg/cm2 and 2,38 + 1,25 kg/cm2 in intervention and control group, respectively. An independent t-test showed that there were significant differences in improving pain degree between intervention and control group (p=0,016). The mean of improving BCTQ scores were -11,36 + 4,59 and -6,18 + 3,76 in intervention and control group, respectively. An independent t-test showed that there were significant differences in improving BCTQ scores between intervention and control group (p=0,009). Conclusion: RSWT was improved the degree of pain and increased the hand functional scores of CTS patients who received median nerve gliding exercises. Keywords: radial shock wave therapy, carpal tunnel syndrome, gliding exercise

Co-Authors A.A. Ketut Agung Cahyawan W Adji, Seno Bayu Alifiati Fitrikasari Amalina, Nurika Angga Sugiarto Anies Anies Arief Wildan, Arief Asmara Putri, Rahmi Isma Aulia Salwa Alfaina Dewi, Novita Sari Dimas Sindhu Wibisono Djuara P Lubis Dwi Pudjonarko Elly Noerhidajati Erna Setiawati, Erna Fifin Luthfia Rahmi Hartono, Dewi Kusuma Hery Djagat Purnomo HS, Heri-Nugroho Hurriawati, Iceu Helmina I Made Widagda, I Made Indriastuti, Lanny Inge Kurniawati Adipratama Kartadinata, Robby Tjandra Kurniawan, Daniel Andry Kusumawati, Noviolita Dwi Mahardhika, Alain Stephano Mardiyono, Mardiyono Mariani, Endang Sri Muchlis Achsan Udji Sofro Muchlis Achsan Udji Sofro Muhammad Ismail Salahudin Munadi Munadi Mustofa, Rizal Nafia, Nisa Khoirun Natalia Dewi Wardani Natalia, Bernadete Rizky Neni Susilaningsih Nugroho, Trilaksana Pangesti, Adelia Pritadesya, Maharani Prizka Priwintoko, Baharudin Putri, Rahmi Isma Asmara R. Andhika Pandu Rahmawati, Maria Belladonna Rahmi Isma Asmara Putri Rasyidin, Nur Laelatul Rifky Ismail Riswanti, Andirezeki Rizky Wiradinata Rudy Handoyo, Rudy Rudy Setiawan Runawang, Khrisna Prasetya Aji Salahudin, Muhammad Ismail Saubig, Arnila Novitasari Setyorini, Desti Putri Sri Wahyudati, Sri Supiyarti, Retti Sutaty, Witrie Tampubolon, Daniel Taruna Tanti Ajoe Kesoema, Tanti Ajoe Titis Hadiati, Titis Trianggoro Budisulistyo Uyun, Fuadah Vikawati, Nura Eky Wibisono, Lilik Sigit Yosef Purwoko Zuhdiana, Hindun

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