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All Journal E-Jurnal Medika Udayana Majalah Ilmiah Fisioterapi Indonesia ISM (Intisari Sains Medis) : Jurnal Kedokteran SURABAYA PHYSICAL MEDICINE AND REHABILITATION JOURNAL

Dedi Silakarma

Physical And Medical Rehabilitation Department, Faculty Of Medicine, Universitas Udayana, Sanglah General Hospital, Bali, Indonesia

Author-ID : 2936078

Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Decision Sciences, Operations Research & Management Health Professions Medicine & Pharmacology Neuroscience Public Health

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PERBANDINGAN PENAMBAHAN PELATIHAN MOBILISASI SARAF DENGAN MYOFASCIAL RELEASE PADA ACTIVE ISOLATED STRETCHING TERHADAP PENINGKATAN FLEKSIBILITAS OTOT HAMSTRING PADA MAHASISWA PROGRAM STUDI FISIOTERAPI FAKULTAS KEDOKTERAN UNIVERSITAS UDAYANA I Nyoman Oka Yuliartha; Dedi Silakarma; Nyoman Agus Bagiada
E-Jurnal Medika Udayana Vol 6 No 9 (2017): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

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Flexibility is an ability of tissue or muscle for stretching to the maximum , this enables thebody to move in full joint movement scope without experiencing any pain. There are occurrencesin the community when the hamstring muscle flexibility was reduced. This will affect the balanceof muscle contraction, posture changes, and disturbances in walking, joint stiffness, capsule andtendon disorders. To overcome this problem proper stretching is needed. The purpose of this studywas to determine the difference between the training using active isolated stretching and nervemobilization with the training using active isolated stretching and myofascial release in increasingthe hamstring muscle flexibility. This research is an experiment research design with pre and posttest control group design. These samples included 22 people who were divided into two groups.Group 1 was given training using active isolated stretching and nerve mobilization, while Group 2was given the training using active isolated stretching and myofascial release. Hamstring muscleflexibility measurement was conducted through sit-and-reach test to obtain preeliminary dataISSN:2303-1395 E-JURNAL MEDIKA,VOL 6 NO 9,SEPTEMBER 2017http://ojs.unud.ac.id/index.php/eum(before training) and final data (after training).In the Group 1 showed p = 0.000 with a meandifference 5,222±1,092, while in Group 2 showed p = 0.000 with a mean difference 4,222±1,394.The results showed there was a significant decrease in pain in each group. At different test betweenGroup 1 and Group 2 using independent sample t-test was obtained p = 0,110 (p> 0.05). Based onthese results, it can be concluded that the training using active isolated stretching and nervemobilization showed no difference as the training using active isolated stretching and myofascialrelease in increasing the hamstring muscle flexibility.Keywords: Flexibility, active isolated stretching, nerve mobilization, myofascial release, sit andreach test

FAKTOR PRENATAL, PERINATAL, DAN POSTNATAL KEJADIAN CEREBRAL PALSY PADA ANAK DI RUMAH SAKIT UMUM PUSAT SANGLAH DENPASAR Sayu Made Ardhia Pramayanti Putri; Cok Dalem Kurniawan; Dedi Silakarma
E-Jurnal Medika Udayana Vol 8 No 8 (2019): Vol 8 No 8 (2019): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

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Cerebral palsy merupakan gangguan perkembangan gerak dan postur yang disebabkan oleh lesi non progresif.Lesi yang terjadi sifatnya menetap seumur hidup, tetapi perubahan gejala bisa terjadi sebagai akibat dari prosespertumbuhan dan maturasi otak. Cerebral palsy tidak disebabkan oleh masalah pada otot atau jaringan saraftepi, melainkan terjadi gangguan perkembangan atau kerusakan pada area motorik otak yang akan mengganggukemampuan otak untuk mengontrol pergerakan dan postur. Setiap kejadian cerebral palsy memiliki penyebabyang berbeda-beda. Untuk mengetahui penyebab cerebral palsy, perlu digali riwayat prenatal, perinatal danpostnatal dari penderita cerebral palsy. Beberapa faktor risiko cerebral palsy perlu diketahui untuk tindakanpencegahan. Penelitian ini dilakukan untuk mendapatkan gambaran mengenai faktor prenatal, perinatal, danpostnatal kejadian cerebral palsy pada anak di Rumah Sakit Umum Pusat Sanglah Denpasar. Penelitian iniadalah penelitian deskriptif dengan desain potong lintang. Rancangan penelitian ini bersifat retrospektif, yaitupenyakit dan faktor risiko diidentifikasi dengan menggunakan kuesioner. Sampel yang ditetapkan dalampenelitian ini adalah ibu dari anak penderita cerebral palsy di Rumah Sakit Umum Pusat Sanglah Denpasarpada kurun waktu Januari 2015 - Desember 2016. Responden sebanyak 42 orang ibu dari anak penderitacerebral palsy. Faktor prenatal didapatkan 21,05%, perinatal 29,5%, dan postnatal 7,15%. Hasil penelitian inidiharapkan dapat dipakai sebagai dasar penelitian lebih lanjut untuk pengembangan penilaian dan terapi yanglebih efektif untuk penyakit ini. Kata Kunci: Cerebral palsy, faktor risiko, anak-anak

Prevalensi gangguan gastrointestinal pada anak autism spectrum disorder (ASD) di Pusat Layanan Autis Kota Denpasar tahun 2017 A.A. Istri Agung Siswandewi; Luh Kamiati; Dedi Silakarma
E-Jurnal Medika Udayana Vol 7 No 4 (2018): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

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Gastrointestinal (GI) disorder is a medical condition which commonly complained by parents due to their effects on their autistic children which leads to behaviour disorder and medical problem amongst their children. Difficulty in detecting medical condition among ASD children is due to the communication barrier between parents and children which induced by the difficulty of their children to demonstrate their expression to their parents. As a result, the potential for GI disorders is not regularly detected in ASD children. This study was conducted to determine the prevalence of GI disorders amongst ASD children by sex and age group in Denpasar Centre for Autism in 2017. This cross-sectional study was conducted by total sampling method with 56 samples. Primary data which were used in this study was collected by handing questionnaire to the parents of ASD children. Results showed that the highest prevalence of GI disorders were constipation 35.7% followed by abdominal pain over 12.5%, flatulence 10.7%, and diarrhoea 7.1%. Meanwhile, the least prevalence was lower abdominal pain with the rate 3.6%. Males with ASD are more likely to present GI disorders rather than female. Furthermore, the highest prevalence of GI disorders was in the age group of 6-10 years. This study revealed that the prevalence of GI disorders amongst ASD children was slightly high. However, further research is required with wider range of sample to investigate this issue. Keywords: ASD, GI disorder, Prevalence

THE CONTRACT RELAX STRETCHING LEBIH EFEKTIF MENINGKATKAN FLEKSIBILITAS OTOT HAMSTRING DIBANDINGKAN DENGAN PASSIVE STRETCHING PADA ATLET UNDERDOG TAEKWONDO CLUB Arya Wiguna; Dedi Silakarma; Ratna Sundari
Majalah Ilmiah Fisioterapi Indonesia Vol 3 No 2 (2015): Majalah Ilmiah Fisioterapi Indonesia
Publisher : Bachelor of Physiotherapy and Physiotherapy Profession Study Program, Faculty of Medicine, Udayana University in collaboration with Indonesian Physiotherapy Association (IPA)

Flexibility is one of the components needed at any athlete especially taekwondo athletes. To increase the flexibility stretching methods were used. This research use contract relax stretching and passive stretching to increased hamstring muscle flexibility.This research was implemented from May up to June 2014 in Golkar Building, Puputan, Bali which use sit and reach test instrument to measure hamstring muscle flexibility.This research is an eksperimental research and the design used in this study design was two groups pre and post design, consisting of a 1th treatment group and the 2nd treatment group, with random sampling, the total sample is 24 subjects and divided into 2 groups, the 1th treatment group receive contract relax stretching while the 2nd treatment group receive passive stretching.The result of this research is increased flexibility in the 1st treatment group with p =0.000 (p<0.05), and increased flexibility in the 2nd treatment group with p=0.000 (p<0.05), once compared the 1st treatment group and the 2nd treatment group p=0.000 (p<0.05), where is from this research result the two groups have increased hamstring muscle flexibility however increased flexibility in 1st treatment group is more effective than 2nd treatment group. From this research it can be concluded that contract relax stretching is more effective to increases flexibility hamstring muscle compared with passive stretching.

THE PENGARUH LATIHAN BEBAN TERHADAP PENINGKATAN MASSA OTOT PECTORALS MAYOR DAN BICEPS PADA REMAJA DAN DEWASA Gde Rabi Rahina Soethama; Dedi Silakarma; Ida Ayu Dewi Wiryanthini
Majalah Ilmiah Fisioterapi Indonesia Vol 4 No 2 (2016): Majalah Ilmiah Fisioterapi Indonesia
Publisher : Bachelor of Physiotherapy and Physiotherapy Profession Study Program, Faculty of Medicine, Udayana University in collaboration with Indonesian Physiotherapy Association (IPA)

Latihan beban merupakan suatu latihan yang sangat mempengaruhi peningkatan massa otot, Ada beberapa faktor yang memperngaruhi peningkatan massa otot faktor makanan, usia, faktor lingkungan. Tujuan penelitian ini adalah untuk mengetahui perbedaan peningkatan massa otot pada remaja dan dewasa. Penelitian ini adalah penelitian eksperimental dengan rancangan pre dan post test control group design. Sampel penelitian berjumlah 30 orang yang dibagi ke dalam dua kelompok. Kelompok 1 terdiri dari sampel dengan golongan usia remaja (15-20 tahun) sedangkan Kelompok 2 terdiri dari sampel golongan usia dewasa (21-40 tahun). Kedua kelompok diberikan latihan bebaqn 3 kali per minggu sebanyak 12 kali latihan. Meteran ukur pita lila digunakan untuk mengukur diameter lingkar otot dada dan biceps. Setelah mendapatkan data hasil penelitian, dilakukan uji normalitas dengan Shapiro wilk test dan uji homogenitas dengan Levene’s test. Selanjutnya dilakukan uji hipotesis dengan paired sample t-test, untuk mengetahui perbedaan rerata sebelum dan sesudah intervensi pada masing-masing kelompok. Pada Kelompok 1 pada latihan dada sebelum dan sesudah latihan beban didapatkan hasil p=0,000 dengan beda rerata 0,095±0,065 dan pada latihan lengan 0,057±0,063, sedangkan pada Kelompok 2 pada latihan dada sebelum dan sesudah latihan beban didapatkan hasil p=0.000 dengan beda rerata 0,167±0,940 dan pada latihan lengan 0,137±0,164. Hasil tersebut menunjukkan bahwa terdapat peningkatan massa otot pada setiap kelompok. Pada uji beda selisih anatara Kelompok 1 dengan Kelompok 2 yang menggunakan independent sample t-test didapatkan nilai p=0,000 (p<0,05). Hasil ini menunjukan bahwa terdapat peningkatan massa otot yang lebih signifikan pada Kelompok 2 setelah mendapatkan latihan beban jika dibandingkan dengan Kelompok 1. Berdasarkan hasil penelitian tersebut, maka dapat disimpulkan bahwa pemberian latihan beban dapat menghasilkan peningkatan massa otot pectoralis mayor dan biceps yang lebih besar pada kelompok usia dewasa dibandingkan dengan kelompok usia remaja.

THE HUBUNGAN ANTARA LAMA DUDUK DENGAN SINDROMA PIRIFORMIS PADA PEMAIN GAME ONLINE DI GAME CENTER GO-KOOL DENPASAR I Gd Mediastama; Dedi Silakarma; Adiarta Griadhi
Majalah Ilmiah Fisioterapi Indonesia Vol 3 No 2 (2015): Majalah Ilmiah Fisioterapi Indonesia
Publisher : Bachelor of Physiotherapy and Physiotherapy Profession Study Program, Faculty of Medicine, Udayana University in collaboration with Indonesian Physiotherapy Association (IPA)

This research aims to know the relationship long sitting with piriformis syndrome on online game players at game center Go-Kool Denpasar. Design research is a cross-sectional study conducted in May and June 2014, with a population of online game players in game center Go-Kool Denpasar that meet the criteria for inclusion and exclusion. From a number of online game players selected by simple random sampling, and obtained the 50 samples. The results showed that out of the 50 players online gaming brings 36 people respondents who sat with duration more than 4 hours (66,7%) of 24 people were experiencing symptoms of piriformis syndrome and 12 people (33,3%) were the other do not experience symptoms of piriformis syndrome, while the 14 respondents who play games online with a duration of less than 4 hours sitting 4 people (28,6%) of whom had symptoms of piriformis syndrome and 10 people (71,4%) did not experience symptoms of piriformis syndrome. Based on chi-square test p value = 0.015 (p<0.05), which means there is a significant association between long sitting with piriformis syndrome.

THE KOMBINASI MASASE LEBIH BAIK DIBANDINGKAN KONTRAKSI ISOMETRIK PADA INTERVENSI MWD, TENS DALAM PENURUNAN NYERI PADA KASUS SPONDYLOSIS CERVICAL Made Bisma Wibawa; I Made Niko Winaya; I.G.N. Dedi Silakarma
Majalah Ilmiah Fisioterapi Indonesia Vol 2 No 1 (2014): Majalah Ilmiah Fisioterapi Indonesia
Publisher : Bachelor of Physiotherapy and Physiotherapy Profession Study Program, Faculty of Medicine, Udayana University in collaboration with Indonesian Physiotherapy Association (IPA)

Spondylosis Cervical merupakan penyebab terbanyak disfungsi medulla spinalis pada pasien yang berusia lebih dari 55 tahun. Pasien yang mengalami Spondylosis Cervical dapat diberikan terapi nonfarmakologis sebagai upaya untuk mengurangi nyeri. Oleh karena pada penelitian ini ingin membuktikan kombinasi masase lebih baik daripada kontraksi isometrik pada intervensi Micro Wave Diathermy, Trancutaneous Electrical Nerve Stimulation dalam penurunan nyeri pada kasus Spondylosis Cervical. Rancangan penelitian ini bersifat experimental dengan rancangan randomize pre test and post test controlled group design, dimana pengambilan sample dari populualsi dilakukan secara acak atau random. Subjek penelitian adalah penderita keluhan nyeri leher karena Spondylosis Cervical yang menjalani rawat jalan di poliklinik fisioterapi RSU Prima Medika Denpasar. Hasil penelitian menunjukkan bahwa pemberian intervensi Micro Wave Diathermy, Transcutaneous Electrical Nerve Stimulation dan Latihan Kontraksi Isometrik Dapat Menurunkan nyeri pada pasien Spondylosis Cervical dengan nilai p = 0,00. Pemberian intervensi Micro Wave Diathermy, Transcutaneous Electrical Nerve Stimulation dan masase dapat Menurunkan nyeri pada pasien Spondylosis Cervical dengan nilai p = 0,00. Kombinasi masase dengan kontraksi isometrik pada inervensi Micro Wave Diathermy, Transcutaneous Electrical Nerve Stimulation dengan nilai prosentase 74,28% sedangkan dengan latihan kontraksi isometrik sebesar 51,38%. Sehingga kombinasi masase lebih baik daripada latihan kontraksi isometrik dalam penurunan nyeri pada kasus Spondylosis Cervical.

THE INTERVENSI WILLIAM FLEXION EXERCISE LEBIH BAIK DARI MASASE PADA KOMBINASI IR DAN TENS UNTUK PENURUNAN NYERI PENDERITA SPONDILOSIS LUMBAL Andryanto -; Niko Winaya; Dedi Silakarma
Majalah Ilmiah Fisioterapi Indonesia Vol 2 No 1 (2014): Majalah Ilmiah Fisioterapi Indonesia
Publisher : Bachelor of Physiotherapy and Physiotherapy Profession Study Program, Faculty of Medicine, Udayana University in collaboration with Indonesian Physiotherapy Association (IPA)

Spondilosis lumbal bisa menyerang pada siapa saja laki-laki dan perempuan, kebanyakan menyerang pada usia 40 sampai dengan 65 tahun, dengan keluhan utama nyeri punggung bawah, salah satu penyakit degeneratif, yaitu terbentuknya osteofit pada ujung corpus vertebra. Penelitian, two group pre and post design , terdiri atas kelompok perlakuan 1 dan kelompok perlakuan 2 pengambilan data dengan acak, jumlah sampel adalah 28 subyek, sampel dibagi menjadi 2 kelompok, kelompok perlakuan 1 mendapatkan intervensi masase, IR dan TENS sedangkan kelompok perlakuan 2 mendapatkan intervensi William Flexion Exercise, IR dan TENS. Penelitian dilakukan bulan Mei sampai dengan Juli 2013 di Badan Rumah Sakit Umum Daerah Tabanan, jalan Pahlawan 14 Tabanan Bali. Penelitian menggunakan alat ukur, VAS (visual analogue scale). Hasil dari penelitian terjadi pengurangan nyeri pada kelompok perlakuan 1 dengan p=0,000, dan terjadi pengurangan nyeri pada kelompok perlakuan 2 dengan p=0,000, setelah dibandingkan kelompok perlakuan 1 dan kelompok perlakuan 2 didapatkan p=0,000, dimana penurunan nyeri lebih banyak pada kelompok perlakuan 2. Kesimpulan, intervensi william flexion exercise lebih baik dari masase pada kombinasi IR dan TENS untuk penurunan nyeri penderita spondilosis lumbal.

THE HUBUNGAN ANTARA KEBUGARAN FISIK DENGAN DISMENORE PRIMER PADA REMAJA PUTRI DI SMA NEGERI 1 DENPASAR TAHUN 2014 Dewa Agung Gina Andrini; Dedi Silakarma; Adiartha Griadhi
Majalah Ilmiah Fisioterapi Indonesia Vol 3 No 3 (2015): Majalah Ilmiah Fisioterapi Indonesia
Publisher : Bachelor of Physiotherapy and Physiotherapy Profession Study Program, Faculty of Medicine, Udayana University in collaboration with Indonesian Physiotherapy Association (IPA)

Dysmenorrhea is one of the common problems experienced by most of the adolescent girls. Some factors that can prevent primary dysmenorrhea to occur is to do sports or physical fitness. The statement problem of this research is whether there is a correlations between physical fitness with primary dysmenorrhea among adolescent girls in SMA Negeri 1 Denpasar. Author applied analytic study design with cross sectional approach as the research method. Technique that was being used to determine the sample is simple random sampling. Number of samples was 49 adolescent girls at SMA Negeri 1 Denpasar. The data analysis technique was by chi square test. Based on the results of the 15 respondents who were fit, there were 6 people (40%) had experienced primary dysmenorrhea and 9 people (60%) had not experienced primary dysmenorrhea. While of 34 respondents who were not fit, there were 30 people (88,2%) had experienced primary dysmenorrhea and 4 (11,8%) had not experienced primary dysmenorrhea. From data analysis by using chi square test, the value of p obtained is 0.000 (p < 0,05). Based on the statistic tests it can be concluded that there is a significant correlation between physical fitness with primary dysmenorrhea.

PENGARUH SENAM JANTUNG SEHAT TERHADAP DAYA TAHAN KARDIORESPIRASI PADA MAHASISWI DENGAN KELEBIHAN BERAT BADAN DI PROGRAM STUDI FISIOTERAPI FAKULTAS KEDOKTERAN UNIVERSITAS UDAYANA Govinda Vittala; I Putu Sutha Nurmawan; Dedi Silakarma; I Wayan Gede Sutadarma
Majalah Ilmiah Fisioterapi Indonesia Vol 4 No 3 (2016): Majalah Ilmiah Fisioterapi Indonesia
Publisher : Bachelor of Physiotherapy and Physiotherapy Profession Study Program, Faculty of Medicine, Udayana University in collaboration with Indonesian Physiotherapy Association (IPA)

ABSTRACTCardiorespiratory endurance is the ability of the heart, blood vessels and lungs that did not experience excessive fatigue in carrying out daily activities. Each additional 1 kg/m2 body mass index will lower the value of cardiorespiratory endurance of 1,349 mlO2/kg/min. This research aimed to identify the effect of heart-healthy gymnastic exercise to cardiorespiratory endurance of overweight female students. This research conducted an experimental research, designed with Pre and Post Test Control Group Design with simple random sampling technique was conducted to obtain the samples. There were 20 people as the samples divided into two groups with each group consisted of 10 persons; treatment group applied to do heart-healthy gymnastic exercise while control group received no treatment. Data-obtaining process was conducted by measuring cardiorespiratory endurance,applying Cooper 12 minute run test before and after the treatment for the two groups. Normality and homogenity data were tested by applying Saphiro-Wilk Test and Levene’s Test. There was a significant change of paired sample t-test result to treatment group by p=0,000 (p<0,05) while control group did not gain significant change in the amount of p=0,799 (p>0,05). Comparative analysis by applying independent t-test showed a significant change between treatment group and control group where p=0,000 (p<0,05). Therefore, it was concluded that heart-healthy gymnastic exercise was effective in improving cardiorespiratory endurance. Keywords: cardiorespiratory endurance, heart-healthy gymnastic, overweight

Co-Authors A.A. Istri Agung Siswandewi Andryanto - Arya Wiguna Cok Dalem Kurniawan Dewa Agung Gina Andrini Gde Rabi Rahina Soethama Govinda Vittala I Dewa Gede Alit Kamayoga I Gd Mediastama I Made Niko Winaya I Made Yoga Prabawa I Made Yoga Prabawa I Nyoman Adi Putra I Nyoman Oka Yuliartha I Putu Adiartha Griadhi I Putu Sutha Nurmawan I Wayan Gede Sutadarma Ida Ayu Dewi Wiryanthini Luh Kamiati Luh Putu Ratna Sundari M Widnyana Made Bisma Wibawa Made Meita Malini Niko Winaya NYOMAN AGUS BAGIADA Putu Diva Dharma Suta Sayu Made Ardhia Pramayanti Putri Sisca Susantio

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