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The Effect of Mat Pilates exercise on Sleep Quality of Obese Young Adults Maria Devina Putri Elvariani; Rahmi Isma Asmara Putri; Erna Setiawati; Hexanto Muhartomo
JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL) Vol 10, No 3 (2021): JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL)
Publisher : Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/dmj.v10i3.29718

Background: Obesity currently becomes one of the world's problems that can decrease a person’s quality of sleep. Pilates exercise was found to improve sleep quality in obese patients. Pilates exercise are safe to do because they don't involve jumping and running so they avoid trauma. Mat Pilates exercise is basic exercises that are done on the floor on a mat with simpler movements.Objective: To analyze sleep quality in obese young adults before doing Mat Pilates exercise and to compare changes in sleep quality for obese young adults before and after doing Mat Pilates exercise.Methods: This study used a quasi-experimental design applying one group pre-posttest. Samples were taken by purposive sampling with a total of 36 people who met the inclusion and exclusion criteria. The measurement of sleep quality used the Pittsburgh Sleep Quality Index (PSQI) questionnaire. Data analysis was tested for normality by using the Shapiro-Wilk test and the effect of Mat Pilates exercise on sleep quality in the treatment group using the Wilcoxon test. The difference is significant if p <0.05.Results: The average sleep quality for young adults before participating in the Mat Pilates exercise was 8.22 ± 1.87, while the average sleep quality for young adults after participating in the Mat Pilates exercise was 4.33 ± 0.77. The statistical test results showed that there was a significant difference (p = <0.001).Conclusion: There is an improvement in the mean value of sleep quality after doing Mat Pilates exercise.

PERBEDAAN EFEKTIVITAS HATHA YOGA DAN TAI CHI TERHADAP KEBUGARAN KARDIORESPIRASI DAN KONDISI INFLAMASI PADA PENDERITA PPOK Meita Hendrianingtyas; Erna Setiawati; Dwi Retnoningrum
Media Medika Muda Vol 2, No 3 (2017)
Publisher : Faculty of Medicine Diponegoro University

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Latar Belakang: Penyakit paru obstruktif kronik (PPOK) adalah salah satu penyebab kematian terbanyak di dunia. Gangguan kebugaran kardiorespirasi penderita PPOK dan meningkatnya keadaan inflamasi pada penderita PPOK akan menyebabkan penurunan kualitas hidup bagi penderita PPOK. Latihan pernafasan berupa Hatha Yoga dan Tai Chi merupakan bentuk latihan pernafasan yang terbukti manfaatnya pada penderita gangguan fungsi paru. Penelitian ini bertujuan untuk menganalisis perbedaan efektivitas Hatha Yoga dan Tai Chi terhadap kebugaran kardiorespirasi dan kondisi inflamasi pada penderita PPOK.Metode: Penelitian berdesain randomized controlled pre and post experimental, dilakukan di Balai Kesehatan Paru Masyarakat (BKPM) Semarang, dengan subyek 11 penderita PPOK di BKPM Semarang yang memenuhi kriteria inklusi. Subyek dibagi menjadi dua kelompok. Kelompok I berjumlah 5 orang diberi intervensi latihan Hatha Yoga 3 kali/ minggu selama 6 minggu, kelompok II berjumlah 6 orang diberi intervensi latihan Tai Chi 3 kali/ minggu selama 6 minggu. Kedua kelompok dilakukan pemeriksaan uji jalan 6 menit/ 6 MWT (6 minute walk test) dan pemeriksaan jumlah leukosit dan neutrofil sebelum dan setelah 6 minggu perlakuan.Hasil: Rerata VO2 max kelompok I dan II adalah 8,22± 1,24 dan 9,12 ± 1,62. Tidak didapatkan perbedaan VO2 max sebelum dan setelah latihan pada kelompok I dan II dengan p=0,33 dan p=0,78. Rerata jumlah leukosit dan neutrofil pada kelompok I dan II adalah 7.700 ± 2.137, 8.400 ± 2.520, 4.561 ± 2.069 dan 6.079 ± 1.823/ mm3. Tidak didapatkan perbedaan jumlah leukosit dan neutrofil sebelum dan setelah latihan pada kelompok I dan II dengan p=0,63 dan p=0,097.Simpulan: Tidak didapatkan perbedaan efektivitas Hatha Yoga dan Tai Chi terhadap kebugaran kardiorespirasi dan kondisi inflamasi pada pasien PPOK. Kata kunci: Hatha Yoga, Leukosit, Neutrofil, PPOK, Tai Chi, Uji jalan 6 menit

PENGARUH LATIHAN HATHA YOGA TERHADAP KUALITAS HIDUP DOMAIN FISIK YANG DIUKUR DENGAN KUESIONER WHOQOL-BREF PADA REMAJA OBESITAS Erna Setiawati; Suhartono Suhartono; I Made Widagda
Media Medika Muda Vol 1, No 2 (2016)
Publisher : Faculty of Medicine Diponegoro University

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Latar belakang: Prevalensi obesitas mulai meningkat di negara berkembang. Dampak negatif akibat obesitas menyebabkan penurunan kualitas hidup remaja. Remaja sangat berperan sebagai sumber daya manusia (SDM) yang diharapkan produktivitasnya dalam menentukan keberhasilan suatu negara. Penelitian ini bertujuan untuk mengetahui pengaruh latihan Hatha Yoga terhadap kualitas hidup domain fisik pada remaja obesitas.Metode: randomized controlled pre and post experimental. Tempat: SMA Negeri 14 Semarang. Subjek: 23 murid SMA Negeri 14 Semarang yang memenuhi kriteria penelitian. Perlakuan: Subyek dibagi menjadi dua kelompok. Kelompok perlakuan diberi intervensi latihan Hatha Yoga 3 kali/ minggu selama 6 minggu, kelompok kontrol tidak diberi intervensi apapun. Kedua kelompok mengisi kuesioner WHOQOL-BREF domain fisik sebelum, setelah 3 dan 6 minggu perlakuan.Hasil: Perubahan rerata skor WHOQOL-BREF domain fisik. Tidak didapatkan peningkatan bermakna pada rerata skor WHOQOL- BREF domain fisik pada kelompok perlakuan setelah 3 minggu perlakuan (p=0,493) dan setelah 6 minggu perlakuan (p=0,083) maupun kelompok kontrol setelah 3 minggu perlakuan (p=0,094) dan 6 minggu setelah perlakuan (p=0,693). Tidak didapatkan perbedaan yang bermakna pada rerata skor WHOQOL-BREF domain fisik antara kelompok perlakuan dan kelompok kontrol setelah 3 minggu perlakuan (p=0,087) namun setelah 6 minggu perlakuan didapatkan perbedaan yang bermakna (p=0,005). Tidak didapatkan perbedaan bermakna peningkatan rerata skor WHOQOL-BREF domain fisik antara kelompok perlakuan dan kelompok kontrol setelah 3 minggu perlakuan (p=0,684) dan setelah 6 minggu perlakuan (p=0,227).Simpulan: Latihan Hatha Yoga 3 kali/ minggu selama 6 minggu dapat meningkatkan kualitas hidup domain fisik remaja obesitas. Kata kunci: Latihan Hatha Yoga, kualitas hidup domain fisik, remaja obesitas

The Effect of Forward Leaning and Pursed Lips Breathing Exercises on The Value of Oxygen Saturation in Adult Smokers Muhammad Nurul Amin; Erna Setiawati; Rahmi Isma Asmara Putri; Meita Hendrianingtyas
Diponegoro International Medical Journal Vol 1, No 1 (2020): July
Publisher : Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/dimj.v1i1.7940

Background: Smoking which is a lifestyle trend continues to increase and take its toll each year. Cigarettes have chemical compounds. Which has toxic and carcinogenic effects that can cause respiratory, cardiovascular, and other irritants. This can affect the distribution of oxygen to the body tissues. Forward leaning and PLB exercises can help maximize breathing thereby improving tissue oxygen distribution. Objective: To determine the differences in oxygen saturation of adult smokers before and after practice forward leaning and pursed lips breathing.Methods: This study used a quasi-experimental method with two group pre-post test design. The research subjects were 20 male respondents, the place of implementation at the Faculty of Medicine, Diponegoro University, Semarang. Research procedures included CKD and PLB exercises in the respondent group.Results: Analysis using the Wilcoxon test obtained significant results, with p values <0.05 on acute and chronic effects after CKD and PLB exercises were performed on 20 respondents Conclusion: A significant result in the oxygen saturation value of the group with PLB and CKD treatment with the PLB group before and after exercise on acute and chronic effects in adult smokers

MAT PILATES EXERCISE IMPROVES STATIC BALACE OF YOUNG ADULTS WITH OBESITY Yudha Hasya Ardana; Erna Setiawati; Rahmi Isma Asmara Putri; Yuswo Supatmo
JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL) Vol 11, No 3 (2022): JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL)
Publisher : Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/dmj.v11i3.32443

Background: The prevalence of obesity in women in Semarang at the age over 18 is 29.93%. This high prevalence rate of obesity can have a negative impact on individual health. The condition of obesity is closely related to its complications that can occur in various aspects of the body's physiology, in the example it can reduce functional abilities such as static balance which can interfere with activities and decrease quality of life. One of the methods that can be used to improve static balance is mat pilates. Mat pilates prioritizes stretching and strengthening core muscles with controlled and precise movements so that mat pilates exercises can improve static balance. However, no studies have yet discussed the effect of mat pilates exercise on static balance in obese young adults Aim: To prove that mat pilates exercise can increase static balance of female aged 18-23 years old with obesity. Methods: This study used quasi experimental pre and post-test design and was done in August-October 2020. The subjects were 33 female students of Medical Faculty of Diponegoro University aged 18-23 years with BMI over 27 kg/m², divided in 2 groups. Treatment group (n=15) was instructed to do 8 weeks of mat pilates exercise (3 times a week) and control group (n=18) was instructed to not do any exercise. Static balace was measured with Flamingo Balance Test (FBT). Data’s significance was analyzed with paired t test and independent t test. Results : There’s a significant decrease (p<0,001; paired t test) in FBT score before and after of the mat pilates treatment group from 12,31 ± 5,15 to 10,09 ± 5,59. An insignificant increase (p=0,798; paired t test) found in FBT score before and after of the control group from 12,74 ± 4,65 to 12,93 ± 6,29. The score difference of FBT test of the mat pilates treatment group and control group shows significant result (p=0,013). Conclusion: There is an improvement of static balance after mat pilates exercise intervention on female aged 18-23 years old with obesity

Improvement of Hand Motor Function after Radial Shock Wave Therapy in Chronic Stroke Patients M. Kamaluddin K; Erna Setiawati; Tanti Ajoe Kesoema
Indonesian Journal of Physical Medicine & Rehabilitation Vol 7 No 01 (2018): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Introduction: The Radial Shock Wave Therapy (RSWT) expected could improve spasticity and hand function in chronic stroke patients. This study aimed to find out the improvement of hand function after RSWT as an additional therapy in chronic stroke patients. Methods: Design study was a randomized controlled trial, in December 2018. The patients were assigned randomly to the experimental group (Infrared, Stretching, and RSWT) and control group (Infrared and Stretching) for six weeks. Hand motor function was measured using Fugl-Meyer Motor Assesment (FMA) before and after intervention. Results: The median values of wrist FMA scores in the experimental and control group before and after intervention were 2 vs 5 (p=0.001) and 3 vs 4 (p<0.001) respectively. The median values of hand FMA scores in the experimental and control group before and intervention were 4 vs 6 (p=0,.001) and 4 vs 5 (p<0.001). However, the delta between before and after intervention was higher in experimental group. Conclusion: The improvement of wrist and hand FMA scores after added treatment by RSWT was tend to higher.Keywords: Spasticity, Hand Function, Stroke, Radial Shock Therapy, Fugl-Meyer Motor Assesment

Improvement of VO2 max in Patient with Restrictive Pulmonary Disorder after Deep Breathing Exercise Lisa Nurhasanah; Erna Setiawati; Rahmi Isma AP
Indonesian Journal of Physical Medicine & Rehabilitation Vol 7 No 01 (2018): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Introduction: Restrictive pulmonary disorder is reducing VO2 max values. It can be caused by lung can’t take oxygen from outside air freely. Pulmonary rehabilitation is known to increase the VO2 max. One of the pulmonary rehabilitation is deep breathing exercise. In this study aimed to know the improvementVO2 max after deep breathing exercise.Methods: This was an experimental without control pre and post-experimental study. The Six Minutes Walking Test (6MWT) was measured in patients with restrictive pulmonary disorder, after deep breathing exercise two times a day, for four weeks in May 2018.Results: Fifteen subjects were recruited, with the mean age was 70,76 ± 5,33 years old, 6MWT was 375,13 ± 44,19 m and VO2 Max 31,61±0,86 ml/kg/minute. After four weeks intervention, 6MWT value was 401±44,57 m (p=0.000) and VO2 Max score was 32,11±0,87 ml/kg/minute (p=0.000).Conclusion: Four weeks of deep breathing exercise can improve the VO2 max in restrictive lung disorder.Keywords: Deep breathing exercise, Restrictive pulmonary disorder, VO2 max.

Improvement of Hand Motor Function after Radial Shock Wave Therapy in Chronic Stroke Patients M. Kamaluddin K; Erna Setiawati; Tanti Ajoe Kesoema
Indonesian Journal of Physical Medicine & Rehabilitation Vol 7 No 01 (2018): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Introduction: The Radial Shock Wave Therapy (RSWT) expected could improve spasticity and hand function in chronic stroke patients. This study aimed to find out the improvement of hand function after RSWT as an additional therapy in chronic stroke patients. Methods: Design study was a randomized controlled trial, in December 2018. The patients were assigned randomly to the experimental group (Infrared, Stretching, and RSWT) and control group (Infrared and Stretching) for six weeks. Hand motor function was measured using Fugl-Meyer Motor Assesment (FMA) before and after intervention. Results: The median values of wrist FMA scores in the experimental and control group before and after intervention were 2 vs 5 (p=0.001) and 3 vs 4 (p<0.001) respectively. The median values of hand FMA scores in the experimental and control group before and intervention were 4 vs 6 (p=0,.001) and 4 vs 5 (p<0.001). However, the delta between before and after intervention was higher in experimental group. Conclusion: The improvement of wrist and hand FMA scores after added treatment by RSWT was tend to higher.Keywords: Spasticity, Hand Function, Stroke, Radial Shock Therapy, Fugl-Meyer Motor Assesment

Improvement of VO2 max in Patient with Restrictive Pulmonary Disorder after Deep Breathing Exercise Lisa Nurhasanah; Erna Setiawati; Rahmi Isma AP
Indonesian Journal of Physical Medicine & Rehabilitation Vol 7 No 01 (2018): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Introduction: Restrictive pulmonary disorder is reducing VO2 max values. It can be caused by lung can’t take oxygen from outside air freely. Pulmonary rehabilitation is known to increase the VO2 max. One of the pulmonary rehabilitation is deep breathing exercise. In this study aimed to know the improvementVO2 max after deep breathing exercise.Methods: This was an experimental without control pre and post-experimental study. The Six Minutes Walking Test (6MWT) was measured in patients with restrictive pulmonary disorder, after deep breathing exercise two times a day, for four weeks in May 2018.Results: Fifteen subjects were recruited, with the mean age was 70,76 ± 5,33 years old, 6MWT was 375,13 ± 44,19 m and VO2 Max 31,61±0,86 ml/kg/minute. After four weeks intervention, 6MWT value was 401±44,57 m (p=0.000) and VO2 Max score was 32,11±0,87 ml/kg/minute (p=0.000).Conclusion: Four weeks of deep breathing exercise can improve the VO2 max in restrictive lung disorder.Keywords: Deep breathing exercise, Restrictive pulmonary disorder, VO2 max.

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