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All Journal Jurnal Kedokteran Diponegoro Media Medika Muda Medica Hospitalia Diponegoro International Medical Journal (DIMJ) Indonesia Journal of Physical Medicine and Rehabilitation Indonesia Journal Physical Medicine and Rehabilitation
Erna Setiawati
Department Of Physical Medicine & Rehabilitation, Faculty Of Medicine, Universitas Diponegoro, Semarang, Indonesia
Decision Sciences, Operations Research & Management Dentistry Health Professions Medicine & Pharmacology Neuroscience Nursing Physics Public Health

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Mat Pilates Exercise Increase Hip Flexibility in Young Adults with Obesity Naufal Prima Wianto; Erna Setiawati; Dwi Pudjonarko; Tanti Ajoe Kesoema
JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL) Vol 11, No 6 (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/jkd (dmj).v11i6.32278

Abstract

Background:Young adult with obesity may experience in decreased hip flexibility. Decreased hip flexibility can be caused by excessive fat mass around the joint, lack of physical activity, resulting in muscle stiffness. Flexibility can be improved by Mat Pilates exercises which combined static and dynamic movements. Objective:To prove increasing hip joint flexibility of young adult with obesity after doing Mat PilatesMethods:This study used experimental study with comparison group pre-test and post-test design. The participants were 38 young adults with obesity lived in Semarang selected by purposive sampling technique. The participants were divided into experiment group and control group. The experiment group was instructed to do Mat Pilates (3 times a week) for 4 weeks and the control group was instructed to do their usual activity. The hip flexibility was measured with sideward leg splits before and after experiment. The collected data was analyzed using paired t, independent t test.Results:There was a significant increase in the value of sideward leg splits after doing Mat Pilates (p < 0,05), from 98,46±9,73 to 112,82±11,22 for left sideward leg splits and from 99,63±10,20 to 111,39±12,99 for right sideward leg splits. The increase in the value of sideward leg splits in the experiment group was higher than the control group (p < 0,05). It was occured for both left sideward leg splits and right sideward leg splits.Conclusion:Mat Pilates increased hip joint flexibility of young adult with obesityBackground:Young adult with obesity may experience in decreased hip flexibility. Decreased hip flexibility can be caused by excessive fat mass around the joint, lack of physical activity, resulting in muscle stiffness. Flexibility can be improved by Mat Pilates exercises which combined static and dynamic movements. Objective:To prove increasing hip joint flexibility of young adult with obesity after doing Mat PilatesMethods:This study used experimental study with comparison group pre-test and post-test design. The participants were 38 young adults with obesity lived in Semarang selected by purposive sampling technique. The participants were divided into experiment group and control group. The experiment group was instructed to do Mat Pilates (3 times a week) for 4 weeks and the control group was instructed to do their usual activity. The hip flexibility was measured with sideward leg splits before and after experiment. The collected data was analyzed using paired t, independent t test.Results:There was a significant increase in the value of sideward leg splits after doing Mat Pilates (p < 0,05), from 98,46±9,73 to 112,82±11,22 for left sideward leg splits and from 99,63±10,20 to 111,39±12,99 for right sideward leg splits. The increase in the value of sideward leg splits in the experiment group was higher than the control group (p < 0,05). It was occured for both left sideward leg splits and right sideward leg splits.Conclusion:Mat Pilates increased hip joint flexibility of young adult with obesity
Mat Pilates Excercise Increaase Peak Expiratory Flow Rate in Young Adults with Obesity Nugrahani Wiraningrum; Erna Setiawati; Tanti Ajoe Kesoema; Yuswo Supatmo
JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL) Vol 11, No 6 (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/jkd (dmj).v11i6.32628

Abstract

Background: Obesity is one of the main problems that keep growing in the world including in Indonesia. Obesity can cause various health problems, one of which is respiratory problems and decreased of pulmonary function parameters in the form of peak expiratory flow rate (PEFR). One of the methods that can be used to increase the pulmonary function parameters of the peak expiratory flow is Mat Pilates exercise. Mat Pilates exercise works by strengthening the core area between the pelvis, abdomen and back, which aims to increase the strength, flexibility and endurance of the respiratory muscles, by that Mat Pilate exercise can increase the peak expiratory flow. However, there have not been any studies that discuss the effect of Mat Pilates exercise on the peak expiratory flow rate in obese young adults.Aim: To prove that Mat Pilates exercise can increasae peak expiratory flow rate of young adults with obesity.Methods: This study used quasi experimental pretest and posttest design and was done in August until October 2020. The subjects were 33 female aged 18-23 years with BMI>27, divided in 2 groups. Experimental 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. Peak expiratory flow rate was measured with peak flow meter. Data’s significance was analyzed with Paired T Test and Independent T Test.Results : A significant increase (p<0,001) in peak expiratory flow rate before and after Mat Pilates Exercise. The peak expiratory flow rate at the pretest between the 2 groups was no significant differences (p=0,841). The posttest peak expiratory flow rate of Mat Pilates exercise group (339,44 ± 53,71) was significant (p=0,027) higher than the control group (294,26 ± 56,97). The increase of PERF on Mat Pilates exercise group (45,00 ± 37,27)  is higher significantly (p=<0,001) than the increase on control group (4,07 ± 14,98).Conclusion: Mat Pilates exercise can increase peak expiratory flow rate in young adult with obesity.
THE EFFECTIVENESS OF FOOT EXERCISE AND HYDROTHERAPY ON BLOOD SUGAR LEVELS IN THE ELDERLY Edy Nuswantara Putra; Erna Setiawati; Marijo Marijo; Yuswo Supatmo
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 13, No 1 (2024): 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.v13i1.41031

Abstract

Background: Elderly are susceptible to health problems due to decreased organ function such as increased blood sugar levels that are at risk for diabetes mellitus, so proper management is needed with physical activity. Foot exercise and hydrotherapy can be an alternative to physical activity for elderly to lower blood sugar levels.Objective: To determine the effectiveness of the combination of foot exercise with and without hydrotherapy on blood sugar levels in the elderly.Methods: Experimental study with parallel 3 groups pre and post-test design. Research subjects were 21 elderly, divided into control group (n=7), combination of foot exercises and hydrotherapy intervention group (n=7), and foot exercise intervention group (n=7). The intervention was done 3 times a week for 5 weeks. Blood sugar levels were measured using POCT.Results: There is no significant decrease in blood sugar levels from control group (p>0.05). There is significant decrease in blood sugar levels from foot exercise and hydrotherapy intervention group (p<0.05) and foot exercise intervention group (p<0.05). The difference in blood sugar levels showed significant results between foot exercise and hydrotherapy intervention group and control group (p=0.000) and between foot exercise intervention group and control group (p=0.004). There is no significant differences in blood sugar levels between foot exercise and hydrotherapy intervention group and foot exercise intervention group (p=0.112).Conclusion: Both foot exercise and hydrotherapy are effective in lowering blood sugar levels in the elderly.
Perbandingan Intensitas Latihan Berdasarkan Anaerobic Threshold pada Laki-Laki dengan Tingkat Aktivitas Rendah Terhadap Performa Fisik Rudy Handoyo; Wahyu Wiryawan; Hari Hendriarti Satoto; Sri Wahyudati; Tanti Ajoe Kesoema; I Made Widagda; Erna Setiawati; Rahmi Isma Asmara Putri; Robby Tjandra; Naela Munawaroh; Aditya Paramitha Andini; Ratih Dwiratna Hakim; Arvin Manuel Wulur; Nura Eky Vikawati; Ellena Rachma Kusuma; Mela Kurnia Widyarini; Novritasari Setyaningrum
Medica Hospitalia : Journal of Clinical Medicine Vol. 12 No. 3 (2025): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36408/mhjcm.v12i3.1306

Abstract

Background: Low level of physical activity can reduce physical fitness. Aerobic training can improve physical fitness. A precise aerobic training based on anaerobic threshold (AT) is recommended by American College of Sports Medicine (ACSM) whenever possible. Methods: This was a randomized-single blinded control trial including 24 male subjects with low level of physical activity in Kariadi hospital during December 2023 until February 2024. It was randomized with a sealed envelope. Subjects were allocated in 2 groups (above AT and below AT). Physical performance was measured using SPPB score and muscle endurance that was presented using total repetition of 1RM of knee flexor muscle. Results: There was no significant difference between two groups for total SPPB score (p=0.053). There was a significant difference of muscle endurance between two groups (p=0.010) with the above AT group resulting in higher improvements of muscle endurance (12.00 ± 5.71 vs. 6.67 ± 3.26). Conclusion: Aerobic exercise with intensity based on AT did not show significant differences in total SPPB score. However, aerobic exercise above AT showed a better improvement of muscle endurance in healthy adult men with low levels of physical activity.
Correlation between Maximal Inspiratory Pressure and the Sit-to-Stand Test in Post-COVID-19 Patients Siti Chandra Widjanantie; Erick Ary Tjawanta; Triya Damayanti; Cleopas Martin Rumende; Andari Perwira Putri; Heidy Agustin; Erna Setiawati; Sri Wahyudati
Medica Hospitalia : Journal of Clinical Medicine Vol. 12 No. 3 (2025): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36408/mhjcm.v12i3.1382

Abstract

BACKGROUND: Coronavirus Disease 2019 (COVID-19) can lead to long-lasting complications such as ongoing respiratory issues and functional impairments. Damage to the alveoli and respiratory muscles, particularly the diaphragm, may result in lower maximal inspiratory pressure (MIP) and decreased physical performance. Although prior studies have examined the connection between MIP and functional tests in various respiratory conditions, research focusing on post-COVID-19 populations, particularly in Indonesia, is scarce. AIMS:  To investigate the correlation between Maximal Inspiratory Pressure (MIP) and 30-second Sit-to-Stand (30s STS) test performance in adult post-COVID-19 patients. METHOD: A cross-sectional study was conducted at two tertiary hospitals in Jakarta, Indonesia, involving 40 adults post-COVID-19 patients aged 18–59 years. Participants underwent clinical screening, spirometry, MIP measurement using the MicroRPM device, and the 30s STS test. Pearson correlation analysis was used for normally distributed variables with significance set at p < 0.05. RESULT:  The average MIP was 79.03 ± 26.68 cmH₂O, while the mean score for the 30s STS test was 12.78 ± 2.47 repetitions. Spirometric measurements revealed an average FEV₁ of 2.23 ± 0.57 L, FVC of 2.84 ± 0.69 L, and an FEV₁/FVC ratio of 81.19%. A moderate positive correlation between MIP and 30s STS performance was identified (r = 0.515, p = 0.001). CONCLUSION: There is a significant moderate correlation between MIP and 30s STS performance among post-COVID-19 patients, suggesting that simple functional tests can be effective tools for assessing respiratory muscle strength and informing rehabilitation strategies in clinical environments.
Co-Authors Aditya Paramitha Andini Agus Priambodo Andari Perwira Putri Arvin Manuel Wulur Aulia Anastasia Cleopas Martin Rumende Dwi Pudjonarko Dwi Retnoningrum Edy Nuswantara Putra Ellena Rachma Kusuma Erick Ary Tjawanta Hari Hendriarti Satoto Heidy Agustin Hermina Sukmaningtyas Hexanto Muhartomo I Made Widagda I Made Widagda Lisa Nurhasanah M. Kamaluddin K Maria Devina Putri Elvariani Marijo Marijo Meita Hendrianingtyas Mela Kurnia Widyarini Muhammad Nurul Amin Naela Munawaroh Naufal Prima Wianto Novritasari Setyaningrum Nugrahani Wiraningrum Nura Eky Vikawati Rahmi Isma AP Rahmi Isma Asmara Putri Ratih Dwiratna Hakim Robby Tjandra Rudy Handoyo Siti Chandra Widjanantie Sri Wahyudati Sri Wahyudati Suhartono, Suhartono Tanti Ajoe Kesoema Tanti Ajoe Kesoema Tanti Ajoe Kesoema Tanti Ajoe Kesoema, Tanti Ajoe Triya Damayanti Wahyu Wiryawan Yudha Hasya Ardana Yuswo Supatmo Yuswo Supatmo