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All Journal Jurnal Kedokteran Diponegoro Media Medika Muda Medica Hospitalia Diponegoro International Medical Journal (DIMJ)
Rahmi Isma Asmara Putri
Department Of Physical Medicine And Rehabilitation, Faculty Of Medicine, Diponegoro University, Semarang
Dentistry Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health

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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

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (258.485 KB) | DOI: 10.36408/mhjcm.v8i3.588

Abstract

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.
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

Abstract

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.  
PENGARUH LATIHAN AEROBIK AKUT TERHADAP PENINGKATAN FUNGSI EKSEKUTIF YANG DIUKUR DENGAN STROOP COLOUR WORD TEST DAN TRAIL MAKING TEST PART B PADA ANAK SEKOLAH DASAR Rahmi Isma Asmara Putri; Rudy Handoyo; Noor Wijayahadi
Media Medika Muda Vol 2, No 3 (2017)
Publisher : Faculty of Medicine Diponegoro University

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Abstract

Latar Belakang: : Fungsi eksekutif merupakan bagian dari kognitif yang berperan penting dalam proses pembelajaran dan prestasi akademis anak, oleh karena itu penelitian ini bertujuan untuk mengetahui pengaruh latihan aerobik akut terhadap peningkatan fungsi eksekutif anak sekolah dasar usia 9-12 tahun yang diukur dengan Stroop Colour Word Test dan Trail Making Test part BMetode: Penelitian klnis eksperimental dengan randomized pre dan post controlled group design.Hasil: Pada kelompok perlakuan terdapat peningkatan yang bermakna pada skor stroop CW dari 2,2955±0,34235 menit menjadi 1,5795±0,29062 menit (p<0,001) dan pada skor TMT-B dari 32,6320±3,92685 detik menjadi 25,7435±4,63849 detik (p<0,001). Terdapat perbedaan yang bermakna selisih pretest-postest skor Stroop CW (p<0,001) dan TMT-B (p=0.037) pada kelompok perlakuan dibanding kelompok kontrol.Simpulan: Latihan aerobik akut dapat meningkatkan skor uji fungsi eksekutif Stroop CW dan TMT-B. Kata kunci: Aerobik akut, fungsi eksekutif, Stroop CW, TMT-B
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

Abstract

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

Abstract

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 
Co-Authors Aulia Salwa Alfaina Erna Setiawati Hari Peni Julianti Hexanto Muhartomo Maria Devina Putri Elvariani Meita Hendrianingtyas Muhammad Nurul Amin Noor Wijayahadi Rifky Ismail Rudy Handoyo Trianggoro Budisulistyo Yudha Hasya Ardana Yuswo Supatmo