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Effect of additional uphill treadmill exercise combined with standard therapy on walking speed in patients with knee osteoarthritis Kristiani, Taurisia; Tinduh, Damayanti; Intaniasari, Dyah; Soenarnatalina
Physical Therapy Journal of Indonesia Vol. 6 No. 1 (2025): January-June 2025
Publisher : Universitas Udayana dan Diaspora Taipei Medical University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/ptji.v6i1.277

Abstract

Background: Knee osteoarthritis (OA) is a progressive musculoskeletal condition that limits mobility by reducing walking speed. Exercise therapy can improve walking speed in knee OA patients. This research aimed to demonstrate that the addition of uphill treadmill exercises to standard therapy protocols was more effective in enhancing walking speed in patients with grade II and III knee osteoarthritis compared to standard therapy alone. Methods: This randomized controlled trial at Dr. Soetomo General Hospital included 36 patients with knee OA grade II-III (Kellgren-Lawrence scale), aged 50-60 years, BMI <30 kg/m², moderate pain (VAS 30-60mm), and independent walking ability. Exclusion criteria included recent knee injuries/surgeries, intra-articular injections, acute inflammation, inflammatory arthritis, significant deformities, uncontrolled cardiovascular/diabetes conditions, respiratory disorders, sensory disturbances, balance disorders, concurrent therapy, pacemaker contraindications, cognitive impairment, and substance abuse. Subjects were randomized into control (n=18) and treatment groups (n=18). Controls received standard therapy (Q-bench strengthening and TENS). The treatment group received identical standard therapy plus uphill treadmill exercise (8-degree inclination, 1.1 m/s, 30 minutes) twice weekly for 5 weeks. Walking speed was assessed using 10-Meter Walk Test at baseline, post-intervention, and 20-day follow-up. Results: The treatment group demonstrated significantly superior walking speed improvements compared to controls. No baseline differences existed (p-value= 0.680; Cohen's d= 0.14), but significant improvements occurred at post-intervention (p-value= 0.030; Cohen's d= 0.79) and 20-day follow-up (p-value =0.02; Cohen's d= 0.83). Conclusion: There was a significant improvement in walking speed in post-exercise measurements and follow-up measurements in grade II-III knee OA patients who received additional uphill treadmill training compared to standard exercises.
Comparison of Lower Extremities Physical Performance on Male Young Adult Athletes with Normal Foot and Flatfoot Kumala, Mira Saraswita; Tinduh, Damayanti; Poerwandari, Dewi
Surabaya Physical Medicine and Rehabilitation Journal Vol. 1 No. 1 (2019): SPMRJ, Februari 2019
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (396.694 KB) | DOI: 10.20473/spmrj.v1i1.16156

Abstract

Background: Motor tasks involving the lower legs activate a closed kinetic chain, with the foot being the terminal part of that chain. It is known that when a part of this chain is disturbed, it will affect other parts of the chain, including the effect on the motor performance of lower extremities.Aims: To see the difference of physical performance on athlete age 14 – 17 years with flatfoot and normal foot on strength, balance and agility factors.Methods: Male athletes age 14 – 17 years enrolled in Sport Senior High School at Sidoarjo who underwent athletes screening at Sport Clinic of dr. Soetomo General Hospital and fulfill the inclusion criteria. The subject were 29 boys, the normal foot were 22 boys and the flatfoot were 7 boys. Subjects were examined for Clarke's angle and Chippaux-Smirak index to diagnose flatfoot and did Single-leg Hop for Distance, One Leg Test, Star Excursion Balance Test, and Hexagon Hop Test.Result: The statistical analysis showed no difference of lower extremities' physical performance in strength using Single-leg Hop for Distance (p>0.05), balance using One Leg Test and Star Excursion Balance Test (p>0.05), and agility using Hexagon Hop Test (p>0.05) on male athletes age 14-17 years with normal foot and flatfoot.Conclusion: There are no difference of lower extremities' physical performance in strength, balance and agility on male athlete age 14-17 years with normal foot and flatfoot.
Upper Limb Muscles Activity during Punches in Virtual Reality Exergame on Standing and Sitting Position Putra, Bayu Aji Mayogya; Masduchi, Reni Hendrarati; Tinduh, Damayanti; Pawana, I Putu Alit
Surabaya Physical Medicine and Rehabilitation Journal Vol. 3 No. 1 (2021): SPMRJ, FEBRUARY 2021
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v3i1.21550

Abstract

Background: Physical activity (PA) provides various health benefits. Unfortunately, individuals with disabilities may experience health problems and greater obstacles to PA participation. Boxing exergame (EXG) based on virtual reality (VR) can be an alternative option to increase physical activity level because it is fun, relatively affordable and accessible. Punching in boxing requires complex movements, wherein the lower limbs are contributor for effective punches. An understanding of muscles activity is important to uncover the potential benefits of VR EXG.Aim: To evaluate the differences in upper limb muscles activity of the dominant side in standing compared to sitting position during punches.Material and methods: This was a cross-sectional study involving 15 healthy adult men. Surface electromyography examinations was performed on four upper limb muscles of the dominant side (upper trapezius, anterior deltoid, biceps, triceps) when delivering straight, hook and uppercut punches while playing VR EXG "Fitness Boxing" Nintendo Switchâ„¢ in standing and sitting position.Results: Fifteen healthy men (age 31.87±3.14 years old, BMI 23.77±2.47 kg.m-2) were participated in this study. No significant difference found in the percentage of maximum voluntary isometric contraction (%MVIC) values of the upper trapezius, anterior deltoid, biceps and triceps muscles of the dominant sides when the subjects delivered straight, hook and uppercut punches (p>0.05), except for upper trapezius muscle during uppercut punch in standing compared to sitting position (p=0.041).Conclusion: The VR EXG "Fitness Boxing" Nintendo Switchâ„¢ can be done in a standing or sitting position to get similar effect on the upper limb muscles.
PENAMBAHAN NEUROMUSCULAR TRAINING PROGRAM DALAM MENINGKATKAN PERFORMA FUNGSIONAL ANKLE ATLET SEPAK BOLA LAKI-LAKI DENGAN RIWAYAT ANKLE SPRAIN Pramono, Dominggus Ruku Yudit; Tinduh, Damayanti; Harlina, Harlina
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 8, No 3 (2020): EDITION NOVEMBER 2020
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v8i3.1293

Abstract

When there is an ankle sprain injury the athlete has decreased functional ability and decreased instability of the ankle joint. One of the actions used to reduce the risk of injury and increase the performance of athletes is by providing a Neuromuscular Training Program (NMT). This study to prove the effect of the provision of the Neuromuscular Training Program on the functional performance. This study used a Randomized Pre Test and Post Test Group Design study design. Respondents of this study were male soccer athletes, amounting to 18 athletes who met the inclusion criteria, then divided into 2 groups randomly, each group consisted of 9 respondents. The study showed that there were differences in improvement in functional performance after the administration of the Neuromuscular Training Program in male soccer athletes with a history of ankle sprain. In the treatment group shows the results of functional performance (SLHT) with a value of p = 0,000 indicates a significant effect. Then the results of subjective functional performance measurements using Cumberland Ankle and Instability Tools (CAIT) in the treatment group showed the results of functional performance (CAIT) with a value of p = 0.005. From the results of the study that there were differences and improves in functional performance after the administration of the Neuromuscular Training Program in male soccer athletes with a history of ankle sprain.
Pengaruh Latihan Lari Sprint 50m terhadap Peningkatan Speed dan Power Tendangan Dollyo Chagi pada Atlet Taekwondo Tsania, Tamara; Utomo, Dwikora Novembri; Abdurrachman, Abdurrachman; Tinduh, Damayanti
Majalah Kedokteran Indonesia Vol 72 No 1 (2022): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.72.1-2022-560

Abstract

Introduction: Several training techniques are used to improve the performance of taekwondo athletes, one of which is sprint running. Sprinting is one of the branches of athletic sports which requires strength, muscle power, agility and speed. Dollyo chagi kicks is most often used both in attack and defense in taekwondo competition. To be a profesional athlete, they must have sport components such as muscle strengh, muscle power, speed, flexibility, agility, and endurance. The winner of the taekwondo competition is determined by the number of points earned. The author choose the speed an power of dollyo chagi because it is reliable to get points taekwondo matches.Methods: This is a quasi-experimental study with one-group pre-test and post-test design. Using purposive sampling techniques, seventeen junior taekwondo athletes (9 males and 8 female) were recruited. The athletes were trained with 50-meter sprint run for 4 weeks with intensity of 3 sets and 4 times a week. Result: Speed of dollyo chagi kicks increase significantly 17.74% (p less than 0.05) and power of dollyo chagi kicks increase significantly 23.06% (p less than 0.05). Conclusion: 50m sprint training can increase the speed and power of dollyo chagi kicks in taekwondo athletes.