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All Journal Jurnal Kedokteran Diponegoro Jurnal Kesehatan Masyarakat Media Medika Muda Medica Hospitalia SURABAYA PHYSICAL MEDICINE AND REHABILITATION JOURNAL Diponegoro International Medical Journal (DIMJ) Indonesia Journal of Physical Medicine and Rehabilitation Indonesia Journal Physical Medicine and Rehabilitation Neurona
Tanti Ajoe Kesoema, Tanti Ajoe
Department Of Physical Medicine And Rehabilitation, Dr. Kariadi Hospital, Faculty Of Medicine University Of Diponegoro, Semarang.
Chemical Engineering, Chemistry & Bioengineering Decision Sciences, Operations Research & Management Dentistry Health Professions Medicine & Pharmacology Neuroscience Nursing Physics Public Health

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Pengaruh Senam Sehat Anak Indonesia terhadap FEV1 (Forced Expired Volume in one second) dan FVC (Forced Vital Capacity) pada Anak Underweight Setiawati, Erna; Kesoema, Tanti Ajoe; Asmara Putri, Rahmi Isma; Julianti, Hari Peni
Medica Hospitalia : Journal of Clinical Medicine Vol. 7 No. 2 (2020): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (278.189 KB) | DOI: 10.36408/mhjcm.v7i2.519

Abstract

Pendahuluan: Indonesia masih mengalami masalah gizi yaitu masih terdapatnya status gizi kurang bahkan gizi buruk. Nutrisi yang rendah atau buruk dapat mengurangi massa otot skeletal dan pernapasan, yang menyebabkan penurunan FVC dan FEV. FVC dan FEV merupakan parameter dari fungsi paru. Penelitian terdahulu menyebutkan bahwa olahraga dapat meningkatkan fungsi dari sistim pernapasan. Senam Sehat Anak Indonesia (SSAI) merupakan salah satu pilihan olahraga pada anak. Penelitian ini bertujuan menganalisis pengaruh SSAI terhadap FEV1 dan FVC pada anak underweight. Metoda: Penelitian ini menggunakan one group pre and posttest design. Populasi target adalah 24 anak underweight berusia 9-12 tahun di SDN Tembalang. Dilakukan pemeriksaan FEV1 dan FVC sebelum dan setelah pasien melakukan SSAI. Perbedaan sebelum dan sesudah perlakuan menggunakan uji t-berpasangan. Nilai p dianggap bermakna apabila nilai p<0,05. Hasil: Peningkatan FEV1 (0,66±0,25) liter, FVC (0,22±0,28) liter setelah SSAI berturut-turut p=0,23 dan p=0,71. Diskusi: Pada SSAI dilakukan gerakan-gerakan senam yang dapat meningkatkan elastisitas paru serta memperkuat otot-otot pernapasan sehingga meningkatkan volume udara yang dapat diambil saat bernapas. Peningkatan nilai FVC dapat disebabkan oleh peningkatan volume dan elastisitas paru-paru. FEV1, FEV bervariasi dan tergantung dari otot pernapasan. Pada penelitian ini walaupun tidak bermakna secara statistik namun dalam rerata nilai FEV1 dan FVC terdapat peningkatan setelah SSAI. Hal ini mungkin dikarenakan frekuensi senam yang digunakan adalah frekuensi yang paling minimal yaitu 2 kali per minggu. Simpulan: SSAI 2 kali per minggu selama 6 minggu sebagai salah satu pilihan olahraga pada anak underweight usia 9-12 tahun namun dalam penelitian ini tidak didapatkan peningkatan bermakna pada FEV1 dan FVC. Diperlukan penelitian lebih lanjut menggunakan frekuensi latihan yang lebih banyak dan durasi yang lebih panjang serta menggunakan kelompok kontrol. Kata kunci: Anak underweight; Forced Expired Volume in one second (FEV1); Forced Vital Capacity (FVC); Senam Sehat Anak Indonesia (SSAI) Introduction: Indonesia is still facing nutritional problems, the presence of low nutritional status and even poor nutrition. Low or poor nutrition can reduce skeletal and respiratory muscle mass, which causes a decrease in FVC and FEV. FVC and FEV are parameters of lung function. Previous research suggests that exercise can improve the function of the respiratory system. Senam Sehat Anak Indonesia (SSAI) is one of the sports for children. This study aims to analyze the effect of SSAI on FEV1 and FVC in underweight children. Method: The design of this study was one group pre and post test design. The target population was underweight children at Tembalang Elementary School. FEV1 and FVC were examined before and after the patient underwent SSAI. Difference before and after treatment using paired t-test. The p value is considered significant if the p value <0.05. Results: There was no significant increase of FEV1 (0.66 ± 0.25) liters, FVC (0.22 ± 0.28) liters after SSAI with p= 0.23 and p = 0.71, respectively. Discussion: At SSAI, gymnastic movements are performed that can increase lung elasticity and strengthen breathing muscles, thereby increasing the volume of air that can be taken while breathing. Increased FVC is caused by an increase in lung volume and elasticity. FEV1, FEV varies and depends on the respiratory muscles. In weak expiratory muscles, a person's ability to expiration rapidly decrease and also the FEV1.FVC index. The mean of FEV1 and FVC values ??after SSAI increased but were not significant. In this study, although not statistically significant, the mean values ??of FEV1 and FVC were increased after SSAI. This may be due to the frequency of gymnastics used is the most minimal frequency of 2 times per week. Conclusion: SSAI twice per week for 6 weeks as one of the exercise choices in underweight children aged 9-12 years but in this study no significant increase in FEV1 and FVC was found. Further research is needed using more exercise frequency and longer duration and using a control group.Keywords: Underweight children; Forced Expired Volume in one second (FEV1); Forced Vital Capacity (FVC); Senam Sehat Anak Indonesia (SSAI)
HUBUNGAN ANTARA PENGGUNAAN SHOULDER BAG DENGAN KEJADIAN TRAPEZIUS MYALGIA Ramadhini, Amira Alya Cendekia; Adji, Raden Mas Soerjo; Kesoema, Tanti Ajoe; Wajdi, Muhammad
Medica Hospitalia : Journal of Clinical Medicine Vol. 9 No. 1 (2022): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (359.366 KB) | DOI: 10.36408/mhjcm.v9i1.696

Abstract

Background : The prevalence of Trapezius Myalgia is increasing, specifically in productive age (15-64 years old). In Indonesia, Trapezius Myalgia cases are less identified due to its minimal publication and frequently underdiagnosed. Trapezius Myalgia is generated by anaerobic metabolism in trapezius muscle triggered by lack of oxygenation. This process would release pain mediators and perceived as pain. Some factors were believed to cause trapezius myalgia, such as gender, heavy loads, repetitive movement, postures, and working with computer. The use of shoulder bag is considered as static loading and repetitively performed which is believed to cause trapezius myalgia. Aim : To determine the association between shoulder bag usage with Trapezius Myalgia in Toko Ananda Pojok Semarang workers. Method : This was an observational analytic study with cross-sectional design. Data assembled was primary data, consist of Nordic Musculoskeletal Questionnaire (NMQ) and confirmed by palpation using manual algometer. A total of 54 workers in Toko Ananda Pojok were selected as subjects. The group consists of 30 shoulder bag user and 24 non-shoulder bag user. Pearson Chi-Square was used for statistical analysis Results : Based on NMQ results, 30 subjects (55,6%) had neck pain, 35 subjects (64,8) had shoulder pain, 30 subjects (55,6%) had upper trapezius pain, and 20 subjects (37%) had lower trapezius pain. Pearson Chi-Square test of shoulder bag (p = 0,036) was statistically significant for trapezius myalgia risk (p<0,05). Conclusion : There was an association between shoulder bag usage with trapezius myalgia.
The Effectiveness Of E-Backnshou Exercise To The Improvement Of Neck, Shoulder And Back Pain In Computer Vision Syndrome Patient Julianti, Hari Peni; Nugroho, Trilaksana; Kesoema, Tanti Ajoe; Susilaningsih, Neni; Rahmi, Fifin Luthfia; Pritadesya, Maharani Prizka
Medica Hospitalia : Journal of Clinical Medicine Vol. 11 No. 1 (2024): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36408/mhjcm.v11i1.1017

Abstract

BACKGROUND : Extra-ocular complaints of Computer Vision Syndrome (CVS) are neck, shoulder, back pain.  The 20-20-20 rule and E-BACKNSHOU exercise are expected to improve accommodative mechanisms, ocular surface of the eye and extra ocular symptoms of CVS. AIMS :  Proving the effectiveness of E-BACKNSHOU exercise for the improvement of neck, shoulder and back pain in CVS patient. METHOD : The research design was Pre-Post Test with Control Design. Subjects were 30 medical students of Faculty of Medicine, Diponegoro University, Semarang, Indonesia who experienced CVS and neck, shoulder and back pain. The treatment group got the 20-20-20 rule and E-BACKNSHOU exercise and the control group got the 20-20-20 rule for 1 month. Pain was measured by Visual Analogue Scale (VAS). Statistical test was conducted using paired t-test, unpaired t-test and chi square. Value of significance p<0.05. RESULT :  There were significant differences in VAS score of neck, shoulder, upper back pain (p=0.00), and low back pain (p=0.022) before and after the intervention in the treatment group and VAS score of neck (p=0,002), shoulder (p=0.020), upper back (p=0.011), and low back pain (p=0.019) in the control group. Delta VAS score of the treatment group was greater than the control group and there was a significant difference in delta VAS score of shoulder pain (p=0,030), but there were no significant differences in delta VAS score of neck (p=0,934), upper back (p=0,356), and low back pain (p=0,150). CONCLUSION : The effectiveness of 20-20-20 rule and E-BACKNSHOU exercise is better than the 20-20-20 rule alone on treating neck, shoulder and back pain in CVS patient.
The Correlation between Duration and Frequency of Writing Activities on Subjective Complaints of Carpal Tunnel Syndrome Widyaningtyas, Hana; Setiawati, Erna; Kesoema, Tanti Ajoe
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 13, No 5 (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.v13i5.46140

Abstract

Background: In 2020, lectures were passed online due to the pandemic Covid 19, but now it is offline as before. This method has increased hand duration for writing. Using a hand for long and repetitive duration can affect pathological abnormalities on the nerves that lead to complaints such as soreness, pain, numbness, and weakness. Of these symptoms, 90% refer to a pathological disorder named Carpal Tunnel Syndrome (CTS).Objective: To determine the relationship between writing activities and subjective complaints of CTS using research subjects of students of the Department of Medical Science, Faculty of Medicine, Universitas Diponegoro Semarang Indonesia. Methods: This study is analytical with a crosssectional method. CTS complaints were measured Boston Carpal Tunnel Syndrome Questionnaire(BCTS-Q). Data analysis was performed using univariate analysis and Spearman correlation bivariate analysis. Results: 99 respondents fit the criteria that experience subjective complaints of CTS based on the BCTS-Q; 69.7% mild, 4% moderate, and 1% very severe. There was no correlation between duration (p= 0.852), frequency (p = 0.824), and rest time of writing (p = 0.285) with subjective complaints of CTS. It could be the cause of high subjectivity in interpreting the severity of CTS without a physical examination and difficulty in recalling the time they needed to write in one week. Conclusion: There is no relationship between the duration, frequency, and length of rest time of writing and subjective complaints of CTS.
Correlation Between Duration of Screen Time and Method of Handling Smartphone Towards The Incidence of De Quervain’s Syndrome among The Medical Students of Diponegoro University. Hidayat, Indra; Setiawati, Erna; Kesoema, Tanti Ajoe; Putri, Rahmi Isma Asmara
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 12, No 6 (2023): 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.v12i6.39048

Abstract

Background: Smartphone with all of its benefits make the majority of its users become too attached with the device that can fulfil their various needs. Due to its accessibility, an increase of daily screen time has also been observed which may have negative impacts on health, one of them being De Quervain’s Syndrome. De Quervain’s Syndrome is a type of Repetitive Strain Injury, affecting the thumb and wrist caused by a repetitious activity that puts burden or trauma to the aforementioned body parts. Objective: To assess the correlation between duration of screen time and method of handling smartphone towards the incidence of De Quervain’s Syndrome among the medical students of Diponegoro University. Methods: This research used an analytical-observational approach with a cross-sectional design. The subjects were 113 students from the Faculty of Medicine, Diponegoro University that were obtained using consecutive sampling method. The correlation between duration of screen time and method of handling smartphone with the incidence of De Quervain’s Syndrome were performed using Spearman’s test. Results: A weak significant correlation was observed between the average duration of screen time towards the incidence of DQS pain on the right hand based on the DQST results (p=0.11), but no significant correlation was found between the same variables on the left hand (p=0,082). There is no significant correlation between the method of handling smartphones with the incidence DQS pain based on the DQST results, both on the right (p=0.93) and left (p=0.167) hands. Conclusion: Average duration of screen time was weakly correlated with the incidence DQS pain in the right hand, but no correlation was found in the left hand, based on DQST results, among the students from the Faculty of Medicine, Diponegoro University. No correlation was observed between the method of handling smartphones and the incidence of DQS among the students from the Faculty of Medicine, Diponegoro University.
Differences in the Degree of Spasticity in Post-Haemorrhagic and Non-Haemorrhagic Stroke Patients Based on the Modified Ashworth Scale Abhista, Ifandias Gian; Sugianto, Maria Belladonna Rahmawati; Kesoema, Tanti Ajoe; Budisulistyo, Trianggoro
Medica Hospitalia : Journal of Clinical Medicine Vol. 11 No. 3 (2024): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36408/mhjcm.v11i3.1137

Abstract

Background : Stroke is a brain function disorder caused by vascular disturbances with manifestations ranging from paralysis to death. Stroke is a health issue with high incidence and mortality rates. Furthermore, post-stroke patients can experience various residual symptoms such as spasticity, which can lead to decreased productivity and socio- economic impacts. Spasticity is a common symptom in stroke survivors, with a prevalence ranging from 30% to 80%. This symptom typically appears several weeks after a stroke and can persist for up to 12 months, causing reduced productivity and socio-economic challenges. Hemorrhagic strokes result from blood vessel rupture, while non- hemorrhagic strokes are caused by ischemia. Both types can damage motor pathways, leading to spasticity. Understanding the differences in spasticity severity between stroke types may guide targeted rehabilitation strategies. The aimsof ths study was to determine the difference in the degree of spasticity in post-stroke patients between hemorrhagic and non-hemorrhagic strokes based on the Modified Ashworth Scale. Methods : An analytical observational study with a cross-sectional design was conducted. The study included 33 post-hemorrhagic stroke patients and 33 post-non- hemorrhagic stroke patients. The degree of spasticity was measured using the Modified Ashworth Scale. Statistical analysis was performed using the Chi-Square test. Results : The Chi-Square test for the variable "stroke type" and "degree of spasticity" yielded a p-value of 0.428 (p > 0.05). The Chi-Square test is considered significant when the p-value is < 0.05. Conclusion : There is no difference in the degree of spasticity
Comparison Between Robotic Finger Therapy Exercise and Conventional Exercise on the Range of Motion of the Metacarpophalangeal Joints: Study of Post-stroke Patients at Diponegoro National Hospital Kurniawan, Daniel Andry; Wahyudati, Sri; Kesoema, Tanti Ajoe; Julianti, Hari Peni; Putri, Rahmi Isma Asmara; Setiawati, Erna; Hartono, Dewi Kusuma
Medica Hospitalia : Journal of Clinical Medicine Vol. 11 No. 3 (2024): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36408/mhjcm.v11i3.1155

Abstract

BACKGROUND : Metacarpophalangeal (MCP) joints range of motion (RoM) exercise can be done using either conventional exercise or robotic finger therapy. This study aimed to compare MCP joints RoM improvement between conventional exercise and robotic finger therapy exercise in post-stroke patients. METHOD : This study was a randomized controlled trial pre and post test controlled group design. The data were taken from individuals aged 45-65 years with a history of stroke undergoing medical rehabilitation at the Diponegoro National Hospital before and after intervention (robotic finger therapy exercise vs conventional exercise) for 6 weeks. MCP joints RoM was measured using goniometer before and after the intervention. Datas were analysed using SPSS ver 20.0. Normality of data distribution would be assessed using the Shapiro-Wilk test. Differences in the RoM of MCP joints before and after treatment in each group were tested using paired t-test. Group differences were tested using unpaired t-test. RESULT :  There was significant RoM improvement in each MCP joint in each group before and after the treatment (p<0.05). There was no significant difference in RoM improvement between groups (p>0.05). CONCLUSION : Both robotic and conventional therapy significantly improve MCP joints RoM in post-stroke patients. There was no significant difference in MCP joints RoM improvements between robotic finger therapy and conventional exercise.
Pengaruh Relaksasi Benson terhadap Kualitas Tidur Mahasiswa Fakultas Kedokteran Universitas Diponegoro Roselina, Jessica; Kesoema, Tanti Ajoe; Pasmanasari, Elta Diah; Basyar, Edwin
Majalah Kedokteran Neurosains Perhimpunan Dokter Spesialis Saraf Indonesia Vol 39 No 3 (2022): Vol 39 No 3 (2022)
Publisher : PERDOSNI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52386/neurona.v39i3.409

Abstract

Introduction: Sleep is the basic need that should be fulfilled to help the body to work optimally. Sleep disorders are quite prevalent among medical students. Sleep deprived medical students experience decreased cognitive function, mood, alertness, and fatigue. Benson relaxation is a non-pharmacological therapy that can improve sleep quality in elderly. Limited study was published on the effect of Benson relaxation on young adults’ sleep quality. Aim: To analyze the effect of Benson relaxation on sleep quality in students of Faculty of Medicine Diponegoro University. Methods: A non-invasive quasi experimental study with one group pre and post-test design was conducted. Which involved 29 medical students from class of 2018-2021. Purposive sampling technique was performed. Benson relaxation was done for 14 consecutive days, 15 minutes every day. The subject’s sleep quality was assessed by the PSQI questionnaire before and after Benson relaxation treatment. Data was analyzed using IBM SPSS Statistics 22.0 and the test used was paired T-test. Results: The pre-test score mean was 9,38 ± 1,821 meanwhile the post-test score mean was 4,31 ± 2,106. There was statistically significant change in sleep quality before and after Benson relaxation (p = 0,004). Discussion: Benson relaxation increased sleep quality in students of Faculty of Medicine Diponegoro University. Keywords: Sleep quality, medical students, Benson relaxation
Comparison of Hatha Yoga and Elderly Exercise in Quality of Life in Elderly Santoso, Rhevensa; Kesoema, Tanti Ajoe; Dewi, Novita Sari
Surabaya Physical Medicine and Rehabilitation Journal Vol. 7 No. 1 (2025): SPMRJ, FEBRUARY 2025
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v7i1.57685

Abstract

Background: Aging-related physical changes impact Quality of Life (Qol). Even though it is a popular form of exercise for the elderly, few of them are aware of the many advantages of Hatha Yoga. Aim: This study compares elderly exercise programs with Hatha Yoga in an effort to enhance quality of life in older adults. Material and methods: This was a randomized controlled trial consisting of 26 participants split into two groups: 13 people did Hatha Yoga and 13 people did senior exercise. For six weeks, both groups participated in three-week exercises, and the EQ-5D-5L was used to measure quality of life both before and after the intervention. Results: The elderly exercise group's delta post-test utility index score (0,15 ± 0,10) was lower than that of the Hatha Yoga group (0,46 ± 0,11); this difference was statistically significant (<0,001). The VAS score in the Hatha Yoga group (85,15 ± 7,38) was higher than that of the elderly exercise (74,15 ± 7,97) and the difference was significant (p=0.001). The difference in the score of Hatha Yoga (13,62 ± 5,47) compared to elderly exercise (2,46 ± 1,98) results in a significant p<0.001. Conclusions: Hatha Yoga improves better EQ-5D-5L than elderly exercises to improve the QoL of elders. Keywords: elderly, EQ-5D-5L, exercise, hatha yoga, quality of life
Co-Authors Abhista, Ifandias Gian Adji, Raden Mas Soerjo Arnan Victor Wiryawan Asmara Putri, Rahmi Isma Budisulistyo, Trianggoro Dewi, Novita Sari Dodik Dumadi Edwin Basyar Erna Setiawati Erna Setiawati, Erna Ervi, Ervi Fifin Luthfia Rahmi Hari Peni Julianti Hartono, Dewi Kusuma Indra Hidayat Kurniawan, Daniel Andry M. Kamaluddin K Maharani Cahyono Neni Susilaningsih Novriansyah, Robin Nugroho, Trilaksana Pasmanasari, Elta Diah Pritadesya, Maharani Prizka Putri, Rahmi Isma Asmara Rahmi Isma AP Ramadhini, Amira Alya Cendekia Riski Prihatningtias Ronni Untung Handayanto Roselina, Jessica Rudy Handoyo Rudy Handoyo, Rudy Santoso, Rhevensa Shofa Chasani Sri Wahyudati, Sri Sugianto, Maria Belladonna Rahmawati Wajdi, Muhammad Widyaningtyas, Hana