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Journal : Medica Hospitalia

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)
Pengaruh Latihan Zumba Terhadap Resting Heart Rate dan Peak Expiratory Flow Rate Pada Wanita Usia Dewasa Muda Ruberto, Sandro; Supatmo, Yuswo; Setiawati, Erna; Ambarwati, Endang
Medica Hospitalia : Journal of Clinical Medicine Vol. 8 No. 1 (2021): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (277.171 KB) | DOI: 10.36408/mhjcm.v8i1.526

Abstract

Introduction : Lack of physical activity is one of the risk factor for general mortality, therefore it is important to do regular physical activity. Zumba is one of the most popular physical activity methods and it has a lot of benefits especially for cardiorespiratory fitness. Objective : To determine the effect of Zumba exercise on Resting Heart Rate (RHR) and Peak Expiratory Flow Rate (PEFR) as an indicator of cardiorespiratory fitness. Methods : This is an experimental study using pre-test and post-test control group design. In this study, 26 females were divided in 2 groups (intervention and control group). Zumba exercise was given to intervention group 2 times a week (60 minutes per session) for 8-weeks exercise program. Zumba exercise was done virtually using videos provided by Zumba instructor. RHR measurement was carried out independently by research subjects in the morning when they woke up. PEFR measurement was done by using a peak-flow meter. Results : After 8-weeks Zumba exercise program, there was insignificant decreased of RHR from 71 ± 9 beat per minute to 70 ± 8 beats per minute (p>0,005). PEFR was significantly increased from 364 ± 36 liter/minute to 397 ± 42 liter/minute (p<0,005). But, there was no significant difference compared to control group. Conclusion : Zumba exercise can increase PEFR and decrease RHR, but it is not significantly different from the control group. It can be caused by the accuracy of the Zumba exercise is not supervised by the instructor. Keywords : peak expiratory flow rate, resting heart rate, zumba
The The Effects of Zumba Exercise on LDL Levels and Oxidative Stress of Young Adult Women Putri, Alda Aulia Rahma Ananto; Supatmo, Yuswo; Setiawati, Erna; Ambarwati, Endang
Medica Hospitalia : Journal of Clinical Medicine Vol. 8 No. 2 (2021): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (279.951 KB) | DOI: 10.36408/mhjcm.v8i2.532

Abstract

ABSTRACT Background: Sedentary lifestyle which refers to physical inactivity is one of the risk factors for non-communicable diseases, one of which is dyslipidemia. Zumba, as a form of aerobic exercise, is in great demand by young adults recently. This exercise has effects on reducing LDL levels and oxidative stress measured by malondialdehyde (MDA) levels as the biomarker. Objectives: To examine the effect of Zumba exercise on LDL and MDA levels in young adult women. Methods: This experimental study used two groups pre and post test design. Research subjects were 36 women, divided into intervention group (n=18) and control group (n=18). Zumba exercise was done by intervention group 2 times a week (60 minutes per session) for 8 weeks virtually. LDL and MDA levels were measured using blood samples of research subjects. Result data was analysed using T-paired test, Wilcoxon test and Mann-Whitney test. Results: There is no decrease in LDL levels from intervention group after 8 weeks of Zumba exercise. However, there is significant decrease in MDA levels. LDL levels increased from 94,18±25,60 mg/dL to 105,82±27,64 mg/dL (p<0,05) and MDA levels decreased from ,71±0,28 µmol/L to 0,37±0,64 µmol/L (p<0,05). There is no meaningful difference in LDL levels between intervention and control group. Nonetheless, there is meaningful difference in MDA levels among both groups. Conclusion: Zumba exercise 2 times a week for 8 weeks virtually can not reduce LDL levels but can significantly reduce MDA levels. Keywords: low density lipoprotein, malondialdehyde, Zumba exercise
The Efek Penambahan Latihan Penguatan dengan Resistance Band terhadap Kekuatan Otot Quadriceps Femoris pada Lansia yang Mendapat Latihan Keseimbangan Kurniawan, Andriaz; Ambarwati, Endang; Setiawati, Erna
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 (315.041 KB) | DOI: 10.36408/mhjcm.v9i1.677

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Abstract Background : Decreased muscle strength and balance disorders that occur in elderly are risk factors for falls. The quadriceps femoris muscle is a predictor of falls and one of the determinants of functional ability in activities of daily living. Balance exercise is one of the exercises to improve the balance of the elderly. Strengthening exercises with resistance bands provide resistance using a stretched elastic band. The objectives of this study was to determine the effect of additional strengthening exercises using resistance bands on increasing the strength of the quadriceps femoris muscle in the elderly who received balance training. Methods: This study is a randomized experimental design with pre and post test design. The subjects were elderly, aged 60-70 years. Subjects were divided into two groups, control group (n=12) and intervention group (n=12). The intervention groups were given balance training 3 times per week for 5 weeks and added strengthening exercises using resistance bands 3 times per week for 5 weeks. The control group only did balance training. Before and after treatment, the strength of the quadriceps femoris muscle was measured in both groups. Results: Statistically significant differences were obtained for right quadriceps femoris muscle strength (p=0.001) and left quadriceps femoris muscle strength (p=0.001) pre and post treatment in the intervention group. In the comparison between groups, there were an increase in the mean muscle strength of the right and left quadriceps femoris, but there were no statistically significant differences in the right quadriceps femoris muscle strength (p=0.088) and left quadriceps femoris muscle strength (p = 0.093). Conclusion: The addition of a resistance band to balance training for 5 weeks had a clinical effect on the quadriceps femoris muscles strength in the elderly but had no statistically significant differences. Keywords: Resistance band, balance training, quadriceps femoris, elderly
- Perbandingan McKenzie dan Isometric Neck Exercise terhadap Keseimbangan pada Forward Head Posture: Studi pada Karyawan Pengguna Komputer Munawaroh, Naela; Sugiarto, Stephanie Indrawati; Wahyudati, Sri; Setiawati, Erna
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 (326.52 KB) | DOI: 10.36408/mhjcm.v9i1.681

Abstract

BACKGROUND: The increasing use of computers in the current era is accompanied by an increase in the prevalence of poor posture due to the use of computers in fixed and inappropriate positions for a long time. This has the potential to cause changes in posture and body alignment such as forward head posture. McKenzie neck exercise and isometric neck exercise are considered to help maintain normal spinal alignment and improve body posture. OBJECTIVE: To compare the effect of McKenzie and Isometric Neck Exercise to balance in forward head posture METHOD: This study is an experimental study with a quasi-experimental pre and post-test design. Research subjects are computer users at RSUP dr Kariadi Semarang who suffer from forward head posture. A total of 24 research subjects were divided into group 1 (n=12) who received McKenzie neck exercise and group 2 (n=12) who received isometric neck exercise. Allocation was done by simple randomization. Each group did the exercise 12 times for 4 weeks with a frequency of 3 times per week. Balance assessment using the mCTSIB (Modified Clinical Test of Sensory Integration on Balance) questionnaire. Data analysis used Shapiro Wilk, Mann Whitney, independent t-test and paired t-test. RESULT: The demographic data of the sample in this study did not show any significant difference in either group 1 and 2. There was a significant improvement in condition 1 (balance on a flat bed with open eyes) in group 1 (p = 0.025). Significant results were also obtained in condition 2 (balance on a flat bed with closed eye) in group 2 (p = 0.041). There was no significant difference in the analysis of the two intervention groups. The McKenzie group did not provide a greater improvement in balance when compared to the isometric neck exercise group. CONCLUSION: McKenzie exercise is not superior to isometric neck exercise in improving balance
Pengaruh Penambahan Kinesiotaping pada Rehabilitasi Pasca Stroke Fase Kronis yang Mendapatkan Weight Shifting Training terhadap Kecepatan Berjalan Zakaria, Nieke; Handoyo, Rudy; Setiawati, Erna
Medica Hospitalia : Journal of Clinical Medicine Vol. 10 No. 1 (2023): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36408/mhjcm.v10i1.821

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Background: Stroke is the leading cause of disability including decreased walking speed. It is estimated that 73% of stroke sufferers have a lack of motor control and result in limited mobilization. Kinesiotaping(KT) is a method that can be added to other forms of exercise including weight shifting training. With the addition of kinesiotaping is expected to occur improvements in muscle performance and balance so that the speed of walking increases. Objective: To prove the effect of the addition of KT on chronic stroke rehabilitation that gets weight shifting training on walking speed. Methods: This study is a randomized controlled trial pre-test and post test control group design. There were 18 subjects of chronic stroke rehabilitation patients divided into 2 groups, namely the control group that got weight shifting training (9 people) and the treatment group that got the addition of kinesiotaping to weight shifting training (9 people). The walking speed assessment was measured before and after 4 weeks of treatment. Results: There was a significant difference in the mean walking speed before and after treatment in each group (p<0.001). In the treatment group 0.60 ± 0.08 and 0.68 ± 0.07 at the end. In the control group 0.62 ± 0.05 at the beginning and 0.64 ± 0.05 at the end. There was a sigificant difference in the mean walking speed increase in both groups (p<0.001). Conclusion: The mean increased walking speed was higher in the group that got the addition of KT in chronic phase stroke rehabilitation who received weight shifting training.
Comparison Of The Effectiveness Of High Intensity Laser Therapy (HILT) And Low-Level Laser Therapy (LLLT) On Improving Balance In Knee Osteoarthritis Wibisono, Kukuh; Handoyo, Rudy; Setiawati, Erna
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.v11i1.984

Abstract

BACKGROUND : Osteoarthritis (OA) of the knee is a joint disease with a high prevalence among the elderly. OA can cause balance disorders, which are one of the main causes of falls in the elderly. Balance can be measured using several scoring systems, one of which is the Berg Balance Scale (BBS). One of the treatment modalities for OA is laser therapy which is non-invasive and easy to apply. Low level laser therapy (LLLT) has been widely used in patients with knee OA, but recently high intensity laser therapy (HILT) has begun to be used in physical therapy with advantages over a wider range and depth. AIMS :  to compare the effect of LLLT and HILT therapy on improving functional balance in the elderly with knee OA. METHOD : This research is a randomized controlled trial pre-test and post-test-controlled group design. The sampling method used in this study is the simple random sampling method. The sample size was 27 subjects and divided into two groups, the LLLT group (n=14) and the HILT group (n=13). Each subject received laser therapy sessions 2 times a week for 4 weeks. Balance was assessed using the BBS before and after the intervention. RESULT :  There was an increase in BBS scores before and after treatment in the HILT group (p<0.001) and in the LLLT group (p<0.001), with the increase in the HILT group (7.79 ± 2.16) significantly greater than in the LLLT group (3 .08 ± 0.76) (p<0.001). CONCLUSION : HILT improves balance score better than LLLT.
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.