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All Journal SAINS MEDIKA : JURNAL KEDOKTERAN DAN KESEHATAN Jurnal Kedokteran Brawijaya Jurnal Kedokteran Diponegoro FIBONACCI: Jurnal Pendidikan Matematika dan Matematika Unnes Journal of Public Health Medica Hospitalia Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia Jurnal Ilmiah Kesehatan Ar-Rum Salatiga Jurnal Pengabdian Dharma Bakti SURABAYA PHYSICAL MEDICINE AND REHABILITATION JOURNAL Narra J
Erna Setiawati, Erna
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Humanities Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Computer Science & IT Dentistry Economics, Econometrics & Finance Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Mathematics Medicine & Pharmacology Nursing Public Health Veterinary

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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

Abstract

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.
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.
THE EFFECTIVENESS OF FOOT EXERCISE AND HYDROTHERAPY ON BLOOD SUGAR LEVELS IN THE ELDERLY Putra, Edy Nuswantara; Setiawati, Erna; Marijo, Marijo; Supatmo, Yuswo
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.
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.
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.
Role of phosphodiesterase-3 inhibitor in cardiorespiratory fitness and functional class of patients with pulmonary hypertension: A randomized, double-blind, placebo-controlled trial Sofia, Sefri N.; Bahrudin, Udin; Uddin, Ilham; Sobirin, Muhammad A.; Setiawati, Erna; Hardiningsih, Galuh; Tjandra, Kevin C.; Limijadi, Edward KS.
Narra J Vol. 5 No. 1 (2025): April 2025
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v5i1.1301

Abstract

Many patients with acyanotic shunt congenital heart disease (CHD) are diagnosed only in adulthood, by which time pulmonary hypertension (PH) has developed, impairing their functional class and cardiorespiratory fitness. While PH treatments are limited and expensive, cilostazol, a phosphodiesterase-3 inhibitor, has shown potential in reducing pulmonary artery pressure and improving heart function, offering hope for better patient outcomes. The aim of this study was to evaluate the effects of cilostazol on cardiorespiratory fitness and functional class in patients with acyanotic shunt CHD with PH using a randomized, double-blind, placebo-controlled trial. The trial was conducted at Dr. Kariadi Hospital, Semarang, Indonesia, from March 2022 to March 2023. Patients aged 14–75 years were randomly assigned to receive cilostazol (initially 200 mg, later adjusted to 100 mg) or placebo for three months. Cardiorespiratory fitness was assessed using the six-minute walk test (6MWT) and VO2 max at pre-intervention and three months post-intervention. After three months, the mean 6MWT was not significantly different between cilostazol and placebo groups (319.65±50.52 vs 317.65±45.26 meters; p=0.090). Similarly, the VO2 max was also not significantly different between cilostazol and placebo groups (10.74±2.59 mL/kg/min vs 10.73±2.8 mL/kg; p=0.099). However, the percentage of patients who had functional class improvement was significantly higher in the cilostazol group compared to the placebo group (90% vs 30%; p<0.001). This study indicated that cilostazol could improve functional class in acyanotic shunt CHD patients with PH. However, larger and more robust trials are warranted to confirm the potential benefits of cilostazol in this patient population.
Efektivitas Penambahan Latihan Penguatan Otot Ekspirasi pada Senam Lansia terhadap Kebugaran Kardiorespirasi Lansia Pre-Frail Hakim, Ratih Dwiratna; Indriastuti, Lanny; Setiawati, Erna
Majalah Kedokteran Indonesia Vol 75 No 2 (2025): 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.75.2-2025-1445

Abstract

Introduction: The aging process will cause anatomical and physiological changes in various organs and the body systems, including changes in the cardiovascular, respiratory, and musculoskeletal systems which then progressively reduce cardiovascular and pulmonary functional capacity, ultimately affecting cardiorespiratory fitness, which can be assessed by a 6-minute walk test/6MWT. Aerobic exercise, including senam lansia, will affect cardiorespiratory fitness by increasing muscles blood flow. Adding expiratory muscle strengthening exercises with a Positive Expiratory Pressure/PEP threshold will strengthen expiratory muscles, the most common muscles affected in aging. This study aims to prove the effectiveness of adding expiratory muscle-strengthening exercises to senam lansia on the cardiorespiratory fitness of the pre-frail elderly. Method: 24 subjects who met the study criteria were randomly divided into an intervention group (n=12) who receive PEP 5 times per week + senam lansia 3 times per week for 6 weeks, and a control group (n=12) who only had senam lansia 3 times per week for 6 weeks. Cardiorespiratory fitness was measured before and after intervention using the 6MWT. Result: There was an increase in 6MWT scores before and after treatment in both the intervention group (p=0.002) and the control group (p<0.001). Comparison between groups showed a significant 6MWT score difference in the intervention group (p<0.001). Conclusion: The addition of expiratory muscle strengthening exercises to senam lansia for 6 weeks had a better improvement in cardiorespiratory fitness compared to only having senam lansia.
PENERAPAN PEMBELAJARAN BERDIFERENSIASI DENGAN ALAT PERAGA BALOK ALJABAR UNTUK MENINGKATKAN HASIL BELAJAR PESERTA DIDIK Setiawati, Erna; Setianingsih, Rini; Kristanti, Dewi
FIBONACCI: Jurnal Pendidikan Matematika dan Matematika Vol. 11 No. 1 (2025): FIBONACCI: Jurnal Pendidikan Matematika dan Matematika
Publisher : Fakultas Ilmu Pendidikan Universitas Muhammadiyah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24853/fbc.11.1.35-42

Abstract

Students frequently receive grades that fall short of the school's Minimum Mastery Criteria, particularly in the algebra chapter, specifically the topic of evaluating algebraic expressions. This occurs as a result of pupils' lack of understanding of variables and how to substitute variable values in algebraic forms. As a result, many students make mistakes when changing variable values, and their learning objectives are seen to be unfinished. The aim of this study was to determine whether using a differentiated learning model with the Teaching at the Right Level approach and algebraic block teaching aids improved the learning outcomes of class VIII students at SMP Negeri 25 Surabaya on the content on the value of algebraic forms. Using the Kemmis & McTaggart approach, this study is an example of classroom action research. The study's findings indicate that students are learning more about the importance of algebraic forms. The pre-cycle, cycle I, and cycle II learning completion rates for students were 14.7%, 64.7%, and 88.2%, respectively. This demonstrates how using a customized learning model in conjunction with algebraic block teaching aids and the Teaching at the Right Level strategy can enhance student learning outcomes.
Effectiveness of Deep Cervical Flexor (DCF) Exercise on Neck Functional Scores in Helicopter Crew with Mechanical Neck Pain Amalina, Nurika; Setiawati, Erna
Surabaya Physical Medicine and Rehabilitation Journal Vol. 3 No. 2 (2021): SPMRJ, AUGUST 2021
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v3i2.24272

Abstract

Background: Mechanical neck pain is defined as neck pain due to biomechanical dysfunction in the neck or upper back. Exercise can reduce muscle tension and strengthen deep cervical flexor (DCF) muscles by helping to relieve pain. The prevalence of neck pain is considered high in helicopter crews compared to the general population. Aim: To investigate the effectiveness of DCF exercise on neck functional scores (study of helicopter crews with mechanical neck pain).Material and Methods: Experimental one pre and post-test group design. The samples were 14 squadron-31/serbu helicopter crew performing conventional DCF muscle exercise 12 times for 4 weeks with a frequency of 3 times each week. Neck function was assessed using the Neck Outcome Score (NOOS) which consists of domains of mobility, stiffness, symptoms, sleep disturbances, everyday activity and pain, participating in everyday life, and quality of life.Results: This study showed that the mean NOOS score before intervention was 30.64 (SD: 9.44) and the mean NOOS score after intervention was 8.57 (SD: 5.33). There was a significant difference in the NOOS score before and after deep cervical flexor exercise (p = 0.001).Conclusion: DCF exercises are effective for improving neck functionality in helicopter crew with mechanical neck pain.
Co-Authors Amalina, Nurika Arniari, Gek Yun Asih Kuswardinah Asmara Putri, Rahmi Isma Dewi Kristanti Endang Ambarwati, Endang Hakim, Ratih Dwiratna Hardiningsih, Galuh Hari Peni Julianti Hartono, Dewi Kusuma Ilham Uddin Indra Hidayat Indriastuti, Lanny Isma AP, Rahmi Isri Nasifah Kurniawan, Andriaz Kurniawan, Daniel Andry Limijadi, Edward KS. Marijo Marijo, Marijo Munawaroh, Naela Oktia Woro Kasmini Handayani Pusaka, Semerdanta Putra, Edy Nuswantara Putri, Alda Aulia Rahma Ananto Putri, Rahmi Isma Asmara Ramadhania, Farah Alya Rini Setianingsih Ruberto, Sandro Rudy Handoyo, Rudy Sobirin, Muhammad A. Sofia, Sefri N. Sri Wahyudati, Sri Stephanie Indrawati Sugiarto Sundari Sundari Tanti Ajoe Kesoema, Tanti Ajoe Tjandra, Kevin C. Udin Bahrudin, Udin Wibisono, Kukuh Widyaningtyas, Hana Yetty Movieta Nency, Yetty Movieta Yuswo Supatmo Zakaria, Nieke