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Combination of Core Activation and Curl-Up Exercise on Reducing Diastasis Rectus Abdominis (DRA) in Multiparous Women Woli, Yuniatri; Listyawati, Luh Putu Ayu Vita; Putri, Ni Made Rininta Adi; Larashati, Ni Putu Dwi
Interest : Jurnal Ilmu Kesehatan INTEREST: Jurnal Ilmu Kesehatan Volume 14 Number 1, May-June 2025
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/interest.v14i1.661

Background: Pregnancy and childbirth cause physical changes in women, including pelvic floor muscle weakness and abdominal wall enlargement leading to the condition of Diastasis Recti Abdominis (DRA). Multiparous women are at higher risk of experiencing DRA due to repeated stretching of the abdominal wall. This study aimed to evaluate the effectiveness of combining core activation with curl-up exercises in reducing the degree of DRA in multiparous women. Methods: This study was conducted in Desa Homba Rande using a pretest-post test control group design. A total of 24 multiparous women were selected through purposive sampling and divided into two groups: intervention (n=12) and control (n=12). The intervention group received core activation and curl-up exercises three times a week for 12 weeks. Inter-recti distance was measured using a digital caliper before and after the intervention period. Data were analyzed using the Paired T-Test and Independent T-Test. Results: All research samples were multiparous women aged 20-45 years, with controlled BMI, type of delivery, number of pregnancies, number of births, and physical activity score (IPAQ-SF). The paired t-test showed a p-value of 0.001 (p<0.05), indicating a significant improvement after intervention. The independent t-test showed a p-value of 0.002 (p<0.05), indicating a significant difference in post-test data between groups. Conclusion: Core activation combined with curl-up exercises is effective in reducing DRA in multiparous women. These exercises are recommended as part of routine postpartum rehabilitation to improve core strength and function.

KOMBINASI LATIHAN CORE STABILITY DAN LATIHAN MCKENZIE UNTUK MENINGKATKAN FLEKSIBILITAS LUMBAL PETANI WANITA DI DESA TIBUBENENG, BADUNG Putri, Putu Ayu Maharani Eka; Vitalistyawati, Luh Putu Ayu; Putri, Ni Made Rininta Adi; I Made Yoga Parwata
Jurnal Kesehatan Terpadu Vol. 7 No. 2 (2023): Jurnal Kesehatan Terpadu
Publisher : LPPM Universitas Dhyana Pura

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36002/jkt.v7i2.2803

Seorang petani yang melakukan pekerjaannya dengan posisi membungkuk. Posisi kerja seperti ini jika dilakukan dalam jangka waktu yang lama akan menyebabkan penurunan fleksibilitas lumbal, untuk mencegahnya diperlukan latihan untuk meningkatkan fleksibilitas. Tujuan penelitian yaitu untuk mengetahui kombinasi latihan Core Stability dan latihan Mckenzie untuk meningkatkan fleksibilitas lumbal petani wanita. Metode penelitian: menggunakan pre-experimental dengan desain one group pre-test dan post-test. Penentuan sampel menggunakan purposive sampling dengan kriteria inklusi, eksklusi dan drop out didapatkan sampel sejumlah 10 orang. Alat ukur yang digunakan yaitu modified-modified schober test Hasil penelitian: nilai rata-rata fleksibilitas lumbal pre-test diperoleh 19, 29 cm dengan kategori kurang dan post-test menjadi 21, 21 cm dengan kategori normal. Hasil uji normalitas yang digunakan adalah uji Shapiro wilk test menunjukan p=0,120 (p>0,05). Uji hipotesis yang digunakan uji paired sample T test menunjukkan p=0,000 (p<0,05) yang berarti terdapat pengaruh kombinasi latihan Core Stability dan Mckenzie untuk fleksibilitas lumbal. Simpulan pada penelitian ini yaitu kombinasi latihan Core Stability dan Mckenzie meningkatkan fleksibilitas lumbal dengan peningkatan sebesar 9,9 %.

Combination of Core Activation and Curl-Up Exercise on Reducing Diastasis Rectus Abdominis (DRA) in Multiparous Women Woli, Yuniatri; Listyawati, Luh Putu Ayu Vita; Putri, Ni Made Rininta Adi; Larashati, Ni Putu Dwi
Interest : Jurnal Ilmu Kesehatan INTEREST: Jurnal Ilmu Kesehatan Volume 14 Issue 1 May 2025
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/interest.v14i1.661

Background: Pregnancy and childbirth cause physical changes in women, including pelvic floor muscle weakness and abdominal wall enlargement leading to the condition of Diastasis Recti Abdominis (DRA). Multiparous women are at higher risk of experiencing DRA due to repeated stretching of the abdominal wall. This study aimed to evaluate the effectiveness of combining core activation with curl-up exercises in reducing the degree of DRA in multiparous women. Methods: This study was conducted in Desa Homba Rande using a pretest-post test control group design. A total of 24 multiparous women were selected through purposive sampling and divided into two groups: intervention (n=12) and control (n=12). The intervention group received core activation and curl-up exercises three times a week for 12 weeks. Inter-recti distance was measured using a digital caliper before and after the intervention period. Data were analyzed using the Paired T-Test and Independent T-Test. Results: All research samples were multiparous women aged 20-45 years, with controlled BMI, type of delivery, number of pregnancies, number of births, and physical activity score (IPAQ-SF). The paired t-test showed a p-value of 0.001 (p<0.05), indicating a significant improvement after intervention. The independent t-test showed a p-value of 0.002 (p<0.05), indicating a significant difference in post-test data between groups. Conclusion: Core activation combined with curl-up exercises is effective in reducing DRA in multiparous women. These exercises are recommended as part of routine postpartum rehabilitation to improve core strength and function.

Association Between Stress Levels, BMI, and Menstrual Cycle Regularity Among Female University Students Hambarsika, I Gusti Ayu Komang Esti Purnami; Vitalistyawati, Luh Putu Ayu; Putri, Ni Made Rininta Adi; Sari, Ni Luh Made Reny Wahyu
Interest : Jurnal Ilmu Kesehatan INTEREST: Jurnal Ilmu Kesehatan Volume 14 Issue 2 November 2025
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/interest.v14i2.740

Background: The menstrual cycle functions through a coordinated balance of reproductive hormones. An imbalance in these reproductive hormones can disrupt the menstrual cycle. Aspects that can impact the menstrual cycle include stress and BMI. This study aimed to assess the association between stress levels and BMI on the menstrual cycle among female university students Methods: This research used a cross-sectional study conducted at Dhyana Pura University from April 2025 to May 2025. A total of 40 respondents participated in this study with purposive sampling. Data collection of stress level using the PSS-10 questionnaire, BMI using Staturemeter and digital scales, and menstrual cycle with tracking application (FLO). Pearson correlation test for stress and menstrual cycle variables, Spearman’s Rho for BMI and menstrual cycle variables, and multiple linear regression test. A Significance level of p<0.05 was used. Results: The association between stress levels and menstrual cycle showed a p-value of 0.13 (p < 0.05). The relationship between BMI and menstrual cycle showed a p-value of 0.411 (p>0.05). The relationship between stress level and BMI on menstrual cycle showed a p-value of 0.44 (p < 0.05) with an R-squared value of 0.395. This indicates a weak-to-moderate correlation between stress level and BMI on the menstrual cycle. Conclusion: This demonstrates a relationship between stress level and BMI on the menstrual cycle, with a weak-to-moderate strength. Based on these findings, students are encouraged to manage their stress levels and maintain a healthy BMI to support regular menstrual cycles.

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