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All Journal Jurnal Kedokteran Diponegoro
Erna Setiawati
Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Diponegoro University, Semarang, Indonesia
Medicine & Pharmacology

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The Correlation between Duration and Frequency of Writing Activities on Subjective Complaints of Carpal Tunnel Syndrome Hana Widyaningtyas; Erna Setiawati; Tanti Ajoe Kesoema
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 EFFECT OF COVID-19 HISTORY ON CARDIORESPIRATORY FITNESS OF HAJJ PILGRIM CANDIDATES Ikrar Abdillah Muryasani; Sri Wahyudati; Erna Setiawati
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 15, No 4 (2026): 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.v15i4.54137

Abstract

Background: Hajj pilgrims are expected to be able to walk a minimum of 12 kilometers. Therefore, good physical fitness is required. COVID-19 is a disease that can cause deconditioning of heart and lung function. Objective: The purpose of this study was to determine the effect of COVID-19 history on cardiorespiratory fitness of hajj pilgrim candidates. Methods: This cross-sectional study was conducted on prospective hajj pilgrim candidates in Salatiga City aged 50-70 years who fit the inclusion criteria. Subject characteristics such as age, comorbid history, and exercise history were collected from subject interviews. Body Mass Index (BMI) was measured by calculating height and weight. Physical activity history was assessed using Indonesian version of the International Physical Activity Questionnaire (IPAQ). Cardiorespiratory fitness was assessed using the six minutes walking test (6MWT). Data were analyzed using comparative test. Results: A total of 32 subjects with a history of COVID-19 with 31 mild symptoms and 1 moderate symptom, and 101 subjects without a history of COVID-19 were included as research subjects. There was significant difference in age (p=0.006) and education (p=0.003) between subject with COVID-19 history and without COVID-19 history (p=0.006). The VO2max result from 6MWT in subjects with history of COVID-19 were significantly lower than those in subjects without a history of COVID-19 (p=0.007, 14.54±3.54 mL/kg/min vs 16.36±3.19 mL/kg/min). Conclusion: COVID-19 history affects the cardiorespiratory fitness of hajj pilgrim candidates. Endurance training should be recommended for Hajj pilgrim candidates with a history of COVID-19 to improve cardiorespiratory fitness.
THE RELATIONSHIP BETWEEN SUBJECTIVE COMPLAINTS OF LOW BACK PAIN AND SLEEP QUALITY Dinanti Bintang Shahrani; Tanti Ajoe Kesoema; Erna Setiawati; Rahmi Isma Asmara Putri
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 15, No 4 (2026): 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.v15i4.53284

Abstract

Background: Low back pain is a frequently occurring symptom closely associated with society, both in Indonesia and globally. It can be influenced by both unmodified and modified factors, such as excessive physical activity, obesity, body posture, and psychological factors. Considering these risk factors, it is known that individuals in the productive age range (<45 years) have a significant risk of experiencing low back pain. Objective: This study examines the correlation between low back pain subjective complaints and sleep quality in students at the Faculty of Medicine Diponegoro University. Methods: Analytical observational study with a cross-sectional design. Research subjects are students from the Faculty of Medicine, Diponegoro University, Semarang, which were selected using consecutive sampling. The low back pain subjective complaint is determined using the NRS and sleep quality data are determined by PSQI questionnaire. The relationship between the low back pain subjective complaint and sleep quality is analyzed using the Chi-Square correlation test and Fisher’s Exact alternative test. Results: From a total of 51 research subjects, the analysis of subjective low back pain complaint scores in relation to sleep quality yielded a p-value of 0.362. Therefore, it can be concluded that there is no significant relationship between subjective low back pain complaint scores and sleep quality. Conclusion: There is no relationship between the subjective complaints of low back pain and sleep quality among students at the Faculty of Medicine, Diponegoro University.
HIGH-INTENSITY INTERVAL TRAINING EFFECTS ON SLEEP, ANXIETY AND QUALITY OF LIFE IN OBESE AND OVERWEIGHT ADOLESCENTS Dayita Sukma Destanta; Avissia Zivanna; Elisha Jethro Solaiman; Erna Setiawati; Tanti Ajoe Kesoema
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 15, No 6 (2026): 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.v15i6.55218

Abstract

Background: It is estimated that more than 7 million Indonesians aged 5–19 years were living with obesity. The rise of obesity is also highly associated with increasing sleep disturbance, psychological distress, and reduced quality of life. High-Intensity Interval Training (HIIT) is a time-efficient exercise strategy that may improve these outcomes. Objective: To analyze the effects of twelve weeks HIIT program on sleep quality, depression, anxiety, stress symptoms, and quality of life among overweight and obese adolescents in Indonesia. Methods: Quasi-experimental pre–post study compared a HIIT group with a control group. Participants were recruited from two senior high schools in Semarang. HIIT was performed three times weekly for twelve weeks. Sleep quality was assessed using PSQI, psychological symptoms with DASS-21, and quality of life with the Indonesian WHOQOL-BREF. Wilcoxon and Mann–Whitney tests were used (p<0.05). Results: The HIIT group showed improved sleep quality with lower PSQI scores (median 5 to 3; p<0.001), while the control group was indifferent. DASS-21 subscales improved in the HIIT group, with reductions in depression (p=0.005), anxiety (p<0.001), and stress (p=0.006); post-intervention scores favored HIIT for depression (p=0.003), anxiety (p<0.001), and stress (p=0.026). At Indonesian WHOQOL-BREF, HIIT increased the psychological domain (p=0.002), social relationships domain (p=0.015), and the environmental domain (p=0.011), but not the physical domain (p>0.05). Post-intervention, between-group differences were significant for psychological (p<0.001) and environmental domains (p=0.021), but not for social relationships. Conclusions: Twelve weeks HIIT program improved sleep quality, reduced depression, anxiety, stress symptoms and enhanced quality-of-life domains, supporting HIIT as school-based option for overweight and obese adolescents.
EFFECTIVENESS OF ADDING EXPIRATORY MUSCLE STRENGTHENING EXERCISE IN ELDERLY EXERCISE ON FATIGUE COMPLAINTS OF PRE-FRAIL ELDERLY POPULATION Erma Nihlatul Mufidah; Erna Setiawati; Tanti Ajoe Kesoema
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 15, No 6 (2026): 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.v15i6.54187

Abstract

Background: The aging process induces changes in the anatomical and physiology of multiple organs and body systems, resulting in gradual reduction in cardiovascular and pulmonary functional capacities. This decline subsequently impairs cardiorespiratory fitness, ultimately leading to complaints of fatigue, that can be assessed by a Fatigue Assessment Scale (FAS). Aerobic exercise, such as elderly exercise, enhances cardiorespiratory fitness by promoting increasing blood flow to muscles. Supplementing these activities with expiratory muscle strengthening exercises using a Positive Expiratory Pressure/PEP threshold device help to reinforce the expiratory muscles, which are commonly weakened with aging. Objective: To prove the effectiveness of adding expiratory muscle-strengthening exercises to elderly exercise the fatigue complaints of the pre-frail elderly. Methods: A randomized controlled trial was used for this research. There were 24 subjects who met the study criteria were randomly divided into an intervention group (n=12) who receive PEP 5 times per week + elderly exercise 3 times per week for 6 weeks, and a control group (n=12) who only had elderly exercise 3 times per week for 6 weeks. Fatigue complaints were measured before and after intervention using the FAS questionnaire. Results: There was an increase in FAS scores before and after treatment in both the intervention group (p<0.001) and the control group (p<0.001). Comparison between groups showed a significant FAS score difference in the intervention group (p=0.010). Conclusion: The addition of expiratory muscle strengthening exercises to elderly exercise for 6 weeks had a better improvement in fatigue complaints compared to only having elderly exercise.
Co-Authors Avissia Zivanna Dayita Sukma Destanta Dinanti Bintang Shahrani Elisha Jethro Solaiman Erma Nihlatul Mufidah Hana Widyaningtyas Ikrar Abdillah Muryasani Rahmi Isma Asmara Putri Sri Wahyudati Tanti Ajoe Kesoema Tanti Ajoe Kesoema, Tanti Ajoe