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Fakultas Fisioterapi Universitas Esa Unggul

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CORE STABILITY EXERCISE LEBIH BAIK MENINGKATKAN AKTIVITAS FUNGSIONAL DARI PADA WILLIAM’S FLEXION EXCERCISE PADA PASIEN NYERI PUNGGUNG BAWAH MIOGENIK Pramita, Indah; Pangkahila, Alex; -, Sugijanto
Sport and Fitness Journal Volume 3, No.1, 2015
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

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Abstract

Myogenic low back pain is pain around of the lower back mucle caused by disorder or abnormalities in the elements of muscles and tendons without neurological disorders. Myogenic low back pain may result in pain, muscle spasm and muscle imbalance, so that the stability of abdominal muscles and low back decreased, lumbar mobility is limited, resulting in a decrease in functional activity. The exercise was usually given in a hospital Short Wave Diathermy combined with William's Flexion Exercise (WFE). The existence of a new method of core stability exercise (CSE) is very important for patients with myogenic low back pain. CSE was function to activate the harmonious movement between the four core muscle groups. The activation of these four core muscles will given stability on the lower back. The purpose of this study to determine core stability exercise is better than William's Flexion Exercise increases the functional activity in patients with myogenic low back pain. This study uses a quasi experimental design with pre-test and post-test control group design. The experiment was conducted in a clinic in Denpasar. Subjects were 28 patients who fulfill the criteria were established of the researchers. The increasing of functional activity was measured with the Oswestry Disability Index (ODI) before and after training. Subjects were divided into two groups, they are the treatment group was given SWD and CSE three times a week and a control group given SWD and WFE three times a week. The results of statistical test was obtained, occur of decreasing in ODI scores in the first group with p = 0.001 and in the second group with p = 0.001. It means that the first group and the second group alike can increase the functional activity significantly. From the comparative test data by t-test using the difference data in the two groups was obtained the value p=0.001, which means significantly. The difference mean value ODI in first group as 28,86% although the difference ODI in the second group as 15,41%.  From the results of the research can be concluded that the core stability exercises is more increase the functional activity than William's Flexion Exercise in patients with myogenic low back pain. The study is expected to be beneficial in patients with myogenic low back pain to improving functional activity.
STIMULATION ATTITUDIONAL REFLEX EXERCISE LEBIH BAIK DIBANDINGKAN DENGAN PRONE POSITION WEDGE EXERCISE TERHADAP HEAD CONTROL PADA ANAK CEREBRAL PALSY SPASTIK QUADRIPLEGI DI RS RAJAWALI CITRA BANTUL, YOGYAKARTA Al Banna, Damha; Adiatmika, I Putu Gede; Irfan, M.; Griadhi, I Putu Adiartha; Sundari, Luh Putu Ratna; -, Sugijanto
Sport and Fitness Journal Volume 7, No.1, Januari 2019
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/spj.2019.v07.i01.p08

Abstract

ABSTRACTBackground: Head control is a disorder of the cerebral palsy (CP) spastic quadriplegi due to central nervous system problems that serve as the basis of movement to be achieved for further development. Physiotherapy actions that can be given are stimulation attitudional reflex exercise (SARE) and prone position wedge exercise (PPWE). Purpose: This study aims to determine whether SARE is better than PPWE for head control in CP spastic quadriplegi. Methods: This research uses experimental pre and post test control group design is done at Rajawali Citra Bantul Hospital. Subjects were 24 children with CP spastic quadriplegi divided into 2 groups, group I was given SARE for 3 repetitions in 1 hour of therapy sessions and group II was given PPWE for 30 minutes. All groups were given treatment 1 time a week for 6 weeks as a refresher intervention and educated the family to do every day at home. Increased head control is measured by gross motor functional measurement. Result: Statistical test of paired sample t-test in group I and group II p value = 0.001 where (p < 0.05) there was an increase of head control. From independent t-test p value = 0.001 where (p < 0.05), it can be concluded that there are significant differences between group I with group II. Based on the mean values in both treatment groups, the group I have larger head control improvement of 33.19% than group II which only 16.96%. Conclusion: SARE is better than PPWE to increase head control on CP spastic quadriplegiKeywords: Head control, SARE, PPWE
EFEK PELATIHAN SENAM LANSIA DAN LATIHAN JALAN TANDEM DALAM MENINGKATKAN KESEIMBANGAN TUBUH LANSIA DI PANTI SOSIAL TRESNA KASIH SAYANG IBU BATUSANGKAR SUMATRA BARAT Syah, Irhas; Purnawati, Susy; -, Sugijanto
Sport and Fitness Journal Volume 5, No. 1, 2017
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

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Abstract

Lansia mengalami penurunan keseimbangan postural akibat tulang kehilangan densitas atau cairan, penurunan kekuatan otot dan stamina menurun menimbulkan gangguan berjalan, mempertahankan posisi postural sehingga meningkatkan resiko jatuh lansia.Tujuan penelitian ini untuk melihat pengaruh kombinasi senam lansia dan latihan jalan tandem terhadap peningkatan keseimbangan tubuh lansia. Penelitian ini adalah studi experiment dengan rancangan pre test and post test group design. Penelitian dilakukan di Panti Sosial Tresna Werdha Kawasan Sumatera Barat pada bulan April ? Mei 2016. Pengambilan sampel dilakukan menggunakan random sampling dan besar sampel ditentukan dengan rumus rumus pocock yaitu sejumlah 34 lansia dari 70 Lansia yang dibagi dua untuk kelompok kontrol dan perlakukan setelah dilakukan seleksi inklusi dan eksklusi.Kelompok kontrol diberikan senam lansia dan kelompok perlakuan diberikan kombinasi senam lansia dan latihan jalan tandem sejauh 4 m sebanyak 5 kali bolak balik. Intervensi dilakukan empat minggu dengan interval 3 kali seminggu.Alat Ukur yang diggunakan adalah Berg Balance Scale. Hasil penelitian di dapatkan dari 34 lansia terdiri dari 25 pria (73,5%) dan 9 wanita (26,5%), rerata usia lansia adalah 69,3 tahun pada kelompok perlakuan, dan 67,7 tahun pada kelompok kontrol serta rerata IMT pada kelompok perlakuan 22,3 dan kelompok kontrol 23,7. Analisis bivariate membuktikan bahwa kombinasi senam lansia dan latihan jalan tandem lebih baik terhadap peningkatan keseimbangan pada lansia yaitu dengan beda mean 6,23 dibandingkan pada kelompok kontrol hanya 2,41. Analisis keseimbangan lansia setelah intervensi pada kelompok perlakuan dan kelompok kontrol dengan uji independent test didapatkan p value 0,015 (p< 0,05). Dapat disimpulkan bahwa adanya efek kombinasi senam lansia dan latihan jalan tandem dalam meningkatkan keseimbangan tubuh lansia di Panti Sosial Tresna Kasih Sayang Ibu Batusangkar Sumatra Barat
KOMBINASI PERCEPTUAL MOTOR PROGRAM DAN NEURODEVELOPMENTAL TREATMENT LEBIH BAIK DARIPADA KOMBINASI KINESIOTAPING DAN NEURODEVELOPMENTAL TREATMENT DALAM MENINGKATKAN KEMAMPUAN DUDUK PENDERITA CEREBRAL PALSY Triandari, Listya; Tirtayasa, Ketut; Irfan, Muhammad; Wihandani, Desak Made; Satriyasa, Bagus Komang; -, Sugijanto
Sport and Fitness Journal Volume 6, No.2, Mei 2018
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/spj.2018.v06.i02.p04

Abstract

One of the deviation on brain growth was cerebral palsy (CP). The problem in cerebral palsy patient was inability to sitting. The aim of this study is to prove that additional of perceptual motor program is better than kinesiotaping in neurodevelopmental treatment in improving ability sitting in cerebral palsy patients. The method of study was pre and post test design. Fourteen cerebral palsy children with quadriplegi type that unable to sit as the sample in this study. The samples divided into two group that was group I (perceptual motor program and neurodevelopmental treatment) and group II (kinesiotaping and neurodevelopmental treatment). The intervention was applied in 60? per session, twice session per week for 12 weeks. The score of measurement was measured by Level of Sitting Scale (LSS). The result of research showed (1) improvement of the LSS score in the group I as pre test 1.86 ± 0.69 and post test 4.00 ± 0.82, (2) improvement of the LSS score in the group II as pre test 2.00 ± 0.82 and post test 2.86 ± 1.07, (3) there was significance difference of the LSS score between group I and II with p = 0.029 (p < 0,05). It was concluded that the combination of perceptual motor program and neurodevelopmental treatment was better than the combination of kinesiotaping and neurodevelopmental treatment in increase sitting ability in cerebral palsy patients.
COMBINATION OF ISOTONIC LEBIH BAIK DARIPADA RHYTHMIC STABILIZATION DALAM MENURUNKAN DISABILITAS PENGRAJIN GENTENG PADA KONDISI NYERI PUNGGUNG BAWAH MIOGENIK DI DESA DARMASABA Andrini, Dewa Agung Gina; Adiputra, N.; -, Wahyuddin; Purnawati, Susy; Linawati, Ni Made; -, Sugijanto
Sport and Fitness Journal Volume 5, No.3, 2017
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/spj.2017.v05.i03.p08

Abstract

Background: Myogenic low back pain is pain around of the lower back muscle or a disorder caused by abnormalities in the musculoskeletal system without neurological disorders.Combination of isotonic and rhythmic stabilization is PNF exercises that commonly used in the treatment of myogenic low back pain. Purpose : The purpose of this study prove that the combination of isotonic better than rhythmic stabilization to decrease disability in craftsman tile with myogenic low back pain in Darmasaba village. Methods: This study uses an experimental design with pre-test and post-test control group design. The experiment was conducted in Darmasaba village and subjects were 20 patients.Decreased disability was measured with the Modified Oswestry Disability Index (MODI) before and after training. Results: Statistical test results obtained, a decrease in MODI scores in the first treatment group showed that mean difference obtained 38.20±3.048 and for the second group obtained 31.80±4.050 with p=0.001.Conclusion: From these results it can be concluded that the combination of isotonic is better than rhythmic stabilization for decreased disability of tile craftsman with myogenic low back pain in Darmasaba village. Suggestion: For the next researcher can do follow up research to see long-term result of combination of isotonic and rhythmic stabilization for tile craftsman.
CORE STABILITY EXERCISE LEBIH BAIK DIBANDINGKAN BACK STRENGTHENING EXERCISE DALAM MENINGKATKAN AKTIVITAS FUNGSIONAL PADA PENGRAJIN BATIK CAP DENGAN KELUHAN LOW BACK PAIN DI KABUPATEN PEKALONGAN irma Nahdliyyah, ade; Adiputra, N; -, Sugijanto
Sport and Fitness Journal Volume 3, No.2, 2015
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

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Abstract

Preservation batik has become cultural heritage of Indonesia also needs to be balanced with the protection of the health of batik craftsmen. The health condition of batik craftsman is one off factor in the sustainability of batik in Indonesian because the capital of craftsman working productivity. Workloads such as position and wrong posture at works can lead to complaints of the musculoskeletal system. One of them is low back pain (LBP). LBP can reduce the functional abilities of the craftsmen. LBP is a very common problem in people working age. Structured exercise an option for the treatment of low back pain. Exercise to reduce pain and improve functional activities. The most important component in LBP is strength training exercises and one spinal stability with back strengthening exercises and core stability exercise. The purpose of this study to determine that core stability training exercise is better than a back strengthening exercise in increasing the functional activity of the batik craftsmen with low back pain in Pekalongan. The research designs is experiment true by the one group pre-test and post-test group design, conducted in January to August 2014. Samples were taken by purposive sampling with inclusion and exclusion criteria. In this study consist of 28 people with batik craftsmen low back pain who have worked a minimum of 5-20 years. Subjects were divided into two groups: group 1 (were given training back strengthening exercises) and group 2 (were given training core stability exercise). Measurement instruments to assess the functional activity used the Pain Disability Index (PDI). The result of statistical test with paired t-test found that the reduction in PDI scores of group 1 with p value = 0.001 and data reduction PDI score group 2 p value = 0.001. Different of PDI scores after treatment were analisys by Independent t-test in 2 groups with p value = 0.001 (p
PENAMBAHAN PURSED LIP ABDOMINAL BREATHING PADA LATIHAN AEROBIK LEBIH BAIK DALAM MENINGKATKAN KAPASITAS FUNGSI PARU PENDERITA ASMA BRONKIAL Andrianty, Fifi; Adiputra, N.; -, Sugijanto
Sport and Fitness Journal Volume 5, No. 1, 2017
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

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Abstract

Pendahuluan: Asma bronkial adalah penyakit inflamasi kronis saluran napas yang bersifat reversible adanya peningkatan respon trakea dan bronkus terhadap berbagai rangsangan dengan manifestasi penyempitan jalan nafas sehingga menyebabkan ekspirasi selalu lebih sulit dan panjang dibanding inspirasi, yang mendorong pasien untuk menggunakan otot aksesori pernapasan. Penggunaan otot aksesori pernapasan yang tidak terlatih dalam jangka panjang dapat menyebabkan penderita Asma bronkial kelelahan saat bernapas ketika serangan dan ketika beraktivitas. Tujuan: Tujuan penelitian ini adalah untuk mengetahui apakah penambahan pursed lip abdominal breathing pada latihan aerobik lebih baik dari pada latihan aerobik saja dalam meningkatkan kapasitas fungsi paru pada penderita Asma bronkial pada umur 40 ? 55 tahun di UPT Kesehatan Paru Masyarakat Pemprovsu. Metode: Penelitian ini menggunakan metode kuantitatif jenis eksperimental, untuk mengukur kapasitas fungsi paru penderita Asma bronkial dengan Spirometer. Rancangan penelitian yang digunakan adalah randomized pre test and post test control group design jumlah 30 sample. Subjek penelitian dibagi dua kelompok, kelompok I sebagai kelompok kontrol sedangkan kelompok II sebagai kelompok perlakuan yang mendapatkan penambahan pursed lip abdominal breathing. Dimana hasil pengukuran spirometri diambil pada latihan ke-1 dan ke-24. Hasil: Hasil penelitian menunjukkan hasil uji perbandingan nilai rerata kapasitas fungsi paru antara Pursed Lip Abdominal Breathing dan latihan aerobik dengan latihan aerobik saja Kelompok Perlakuan dan Kelompok Kontrol pada skor post test menunjukkan nilai rerata FVC Kelompok I 73,88±2,45% dan FEV1 74,92±1,68% dan nilai rerata post test Kelompok II nilai FVC 77,74±3,58% dan FEV1 78,28±5,08% nilai FVC p=0,002 (p<0,05) dan FEV1 0,022. Simpulan: Dapat disimpulan bahwa Penambahan pursed lip abdominal breathing pada latihan aerobik lebih baik dari pada latihan aerobik saja dalam meningkatkan kapasitas fungsi paru pada penderita Asma bronkial.
PENAMBAHAN KINESIOTAPING PADA LATIHAN QUADRICEPS SETTING MENINGKATKAN KEMAMPUAN FUNGSIONAL PENDERITA OSTEOARTHRITIS SENDI LUTUT Wibowo, Eko; Pangkahila, J. Alex; Lesmana, S. Indra; Sandi, Nengah; Griadhi, I Putu Adiartha; -, Sugijanto
Sport and Fitness Journal Volume 5, No.3, 2017
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/spj.2017.v05.i03.p07

Abstract

Osteoarthritis of the knee joint is a chronic degenerative joint disease, with slowly progressive runs, where the structure of joints have a pathological changes. Characterized by imbalances of regeneration and degeneration that causes pain, impaired joint mobility or limited range of motion (LGS), stiffness, instability and muscles weakness arround the joint. The purpose of this study was to compare functional ability level in the additional kinesiotaping for quadriceps setting exercise in patients with osteoarthritis of the knee joint. This research uses experimental methode with pre-test and post-test group design. Number of samples of the first group 9 patients were given quadriceps setting exercise with a duration of 3 sets, 10 repetitions, three times a week for 3 weeks, in second group were 9 patients given kinesiotaping combine with quadriceps setting with 3-days used and 2-day intervals. The results showed : (1) there is an increase functional ability test results in the treatment group I. Related t-test results show mean ± SB pre test (28.18 ± 2.84) and the mean ± SB post test (31.41 ± 3.31) with p = 0.000 (p <0.05). (2) there is increased functional ability test results in the treatment group II. Results related t-test showed mean ± SB pre test (26.48 ± 3.74) and (31.30 ± 3.33) with p = 0.000 (p <0.05). (3) there are significant differences in test results koos in the treatment group I and group II treatment. Comparison test results show mean ± SB group I (3.22 ± 1.65) and the mean ± SB group II (4.82 ± 1.12) with p = 0.003 (p> 0.05). It was concluded that the addition kinesiotaping the quadriceps setting exercise can improve functional ability of patients with osteoarthritis of the knee joint. There is a significant difference in functional enhancement between the quadriceps setting treatment and the addition of kinesiotaping to the quadriceps setting exercise. The addition of kinesiotaping to the quadriceps setting exercise is better than the quadricep setting exercise to improve functional ability in patients with knee osteoarthritis.
KOMBINASI INTERVENSI INTEGRATED NEUROMUSCULAR INHIBITION TECHNIQUE (INIT) DAN ULTRASOUND LEBIH BAIK DARIPADA STRETCHING METODE JANDA DAN ULTRASOUND DALAM MENINGKATKAN ROM SERVIKAL PADA SINDROMA MIOFASIAL OTOT UPPER TRAPEZIUS Kevin Gautama, Dwi Halim; Purnawati, Susy; -, Sugijanto; Adiputra, Nyoman; Weta, I Wayan; Imron, Moh. Ali
Sport and Fitness Journal Volume 6, No.1, Januari 2018
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/spj.2018.v06.i01.p08

Abstract

Pendahuluan: Sindroma miofasial merupakan sekumpulan kelainan yang ditandai dengan nyeri dan kekakuan pada jaringan lunak termasuk otot, struktur fascia dan tendon. Otot yang sering mengalami sindroma miofasial adalah upper trapezius. Tujuan: Penelitian ini untuk membuktikan kombinasi INIT dan ultrasound lebih baik daripada stretching metode Janda dan ultrasound dalam meningkatkan ROM servikal pada sindroma miofasial otot upper trapezius. Metode: Penelitian ini adalah eksperimental dengan Pre dan Post Test Control Group Design. Populasi merupakan pasien Poliklinik Fisioterapi RSUD Wangaya, Denpasar yang mengalami sindroma miofasial otot upper trapezius berdasarkan hasil assessment fisioterapi. Teknik pengambilan sampel yang digunakan adalah simple random sampling dengan jumlah sampel sebanyak 28 orang yang mengalami penurunan ROM akibat sindroma miofasial otot upper trapezius. Sampel didapat berdasarkan hasil pengukuran ROM menggunakan goniometer serta kriteria inklusi dan ekslusi. Sampel dibagi menjadi dua kelompok, yaitu pada Kelompok 1 diberikan kombinasi intervensi INIT dan ultrasound, dan pada Kelompok 2 diberikan kombinasi stretching metode Janda dan ultrasound. Hasil: Uji paired sample t-test ROM fleksi servikal Kelompok 1 rerata 5,64±1,49 dan Kelompok 2 rerata 3,36±0,74 selisih antara sebelum dan sesudah intevensi dengan nilai p = 0,001. ROM lateral fleksi servikal Kelompok 1 rerata 6,43±1,28 dan Kelompok 2 3,43±0,75 selisih antara sebelum dan sesudah intervensi dengan nilai p = 0,001 yang menunjukkan pada kedua kelompok terdapat perbedaan yang bermakna dari selisih peningkatan ROM servikal sebelum dan sesudah intervensi. Uji independent t- test diperoleh nilai p = 0,001 yang artinya terdapat perbedaan yang bermakna pada hasil Kelompok 1 dibandingkan dengan Kelompok 2 dalam meningkatkan ROM servikal sindroma miofasial otot upper trapezius. Simpulan: Kombinasi Intervensi Integrated Neuromuscular Inhibition Technique dan ultrasound lebih baik daripada stretching metode Janda dan ultrasound dalam meningkatkan ROM servikal pada sindroma miofasial otot upper trapeziusKata Kunci: Sindroma miofasial, ROM servikal, integrated neuromuscular inhibition technique, stretching metode Janda, ultrasound
KOMBINASI TEKNIK MULLIGAN DAN FASILITASI VASUS MEDIALIS OBLIQUUS LEBIH EFEKTIF MENINGKATKAN AKTIVITAS FUNGSIONAL DARIPADA APLIKASI KINESIO TAPING PADA SINDROMA NYERI SENDI PATELLOFEMORAL Yulianti, Atika; Tirtayasa, Ketut; -, Sugijanto
Sport and Fitness Journal Volume 1, No.2, 2013
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

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Patellofemoral pain syndrome is complained of knee pain by young adults who are productive oftenly, syndrome characterized by pain that is felt around the kneecap, and aggravated the activity squat and stand, up and down stairs, and change the position of the knee after a long standstill ( stand up after sitting for a long time). This is due to the weakness of the thigh muscles especially vasus medialis obliquus. Reinforcement of weak muscle in particular strengthening of the vastus medialis  oblique an appropriate treatment to increase the functional activity of the syndrome. The study was a randomized experiment with pre and post-test group design. This study aimed to compare the combining of mulligan techniques and facilitate of vasus medialis obliquus with application of kinesio taping to increase the functional activity of the lower extremities. In this study, 11 respondents were given a combination of mulligan techniques and facilitation of vastus medialis oblique for 5 weeks with a frequency of exercise 3 times a week, and 11 respondents provided application of kinesio taping for 5 weeks with 3 days and replaced with a new taping. Each treatment was measured by the Lower Extremity Fungtional Scale before and after 5 weeks. Statistical analysis parametric paired sample t-test results is the influence of a combining of mulligan techniques and facilitate of vastus medialis oblique and application of kinesio taping to increase the functional activity of the lower extremities with p<0.05. Test of different with the independent sample t-test with a result there are significant difference between the combining of techniques mulligan and facilitation of vasus medialis obliquus with application of kinesio taping values with  p <0.05. Conclusions in this study that a combining of mulligan techniques and facilitation of vasus medialis obliquus, 3 times a week for 5 weeks effectively to increase the functional activity of the lower extremities of patients with patellofemoral pain syndrome compared to application of kinesio taping for 5 weeks with 3 days in a single use.