Muh. Irfan
Magister Akuntansi Universitas Mataram, NTB

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INTERVENSI ULTRASOUND DAN PERTURBATION EXERCISE LEBIH EFEKTIF DARIPADA ULTRASOUND DAN MOBILIZATION WITH MOVEMENT UNTUK MENINGKATAN KEMAMPUAN FUNGSIONAL PADA PENDERITA OSTEOARTHRITIS GENU Pramana Putra, I Putu Yudi; Sutjana, Dewa Putu; -, Wahyuddin; Tirtayasa, Ketut; Ratna Sundari, Luh Putu; Irfan, Muh.
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.p09

Abstract

ABSTRACTBackground: Osteoarthritis is some of problem on joint which have a function for supporting body and have chronic and degenerative characteristic so it can affects the cartilaginous structure of joint it can cause some of abnormality of bones, soft tissues, and synovial fluid like pain, decrease on range of motion (ROM), deformity and morning stiffness which is most often felt especially in knee joint. Purpose: This study was to determine affectivity combination intervention of ultrasound and perturbation exercise with ultrasound and mobilization with movement to improve functional ability for people with osteoarthritis genu. Methods: This research used experimental method with pre and post test control group design. Subject of this research are 22 people and divided into two groups where on the group 1 was given intervention of ultrasound and perturbation exercise and group 2 was given intervention of ultrasound and mobilization with movement with intensity 2 times per week for 12 times total intervention. Measurement functional score ability improvement was measured using a WOMAC index. Result: Group 1 result obtained p value = 0.001 (p <0.05) and in Group 2 got result obtained p value = 0.001 (p<0.05) for Paired Sample T-test. Different test of mean value with independent sample t-test after treatment found that the increase of improve functional 21.45±4.132 in group 1 and 11.55±1.368 in group 2 with p value = 0.036 (p <0.05). Conclusion: Intervention of ultrasound and perturbation exercise is significantly more effective compared with ultrasound and mobilization with movement for improve functional ability for people with osteoarthritis genu. Suggestion: For the next researcher can do follow up research to see long-term result intervention of ultrasound, perturbation and mobilization with movement for improve functional ability for people with osteoarthritis genu.Key Word; Osteoarthritis genu, perturbation exercise, mobilization with movement, ultrasound, WOMAC
POSTURAL STABILITY EXERCISE LEBIH MENINGKATKAN FLEKSIBILITAS LUMBAL DIBANDINGKAN STATIC STRETCHING EXERCISE PADA PENJAHIT DI KOTA DENPASAR Gita Karunia Saraswati, Ni Luh Putu; Sutjana, I Dewa Putu; -, Wahyuddin; Tianing, Ni Wayan; Sri Handari Adiputra, Luh Made Indah; Irfan, Muh.
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.p04

Abstract

ABSTRACTBackground: Tailor work characteristics such as sitting static and bending can trigger complaints such as lower back area muscle tension which if left untreated can cause a decrease in lumbar flexibility. Purpose: to prove postural stability exercise is more to increase lumbar flexibility than static stretching exercise on tailors in Denpasar City. Method: This study was an experimental study with pre and post test control group design. The study sample consisted of 30 people divided into two groups. Group 1 given static stretching exercise, while Group 2 given postural stability exercise. Measurement of lumbar flexibility using a modified-modified Schoober test. Result: Paired Sample t-test in Group 1 and Group 2 showed p value p <0.05 which showed that there were significant changes after giving training to each group. Furthermore, a comparison test between Group 1 and Group 2 used independent sample t-test and obtained p <0.05. This result showed that there are significant differences between the two groups. Conclusion: postural stability exercise increases lumbar flexibility more than static stretching exercise for tailors in Denpasar City.Keywords: lumbar flexibility, static stretching exercise, postural stability exercise, tailor.
EFEKTIVITAS SHORTWAVE DIATHERMY DAN NEURODYNAMIC MOBILIZATION PADA RADIKULOPATI LUMBOSAKRAL Satria Nugraha, Made Hendra; Purnawati, Susy; Irfan, Muh.
Sport and Fitness Journal Volume 7, No.2, Mei 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.i02.p01

Abstract

Radicular syndrome is one type of disease that is included in peripheral nervous system disorders that occur in the spinal roots causing a disturbance of sensory deficits, motor deficits, reflex deficits and damage to pain sensation. In lumbosacral radiculopathy patients, a condition known as fear avoidance belief is a fear to move or to feel pain as a result of doing an activity. This fear of moving causes patients to restrict its movement, so the muscles that should stabilize the inactive vertebral column and the global muscle become hyperactive and trigger muscle spasms. Conservative therapy approaches that may be given to lumbosacral radiculopathy include application of modalities and therapy by physiotherapy, giving modalities of electro physical agents, exercise therapy, and manual therapy interventions. The purpose of this literature review was to determine the effectiveness of intervention shortwave diathermy and neurodynamic mobilization in patients with lumbosacral radiculopathy. The research method used is the study of literature review by using secondary data in the form of study research journals related to the effectiveness of the use of shortwave diathermy and neurodynamic mobilization in patients with lumbosacral radiculopathy. Previous research has shown that the addition of SWD to treat the subjects with chronic back pain complaints can reduce pain. While neurodynamic mobilization is a clinical application to the physiological and mechanical concepts of the nervous system that integrate with the musculoskeletal system. The precise explanation for the improvement of functional disability and pain level experienced by patients with neurodynamic is that neurodynamic may affect the mechanical functioning of peripheral nerves and the change in neural mechanical function have a direct impact on the physiological changes of nerve structure. Based on the literature review, it can be concluded that: the combination of shortwave diathermy and neurodynamic mobilization is effective in improving the limitations of motion and function of lumbosacral radiculopathy patients.
SENAM OTAK LEBIH MENINGKATKAN KESEIMBANGAN DINAMIS DARIPADA SENAM KESEGARAN JASMANI (2008) PADA ANAK USIA 7-8 TAHUN DI KECAMATAN SIMPANG TERITIP BANGKA BARAT Siamy, Hapy Ardiaviandaru; Pangkahila, J.Alex; Irfan, Muh.
Sport and Fitness Journal Volume 3, No.3, 2015
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

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Nowadays , decreasing of physical activity of children were increasing therisk of falling and injury. The Provision of physical activity of children years willincrease the balancing ability and reduced risk of fall. Dinamic balance started atage 7-8 years. Gymnastics is a physical activity which helps to optimize the brainfunction, one of them is dynamis balance. This study aims to determine thephysical training of brain gyms were better to improve the dynamic balancingthan Senam Kesegaran Jasmani (SKJ) 2008 in children of age 7-8 years old.Thisstudy used true experimental method with pre-test and post design. Experimentwas conducted in SD Negeri 8 Simpang Teritip, SD Negeri 11 Simpang Teritip,SD Negeri 15 Simpang Teritip Bangka Barat. Group control was givenintervention SKJ 2008 consisted of 38 boys and 41 girls, while in the treatmentgroup was given brain gyms intervention consisted of 35 boys and 44 girls. Theexercises was conducted 3x per week for 6 weeks. Balance beam walking test wasused to measure the dynamic balancing. The results of using Wilcoxon test in thecontrol group gained an average of dynamic balancing before trained the SKJ2008 was 2.95 ± 0.354 and after trained the SKJ 2008 was 4.15 ± 0.949 with p =0.000 (p <0.05). Whereas in the treatment group the mean of dynamic balancebefore brain gym was 2.89 ± 0.358 and after brain gym was 4.97 ± 0.225 with p =0.000 (p <0.05). Different mean of dynamic balancing among group control andtreatment were tested using the Mann Whitney was obtained p value = 0.000 (p<0.05) with a mean value of dynamic balance after treatment in the treatmentgroup of brain gym was 4.97 ± 0.225 was heigest than the group of SKJ 2008 was4.15 ± 0.949. The conclusion of SKJ 2008 and brain gyms that can improve thedynamic balancing in children of age 7-8 years old, however brain gym was moreimprove the dynamic balance than SKJ 2008 in children of age 7-8 years old.
PENAMBAHAN NERVE STRETCHING LEBIH BAIK DIBANDINGKAN NERVE GLIDING SETELAH MC KENZIE EXERCISE DALAM MENURUNKAN GANGGUAN SENSORIK DAN MENINGKATKAN FLEKSIBILITAS NERVUS ISCHIADICUS PADA HERNIA NUCLEUS PULPOSUS LUMBAL Nugroho, Fendy; Weta, I Wayan; -, Sugijanto; Griadhi, I Putu Adiartha; Satriyasa, Bagus Komang; Irfan, Muh.
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.p12

Abstract

Sekitar 65%-80% manusia akan mengalami NPB pada suatu waktu selama hidupnya (lifetime prevalence), bahkan sebagai penyebab yang serius dan persistem untuk timbulnya nyeri dan disabilitas. Frekuensi paling sering terjadi pada usia pertengahan antara 45-65 tahun. Sekitar 95% HNP terjadi pada region lumbal segmen L4-L5 atau L5-S1, area lumbal ini adalah COG tubuh manusia. Proses degeneratif dan traumatik adalah penyebab utama HNP. Tujuan penelitian untuk membuktikan penambahan nerve stretching lebih baik dibandingkan nerve gliding setelah Mc Kenzie exercise dalam menurunkan gangguan sensorik dan meningkatkan fleksibilitas nervus ischiadicus pada kasus HNP lumbal. Penelitian ini dilakukan di RSU Aisyiyah Ponorogo selama 4 Minggu. Penelitian ini menggunakan metode eksperimental dengan rancangan penelitian Randomized Pre and Post Test Group Design, subjek berjumlah 26 orang yang didapat dari populasi dan dibagi menjadi 2 Kelompok, masing-masing Kelompok 13 orang, Kelompok 1 diberikan perlakuan Nerve Stretching setelah Mc. Kenzie exercise sedangkan Kelompok 2 diberikan perlakuan nerve gliding setelah Mc. Kenzie exercise. Ke dua Kelompok diukur nilai gangguan sensorik berupa skor itensitas nyeri menggunakan NPRS-11 point dan nilai fleksibilitas berupa derajad lingkup SLR menggunakan universal goniometer. Hasil penelitan pada rerata selisih nilai intensitas nyeri Kelompok 1=5,85±0,555 dan Kelompok 2=4,92±0,760 dengan nilai p=0,002 (p=<0,05). Pada rerata selisih nilai lingkup SLR Kelompok 1=45,54±2,106 dan Kelompok 2=39,77±4,045 dengan nilai p=<0,001 (p=<0,05). Dapat disimpulkan bahwa penambahan nerve stretching lebih baik dibandingkan nerve gliding setelah Mc Kenzie exercise dalam menurunkan gangguan sensorik dan meningkatkan fleksibilitas nervus ischiadicus pada HNP lumbal.Kata Kunci : nerve stretching, nerve gliding, Mc kenzie, gangguan sensorik dan fleksibilitas HNP lumbal.
INTERVENSI PROGRESSIVE MUSCLE RELAXATION LEBIH MENURUNKAN TEKANAN DARAH DARI PADA SLOW STROKE BACK MASSAGE PADA PASIEN HIPERTENSI DERAJAT I YANG MENGONSUMSI OBAT ANTI HIPERTENSI DI BADUNG Juni Antari, Ni Komang Ayu; Pangkahila, Alex; Ali Imron, Muh.; Griadhi, I Putu Adiartha; Sri Handari Adiputra, Luh Made Indah; Irfan, Muh.
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.p12

Abstract

ABTSRACT Introduction: Physical exercise as anticipate of hypertension along with nutrition and medicines. One of physical exercise that can be applicated here is relaxation techniques which is showed positive impact in decreased blood pressure. Objective: Determine the difference between PMR intervention with SSBM intervention to reduce blood pressure for grade I hypertension patients whose consumed anti-hypertension medicine in badung regency. Methods: Experimental method Pre and post-test control group design and used 24 subjects, divided in to 2 groups, in which the experimental group I (n=12) received progressive muscle relaxation (PMR) while the treatment group 2 (n=12) received slow stroke back massage (SSBM). Intervention is given 3 times a week for 4 weeks. This study was using simple random sampling. Blood pressure was measured by sphygmomanometer and stethoscope. Result: Independent Sample T-test showed there was significant difference between Group 1 and Group 2 which (p<0.05) for systolic and diastolic blood pressure. Conclusion: Progressive muscle relaxation intervention decrease blood pressure more than slow stroke back massage intervention in patients grade I hypertension whose consumed anti-hypertension medicine in Badung Regency.Keywords: progressive muscle relaxation, slow stroke back massage, grade I hypertension, blood pressure
PENAMBAHAN LATIHAN KOMBINASI CORE STABILITY PADA LATIHAN FOOTWORK MENINGKATKAN KELINCAHAN PEMAIN BULUTANGKIS PUTRI PB. PUMA MAS MADIUN Nugroho, Triyanto; Pinatih, Gde Indraguna; Munawwarah, Muthiah; Sri Handari Adiputra, Luh Made Indah; Griadhi, I Putu Adiartha; Irfan, Muh.
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.p11

Abstract

Pendahuluan:Karakteristik permainan bulutangkis yang serba cepat dan eksplosif membuat seorang pemain bulutangkis harus memiliki kondisi fisik dan performa yang baik. Faktor kelincahan sangat dibutuhkan untuk melakukan penguasaan pertandingan sehingga baik dalam melakukan serangan (smash), pertahanan (block), maupun servis. Penambahan latihan kombinasi Core stability pada latihan footwork diharapkan dapat memberikan landasan atau pondasi yang dapat mengontrol posisi dari trunk sampai pelvicsehingga gerakan ekstrimitas atas dan ekstrimitas bawah dapat bekerja secara optimal dalam melakukan perubahan gerak. Tujuan: penelitian ini untuk mengetahui penambahan latihan kombinasicore stability pada latihan footwork lebih baik dibandingkan latihan footwork dalam meningkatkan kelincahan pemain bulutangkis. Metode:Penelitian ini mengunakan rancangan randomized preandpost test two groups design. Penelitian dilaksanakan di PB. Puma Mas Madiun. Subjek sebanyak 30 pasien yang memenuhi kriteria yang ditetapkan peneliti. Kelincahan diukur dengan Agility t testsebelum dan sesudah pelatihan. Subjek dibagi menjadi dua kelompok, yaitu Kelompok I diberikan footwork dan Kelompok II diberikankombinasicore stability danfootworkdenganfrekuensi3 kali semingguselama4minggu.Hasil :terjadi peningkatan kelincahanpada Kelompok I dengan nilai rerata sebelum latihan 13,85 detik ± 1,114 menjadi rerata setelah latihan13,20 detik ± 1,163 (p=0,000) dan pada Kelompok II dengan nilai rerata sebelum 13,41detik ± 1,136 menjadi rerata setelah latihan11,64detik ± 1,043(p=0,000). Ini berarti Kelompok I dan Kelompok II sama-sama dapat meningkatkan kelincahan secara bermakna. Dari uji komparasi data dengan Independent t-test menggunakan data selisih pada kedua Kelompok didapatkan nilai (p=0,001). Simpulan : latihan kombinasi core stability dan footwork lebih baik dibandingkan latihan footwork dalam meningkatkan kelincahan pemain bulu tangkis PB. Puma Mas Madiun. Penelitian diharapkan bermanfaat pada pemain bulutangkis di dalam meningkatkan kelincahan pemainbulutangkis.Kata kunci : core stability, footwork, kelincahan, bulutangkis, Agility t test
PEMBERIAN LATIHAN STABILISASI PADA TERAPI DASAR MICRO WAVE DIATHERMY LEBIH EFEKTIF UNTUK MENGURANGI NYERI DARIPADA WILLIAM FLEXION PADA TERAPI DASAR MICRO WAVE DIATHERMY PADA PASIEN SPONDYLOARTHROSIS LUMBAL Purba, Jhon Roby; Tirtayasa, Ketut; Lesmana, S. Indra; Muliarta, Made; Sutjana, I D P; Irfan, Muh.
Sport and Fitness Journal Volume 5, No.2, 2017
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

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Background: Spondyloarthtrosis lumbal is a kind of low back pain which caused by degeneration of discus, facet joint on lumbal. This degeneration causes a pressure on foramen invertebralis that causes tissue inflammation or it also caused because the spasm muscle that will causes ischemic, and at last ischemic causes pain. To decrease pain in spondyloarthrosis lumbal patient, we can use Stabilization Exercise and william flexion exercise at basic therapy. Objective: The purpose of this research is to declare that giving the stabilization exercise on micro wave diathermy basic therapy more effective in decreasing pain than William flexion exercise on micro wave diathermy basic therapy in spondyloarhtrosis lumbal patient. Method: This research was a true experimental, randomized pre and post test two group design in March to April 2016. From 24 samples of 40-60 years old spondyloarthtrosis lumbal patient in RSUD Dr.H..Kumpulan Pane Tebing Tinggi based in the inclusion criteria, were divided to two groups and get randomly treatment. Group I with stabilization exercise after micro wave diathermy basic therapy and group II with William Flexion Exercise after micro wave diathermy basic therapy. Training conducted over six weeks, 3 times per week and 3 times repetition on each training section. Before and after 6 weeks training, all of the sample measured the pain score using Visual Analog scale. Result: The analysis result show that the decreasing pain score that happened on group I, the initial value 52,50 and final value 20,83 with difference value 31,67 and significantly difference (p <0,05) and decreasing pain score value on group II, the initial value 52,50 and the final value 29,17 with difference value 23,33 in significantly (p <0,05). It means on group I and group II got a significantly decreased of pain. Based on Mann Whitney Test, the average comparison of the decreasing pain after the treatment on both group significantly difference (p <0,05). Conclusion: The conclusion from this research is that stabilization on basic therapy micro wave diathermy is more effective to decrease pain than william flexion exercise on basic micro wave diathermy on spondyloarthrosis lumbal patient.
PENAMBAHAN LATIHAN NEURAC TERHADAP RESISTANCE TUBE EXERCISE TIDAK LEBIH MENINGKATKAN KETEPATAN TENDANGAN PADA PEMAIN SEPAK BOLA Manik, James W H; Adiatmika, I Putu; Irfan, Muh.; Adiputra, Luh Made Indah Sri Handari; Griadhi, I Putu Adiartha; Lesmana, S. Indra
Sport and Fitness Journal Volume 5, No.2, 2017
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

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Background: One of the things that greatly affect the capability and performance of lower trunk and lower extremity is core stability. Core stability is the ability to control the position and movement of the trunk to pelvic used to produce, transfer and control the power and motion to with the final segment of the integrated activities. Method: The study was a randomized experimental design with pre- and post-test control group design. 34 students from SMU Olahraga Ragunan Jakarta students between 16-19 years old which is participating as sample on 6 weeks research on Mei-June 2016. The group was divided into two groups-first group doing tube resistance exercise and second group doing combination of tube resistance exercise and neurac training. Measurement instruments used were kicking the ball into the goal using the method of measurement by Finnoff. Measurements were taken before treatment and after treatment. Result: The mean accuracy of the first group before treatment 9.882 ± 2.11, after treatment 11.058 ± 1:51 after tested with paired samples t-test has increased significantly (p = 0.03). The mean accuracy kick second group before treatment 10,588±3,624, after treatment 12,470±3,184, after being tested with paired samples t-test experienced a significant improvement (p = 0.002). The mean difference in accuracy kick of first group (9.882 ± 2.11) compared with second group (11.058 ± 1:51) tested by Mann Whitney U test has no significant difference p = 0.495 (p?0.05). Conclusion: The conclusions of this research is Replenishment of Neurac Exercise to Resistance Tube Exercise Not Increasing Kicking Accuration on Soccer Player of SMUN Olahraga Ragunan Jakarta Student
PENAMBAHAN SENAM OTAK PADA PROGRAM SKJ 2008 LEBIH MENINGKATKAN KOORDINASI ANTARA MATA DAN TANGAN DARIPADA SKJ 2008 Aniswatun Khasanah, al um; Pangkahila, J.Alex; Irfan, Muh.
Sport and Fitness Journal Volume 4, No. 2, 2016
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

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Children in 7-8 years, the kinesthetic intelligence was more necessary incognitive development phase. Its indicated by the activities of chuildren?s motion suchas coordination between eye and hand. Gymnastics is a serial of simple physical activitywhich helps to optimize the brain function, one of them is coordination. This study wasconducted to determine how much improvement the addition of brain gym at SKJ 2008program to increase the coordination between eye and hand of children in age 7-8 years old. This study used an experimental method. It used the control group by using a studydesign two group pre and posttest control group design. This study was conducted at SDNegeri 3 Sumberjo Central Lampung, the training sessions were given 3 times during 6weeks. The number of samples was 36 children were divided into two groups. Thecontrol group was SKJ 2008 program however in the treatment group was given theaddition of brain gym in SKJ 2008 program. The tool used the wall toss test to measurethe eye and hand coordination which was conducted pre-intervention and postintervention.The results of test used independent t-test to determine eye and handcoordination. From the test was obtained the result that the increasing of eye and handcoordination in the mean post-intervention of group treatment was 7,06 ± 1,63 whichwas compared with control group was 4,44 ± 1,15 with p value = 0,000 (p <0,05). Theaddition of brain gym on SKJ 2008 program was more increasing the coordinationbetween eye and hand of children in age 7-8 years old in sd negeri 3 sumberjo at centrallampung.