Anak Agung Gede Angga Puspa Negara
Departemen Fisioterapi, Fakultas Kedokteran, Universitas Udayana

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Study Of Anthropometry, Sedentary Lifestyle, And Neck Disability Of Physiotherapy Students In Bali Made Hendra Satria Nugraha; Anak Ayu Nyoman Trisna Narta Dewi; Anak Agung Gede Angga Puspa Negara; Ni Wayan Bintang Mida Suputri
Interest : Jurnal Ilmu Kesehatan INTEREST: Jurnal Ilmu Kesehatan Volume 10 Number 2 Year 2021
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/interest.v0i0.350

Abstract

Background: The COVID-19 pandemic situation has caused a crisis that affects all aspects of human life, including education. Students conduct online learning in front of laptops for a long enough duration. There is the potential for changes in anthropometric measurements (body size) during the pandemic and the possibility of a decrease in neck function. This study was conducted to determine the anthropometric description, level of sedentary lifestyle, and neck functional ability of physiotherapy students at the Faculty of Medicine, Udayana University during the Covid-19 pandemic. Methods: This study is an analytic observational study with cross-sectional method. The study was conducted from July to August 2021 and data collection was carried out online. The research subjects were 156 people consisting of physiotherapy students from Udayana University who were listed on the list of active Physiotherapy students at Udayana University who had filled out the research questionnaire that had been provided. Results: In male respondents, it was found that 78.4% (n=29) had a normal waist circumference (≤90cm) while for female respondents 80.7% (n=96) had a normal waist circumference (≤80cm). The results of the body mass index found that 48.1% (n=75) were classified as normal. A total of 58.3% (n=91) of respondents had non-sedentary behavior. In the assessment of the level of neck disability, respondents in the category of no disability were 57.7% (n=90). Conclusion: Based on the results and discussion, it can be concluded that waist circumference for both men and women is dominated by the normal category, sedentary behavior by the non-sedentary category, and neck functional ability by the non-disabled category.
TWELVE BALANCE EXERCISE LEBIH EFEKTIF DALAM MENURUNKAN RISIKO JATUH DIBANDING OTAGO HOME EXERCISE PADA LANJUT USIA DI BANJAR TAINSIAT, DESA DANGIN PURI KAJA, DENPASAR, BALI Anak Agung Gede Angga Puspa Negara; RA. Tuty Kuswardhani; Muh. Irfan; I Nyoman Adiputra; Susy Purnawati; I Made Jawi
Sport and Fitness Journal Vol 8 No 3 (2020): Volume 8, No. 3, September 2020
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/spj.2020.v08.i03.p14

Abstract

Pendahuluan: Penuaan diiringi oleh penurunan kemampuan fungsional tubuh sehingga meningkatkan risiko terjadinya jatuh pada lansia. Di Indonesia dilaporkan sekitar 17 % bahwa jatuh terjadi, dan di Bali dilaporkan dari keseluruhan lansia yang datang ke Instalasi Gawat Darurat di salah satu rumah sakit di Bali sebesar, 3% disebabkan oleh karena jatuh. Penilitian ini bertujuan untuk mengetahui apakah twelve balance exercise lebih efektif dalam menurunkan risiko jatuh dibanding otago home exercise pada lansia. Metode: Penelitian ini menggunakan rancangan randomized pre and post test group design. Penelitian ini menggunakan 36 orang yang merupakan anggota komunitas lansia di Banjar Tainsiat Denpasar.. Kelompok 1 diberikan twelve balance exercise, sedangkan Kelompok 2 diberikan otago home exercise. Tiap kelompok diberikan pelatihan selama 6 minggu sebanyak 3 kali dalam seminggu. Risiko jatuh diukur menggunakan berg balance scale (BBS). Hasil: Analisis data menunjukan bahwa terdapat peningkatan nilai BBS secara bermakna pada kedua kelompok. Pada Kelompok 1 didapatkan peningkatan nilai BBS sebesar (5,06±1,305) dengan p0,000 (p<0,05) dan pada Kelompok 2 didapatkan peningkatan nilai BBS sebesar (2,78±0,647) dengan p0,000 (p<0,05), dan uji perbandingan peningkatan nilai BBS pada kedua kelompok menghasilkan nilai p0,000 (p<0,05). Simpulan: twelve balance exercise lebih efektif dalam menurunkan risiko jatuh dibanding otago home exercise pada lanjut usia di Banjar Tainsiat, Desa Dangin Puri Kaja, Denpasar, Bali. Kata kunci : twelve balance exercise, otago home exercise, berg balance scale
THE ADDITION EFFECT OF SCAPULOTHORACIC JOINT MOBILIZATION IN INTERVENTION OF ULTRASOUND AND GLENOHUMERAL JOINT MOBILIZATION IN INCREASING RANGE OF MOTION AND FUNCTIONAL ABILITY IN INDIVIDUAL WITH FROZEN SHOULDER Ni Komang Ayu Juni Antari; Gede Parta Kinandana; Anak Agung Gede Angga Puspa Negara
Sport and Fitness Journal Vol 9 No 3 (2021): Volume 9, No. 3, September 2021
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/spj.2021.v09.i03.p04

Abstract

Frozen shoulder or commonly known as adhesive capsulitis is a condition of inflammation in the joint capsule or capsule that protects the glenohumeral joint. The purpose of this study was to prove the effect of adding scapulothoracic joint mobilization interventions in increasing the range of motion and functional ability in individuals with a frozen shoulder. The design used in this study was experimental with pre and post control group design involving 24 samples divided into two groups. Group 1 received conventional intervention including glenohumeral joint mobilization while Group 2 received the additional intervention, namely scapulothoracic joint mobilization in addition to glenohumeral joint mobilization. Ultrasound was given to both groups as initial therapy. The goniometer was used as a measurement of the shoulder range of motion and SPADI was used to measure the functional ability of the shoulder. Hypothesis testing using the independent sample t-test to compare the two interventions was found to be significantly different with the p-value = 0.000 (p <0.05). It can be concluded that the addition of scapulothoracic joint mobilization to conventional interventions proved to be effective in increasing the range of motion and functional ability of the shoulder in individual with frozen shoulder Keywords: frozen shoulder, scapulothoracic joint mobilization, glenohumeral joint mobilization, ultrasound, range of motion, SPADI
THE EFFECTIVENESS OF PROPRIOCEPTIVE NEUROMUSCULAR FACILITATION IN MECHANICAL NECK PAIN: A SYSTEMATIC REVIEW Made Hendra Satria Nugraha; Anak Agung Gede Angga Puspa Negara; Ni Komang Ayu Juni Antari; Anak Ayu Nyoman Trisna Narta Dewi
Sport and Fitness Journal Vol 9 No 2 (2021): Volume 9, No. 2, May 2021
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/spj.2021.v09.i02.p02

Abstract

Introduction: Neck pain is a health condition that has a high incidence rate and causes an inability to do daily activities and requires cost in handling it. People with neck pain could be associated with an alteration and deficit of the proprioception of the muscle and neck joint that play a significant role in joint position, postural stability, and motor control of the head and neck. Objective: The purpose of this systematic review is to find out the effectiveness of proprioceptive neuromuscular facilitation in mechanical neck pain. Method: The systematic review access to journal databases such as: PubMed Central (PMC) NCBI, Physiotherapy Evidence Database (PEDro), ProQuest, Google Scholar, MEDLINE, and the Cochrane Controlled Trials Register in the Cochrane Library. Results: The initial search in 6 databases found a total of 30 articles. Based on inclusion and exclusion criteria 4 articles were used in this systematic review. The application of the muscle energy techniques was applied ranging from 1 time to 8 weeks of intervention. From the 4 reviewed studies concluded that proprioceptive neuromuscular facilitation was effective in improving neck range of motion and function in mechanical neck pain. Conclusion: Based on the results of this systematic review it can be concluded that proprioceptive neuromuscular facilitation is effective in improving pain, pain threshold, range of motion, and functional performance in individual with neck pain. The appropriate articles are still limited to 4 studies, but have good to strong qualities. In addition, the application of intervention does not have the same standard.
PERBANDINGAN EFEKTIVITAS MYOFASCIAL RELEASE TECHNIQUE DENGAN MUSCLE ENERGY TECHNIQUE PADA INTERVENSI ULTRASOUND DALAM MENURUNKAN DISABILITAS Putu Ayu Sita Saraswati; Ni Komang Ayu Juni Antari; Anak Agung Gede Angga Puspa Negara
Sport and Fitness Journal Volume 7, No.3, September 2019
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (452.776 KB) | DOI: 10.24843/spj.2019.v07.i03.p01

Abstract

Introduction: A study shows the prevalence of musculoskeletal pain in the elbow most often diagnosed with elbow and forearm conditions is tennis elbow. Tennis Elbow, a common disease that can cause a decrease in productivity and economic losses. Treatment of physiotherapy that can be given for myofascial syndrome can be therapeutic modalities such as Ultrasound and manual therapy such as Muscle Energy Technique (MET) and Myofascial Release Technique (MRT). Method: This is an experimental study with pre and post test control group design. The number of samples was 24 people, which divided into 2 groups. Group I was given MRT with ultrasound, while Group II was given MET with ultrasound. Disability is measured by the Patient-Rated Tennis Elbow Evaluation Questionnaire. Results: Based on the results of the Paired Sample t-test in Group I and Group II the value of p <0.001 stated that there was a significant change after giving the exercise to each group. Furthermore, the comparison test between both groups used the independent sample t-test and p value <0.05. This shows that there are significant differences between groups. Conclusion: MRT further reduces disability due to tennis elbow compared to MET.Keywords: tennis elbow, disability, PRTEE, MET, MRT.
INTEGRATED NEUROMUSCULAR INHIBITION TECHNIQUE LEBIH MENINGKATKAN LINGKUP GERAK SENDI LEHER DARIPADA CONTRACT RELAX STRETCHING PADA KASUS SINDROM MYOFASCIAL OTOT UPPER TRAPEZIUS Putu Ayu Sita Saraswati; Ni Komang Juni Antari; Anak Agung Gede Angga Puspa Negara
Majalah Ilmiah Fisioterapi Indonesia Vol 6 No 2 (2018): Majalah Ilmiah Fisioterapi Indonesia
Publisher : Bachelor of Physiotherapy and Physiotherapy Profession Study Program, Faculty of Medicine, Udayana University in collaboration with Indonesian Physiotherapy Association (IPA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (647.702 KB) | DOI: 10.24843/MIFI.2018.v06.i02.p06

Abstract

ABSTRACT``Myofascial pain syndrome in upper trapezius muscle is a muscle pain that implicated by one or somemyofascial trigger points in upper trapezius muscle. Working with static position in long time stimulating the presence ofmyofascial trigger points that causing pain and movement limitation of the neck that stimulate neck disability. Physicaltherapy’s intervention for reducing pain in this case could be integrated neuromuscular inhibition technique or contractrelax stretching combined with ultrasound modality. Purpose: to compare the both interventions in reducing neckdisability of myofascial pain syndrome in upper trapezius muscle. Method: this was an experimental study withRandomized Pre and Post Test Group Design. Samples were divided into 2 treatment group that consist 12 samplesfor each group. The first group treated with integrated neuromuscular inhibition technique with ultrasound while thesecond group treated with contract relaxes stretching with ultrasound. The data was collected by measuring neck rangeof motion using goniometer at the time before and after treatment. Result: the 1st group showed that the Neck ROMincrease 5.083±1.0840 (p<0.001) and the 2nd group showed that the Neck ROM increase 3.333±0.7780(p<0.001). Itmeans there were significant effect of each treatment in both groups. The results of independent t-test showed p<0.001,so that there was significant difference of increased Neck ROM between these groups. The result of independent t-testshowed p value 0.001, so there was significant difference between two groups at increasing neck ROM. Conclusion:combination integrated neuromuscular inhibition technique is more effective than contract relax stretching to ultrasoundmodality in increasing neck range of motion of myofascial syndrome in upper trapezius muscle.Keywords: myofascial, neck disability, trapezius, INIT, ultrasound, stretching
HUBUNGAN LATIHAN YOGA SURYANAMASKAR TERHADAP TINGKAT KECEMASAN WANITA PREMENOPAUSE DI KOTA DENPASAR Anak Agung Istri Agung Padmi Swari Dewi; Ni Luh Putu Gita Karunia Saraswati; Indira Vidiari Juhanna; Anak Agung Gede Angga Puspa Negara
Majalah Ilmiah Fisioterapi Indonesia Vol 9 No 3 (2021): Majalah Ilimiah Fisioterapi Indonesia
Publisher : Bachelor of Physiotherapy and Physiotherapy Profession Study Program, Faculty of Medicine, Udayana University in collaboration with Indonesian Physiotherapy Association (IPA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MIFI.2021.v09.i03.p03

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Premenopause merupakan sebuah fase yang pasti dialami oleh setiap wanita sebelum memasuki masa menopause. Ketika memasuki masa premenopause, akan timbul gejala-gejala yang berbeda pada setiap individu salah satunya adalah rasa cemas. Kecemasan merupakan respon emosional yang terdiri dari perasaan khawatir dalam menghadapi situasi tertentu. Sebagian besar orang yang mengalami kecemasan akan merasa gelisah sehingga menyebabkan gangguan tidur dan kesulitan dalam berkonsentrasi. Kecemasan dapat tanggulangi dengan beberapa cara seperti dengan melakukan latihan yoga. Adapun tujuan dilakukannya penelitian yakni untuk mengetahui hubungan latihan Yoga Suryanamaskar terhadap tingkat kecemasan wanita premenopause di Kota Denpasar. Penelitian ini menggunakan studi observasional analitik dengan rancangan cross sectional dan pengumpulan data dilakukan dengan teknik purposive sampling. Penelitian ini dilakukan di wilayah Kota Denpasar pada Desember 2020 – Februari 2021. Jumlah sampel pada penelitian ini sebesar 56 sampel yang disesuaikan dengan kriteria eksklusi dan inklusi. Pengambilan data dilakukan dengan pengisian kuesioner Hamilton Rating Scale for Anxiety (HRS-A) yang digunakan untuk mengevaluasi tingkat kecemasan pada wanita premenopause. Uji hipotesis yang digunakan adalah Kendall’s Tau-b untuk menganalisis hubungan antara Yoga Suryanamaskar dan tingkat kecemasan. Didapatkan dari uji Kendall’s Tau-b bahwa nilai p sebesar 0,02 (p<0,05). Selain itu, diperoleh pula koefisien korelasi dengan nilai -0,309. Berdasarkan hasil olah data, bisa disimpulkan bahwa terdapat hubungan yang signifikan disertai korelasi yang cukup kuat dan tidak searah antara latihan Yoga Suryanamaskar dan tingkat kecemasan wanita usia premenopause di Kota Denpasar. Kata kunci: yoga suryanamaskar, premenopause, tingkat kecemasan
HUBUNGAN PERSENTASE LEMAK TUBUH TERHADAP RISIKO TERJADINYA NYERI PUNGGUNG BAWAH NON SPESIFIK PADA MAHASISWA PROGRAM STUDI FISIOTERAPI FAKULTAS KEDOKTERAN UNIVERSITAS UDAYANA Made Dwipa Maha Indra; Anak Ayu Nyoman Trisna Narta Dewi; Ni Luh Nopi Andayani; Anak Agung Gede Angga Puspa Negara
Majalah Ilmiah Fisioterapi Indonesia Vol 9 No 3 (2021): Majalah Ilimiah Fisioterapi Indonesia
Publisher : Bachelor of Physiotherapy and Physiotherapy Profession Study Program, Faculty of Medicine, Udayana University in collaboration with Indonesian Physiotherapy Association (IPA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MIFI.2021.v09.i03.p08

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Nyeri punggung bawah non spesifik adalah permasalahan yang sangat sering terjadi. Salah satu faktor penyebab nyeri punggung bawah non spesifik adalah persentase lemak tubuh. Persentase lemak tubuh yang meningkat dapat menjadi risiko terjadinya nyeri punggung bawah non spesifik. Penelitian ini bertujuan untuk mengetahui hubungan persentase lemak tubuh terhadap risiko terjadinya nyeri punggung bawah non spesifik pada Mahasiswa Program Studi Fisioterapi Fakultas Kedokteran Universitas Udayana. Penelitian ini merupakan penelitian analitik cross sectional yang dilakukan pada bulan Januari tahun 2021. Pengambilan sampel dilakukan dengan teknik purposive sampling. Sampel berjumlah 73 orang (12 laki-laki, 61 perempuan) usia 18-21 tahun. Persentase lemak tubuh diukur melalui alat Bioelectrical Impedance Analysis, sedangkan nyeri punggung bawah non spesifik diukur melalui pemeiksaan langsung oleh fisioterapis. Uji hipotesis yang digunakan ialah Chi Square Test untuk menganalisis adanya hubungan persentase lemak tubuh dengan nyeri punggung bawah non spesifik. Didapatkan hasil berupa nilai p sebesar 0,001 (p< 0,05). Selain itu, untuk mengetahui perbandingan risiko terjadinya nyeri punggung bawah non spesifik digunakan Prevalence Odd Ratio (POR) didapatkan hasil untuk persentase lemak tubuh yang tinggi dibandingkan dengan persentase lemak tubuh yang rendah ialah 5,197 [95% CI 1,87-14,44]. Berdasarkan hasil penelitian disimpulkan bahwa ditemukan hubungan yang signifikan antara persentase lemak tubuh terhadap risiko terjadinya nyeri punggung bawah non spesifik pada mahasiswa Program Studi Fisioterapi Fakultas Kedokteran Universitas Udayana serta mahasiswa dengan persentase lemak tubuh yang tinggi memiliki risiko 5,197 kali lebih besar mengalami nyeri punggung bawah non spesifik dibandingkan dengan persentase lemak tubuh yang rendah. Kata Kunci: persentase lemak tubuh, nyeri punggung bawah.
PELATIHAN SIRKUIT LEBIH EFEKTIF DALAM MENINGKATKAN NILAI VO2MAX DARIPADA PELATIHAN JOGING PADA ANGGOTA EKSTRAKURIKULER PASKIBRA DI SMA NEGERI 1 GIANYAR Anak Agung Gede Angga Puspa Negara; Ari Wibawa; Ni Wayan Tianing; I Putu Gede Adiatmika
Majalah Ilmiah Fisioterapi Indonesia Vol 4 No 3 (2016): Majalah Ilmiah Fisioterapi Indonesia
Publisher : Bachelor of Physiotherapy and Physiotherapy Profession Study Program, Faculty of Medicine, Udayana University in collaboration with Indonesian Physiotherapy Association (IPA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (297.864 KB) | DOI: 10.24843/MIFI.2016.v04.i03.p03

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ABSTRACTVO2max is an indicator that can be used to measure the cardiovascular capabilities. Circuit training and jogging training are the forms of aerobic training that can be used to boost the cardiovascular capabilities. The Quasi- Experimental Research with study design Randomized Pre and Post Test Control Group Design and the sampling technique is simple random sampling. Samples are 28 students which were selected based on the inclusion and exclusion criteria that devided into 2 groups. The treatment group was given circuit training and the control group wasgiven jogging training. The average difference between the increase on treatment group is 8.4922 (p<0.05) and the average difference between the increase on control group is 4.2477 (p<0.05). Concluded that circuit training is more effective than jogging training in improving VO2max values on member of paskibra extracurricular program in SMA Negeri 1 Gianyar. Keywords : Circuit Training, Training Jogging, VO2max, Cooper Test
HUBUNGAN PARTISIPASI SENAM LANSIA DENGAN TEKANAN DARAH PADA LANSIA DI KECAMATAN SIBANG KABUPATEN BADUNG M. Widnyana; Anak Agung Gede Eka Septian Utama; I Putu Yudi Pramana Putra; Anak Agung Gede Angga Puspa Negara
Majalah Ilmiah Fisioterapi Indonesia Vol 7 No 3 (2019): Majalah Ilmiah Fisioterapi Indonesia
Publisher : Bachelor of Physiotherapy and Physiotherapy Profession Study Program, Faculty of Medicine, Udayana University in collaboration with Indonesian Physiotherapy Association (IPA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (167.508 KB) | DOI: 10.24843/MIFI.2019.v07.i03.p12

Abstract

Usia lanjut (lansia) memiliki tekanan darah yang cenderung tinggi sehingga lebih berisiko terjadi hipertensi. Bertambahnya umur mengakibatkan peningkatan teknan darah akibat penebalan pada dinding arteri. Fisioterapis menganjurkan para lansia agar tetap aktif dan berolahraga untuk memelihara tekanan darah tetap normal. Program olahraga yang sesuai untuk lansia adalah senam lansia. Senam lansia dapat dijadikan sebagai suatu aktivitas fisik untuk memelihara tekanan darah tetap normal pada lansia. Tujuan peneltian ini adalah untuk mengetahui hubungan partisipasi senam lansia dengan tekanan darah lansia di Kecamatan Sibang, Kabupaten Badung, Bali. Jenis penelitian observasional analitis korelatif dengan metode pendekatan cross sectional yang dilaksanakan pada bulan Februari-Maret 2019. Pengambilan subjek dilakukan secara purposive sampling. Sampel adalah laki-laki dan perempuan, berumur 64-70 tahun, berjumlah 72 orang dibagi menjadi 2 kelompok yaitu 36 orang sebagai kelompok lansia yang mengikuti senam secara rutin sesuai jadwal yang sudah ditentukan, yaitu satu kali perminggu minimal dalam 6 bulan dan 36 orang sebagai kelompok lansia yang tidak mengikuti senam. Pengukuran tekanan darah dengan menggunakan sphygmomanometer. Hasil penelitian setelah dilakukan uji spearman’s rho diperoleh nilai p=0,001 (p<0,05) yang berarti bahwa ada hubungan yang signifikan antara partisipasi senam lansia dengan tekanan darah pada lansia di Kecamatan Sibang, Badung. Uji spearman’s rho. Menunjukkan koefisien korelasi kuat dengan angka signifikasi sebesar 0,001 yang berarti hubungan antara partisipasi senam lansia dengan tekanan darah pada lansia di Kecamatan Sibang, Badung memiliki hubungan yang kuat, signifikan dan searah. Terdapat hubungan antara partisipasi senam lansia dengan tekanan darah pada Lansia di Kecamatan Sibang, Kabupaten Badung. Kata kunci: senam, lansia, tekanan darah, hipertensi