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S. Indra Lesmana
Fakultas Fisioterapi, Universitas Esa Unggul, Jakarta
Social Sciences

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PENAMBAHAN GLUTE EXERCISE PADA TERAPI LATIHAN DASAR LEBIH MENINGKATKAN STABILITAS ANKLE PADA PENDERITA SPRAIN ANKLE KRONIS Donal Syafrianto; Nyoman Mangku Karmaya; S. Indra Lesmana; Ida Bagus Ngurah; I Wayan Weta; Muh. Ali Imron
Sport and Fitness Journal Volume 5, No.2, 2017
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

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Abstract

Introduction: Chronic ankle sprain is an over stretch to the lateral ankle ligament complex on the motion inversion and plantar flexion. The weakness of the ligaments as a result of passive stability complaints of pain, chronic inflammation, impaired proprioceptive, until disorders of muscle activity ankle, knee and hip thus causing ankle instability. Chronic ankle sprain make ankle instability, which is accompanied by the reaction of the gluteus muscle strength decrease due to changes in muscle activation. Purpose: The purpose of this study was to prove whether the addition of glute exercise on the basis of exercise therapy further increase the stability of the ankle in case of chronic ankle sprain. Methods: The research method in this study is experimental design with pretest and posttest control group design. In this study, nine respondents were given basic training exercise therapy for 8 weeks with a frequency of exercise two times a week, and 9 respondents were given additional glute exercise therapy for 8 weeks of basic training exercise frequency 2 times a week. Measuring instrument used is the balance error scoring system (BESS). Results: Results of parametric statistical analysis with Paired sample t-test. Hypothesis test results show both treatment groups can significantly improve the stability of the ankle, before treatment in Group I with a mean of 23.67±5.408 and after treatment with a mean of 13.11 ± 3.887, and Prior Treatment in Group II 24.22 ± 4.024 and after treatment with a value of 8.89 ± 2.147 with p = 0.000 (p < 0.05). Different test by Independent sample t-test between the two groups was significant difference to the value of 10.56 ± 1.944 difference in Group I and Group II 15.22 ± 2.635 with p = 0.001 (p < 0.005). Conclusion: The conclusions of this research is the addition of glute exercise on the basis of exercise therapy further increase the stability of the ankle in patients with chronic ankle sprain.
INTEGRATED NEUROMUSCULAR INHIBITION TECHNIQUE LEBIH MENURUNKAN NILAI DISABILITAS LEHER DARIPADA AKTIVASI DEEP CERVICAL FLEXOR MUSCLE PADA MYOFASCIAL PAIN SYNDROME OTOT UPPER TRAPEZIUS Nitaya Putri Nur Hidayat; Dewa Putu Gede Purwa Samatra; S. Indra Lesmana; Nyoman Mangku Karmaya; Ni Wayan Tianing; I Putu Gede Adiatmika
Sport and Fitness Journal Vol 8 No 1 (2020): Volume 8, No. 1, Januari 2020
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (442.844 KB) | DOI: 10.24843/spj.2020.v08.i01.p06

Abstract

Pendahuluan: Perkembangan teknologi memudahkan seseorang untuk menyelesaikan tugas sehari-hari. Banyak orang menghabiskan sebagian besar waktunya untuk berada di depan gawai. Dampak negatif yang timbul pada penggunaan gawai yang berlebihan adalah buruknya postur tubuh, karena seseorang cenderung akan duduk dengan posisi leher yang membungkuk ke depan. Hal tersebut akan menyebabkan ketidakseimbangan kerja otot area leher, terjadi ketegangan terus menerus tanpa disertai relaksasi yang cukup pada otot upper trapezius akan menimbulkan myofascial pain syndrome pada otot tersebut. Tujuan Penelitian: Untuk menemukan intervensi fisioterapi yang efektif dan efisien guna menurunkan nilai disabilitas leher pada myofascial pain syndrome otot upper trapezius. Metode: Penelitian ini bersifat experimental, dengan pretest-posttest design dengan randomisasi sebagai desain penelitiannya. Intervensi dilakukan 3 kali seminggu selama 4 minggu. Sampel merupakan pasien di klinik Fitasoma, Colomadu, Karanganyar, yang terdiri dari 19 orang berusia 25 - 40 tahun, dibagi menjadi 2 kelompok yang terdiri dari Kelompok I dengan perlakuan intervensi integrated neuromuscular inhibition technique yang berjumlah 9 orang dan Kelompok II dengan perlakuan aktivasi deep cervical flexor muscle yang berjumlah 10 orang. Pengukuran nilai disabilitas menggunakan Neck Disability Index. Hasil: Terdapat penurunan nilai disabilitas leher yang bermakna pada ke dua kelompok. Pada Kelompok I didapat rerata dari 40,00 menjadi 21,67 dan pada Kelompok II di dapat rerata dari 39,10 menjadi 30,30. Uji beda setelah perlakuan pada masing-masing kelompok didapatkan nilai p=0,042 dan selisih rerata 18,33 pada Kelompok I dan 8,80 pada Kelompok II yang berarti Integrated Neuromuscular Inhibition Technique lebih baik daripada aktivasi deep cervical flexor muscle dalam menurunkan nilai disabilitas leher.
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 Jhon Roby Purba; Ketut Tirtayasa; S. Indra Lesmana; Made Muliarta; I D P Sutjana; Muh. Irfan
Sport and Fitness Journal Volume 5, No.2, 2017
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

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Abstract

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 James W H Manik; I Putu Adiatmika; Muh. Irfan; Luh Made Indah Sri Handari Adiputra; I Putu Adiartha Griadhi; S. Indra Lesmana
Sport and Fitness Journal Volume 5, No.2, 2017
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

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Abstract

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
MANIPULASI VISERAL LEBIH BAIK DARIPADA SENAM AEROBIK DALAM MENGURANGI PRIMARY DYSMENORRHEA PADA MAHASISWI DI POLTEKKES Dr.RUSDI MEDAN Nuri Putri Ayu; DW. Pt. Gde Purwa Samatra; S. Indra Lesmana
Sport and Fitness Journal Volume 5, No. 1, 2017
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

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Abstract

Berbagai gejala yang dirasakan wanita saat menstruasi sangat mengganggu aktivitas sehari-hari sehingga produktivitas menjadi menurun. Primary Dysmenorrhea berat dengan gejala tidak dapat mengerjakan apapun, ada yang pingsan, merasa mual, muntah. Primary Dysmenorrhea ringan biasanya mengalami pegal pada paha, sakit pada payudara, perut kembung, sakit kepala, sakit punggung, merasa lelah, mudah tersinggung, kehilangan keseimbangan, menjadi ceroboh, tidur terganggu. Untuk mengurangi Primary Dysmenorrhea ada beberapa intervensi seperti manipulasi viseral dan senam aerobik. Tujuan dari penelitian ini adalah menganalisa perbedaan manipulasi viseral dengan senam aerobik dalam mengurangi primary dysmenorrhea pada mahasiswi di Poltekkes Dr.Rusdi Medan. Design penelitian ini menggunakan metode penelitian experimental study pre dan post test design. Didapatkan sampel berjumlah 30 orang yang didapatkan dari hasil sistematik random sampling. Kelompok pertama dilakukan manipulasi viseral (n=15). Kelompok kedua dilakukan senam aerobik (n=15). Penelitian ini dilakukan selama 8 minggu dengan frekuensi 3 kali seminggu menggunakan skor MSQ (Menstrual Symptom Quetionare). Dari analisis statistik parametrik dengan uji hipotesis paired samples t-test. Hasil uji hipotesis menunjukkan kedua kelompok perlakuan secara signiikan dapat menurunkan primary dysmenorrhea, nilai rerata sebelum perlakuan kelompok I 93,07±8,03 dan sesudah perlakuan 46,73±5,21 nilai p=0,00 (p<0,05). Pada kelompok perlakuan II didapatkan nilai rerata sebelum perlakuan 93,87±9,65 dan setelah perlakuan 53,27±3,24 nilai p=0,00 (p<0,05). Pada hasil uji Independent Samples Test, didapatkan hasil p=0,00 (p<0.05) yang berarti ada perbedaan signifikan antara kelompok perlakuan I dengan kelompok perlakuan II. Simpulan pada penelitian ini didapatkan hasil bahwa kelompok perlakuan manipulasi viseral lebih efektif daripada senam aerobik dalam mengurangi primary dysmenorrhea pada mahasiswi di Poltekkes Dr.Rusdi Medan.
Co-Authors Dewa Putu Gede Purwa Samatra Donal Syafrianto I Dewa Putu Sutjana I MADE MULIARTA . I Nyoman Mangku Karmaya I Putu Adiartha Griadhi I Putu Gede Adiatmika I Wayan Weta Ida Bagus Ngurah James W H Manik Jhon Roby Purba Ketut Tirtayasa Luh Made Indah Sri Handari Adiputra Muh. Ali Imron Muh. Irfan Muh. Irfan Ni Wayan Tianing Nitaya Putri Nur Hidayat Nuri Putri Ayu