Sugijanto -
Fakultas Fisioterapi Universitas Esa Unggul

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KOMBINASI MCKENZIE EXERCISE DAN ULTRASOUND LEBIH BAIK DARIPADA MYOFASCIAL RELEASE DAN ULTRASOUND UNTUK MEMPERBAIKI DISABILITAS PADA MECHANICAL NECK PAIN Jasmine Kartiko Pertiwi; Ketut Tirtayasa; Sugijanto -; J. Alex. Pangkahila; I Made Muliarta; S. Indra Lesmana
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 | Full PDF (459.935 KB) | DOI: 10.24843/spj.2017.v05.i03.p11

Abstract

Introdaction: Patients with mechanic neck pain a population that often found overstretches it is caused by occurred between the two bones in the neck on the ligaments and soft tissues located around, static resulting in hipomibilitas the joint space and joint play movement, resulting in the emergence of provocation on the part of the occipital region on Cervical stressor resulting in excess tissue around the contractile and non-contractile. Purpose: This study the application of ultrasound and McKenzie exercise and myofacial release ultrasound in reducing disability in mechanical neck pain, Methods: This research method is a quasi experimental research with Pre and Post Test Two Group Design. The samples were divided into two treatment groups consisting of McKenzie exercice and ultrasounds were 20 participants with myofascial release and ultrasound with 19 participants, a total of 39 participants. Result: Differences between the mean decrease in neck with NDI disability before and after the application of each group were tested by t-test related, the results obtained mean between the groups before treatment 17,10±1,889% and after treatment 12,90±2,490% by value (p = 0.001) with a mean difference of 42% and showed the average group between before treatment 17,42±2,388% and after treatment 15,63±2,362% (p = 0.001) with a mean difference of 17,9%. The statistical test of using independent t-test showed is a significant difference between group I and group II and the result is p = 0.001 (p< 0.05). Conclusion: application of combined Mc Kenzie exercise and ultrasound better than the application of a combination of myofacial release and ultrasound in reducing disabilities in case of mechanical neck pain.
TRUNK BALANCE EXERCISE LEBIH BAIK DARI PADA STRENGTHENING BACK EXERCISE DALAM MENINGKATKAN KESEIMBANGAN KINERJA OTOT ERECTOR SPINE PADA PEMAIN FUTSAL PEMULA Yusuf Nasirudin; Dewa Putu Gde Purwa Samatra; Wahyuddin -; Susy Purnawati; Ni Made Linawati; 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 | Full PDF (490.713 KB) | DOI: 10.24843/spj.2017.v05.i03.p16

Abstract

In the game of futsal, work of postural muscle balance needed to maintain the stability of the body for receiving the pass and put the ball into the other team's goal at the time of attack, changing the direction of movement quickly when returning to their respective positions and avoid of back disorder. This research is a form of experimental research that will test the effectiveness of the provision of trunk balance exercise is better than the strengthening of back exercises to improve muscle work balance of erector spine on futsal beginner players, in this study sample will be divided into two groups, the first group will be given trunk balance exercise to improve balance of erectorspine muscles work in futsal begginer players, the second group will be given back strengthening exercise to improve balance of erectorspine muscles work in futsal begginer players.This study was conducted for 6 weeks and the intervention performed 18 times during the study period. Samples measured by surface electromyography to measure work of right and left erector muscle by calculating the proportion of the work on the muscle, the measurement is performed at before the intervention and then intervention in accordance with the grouping which has been divided and then after completion of the intervention, the samples will be re-measured to obtain the value of the intervention.The results of the first group who has been given of trunk balance exercise shows the average value of the before treatment (83.82 ± 2.94) % and the mean value of the after treatment (96.74 ± 2.39) %, and in the second group who has been given strengthening back exercise shows the mean value of the before treatment (88.29 ± 1.89) % and the mean value after treatment (95.91 ± 1.75) %, with the probability value of both groups is 0.000 (p <0.05), and can be expressed there is a significant difference between both groups. In the fourth hypothesis test conducted comparative results of both groups, using independent samples t-test using mean value of the first and second groups, in the first group (12.92 ± 2.94) %, and the second group (7.61 ± 2.12) %, with a probability value 0.000 (p<0.05) and can be expressed in statistical analysis is no significant difference between both treatments were carried out and that means, giving trunk balance exercise is better than back strengthening exercise to improve balance of erector spine muscles work on futsal beginner players.
PENAMBAHAN KINESIOTAPING PADA LATIHAN QUADRICEPS SETTING MENINGKATKAN KEMAMPUAN FUNGSIONAL PENDERITA OSTEOARTHRITIS SENDI LUTUT Eko Wibowo; J. Alex Pangkahila; S. Indra Lesmana; Nengah Sandi; I Putu Adiartha Griadhi; 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 | Full PDF (514.354 KB) | 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.
PERBEDAAN ANTARA AQUATIC EXERCISE DENGAN MCKENZIE EXERCISE DALAM MENURUNKAN DISABILITAS PADA PENDERITA DISCOGENIC LOW BACK PAIN Budi Susanto; N. Adiputra; Sugijanto -
Sport and Fitness Journal Volume 3, No.3, 2015
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (110.685 KB)

Abstract

Low Back Pain is one of the most musculoskeletal problem. LBP can cause disability,material loss and biopsychosocial problem. The most effective management for LBP is stilldiscussing in the health practitioner and scientist between Aquatic Exercise or McKenzieExercise. The aim of this study is to prove the different between Aquatic Exercise withMcKenzie Exercise to reduce disability in Discogenic Low Back Pain patients. This studywas the true experimental control trial research, with randomized pre-test and post-testdesign. The study was conducted in Physiotherapy Clinic in Borromeus Hospital Bandungand Melinda Surgery Hospital Bandung. The samples were 19 divided into two groups.Group I with Aquatic Exercise was 9 people and Group II with McKenzie Exercise was 10people. The measuring instrument in this study was Oswestry Disability Index. Results of thehypothesis used paired t-test and independent t-test. The hypothesis test results showed thatboth of groups can reduce disability significantly with mean in Group I = 25,9248 ± 3,98214,p value = 0.001 (p < 0.05) and Group II = 16,912 ± 4,0873, p value = 0.001. And between 2groups there were significant difference with mean = 8,57193 ± 3,66789, p value = 0.032 (p< 0.05). The conclusions where both of Aquatic Exercise and McKenzie Exercise couldreduced disability significantly and Aquatic Exercise was better than McKenzie Exercise toreduce disability in Discogenic Low Back Pain patients. This study can be suggested that thisAquatic Exercise program to reduce disability in Discogenic Low Back Pain. The multicenter study should be held with longer time and much more subjects.Key
KOMBINASI FOOT MUSCLE STRENGTHENING DAN KINESIOTAPING LEBIH BAIK DIBANDINGKAN DENGAN FOOT MUSCLE STRENGTHENING TERHADAP PENINGKATAN KESEIMBANGAN DINAMIS PADA ANAK DENGAN FLEXIBLE FLATFOOT Luh Ita Mahendrayani; Dewa Putu Gede Purwa Samatra; M. Irfan; Ni Wayan Tianing; Ni Nyoman Ayu Dewi; Sugijanto -
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 | Full PDF (481.561 KB) | DOI: 10.24843/spj.2018.v06.i01.p04

Abstract

Pendahuluan: Keseimbangan dinamis merupakan sistem gerak yang berfungsi mengontrol dan mempertahankan posisi tubuh yang melibatkan sistem neuromuskular, muskuloskeletal dan kognitif dengan perubahan dari center of gravity. Keseimbangan merupakan komponen penting dalam aktivitas motorik dan kontrol postural. Hal ini dapat terganggu karena kondisi flexible flatfoot. Flexible Flatfoot adalah bentuk telapak kaki datar yang disebabkan oleh hilangnya arkus longitudinal medial saat berdiri dan akan muncul saat telapak kaki tidak menyentuh tanah yang akan menyebabkan keseimbangan dinamisnya terganggu. Tujuan penelitian ini adalah untuk membuktikan perbedaan efektivitas kombinasi foot muscle strengthening dan kinesiotaping dengan foot muscle strengthening terhadap peningkatan keseimbangan dinamis pada anak dengan flexible flatfoot.Metode: Penelitian ini adalah eksperimental dengan rancangan pre and post test control group design. Subyek penelitian ini berjumlah 26 orang, yang terbagi menjadi 2 kelompok, dimana Kelompok Perlakuan (n=13) diberikan intervensi foot muscle strengthening dan kinesiotaping sedangkan Kelompok Kontrol (n=13) diberikan intervensi foot muscle strengthening. Diberikan perlakuan 3x seminggu selama 6 minggu. Teknik pengambilan sampel dengan random sampling. Keseimbangan dinamis diukur dengan balance beam walking test dan flexible flatfoot diukur dengan wet foot print test. Hasil: pada Kelompok Perlakuan diperoleh beda rerata keseimbangan dinamis sebelum intervensi sebesar 1,77±0,927 dan sesudah intervensi sebesar 3,54±0,877 dengan nilai p=0,001. Sedangkan hasil penelitian Kelompok Kontrol diperoleh beda rerata keseimbangan dinamis sebelum intervensi sebesar 1,46±0,776 dan sesudah intervensi sebesar 2,62±0,870 dengan nilai p=0,001. Uji beda sesudah intervensi pada Kelompok Perlakuan dan Kelompok Kontrol dengan menggunakan independent samples t-test didapatkan p=0,013 (p<0,05).Simpulan: kombinasi foot muscle strengthening dan kinesiotaping lebih baik dibandingkan dengan foot muscle strengthening terhadap peningkatan keseimbangan dinamis pada flexible flatfoot. Saran: baik intervensi foot muscle strengthening dan kinesiotaping dapat digunakan sebagai intervensi fisioterapi dalam meningkatkan keseimbangan dinamis pada anak dengan flexible flatfoot.Kata Kunci: Flexible Flatfoot, Keseimbangan Dinamis, Foot Muscle Strengthening, Kinesiotaping, Balance Beam Walking Test, Wet Foot Print Test.
KOMBINASI PERCEPTUAL MOTOR PROGRAM DAN NEURODEVELOPMENTAL TREATMENT LEBIH BAIK DARIPADA KOMBINASI KINESIOTAPING DAN NEURODEVELOPMENTAL TREATMENT DALAM MENINGKATKAN KEMAMPUAN DUDUK PENDERITA CEREBRAL PALSY Listya Triandari; Ketut Tirtayasa; Muhammad Irfan; Desak Made Wihandani; Bagus Komang Satriyasa; 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 | Full PDF (268.583 KB) | 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.
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 ade irma Nahdliyyah; N Adiputra; Sugijanto -
Sport and Fitness Journal Volume 3, No.2, 2015
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (80.67 KB)

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
KOMBINASI CAUDAL TRACTION DAN MOBILIZATION WITH MOVEMENT LEBIH BAIK DARIPADA KOMBINASI CAUDAL TRACTION DAN SCAPULAR STABILITY EXERCISE DALAM MENINGKATKAN KEMAMPUAN FUNGSIONAL PADA EXTERNAL SHOULDER IMPINGEMENT SYNDROME Prima Krishna Dharmawan; Ketut Tirtayasa; Wahyuddin -; Ida Bagus Ngurah; I Nengah Sandi; 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 | Full PDF (310.413 KB) | DOI: 10.24843/spj.2018.v06.i02.p05

Abstract

Shoulder impingement syndrome (SIS) occurs due to the mechanical traumaric from the rotator cuff tendon located in the antero-inferior part of the acromion and clamping due to the shoulder movement position of flexion and internal shoulder rotation. This study aims to prove the enhancement of functional ability by providing combination of caudal traction and mobilization with movement compared with caudal traction and scapular stability exercise. The design of this study is pre test-post test group design. The number of group I sample of 8 patients was given intervention with caudal traction and mobilization with movement combination 3 times a week for 2 weeks, then in group II 8 patients were given combination of caudal traction and scapular stability exercise also performed 3 times a week for 2 week. Functional capacity improvement tests using Shoulder Pain and Disability Index (SPADI). Data were analyzed using statistical program for social science (SPSS) version 18.0. The results showed: (1) There was improvement of functional ability in group I, mean (%) pre 70.352 ± 5.132, and post 10.466 ± 0.517. The result of t-test related shows p value =< 0.001 (p <0,05). (2) There is improvement of functional ability in group II, mean (%) pre 69.727 ± 2.212, and post 21.961 ± 4.251. The result of t-test related shows p value = <0.001 (p <0.05). (3) There are significant differences in Group I and Group II. The result of pre-pre comparative test with independent t-test show p value = 0,605. And result of post-post comparative test with independent t-test shows p value = <0.001 (p <0.05). It was concluded that the combination of caudal traction and mobilization with movement with caudal traction and scapular stability exercise could improve functional ability in external impingement syndrome. There is a significant difference in functional enhancement between caudal traction and mobilization with movement combinations with a combination of caudal traction and scapular stability exercise.
CONTRACT RELAX STRETCHING DAN ULTRASOUND THERAPY LEBIH EFEKTIF MENURUNKAN NYERI DIBANDINGKAN ISCHEMIC COMPRESSION TEHNIQUE DAN ULTRASOUND THERAPY PADA PASIEN TENSION HEADACHE Muh. Asri; Susy Purnawati; Sugijanto -
Sport and Fitness Journal Volume 4, No. 2, 2016
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (137.203 KB)

Abstract

Activities sat and looked in a long time tend to occur spasms in the neck muscles, causingpain in the neck and head, known as tension headaches. To reduce the pain of tension headacheswith the intervention of a combination of ultrasound and ischemic compression technique and acombination of ultrasound and intervention contract relax stretching. The purpose of this studyprove that the intervention ultrasound and contract relax stretching is more effective thanintervention ultrasound and ischemic compression technique in reducing the painful tensionheadaches. This research method is the true experimental with pre and posttest control groupdesign. This research was conducted for two months and the place of research in hospitalsBuleleng. Samples are patients who seek treatment in medical rehabilitation installations inhospitals Buleleng aged 35-45 years with the number of 32 samples are divided into two groups,in which the treatment group I (n = 16) and treatment group II (n = 16). Using measurementinstruments Neck Pain Disability Index (NPDI). The results of this study showed a meantreatment group I before treatment 91,56 and standards (SB) 8,91, average 35,25 after treatmentand SB 15,96 with p = 0.00 (p <0.05). This means intervention ultrasound and ischemiccompression technique effectively lowers tension headache pain. The results mean treatmentgroup II before treatment 91,12 and SB 6,95, and after treatment 13,62 the average SB 10,78 withp = 0.00 (p < 0.05). This means intervention ultrasound and contract relax stretching effectivelyreduce the pain of tension headaches. Test after intervention difference between treatment groupsI and II after intervention treatment groups using Mann withney U-Test p = 0:01 (p <0.05). It isproved that a decrease in pain tension headaches in both treatment groups there were significantdifferences. It is concluded that ultrasound and contract relax stretching is more effective thanultrasound and ischemic compression technique in reducing tension headache pain.