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All Journal Jurnal Kedokteran Diponegoro Media Medika Muda Medica Hospitalia SURABAYA PHYSICAL MEDICINE AND REHABILITATION JOURNAL Diponegoro International Medical Journal (DIMJ) Indonesia Journal of Physical Medicine and Rehabilitation Indonesia Journal Physical Medicine and Rehabilitation

Erna Setiawati

Department Of Physical Medicine & Rehabilitation, Universitas Diponegoro, Semarang, Indonesia

Author-ID : 3337164

Chemical Engineering, Chemistry & Bioengineering Decision Sciences, Operations Research & Management Dentistry Health Professions Medicine & Pharmacology Neuroscience Nursing Physics Public Health

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The Effect of Mat Pilates exercise on Sleep Quality of Obese Young Adults Maria Devina Putri Elvariani; Rahmi Isma Asmara Putri; Erna Setiawati; Hexanto Muhartomo
JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL) Vol 10, No 3 (2021): JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL)
Publisher : Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/dmj.v10i3.29718

Background: Obesity currently becomes one of the world's problems that can decrease a person’s quality of sleep. Pilates exercise was found to improve sleep quality in obese patients. Pilates exercise are safe to do because they don't involve jumping and running so they avoid trauma. Mat Pilates exercise is basic exercises that are done on the floor on a mat with simpler movements.Objective: To analyze sleep quality in obese young adults before doing Mat Pilates exercise and to compare changes in sleep quality for obese young adults before and after doing Mat Pilates exercise.Methods: This study used a quasi-experimental design applying one group pre-posttest. Samples were taken by purposive sampling with a total of 36 people who met the inclusion and exclusion criteria. The measurement of sleep quality used the Pittsburgh Sleep Quality Index (PSQI) questionnaire. Data analysis was tested for normality by using the Shapiro-Wilk test and the effect of Mat Pilates exercise on sleep quality in the treatment group using the Wilcoxon test. The difference is significant if p <0.05.Results: The average sleep quality for young adults before participating in the Mat Pilates exercise was 8.22 ± 1.87, while the average sleep quality for young adults after participating in the Mat Pilates exercise was 4.33 ± 0.77. The statistical test results showed that there was a significant difference (p = <0.001).Conclusion: There is an improvement in the mean value of sleep quality after doing Mat Pilates exercise.

Pengaruh Senam Sehat Anak Indonesia terhadap FEV1 (Forced Expired Volume in one second) dan FVC (Forced Vital Capacity) pada Anak Underweight Erna Setiawati; Tanti Ajoe Kesoema; Rahmi Isma Asmara Putri; Hari Peni Julianti
Medica Hospitalia : Journal of Clinical Medicine Vol. 7 No. 2 (2020): Med Hosp
Publisher : RSUP Dr. Kariadi

Pendahuluan: Indonesia masih mengalami masalah gizi yaitu masih terdapatnya status gizi kurang bahkan gizi buruk. Nutrisi yang rendah atau buruk dapat mengurangi massa otot skeletal dan pernapasan, yang menyebabkan penurunan FVC dan FEV. FVC dan FEV merupakan parameter dari fungsi paru. Penelitian terdahulu menyebutkan bahwa olahraga dapat meningkatkan fungsi dari sistim pernapasan. Senam Sehat Anak Indonesia (SSAI) merupakan salah satu pilihan olahraga pada anak. Penelitian ini bertujuan menganalisis pengaruh SSAI terhadap FEV1 dan FVC pada anak underweight. Metoda: Penelitian ini menggunakan one group pre and posttest design. Populasi target adalah 24 anak underweight berusia 9-12 tahun di SDN Tembalang. Dilakukan pemeriksaan FEV1 dan FVC sebelum dan setelah pasien melakukan SSAI. Perbedaan sebelum dan sesudah perlakuan menggunakan uji t-berpasangan. Nilai p dianggap bermakna apabila nilai p<0,05. Hasil: Peningkatan FEV1 (0,66±0,25) liter, FVC (0,22±0,28) liter setelah SSAI berturut-turut p=0,23 dan p=0,71. Diskusi: Pada SSAI dilakukan gerakan-gerakan senam yang dapat meningkatkan elastisitas paru serta memperkuat otot-otot pernapasan sehingga meningkatkan volume udara yang dapat diambil saat bernapas. Peningkatan nilai FVC dapat disebabkan oleh peningkatan volume dan elastisitas paru-paru. FEV1, FEV bervariasi dan tergantung dari otot pernapasan. Pada penelitian ini walaupun tidak bermakna secara statistik namun dalam rerata nilai FEV1 dan FVC terdapat peningkatan setelah SSAI. Hal ini mungkin dikarenakan frekuensi senam yang digunakan adalah frekuensi yang paling minimal yaitu 2 kali per minggu. Simpulan: SSAI 2 kali per minggu selama 6 minggu sebagai salah satu pilihan olahraga pada anak underweight usia 9-12 tahun namun dalam penelitian ini tidak didapatkan peningkatan bermakna pada FEV1 dan FVC. Diperlukan penelitian lebih lanjut menggunakan frekuensi latihan yang lebih banyak dan durasi yang lebih panjang serta menggunakan kelompok kontrol. Kata kunci: Anak underweight; Forced Expired Volume in one second (FEV1); Forced Vital Capacity (FVC); Senam Sehat Anak Indonesia (SSAI) Introduction: Indonesia is still facing nutritional problems, the presence of low nutritional status and even poor nutrition. Low or poor nutrition can reduce skeletal and respiratory muscle mass, which causes a decrease in FVC and FEV. FVC and FEV are parameters of lung function. Previous research suggests that exercise can improve the function of the respiratory system. Senam Sehat Anak Indonesia (SSAI) is one of the sports for children. This study aims to analyze the effect of SSAI on FEV1 and FVC in underweight children. Method: The design of this study was one group pre and post test design. The target population was underweight children at Tembalang Elementary School. FEV1 and FVC were examined before and after the patient underwent SSAI. Difference before and after treatment using paired t-test. The p value is considered significant if the p value <0.05. Results: There was no significant increase of FEV1 (0.66 ± 0.25) liters, FVC (0.22 ± 0.28) liters after SSAI with p= 0.23 and p = 0.71, respectively. Discussion: At SSAI, gymnastic movements are performed that can increase lung elasticity and strengthen breathing muscles, thereby increasing the volume of air that can be taken while breathing. Increased FVC is caused by an increase in lung volume and elasticity. FEV1, FEV varies and depends on the respiratory muscles. In weak expiratory muscles, a person's ability to expiration rapidly decrease and also the FEV1.FVC index. The mean of FEV1 and FVC values ??after SSAI increased but were not significant. In this study, although not statistically significant, the mean values ??of FEV1 and FVC were increased after SSAI. This may be due to the frequency of gymnastics used is the most minimal frequency of 2 times per week. Conclusion: SSAI twice per week for 6 weeks as one of the exercise choices in underweight children aged 9-12 years but in this study no significant increase in FEV1 and FVC was found. Further research is needed using more exercise frequency and longer duration and using a control group.Keywords: Underweight children; Forced Expired Volume in one second (FEV1); Forced Vital Capacity (FVC); Senam Sehat Anak Indonesia (SSAI)

Pengaruh Latihan Zumba Terhadap Resting Heart Rate dan Peak Expiratory Flow Rate Pada Wanita Usia Dewasa Muda Sandro Ruberto; Yuswo Supatmo; Erna Setiawati; Endang Ambarwati
Medica Hospitalia : Journal of Clinical Medicine Vol. 8 No. 1 (2021): Med Hosp
Publisher : RSUP Dr. Kariadi

Introduction : Lack of physical activity is one of the risk factor for general mortality, therefore it is important to do regular physical activity. Zumba is one of the most popular physical activity methods and it has a lot of benefits especially for cardiorespiratory fitness. Objective : To determine the effect of Zumba exercise on Resting Heart Rate (RHR) and Peak Expiratory Flow Rate (PEFR) as an indicator of cardiorespiratory fitness. Methods : This is an experimental study using pre-test and post-test control group design. In this study, 26 females were divided in 2 groups (intervention and control group). Zumba exercise was given to intervention group 2 times a week (60 minutes per session) for 8-weeks exercise program. Zumba exercise was done virtually using videos provided by Zumba instructor. RHR measurement was carried out independently by research subjects in the morning when they woke up. PEFR measurement was done by using a peak-flow meter. Results : After 8-weeks Zumba exercise program, there was insignificant decreased of RHR from 71 ± 9 beat per minute to 70 ± 8 beats per minute (p>0,005). PEFR was significantly increased from 364 ± 36 liter/minute to 397 ± 42 liter/minute (p<0,005). But, there was no significant difference compared to control group. Conclusion : Zumba exercise can increase PEFR and decrease RHR, but it is not significantly different from the control group. It can be caused by the accuracy of the Zumba exercise is not supervised by the instructor. Keywords : peak expiratory flow rate, resting heart rate, zumba

The The Effects of Zumba Exercise on LDL Levels and Oxidative Stress of Young Adult Women Alda Aulia Rahma Ananto Putri; Yuswo Supatmo; Erna Setiawati; Endang Ambarwati
Medica Hospitalia : Journal of Clinical Medicine Vol. 8 No. 2 (2021): Med Hosp
Publisher : RSUP Dr. Kariadi

ABSTRACT Background: Sedentary lifestyle which refers to physical inactivity is one of the risk factors for non-communicable diseases, one of which is dyslipidemia. Zumba, as a form of aerobic exercise, is in great demand by young adults recently. This exercise has effects on reducing LDL levels and oxidative stress measured by malondialdehyde (MDA) levels as the biomarker. Objectives: To examine the effect of Zumba exercise on LDL and MDA levels in young adult women. Methods: This experimental study used two groups pre and post test design. Research subjects were 36 women, divided into intervention group (n=18) and control group (n=18). Zumba exercise was done by intervention group 2 times a week (60 minutes per session) for 8 weeks virtually. LDL and MDA levels were measured using blood samples of research subjects. Result data was analysed using T-paired test, Wilcoxon test and Mann-Whitney test. Results: There is no decrease in LDL levels from intervention group after 8 weeks of Zumba exercise. However, there is significant decrease in MDA levels. LDL levels increased from 94,18±25,60 mg/dL to 105,82±27,64 mg/dL (p<0,05) and MDA levels decreased from ,71±0,28 µmol/L to 0,37±0,64 µmol/L (p<0,05). There is no meaningful difference in LDL levels between intervention and control group. Nonetheless, there is meaningful difference in MDA levels among both groups. Conclusion: Zumba exercise 2 times a week for 8 weeks virtually can not reduce LDL levels but can significantly reduce MDA levels. Keywords: low density lipoprotein, malondialdehyde, Zumba exercise

The Efek Penambahan Latihan Penguatan dengan Resistance Band terhadap Kekuatan Otot Quadriceps Femoris pada Lansia yang Mendapat Latihan Keseimbangan Andriaz Kurniawan; Endang Ambarwati; Erna Setiawati
Medica Hospitalia : Journal of Clinical Medicine Vol. 9 No. 1 (2022): Med Hosp
Publisher : RSUP Dr. Kariadi

Abstract Background : Decreased muscle strength and balance disorders that occur in elderly are risk factors for falls. The quadriceps femoris muscle is a predictor of falls and one of the determinants of functional ability in activities of daily living. Balance exercise is one of the exercises to improve the balance of the elderly. Strengthening exercises with resistance bands provide resistance using a stretched elastic band. The objectives of this study was to determine the effect of additional strengthening exercises using resistance bands on increasing the strength of the quadriceps femoris muscle in the elderly who received balance training. Methods: This study is a randomized experimental design with pre and post test design. The subjects were elderly, aged 60-70 years. Subjects were divided into two groups, control group (n=12) and intervention group (n=12). The intervention groups were given balance training 3 times per week for 5 weeks and added strengthening exercises using resistance bands 3 times per week for 5 weeks. The control group only did balance training. Before and after treatment, the strength of the quadriceps femoris muscle was measured in both groups. Results: Statistically significant differences were obtained for right quadriceps femoris muscle strength (p=0.001) and left quadriceps femoris muscle strength (p=0.001) pre and post treatment in the intervention group. In the comparison between groups, there were an increase in the mean muscle strength of the right and left quadriceps femoris, but there were no statistically significant differences in the right quadriceps femoris muscle strength (p=0.088) and left quadriceps femoris muscle strength (p = 0.093). Conclusion: The addition of a resistance band to balance training for 5 weeks had a clinical effect on the quadriceps femoris muscles strength in the elderly but had no statistically significant differences. Keywords: Resistance band, balance training, quadriceps femoris, elderly

- Perbandingan McKenzie dan Isometric Neck Exercise terhadap Keseimbangan pada Forward Head Posture: Studi pada Karyawan Pengguna Komputer Naela Munawaroh; Stephanie Indrawati Sugiarto; Sri Wahyudati; Erna Setiawati
Medica Hospitalia : Journal of Clinical Medicine Vol. 9 No. 1 (2022): Med Hosp
Publisher : RSUP Dr. Kariadi

BACKGROUND: The increasing use of computers in the current era is accompanied by an increase in the prevalence of poor posture due to the use of computers in fixed and inappropriate positions for a long time. This has the potential to cause changes in posture and body alignment such as forward head posture. McKenzie neck exercise and isometric neck exercise are considered to help maintain normal spinal alignment and improve body posture. OBJECTIVE: To compare the effect of McKenzie and Isometric Neck Exercise to balance in forward head posture METHOD: This study is an experimental study with a quasi-experimental pre and post-test design. Research subjects are computer users at RSUP dr Kariadi Semarang who suffer from forward head posture. A total of 24 research subjects were divided into group 1 (n=12) who received McKenzie neck exercise and group 2 (n=12) who received isometric neck exercise. Allocation was done by simple randomization. Each group did the exercise 12 times for 4 weeks with a frequency of 3 times per week. Balance assessment using the mCTSIB (Modified Clinical Test of Sensory Integration on Balance) questionnaire. Data analysis used Shapiro Wilk, Mann Whitney, independent t-test and paired t-test. RESULT: The demographic data of the sample in this study did not show any significant difference in either group 1 and 2. There was a significant improvement in condition 1 (balance on a flat bed with open eyes) in group 1 (p = 0.025). Significant results were also obtained in condition 2 (balance on a flat bed with closed eye) in group 2 (p = 0.041). There was no significant difference in the analysis of the two intervention groups. The McKenzie group did not provide a greater improvement in balance when compared to the isometric neck exercise group. CONCLUSION: McKenzie exercise is not superior to isometric neck exercise in improving balance

Effectiveness of Deep Cervical Flexor (DCF) Exercise on Neck Functional Scores in Helicopter Crew with Mechanical Neck Pain Nurika Amalina; Erna Setiawati
Surabaya Physical Medicine and Rehabilitation Journal Vol. 3 No. 2 (2021): SPMRJ, AUGUST 2021
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v3i2.24272

Background: Mechanical neck pain is defined as neck pain due to biomechanical dysfunction in the neck or upper back. Exercise can reduce muscle tension and strengthen deep cervical flexor (DCF) muscles by helping to relieve pain. The prevalence of neck pain is considered high in helicopter crews compared to the general population. Aim: To investigate the effectiveness of DCF exercise on neck functional scores (study of helicopter crews with mechanical neck pain).Material and Methods: Experimental one pre and post-test group design. The samples were 14 squadron-31/serbu helicopter crew performing conventional DCF muscle exercise 12 times for 4 weeks with a frequency of 3 times each week. Neck function was assessed using the Neck Outcome Score (NOOS) which consists of domains of mobility, stiffness, symptoms, sleep disturbances, everyday activity and pain, participating in everyday life, and quality of life.Results: This study showed that the mean NOOS score before intervention was 30.64 (SD: 9.44) and the mean NOOS score after intervention was 8.57 (SD: 5.33). There was a significant difference in the NOOS score before and after deep cervical flexor exercise (p = 0.001).Conclusion: DCF exercises are effective for improving neck functionality in helicopter crew with mechanical neck pain.

PERBEDAAN EFEKTIVITAS HATHA YOGA DAN TAI CHI TERHADAP KEBUGARAN KARDIORESPIRASI DAN KONDISI INFLAMASI PADA PENDERITA PPOK Meita Hendrianingtyas; Erna Setiawati; Dwi Retnoningrum
Media Medika Muda Vol 2, No 3 (2017)
Publisher : Faculty of Medicine Diponegoro University

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Latar Belakang: Penyakit paru obstruktif kronik (PPOK) adalah salah satu penyebab kematian terbanyak di dunia. Gangguan kebugaran kardiorespirasi penderita PPOK dan meningkatnya keadaan inflamasi pada penderita PPOK akan menyebabkan penurunan kualitas hidup bagi penderita PPOK. Latihan pernafasan berupa Hatha Yoga dan Tai Chi merupakan bentuk latihan pernafasan yang terbukti manfaatnya pada penderita gangguan fungsi paru. Penelitian ini bertujuan untuk menganalisis perbedaan efektivitas Hatha Yoga dan Tai Chi terhadap kebugaran kardiorespirasi dan kondisi inflamasi pada penderita PPOK.Metode: Penelitian berdesain randomized controlled pre and post experimental, dilakukan di Balai Kesehatan Paru Masyarakat (BKPM) Semarang, dengan subyek 11 penderita PPOK di BKPM Semarang yang memenuhi kriteria inklusi. Subyek dibagi menjadi dua kelompok. Kelompok I berjumlah 5 orang diberi intervensi latihan Hatha Yoga 3 kali/ minggu selama 6 minggu, kelompok II berjumlah 6 orang diberi intervensi latihan Tai Chi 3 kali/ minggu selama 6 minggu. Kedua kelompok dilakukan pemeriksaan uji jalan 6 menit/ 6 MWT (6 minute walk test) dan pemeriksaan jumlah leukosit dan neutrofil sebelum dan setelah 6 minggu perlakuan.Hasil: Rerata VO2 max kelompok I dan II adalah 8,22± 1,24 dan 9,12 ± 1,62. Tidak didapatkan perbedaan VO2 max sebelum dan setelah latihan pada kelompok I dan II dengan p=0,33 dan p=0,78. Rerata jumlah leukosit dan neutrofil pada kelompok I dan II adalah 7.700 ± 2.137, 8.400 ± 2.520, 4.561 ± 2.069 dan 6.079 ± 1.823/ mm3. Tidak didapatkan perbedaan jumlah leukosit dan neutrofil sebelum dan setelah latihan pada kelompok I dan II dengan p=0,63 dan p=0,097.Simpulan: Tidak didapatkan perbedaan efektivitas Hatha Yoga dan Tai Chi terhadap kebugaran kardiorespirasi dan kondisi inflamasi pada pasien PPOK. Kata kunci: Hatha Yoga, Leukosit, Neutrofil, PPOK, Tai Chi, Uji jalan 6 menit

PENGARUH LATIHAN HATHA YOGA TERHADAP KUALITAS HIDUP DOMAIN FISIK YANG DIUKUR DENGAN KUESIONER WHOQOL-BREF PADA REMAJA OBESITAS Erna Setiawati; Suhartono Suhartono; I Made Widagda
Media Medika Muda Vol 1, No 2 (2016)
Publisher : Faculty of Medicine Diponegoro University

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Latar belakang: Prevalensi obesitas mulai meningkat di negara berkembang. Dampak negatif akibat obesitas menyebabkan penurunan kualitas hidup remaja. Remaja sangat berperan sebagai sumber daya manusia (SDM) yang diharapkan produktivitasnya dalam menentukan keberhasilan suatu negara. Penelitian ini bertujuan untuk mengetahui pengaruh latihan Hatha Yoga terhadap kualitas hidup domain fisik pada remaja obesitas.Metode: randomized controlled pre and post experimental. Tempat: SMA Negeri 14 Semarang. Subjek: 23 murid SMA Negeri 14 Semarang yang memenuhi kriteria penelitian. Perlakuan: Subyek dibagi menjadi dua kelompok. Kelompok perlakuan diberi intervensi latihan Hatha Yoga 3 kali/ minggu selama 6 minggu, kelompok kontrol tidak diberi intervensi apapun. Kedua kelompok mengisi kuesioner WHOQOL-BREF domain fisik sebelum, setelah 3 dan 6 minggu perlakuan.Hasil: Perubahan rerata skor WHOQOL-BREF domain fisik. Tidak didapatkan peningkatan bermakna pada rerata skor WHOQOL- BREF domain fisik pada kelompok perlakuan setelah 3 minggu perlakuan (p=0,493) dan setelah 6 minggu perlakuan (p=0,083) maupun kelompok kontrol setelah 3 minggu perlakuan (p=0,094) dan 6 minggu setelah perlakuan (p=0,693). Tidak didapatkan perbedaan yang bermakna pada rerata skor WHOQOL-BREF domain fisik antara kelompok perlakuan dan kelompok kontrol setelah 3 minggu perlakuan (p=0,087) namun setelah 6 minggu perlakuan didapatkan perbedaan yang bermakna (p=0,005). Tidak didapatkan perbedaan bermakna peningkatan rerata skor WHOQOL-BREF domain fisik antara kelompok perlakuan dan kelompok kontrol setelah 3 minggu perlakuan (p=0,684) dan setelah 6 minggu perlakuan (p=0,227).Simpulan: Latihan Hatha Yoga 3 kali/ minggu selama 6 minggu dapat meningkatkan kualitas hidup domain fisik remaja obesitas. Kata kunci: Latihan Hatha Yoga, kualitas hidup domain fisik, remaja obesitas

The Effect of Forward Leaning and Pursed Lips Breathing Exercises on The Value of Oxygen Saturation in Adult Smokers Muhammad Nurul Amin; Erna Setiawati; Rahmi Isma Asmara Putri; Meita Hendrianingtyas
Diponegoro International Medical Journal Vol 1, No 1 (2020): July
Publisher : Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/dimj.v1i1.7940

Background: Smoking which is a lifestyle trend continues to increase and take its toll each year. Cigarettes have chemical compounds. Which has toxic and carcinogenic effects that can cause respiratory, cardiovascular, and other irritants. This can affect the distribution of oxygen to the body tissues. Forward leaning and PLB exercises can help maximize breathing thereby improving tissue oxygen distribution. Objective: To determine the differences in oxygen saturation of adult smokers before and after practice forward leaning and pursed lips breathing.Methods: This study used a quasi-experimental method with two group pre-post test design. The research subjects were 20 male respondents, the place of implementation at the Faculty of Medicine, Diponegoro University, Semarang. Research procedures included CKD and PLB exercises in the respondent group.Results: Analysis using the Wilcoxon test obtained significant results, with p values <0.05 on acute and chronic effects after CKD and PLB exercises were performed on 20 respondents Conclusion: A significant result in the oxygen saturation value of the group with PLB and CKD treatment with the PLB group before and after exercise on acute and chronic effects in adult smokers

Co-Authors Alda Aulia Rahma Ananto Putri Andriaz Kurniawan Dwi Retnoningrum Endang Ambarwati Hari Peni Julianti Hexanto Muhartomo I Made Widagda Lisa Nurhasanah M. Kamaluddin K Maria Devina Putri Elvariani Meita Hendrianingtyas Muhammad Nurul Amin Naela Munawaroh Nurika Amalina Rahmi Isma AP Rahmi Isma Asmara Putri Sandro Ruberto Sri Wahyudati Stephanie Indrawati Sugiarto Suhartono, Suhartono Tanti Ajoe Kesoema, Tanti Ajoe Yudha Hasya Ardana Yuswo Supatmo

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