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All Journal BALI MEDICAL JOURNAL (BMJ) Medicina Sport and Fitness Journal INDONESIAN JOURNAL OF BIOMEDICAL SCIENCES E-Jurnal Medika Udayana Health Notions Bali Journal of Anesthesiology Callosum Neurology Journal : Jurnal Berkala Neurologi Bali ISM (Intisari Sains Medis) : Jurnal Kedokteran Majalah Kedokteran Neurosains Cermin Dunia Kedokteran Journal of Global Pharma Technology Neurona

Dewa Putu Gede Purwa Samatra

Bagian Neurologi Fakultas Kedokteran Universitas Udayana/ Rumah Sakit Umum Pusat Sanglah Denpasar Bali

Author-ID : 349592

Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

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Characteristics of cervical myofascial pain in medical students Samatra, Dewa Putu Gede Purwa; Widyadharma, I Putu Eka; Haditya, Yogi; Suryamulyawan, Kadek Adi; Devi, Gusti Ayu Putu Giti Livia; Lim, Demetria Jesica; Wijayanti, Ida Ayu Sri; Adnyana, I Made Oka; Purwata, Thomas Eko
Bali Journal of Anesthesiology Vol 3, No 2 (2019)
Publisher : DiscoverSys Inc.

Background: Cervical myofascial pain or neck pain is in the fourth most disease that causes disability after back pain, depression, and other musculoskeletal diseases. Cervical myofascial pain is characterized by pain originating from a trigger point located in the skeletal muscle, commonly referred as myofascial trigger points (MTrPs).Methods: An observational study with a cross-sectional design, conducted on 3 to 9 of December 2018 with research subjects were medical students at Udayana University who undergoing 5th and 6th year in clinical clerkship at Sanglah General Hospital Denpasar. The data was taken using Google Form which was filled in online by the subject and then analyzed using SPSS version 21.Results: From 307 respondents, 62.2% stated experiencing neck pain (196 respondents) with the majority of women 65.4%, the duration of neck pain occurred for <24 hours with the most frequent frequency at least once per month (46.1%), and appeared most often at night (39.8%) and occurs after night shift in 106 subjects (55.5%). The pain was said getting worse by activity in 102 subjects (52.4%) and getting better when resting in 185 subjects (96.9%). Most of the subjects did not use pain relievers to treat neck pain experienced (84.3%). In subjects who use painkillers, Paracetamol is the most often drug of choice to relieve pain (11%). For non-pharmacological treatment, 53.4% of respondents chose to rest or sleep.Conclusion: Most of the respondents who were clerkship reported experiencing neck pain at least once a month and often felt after a night shift. Respondents who reported neck pain were mostly women.

Chronic Granulomatous Tolosa-Hunt Syndrome (Case Report) Samatra, D. P.; Kesanda, I M. P.; Indrayani, I. A. A.
BALI MEDICAL JOURNAL Vol 5 No 1 (2016)
Publisher : BALI MEDICAL JOURNAL

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Background: Tolosa-Hunt syndrome is a rare case, characterized by tenderness, persistent around the affected eye and ophthalmoplegia /paresis caused by granulomatous inflammation in the cavernous sinus region, supra orbital or orbital fissure. Although spontaneous remission may occur, even corticosteroid therapy has a very satisfactory effect. However, relapse can occur after remission. We report a case of granulomatous Tolosa-Hunt syndrome in women aged 47 years who suffer from recurrent Tolosa-Hunt syndrome attacks for 4 years on his left eye, there was a significant recovery after receiving steroid therapy. Case: We report A 47 years old with recurrent pain in the left eye since 4 years, pain episode duration of 1-2 weeks, accompanied by double vision when having long or short distance viewing, and when climbing stairs. The patient left eye was protruded with blurred vision and difficulty in distinguishing green color. Left eye examination vision 1/300, green color discromatopsia, normal funduscopic, ptosis, with paresis eye movement toward the superior, inferior, nasal and temporal. C-reactive protein and erythrocyte sedimentation rate were slightly elevated. ANA test was positive. In visual evoked potential, it showed latency elongation of the left face. Head MRI with contrast showed a isointense protrusion on the left cavernous sinus in axial cuts in T1 and T2. Head MRI T1 with contrast on coronal, axial cuts showed the appearance of convex lesions around the left cavernous sinus that enhanced with contrast. Conclusions: The result was clinically and radiographically diagnosed as Tolosa-Hunt Syndrome (THS). Therefore, 10 mg dexamethasone therapy, 4 times a day for 3 days was lowered to three times on day 4, 2 times on the fifth day and one time at day 6. The patient showed clinical improvement. The patient continued 48 mg oral methylprednisolone therapy up to 3 weeks which then gradually decreased and planned head MRI 3 months later.

ASPEK PSIKIATRI PADA PENYAKIT PARKINSON Grantika, Putu Agus; Westa, Wayan; Samatra, DPG Purwa
Medicina Vol 46 No 1 (2015): Januari 2015
Publisher : Medicina

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Penyakit Parkinson merupakan suatu kelainan degeneratif sistem saraf pusat yang disebabkan olehaktivitas neuron dopaminergik yang sangat berkurang, terutama di daerah pars kompakta dari nigrasubstantia. Penyakit Parkinson menampilkan gejala motor dan gejala nonmotor yang meliputi berbagaidomain termasuk gejala-gejala di bidang psikiatri.Gejala psikiatri pada penyakit Parkinson seringterjadi bahkan pada tahap awal penyakit, dan memiliki konsekuensi penting terhadap kualitas hidupdan fungsi sehari-hari. Gejala psikiatri yang paling sering muncul pada penyakit Parkinson adalahpsikosis, depresi, dan kecemasan. Patofisiologi gangguan neuropsikiatri ini sangat kompleks danmultifaktorial, melibatkan proses neurodegeneratif, mekanisme psikologis dan efek yang berkaitandengan pengobatan farmakologis. [MEDICINA 2015;46:28-32].Parkinson?s disease is a degenerative disorder of the central nervous systemdue togreatly reduced ofthe activity of dopaminergic neurons, especially pars compacta area in the substantia nigra. Parkinson?sdisease show motor and non-motor symptoms that include a variety of domains, including psychiatricsymptoms. Psychiatric symptoms in Parkinson?s disease often occur in the early stages of disease, andhas important consequences for the quality of life and daily functioning. The most frequent psychiatricsymptoms appear in Parkinson?s disease are psychosis, depression, and anxiety. Pathophysiology ofneuropsychiatric disorders are complex and multifactorial, involving neuro degenerative processes,psychological mechanisms and associated with the effects of pharmacological treatment. [MEDICINA2015;46:28-32].

KORELASI KUALITAS TIDUR DENGAN NYERI KEPALA PRIMER PADA SISWA-SISWI SEKOLAH MENENGAH ATAS NEGERI 1 AMLAPURA KABUPATEN KARANGASEM Antara, Agus; Adnyana, I Made Oka; Samatra, Dewa Putu Gede Purwa
Medicina Vol 46 No 3 (2015): September 2015
Publisher : Medicina

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Nyeri kepala primer dan gangguan tidur sering dijumpai pada remaja. Kedua fenomena ini mempunyai hubungan yang resiprokal. Prevalens nyeri kepala primer pada remaja cukup tinggi. Beberapa faktor yang berhubungan dengan timbulnya nyeri kepala primer, yaitu kualitas tidur yang buruk, obesitas, depresi, kecemasan, stres, dan kelelahan. Nyeri kepala primer dan gangguan tidur pada remaja berkaitan dengan penurunan prestasi belajar dan rendahnya angka kelulusan. Belum banyak data mengenai hubungan kualitas tidur dengan nyeri kepala primer pada remaja, khususnya di Bali. Penelitian ini bertujuan untuk menilai korelasi kualitas tidur dengan nyeri kepala primer pada remaja. Penelitian potong lintang ini dilakukan di Sekolah Menengah Atas Negeri 1 Amlapura Kabupaten Karangasem pada bulan September 2014. Subjek yang memenuhi kriteria inklusi dan eksklusi ada sebanyak 96 orang. Sampel diambil secara simple random sampling.Kualitas tidur dinilai denganThe Pitssburg Sleep Qualiy Index (PSQI).Hasilnya menunjukkan proporsi nyeri kepala primer pada remaja adalah sebanyak 85,42%. Terdapat korelasi yang bermakna secara statistik antara kualitas tidur buruk dengan nyeri kepala primer {P<0,0001, koefisien korelasi(r)=0,421}.Dapat disimpulkan bahwa kualitas tidur buruk berkorelasi(nilai korelasi lemah) dengan timbulnya nyeri kepala primer pada remaja. [MEDICINA 2015;46:156-61].Primary headache and sleep disturbance are common in adolescence. Those two phenomenas correlate reciprocally. The prevalence of primary headache in adolescents was high. Several factors are associated with primary headache among others, poor sleep quality, obesity, depression, anxiety, stress, and fatique. Primary headache and sleep disturbance in adolescents related with decrease of school performance and low graduation rate. Lack of data about the relationship between sleep and primary headache especially in Bali. The aim of this study is to measure the correlation between primary headache and sleep quality in adolescents.This cross sectional study was conducted in Amlapura1 Public Senior High School on September 2014. We collected 96 samples by simple random sampling and met the inclusion and exlusion criteria. Sleep quality has been assessed by The Pitssburg Sleep Qualiy Index (PSQI).The result of the study showed proportion of primary headache was 85.42%. The correlation between poor sleep quality and primary headache were statistically significant {P<0.0001, correlation coefficient (r)=0.421}. It can be concluded that poor sleep quality showed weak correlation with primary headache in adolescents. [MEDICINA 2015;46:156-61].

Gula darah tidak terkontrol sebagai faktor risiko gangguan fungsi kognitif pada penderita diabetes melitus tipe 2 usia dewasa menengah Nugroho, Bhaskoro Adi Widie; Adnyana, I Made Oka; Samatra, Dewa Putu Gede Purwa
Medicina Vol 47 No 1 (2016): Januari 2016
Publisher : Medicina

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Diabetes melitus (DM) telah dihubungkan dengan kejadian gangguan fungsi kognitif (GFK). Kontrol gula darah yang diukur dengan menggunakan kadar HbA1c telah dikaitkan dengan perkembangan dan progresivitas dari komplikasi DM. Tujuan penelitian ini adalah untuk mengetahui kadar gula darah tidak terkontrol (HbA1c >7%) merupakan faktor risiko GFK pada penderita DM tipe 2 usia dewasa menengah. Penelitian ini menggunakan rancangan penelitian kasus kontrol. Sampel direkrut secara consecutive. Data dianalisis dengan uji Kai-kuadrat dan regeresi logistik, dinyatakan dalam rasio odds (RO)(IK95%) dengan tingkat kemaknaan (P)<0,05. Didapat jumlah penderita DM usia dewasa menengah yang memenuhi kriteria penelitian untuk dilakukan pemeriksaan sebanyak 86 orang. Hasil analisis statistik mendapatkan bahwa kadar gula darah tidak terkontrol berhubungan dengan kejadian GFK pada penderita DM tipe 2 usia dewasa menengah [RO=3,69 (IK95% 1,416 sampai 9,622), P=0,008]. Disimpulkan bahwa kadar gula darah yang tidak terkontrol merupakan faktor risiko terjadinya GFK pada penderita DM tipe 2 usia dewasa menengah. Diabetes mellitus has been associated with the incidence of impaired cognitive function. Blood sugar control measured using HbA1c levels have been associated with the development and progression of diabetes complications. The objective of this study was to determine if uncontrolled blood sugar (HbA1c >7%) was a risk factor for cognitive impairment in middle-aged adult patients with type 2-diabetes mellitus. This was a case-control study. Sample selected by consecutive sampling. Data was analyzed by Chi-square and logisitic regression test and expressed in odds ratio (OR)(95%CI), with significant level of P <0.05. The studi found 86 subject met the eligibility criteria. Statistical analysis showed that poorly controlled blood sugar levels associated with impaired cognitive function events in middle-aged adult patients with type 2-diabetes mellitus [OR=3.69 (95%CI 1.416 to 9.622), P= 0.008]. It was concluded that poorly controlled blood sugar levels is a risk factor for the occurrence of impaired cognitive function events in middle-aged adult patients with type 2-diabetes mellitus.

INTERLEUKIN-1?, INTERLEUKIN-6, AND ANTAGONIST INTERLEUKIN-1RECEPTOR AS MEMORY IMPAIRMENT RISK FACTOR IN COMPLEX PARTIAL EPILEPSY Purwa-Samatra, D. P. G.; Sudewa-Djelantik, A. A. G.; Suastika, and K.
INDONESIAN JOURNAL OF BIOMEDICAL SCIENCES Vol 7 No 1 (2013): IJBS Vol.7 No.1 January-June 2013
Publisher : Udayana University

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Memory impairment is one of the most common adverse following epilepsy, particularly complex partial epilepsy. Cytokines physiologically play an important role in memory impairment by preventing long term potentiation process in hypocampus. Several literatures have mentioned that IL-1b, IL-6 and antagonist receptor IL-1Ra are crucial cytokines in complex partial epilepsy. This study aims to find out whether high level of IL-1b and IL-6 as well as low level of IL-1Ra might be risk factors of memory impairment in complex partial epilepsy patient. This was a case control study, enrolling 30 complex partial epilepsy patients with memory impairment as case group and 30 complex partial epilepsy patients without memory impairment as control group. In this study, it was obtained that the mean of IL-1? level in case group was significantly higher compared to the control (2.74 ± 4.36 vs. 0.42 ± 0.18 pg/ml, p = 0.007). The mean of IL-6 in case group was significantly higher compare to control (5.89 ± 6.32 vs. 2.34 ± 1.80 pg/ml, p = 0.006). The mean of IL-1Ra level of the case group was not significantly higher compared to the control (519.81 ± 262.64 vs. 413.28 ± 106.85, p = 0.767). By applying bivariate analysis, McNemar’s test, we observed that IL-1? with cut off point 0.63 pg/ml and OR = 70 is a risk factor of memory impairment in complex partial epilepsy indicated by p = 0.001. Similar result was also gained for IL-6 with cut off point 2.87 pg/ml and OR = 4.57 as a risk factor of memory impairment in complex partial epilepsy indicated by p = 0.007. Meanwhile, IL- 1Ra with cut off point 471 pg/ml and OR = 0.727 was not as a risk factor of memory impairment in complex partial epilepsy indicated by p = 0.573. It can be concluded that the high level of IL-1B and IL-6 were the risk factors of memory impairment in complex partial epilepsy patients. High level 1L-1B patient was 70 times higher risk of becoming memory impaired. High IL-6 patients will have the risk nearly 5 times higher. The low level of IL-1Ra does not as a risk factor in epilepsy patients for having the following memory impairment.

Nilai Normal Kecepatan Hantar Saraf di RSUP Sanglah Denpasar P, Sukarini; PE, Widyadharma; Putra IGN, Purna; Samatra DPG, Purwa
Cermin Dunia Kedokteran Vol 42, No 3 (2015): Nyeri
Publisher : PT. Kalbe Farma Tbk.

Latar Belakang: Pemeriksaan Kecepatan Hantar Saraf (KHS) adalah bagian dari prosedur elektrodiagnostik untuk menegakkan diagnosis penyakit sistem saraf perifer. Pengukuran KHS dapat dipengaruhi oleh berbagai faktor fisiologis dan non-fisiologis, sehingga acuan nilai normal di tiap tempat dapat berbeda; oleh karena itu, sebaiknya setiap tempat pemeriksaan memiliki nilai normalnya sendiri. Saat ini di RSUP Sanglah belum memiliki acuan nilai normal KHS. Tujuan: Mengetahui nilai rata-rata normal KHS di RSUP Sanglah Denpasar. Metode: Penelitian potong lintang consecutive sampling selama bulan Juli 2013. Setiap orang dewasa normal berusia 20-30 tahun yang memenuhi kriteria diperiksa di lengan dan tungkai kanan, untuk menilai latensi, amplitudo, dan KHS. Data diolah menggunakan SPSS 16. Hasil: Dari 30 sampel pemeriksaan Compound Muscle Action Potential (CMAP), rerata hasil secara berurutan latensi, amplitudo, KHS nervus medianus 2,95Â±0,34 mdet; 4,33Â±1,54 mV; 67,16Â±6,73 m/det; nervus ulnaris 2,41Â±0,29 mdet; 3,46Â±0,89 mV; 66,65Â±7,36 m/det; nervus radialis 3,48Â±0,86 mdet; 1,00Â±0,33 mV; 59,34Â±10,01 m/det; nervus tibialis 4,47Â±1,15 mdet; 6,59Â±1,85 mV; 53,95Â±6,65 m/det; nervus peroneus 3,29Â±1,15 mdet; 2,25Â±0,84 mV; 54,67Â±8,25 m/det. Rerata hasil pemeriksaan Sensory Nerve Action Potential (SNAP) secara berurutan latensi, amplitudo, KHS nervus medianus 2,62Â±0,31 mdet; 12,15Â±5,24 ÂµV; 65,16Â±10,29 m/det; nervus ulnaris 2,49Â±0,3 0 mdet; 13,88Â±7,21 ÂµV; 63,44Â±9,79 mdet; nervus radialis 2,38Â±0,61 mdet; 11,37Â±5,58 ÂµV; 70,40Â±10,33 m/det; nervus suralis 4,17Â±0,67 mdet; 6,73Â±2,98 ÂµV; 59,06Â±9,12 m/det. Simpulan: Didapatkan nilai rata-rata normal KHS motorik dan sensorik di RSUP Sanglah Denpasar yang dapat digunakan sebagai nilai acuan.Background: Nerve conduction study is electrodiagnostic procedures important in the diagnosis of peripheral nervous system disease. Nerve conduction velocity (NCV) measurements can be affected by various physiological and non-physiological factors, so the reference normal values can be different in each place; therefore, each center is encouraged to have their own normal reference value. Currently in Sanglah General Hospital not have a reference normal values of NCV. Objective: To obtain normal mean value of nerve conduction velocity (NCV) in Sanglah General Hospital, Denpasar. Method: A cross-sectional study with consecutive sampling technique was done during July 2013. A sample of 30 eligible normal adult, 20-30 year-old, were examined in the right arm and right leg, assessed for latency, amplitude, and NCV. The data is analyzed with SPSS 16.Result: The mean of Compound Muscle Action Potential for latency, amplitude, NCV of median nerve is 2,95Â±0,34 msec; 4,33Â±1,54 mV; 67,16Â±6,73 m/sec; ulnar nerve 2,41Â±0,29 msec; 3,46Â±0,89 mV; 66,65Â±7,36 m/sec; radial nerve 3,48Â±0,86 msec; 1,00Â±0,33 mV; 59,34Â±10,01 m/sec; tibial nerve 4,47Â±1,15 msec; 6,59Â±1,85 mV; 53,95Â±6,65 m/sec; peroneal nerve 3,29Â±1,15 msec; 2,25Â±0,84 mV; 54,67Â±8,25 m/sec. The mean of Sensory Nerve Action Potential for latency, amplitude, NCV of median nerve is 2,62Â±0,31 msec; 12,15Â±5,24 ÂµV; 65,16Â±10,29 m/sec; ulnar nerve 2,49Â±0,30 msec; 13,88Â±7,21 ÂµV; 63,44Â±9,79 m/sec; radial nerve 2,38Â±0,61 msec; 11,37Â±5,58 ÂµV; 70,40Â±10,33 m/sec; sural nerve 4,17Â±0,67 msec; 6,73Â±2,98 ÂµV; 59,06Â±9,12 m/sec. Conclusion: Normal average value of motor and sensory NCV in Sanglah General Hospital Denpasar were obtained, and can be used as a reference.

NEURITIS OPTIK SIFILIS PADA PASIEN IMUNOKOMPETEN Ni Nyoman Mestri Agustini,* Ida Ayu Sri Indrayani,* Ni Made Susilawathi,* Dewa Putu Gede Purwa Samat
NEURONA Vol 34 No. 2 Maret 2017
Publisher : Neurona Majalah Kedokteran Neuro Sains

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OPTICS SYPHILIS IS A NEUROOPHTHALMOLOGY MANIFESTATION WHICH OCCUR IN LATENT PHASE SYPHILIS SYPHILIS IS A SEXUALLY TRANSMITTED DISEASE AND NOWADAYS THE INCIDENCE IS INCREASING IN IMMUNOCOMPROMISE PATIENTS SPECIALLY IN HIV AIDS INFECTION NEVERTHELESS THE OCCURRENCE IN IMMUNOCOMPETENT PERSON IS VERY RARE ONLY 0221 CASES IN 100000 PEO PLE DISORDERS OF THE EYE ARE ALSO NOT COMMON AND USUALLY ASYMPTOMATIC OPTICS NERVE INVOLVEMENT MAY BE UNILATERAL OR BILATERAL WITH MANIFESTATION AS PERINEURITIS ANTERIOR OPTICS AND RETRO BULBAR NEURITIS OR PAPILLEDEMA

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

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.

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

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.

Co-Authors Agus Antara, Agus Anak Agung Ayu Meidiary Anak Agung Ayu Putri Laksmidewi Anak Agung Ayu Suryapraba Anak Agung Bagus Ngurah Nuartha Anak Agung Gede Sudewa Djelantik Asrul Sani Astari Arum Cendani Goller Bagus Komang Satriyasa Bagus Ngurah Mahasena Putra Awatara Bhaskoro Adi Widie Nugroho, Bhaskoro Adi Widie Candida Isabel Lopes Sam Devi, Gusti Ayu Putu Giti Livia Dewa Putu Wisnu Wardhana Dyah Esti Pranwengrum Fitratun Najizah Haditya, Yogi I Dewa Ayu Inten Dwi Primayanti I Dewa Putu Sutjana I Gusti Ayu Widianti I Gusti Ngurah Ketut Budiarsa I Ketut Suastika I Ketut Sumada I M. P. Kesanda, I M. P. I Made Krisna Dinata I Made Oka Adnyana I Nyoman Adi Putra I Nyoman Mangku Karmaya I Putu Eka Widyadharma I Putu Gede Adiatmika I Putu Gede Wikandikta I. A. A. Indrayani, I. A. A. Ida Ayu Sri Indrayani Ida Ayu Sri Wijayanti Indra Lesmana Ketut Widyastuti Kumara Tini Lely Setyawati Kurniawan Lim, Demetria Jesica Luh Ita Mahendrayani Luh Made Indah Sri Handari Adiputra Luh Putu Ratna Sundari M. Irfan Muhammad Irfan Muhammad Ruslan Nuryanto Mutiah Munawarah Nadya Bianca Ni Ketut Candra Wiratmi Ni Made Linawati Ni Nyoman Ayu Dewi Ni Nyoman Ayu Dewi Ni Putu Winda Apriyanti Ni Wayan Tianing Nitaya Putri Nur Hidayat Nuri Putri Ayu P, Sukarini Pristanova Larasanti Purna Putra IGN Putra IGN, Purna Putri Eka Pradnyaning Putu Agus Grantika, Putu Agus Putu Gede Sudira Putu Lohita Rahmawati Rizki Novrianti S. Indra Lesmana Sawitri, Anak Agung Sagung Sri Yenni Trisnawati Sugijanto - Sugijanto - Sugijanto Sugijanto Sukarini P Suryamulyawan, Kadek Adi Susy Purnawati Syahmirza Indra Lesmana TATI NURHAYATI Thomas Eko Purwata Tjokorda Gde Bagus Mahadewa Tri Wahyu Wulandari Trisa Permata Suhadi Trisha Anindya Trisha Indah Paramita Trisnawati, Sri Yenni Valentina Tjandra Dewi Valentina Tjandra Dewi Virny Dwiya Lestari Wahyuddin, Wahyuddin Wayan Westa Winda Haeriyoko Yusuf Nasirudin

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