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Comparison Between Taichi Chuan and Jacobsonâs Progressive Muscular Relaxation in Decreasing Cortisol Concentration on Pre-Hypertension Patients Kesoema, Tanti Ajoe; Chasani, Shofa; Chasani, Shofa; Handoyo, Rudy; Handoyo, Rudy
Jurnal Kesehatan Masyarakat Vol 12, No 1 (2016): JURNAL KESEHATAN MASYARAKAT (KEMAS) JULY 2016
Publisher : Jurusan Ilmu Kesehatan Masyarakat Fakultas Ilmu Keolahragaan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v12i1.3988

Nowadays, the prevalence of hypertension and its concomitant risk of cardiovascular and kidney disease development is increasing as the disability evidence in the society also rises. One of the potential risk factors of prehypertension is anxiety and it has already well-known that cortisol is a marker of anxiety. There are some nonpharmacologic methods to relieve anxiety: exercise and relaxation. Taichi Chuan is a low intensity aerobic exercise that also gives a relaxation effect.This study is organised to find out the effect of Taichi Chuan (TCC) and Jacobsonâs Progressive Muscular Relaxation (JPMR) on cortisol level in pre hypertension patients. This is a pre and post-test design study with a total of 26 pre hypertension patients included. They were randomly divided into 2 groups. Group I performed Taichi Chuan exercise, while group II performed JPMR for 18 times. The intervention frequency was 3x/week for 6 weeks with 30 minutes duration for each session. In the study, which was held in April-June 2015, there was a decrease but no significant difference of cortisol concentration in both group.The comparison between groups also did not show statistical difference. However there were significant difference noted on the blood pressure before and after intervention in both groups.

Comparison Between Taichi Chuan and Jacobsonâ€™s Progressive Muscular Relaxation in Decreasing Cortisol Concentration on Pre-Hypertension Patients Kesoema, Tanti Ajoe; Chasani, Shofa; Handoyo, Rudy
KEMAS: Jurnal Kesehatan Masyarakat Vol 12, No 1 (2016)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v12i1.3988

Nowadays, the prevalence of hypertension and its concomitant risk of cardiovascular and kidney disease development is increasing as the disability evidence in the society also rises. One of the potential risk factors of prehypertension is anxiety and it has already well-known that cortisol is a marker of anxiety. There are some nonpharmacologic methods to relieve anxiety: exercise and relaxation. Taichi Chuan is a low intensity aerobic exercise that also gives a relaxation effect.This study is organised to find out the effect of Taichi Chuan (TCC) and Jacobsonâ€™s Progressive Muscular Relaxation (JPMR) on cortisol level in pre hypertension patients. This is a pre and post-test design study with a total of 26 pre hypertension patients included. They were randomly divided into 2 groups. Group I performed Taichi Chuan exercise, while group II performed JPMR for 18 times. The intervention frequency was 3x/week for 6 weeks with 30 minutes duration for each session. In the study, which was held in April-June 2015, there was a decrease but no significant difference of cortisol concentration in both group.The comparison between groups also did not show statistical difference. However there were significant difference noted on the blood pressure before and after intervention in both groups.

Efek Prehabilitation Exercise dengan Resistance Band terhadap Kekuatan Otot Kuadrisep Femoris pada Pasien Total Knee Replacement Ervi Ervi; Tanti Ajoe Kesoema; Robin Novriansyah
Medica Hospitalia : Journal of Clinical Medicine Vol. 7 No. 1 (2020): Med Hosp
Publisher : RSUP Dr. Kariadi

Pendahuluan: Prehabilitation exercise dengan resistance band merupakan latihan penguatan otot yang aman, mudah dilakukan dan dapat dijadikan sebagai home programme pada pasien osteoartritis (OA) yang akan menjalani total knee replacement (TKR). Namun demikian, latihan ini belum lazim dilakukan di Indonesia. Penelitian ini bertujuan untuk mengetahui pengaruh intervensi prehabilitation exercise dengan resistance band terhadap kekuatan otot kuadrisep femoris pada pasien yang menjalani TKR. Metode: Penelitian randomized controlled trial dengan pre and post test. Sebanyak 16 subjek yang memenuhi kriteria dibagi secara acak ke dalam kelompok perlakuan (n=8) dan kontrol (n=8). Kelompok perlakuan mendapatkan prehabilitation exercise dengan resistance band 3x seminggu selama 4 minggu sebelum TKR, sedangkan kelompok kontrol mendapatkan terapi konvensional berupa ergocycle dan TENS (Transcutaneus Electrical Nerve Stimulation) 2x seminggu selama 4 minggu sebelum TKR. Pengukuran kekuatan otot kuadrisep femoris dilakukan 3x yaitu pada 4 minggu dan 1 minggu sebelum TKR, serta 8 minggu setelah TKR menggunakan push-pull dinamometer. Hasil: Kelompok perlakuan menunjukkan peningkatan kekuatan otot kuadrisep femoris yang signifikan pada 4 minggu ke 1 minggu sebelum TKR sebesar 3,00+1,28 (p=0,001). Peningkatan kekuatan otot pada kelompok intervensi juga terlihat pada 4 minggu sebelum ke 8 minggu setelah TKR sebesar 2,38+1,22 (p<0,001). Sebaliknya, kelompok kontrol mengalami penurunan kekuatan otot sebesar -0,88+0,79 (p=0,001) dan -0,88+1,28 (p=0,001) masing-masing pada periode 4 minggu ke 1 minggu sebelum TKR dan 4 minggu sebelum ke 8 minggu setelah TKR. Kesimpulan: Terdapat pengaruh prehabilitaion exercise dengan resistance bands terhadap peningkatan kekuatan otot kuadrisep femoris pada subjek yang menjalani operasai TKR. Prehabilitation exercise dapat digunakan sebagai alternatif latihan yang aman, mudah dilakukan serta dapat dijadikan sebagai home programme pada pasien yang akan menjalani operasi TKR. Kata kunci: Prehabilitation exercise, kekuatan kuadrisep femoris, total knee replacement. Background: Prehabilitation exercises using resistance band is a safe and easy muscle strengthening exercise and can be used as a home programme in OA patients undergoing TKR. This exercise, however, is not commonly used in Indonesia. The this study aims to investigate the effect of prehabilitation exercise using resistance band on quadriceps femoris muscle strength in patients undergoing TKR. Methods: This study is a randomized controlled trial with pre and post-test. A total of 16 subjects who meet criteria were randomly allocated into intervention (n = 8) and control (n = 8) groups. The first group received prehabilitation exercise with resistance bands 3 times a week for 4 weeks before TKR, while the control group received conventional therapies involving ergocycle and TENS (Transcutaneous Electrical Nerve Stimulation) 2 times a week for 4 weeks before TKR. Quadriceps femoris muscle strength was measured three times at 4 weeks and 1 week before TKR, and 8 weeks after TKR using a push-pull dynamometer. Results: The intervention group shows a significant increase in quadriceps femoris muscle strength at 4 weeks to 1 week before TKR (3.00+1.28, p = 0.001). The increased quadriceps femoris muscle strength in the intervention group was also seen at 4 weeks before to 8 weeks after TKR (2,38+1,22, p<0,001). Conversely, the control group experienced a decreased quadriceps femoris muscle strength of -0.88+0.79 (p=0.001) and -0.88+1.28 (p=0.001) respectively in the period of 4 weeks to 1 week before TKR and 4 weeks before to 8 weeks after TKR. Conclusion: There is an effect of prehabilitation exercise with resistance bands on increased quadriceps femoris muscle strength in subjects undergoing TKR. Prehabilitation exercise is safe, easy and can be used as an alternative for home programme. Keywords: Prehabilitation exercise, quadriceps femoris muscle strength, total knee replacement.

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)

HUBUNGAN ANTARA PENGGUNAAN SHOULDER BAG DENGAN KEJADIAN TRAPEZIUS MYALGIA Amira Alya Cendekia Ramadhini; Raden Mas Soerjo Adji; Tanti Ajoe Kesoema; Muhammad Wajdi
Medica Hospitalia : Journal of Clinical Medicine Vol. 9 No. 1 (2022): Med Hosp
Publisher : RSUP Dr. Kariadi

Background : The prevalence of Trapezius Myalgia is increasing, specifically in productive age (15-64 years old). In Indonesia, Trapezius Myalgia cases are less identified due to its minimal publication and frequently underdiagnosed. Trapezius Myalgia is generated by anaerobic metabolism in trapezius muscle triggered by lack of oxygenation. This process would release pain mediators and perceived as pain. Some factors were believed to cause trapezius myalgia, such as gender, heavy loads, repetitive movement, postures, and working with computer. The use of shoulder bag is considered as static loading and repetitively performed which is believed to cause trapezius myalgia. Aim : To determine the association between shoulder bag usage with Trapezius Myalgia in Toko Ananda Pojok Semarang workers. Method : This was an observational analytic study with cross-sectional design. Data assembled was primary data, consist of Nordic Musculoskeletal Questionnaire (NMQ) and confirmed by palpation using manual algometer. A total of 54 workers in Toko Ananda Pojok were selected as subjects. The group consists of 30 shoulder bag user and 24 non-shoulder bag user. Pearson Chi-Square was used for statistical analysis Results : Based on NMQ results, 30 subjects (55,6%) had neck pain, 35 subjects (64,8) had shoulder pain, 30 subjects (55,6%) had upper trapezius pain, and 20 subjects (37%) had lower trapezius pain. Pearson Chi-Square test of shoulder bag (p = 0,036) was statistically significant for trapezius myalgia risk (p<0,05). Conclusion : There was an association between shoulder bag usage with trapezius myalgia.

PERBANDINGAN HASIL APLIKASI TENS DAN LATIHAN VOLUNTER TERHADAP KEMAMPUAN DAN DURASI KONTRAKSI MAKSIMAL OTOT DASAR PANGGUL PADA WANITA LANSIA Tanti Ajoe Kesoema; Rudy Handoyo
Media Medika Muda Vol 1, No 2 (2016)
Publisher : Faculty of Medicine Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar

Latar belakang: Kelemahan otot-otot panggul, khususnya pada wanita lanjut usia dapat menyebabkan timbulnya bermacam-macam gangguan atau keluhan. Salah satu cara penanganannya adalah dengan memperkuat otot-otot tersebut. Penguatan otot dapat dihasilkan melalui latihan dengan kontraksi volunter metode Kegel atau kontraksi pasif dengan stimulasi listrik. Stimulasi listrik dapat diberikan pada individu yang tidak mampu melakuan kontraksi volunter oleh berbagai sebab. TENS (Transkutaneus Electrical Nerve Stimulation) merupakan salah satu modalitas elektrostimulasi yang dapat digunakan untuk membangkitkan kontraksi otot melalui stimulasi saraf. Sehingga kontraksi otot secara pasif dapat membantu meningkatkan kekuatan otot dasar panggul bagi para wanita lanjut usia. Penelitian ini bertujuan untuk membandingkan hasil aplikasi TENS dan latihan volunter terhadap kemampuan dan durasi kontraksi maksimal otot dasar panggul.Metode: Penelitian ini adalah Pre and post test design yang terdiri dari 34 wanita lansia berusia 60–65 tahun. Subyek dibagi menjadi 2 kelompok secara random. Kelompok pertama adalah kelompok yang melakukan latihan volunteer dan kelompok kedua adalah kelompok yang mendapatkan intervensi TENS. Hasil: Sesudah perlakuan, baik pada kelompok latihan volunter maupun kelompok TENS terdapat peningkatan kemampuan kontraksi maksimal otot dasar panggul secara bermakna (p<0,05). Kemampuan kontraksi otot dasar panggul pada kelompok latihan volunter secara bermakna lebih besar daripada kelompok TENS (p<0,05). Durasi kontraksi maksimal pada kelompok latihan memperlihatkan peningkatan yang bermakna (p=0,000) sedangkan pada kelompok TENS tidak (p=0,188). Dibanding kelompok TENS, latihan volunter menghasilkan durasi kontraksi maksimal yang lebih besar secara bermakna (3,78 vs. 1,63).Simpulan: Dibandingkan dengan aplikasi TENS, latihan volunter otot dasar panggul memberi manfaat yang lebih besar dalam meningkatkan kemampuan dan durasi kontraksi maksimal otot dasar panggul. Kata kunci: lansia, otot dasar panggul, TENS, Kegel.

The Effect of Using Blue Light Filter Feature on Smartphones with Asthenopia Occurrence Arnan Victor Wiryawan; Maharani Maharani; Tanti Ajoe Kesoema; Riski Prihatningtias
Diponegoro International Medical Journal Vol 2, No 1 (2021): July
Publisher : Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/dimj.v2i1.9761

Background: Smartphone users can be found in almost every class society in Indonesia. Excessive use of smartphones and the blue light emitted by smartphones play an important role in causing asthenopia symptoms. Smartphone development companies have developed a blue light filter feature, which is expected to reduce the incidence of Asthenopia symptoms.Objective: To evaluate the Asthenopia questionnaire's comparison results before and after smartphone use with various levels of opacity in the blue light filter.Methods: This study used a quasi-experimental pre-posttest study. The research subjects were students of the Faculty of Medicine, Diponegoro University (n = 30), selected by purposive sampling. In this study, research subjects saw an hour-long smartphone with a predetermined opacity level for the blue light filter, with the same room lighting. Before and after the treatment, the subjects were asked to fill out the Asthenopia questionnaire. Data were analyzed using the Wilcoxon test, Mann Whitney U test, and Kruskal Wallis test.Results: The results of the Asthenopia questionnaire before and after using a smartphone with a blue light filter opacity level of 0% and 100% showed a significant difference in results (p <0.05), and there was no significant difference for the pre-posttest using a smartphone with a blue light filter with 50% opacity level. The comparison results of the Asthenopia questionnaire between smartphone use with the opacity level of the blue light filter 0% and 50% only showed a significant difference in sore/aching eye symptoms. The comparison results of the Asthenopia questionnaire between smartphone use with the opacity level of the blue light filter 50% and 100% only showed a significant difference in sleepy eye symptoms. The comparison results of the Asthenopia questionnaire between smartphone use with the opacity level of the blue light filter 0%, 50%, and 100%, did not show a significant difference.Conclusion: There were no significant differences between the Asthenopia questionnaire results with 0%, 50%, and 100% opacity blue light filters after one hour of smartphone use.

Difference of Schirmer Test Results Before and After Using Smartphones with Various Screen Brightness Levels Dodik Dumadi; Maharani Maharani; Tanti Ajoe Kesoema; Riski Prihatningtias
Diponegoro International Medical Journal Vol 2, No 2 (2021): December
Publisher : Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/dimj.v2i2.9763

Background : The use of smartphones and other digital devices such as laptops and tablets is familiar in Indonesian society. Excessive uses of the devices are associated with dry eye syndrome and tear film dysfunction. The intensity of blue light when penetrating the eye is believed to affect tear film stability. Thus it will encourage tear evaporation which proved by Schirmer test.Objective : To find out the difference of Schirmer test results before and after using a smartphone with various screen brightness levels.Methods : This study used pretest-posttest quasi-experimental study. The research subjects were students of the Faculty of Medicine, Diponegoro University (n = 30) who were selected by purposive sampling. In this study, the research subjects used smartphones for an hour with a predetermined screen brightness level, with the same room lighting. Before and after treatment the subject was measured the quantity of tears using the Schirmer test. Data were analyzed using the Wilcoxon test, Mann Whitney U test, and Kruskal Wallis test.Results : The average pretest result on low brightness was 25,60 ± 9,44 and the post-test result was 17,60 ± 8,45. The pre-test result on medium brightness was 27,90 ± 9,46 and the post-test result was 24,80 ± 10,46. The pre-test result on high brightness was 23,60 ± 6,80 and the post-test result was 19,10 ± 7,95. The Schirmer test results before and after using smartphones with low brightness showed a significant different (P<0.05) and there was no significant difference for the pre-post test using smartphones with medium and high brightness. Comparison of Schirmer test results on low, medium and high screen brightness did not show a significant difference.Conclusion : There is no significant difference between the Schirmer test results among low, medium and high screen brightness after one hour of smartphone usage.

Improvement of Hand Motor Function after Radial Shock Wave Therapy in Chronic Stroke Patients M. Kamaluddin K; Erna Setiawati; Tanti Ajoe Kesoema
Indonesian Journal of Physical Medicine & Rehabilitation Vol 7 No 01 (2018): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Introduction: The Radial Shock Wave Therapy (RSWT) expected could improve spasticity and hand function in chronic stroke patients. This study aimed to find out the improvement of hand function after RSWT as an additional therapy in chronic stroke patients. Methods: Design study was a randomized controlled trial, in December 2018. The patients were assigned randomly to the experimental group (Infrared, Stretching, and RSWT) and control group (Infrared and Stretching) for six weeks. Hand motor function was measured using Fugl-Meyer Motor Assesment (FMA) before and after intervention. Results: The median values of wrist FMA scores in the experimental and control group before and after intervention were 2 vs 5 (p=0.001) and 3 vs 4 (p<0.001) respectively. The median values of hand FMA scores in the experimental and control group before and intervention were 4 vs 6 (p=0,.001) and 4 vs 5 (p<0.001). However, the delta between before and after intervention was higher in experimental group. Conclusion: The improvement of wrist and hand FMA scores after added treatment by RSWT was tend to higher.Keywords: Spasticity, Hand Function, Stroke, Radial Shock Therapy, Fugl-Meyer Motor Assesment

Rehabilitation Medicine in Pellegrini-Stieda Syndrome with Myositis Ossificans and Neglected Patella Fracture Ronni Untung Handayanto; Tanti Ajoe Kesoema; Rahmi Isma AP
Indonesian Journal of Physical Medicine & Rehabilitation Vol 7 No 02 (2018): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Introduction: Pellegrini-Stieda Syndrome (PSS) is calcification of the medial collateral ligament(MCL). The manifestation are restricted motion and pain of the knee. PSS usually associated withtrauma or repeated strain.Methods: A case report of 30 year old physically active men has a severe stiffness and pain on the leftknee while walking for six months. He had neglected trauma 9 years ago. There were antalgic gait,mild swelling, warm, and tenderness on medial aspect, restricted range of motion (ROM) by pain on theleft knee; flexion 150. The knee X-Ray has shown the myositis ossificans and Pellegrini-Stieda lesion.Subject had undergone Rehabilitation Program, i.e. progressive gradual motion exercise and cryotherapyResults: There were reduced of pain, and increase the Left knee PROM were 15º restricted of extensionand 30º flexion, became 8ºrestricted of extension and 55º flexion, after one month of program.Conclusion: Pellegrini-Stieda Syndrome (PSS) is a possible complication in major knee trauma. Thepatient showed improvements in pain, and ROM after one month of rehabilitation programs.Keywords: Pellegrini-Stieda Syndrome (PSS), Range-of-Motion (ROM), Medial Collateral Ligament(MCL).

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