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Fisioterapi: Jurnal Ilmiah Fisioterapi
Published by Universitas Esa Unggul
ISSN : 18584047     EISSN : 25283235     DOI : https://doi.org/10.47007/fisio.v22i2
Core Subject : Health, Science,
Fisioterapi : Jurnal Ilmiah Fisioterapi aims to spread conceptual thinking or ideas, review and the research findings obtained in the field of Physioterapy Science. This journal focuses on the issues of Physioterapy Science involving : Pediatric Neurology Musculoskeletal Cardio pulmonal Sport Geriatric
Articles 5 Documents
Search results for , issue "Vol 11, No 1 (2011): Fisioterapi : Jurnal Ilmiah Fisioterapi" : 5 Documents clear
Pelatihan Metode Active Isolated Stretching Lebih Efektif Daripada Contract Relax Stretching dalam Meningkatkan Fleksibilitas Otot Hamstring
Fisioterapi : Jurnal Ilmiah Fisioterapi Vol 11, No 1 (2011): Fisioterapi : Jurnal Ilmiah Fisioterapi
Publisher : Lembaga Penerbitan Universitas Esa Unggul

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47007/fisio.v11i1.635

Abstract

AbstrakLatar Belakang: Fleksibilitas adalah kemampuan suatu jaringan atau otot untuk memanjang semaksimal mungkin, sehingga tubuh dapat bergerak dengan lingkup gerak sendi yang penuh, tanpa disertai rasa nyeri. Berkurangnya fleksibilitas otot hamstring sering terjadi di masyarakat. Hal tersebut akan mempengaruhi keseimbangan kerja otot, perubahan sikap, gangguan aktifitas berjalan, kekakuan sendi, gangguan kapsul dan tendon. Untuk mengatasi hal tersebut perlu stretching yang tepat, untuk mendapatkan hasil maksimal dan untuk keberhasilan tersebut, peran fisioterapi sangat besar. Tujuan: Untuk mengetahui perbedaan efektifitas pelatihan metode Active Isolated Stretching dan Contract Relax Stretching dalam meningkatkan fleksibilitas otot hamstring. Metode: Penelitian ini memilih subyek penelitian dari karyawan Rumah Sakit Advent Bandung, berusia 30 tahun sampai dengan  49 tahun., berjumlah 24 orang, sesuai perhitungan sampel dalam rumus Pocock. Sampel dibagi menjadi 2 group, masing-masing terdiri dari 12 orang yaitu kelompok perlakuan I (Active Isolated Stretching)  dan kelompok perlakuan II (Contract Relax Stretching), dilakukan pengukuran fleksibilitas otot hamstring dengan sit and reach test untuk mendapatkan data awal sebelum pelatihan dan data akhir sesudah pelatihan. Pelatihan dilakukan 3 kali seminggu selama 10 minggu. Hasil : Pada pengujian hipotesis I dengan uji Wilcoxon Sign Rank Test, nilai  p< 0,05, berarti ada perbedaan yang bermakna pelatihan  metode Active Isolated Stretching  dalam meningkatkan fleksibilitas otot hamstring. Pengujian hipotesis II dengan uji Paired Sample t-test, didapatkan nilai p<0,05, berarti ada perbedaan yang bermakna pelatihan  metode Contract Relax Stretching  dalam meningkatkan fleksibilitas otot hamstring. Pengujian hipotesis III dengan uji Mann-Whitney U Test, didapatkan nilai p<0,05, berarti ada perbedaan  yang bermakna dimana pelatihan  metode Active Isolated Stretching lebih efektif daripada Contract Relax Stretching  dalam meningkatkan fleksibilitas otot hamstring. Active Isolated Stretching merupakan stretching aktif, menggunakan terapi myofacial release dan stretching untuk otot, tendon dan facia. Kesimpulan: pelatihan  metode Active Isolated Stretching lebih efektif daripada Contract Relax Stretching  dalam meningkatkan fleksibilitas otot hamstring Manfaat lain dari Active Isolated Stretching yaitu tidak perlu menghabiskan waktu lama untuk menjalankan pelatihan peregangan dan program fitness. Hal tersebut sedang dipergunakan secara international diperkenalkan kepada para pelatih pribadi, pelatih atlit, physiotherapist, atlit-atlit profesional dan atlit olimpiade dan perlu disosialisasikan kepada masyarakat tentang pentingnya latihan stretching disamping untuk mencegah terjadinya cidera lebih lanjut. Sangat bermanfaat bagi masyarakat luas karena disamping dapat dikerjakan sendiri dirumah, tanpa pertolongan pelatih, juga menghemat waktu dan biaya.Kata kunci : Fleksibilitas, Active Isolated Stretching, Contract Relax Stretching AbstractBackground: The ability of tissue or muscle stretching to the maximum is called flexibility; this enables the body to move in full joint movement scope without experiencing any pain. There are occurrences in the community when the hamstring muscle flexibility was reduced. This will affect the balance of muscle contraction, posture changes, and disturbances in walking, joint stiffness, capsule and tendon disorders. To overcome this problem, proper stretching is needed and physiotherapy plays a big role in achieving maximum result and success. Conducting muscle training by rational approach to increase hamstring muscle flexibility. Objective : This study aims to determine difference between the training using Active Isolated Stretching with Contract Relax Stretching in increasing the hamstring muscle flexibility. Method : Subjects participating for this research are 24 employees of Bandung Adventist Hospital  with age ranging from 30 to 49 years old according to the sample calculation by Pocock formula. The samples were divided into two groups consisting 12 people; Group I (Active Isolated Stretching) and Group II (ContractRelaxStretching); hamstring muscle flexibility measurement was conducted through sit and reach test to obtain preliminary data (before training) and final data (after training). The training was conducted 3 times a week for a period of 10 weeks. Result : Hypothesis I was tested using Wilcoxon Sign Rank test, the p value (< 0.05) showed a significant difference on Active Isolated Stretching exercise in increasing hamstring muscle flexibility. Hypothesis II was tested using Paired Sample t-test, the pvalue (< 0.05) showed a significant difference on Contract Relax Stretching in increasing hamstring muscle flexibility. Hypothesis III was tested using Mann-Whitney U Test, the p value (< 0.05) showed a significant difference where the training using Active Isolated Stretching showed more efficacies compared to Contract Relax Stretching in increasing the hamstring muscle flexibility. Congclution : The training using Active Isolated Stretching showed more efficacies compared to Contract Relax Stretching in increasing the hamstring muscle flexibility. The Active Isolated Stretchingtechnique is a myofacial release and stretching muscles, tendon and facia, and utilizes active movement  and reciprocal inhibition to reduce co-contraction and optimize flexibility. Other benefit of Active Isolated Stretching comprises the less time spent in conducting stretching and fitness programs. This method is currently practiced by personal trainer, athlete trainers, physiotherapists, professional athletes and also Olympic athletes worldwide, thus there is a need to introduce the importance of beneficial stretching exercise to the community in order to overcome hamstring muscle flexibility disturbances, as well as to prevent further injuries. This exercise will be beneficial to the community because other than being able to perform this exercise at home without trainer's assistance, it also saves time and money.Keywords: Flexibility, Active Isolated Stretching, Contract Relax Stretching
Pelatihan Terpadu (Kegel dan Core Stability) Meningkatkan Kekuatan Otot Dasar Panggul Wanita Multipara
Fisioterapi : Jurnal Ilmiah Fisioterapi Vol 11, No 1 (2011): Fisioterapi : Jurnal Ilmiah Fisioterapi
Publisher : Lembaga Penerbitan Universitas Esa Unggul

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47007/fisio.v11i1.634

Abstract

AbstrakLatar Belakang : Kekuatan otot dasar panggul (ODP) menurun setelah hamil dan melahirkan pervaginam terutama pada wanita multipara. Kelemahan ODP bisa meng-akibatkan gangguan berkemih, prolap organ pelvis, dan disfungsi seksual. Kelemahan ODP bisa dikuatkan kembali dengan pelatihan penguatan ODP dan sudah teruji manfaatnya bila dilakukan secara benar tanpa menggunakan otot-otot penunjang lain-nya. Pelatihan terpadu (Kegel dan core stability) lebih selektif untuk meningkatkan kekuatan ODP. Otot dasar panggul dan otot transversus abdominus  merupakan grup otot core yang telah diketahui merupakan bagian dari sistem stabilitas lumbo-pelvis. Komponen yang lain adalah diafragma thorak dan otot multividus. Meningkatnya aktifitas otot transversus abdominus sinergis dengan meningkatnya aktivitas otot dasar panggul. Tujuan : Untuk mengetahui pelatihan terpadu (Kegel dan core stability) meningkatkan kekuatan ODP. Metode : Penelitian ini adalah penelitian true experimental, randomized pre and post test group design.. Dari 24 wanita multipara usia 28-49 tahun karyawan R.S Setia Mitra yang memenuhi kriteria inklusi dibagi dua kelompok perlakuan secara random sama banyak. Kelompok perlakuan I diberi pelatihan ODP (metode Kegel) dan kelompok perlakuan II diberi pelatihan terpadu (Kegel dan Core stability). Pelatihan dilakukan 3x per minggu selama 8 minggu. Semua sampel diwajibkan pula melakukan pelatihan penguatan ODP sendiri  sambil melakukan aktivitas sehari-harinya. Sebelum dan setelah 8 minggu pelatihan semua sampel diukur kekuatan ODP dengan pelvixiser perineumeter. Hasil : Kekuatan ODP Kelompok perlakuan I sebelum pelatihan didapat nilai rerata 11 (±2,86) dan sesudah pelatihan 15,33 (±3,025) berbeda secara bermakna (p<0,005). Pada kelompok perlakuan II sebelum pelatihan didapat nilai rerata 11,08(±4,87) dan setelah perlakuan didapatkan nilai rerata 19,58(± 3,025) berbeda secara bermakna (p<0,05). Nilai rerata selisih kekuatan ODP kelompok perlakuan I 4,67(±0,253), sedang kelompok perlakuan II mempunyai nilai rerata selisih 8,58(±0,144) berbeda secara bermakna (p<0,05). Kesimpulan : Pelatihan terpadu (Kegel dan  core stability) lebih efektif meningkatkan kekuatan ODP wanita multipara dibandingkan pelatihan ODP (metode Kergel). Hasil penelitian ini diharapkan  dapat disosialisasikan kepada semua wanita yang mempunyai gangguan inkontinensia urin, prolaps organ pelvis, dan disfungsi seksual dan diharapkan dapat dipergunakan sebagai dasar penelitian lebih lanjut.Kata kunci: core stability, pelatihan ODP, kekuatan ODP AbstractBackground : The strength of pelvic floor muscles (PFM) is decrease after pregnancy and childbirth pervaginam especially multiparous women. The PFM weakness will cause incontinence urine, prolaps organ pelvic, and sexual disfunction. The weakness of this muscles can be strengthened by training for the PFM strengthening has tested the benefit, if it is done well without using any other muscles. The comprehasive training (Kegel and Core stability) more selective to increases strengthen of PFM,  because pelvic floor muscles and transversus abdominus are the one groups from core muscles and are known to be part of the  local muscle system of lumbo pelvic stability beside diaphragma thorax and multividus muscles. Increase in the transversus abdominal muscle activity is synergistic with increase PFM activity. Objective : This research to know that the comprehensive training (Kegel and Core stability) could be increase in strengthen PFM for the parous women. Method : This research was true experimental with randomize pre and post test group design. The 24 multipara women works as workers in Setia Mitra hospital, the age between 28-49 years old, loaded the inclusive criteria, was allocated into the two groups on the same amount. The first one (I) get the PFM training (Kegels method), and the second group (group II) get the comprehasive training (Kegel and Core stability). This training is held instead of groups, on each group for eight weeks long, with 3x frequency per week.  All off the samples must have exercises to strengthen pelvic floor every time at home or anywhere they are, while doing the activity of theirs daily living. All of the samples before and after 8 weeks train to be measured the strength of the PFM with pelvixeser perineumeter. Result : Pelvic floor muscle strengthen in the group I, before train have average value 11,00(±2,86),  after eight weeks given training 15,33(±3,02) there were significant difference (p<0,05). In the group II, before train have average value 11,08(±4,87),  after 8 weeks given training 19,58(±413) there were significant difference (p<0,05). The average unequal value in group I have 4,67(± 0,253) and after 8 weeks given training have 8,58(±0,144) there were significant difference (p<0,05). Congclution : The comprehensive training (Kegel and Core stability) more significant to increases the pelvic floor muscles strengthening for multiparous woman than the pelvic floor muscles training (Kegels method). This result is expected to be useful for the socialization for this pelvic floor muscle train to all women who have incontinence urine, prolaps organ pelvic and dysfunction sexual, beside to be used as a fundamental for further research.Keyword: core stability, Pelvic floor muscles train, Pelvic floor muscle strengthen
Penambahan Pelatihan Kekuatan Otot Pada Pelatihan Interval Menurunkan Trigliserida Mahasiswi Gemuk Universitas Esa Unggul
Fisioterapi : Jurnal Ilmiah Fisioterapi Vol 11, No 1 (2011): Fisioterapi : Jurnal Ilmiah Fisioterapi
Publisher : Lembaga Penerbitan Universitas Esa Unggul

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47007/fisio.v11i1.633

Abstract

AbstrakLatar Belakang : Kegemukan merupakan suatu kelebihan berat badan karena kadar lemak dalam tubuh berlebih akibat asupan energi yang masuk tidak sesuai dengan asupan energi yang keluar. Kegemukan yang terjadi karena penumpukan jaringan adipose yang menebal. Saat melakukan aktifitas energi yang digunakan merupakan hasil pemecahan makanan karbohidrat dan lemak. Trigliserida merupakan sumber energi utama yang digunakan dalam melakukan latihan. Tujuan : Penelitian ini bertujuan untuk mengetahui penambahan pelatihan kekuatan otot pada pelatihan interval menurunkan trigliserida mahasiswi gemuk. Metode : Penelitian ini dilakukan dengan Randomize pre post test group design. Jumlah sampel  20 orang, pada perlakuan I dengan pelatihan interval sebanyak 10 orang mahasiswi gemuk dan pada perlakuan II dengan pelatihan interval dan pelatihan kekuatan otot sebanyak 10 orang mahasiswi gemuk yang dipilih secara random dan dilakukan di Universitas Esa Unggul. Hasil : Uji analisis data menggunakan uji non energysm karena distribusi data tidak normal, dengan menggunakan Wilcoxon Signed Rank Test dan  Mann Whitney U Test. Pada kelompok I didapatkan nilai rerata kadar trigliserida sebelum pelatihan 94.6± 37.5 dan setelah pelatihan 81.10±32. Pada kelompok II  nilai rerata kadar trigliserida sebelum pelatihan 115.3±30.7 dan  setelah pelatihan  89.8±10.3. Terdapat beda selisih sebelum dan sesudah pelatihan kelompok I sebesar 13.5±11.4 dan kelompok II sebesar 25.5±30.2. Kedua kelompok yang diberikan intervensi menurunkan kadar trigliserida secara bermakna (p<0,05) sedangkan selisih antar kedua kelompok tidak signifikan (p>0,05). Kesimpulan : Penambahan pelatihan kekuatan otot pada pelatihan interval menurunkan kadar trigliserida mahasiswi gemuk Universitas Esa Unggul.Kata Kunci: Trigliserida, Pelatihan Interval, Pelatihan Kekuatan Otot AbstractBackground : Obesity is an excess weight because of excessive levels of fat in the body due to the incoming eenergy intake does not match the eenergy intake came out. Obesity which occurs due to accumulation of adipose  tissue is thickened. When doing activities that use eenergy is the result of solving the food carbohydrates and fats. Triglycerides are the main eenergy source used in the exercises. Objective : This study aims to determine additional training on muscle strength interval training fat coed lowering triglycerides. Method : This research was conducted with Randomizedpre and post test group design. Total samples of 20 people, the treatment I with interval training  were 10 overwight female students  and  treatment II with interval training and strength training muscle  were 10 overweight female students, chosen at random and performed at the University of Esa Unggul. Result : Test data analysis using non-parametric test because the data distribution is not normal, by using the Wilcoxon Signed Rank Test and Mann Whitney U Test. In group I mean triglyceride values obtained before training and 94.6 ±37.5 after training 81.10 ± 32. In group II triglyceride levels mean value 115.3 ± 7.30 before training and after training 89.8 ± 10.3. There is the difference before and after training in group I 13.5 ± 4.11 and group II of 25.5 ± 30.2. Both groups were given the intervention were significantly lower triglyceride levels (p <0.05) while the difference between the two groups was not significant (p> 0.05). Congclution : The addition of muscle strength training in reducing triglyceride levels interval training overweight female student Esa Unggul University. Keywords: Triglycerides, Interval Training, Strength Training Muscle
Senam Vitalisasi Otak Lebih Meningkatkan Fungsi Kognitif Kelompok Lansia daripada Senam Lansia di Balai Perlindungan Sosial Propinsi Banten
Fisioterapi : Jurnal Ilmiah Fisioterapi Vol 11, No 1 (2011): Fisioterapi : Jurnal Ilmiah Fisioterapi
Publisher : Lembaga Penerbitan Universitas Esa Unggul

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47007/fisio.v11i1.632

Abstract

AbstrakLatar Belakang: Pada lansia terjadi penurunan fungsi organ tubuh termasuk kemunduran kognitif, namun kemunduran fungsi organ dan kognitif  tersebut dapat dihambat. Upaya meningkatkan fungsi kognitif yaitu dengan melakukan latihan olahraga, antara lain dengan melakukan Senam Vitalisasi Otak dan Senam Lansia. Tujuan: Penelitian ini dilakukan untuk mengetahui bahwa Senam vitalisasi otak lebih meningkatkan fungsi kognitif kelompok lansia daripada senam lansia. Metode : Sampel dipilih dari semua lanjut usia di Balai Perlindungan Sosial Dinas Sosial Propinsi Banten sesuai kriteria inklusi berjumlah 54 orang yang terbagi menjadi kelompok I senam vitalisasi otak dan kelompok II senam lansia. Perlakuan diberikan 3 x perminggu selama 12 minggu. Untuk mengukur gangguan kognitif sebelum dan sesudah perlakuan digunakan  Mini-Mental State Exam (MMSE). Penelitian ini adalah penelitian eksperimental dengan menggunakan randomise pre and post test control group design. Uji analisis untuk membuktikan hipotesis I dan II dengan Wilcoxon-test dan untuk hipotesis III dilakukan Independent Samples t-Test.  Hasil : Uji hipotesa I dan II digunakan uji Wilcoxon-test karena salah satu data tidak berdistribusi normal. Pada kelompok I nilai rerata sebelum pelatihan 19,07±3,61 dan setelah pelatihan 26,22,±2,59. Pada kelompok II rerata sebelum pelatihan 21,48±3,8 dan setelah pelatihan 23,44±3,9.  Terdapat beda selisih sebelum dan sesudah pelatihan pada kelompok I sebesar 7,15±2,461 dan kelompok II sebesar 1,96±1,720. Kesimpulan : Senam vitalisasi otak meningkatkan fungsi kognitif lansia lebih besar dibanding senam lansia.Kata Kunci: Lansia, Senam Vitalisasi Otak, Senam Lansia  AbstractBackground : In the elderly there will be a decline in organ function, included cognitive function. Efforts to improve cognitive function by performing the exercise, such as  Elderly Gymnastics ( EG) and Brain Vitalization Gym ( BVG). Obyective :This study is to endeavour the role of BVG compare to EG in improving cognitif function of elderly. Method : Samples were selected from all the elderly in the Social Service Center Social Protection of  Banten Province.Total 54 peoples randomly divided into group  vitalization brain calisthenics (group I) and normal elderly gymnastic (group II) The treatment wass given 3 times per week for 12 weeks. To measure cognitive restriction braind function before and after treatment is used Mini-Mental State Exam (MMSE). Randomized pre and post test control group design was employed. Wilcoxon and t tests were use to asses the hypotheses. Result : In group I, the mean value of cognitif function  before  and after training were 26.22±2,59.and 19.07±3,61. In group II, the mean value of cognitif function. before training and after training 23.44±3,9 and 21.48±3,8. Both treatment improve significanly cognitif function the elderly. Congclution :  However, the BVG improved signivicanly the cognitif function compared to EG treatment (p<0,05).         Keywords: Elderly, Vitalization Brain Gymnastics, Gymnastics Elderly,Cognitive 
Penambahan Manual Lymph Drainage Vodder Mempercepat Penurunan Kadar C Reaktive pada Obesitas dengan Latihan Intensitas Sedang
Fisioterapi : Jurnal Ilmiah Fisioterapi Vol 11, No 1 (2011): Fisioterapi : Jurnal Ilmiah Fisioterapi
Publisher : Lembaga Penerbitan Universitas Esa Unggul

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47007/fisio.v11i1.631

Abstract

AbstrakLatar belakang: Masalah obesitas perlu mendapatkan penangan yang serius akan akibat munculnya beberapa penyakit di kemudian hari. Obesitas selalu dihubungkan dengan terjadinya low grade inflammation yang merupakan penanda terjadinya Cronic Non Comunicable Desease seperti Arterosklerosis, penyakit jantung, diabetes tipe 2 dan radang sendi . Salah satu tanda terkuat  terjadinya low grade inflamation adalah naiknya kadar C Reaktive Protein (CRP) pada plasma darah. Tujuan : Penelitian dilakukan untuk membuktikan apakah pemberian Manual Lymph Drainage Vodder (MLDV) mempercepat penurunan CRP pada plasma darah obesitas yang diberikan latihan intensitas sedang. Metode : Sampel penelitian ini adalah 20 orang karyawan OMNI HOSPITAL Pulomas yang mengalami obesitas. Obesitas diukur denga BMI  25 Kg/m.Kadar CRP plasma darah diperiksaan laboratorium setelah sampel puasa minimal 10 jam. Jumlah subyek penilitian kemudian dilkelompokkan secara random dalam dua kelompok. Kelompok satu diberikan perlakuan dengan pelatihan intensitas sedang tiga kali dalam satu minggu. Kelompok dua disamping diberikan pelatihan intensitas sedang tiga kali dalam seminggu diberikan tambahan pemeberian Manual lymph Drainage Vodder dua kali seminggu. Pemberian MLDV tidak berbarengan dengan pelatihan intensitas sedang. Penelitian dilakukan selama 10 minggu. Pada akhir penelitian darah subyek penelitian diperiksa kembali kadar CRP dalam plasma darahnya. Hasil: Rerata kadar CRP sebelum perlakukan pada kedua kelompok tidak menunjukkan adanya perbedaan yang bermakna  pada kedua kelompok(p> 0,05). Uji hipotesis satu dapat disimpulkan bahwa pelatihan intensitas sedang dapat menurunkan kadar CRP dalam plasma darah (P<0,05). Sedangkan uji hipotesis dua menunjukkan bahwa penambahan MLDV pada pelatihan intensitas sedang dapat menurunkan kadar CRP dalam plasma darah (p<0,05). Dari  uji komparasi data hipotesis satu dan dua dengan independent t test  menggunakan data selisih antara sebelum dan sesudah perlakuan pada kelompok satu dan dua didapatkan hasil yang tidak bermakna. (p>0,05). Kesimpulan: Pelatihan intensitas sedang dapat menurunkan kadar CRP plasma darah pada obesitas hal yang sama ditemukan juga bahwa penambahan MLDV dapat menurunkan kadar CRP pada plasma darah obesitas. Perbandingan terhadap hasil keduanya menunjukkan bahwa pemeberian MLDV pada pelatihan intensitas sedang tidak bermakna lebih mempercepat penurunan CRP di banding yang diberikan excercise saja.Kata Kunci: Pelatihan Intensitas Sedang, MLDV, CRP  AbstractBackground : Obesity is an excess weight because of excessive levels of fat in the body Obesity is a serious problem for health; it is a trigger for more complicated diseases that might occurred in the future. Many people believe that obesity is one of the causes of Low Grade Inflammation; it is a sign of Chronic Non Communicable Disease such as arthrosclerosis, heart diseases, diabetes type 2 and arthritis. One of the most significant signs of low grade inflammation is the increasing of C Reactive Protein (CRP) level on blood plasma in obesity. Objective: A research has been conducted to find evidence whether to give Manual Lymph Drainage Vodder (MLDV) to the patient will accelerate the decrease of CRP on blood plasma in obesity with medium intensity exercises. Method : The samples  are the 22 employees of OMNI Hospital Pulomas with obesity with IMT 25 Kg/m. the level of CRP in Blood Plasma will be rated based on the laboratory examination after the sample fasting for at least 10 hours. The number of the subject of the research will be grouped randomly into two groups. The group one will be treated with medium intensity exercises, three times a week. Group two will be treated with similar treatment but they are given extra treatment, Manual Lymph Drainage Vodder, twice a week and MLDV is not given at the same time with medium intensity exercises. The research has been conducted for 10 weeks, in the end of the research; the level of CRP in the blood plasma of the object of the research will be measured. Result : The average CRP level before the treatment for both groups did not show any significant differences (p< 0,05), it means that there is no different between the two groups before the treatment. Based on hypothesis 1, we can concluded that medium intensity exercises can decrease the CRP level in blood plasma (P = 0,046). The hypothesis shows that with addition of MLDV on medium intensity exercises can reduce the CRP Level on blood plasma (p < 0,05). Based on the data from hypothesis 1 and hypothesis 2, I conducted comparison test with independent test method by using deviation data before and after treatment from group 1 and group 2. The result is the increase of MLDV on medium intensity exercises did not accelerate the decrease of CRP level on Blood plasma (p =>0, 050). Congclution : Medium intensity exercises can reduce the CRP level on blood plasma on obesity. The same result is found if we add MLDV, it is also reduce CRP Level on blood plasma on obesity. The comparison to both result shows that the addition MLDV in medium intensity exercises did not accelerate CRP level on blood plasma (not signivicant) than without the addition of MLDV.Keywords: Medium Intensity Excercise,MLDV, CRP

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