Indonesian Journal of Medicine (IJM)
Not a member yet
390 research outputs found
Sort by
Comparison of Jack Knife Stretching and Miofacial Decompression on Increasing Hamstring Muscle Flexibility in Futsal Players
Get PDFBackground: Flexibility plays an important role for athletes, especially football players. The greater a person's level of muscle flexibility, the lower the risk of injury. Jack Knife Stretching (JKS) and Myofascial Decompression (MD) are treatments that help promote flexibility, particularly for the hamstring muscles. This study aimed to eaxamine the effect of Jack Knife Stretching and Myofascial Decompression in enhancing hamstring muscular flexibility in futsal players.Subjects and Method: This was a randomized controlled trial. The study was conducted at the Kendal Football Club, Kendal, Central Java, Indonesiea, on June 2023. A sample of 20 football players was selected and divided into two groups randomly. The dependent variable was hamstring muscle flexibility. The independent variables were Jack knife stretching and myofascial decompression. Hamstring muscle flexibility was examined using V sit and reach test. Data were compared using independent t test.Results: Before intervention, hamstring muscle flexibility score between groups were comparable (p= 0.708). After intervention, hamstring muscle flexibility score in the MD group (Mean= 22.41; SD= 0.61) was higher than JKS group (Mean= 20.42; SD= 1.36), and it was statistically significant (p= 0.026).Conclusion: Myofascial decompression is more effective to increase hamstring muscle flexibility than Jack knife stretching.
Keyword: muscle flexibility, Jack knife stretching, myofascial decompressio
Buteyko Breathing Technique Effectively Improves Cardiorespiracy Endurance in Students
Get PDFBackground: As many as 51.32% of students from the Department of Physiotherapy at the Health Polytechnic of the Ministry of Health fell into the category of cardiorespiratory endurance (VO2max) less than normal. The VO2max value is influenced by breathing, physical activity and hemoglobin levels. There has not been much research on the influence of breathing without physical activity, so it is necessary to conduct research on the influence of breathing on cardiorespiratory endurance. The aim of this research was to determine the effect of Buteyko Breathing Technique on cardiorespiratory endurance. Buteyko Breathing Technique can significantly increase cardiorespiratory endurance. The breath-holding effect of the Buteyko Breathing Technique is the condition of maintaining high carbon dioxide levels all the time which can lower blood pH, causing more oxygen to be released into the tissues and cardiorespiratory endurance to increase.
Subjects and Method: Randomized Control Trial research design, Buteyko Breathing Technique treatment group (n=29) and group II was the control group (n=30). Havard Step Test research measuring tool. The research subjects were students majoring from the Department of Physiotherapy at the Health Polytechnic, Ministry of Health, Surakarta.
Results: The results of the paired sample t test in the treatment group obtained a value of p=0.027 (p<0.05), meaning that Buteyko Breathing Technique can increase cardiorespiratory endurance, while in the control group, a value of p=0.425 (p>0.05) was obtained, meaning there was no change in cardiorespiratory endurance. in the control group.
Conclusion: Buteyko Breathing Technique can significantly increase cardiorespiratory endurance
Correlation between the Characteristics of Chronic Kidney Disease Patients Undergoing Hemodialysis and Erythropoietin Stimulating Agent Therapy and Hemoglobin Levels
Get PDFBackground: Chronic Kidney Disease is one of the deadliest diseases in the world with a high prevalence. Hemodialysis is believed to increase the survival of chronic kidney disease patients. This study aims to analyze the relationship between condition factors in patients with chronic kidney disease undergoing hemodialysis and erythropoietin stimulating agent therapy with hemoglobin levels.
Subjects and Method: This research is a quantitative study with a cross-sectional study design carried out at the Madiun City Regional Hospital. Data was taken from June 1, 2022 to June 30, 2022. The population in this study were patients who received hemodialysis services and erythropoietin stimulating agent therapy. The sample was 101 patients with total sampling technique. The independent variables in this study are age, gender, duration of hemodialysis, while the dependent variable is hemoglobin level. Data collection techniques were carried out using patient medical record data. Data analysis used multiple linear regression with Stata 17.
Results: The results of multiple linear regression analysis of the relationship between duration of hemodialysis, gender, age, hemoglobin levels before and hemoglobin levels after chronic kidney disease patients undergoing hemodialysis with erythropoietin stimulating agent therapy show that every 1 month increase in hemodialysis will be followed by an increase in hemoglobin of 0.02g/dL (b =0.02 CI95% 0.01 to 0.03 p=0.018). Every 1g/dL increase in hemoglobin levels before hemodialysis will be followed by hemoglobin levels after hemodialysis of 0.7 g/dL (b=0.7 CI 95% 0.6 to 0.8 p<0.001). Gender (b=-0.06 CI 95% -0.7 to 0.6 p=0.857). Age (b=-0.01 CI 95% -0.03 to 0.03 p=0.833).
Conclusion: There is a positive relationship between the duration of hemodialysis and hemoglobin levels after chronic kidney disease patients undergo hemodialysis with erythropoietin stimulating agent therapy. There is no statistically significant difference between men and women, age in hemoglobin levels after undergoing hemodialysis with erythropoietin stimulating agent therapy in patients with chronic renal failure.
Keywords: chronic kidney disease, hemodialysis, erythropoietin stimulating agent, hemoglobi
Meta Analysis: Factors Affecting Implementation of Self-Care Practice in Diabetes Mellitus Patients
Get PDFBackground: Diabetes mellitus is a chronic metabolic disorder characterized by high blood sugar levels. If not controlled properly, diabetes mellitus can cause serious complications. Self-care practices are a very important factor in controlling the disease. This study aims to estimate the factors that influence self-care practices in diabetes sufferers.Subjects and Method: This was a systematic review and meta-analysis using PICO format. Population: diabetes patients. Intervention: having diabetes knowledge, high social support, female gender and presence of comorbidities. Comparison: no diabetes knowledge, low social support, male gender and no comorbidities. Outcome: self-care practices. The articles used in this research came from 5 databases, namely Google Scholar and Science Direct. The keywords of the article are "Diabetes Knowledge" AND "Social Support" AND "gender" AND "comorbidities" AND "diabetes" AND "Self-care practice behavior". The articles included in this research are full paper articles, cross-sectional study, publication year range 20172023, and reporting the aORs. Articles were analyzed using the Review Manager 5.4.Results: Female patients (aOR=1.56; 95% CI= 1.04 to 2.34; p= 0.030), high knowledge (aOR= 2.10; 95% CI= 1.27 to 3.46; p= 0.004), strong social support (aOR=1.73; 95% CI= 1.07 to 2.78; p= 0.020), and the presence of comorbidities (aOR=1.20; 95% CI= 0.67 to 2.16; p= 0.540) improved implementation of self-care practices.Conclusion: Female patients, high knowledge, strong social support, and the presence of comorbidities improve implementation of self-care practices.
Keywords: factors, diabetes self-care practices, diabetes mellitu
Effectiveness of Ethanol Extract and Ethyl Acetate Fraction of Breadfruit Leaves (Artocarpus altilis) as Antihyperglycemia
Get PDFBackground: The rising diabetes mellitus (DM) population is a public health concern. Pharmacotherapy for DM can cause side effects and is often inaccessible, necessitating alternative therapies like medicinal plants. Breadfruit leaves (Artocarpus altilis) have antidiabetic effects. This study aimed to examine the antihyperglycemic effect of ethanol extract and ethyl acetate fraction of breadfruit leaves on alloxan-induced diabetic male white rats (Rattus norvegicus).
Subjects and Method: This was a randomized controlled trial. Sample was 35 male white Wistar rats (Rattus norvegicus sp.) divided into 7 groups. The study was conducted at the Phytochemical Laboratory and Animal House, Faculty of Medicine, Indonesian Methodist University, from April to May 2023. The dependent variables were body weight, blood glucose levels, and diameter of the islets of Langerhans. The independent variables were variations in the dose of ethanol extract and ethyl acetate fraction of breadfruit leaves. Body weight was measured by scales. Blood glucose was measured using glucometer. Diameter of the islets of Langerhans was measured using computer-based image analysis system. Data were analyzed using Anova and Kruskal-Wallis tests.
Results: Weight loss was better in the group given the ethyl acetate fraction at a dose of 200 mg/kgBW compared to the other groups. Administration of ethanol extract at a dose of 200 mg/kgBW showed a better reduction in blood glucose levels compared to the other groups, where P < 0.05 between K4 and K3, K5, and K7 on day 5. Ethanol extract at a dose of 200 mg/kgBW was able to improve the diameter of the islets of Langerhans induced by alloxan.
Conclusion: A 200 mg/kg BW dose of ethyl acetate fraction reduces body weight. A 200 mg/kg BW dose of ethanol extract reduces blood glucose and improves pancreatic islet diameter
Comparison of HbA1c Levels in Normal-Weight and Obese Type 2 Diabetes Mellitus Patients at Dr. Pirngadi General Hospital, Medan, North Sumatra, Indonesia
Get PDFBackground: Diabetes mellitus is a collection of metabolic diseases caused by impaired insulin secretion, insulin action, or both so that it has the characteristics of hyperglycemia. Increased will cause a decrease in glucose delivery to the plasma membrane, resulting in insulin resistance in muscle and adipose tissue. This study aimed to compare HbA1c in normal weight and obese individuals with type 2 DM at Dr. Pirngadi hospital.Subjects and Method: This was a cross-sectional study was conducted at Dr. Pirngadi Hospital, Medan, North Sumatera, Indonesia, on May 2022. A sample of 50 patients diagnosed with Type 2 Diabetes Mellitus (T2DM, HbA1c ≥6.5%). The study variables were HbA1c and body mass index (BMI). Independent t-test was used to compare HbA1c levels between normal weight and obese participants.Results: HbA1c in type 2 DM patients with obesity (Mean= 11.49; SD= 0.60) is higher than those with normal weight (Mean= 8.71; SD= 0.34), with p= 0.002.Conclusion: HbA1c in type 2 DM patients with obesity is higher than those with normal weight
Hypertension Self-Care Behavior and Its Associated Factors among Patients with Hypertension
Get PDFBackground: Hypertension is a chronic medical condition that affects millions of people worldwide and can lead to severe health complications. Hypertension self-care behavior is important in managing their condition and reducing their risk of complication. This study aimed to to determine factors that associated with self-care behavior among patients with hypertension.
Subjects and Method: This was cross-sectional study, conducted at Boyolali Regency, Central Java. A total of 122 participant are included in this study. The Independent variables were including age, sex, education level, income, and duration of hypertension. The dependent variable was Hypertension self-care behavior. The data of Hypertension self-care behavior were collected by Hypertension self-care behavior questionnaire (HSCBQ). Knowledge about hypertension was measured using a modified questionnaire of hypertension evaluation of lifestyle and management (HELM). The data were analyzed by multiple logistic regression.
Results: Age ≥ 50 years (aOR=3.76; 95%CI=1.30 to 10.50; p=0.014), higher level of education (aOR=6.06; 95%CI=1.91 to 22.85; p=0.003) higher income (aOR=2.89; 95%CI=1.07 to 7.80; p=0.035), longer duration of hypertension (aOR=3.35; 95%CI=1.13 to 9.93; p=0.029) and good knowledge of hypertension (aOR=10.56; 95%CI=3.51 to 31.71; p<0.001) were associated and statistically significant with Hypertension self-care behavior.
Conclusion: Older age, higher level of education, higher income, longer duration of hypertension and good knowledge had statistically significant association with good Hypertension self-care behavior.
Keywords: age, duration of hypertension, hypertension self-care behavior, income, knowledge, level of education.
Correspondence: Akhmad Azmiardi. School of Health Science Mamba’ul ‘Ulum Surakarta. Jln. Ringroad, Mojosongo, Jebres, Surakarta, Central Java, Indonesia. Email: [email protected]. Mobile: +6285245412021.
Effectiveness of Cognitive Behavioral Therapy for Insomnia on Sleep Quality in Patients with Insomnia: A Meta-Analysis
Get PDFBackground: The relationship between sleep quality and sleep quantity is very close and has a significant impact on a person's sleep needs. If someone does not get enough sleep, then this will have an impact on the quality of their sleep, and vice versa. Therefore, maintaining a good quality of sleep is very important to maintain a healthy body and improve quality of life. The aim of the study was to analyze the effect of cognitive behavior therapy for insomnia (CBT-I) on sleep quality in insomnia patients.
Subjects and Method: This study is a meta-analysis with PICO. Population: insomnia patients. Intervention: given cognitive behavior therapy for insomnia (CBT-I). Comparison: not given cognitive behavior therapy for insomnia (CBT-I). Outcome: sleep quality. The articles used in this study were obtained from five databases, namely PubMed, Embase, Web of Science, ScienceDirect, and Google Scholar. The keywords used to search for articles use the medical subject heading (MeSH) term and the emtree of the keywords "Insomnia" AND "Cognitive Behavior Therapy for Insomnia" AND "Sleep Quality". The articles used were full text in English from 2013 to 2023. Articles were selected using the 2021 PRISMA flowchart and analyzed using the RevMan 5.3 application.
Results: A total of 10 randomized controlled trial study articles came from Iran, Canada, Spain, Texas, Korea, Kansas and the United States. The total sample size is 473 research subjects. Based on the analysis, insomnia patients who were given CBT-I therapy showed an average PSQI score of 1.88 units lower than those not given CBT-I (placebo), and the difference was statistically significant (SMD = -1.88; 95% CI = -2.55 to -1.22; p<0.001). Then insomnia patients who were given CBT-I showed an average PSQI score of 0.52 units lower than those given other insomnia therapies, and the difference was statistically significant (SMD= -0.52; 95% CI= -0.77 to -0.28; p <0.001) . Then when viewed as a whole, it shows that insomnia patients who are given CBT-I therapy on average have or show a PSQI score of 0.78 units lower than other therapies and without CBT-I therapy (placebo), and this difference is statistically significant (SMD= -0.78; 95% CI= -1.13 to -0.42; p < 0.001).
Conclusion: Cognitive behavior therapy for insomnia (CBT-I) can improve sleep quality in insomnia patients (decrease the PSQI score).
Keywords: insomnia, cognitive behavior therapy for insomnia, sleep quality.
Correspondence: Cynthia Octaviani. Master's Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Jawa Tengah, Indonesia. Email: [email protected]. Mobile: +6287812315855.
Effect of Theraband Exercise on Knee Pain Reduction in Osteoarthritis Patients
Get PDFBackground: Osteoarthritis (OA) is a degenerative joint disease associated with damage to joint cartilage, where a complex joint degradation process occurs, consisting of a repair process in the cartilage, bone, and synovium, followed by a secondary component of the inflammatory process. The primary cause of osteoarthritis is still not known for certain, but there are several risk factors that play a role, namely: age, gender, genetics, obesity, metabolic diseases, and other factors. This study aimed to examine the effect of theraband exercise on reducing knee pain in OA patients.
Subjects and Method: This was a quasy experiment study conducted at Dr. Soedjono Hospital, in Magelang, Central Java, from May to June 2023. A sample of 33 knee osteoarthritis patients was selected using purposive sampling. Intervention group (n= 17) received Theraband exercise and control group (n= 16) received usual care. The dependent variable was knee pain. The independent variable was Theraband exercise. Knee pain was measured using a visual analogue scale (VAS). The data were tested using independent t test.
Results: After intervention, mean of VAS score in the intervention group (Mean= 5.25; SD= 1.57) was slightly higher than control group (Mean= 5.13; SD= 1.75), but it was statistically non-significant (p= 0.848).
Conclusion: Mean of VAS score in the intervention group is slightly higher than control group, but it is statistically non-significant.
Keywords: theraband exercise, pain, osteoarthritis knee.
Correspondence: Dela Ramona. Study Program of Physiotherapy, Faculty of Health Sciences, Universitas Muhammadiyah Surakarta. Jl. A. Yani Kartasura, Sukoharjo, Central Java, 57162 Email: [email protected]. Mobile: +6281347988116
Effect of Ethanol Extract of Rosella Flower Petals (Hibiscus sabdariffa L.) on Healing Cut Wounds in White Rats (Rattus norvegicus)
Get PDFBackground: Wounds are skin disorders in the form of damage to continuity due to a pathological process, if not treated properly it can cause serious complications such as failure to heal and chronic problems due to untreated wound infections, especially post-operative infections and scar tissue. The next problem is that excessive antibiotics can cause side effects and increase the risk of antimicrobial resistance and delay wound healing. So a new strategy is needed with herbal-based therapy that has the effect of treating infections and does not cause side effects in patients.
Subjects and Method: The research was conducted with a post test only randomized control group design to test macroscopic observations of the average size of the wound length, hyperemia and swelling in 30 white Wistar rats (Rattus norvegicus) after receiving ethanol extract of rosella petals (Hibiscus sabdarifa L.). The dependent variables of the study were wound closure time, hyperemia and wound swelling. The independent variable of the research was varying doses of ethanol extract of rosella flower petals (Hibiscus sabdarifa L.) 6%, 12% and 15%. The parameters assessed are the length of the wound and the macroscopic assessment of the wound. Data were analyzed using the Kruskal-Wallis test, p<0.05 was considered statistically significant.
Results: Administration of Hibiscus sabdariffa L. 6%, 12% and 15% ethanol extract gel on the 12th day resulted in a significant acceleration of the wound healing process (p=0.024). There was a significant difference between negative control (Mean=3,281 mm ; SD=1,681 mm), positive control (Mean=2,813 mm ; SD=1,106 mm), 6% Rosella flower petal extract gel (Mean=2,916 mm ; SD=1,224 mm ), 12% (Mean=1,290 mm ; SD=1,098 mm), and 15% (Mean=1,035 mm ; SD=0.952 mm) (p=0.024), in the macroscopic assessment there was no significant difference in the wound healing process on day 3, 6, 9, 12 and 15 except for signs of swelling on days 6 (p=0.038) and 9 (p=0.038) which had a significant difference compared to controls.
Conclusion: Administration of Hibiscus sabdariffa L. 15% ethanol extract gel had the fastest time in wound closure and healing (Mean=1.035 mm ; SD=0.952 mm) for 12 days (p=0.024), the longest time in wound closure and healing was the negative control (gel placebo) (Mean=0.976 mm ; SD=1.103 mm) namely for 15 days (p=0.158).
Keywords: Wound healing, Roselle, Gel Ekstrak Etanol, Hyperemi