Dewa Putu Sutjana
Ilmu Faal, Universitas Udayana, Bali

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INTERVENSI ULTRASOUND DAN PERTURBATION EXERCISE LEBIH EFEKTIF DARIPADA ULTRASOUND DAN MOBILIZATION WITH MOVEMENT UNTUK MENINGKATAN KEMAMPUAN FUNGSIONAL PADA PENDERITA OSTEOARTHRITIS GENU Pramana Putra, I Putu Yudi; Sutjana, Dewa Putu; -, Wahyuddin; Tirtayasa, Ketut; Ratna Sundari, Luh Putu; Irfan, Muh.
Sport and Fitness Journal Volume 7, No.1, Januari 2019
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/spj.2019.v07.i01.p09

Abstract

ABSTRACTBackground: Osteoarthritis is some of problem on joint which have a function for supporting body and have chronic and degenerative characteristic so it can affects the cartilaginous structure of joint it can cause some of abnormality of bones, soft tissues, and synovial fluid like pain, decrease on range of motion (ROM), deformity and morning stiffness which is most often felt especially in knee joint. Purpose: This study was to determine affectivity combination intervention of ultrasound and perturbation exercise with ultrasound and mobilization with movement to improve functional ability for people with osteoarthritis genu. Methods: This research used experimental method with pre and post test control group design. Subject of this research are 22 people and divided into two groups where on the group 1 was given intervention of ultrasound and perturbation exercise and group 2 was given intervention of ultrasound and mobilization with movement with intensity 2 times per week for 12 times total intervention. Measurement functional score ability improvement was measured using a WOMAC index. Result: Group 1 result obtained p value = 0.001 (p <0.05) and in Group 2 got result obtained p value = 0.001 (p<0.05) for Paired Sample T-test. Different test of mean value with independent sample t-test after treatment found that the increase of improve functional 21.45±4.132 in group 1 and 11.55±1.368 in group 2 with p value = 0.036 (p <0.05). Conclusion: Intervention of ultrasound and perturbation exercise is significantly more effective compared with ultrasound and mobilization with movement for improve functional ability for people with osteoarthritis genu. Suggestion: For the next researcher can do follow up research to see long-term result intervention of ultrasound, perturbation and mobilization with movement for improve functional ability for people with osteoarthritis genu.Key Word; Osteoarthritis genu, perturbation exercise, mobilization with movement, ultrasound, WOMAC
RATIONAL MANAGEMENT OF PARKINSON’S DISEASE Yin Yen, Mun; Tirtayasa, Ketut; Sutjana, Dewa Putu
E-Jurnal Udayana Medica vol 1no1 2013
Publisher : E-Jurnal Udayana Medica

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Abstract

Parkinson’s disease is a chronic and progressive neurodegenerative disease which is characterized by motor and non-motor symptoms. The motor symptoms which are also known as cardinal features are resting tremor, bradykinesia, rigidity and postural instability. The etiology is unknown in most cases but there are findings that relate Parkinson’s disease to the genetics and environmental factors. The clinical course of Parkinson’s disease varies from patient to patient. Levodopa is still the main therapy of this disease although it leads to motor complications as the disease progresses.
PEMBERIAN TEKNIK MULLIGAN DAN SOFT TISSUE MOBILIZATION LEBIH BAIK DARIPADA HANYA SOFT TISSUE MOBILIZATION DALAM MENINGKATKAN LINGKUP GERAK SENDI EKSTENSI, ROTASI, LATERAL FLEKSI CERVICAL PADA MECHANICAL NECK PAIN -, sudaryanto; Sutjana, Dewa Putu; Irfan, Muhammad
Sport and Fitness Journal Volume 1, No.2, 2013
Publisher : Sport and Fitness Journal

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Abstract

Mechanical neck pain has the same high prevalence with low back pain, and commonly found in many of physiotherapy practice. Combination of Mulligan technique and Soft Tissue Mobilization are one of manual therapy technique highly effective and efficient to care the case of mechanical neck pain but still very rarely used by physiotherapist in fields of practice. This study aimed to know the effectiveness between Mulligan technique – Soft Tissue Mobilization and only Soft Tissue Mobilization to the increasing range of motion extension, rotation and side flexion cervical on the mechanical neck pain. The study design was a pre test – post test control group design using two group of samples are control groups that given intervention Soft Tissue Mobilization and treatment groups that given a combination of Mulligan technique and Soft Tissue Mobilization. Measuring instrument used for data collection was goniometer, that the goniometer was used to measure the range of motion extension, rotation and lateral flexion of the cervical either before the intervention and after the intervention. Sample of this study was 32 people who divided into 2 groups of samples were 16 people in the control group and 16 people in the treatment group. Samples in the control group had a mean age of 35,69 with male of 7 people (43,8%) and female of 9 people (56,2%) as well as limitations of the right direction were 12 people (75%) and left direction were 4 people (25%). Whereas in the treatment group had e mean age of 35,94 with male of 10 people (62,5%) and female of 6 people (37,5%) as well as limitations of the right direction were 11 people (62,5%) and left direction were 5 people (31,2%). The results of hypothesis testing using independent sampel t-test showed a significant difference between the mean post-intervention ROM extension, rotation, lateral flexion of the control groups and the mean post-intervention ROM extension, rotation, lateral flexion of the treatment groups, with value p < 0,05. It is suggests that the Mulligan technique and Soft Tissue Mobilization resulting increase range of motion extension, rotation, and side flexion of the cervical that significantly greater than only Soft Tissue Mobilization on the mechanical neck pain. Thus, it can be concluded that the Mulligan technique and Soft Tissue Mobilization better than only Soft Tissue Mobilization to the increasing range of motion extension, rotation, and side flexion cervical on the mechanical neck pain.
PELATIHAN MIRROR NEURON SYSTEM SAMA DENGAN PELATIHAN CONSTRAINT INDUCED MOVEMENT THERAPY DALAM MENINGKATKAN KEMAMPUAN FUNGSIONAL ANGGOTA GERAK ATAS PASIEN STROKE meidian, Abdul chalik; Sutjana, Dewa Putu; Irfan, M.
Sport and Fitness Journal Volume 2, No.1, 2014
Publisher : Sport and Fitness Journal

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Abstract

Stroke is an interruption of blood vasculature system in the brain that causes suddenly neurological dysfunction, resulted in clinically brain tissue damage in a relatively long time period, decreased physical mobility and functional ability impaired of upper limb. The purpose of this study is to know an increasing in upper limb functional ability among stroke patients after mirror neuron system exercise and constraint induced movement therapy exercise and to know the comparison of both exercise. This study uses an experimental research with pre-test and post-test control group design. Number of samples of the first group is 13 patients given mirror neuron system exercise for 30-60 minutes , while the second group 13 patients were given constraint induced movement therapy exercise for 30-60 minutes. The research was conducted in 2 month period time. Each patient is taught a variety of upper limb functional ability in accordance with the operational concept guidance and patients were asked to repeat the exercise independently at home as directed. Measuring test of upper limb functional ability is using the wolf motor function test instruments. The result is an increase the upper limb functional ability of 21.7% in the mirror neuron system exercise group and proved a significant difference (p<0.05) and an increase in the upper limb functional ability of 17.1% in the constraint induced movement therapy exercise group and proved a significant difference (p<0.05) while the difference of increasing of upper limb functional ability of the two groups showed no significant difference (p>0,05). It was concluded that the mirror neuron system exercise is similar with constraint induced movement therapy exercise in increasing the upper limb functional ability among stroke patients.
PENGGUNAAN KINESIOTAPE SELAMA TIGA HARI TIDAK BERBEDA DENGAN PEREKAT PLASEBO DALAM MENGURANGI RESIKO CEDERA BERULANG DAN DERAJAT Q-ANGLE PADA PENDERITA PATELLOFEMORAL PAIN SYNDROME -, Abdurrasyid; Sutjana, Dewa Putu; Irfan, Muhammad
Sport and Fitness Journal Volume 2, No.1, 2014
Publisher : Sport and Fitness Journal

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Abstract

Many athletes who suffer Patellofemoral Pain Syndrome (PFPS), they using kinesiotape while playing or less than two weeks, this condition make a question of there are efficacy when used kinesiotape while playing and practicing. The purpose of this study to ensure the use of kinesiotape for three days did not differ with adhesive placebo in reducing the risk of repetitive injury and q-angle in patients with patellofemoral pain syndrome (PFPS). The experimental research method to design randomized clinical trial design. Sample of 17 athletes who suffer from PFPS and time of observation for three days. Divided into two groups, kinesiotape groups (n = 9) as the treatment and placebo groups (n = 8) as a control. Measurement instruments used were Functional Movement Screening (FMS) and Q-angle. The results of this study, kinesiotape group able to reduce the risk of repetitive injury with p = 0.002 (p <0,05). Placebo group was also able to reduce the risk of repetitive injury p = 0.01 (p <0,05). Kinesiotape able to decrease q- angle with p = 0.004 (p <0,05). Placebo group was also able to reduce the q-angle with p = 0.008 (p <0,05). At different test measurements FMS using independent t-test p = 0.777 (p> 0.05), and a different test with q-angle measurements using the Mann-Whitney test p = 0.63 (p> 0,05). The conclusion that the use of kinesiotape and adhesives placebo can reduce the risk of recurrent injury and the degree of q-angle for three days. It is clear that using kinesiotape have the same effectiveness with placebo were not elastic adhesive while playing a game and practicing.
PENAMBAHAN SENAM OTAK PADA PROGRAM SENAM SEHAT ANAK INDONESIA (SSAI) DAPAT MENINGKATKAN MEMORI JANGKA PENDEK DAN INDEKS KESEGARAN JASMANI SISWA SD INPRES PONDANG Ingrid Robot, Joanne; Adiputra, I Nyoman; Lesmana, S. Indra; Sutjana, Dewa Putu; Griadhi, I Putu Adiartha; Imron, M. Ali
Sport and Fitness Journal Volume 7, No.1, Januari 2019
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/spj.2019.v07.i01.p02

Abstract

ABSTRACTBackground: Short-term memory plays a role in all children's cognitive processes both in understanding the language, working on the task and problem-solving process. The speed of cognitive processes in children depend on the degree of activation of short-term memory. With stimulation that given in the form of brain-activating movements is expected to integrate short-term memory and long-term memory to generate new knowledge or expand the existing load in long-term memory. Cognitive function and academic achievement can also be influenced by the level of physical fitness. Physical fitness is very useful to support the physical capacity of children who in the end expected to improve his performance. Objective: This research was conducted to find out how big increase of short-term memory and physical fitness at the addition of Brain Gym in SSAI program at elementary school student of Inpres Pondang. Method: This research is true experimental, using two group pre and post test control group design. This research was conducted at SD Inpres Pondang, 3 times weekly for 6 weeks, at January 22, 2018 - March 05, 2018. The sample of research is 42 people divided into two groups. The Control Group in the form of SSAI program and the Treatment Group was given the addition of Brain Gym in the SSAI program. The measuring instrument used to memory span to measure short-term memory and TKJI to measure physical fitness. Results: The results of hypothesis testing using Wilcoxon test and Mann Whitney test. Wilcoxon test results showed short-term memory improvement in the treatment group significantly (p<0.05), the control group showed significant short-term memory increase (p<0.05). The result of hypothesis test shows the value of increase of physical fitness index in the treatment group significantly (p<0.05). The increase value of physical fitness index in control group significantly (p<0.05). Mann Whitney test results showed the value of span digits in the treatment group and control group with p=0.005 (p<0.05). Physical fitness value in treatment group and control group with p value = 0.091 (p>0.05). Conclusion: Statistically there is a difference in the addition of brain gymnastics to SSAI in increasing short-term memory of elementary students. Statistically there is no difference in the addition of brain gymnastics in SSAI in improving physical fitness in elementary school students.Keywords: Short term memory, physical fitness, memory span, Indonesian physical fitness test, brain gym, healthy gymnastics Indonesian children.
UJIAN OSCE REGULER BERORIENTASI ERGONOMI MENINGKATKAN KINERJA PENGUJI DI FAKULTAS KEDOKTERAN UNIVERSITAS ISLAM AL-AZHAR MATARAM Sutjana, Dewa Putu; Swamardika, Ida Bagus Alit
Jurnal Ergonomi Indonesia (The Indonesian Journal of Ergonomic) Volume 1 No 2, 2015
Publisher : Jurnal Ergonomi Indonesia (The Indonesian Journal of Ergonomic)

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Abstract

Regular Objective Structured Clinical Examination  (OSCE) was a clinical skill  test in the Faculty of Medicine Islamic University Al-Azhar Mataram.  Examiner of OSCE in this study was a doctor who was also a lecturer trained in judging student’s clinical skills. The study aimed to know whetherergonomic-oriented regular OSCE by muscle stretching and drinking sweetened tea can improve the performance of examiners in the Faculty of Medicine Islamic University Al-Azhar Mataram. Performance improvement indicators used were decreased complaints of boredom, fatigue and musculoskeletal.Methods used in this study was experimental study with “treatment by subject design”. The study used as many as 18 sample given two treatment which was the first period without the ergonomic intervention involving stretching of the muscle and drinking sweetened tea and the second period was a group with ergonomic intervention. Boredom was measured by a boredom questionnaire.Fatigue, was measured from 30 items of fatigue questionnaire from Japan IFRC(Industrial Fatigue Research Committee).   Skeletal   muscle   complaints was predicted from  Nordic Body  Map  questionnaire.  Data  were  analyzed  bynormality test and t-paired test with significancy level of 5%.The results of this study showed that there was a significant difference(p<0,05) in average score boredom, fatigue and musculoskeletal complaints. The mean boredom score in the first period was 39,724 and in the second period was26,415 with reduction in average boredom score was 33.5 %. Fatigue mean scorein the first period  was 44,050 and the second period was 23,525 with reductionof fatigue score was  46,59 %. Mean musculoskeletal complaints score in the first period was 39,25 and the second period was 14,02 with reduction in mean musculoskeletal complaints score was 64,28 %. 19It can be concluded from this study that ergonomic  intervention by muscle stretching and drinking sweetened tea in the interrupted time of examination process improved the performance of OSCE examiner in terms of boredom, fatigue and musculosceletal complaints in the Faculty of Medicine of Islamic University Al-Azhar Mataram.
MODIFICATION OF WORKSTATION REDUCE MUSCULOSKELETAL COMPLAINTS AND IMPROVE WORK PRODUCTIVITY DURING THE PROCESS CHICKEN GUT CRACKERS PACKAGING IN DENPASAR Prihastini, Komang Angga; Sutjana, Dewa Putu; Adiputra, Indah Sri Handari; Swamardika, IB Alit; Purnawati, Susy; Sutarja, Nyoman
Jurnal Ergonomi Indonesia (The Indonesian Journal of Ergonomic) Vol 3 No 2 (2017): Volume 3 No 2, 2017
Publisher : Program Studi Magister Ergonomi Fisiologi kerja, Pascasarjana, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/JEI.2017.v03.i02.p01

Abstract

Chicken gut crackers are foods that are sold in many restaurants and stalls. The process of making chicken gut crackers is through several stages, such as washing, frying and packing. In those processes, there are some ergonomic problems, especially in the packaging process. The packaging process is done by sitting on the short chair with bent body position and cause discomfort. To overcome these problems then the sitting work attitude is changed based on the anthropometry of workers that refers to the principle of ergonomics.               The study was conducted in March 2017. The design of this study used the treatment by subject design involving 10 samples. Intermediate intervals before treatment and after treatment were given washing out for two days. The study was conducted in home industry located at West Teuku Umar Street. The measured data were the workload seen from the work pulse, enhancement in musculoskeletal complaints recorded with Nordic Body Map questionnaire and work productivity.                The results showed that decreased of musculoskeletal complaints by 17.30% (p<0.05), and increased of the productivity by 39.35% (p<0.05). The decrease of work intensity and musculoskeletal complaints can increase the quality of workers' health and increase the workers’ productivity.                Based on the discussion, it can be concluded that the use of chairs and tables according to anthropometry can reduce workload, musculoskeletal complaints, and increase work productivity. So that can be expected to the packaging workers to use the better chairs and tables can minimize the complaints caused by the work process.
KOMBINASI TERAPI ULTRASOUND DAN INTEGRATED NEUROMUSCULAR INHIBITION TECHNIQUES (INIT)_1 SAMA EFEKTIF DENGAN KOMBINASI TERAPI ULTRASOUND DAN TRANSVERSE FRICTION MASSAGE UNTUK MENURUNKAN NYERI MYOFASCIAL TRIGGER POINT SYNDROME OTOT UPPER TRAPEZIUS N, Yuniarti; Sutjana, Dewa Putu; Imron, Muh. Ali; Sandi, I Nengah; Satriyasa, Bagus Komang; Lesmana, S.Indra
Sport and Fitness Journal Volume 6, No.1, Januari 2018
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/spj.2018.v06.i01.p10

Abstract

Myofascial Trigger Point Syndrome (MTPs) adalah suatu daerah kecil yang hipersensitif yang mempengaruhi fascia otot upper trapezius. Penggunaan otot dalam posisi statis yang lama, kompresi pada otot dan mekanisme kerja yang buruk pada leher dan bahu dapat mengakibatkan spasme, pemendekan otot, serta gangguan sirkulasi darah yang menyebabkan timbulnya trigger point pada otot yang nantinya dapat menimbulkan MTPs. Penelitian ini bertujuan untuk membuktikan kombinasi terapi ultrasound dan metode integrated neuromuscular inhibitation techniques (INIT)_1 lebih efektif menurunkan nyeri pada MTPs otot upper trapezius daripada kombinasi terapi ultrasound dan transverse friction massage. Penelitian ini bersifat eksperimental dengan rancangan randomized pre test and post test group design. Terdapat dua Kelompok sampel, dengan masing-masing Kelompok terdapat 10 sampel. Kelompok 1 diberikan intervensi terapi ultrasound dan integrated neuromuscular inhibition techniques_1 sedangkan kelompok 2 diberikan intervensi terapi ultrasound dan transverse friction massage. Data berupa skala VAS diambil sebelum dan sesudah perlakuan. Perlakuan diberikan selama 6 kali terapi di Klinik Merdeka Medical Centre (MMC) Denpasar. Hasil penelitian menunjukkan terjadi penurunan rerata nyeri pada Kelompok 1 dari rerata 5,39±0,70 menjadi rerata 1,64±0,51 dan Kelompok 2 dari rerata 5,83±0,81 menjadi rerata 1,39±0,50 setelah perlakuan. Beda rerata penurunan nyeri dilakukan sebelum dan sesudah intervensi setiap Kelompok menggunakan paired sample t-test didapatkan nilai p=0,000 (p<0,05). Hasil perbedaan rerata nyeri setelah intervensi kombinasi terapi ultrasound dan integrated neuromuscular inhibitation techniques_1 dan kombinasi terapi ultrasound dan transverse friction massage menggunakan independent sample t-test didapatkan hasil p=0,287 (p>0,05) yang berarti tidak ada perbedaan bermakna intervensi antar Kelompok. Dapat disimpulkan bahwa tidak ada perbedaan antara kombinasi terapi ultrasound dan integrated neuromuscular inhibition techniques (INIT)_1 dengan kombinasi terapi ultrasound dan transverse friction massage untuk menurunkan nyeri pada myofascial trigger point syndrome otot upper trapezius. Diperlukan alat ukur nyeri yang lebih objektif.Kata Kunci : nyeri myofascial trigger point syndrome, otot upper trapezius, terapi ultrasound, integrated neuromuscular inhibition techniques, transverse friction massage.