The effect of low-impact aerobic exercise on fasting blood glucose and uric acid levels in community-dwelling healthy older adults

Fatkurahman Arjuna, Sulistiyono, Tri Winarti Rahayu, Gallant Pamungkas

Fatkurahman Arjuna, Sulistiyono, Tri Winarti Rahayu, Gallant Pamungkas – The effect of low-impact aerobic exercise on fasting blood glucose and uric acid levels in community-dwelling healthy older adults –  Fizjoterapia Polska 2025; 25(4); 225-230

DOI: https://doi.org/10.56984/8ZGA4314G42

Abstract
Background. Given the prevalence of metabolic disorders among aging populations and their impact on physical, psychological, and social well-being, this study aimed to evaluate the effectiveness of a non-pharmacological, community-based intervention that is safe, accessible, and appropriate for older adults.
Purpose. This study investigated the effects of low-impact aerobic exercise on fasting blood glucose and uric acid levels in older adults.
Method. A quasi-experimental one-group pre-test–post-test design was employed. The study involved 28 older adult participants, the majority (67.9%) aged 65–70 years. The intervention consisted of 15 sessions of low-impact aerobic exercise over five weeks (three sessions per week). Fasting blood glucose and uric acid levels were measured before and after the intervention and analyzed using paired sample t-tests.
Results and conclusion. The results demonstrated significant improvements in all measured variables following the 5-week intervention. Body weight and body mass index (bmi) decreased significantly (p = 0.009 and p = 0.007, respectively), indicating positive changes in body composition. Significant reductions were also observed in fasting blood glucose (p < 0.001) and uric acid levels (p = 0.021). Effect size analysis revealed large effects for fasting blood glucose (d = 2.69), body weight (d = 1.31), and uric acid (d = 1.39), while bmi showed a moderate effect (d = 0.56).
These findings suggest that low-impact aerobic exercise, although light in intensity, can positively influence anthropometric and metabolic parameters in community-dwelling older adults. The intervention shows potential as a safe, affordable, and non-pharmacological approach to supporting metabolic health in the elderly. Further studies are needed to confirm these benefits and explore long-term effects.
Key words
older adults, aerobic exercise, low impact, fasting blood glucose, uric acid
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The influence of hydrotherapy rehabilitation methods and land exercises: optimization of ACL injury recovery in football athletes

Arif Kurniawan, Sumaryanto, Sulistiyono, Ali Munir, Andy Widhiya Bayu Utomo

Arif Kurniawan, Sumaryanto, Sulistiyono, Ali Munir, Andy Widhiya Bayu Utomo – The influence of hydrotherapy rehabilitation methods and land exercises: optimization of ACL injury recovery in football athletes –  Fizjoterapia Polska 2025; 25(4); 150-157

DOI: https://doi.org/10.56984/8ZGA4313SX3

Abstract
Anterior Cruciate Ligament (ACL) injury is a common condition among football athletes that can significantly affect their performance and career. Optimal recovery requires effective rehabilitation methods to allow athletes to safely and efficiently return to competition. This study aimed to analyze the effects of hydrotherapy rehabilitation methods and land exercises on ACL injury recovery, specifically in improving the range of motion (ROM) of knee flexion and extension. A two-group pretest–posttest design was used, involving a hydrotherapy rehabilitation group and a land exercise group. ROM of the knee joint was measured using a goniometer. The results of the paired sample t-test indicated that both methods significantly improved ROM in flexion and extension (p = 0.000). These findings suggest that both methods are effective in accelerating ACL recovery. Therefore, they are recommended for inclusion in ACL injury rehabilitation programs, especially in the early recovery phase. This research contributes to the development of efficient, evidence-based rehabilitation strategies for sports medicine practitioners.
Key words
rehabilitation, hydrotherapy, land exercise, ACL, athletes
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How does proprioceptive neuromuscular facilitation (PNF) affect low back pain myogenic? Literature study

Arief Noor Rokhman, Sumaryanto, Sulistiyono

Arief Noor Rokhman, Sumaryanto, Sulistiyono
– How does proprioceptive neuromuscular facilitation (PNF) affect low back pain myogenic? Literature study –  Fizjoterapia Polska 2025; 25(4); 14-20

DOI: https://doi.org/10.56984/8ZGA43145SX

Abstract
Background. Proprioceptive neuromuscular facilitation (PNF) is one of several therapeutic techniques used to address lumbar functional decline in cases of myogenic low back pain (LBP). PNF is known to improve local joint control, muscle sensitivity, and the responsiveness of proprioceptive organs such as the Golgi tendon and muscle spindles. In individuals with myogenic LBP, PNF may reduce pain, support muscle activation, and increase range of motion (ROM).
Objectives. This study aims to assess the effectiveness of PNF in reducing pain, increasing muscle strength, and improving mobility in individuals with myogenic LBP.
Methods. Literature was sourced using Harzing’s Publish or Perish tool, with searches conducted through the Scopus database. The review followed PRISMA guidelines. After applying exclusion criteria, nine relevant articles remained. Screening and organization of the literature were supported using the Mendeley application.
Results. The review found that PNF is beneficial in managing myogenic LBP, as it enhances joint stability, proprioceptive feedback, and neuromuscular activation. Improved muscle sensitivity and proprioception lead to better functional performance in the lumbar region.
Conclusion. PNF demonstrates therapeutic potential for managing myogenic low back pain. Although current evidence is promising, stronger and more consistent clinical trials are required. Health professionals, including physicians and therapists, are encouraged to consider incorporating PNF techniques into treatment plans for patients with myogenic LBP.
Key words
proprioceptive neuromuscular facilitation, functional decline, low back pain myogenic
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Physical development of youth football players – a systematic review

Muhammad Fatih Humam, Sumaryanto, Sulistiyono, Zaza Afnindar Fakhrurozi, Inas Gita Amalia, Yanuar Rachman Sadewa

Muhammad Fatih Humam, Sumaryanto, Sulistiyono, Zaza Afnindar Fakhrurozi, Inas Gita Amalia, Yanuar Rachman Sadewa – Physical development of youth football players – a systematic review –  Fizjoterapia Polska 2025; 25(3); 355-360

DOI: https://doi.org/10.56984/8ZG7D19WQJ2

Abstract
In recent years, the physical development of youth football players has accelerated significantly, reflecting an increased awareness of the importance of high-quality training and physical preparation for growth and endurance during both training and matches. The purpose of this study was to systematically evaluate the physical development of youth football players using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) methodology. This review examines studies published in the past five years from indexed journal sources and highlights key findings regarding the effectiveness of various physical development programs for young football players. The findings indicate that monitoring physical parameters, implementing running tests, using experimental methodologies, and incorporating flexibility and cross-sectional training programs are all effective strategies for improving physical development in young footballers. Furthermore, such training programs can help develop youth athletes capable of progressing to professional levels.
Key words
physical development, youth football players
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TRX vs body weight training. Impact on arm muscle endurance of pencak silat athletes

Dwi Manna Nasmi Dzakiyyah, Widiyanto, Sulistiyono, Panggung Sutapa, Nugroho Susanto, April Yesaya Sipayung, Mert Kurnaz, Dary Nasmi Fauziah, Randi Kurniawan

 

Dwi Manna Nasmi Dzakiyyah et al. – TRX vs body weight training. Impact on arm muscle endurance of pencak silat athletes –  Fizjoterapia Polska 2025; 25(3); 125-131

DOI: https://doi.org/10.56984/8ZG7D19BUBS

Abstract
Background. Arm muscle endurance is very important for martial arts athletes to support strength and endurance during matches. Exercise methods such as TRX and body weight training are considered effective for improving muscular endurance, but the comparison of the two has not been widely studied.
Objective. This study aims to analyze the effect of TRX and body weight training on the endurance of arm muscles of martial arts athletes. This study used an experimental design by dividing the sample into two groups, namely the TRX exercise group and the body weight training group. A total of 24 pencak silat athletes who met the inclusion criteria participated in this study. Each group underwent a 5-week exercise program with adjusted intensity and frequency. Measurement of arm muscle endurance was carried out before and after the intervention using the dipping test to obtain comprehensive quantitative data. Data were analyzed by t-test to see the difference in results between the two groups using SPSS version 26.
Results. The analysis showed pre-test dipping test in the TRX group with an average of 14.67 and a post-test of 21.42 with a difference of 6.75. In the body weight training group, pre-test results averaged 13.25 and post-test 18.58, with a difference of 5.33. The results of the paired t-test showed a significant increase in arm muscle endurance in both groups (p < 0.05).
Conclusion. The TRX training group showed a higher improvement than the body weight training group. TRX training is proven to be more effective in training arm muscle endurance and stability, while body weight training is effective as a simple supporting training method that still has a positive impact on muscle endurance. Combining these two methods is recommended for an optimal pencak silat training program.
Key words
endurance, arm muscle, trx, body weight training, pencak silat
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The effect of medicine ball and resistance band exercises on throw-in performance in youth soccer players

Muhammad Fatih Humam, Sumaryanto, Sulistiyono, Ariadin, Galih Pamungkas, Sunaryo

 

Muhammad Fatih Humam, Sumaryanto, Sulistiyono, Ariadin, Galih Pamungkas, Sunaryo – The effect of medicine ball and resistance band exercises on throw-in performance in youth soccer players –  Fizjoterapia Polska 2025; 25(2); 455-464

DOI: https://doi.org/10.56984/8ZG00E1RQ6F

Abstract
Purpose. The purpose of this study was to: (1) examine how medicine ball and resistance band exercises affected the throw-in distance of young soccer players, particularly SSB Gama FC students; (2) examine how high and low arm muscle strength affected the throw-in distance; and (3) examine how medicine ball and resistance band exercises interacted with throw-in performance.
Methods. Data from 28 soccer players selected through purposive sampling were analyzed using a 2×2 factorial design. Arm muscle strength was measured using a hand dynamometer, and throw-in distance was measured using a meter. Data were analyzed at a significance level of 0.05 using two-way ANOVA.
Results. The results showed a significant improvement in throw-in distance (p < 0.05) in both the medicine ball and resistance band exercise groups. In the medicine ball group, throw-in distance improved from a pretest mean of 6.66 meters to a posttest mean of 8.65 meters, indicating a gain of 1.99 meters. In the resistance band group, the improvement was from 6.38 meters to 8.87 meters, a gain of 2.49 meters. These results suggest that resistance band training was more effective than medicine ball training in improving throw-in distance. However, there was no significant difference between players with high and low arm muscle strength (p > 0.05). An interaction effect between exercise type and arm strength was observed (p < 0.05), indicating that the impact of each exercise may vary depending on the player’s muscle strength.
Conclusion. Resistance band exercises have a greater positive effect on throw-in performance than medicine ball exercises in youth soccer players, and the interaction with arm muscle strength should be considered in training programs.
Key words
medicine ball, resistance band, throw-in, arm muscle strength, soccer
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Risk factors for injury in kabaddi players and prevention: A systematic review

Hardiansyah, Ahmad Nasrulloh, Sulistiyono

Hardiansyah, Ahmad Nasrulloh, Sulistiyono – Risk factors for injury in kabaddi players and prevention: A systematic review –  Fizjoterapia Polska 2024; 24(5); 210-215

DOI: https://doi.org/10.56984/8ZG020CVX71

Abstract Kabaddi is a sport prone to injury due to the intense physical contact involved in the game. Injuries are significant concerns for kabaddi players, and understanding both the factors that cause injuries and preventive measures is essential for minimizing future injuries. The purpose of this study is to analyze and identify factors contributing to injuries and ways to prevent them for kabaddi players. Data collection for this systematic review employed several comprehensive strategies, following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) framework. The sources used were Scopus, PubMed, and Google Scholar. Researchers searched for and identified four journals, published between 2017 and 2024, that discuss injury risk factors and prevention for kabaddi players. The systematic review identified several risk factors for injury in kabaddi players, including improper technique, inadequate warm-up, insufficient equipment, and contact-related accidents. Preventive measures include proper warm-up, mouth protection, and strength training for the thigh and calf muscles. Strategies to minimize the occurrence of injuries include adjusting training frequency, using protective equipment, and implementing biomechanical techniques.
Key words kabaddi, injury, physical contact, prevention
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Causes, effects and treatment of forward head posture. Systematic literature review

Debby Arieangga Pratama, Sulistiyono, Risma Dwi Arisona, Ridwan Abdul Rachman, Sandi Prayudho

 

Debby Arieangga Pratama, Sulistiyono, Risma Dwi Arisona, Ridwan Abdul Rachman, Sandi Prayudho – Causes, effects and treatment of forward head posture. Systematic literature review –  Fizjoterapia Polska 2024; 24(3); 417-424

DOI: https://doi.org/10.56984/8ZG020AF2R

Abstract:
The human cervical spine, with its complex structure, is designed to serve unique biomechanical functions. In addition to providing support and protection for the skull, the cervical spine also acts as a shock absorber for brain structures. Mechanically, it transfers weight and facilitates head flexion movements. To effectively carry out its function, proper alignment of the head’s posture with the body’s vertical center of gravity is necessary to minimize pressure and tension on spinal muscles. When continuous activities involving head restraint or forward bending cause an anterior translation of the head over extended periods of time, it can lead to a condition known as forward head posture (FHP). Prolonged FHP can result in injuries to muscles, tendons, and ligaments within both the cervical and lumbar regions of the spine, resulting in various health issues such as neck pain, shoulder pain or discomfort in the upper thoracic scapular segment. The aim of this study was to determine the impact, causes, and management strategies that can be implemented when forward posture occurs in individuals. The data used for this research were obtained from accredited journals such as Mendeley and PubMed. Articles were searched based on keywords related to forward head posture and then filtered according to inclusion and exclusion criteria. Ten out of 140 articles were selected as primary sources for this study. The results indicate that one significant impact of forward head posture is acute neck pain, which primarily affects an individual’s balance negatively. Known causes of forward head posture include engaging in work that involves repetitive bending or maintaining a static position where one leans their neck forwards continuously over prolonged periods. Finally, the recommended management approach when dealing with forward head posture is treatment through exercise therapy, such as Chin tuck exercise, McKenzie Neck Exercise, and Forward Head Posture Exercise.

Keywords:
impact, causes, treatment, forward head posture, systematic literature review

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Early sedentary behavior symptoms investigation on nutrition, physical fitness, and behavioral setting for novice sports science students

Sigit Nugroho, Yudik Prasetyo, Sulistiyono, Rizki Mulyawan, Fatemeh Nourzad

Sigit Nugroho, Yudik Prasetyo, Sulistiyono, Rizki Mulyawan, Fatemeh Nourzad – Early sedentary behavior symptoms investigation on nutrition, physical fitness, and behavioral setting for novice sports science students – Fizjoterapia Polska 2024; 24(2); 144-149

DOI: https://doi.org/10.56984/8ZG5608X9E

Abstract
This study investigates the condition of (1) nutritional status, (2) physical fitness, (3) physical activity patterns of sports science study program students after the pandemic. The research method uses quantitative methods with analytical observational design. The research subjects were sports students from the Sports Science study program, FIKK UNY. The subjects were active students totaling around 50 participants determined using purposive sampling techniques. Physical fitness data collection techniques use the BMI formula, bleep test and GPAQ questionnaire. Techniques for analyzing data with homogeneity and normality. The results obtained from nutritional status and cardiovascular fitness can be said to be still unsatisfactory, nutritional status is in the normal or ideal category, but the range of cardiovascular abilities is still in the adequate category for men and inadequate for women. Meanwhile, the measurement results from filling out the GPAQ questionnaire show that there is still a need to increase awareness of the importance of physical activity, indicated by transportation and recreational activities of moderate intensity which are still in the category of not meeting the recommendations, even though heavy, moderate physical activity and vigorous recreational activities meet the recommendations. Nutritional status is still in the normal category, but the range of cardiovascular abilities is still in the adequate category for men and inadequate for women. This is positively correlated with moderate intensity physical activity patterns, transportation and recreation, which are still in the category of not meeting recommendations. The sedentary habits usually carried out by sports students must be able to be transferred as soon as possible to more useful and productive movement activities. Amount of leisure time for physical activity is still relatively low, whereas other moderate to vigorous physical activity habits are beginning to resurface. There must be an intentional strategy to provide suggestions on how to spend free time performing activities outdoors or indoors.
Keywords
nutritional status, physical fitness, physical avtivity
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Benefit of breath-holding training on the concept of recreational freediving in healthy adults – a systematic literature review

Muhamad Nanang Solikhin, Sumaryanti,Sulistiyono, Fauzi, Bonifacius Arbanto

Muhamad Nanang Solikhin, Sumaryanti,Sulistiyono, Fauzi, Bonifacius Arbanto – Benefit of breath-holding training on the concept of recreational freediving in healthy adults – a systematic literature review –  Fizjoterapia Polska 2024; 24(1); 199-204

DOI: https://doi.org/10.56984/8ZG2EF8z2j

Abstract
Background. Breathing is a crucial process that commences at the moment of birth and ceases with one’s passing. Through breathing, essential oxygen is supplied to all the body’s parts, organs, and cells, sustaining life. Some numerous breathing techniques to optimize the advantages of breath-holding exercises. Freediving training is believed to be able to increase respiratory efficiency. The exercise is done by controlling of breathing and a stable heart rate so human can hold breath for a while, dive deeper and dive safely. These techniques are also employed in the preparation and meditation of postures, enhancing the focus and clarity of the mind to maximize the benefits of the practice.
Methods. All studies were screened on an individual basis, considering a set of specific criteria and key data such as affiliation of authors, type of study, year of publication, type of breath-hold exercise benefit in healthy. The study was designed in accordance with the standards of PRISMA (Preferred Reporting Items for Systematic Reviews and Meta Analyzes).
Results. Based on the systematic review process, selected and extracted data for each article obtained, a detailed description of the researcher’s name, title, research design, respondents, strengths and research results, and research limitations are summarized.
The inclusion criteria: International Journal and Research Design include Controlled Intervention Studies, Observational Cohort and Cross-Sectional Studies, Case-Control Studies, Case Series Studies, and Articles containing elements of breath hold benefit training. Quality assessment tools of the paper use NHLBI with low, and medium, assessment criteria. In this systematic review process, 230 Article collections were using Scopus, Pubmed and GS Databases with the keywords namely breath hold “AND” training “AND” benefit.. The stage continued by searching for the duplicate articles and obtained 34 out of 230 databases so that 196 articles were obtained before the screening stage. The first screening stage continued by excluding the title and abstract and obtained 160 articles from the 196 databases, so 36 articles were obtained at the screening stage. The next stage was eligibility, excluding 11 articles based on IMRAD (Introduction, Method, Result, and Discussion)is not clear, excluding 5 article Systematic Review, and excluding 6 article study reports were not included where finally meet 14 articles were evaluated for eligibility based on the title and abstract as well as the entire article excluded on inclusion and exclusion were obtained that matched the article criteria to be reviewed in this study
Conclusion.This comprehensive review highlights a number of studies exploring the relationship between breath-holding exercises and associated health benefits. These studies cover a wide range of aspects, including the impact of physical activity on freedive training, the benefits of diaphragmatic breathing on lung function, and the effectiveness of mental imagery (MI) training in improving breath-hold performance. Additionally, studies have shown significant improvements in cardiorespiratory function in individuals with bronchial asthma, chronic obstructive pulmonary disease, and cancer. These improvements were evidenced by positive changes in pulse rate, blood pressure, respiratory function measurements, and overall quality of life.
Keywords
breath-holding training, freediving, benefit
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