Comparison Between Taichi Chuan and Jacobson\u27s Progressive Muscular Relaxation in Decreasing Cortisol Concentration on Pre-Hypertension Patients

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 Jacobson\u27s 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

The Association Of Shoulder Bag Usage With Trapezius Myalgia

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