Jurnal Media Keperawatan: Politeknik Kesehatan Makassar

Vol. 11 No. 2 2020

e-issn : 2622-0148, p-issn : 2087-0035

INFLUENCE AGAINST BRAIN EXERCISES FINE MOTOR DEVELOPMENT STUNTING TODDLER IN VILLAGE
POTOKULLIN, ENREKANG
The Effect Of Brain Gymnastics On The Development Of Fine Motorcycle Stunting Children In Potokulin
Village, Enrekang

Matilda Martha Paseno, Yunita Gabriela Honey, Rosdiana Tandipau, Titinpatrianti Saling
School Tall Knowledge Health Stella Maris Makassar E-
mail: matildastikstellamaris@gmail.com/085242620464

ABSTRACT

Introduction:: Fine motor development is the child's ability to observe something, move by involving certain body parts
which are carried out by small muscles. One of the stimulations that can increase fine motor skills is brain exercise.
Aims: This study aims to see the effect of brain exercise on the fine motor development of stunting toddlers in Enrekang
Regency. Method: This research is a pre-experimental study with one group approach pre-test and post-test. The
The sample in this study were 28 stunting toddlers aged 24-59 months. Sampling in this study used nonprobability
sampling with a total sampling approach, data collection was carried out using Denver II to determine the fine motor
development of stunting toddlers, the data obtained statistical test used was the Wilcoxon test with a significance value
of α = 0.05. The results of the study where the value of ρ = 0.002, this shows that the value of ρ <α which means that
there is an effect of brain exercise on the fine motor development of stunting toddlers in Enrekang District.
Conclusion: Brain exercise is a can stimulate fine motorcycle development in stunting toddlers that can be done
by nurses and parents of stunting toddlers at home.

Keywords : Fine Motoric; Brain Exercise; Stunting

ABSTRACT

Introduction : Development Fine motor skills are a child's ability to observe things, move with them involving parts body
certain activities carried out by small muscles. One of the stimulation that can be improving fine motor skills,
namely brain exercise. Objective: This study aims to see the differences in the influence of exercise brain on fine motor
development of stunted toddlers in Enrekang Regency. Method: This research is pre-experimental design with
one group pre-test and post-test involving 28 stunted toddlers aged 24-59 months. Sampling was taken using a
total sampling approach, data collection was carried out using using Denver II to determine the development of
fine motor skills of stunted toddlers. Results: Data analysis Using the Wilcoxon test, the significance value ρ < value
= 0.002 shows that there is an influence of brain exercise on the development of fine motor skills of stunted toddlers in
Enrekang Regency. Conclusion: Brain exercise is one of the exercises that can stimulate fine motor development in
stunted toddlers that can be done by nurse nor parent toddler stunting At home.

Say Key : Motor Fine; Exercise Brain; Stunting

INTRODUCTION
Stunting is condition Where toddler has a Province Sulawesi North And Banggai Province
height that is less than his age and usually happen
Sulawesi Middle.
on child age 0-59 month (Ministry of Health,
According to Hanani, (2016) in his
2018). Central Statistics Agency data from 2016 –
research obtained child stunting own fine motor
2018 in Indonesia got it Still tall number incident
skills are lower than children who do not stunting .
stunting with category short as much as 19.8% and
Fine motor skills are a child's ability to perform
very short category as much as 11.5%, while in
movements involving parts body certain just with
Sulawesi Province The South found stunting
help muscle – muscle small , eye, hand and finger
toddlers in the category short 23, 2 % and
coordination (Soetjiningsih and Ranuh, 2012).
categories very short 12, 5 %
Matter This Also in support by study Which done
.(Body Center Statistics, 2020)
by Pantaleon, Hadi And Gamayanti, (2016) about
Enrekang Regency as one Stunting The relationship between stunting and motor
Priority Districts from 160 Districts priority year development showed results of 11.98 times more
2019 in Indonesia. Enrekang occupy order third stunted toddlers chance own development motor
after Regency Bolaang under
130
 Jurnal Media Keperawatan: Politeknik Kesehatan
Makassar Vol. 11 No. 2 2020
e-issn : 2622-0148, p-issn : 2087-0035

flat – flat.
to development motor fine on toddler
Wrong One intervention Which daoat
stunting in village Potokulin Regency Enrekang.
improving fine motor development is exercise brain
or brain gym , exercise This can helps maximize
METHOD
the work of the right brain and brain left so it can help
maximize function brain (Septiari, 2012). Based on
Design, Place And Time
research results Diana et al. , (2017) suggests brain
Study This use approach quantitative with
exercise or brain gym can stimulating Spirit Study
a one group pre-experimental design pre-test post-
so that can increase performance Study .
test . Data is taken by taking 1 group toddler stunting
According to Kristiana & Erlisa Candrawati, (2018)
in accordance criteria inclusion Then done pre test
suggests there is an influence of brain exercise on
1 time furthermore given intervention during 1
enhancement motor fine on child.
month after That A post test was carried out to assess
From the results of interviews at the
the effect of brain exercise on fine motor development.
research location with the local government when
Implementation this research on the month January
collecting data beginning, we get Wrong One reason
to February 2020 in Potokullin Village, Buntu Batu
stunting is malnutrition. According to Soetjiningsih and
District Regency Enrekang Sulawesi South.
Ranuh, (2012) causes malnutrition growth Dendrites
are low and production of glial cells is increased little
Amount And method taking subject
can affect growth and development child.
Technique taking sample Which used is
Government Regency Enrekang Also put forward
non-probability sampling with method total sampling
that various efforts have been made done to handle
Which done with take all members of the population
Stunted toddlers are one of the initiatives to increase
as a sample. Sample In this study there were 28
program 1000 day First life, However Brain exercise
intervention has never been carried out in the village toddlers stunting with age criteria 24-59 months
the . Therefore researchers want to do study For and willing become respondents.
see influence exercise brain

RESULTS
Analysis
Univariate Table 1
Distribution Characteristics
Respondent

Characteristic
No Criteria Object Frequency (f) Percentage (%)
s Respondent
Man Woman 13 46.4
1 Type Sex 15 53.6
24-29 7 25.0
30-35 4 14.3
Group age 36-41 3 10.7
2
(month) 42-47 8 28.6
48-53 2 7.1
>54 4 14.3
72-76 4 14.3
77-81 4 14.3
82-86 9 32.1
3 Tall Body (cm)
87-91 6 21.4
92-96 3 10.7
>97 2 7.1
9 4 14.3
10 6 21.4
11 9 32.1
4 Heavy Body (Kg)
12 1 3.6
13 2 7.1
>14 6 21.4

1
 Jurnal Media Keperawatan: Politeknik Kesehatan
Makassar Vol. 11 No. 2 2020
e-issn : 2622-0148, p-issn : 2087-0035

Tall Body/Age (TB/U) Very Short 9 32.1

5 19 67.9
Short
Heavy Body/Age BB Not 7 25.0
6 21 75.0
(BB/U) enough BB
Normal
Total 28 100
Source : Data Primary, 2020
body 11kg as much 9 (32.1%) respondents.
Based on table 1 obtained type 15 female Based on height/age (TB/U) mostly 19 respondents
gender 53.6% of respondents, The age group is mostly were in the short category (67.9%) respondents and
aged 42- 47 months as many as 8 (28.6%) based on weight/age (BB/U) part big respondents is
respondents, height Most of the respondents were tall at on category normal as much 21 (75.0%).
82-86cm as much 9 (32.1% ) respondent, heavy
body part big respondents is at on heavy

Table 2
Distribution Frequency Respondent Based on it Development Motor Fine Toddler Stunting Before And After Done
Exercise Brain

Development Motor Fine Before Done Exercise Brain After Done Exercise Brain
Frequency Percentage (%) Frequency Percentage (%)
(f) (f)
Passe 11 39.3 21 75.0
d
Fail 17 60.7 7 25.0

Total 28 100 28 100

Source : Data Primary, 2020

Based on table 02, fine motor development before

failed, namely 17 (60.7%) respondents. Meanwhile
giving brain exercises to stunted toddlers Which after given brain exercises there is an increase
category passed that is 11 (39.3%) respondents response motor fine as much respondents 21
and (75.0%).

Analysis Bivariate
Table 3
Analysis influence exercise brain to development motor fine on Toddler Stunting in Village Potocullin Subdistrict Dead
end Rock Regency Enrekang Province Sulawesi South

Type Data N Mean (Min – Max) Mean Rank Sum of ρ

Rank
Pre -Post Positive Ranks 10 -0.357 ( - 0.546 - - 5.50 55.00
Measurement a
0.168)
0.002
Negative 0.00 0.00
Ranks 0b
Ties 18 c
Total 28
Source : Data Primary, 2020 enhancement fine motor skills toddler stunting in Hamlet
Note: Test Wilcoxon Signed Rank Test Dead end Lenta Village Potocullin

Based on table 3 show results analysis

using the Wilcoxon test was obtained p value = 0.002
and α value = 0.05 this shows that p value <α, so
can interpreted that the null hypothesis (Ho) is
rejected and the alternative hypothesis (Ha)
accepted. This means brain exercise effective to
1
 Jurnal Media Keperawatan: Politeknik Kesehatan
Makassar Vol. 11 No. 2 2020
e-issn : 2622-0148, p-issn : 2087-0035

Subdistrict Dead end Rock Regency Enrekang

Province Sulawesi South year 2019.

DISCUSSION
a. Motor Development Toddler Stunting
Before in do Exercise Brain
Based on results analysis univariate
from amount respondents 28 there is 19
respondents Which

1
 Jurnal Media Keperawatan: Politeknik Kesehatan
Makassar Vol. 11 No. 2 2020
e-issn : 2622-0148, p-issn : 2087-0035
category short. There is 10 respondents Which
before done exercise pass and after doing
exercise increased to 16 respondents, From these
results there were 6 previous respondents failed to
pass, this is in line with research by Kristina &
Candrawati, (2018) stated that exercise brain can
increase fine motor development in children,
besides that there is 3 respondents Which fail,
based on This researcher's assumption is due to
each toddler own Power responsive Which vary.
According to Komasan 2012 that change on
the structure of the brain, one of the causes is due
to malnutrition at that time golden period (0- 2 years).
This is supported by research by Chang et al. ,
(2010) that child Which experience stunting has a
slower catching power in comparison with child
Which No suffer stunting .
Based on the results of univariate
analysis from the number of respondents was 28,
there were 9 respondents very short category. There
was 1 respondent who before done gymnastics
pass And after doing exercise increased to 4
respondents from These results contained 3 previous
respondents fail become passed.
The results of this study are in accordance
with research Septiari, (2012) that one stimulus that
can improving fine motor development is exercise
brain or brain gym , exercise This can helps
maximize the work of the right brain and brain left so it
can help maximize function brain. There is 5
respondents Which fail, researcher assume that
respondents Which experience stunting will further
worsen development motor Also the more experience
lateness.
Results This is in line with research done
by (Nurbaeti, 2016) that degrees stunting has a
significant relationship with fine motor development,
the higher the degree stunting suffered by motor
development smooth will disturbed. Growth And
The child's development is going well intake
nutrition balanced.
b. Development Motor Fine Toddler Stunting After
in do Exercise Brain
Based on results analysis univariate from
the number of respondents was 28, there were 7
respondents have less weight. There was 1
respondent before and after the gymnastics doing
exercise increased to 5 respondents, From these
results there were 4 previous respondents fail
become passed.
Researcher assume that This caused
Because stimulation Which done, although child
suffer from stunting caused by poor nutritional intake,
but if the child given good stimulation then
development motor Also will Enough Good. Study
This
in line with research by Sari et al., (2018) that
Gymnastics activities are preferred and can
motivate enthusiastic about learning and easier to
do children so that they feel like they are playing And
in a way No on purpose exercise This can
stimulate And Spirit Study.
Dendritic branching will increase as well
increasing the connections that connect the dendrites
one with another dendrite. These are the dendrites
responsible for motor skills and cognitive so that
impulse pathways will be formed new ones, the
child's nerves will be more capable and used to
transmit signals from receptors synapses that are
used to receiving the same information, so that ability
motor fine Which has taught can done with more
Good.
Based on study Arimba Wani and Hadi,
(2018) stated that motor fine on children who are
malnourished or underweight will influence
development motor smooth whereas according to
Intarti & Savitri,(2014) that development brain very
depends with nutrition And stimulus Which given
person old For his son. The more often child given
stimulation so in a way No direct will connect cells
brain child. However researcher find that There is 2
respondents Which fail, based on assumption
researcher that there is child stunting Which No
effective If given stimulation only 20 day like Which
researcher do Because according to study Which
done by Chang et al., (2010) that child lack nutrition
will impact on ability cognitive And brain ability . This
matter Because lack of intake especially nutrition
protein in children and cause function of the
hippocampus and deep cerebral
cortex form And keep memory will
disturbed. By Because This researcher
recommend For give stimulation more from 20
day Which will more help increase motor subtlety,
with giving stimulus Which routine or Keep going-
continuously so the more easy child understand it.
Part brain Which arrange ability cognitive called
cortex association prefrontal in cortex cerebrum.
Brain have ability For collect information,
and analyze intellectual nor movement motor,
ability This area can maintain the results of thinking
simultaneously and produce information _
(Soetjiningsih and Ranuh, 2012)
c. The Effect of Brain Exercise on Development
Motor Fine On Toddler Stunting
Of the 28 respondents there were 21
respondents have normal body weight. There are 10
respondents who had graduated before doing the
exercise and after doing the exercise it increased to
16 respondents, from these results there were 6
respondents who previously fail become passed.
1
 Jurnal Media Keperawatan: Politeknik Kesehatan
Makassar Vol. 11 No. 2 2020
e-issn : 2622-0148, p-issn : 2087-0035

According to Putri & Yetti, (2019) brain exercise is a

collection of simple, purposeful movements to connect
or unify thoughts and body. Method Work exercise
brain that is with unites the two hemispheres of the
brain (right hemisphere and left hemister) which the
brain knows controls everything body functions
coordinate with each other to perform movement
Which integrate all areas
related to the learning process so We can increase
ability For maximize both hemispheres. Although
thereby there is
5 respondents failed and 2 of them had heavy body
category very short.
According to Wahyudi, (2018)
circumstances malnutrition chronic No only
bother growth (stunting) but Also cause amount
cell in brain reduce And happen immaturity as
well as imperfection biochemical organization in
the brain. This situation can influence on children's
intelligence. Lack nutrition on period golden period
cause metabolic changes in the brain and this will
causing the brain's inability to function with Good.
According to the World Health Organization,
(2012) that the impact of malnutrition on children
can be causes decreased brain development And
impact on low intelligence, ability Study, creativity
And productivity
LIST REFERENCES
child intelligence, ability Study , creativity And
productivity child.
CONCLUSION
Based on the results of research on 28
respondents in Potokullin village, Enrekang
Regency which was held on December 5 2019 until
with 1 January 2020 so can It was concluded that
before doing brain exercises fine motor
development in stunted toddlers is in the failed
category and after being carried out intervention
exercise brain obtained that Fine motor
development is to a large extent being in the pass
category shows that There is an influence of brain
exercise on development motor fine on toddler
stunting.
SUGGESTION
It is expected from the results of this research
make family and health workers to find out the
importance of self-stimulation through brain
exercises taught to improve toddlers' fine motor
skills stunting.
SAYING ACCEPT LOVE
Head of STIK Stella Maris, Program Chair
Undergraduate studies and Makassar nurse, Head of
Community Health Center and Staff in Village
Potukin Enrekang , And all respondents who were
willing to take part in the research This.

Arimba Wani, Y. and Hadi, H. (2018) 'Comparison of Motor Development of Children Aged 1-3 Years by Body Weight
Not enough Short And No Short', Indonesian Journal of Human Nutrition , 5(1), pp. 33–40. doi:
10.21776/ub.ijhn.2018.005.01.4.

Body Center Statistics (2020) Body Center Statistics Indonesia .

Chang, S. M. et al. (2010) 'Early childhood stunting and later fine motor abilities', Developmental Medicine and Child
Neurology , 52(9), pp. 831–836. doi: 10.1111/j.1469-8749.2010.03640.x.

Desi Intarti, W. and Parmila Hesti Savitri Graha Mandiri Midwifery Academy Cilacap, N. (2014) 'High Influence
Agency for the Cognitive Intelligence of Al-Mujahidin Cilacap Kindergarten Students', Midwifery Scientific
Journal , 5(4), pp. 63–76.

Diana, S. et al. (2017) 'Exercise Brain Increase Performance Study Child Age Pre School 4-6 Year', 9(3), pp. 144–
147.

Ministry of Health (2018) 'DATIN Info: Abnormalities default', Center Data And Information Ministry Health R.I. , pp. 1–6.

Kristiana, Erlisa Candrawati, R. C. A. w (2018) 'Nursing News Volume 3, Number 3, 2018', 3, pp. 785–790.

Nurbaeti, Q. S. (2016) 'Connection Degrees Stunting with Development Motor Fine Child Age 12-24 Month',
Journal Health Society , 1(4), pp. 11–15.

Pantaleon, MG, Hadi, H. and Gamayanti, IL (2016) 'Stunting is related to children's motor development in Sedayu
District, Bantul, Yogyakarta', Indonesian Journal of Nutrition and Dietetics) , 3(1), p. 10. doi:
10.21927/ijnd.2015.3(1).10-21.

1
 Jurnal Media Keperawatan: Politeknik Kesehatan
Makassar Vol. 11 No. 2 2020
e-issn : 2622-0148, p-issn : 2087-0035

Daughter, Y. D. and Yetti, R. (2019) 'Activity Exercise Brain Child Age Early', Journal PG-PAUD Trunojoyo: Journal
Education And Learning Child Age Early , 6(1), pp. 12–17. doi: 10.21107/pgpaudtrunojoyo.v6i1.5366.

Sari, L. P., Wahyuni, Q. D. and Daughter, R. m (2018) 'Influence Exercise Brain To Enhancement Motor Fine On
Child Age 3-4 Year In preschool Rose Tlogomas Poor', Nursing News , 3, pp. 339–347.

Soetjiningsih and Ranuh, G. (2012) GROW FLOWERS CHILDREN . Edition 2. Edited by Soetjiningsih and G. Ranuh.
PUBLISHER BOOK MEDICAL EGC.

Wahyudi, R. (2018) 'growth And development toddler stunting (The Growth and Development Overview of the
Stunting)', Journal Nursing , IV(1), pp. 56–62.

World Health Organization (2012) 'Nutrition Landscapes Information Systems (NLIS)', Nutrition Landacape Information
Systems (NLIS) , pp. 1–51. doi: 10.1159/000362780.Interpretation.