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Paper - World Academy of Science, Engineering and
World Academy of Science, Engineering and Technology
International Journal of Medical, Health, Biomedical, Bioengineering and Pharmaceutical Engineering Vol:5, No:6, 2011
The Effect of Binahong to Hematoma
Sri Sumartiningsih
International Science Index, Medical and Health Sciences Vol:5, No:6, 2011 waset.org/Publication/9159
Abstract—In elevating performance in competetive sports, an
athlete must continously train in achieving maximum
performance,but needs to pay attention to recovery therapy, that is to
recover from fatigue as well as injury.The correct recovery therapy
will assist in process of recovery and helps in the training in
achieving better performace. Binahong (Anredera cordifolia) was
proven empirically by the locals in assisting speedy recovery from an
injury.Clinical research with lab animals receiving blunt trauma
injury, microscopically shown signs of: 1) redness, 2) heatiness, 3)
swelling and, 4) lack of activity. There is also microscopic indication
of: 1) infiltration of inflame cells (migration of cells to the trauma
area), 2) Cells necrosis, 3) Congestion (as a result of dead red blood
cells), 4) uedema. On administration of Binahong for 3 days, there is
a significant drop of 5% in cell inflammation, 2% increase of
fibroblast (cell membrance) count.Conclutin: Binahong do assist in
reducing cell inflammation and increase counts of cells fibroblast.
Suggestion: In helping athlete's to recover from force injury, we need
study about Binahong's roots to inflammation cell and healing of
injuried cell.
Keywords—Binahong, sport injury, hematoma
I. INTRODUCTION
P
activity, especially in the sport, always faced the
possibility of injury, and this injury will impact the
disruption of physical activity, psychological and decreased
performance. Sports injuries are all sorts of injuries that arise,
either at the time of exercise or at the time of exercise (match)
or after the match. Bodily injury commonly affected are the
bones, muscles, skin, tendon and ligament[1].
Sports Injuries caused by: 1) external violence (the causes
that originated from outside) is an injury that occurred due to
outside influences, for example: a) because of body contact
sports: football, boxing, karate, b) sporting goods: hockey
stick, ball, Racket, etc., c) because the circumstances
surrounding that causes an injury, for example, circumstances
that do not meet the requirements of the field, racing cars, the
field with holes, 2) Internal violence (because that comes from
within ), this injury occurs because of coordination of the
muscles and joints are less than perfect, giving rise to false
movements, causing injury. The size of the leg or legs of
unequal length; antagonistic muscle power is not balanced, it
can happen because of lack of heating, lack of concentration.
Kinds of injury can be a tearing of muscle, tendon or
ligament, 3) over-use (continuous use / too tired), this occurs
because of excessive use of muscle or too tired, the injury
usually occur gradually (chronic). The symptoms: muscle
stiffness, strain, sprain, until the stress fracture [1,2].
HYSICAL
Medical problems in sports and sports medicine research
center in Singapore from 1976-1985, are as follows: 1) the
type strain of the muscles and tendons was ranked first by
45.2%, 2) sprain of the ligaments and joints of 25 , 9%, 3)
kuntasio injury and hematoma occurred in as many as 1172
patients (5.5%) of 21 371 people, 4) fractures and dislocations
of 1.6%, 5) sucks because heat and thermal shock by 0.1%, 6)
others (eg khondromalasia) of 21.7% [2]. Distribution of the
risk of injury to the thigh by 9%, while knee injuries have the
greatest risk of 22.5%, the percentage of injuries due to the
dual function, namely as the driving and resisting weight, so
the greater the likelihood of injury[1]. At the time of exercise
frequent collisions between players or collision with a blunt
object. Conflicts are likely to cause bleeding under the skin
(hematoma), especially in front of the thigh area or on the
back[2].In pilot study in Semarang Soccer Club,Unnes Soccer
Club, show that if any injury (hematoma)because impact for
other players, they give some spray for cooled injury, than
they are playing again.Actually Javanese people if any trauma
in their body because of impact other things, hematoma they
use Binahong (anradera cordifolia) for treatment.From fact in
community I’ll try to analyses of the relation binahong and
hematoma.
II.BINAHONG (ANREDERA CORDIFOLIA)
A. Binahong
Binahong plants located in Indonesia, China, Australia,
Parguay to southern Brazil, northern Argentina and the United
States. Binahong Latin name is Anredera cordifolia (Ten.)
Steenis, synonyms Boussingaultia cordifolia (Ten),
Boussingaultia gracilis, Boussingaultia Pseudobasselloides
Haum [3], while the other equation is anredera country name,
enredadera del mosquito (Spanish), filikafa, Gulf madeiravine,
heartleaf madeiravine, Madeira vine (UK), lamb's tails,
mignonette vine, Parra de Madeira (Spanish), tapau, 'uala
hupe, teng san chi (China) [3,4]. This plant grows easily in the
lowlands and highlands. Widely planted in pots as an
ornamental and medicinal plants. Generative (seed), but more
often developed or cultivated vegetativel through rhizome
roots.
Sri Sumartiningsih is Department Sport Science in the Semarang State
University, Jl. Sekaran-gunungpati Semarang Central Java 50229 Indonesia,
(phone: 024 6719337; fax: 024 8508007; website:http//www. unnes.ac.id email: [email protected]).
International Scholarly and Scientific Research & Innovation 5(6) 2011
Fig.1. Leave of Binahong
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scholar.waset.org/1999.9/9159
World Academy of Science, Engineering and Technology
International Journal of Medical, Health, Biomedical, Bioengineering and Pharmaceutical Engineering Vol:5, No:6, 2011
course of histological [8].
Inflammatory signs include: heat (calor), red (rubor),
swelling (tumor), pain and impaired function [11],[8].
International Science Index, Medical and Health Sciences Vol:5, No:6, 2011 waset.org/Publication/9159
Fig 2. Rhizome of binahong
Classification of plants binahong as follows: 1) Kingdom:
Plantae (plants), 2) Subkingdom: Tracheobionta (vascular), 3)
Superdivisio: Spermatophyta (produce seed), 4) Divisio:
Magnoliophyta (Flowering), 5)Class: Magnoliopsida (dashed
two / dicots), 6)Sub-class: Hamamelidae, 7) Order:
Caryophyllales, 8) Familia: Basellaceae, 9) Genus: Anredera,
10) Species: cordifolia Anredera (Ten.) Steenis [5]. The
results of phytochemical binahong with test tubes in getting
the chemical content is flavonoids, saponins and alkaloid[14].
Binahong plants have a total flavonoid content of 0.6 mg per
100 grams of dried root powder[6].
B. Hematoma
Hematoma is bleeding under the skin due to damage to both
the soft tissue of skin, muscle, tendon or ligament
accompanied by rupture of blood vessels, when the blood that
came out earlier gathered in the muscle tissue and the tissue
under the skin [1].Bleeding (hematoma) was caused by a
collision with another person or with an object. Swelling due
to bleeding (hematoma) may occur in the thigh front or back
[2].. Hematoma is a blood clot in a liquid or a subcutaneous or
intramuscular space. In most hematoma resorption will occur,
and circumstances typically associated with a contusion
(bruise) [7].Inflammation (inflammation) is a protective
response intended to eliminate the initial cause of cell injury
and removing cells and necrotic tissue caused by damage to
the home [8]. Inflammation is a response to tissue injury and
infection, ongoing inflammatory process occurs when the
vascular reaction in which fluid, blood elements, white blood
cells (leukocytes), and chemical mediators gathered at the site
of tissue injury [9]. Inflammatory response in the form of
tissue damage has many advantages, among others; isolate
damaged areas, mobilize effector cells and molecules in place
and begin healing. Inflammation is the body's way of
protection against damage [10].Inflammation is divided into
two basic patterns. Acute inflammation is inflammation that
lasts a relatively short from a few minutes to several days,
characterized by fluid and plasma protein exudation and
leukocyte accumulation neutrofilik prominent. Chronic
inflammation lasts longer (in days) until many years) and
typically characterized by influx of lymphocytes and
macrophages accompanied by a proliferation of blood vessels
and scar tissue formation. However, these two basic forms of
inflammation can overlap, and many factors to change the
International Scholarly and Scientific Research & Innovation 5(6) 2011
C. The Relation of Binahong and Hematoma
Several studies shows flavonoids have some effect
farmokologis among others: 1) to be antimicrobial, 2) is anti
innflamasi, 3) stimulate the formation of collagen and 4)
protect the blood vessels[12].Anti-inflammatory functions of
flavonoids has been shown both in vitro and in vivo. he
mechanism of flavonoids in inhibiting the inflammation in 2
ways: 1) inhibits the release of arachidonic acid and secretion
of enzymes from lysosomes and neutrophil cell endotheil cells
and 2) inhibit the proliferation phase and the phase of the
inflammatory exudates[13].
II. MATERIAL AND EXPERIMENTAL PROGRAM
A. Material
The material for this research there are: extract of Binahong
10% for orally and topically, food for subjek, aquades. The
subjek in this research is male Ratus Norvegicus Strain
Wistarr.
The tool to make injury there are: iron rod in weight 110
gram, pipes 30 cm, 35 cm and 40 cm.
B. Testing Program
To get the injury hematoma that we want, we try to drop the
iron with a height of 3 categories (30 cm, 35 cm, 40 cm).
III. RESULT AND DISCUSSION
Clinical research with lab animals receiving blunt trauma
injury, microscopically shown signs of: 1) redness, 2)
heatiness, 3) swelling and, 4) lack of activity. There is also
microscopic indication of: 1) infiltration of inflame cells
(migration of cells to the trauma area), 2) Cells necrosis, 3)
Congestion (as a result of dead red blood cells), 4) uedema.
On administration of Binahong for 3 days, there is a
significant drop of 5% in cell inflammation, 2% increase of
fibroblast (cell membrance) count.
TABLE I
THE RESULT OF THE EFFECT BINAHONG TO HEMATOMA
Group
Negative
control
Positive
control
3 days
Orally
3 days
topically
7 days
Orally
7 days
topically
Eu
He
Hi
Nc
Iic
Fc
-
-
-
-
-
-
+
+
+
+
+
+
+
+
+
+
-
+
+
+
+
+
+
-
-
+
-
-
-
+
-
+
+
+
+
+
Information; Eu = eudema, He = hemorage, Hi= hipermia, Nc = Necrosis
cell, Iic= infiltration of inflammation cell, Fc = fibroblast cell.
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scholar.waset.org/1999.9/9159
World Academy of Science, Engineering and Technology
International Journal of Medical, Health, Biomedical, Bioengineering and Pharmaceutical Engineering Vol:5, No:6, 2011
The study show that the effect of binahong orally for 3 days
to rats fed a blunt object trauma to the muscle obtained the
eudema, hemorage, hipermia, cell necrosis, and the formation
of fibrotic tissue, but inflammatory cell infiltration was not
apparent.
The research found that the oral group given binahong for 3
days of swelling (eudema), bleeding, increased number of red
blood cells (hipermia), cell death (necrosis), there was
movement of inflammatory cells, and have started to form
fibrin threads. But in the topical group for 3 days (who
applied), the formation of fibrin threads are not found here, as
well as the control group 3 days. While the group orally for 7
days was found hemorage and the presence of fibroblast cells,
topical groups for 7 days showed that hemorage, hipermia,
cell necrosis, there are inflammatory cells, and fibroblast cells.
[6]
[7]
[8]
[9]
[10]
[11]
[12]
International Science Index, Medical and Health Sciences Vol:5, No:6, 2011 waset.org/Publication/9159
[13]
[14]
plct=O&spcx=anrcoria&recid=1387&popname=Binahong&genus=Anre
dera&species=cordifolia&var/12/11/2008
Ray-Yu Yang PhD, Shou Lin BSc and George Kuo PhD. 2007. Content
and Distribution of Flavonoids Among 91 Edible Plant Species. Asia
Pac J Clin Nutrision 2008:17 (SI): 275-279.
Rischrock Theodore, MD(editor), diterjemahkan oleh Dharma Adji,
Lukmanto Petrus, gunawan. 1990. Ilmu Bedah. Jakarta. Penerbit Buku
Kedokteran (EGC). Hal 21.
Robbins. 2007. Buku Ajar Patologi Volume 1. Penerbit Buku
Kedokteran (EGC). Jakarta. Hal 35.
Kee Joyce L & Hayes Evelyn R. 1996. Farmakologi Pendekatan Proses
Keperawatan. Jakarta. Penerbit Buku Kedokteran. Hal 310-322.
Kelly RW, King AE, Critchley HOD. 2001. Cytokine control in human
endometrium. Reprod. 121: 3-19
Joseph A. Bellanti. 1993. Imunologi. Gajahmada university press (Peter
in the book Joseph: 223)
Sabir Ardo. 2003. Identifikasi golongan flavonoid dalam propolis
Trigona sp dari kabupaten Bulukuma Sulawesi Selatan yang digunakan
pada perawatan kaping pulpa langsung.Majalah Kedokteran Gigi
Dental Journal Edisi khusus temu ilmiah nasional III 6-9 Agustus 2003.
Universitas Airlangga: Surabaya.Hal 59-60.
Sabir Ardo. 2003. Pemanfaatan flavonoid di bidang kedokteran gigi.
Majalah Kedokteran Gigi (Dental Journal Edisi khusus Temu Ilmiah
Nasional III, 6-9 Agustus 2003. Universitas Airlangga: Surabaya. Hal;
81-84.
Yunita. 2008. Kandungan Binahong. Laporan Penelitian. Universitas
Muhammadiyah Solo.
Fig.3 Infiltration of inflammation cell
Fig. 4 the formation of fibrin threads
IV. CONCLUSION
From the results of this study concluded that further
research is needed to reveal the role Binahong of
inflammatory cells and cells that help the healing of injured
cells.
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[4]
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Wibowo Hardianto, dr. 1995. Pencegahan dan Penatalaksanaan cedera
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International Scholarly and Scientific Research & Innovation 5(6) 2011
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