WMJ (Warmadewa Medical Journal), Vol. 7 No. 1 Mei 2022, Hal. 40-46 RESEARCH ARTICLE WMJ (Warmadewa Medical Journal), Vol.7, No.1, Mei 2022, p-ISSN 2527-4627 DOI: https://doi.org/10.22225/wmj.7.1.4605.40-46 Comparison of Push-Up Exercise Methods on Push-Up Test Ability in Medical Students at Warmadewa University Tanjung Subrata 1 , Ni Wayan Rusni 2 , I Nyoman Arie Purwana 3 1.2.3 Fakultas Kedokteran dan Ilmu Kesehatan Universitas Warmadewa, Jl. Terompong no 24, Denpasar Bali Email 1 : tanjung.subrata@gmail.com Abstract TBM members require muscle endurance to implement their tasks, particularly while performing car- diopulmonary resuscitation (CPR), which requires chest, shoulder, and upper arm muscle endurance. Push up is a type of muscle endurance training for the chest, shoulders, and upper arms that do not require any particu- lar equipment or skills. Therefore, the Push Up Test is required for TBM members, and the results suggest that 62% of 2020 TBM members' abilities are below average. The study was conducted on members of the Warma- dewa University FKIK Medical Assistance Team to compare the Push Up workout regiments with the same concentric and eccentric phase tempo (P1) and a slower eccentric phase tempo (P2). The two methods are com- pared to determine which method is more effective in increasing Push Up Test ability. A total of 46 TBM members were involved in this study. The data was analyzed using the paired t-test to compare muscle endur- ance before and after the exercise was performed. The push up test used during the screening revealed a de- crease in muscle endurance fitness, with of students having normal abilities the previous year, but only 16.4 percent in 2021. The exercise intervention 38% had a significant effect on the push up score, which increased by 4.7 points for male after the intervention, while the push up scores for women increased by 5.6 points (95% CI, 3.32 - 8.01). The results revealed that P2 intervention had a greater influence on changes in push-up scores than P1 intervention (mean change was 5.7 for males and 7.3 for females; mean change was 3.8 for males and 4.0 for females; respectfully). This difference, however, was not statistically significant. It can be concluded that push up training improved push up test ability significantly, whereas the comparison of training methods between P1 and P2 was not significantly different. Keywords: muscle endurance, push up method, push up test BACKGROUND During the Covid-19 pandemic, health became extremely important, where- as previously, degenerative diseases such as hypertension, diabetes mellitus, hypercho- lesterolemia, and obesity were relatively easy to control with drugs, even without changing lifestyle factors such as a bal- anced nutritional diet, regular exercise, ade- quate rest, and good stress management. Unfortunately, most of the above disease conditions (comorbid factors) are risk fac- tors for an increase in the Case Fatality Rate (CFR) of Covid-19, and even though these comorbid factors can be controlled with drugs, they still experience symptoms. Covid-19 infection has resulted in fatal con- ditions. (1) A study in China found that obese Covid-19 patients had a 142% increased risk of severe pneumonia; research in New York found that obesity with a BMI above 40 is the second risk factor after age for Covid-19 sufferers who require hospitaliza- tion. (2) Regular physical activity is one of the requirements for attaining an optimal level of health. Several studies have shown that physical inactivity is a major risk factor for a variety of health issues today, particu- larly obesity. (3) Physical inactivity, accord- ing to research, increases the risk of various diseases, particularly coronary heart dis- ease, stroke, type 2 diabetes, obesity, and cancer, which reduce life expectancy. (3,4) Physical inactivity also exacerbates Covid- 19 infection; for example, research on physical activity in increasing immunity during the Covid-19 period was published on 20 April 2020 by Professor Zhen Yan of the University of Virginia under the title "Regular exercise could protect against COVID." (5) Professor Yan reported that