The Effect Of Ears Acupuncture On Fitness Test 12 Minutes Running in Students Of Medical Faculty UNHAN RI

Ear acupuncture is a affordable, easy and non-invasive method with good evidence of effectiveness in the scope of physical training. Several previous studies has proven the effectiveness of acupuncture in physical exercise, including helping increases oxygen absorption and reduces lactic acid after exercise, lowering chronic musculoskeletal pain. In reducing pain after physical activity, ear acupuncture has been shown to reduce VAS leg intensity. This shows that ear acupuncture can helps athletes recover after intense training faster. At the Defense University of the Republic of Indonesia (UNHAN RI), Study Program students Bachelor of Medicine (cadet) has both academic demands and military training. The military education demands high stamina and physical fitness. To make sure the cadets are in a fit condition to face daily activities with a busy and numerous schedule physical activity, a physical fitness assessment is carried out at the end of each semester using the 12 run test. By doing this test, principal investigator aims to observe the effect of giving ear press needle acupuncture compare with sham on running 12 minutes in Indonesian Defense University student of medical faculty.

• press needle acupuncture (Procedure), also known as ear acupuncture, earlobe acupuncture: Placement of press needle on the ear acupuncture point : MA-TF1 Shenmen, MA-IC4 Heart, and MA-IC4 Sympathetic
• sham press needle acupuncture (Procedure): Placement of adhesive plaster on the ear acupuncture point : MA-TF1 Shenmen, MA-IC4 Heart, and MA-IC4 Sympathetic

Primary outcomes

• VO2 max prediction scores [5, 10, 15 minutes after running sessions]: Reference maximum amount individual capacity in use oxygen during doing activities or exercising, using VO2max prediction scores based on running distance (in meters), then entered into formula (mileage - 504.9 meters)/44.73 and categorized into : * Very good * OK * Enough * Less * Very less
• Blood pressure [5, 10, 15 minutes after running sessions]: The pressure that occurs on arterial blood vessels when blood is pumped by the heart to be distributed throughout body, units of millimeters of water mercury(mmHg), measured with digital blood pressure meter.
• Pulse beat [5, 10, 15 minutes after running test]: A palpable wave in the arteries when blood is pumped out the heart, reflecting heart rate, counted each the minutes count repetitions (times/min), measurement using digital smart watch
• Exercise intensity [after running test, before and after intervention and sham]: The power of deep stimulation exercise, for aerobic exercise heart rate is used. Intensity is categorized in zone, in this study used heavy intensity and maximum 77-100% of HRmax. Measured by Heart rate peak entered into formula Heart rate peak divide into Heart rate maximum x 100%
• The Borg rating scale/RPE [5, 10 , 15 minutes after running test]: The Borg Rating of Perceived Exertion ('Borg' or 'RPE') is a scale used as a indicators to determine energy exerted in a workout with a range 6-20, where 6 means "no exertion at all" and 20 means "maximal exertion."
• Modifid borg scale leg fatigue [5, 10, 15 minutes after running test]: Modified Borg scale to determine size exertion in terms of this is the maximum strength of the leg (inferior extremity) in running with a range of 0-10.0 scale minimum and 10 represents maximum power possible someone tolerates

Secondary outcomes

• Adverse event [immediately after and follow up 1 week after running session]: Symptoms reported by patients after receiving press needle acupuncture

Sex: All, ages: 18 Years to 20 Years, accepts healthy volunteers

Inclusion Criteria:

* Indonesian Defense University Military FK Student Batch 4, Third semester
* Gender male or female, age 18-20 years
* Physically healthy based on the results of medical check-ups in the last 6 months mini medical check up (blood pressure, pulse, saturation, glucose and, Hb check carried out by researchers) as well as being eligible for physical exercise, assessed by PAR-Q questionnaire, history and physical examination
* Willing to follow this research until completion and sign informed consent.
* BMI is normal
* Regularly exercise 5x a week with moderate to heavy intensity categories good physical fitness level
* Do not consume caffeine and high calorie foods high in sugar for 1 hour before the test run

Exclusion Criteria:

* Taking anti-inflammatory drugs (corticosteroids), anti pain (NSAIDS, opioids), muscle relaxants (diazepam, eperisone, etc.) or taking blood thinning drugs (anti-platelet or anti-coagulant drugs).
* Have received any type of acupuncture therapy for some time <7 days before the study.
* History of anti-inflammatory drug treatment in the previous 2 weeks.
* There are tumors, wounds or skin infections, eczema, otitis externa and psoriasis in matchmaking area.
* There was a hypersensitivity reaction to previous acupuncture therapy (allergy metals, severe atopy, keloids, or other skin hypersensitivity).
* Participants had multiple ear piercings.
* Have had surgery on the waist, hip, knee and ankle area before last 1 year.

• KPEK FKUI-RSCM The Health Research Ethic Comittee of Faculty of Medicine, Principal investigator, Universitas Indonesia