THE INTEGRATED NEUROMUSCULAR INHIBITION TECHNIQUE IS MORE EFFECTIVE THAN CONTRACT RELAX STRETCHING TO ULTRASOUND MODALITY IN INCREASING NECK RANGE OF MOTION OF MYOFASCIAL SYNDROME IN UPPER TRAPEZIUS MUSCLE
| Main Authors: | Saraswati, Putu Ayu Sita, Antari, Ni Komang Juni, Negara, Anak Agung Gede Angga Puspa |
|---|---|
| Format: | Article info application/pdf eJournal |
| Bahasa: | eng |
| Terbitan: |
Bachelor of Physiotherapy and Physiotherapy Profession Study Program, Faculty of Medicine, Udayana University in collaboration with Indonesian Physiotherapy Association (IPA)
, 2018
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| Online Access: |
https://ojs.unud.ac.id/index.php/mifi/article/view/43386 https://ojs.unud.ac.id/index.php/mifi/article/view/43386/26406 |
Daftar Isi:
- ABSTRACT``Myofascial pain syndrome in upper trapezius muscle is a muscle pain that implicated by one or somemyofascial trigger points in upper trapezius muscle. Working with static position in long time stimulating the presence ofmyofascial trigger points that causing pain and movement limitation of the neck that stimulate neck disability. Physicaltherapy’s intervention for reducing pain in this case could be integrated neuromuscular inhibition technique or contractrelax stretching combined with ultrasound modality. Purpose: to compare the both interventions in reducing neckdisability of myofascial pain syndrome in upper trapezius muscle. Method: this was an experimental study withRandomized Pre and Post Test Group Design. Samples were divided into 2 treatment group that consist 12 samplesfor each group. The first group treated with integrated neuromuscular inhibition technique with ultrasound while thesecond group treated with contract relaxes stretching with ultrasound. The data was collected by measuring neck rangeof motion using goniometer at the time before and after treatment. Result: the 1st group showed that the Neck ROMincrease 5.083±1.0840 (p<0.001) and the 2nd group showed that the Neck ROM increase 3.333±0.7780(p<0.001). Itmeans there were significant effect of each treatment in both groups. The results of independent t-test showed p<0.001,so that there was significant difference of increased Neck ROM between these groups. The result of independent t-testshowed p value 0.001, so there was significant difference between two groups at increasing neck ROM. Conclusion:combination integrated neuromuscular inhibition technique is more effective than contract relax stretching to ultrasoundmodality in increasing neck range of motion of myofascial syndrome in upper trapezius muscle.Keywords: myofascial, neck disability, trapezius, INIT, ultrasound, stretching
- ABSTRAKSindrom myofascial pada otot upper trapezius merupakan nyeri otot yang ditandai oleh satu atau beberapamyofascial trigger point pada otot upper trapezius. Posisi kerja statis dalam jangka waktu lama memicu timbulnyamasalah tersebut dan mengakibatkan nyeri dan keterbatasan gerak pada leher sehingga akan menimbulkan disabilitasleher. Penanganan fisioterapi berupa integrated neuromuscular inhibition technique (INIT) dan contract relax stretchingyang dikombinasikan dengan modalitas ultrasound berdampak pada penurunan disabilitas leher. Tujuan: mengetahuimetode yang lebih efektif dalam meningkatkan lingkup gerak sendi leher pada sindrom myofascial otot upper trapezius.Metode: jenis penelitian eksperimental dengan rancangan randomized pre test and post test group design. Sampelsebanyak 24 orang dibagi menjadi dua kelompok masing-masing 12 orang secara random. Kelompok perlakuan 1dengan kombinasi INIT dengan ultrasound, sedangkan perlakuan 2 dengan contract relax stretching dengan ultrasound.Data diperoleh dengan mengukur lingkup gerak sendi leher (LGS) saat lateral fleksi dengan goniometer pada saatsebelum dan setelah perlakuan. Hasil: diperoleh peningkatan LGS 5,083±1,0840 (p<0,001) pada Kelompok 1 danpeningkatan LGS 3,333±0,7780 (p<0,001) pada kelompok 2. Hal ini berarti bahwa dalam setiap kelompok terjadipeningkatan lingkup gerak sendi leher secara bermakna. Hasil uji antar kelompok menunjukkan terdapat perbedaanyang bermakna pada peningkatan LGS (p<0,001). Simpulan: penambahan INIT lebih meningkatkan lingkup geraksendi leher daripada contract relax stretching pada kasus sindrom myofascial otot upper trapeziusKata kunci : myofascial, trapezius, INIT, ultrasound, stretching, lingkup gerak sendi leher