PERBEDAAN EFEK ANTARA INTEGRATED NEUROMUSCULAR INHIBITION TECHNIQUE (INIT) DENGAN MYOFASCIAL RELEASE TERHADAP NYERI DAN DISABILITAS KASUS MYOFASCIAL TRIGGER POINT SYNDROME OTOT LEVATOR SCAPULAE

Nyoman Bagus Arthasusila Wigraha, Wahyuddin Wahyuddin

Abstract


Abstract

Objective: To determine the difference in effectiveness between the combination therapy INIT and US with myofascial release and US against pain and neck disability in the case of levator scapula MTrPs. Method: This study is a quasi exsperiment to form two groups of unpaired (unrelated), where the pain is measured using the VAS scale and neck disability measured by NDI. The sample consisted of 20 people aged 21-58 years with MTrPslevator scapula in unit physiotherapy Cengkareng hospitals, West Jakarta. The samples were divided into 2 groups, the treatment group I consisted of 10 samples with treatments such as INIT and US and the treatment group II consisted of 10 samples with treatments such as myofascial release and US. Results: Shapirowilk normality test obtained normal distribution. Levene's homogeneity test obtained has a homogeneous variant. Hypothesis test results in the treatment group I with paired sample t-test p value = 0.001 (p <0.05) for pain and p = 0.001 (p <0.05) for the neck disability which means giving INIT and US effective in lowering pain and neck disability case of levator scapula MTrPs. In the treatment group II with a paired sample t-test, p value = 0.001 (p <0.05) for pain and p = 0.001 (p <0.05) for the neck disability which means giving myofascial release and US effective in reducing pain and neck disability case of levator scapula MTrPs. On the results of hypothesis III with independent t-test showed the value of p = 0.002 (p <0.05) for pain and p = 0.028 (p <0.05) for the neck disability which means there is a difference between the effectiveness of combinations therapy INIT and US with myofascial release and US to decrease pain and neck disability in the case of levator scapula MTrPs. Conclusion: There is a difference in effectiveness between the combination therapy INIT and US with myofascial release and US to pain and neck disability in the case of levator scapula MTrPs.

 

Keywords: INIT, myofascial release, pain

 

Abstrak

Tujuan: Untuk mengetahui perbedaan efektifitas antara intervensi kombinasi INIT dan US dengan myofascial release dan US terhadap nyeri dan disabilitas leher pada kasus MTrPs otot levator scapula Metode: Penelitian ini bersifat quasi exsperiment dengan bentuk 2 kelompok tidak berpasangan (unrelated), dimana nyeri di ukur dengan menggunakan skala VAS dan disabilitas leher di ukur dengan NDI. Sampel terdiri dari 20 orang berusia 21-58 tahun dengan MTrPs otot levator scapuladi poli rawat jalan fisioterapi RSUD Cengkareng, Jakarta Barat. Sampel dibagi menjadi 2 kelompok, kelompok perlakuan I terdiri dari 10 orang sampel dengan perlakuan berupa INIT dan US dan kelompok perlakuan II terdiri dari 10 sampel dengan perlakuan berupa myofascial release dan US. Hasil: Uji normalitas dengan saphiro wilk test didapatkan data berdistribusi normal. Uji homogenitas dengan levene’s test didapatkan data memiliki varian homogen. Hasil uji hipotesis pada kelompok perlakuan I dengan paired sample t-testdidapatkan nilai p=0,001 (p<0,05) untuk nyeri dan p=0,001 (p<0,05) untuk disabilitas leher yang berarti pemberian INIT dan USefektif dalam menurunkan nyeri dan disabilitas leher kasus MTrPs otot levator scapula. Pada kelompok perlakuan II dengan paired sample t-test, didapatkan nilai p= 0,001 (p<0,05) untuk nyeri dan p= 0,001 (p<0,05) untuk disabilitas leher yang berarti pemberian myofascial release dan US efektif dalam menurunkan nyeri dan disabilitas leher kasus MTrPs otot levator scapula. Pada hasil uji hipotesis III dengan t-test independent menunjukan nilai p=0,002 (p<0,05) untuk nyeri dan nilai p=0,028 (p<0,05) untuk disabilitas leher yang berarti ada perbedaan efektifitas antara intervensi kombinasi INIT dan US dengan myofascial release dan US terhadap penurunan nyeri dan disabilitas leher pada kasus MTrPs otot levator scapula.Kesimpulan: Ada perbedaan efektifitas antara intervensi kombinasi INIT dan US dengan myofascial release dan USterhadap nyeri dan disabilitas leher pada kasus MTrPs otot levator scapula.

 

Kata kunciINIT, myofascial release, nyeri


References


Daftar Pustaka

Alvarez, D.J. and Rockwell, P.G. (2002). Trigger Point: Diagnosis and Management, American Family Physician 2002, 65(4): 653-660

Barnes, John F. (2014). Myofascial Release Apporach, The Importance of Myofascial Release, Malvern, PA

Berg, K. (2011). Prescriptive Stretching – Eliminate Pain and Prevent Injury. USA: Human Kinetics, pp: 36-38

Chaitow, L. (2003). Modern Neuromuscular Techniques, Second Edition, ChurchillLivingstone, Elservier Science Limited,Printed in China.

Chaitow, Leon et al., (2008). Clinical Application of Neuromuscular Techniques Volume 1 - The Upper Body, Second Edition, London: Churchill Livingstone, Elsevier.

Coetzee, H.L., et al., (2003).Human Histology, Pretoria: Van Schaik Publisher, pp 131, 132, 172, 173

Covell, C. (2009). A Therapist’s Guide to Understanding John F. Barnes’ Myofascial Release: Simple Answers to Frequently Asked Questions, Second Edition. Coldwater, Michigan: Graphics 3, Inc.

Departemen Kesehatan Republik Indonesia.(2004). Survei Terpadu MendukungIndonesia Sehat 2010, Jakarta: Litbangkes Depkes R.I.

Dommerholt J, Bron C, Fransen J, (2006). Myofascial Trigger Points: An Evidence Informed Review, Journal of Manual and Manipulative Therapy.

Duncan, Ruth. (2014). Myofascial Release, Hands-On Guides for Therapists, United States of America: Human Kinetics

Eric, K. Grant and Art Riggs, (2008).Myofascial Release, Modalities for Massage and Bodywork, pp: 149-166

Fernandez & Campo, M.S. (2003).The Efectiveness of INIT in Myofascial Trigger Point treatment.Teaching and Research Unit of Physiotherapy.Journal of Bodywork and Movement Therapies, pp: 27-34.

Finando, D. and Finando, S. (2005). Trigger Point Therapy for Myofascial Pain, The Practice of Informed Touch, Vermont: Healing Arts Press, pp 62-66

Gatterman, M.I., (2005). Foundation of chiropractic subluxation, 2nd Edition, Missouri: Mosby Inc.

Gerwin, R.D, Dommerholt, J.D, Shah. (2004). An Expansion of Simons’IntegratedHypothesis of Trigger PointFormation, Current Pain and Headache Report.

Glynn, Paul, (2010). The efficacy of an integrated neuromuscular inhibition technique on upper trapezius trigger points in subjects with non-specific neck pain, USA: Newton-Wellesley Hospital, Newton, MA

Huguenin, L.K., (2004). Myofascial Trigger Point: The Current Evidence: Physical Therapy in Sports 5, pp 2-12

JF, Barnes. (2008). Myofascial Release: the search for excellence, 10th edition.

Junquira L. C. Carneiro J. (2005). Basic Histology 11th edition, USA: McGraw Hills Company: Appleton and Lange, pp 191-206

Kapandji, A.I. (2008). The Physiology of Joints of the Spinal Column, Pelvic Girdle and Head, Volume 3, 6th edition, Churchill Livingstone, pp 190-220

Kumar, S. (2008). Biomechanics in Ergonomics, 2nd edition, Philadelphia: Taylor and Francis Group, p 213

Leonie, Bosch. (2014). The Effectiveness of Chiropractic Adjusment with Ischemic Compression or Ultrasound on Active Trigger Points Levator Scapulae in Physically Active People, Johannesburg.

Levangie, P.K. and Norkin, C.C., (2005). Joint Structure and Function-A Comprehensive Analysis, 4th edition, Philadelphia: FA Davies Company

Manheim, Carol J. (2001). The Myofascial Release Manual, third edition, Plantation Plaza Therapy Center, Charleston: Slack Incorporated

Marieb, E.N. (2012).Essentials of Human Anatomy and Physiology, 10th edition, San Fransisco: Benjamin Cummings

Martini, F.H. (2004).Fundamentals of Anatomy and Physiology, 6th edition, San Fransisco: Benjamin Cummings

McKenzie, Robin. (2006). Treat Your Own Back. 8th Edition, Orthopedic Physical Therapy Product.

Mense, S. and Simons, D.G., (2001).Muscle Pain: Understanding Its Diagnosis, Nature and Treatment, Baltimore: Lippencott Williams and Wilkins

Mick, P. Couper, et al., (2006).Evaluating the Effectiveness of Visual Analog Scales, North Carolina: SAGE Publications

Moseley, G.L., Zalucki, N.M., and Wiech, K. 2008.Tactile discrimination, but not tactile stimulation alone, reduces chronic limb pain. Pain 137(3): 600-608.

Muscolino, J.E. (2009).The Muscle and Bone Palpation Manual, Missouri: Mosby Elsevier

Nagrale, Amit V. et al., (2010). The efficacy of an integrated neuromuscular inhibition technique on upper trapezius trigger points in subjects with non-specific neck pain: a randomized controlled trial, India: WS Maney and Son Ltd

O’Neill, John. (2008). Musculoskeletal Ultrasound : Anatomy and Technique. New York : Springer Science+Business Media LLC.

Raj, P.P. and Paradise, L.A. (2004).Myofascial Pain Syndrome and Its Treatment in Low Back Pain, pp: 167-174

Sahrmann, Shirley. (2002). Diagnosis and Treatment of Movement Impairment Syndromes, USA: Morby, Elsevier

Schleip, R., Findley, T.W., Chaitow, L., and Huijing, P. (Eds.).(2012). Fascia: The Tensional Network of the Human Body. Philadelphia, PA: Churchill Livingstone.

Shah, Salvi. et al, (2012). Myofascial Release as an Effective Massage Therapy Technique. Gujarat:SPB Physiotherapy College, Ugat-Bhesan Road, Surat

Snell, R.S. (2004). Clinical Anatomy, 7th edition, Baltimore: Lippencott Williams and Wilkins

Srbely, J. Z. and J. P. Dickey (2007). "Randomized controlled study of the antinociceptive effect of ultrasound on trigger point sensitivity: novel applications in myofascial therapy?" Clin Rehabil 21(5): 411-417.

Stanborough, Michael. (2004). The upper extremities. Direct release myofascial technique: an illustrated guide for practitioners. UK: Churchill Livingstone : 172-175.

Travell, J.G. and Simons, D.G. (1999). Myofascial Pain and Dysfunction, The Trigger Point Manual Volume 1, 2nd edition, Philadelphia: Lippincott Williams and Wilkins

Veni, Fatmawati. (2013). Penurunan Nyeri Dan Disabilitas Dengan Integrated Neuromuscular Inhibition Techniques(INIT) Dan Massage EffleuragePada Myofascial Trigger Point SyndromeOtot Trapesius Bagian Atas, Sport and Fitness JournalVolume 1, pp: 60-71

Vernon, H. (2008). The Neck Disability Index: State of the Art, 1991-2008, Journal of Manipulative and Physiological Therapeutics, 31(7): 491-502

Watson, T. (2008). Electrotherapy - Evidence Based Practice 12th edition, Philadelphia: Elsevier: Churchill Livingstone

Watson, T. (2015). Therapeutic Ultrasound, Philadelphia: Elsevier: Churchill Livingstone, pp: 1-18

World Health Organization (2001).The International Classification of Functioning, Disability and Health (ICF). Geneva: WHO

Young, Martin. (2010). Ultrasound - Essential Physics for Manual Medicine.


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