Iontophoresis Diclofenac Lebih Efektif Dibandingkan Ultrasound Terhadap Pengurangan Nyeri Pada Myofascial Syndrome Musculus Upper Trapezius

Makmuriyah Makmuriyah, Sugijanto Sugijanto

Abstract


Abstrak

Tujuan: Untuk mengetahui perbedaan efek intervensi ultrasound dengan iontophoresis diclofenac terhadap pengurangan nyeri pada myofascial syndrome musculus upper trapezius. Metode: Penelitian eksperimental untuk mengetahui beda efek intervensi ultrasound dengan iontophoresis diclofenac pada  objek penelitian. Sampel terdiri dari 16 orang dengan usia 16-35 tahun, pasien Klinik Fisioterapi Universitas Esa Unggul, dipilih dengan purposive sampling. Kelompok perlakuan I diberikan intervensi ultrasound dan kelompok perlakuan II iontophoresis diclofenac. Hasil: Uji normalitas menggunakan Saphiro Wilk Test dan uji homogenitas dengan Levene’s Test. Hasil t-Test of Related pada kelompok perlakuan I didapatkan nilai p=0,000, berarti ada pengurangan nyeri yang signifikan dengan intervensi ultrasound pada myofascial syndrome upper trapezius muscle. Hasil t-Test of Related pada kelompok perlakuan II didapatkan nilai p=0,000, berarti ada pengurangan nyeri yang signifikan dengan intervensi iontophoresis diclofenac. Hasil Independent t-Test didapatkan nilai p=0,004, berarti ada perbedaan antara intervensi ultrasound dengan iontophoresis diclofenac dalam penurunan nyeri pada myofascial syndrome upper trapezius muscle. Kesimpulan: Iontophoresis diclofenac lebih efektif dibandingkan ultrasound terhadap pengurangan nyeri Myofacial Syndrome Upper Travezius muscle, sehingga dapat menjadi pilihan sebagai suatu intervensi yang efektif nantinya.

Kata kunci: ultrasound, iontophoresis diclofenac, myofascial syndrome


Abstract

Objective: to determine the differences of effect of ultrasound and iontophoresis diclofenac to reduce pain in myofascial syndrome upper trapezius muscle. Methods: The experimental study to determine the differences of effect of ultrasound and iontophoresis diclofenac on an object of research. Sample consist of 16 people with 16-35 years old, patient in Esa Unggul Physiotherapy Clinic, was chosen by purposive sampling technique. Group I was given ultrasound treatment and group II was iontophoresis diclofenac. Results: Test for the normality using Saphiro Wilk test and Levene’s test for the homogenity.t-Test of Related in group I was got the value of p=0.000, it means that there is significant pain reduction effect of the ultrasound intervention in myofascial syndrome musculus upper trapezius. t-Test of Related in group II was got the value of p=0.000, it means that there is significant pain reduction effect of the iontophoresis diclofenac intervention in myofascial syndrome upper trapezius muscle. Independent t-Test was got value of p=0.004, it means that there are differences of effect of ultrasound and iontophoresis diclofenac to reduce pain in myofascial syndrome upper trapezius muscle. Conclusion: Iontophoresis diclofenac is more effective than ultrasound, so it can be an option as an effective intervention for the future.

Keywords: ultrasound, iontophoresis diclofenac, myofascial syndrome 


References


Alvarez D.J, Rockwell, P.G, “Trigger Point Diagnosis and Management”, Academy of Physicians: American, 2002.

Andik S, Penatalaksanaan Kasus Nyeri, Bali: 2009, available at http://andikunud.files.wordpress.com/.../penatalaksanaan-kasus-nyeri.docx

Andrew J.R, Lynn S-Mackler, Clinical Electrophysiology: Electrotherapy and Electrophysiologic Testing, 3rd Edition, h.369-74 Lippincott William & Wilkins, Amerika, 2007.

Bromiley M, Equine Injury, Therapy and Rehabilitation, third edition, Oxford: Blackwell Publishing, Ltd., 2007

Darlene Hurtling-Randolph M. Kessler, Lippin Cort Willians and Wikins. Management of Common Musculoskeletal Disorder, Physical Therapy Principles and Methodes, 4th edition, hlm.152 Seattle, Washington: 2005

David G Simons, Enigmatic Trigger Points Often Caused Enigmatic Musculoskeletal Pain, STAR Symposium, Columbus, 2003.

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

Eduardo Vázquez Delgado, Jordi Cascos Romero, Cosme Gay Escoda, Myofascial Pain Syndrome Associated with Trigger Points: A Literature Review: Epidemiology, Clinical Treatment and Etiopathogen Med Oral Patol Oral Cir Bucal, Barcelona, 2009

Gerwin RD, A Review of Myofascial Pain and Fibromyalgia Factors that Promote Their Persistance, Acupunture in Medicine, 2005.

Hilary W and A.P.P Chanmugam, Electrophysical Agents in Physiotherapy: Therapeutic & Diagnostic Use, 2nd Edition, Marrickville NSW: Science Press.

Huguenin, LK, Myofascial Trigger Points: The current Evidence, Physical Therapy in Sport, 2003.

Kaya A, Kamanli A, Ardicoglu O, Ozgocmen S, Ozkurt-Zengin F, Bayik , Dirrect Current Therapy with/without Lidocaine Iontophoresis in Myofascial Pain Syndrome (Comparative Study, Journal Article, Randomized Controlled Trial), 2009

Laurie Barclay, MD, Physical Therapy Modalities Helpful for the Family Clinician to Know, 2007, available at http://www.medscape.org/viewarticle/567325

Michelle. H. Cameron, Electricophysical Agents Update, 2009.

Pillay M.G, The Treatment of Myofascial Pain Syndrome Using Therapeutic Ultrasound, on Upper Trapezius Trigger Points: A double-blinded placebo controlled study comparing the pulsed and continuous waveforms of ultrasound, hlm.21 (South Africa: Durban Institute of Technology, 2003).

Prentice,W.E., Therapeutic Modalities for Sport Medicine and Athletic Training McGraw-Hill, 2002.

Soedomo Hadinoto,et al, Nyeri, Pengenalan Dan Tatalaksana, Cetakan ke 3. hlm.42 Semarang: Badan Penerbit UNDIP, 2001.

Tim Watson, Therapeutic Ultrasound, versi PDF. hlm.1, available at http://www.electrostimulateurs-manuels.fr/fichiers/publications/Therapeutic-Ultrasound/therapeutic-ultrasound.pdf

Tim Watson, Ultrasound Treatment Dose Calculations, 2012, available at http://www.electrotherapy.org/downloads/Modalities/US%20dose%20chart%20Jan%2012.pdf

Ummi M.S, Perbedaan Efek Penambahan Auto Stretching pada Intervensi Micro Wave Diathermy terhadap Penurunan Nyeri pada Kasus Sindrom Miofasial Otot Upper Trapezius, hlm.2 Jakarta: Universitas Esa Unggul, 2011

Umit Dundar, Ozlem Solak, Fatma Samli, Vural Kavuncu, Effectiveness of Ultrasound Therapy in Cervical Myofascial Pain Syndrome: A Double Blind, Placebo-Controlled Study, 2010.

Ward, Alex R. Biophysical Bases Electrotherapy, chapter 10, available at www.rapidshare.com/bbe_printable.rar

Yeung Chi Keung, The Effect of Therapeutic Ultrasound on Tendon Healing and Sensory Nerve Regeneration after Achilles Tendon Rupture, thesis (Hongkong: The Hongkong Polytechnic University, 2007), available at http://repository.lib.polyu.edu.hk/jspui/bitstream/10397/3991/2/b21657257_ir.pdf


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