scholarly journals KOMBINASI ULTRASOUND DAN DRY NEEDLING LEBIH MENURUNKAN DISABILITAS LEHER DARI PADA KOMBINASI ULTRASOUND DAN HOLD RELAX PADA MYOFASCIAL PAIN SYNDROM OTOT UPPER TRAPEZIUS

Author(s):  
Iman Santoso ◽  
Bagus Komang Satriyasa ◽  
Muthiah Munawaroh ◽  
I Nengah Sandi ◽  
Made Muliarta ◽  
...  

Introduction : Upper trapezius myofascial pain syndrom (MPS) is characterized by presence of trigger points in upper trapezius muscle. MPS can cause disability and also has negative economic effect. Purpose : The reserach’s goal is to improve that combination of ultrasound and dry needling was better than combination of ultrasound and hold relax to decrease neck disability index. Methods : This research used experimental methods to study with pre-test and post-test control group design. Number of samples of the experimental group was 17 subjects given three times treatment of combination of ultrasound and dry needling, while in the control group were 17 subjects given three time treatment of combination of ultrasound and hold relax. NDI was used as out come measure. Shaphiro-wilk test was used to test the normality and levene’s test was used to test the homogenity. wilcoxon signed ranked test was used for hipothesis I, t-test related was used for hipothesis II and t-test independent wa used for hipothesis III. Results : The research showed that: (1) There was significant decrease of NDI in the experimental group . values of mean for pre test were 42,04 + 7,33 % and post test were 10,18 + 3,78 %. with p value = 0.000 (p <0.05) (2) there was significant decrease of NDI in the control group. values of mean for pre test were 45,29 + 6,03 % and post test were 22,24 + 5,42 %, with p value = 0.000 (p <0.05) (3) There were significant differences between experimental group and control group comparing with the differences of post test values between the group. The mean of post test values in experimental group showed 10,18 + 3,78 % meanwhile 22,24 + 5,42% in control group, with p value = 0.000 (p <0.05). Conclution : It was concluded that combination of ultrasound and dry needling and combination of ultrasound and hold relax can decrease the neck disability index. Combination of ultrasound and dry needling was better than combination of ultrasound and hold relax to decrease neck disability index in subject with upper trapezius myofascial pain syndrom.

2020 ◽  
Vol 8 (2) ◽  
pp. 41
Author(s):  
Boki Jaleha ◽  
I Putu Gede Adiatmika ◽  
Sugijanto Sugijanto ◽  
I Made Muliarta ◽  
Ketut Tirtayasa ◽  
...  

Pendahuluan: Myofascial pain syndrome otot upper trapezius merupakan gangguan muskuloskeletal pada otot upper trapezius akibat penggunaan otot secara berlebihan, postur yang jelek, dan repetitif mikrotrauma sehingga menyebabkan nyeri, taut band, kelemahan otot dan disabilitas pada daerah leher. Tujuan Penelitian: Untuk mengetahui perbedaan efek kedua intervensi, Mckenzie Neck Exercise dan Dynamic Neck Exercise dalam menurunkan disabilitas leher pada penjahit dengan myofascial pain syndrome otot upper trapezius. Metode: Penelitian eksperimental ini menggunakan rancangan randomized pre and post test two group design. Sampel penelitian sebanyak 18 orang yang dibagi secara acak menjadi 2 kelompok, masing-masing kelompok berjumlah 9 orang. Kelompok I diberikan McKenzie Neck Exercise sedangkan Kelompok II diberikan Dynamic Neck Exercise. Perlakuan dilakukan 3 kali seminggu selama 6 minggu dengan evaluasi menggunakan kuesioner penilaian Neck Disability Index (NDI). Hasil: Hasil uji statistik menggunakan paired-samples t test pada Kelompok I dengan rerata skor sebelum intervensi (23,8±2,1)% dan sesudah intervensi yaitu (16,4±2,4)% dengan nilai (p < 0,05) dan Kelompok II dengan rerata skor sebelum intervensi (23,6±2,2)% dan sesudah intervensi (20,9±2,3)% dengan nilai (p < 0,05). Uji beda hipotesis antara Kelompok I dengan Kelompok II menggunakan independent-samples t test diperoleh nilai (p < 0,05). Simpulan: McKenzie Neck Exercise lebih baik dalam menurunkan disabilitas leher daripada Dynamic Neck Exercise dengan myofascial pain syndrome otot upper trapezius. Saran: Penelitian selanjutnya diharapkan dapat mengontrol aktivitas pekerja dilingkungan kerja maupun tempat tinggal dan diperlukan adanya tindak lanjut ataupun pengawasan (follow up) sampel penelitian setelah berakhirnya program penelitian pada masing-masing sampel, untuk mengetahui hasil intervensi yang diberikan dapat memberikan efek jangka panjang.  


2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Zahra Rezasoltani ◽  
Hanna Ehyaie ◽  
Reza Kazempour Mofrad ◽  
Fatemeh Vashaei ◽  
Reza Mohtasham ◽  
...  

Abstract Objectives Granisetron and lidocaine injections have been used for the management of myofascial pain syndrome. This study was aimed to compare the efficacy of granisetron and lidocaine injections to trigger points of upper trapezius in the management of myofascial pain syndrome. Methods We performed a double-blind randomized clinical trial in an outpatient clinic of physical medicine and rehabilitation at a teaching hospital. A total of 40 patients aged ≥18 with neck pain due to myofascial pain syndrome were included. They had pain for at least one month with the intensity of at least 30 mm on a 100 mm visual analog scale. Each participant received a single dose of 1 mL lidocaine 2% or 1 mg (in 1 mL) granisetron. The solutions were injected into a maximum of three trigger points of the upper trapezius. We instructed all patients to remain active while avoiding strenuous activity for three or four days, and to perform stretch exercise and massage of their upper trapezius muscles. We assessed the patients before the interventions, and one month and three months post-injection. The primary outcome was the Neck Disability Index and the secondary outcome was the Neck Pain and Disability Scale. Results Both interventions were successful in reducing neck pain and disability (all p-values <0.001). However, the neck pain and disability responded more favorably to lidocaine than granisetron (p=0.001 for Neck Disability Index, and p=0.006 for Neck Pain and Disability Scale). No significant side-effect was recognized for both groups. Conclusions Both lidocaine and granisetron injections to trigger points are effective and safe for the management of the syndrome and the benefits remain at least for three months. However, lidocaine is more effective in reducing pain and disability. The injections are well-tolerated, although a transient pain at the site of injections is a common complaint. One mL of lidocaine 2% is more effective than 1 mg (in 1 mL) granisetron for injecting into the trigger points of the upper trapezius in myofascial pain syndrome.


Author(s):  
Muhammad Kashif ◽  
Nosheen Manzoor ◽  
Rimsha Safdar ◽  
Hafsa Khan ◽  
Maryam Farooq ◽  
...  

BACKGROUND: Cervicogenic headache (CGH) is a common condition that results in significant disability. To treat this dysfunction, Mulligan described sustained natural apophyseal gliders (SNAGs) as a manual therapy approach. However, only inconclusive short-term evidence exists for treating CGH with SNAGs. OBJECTIVE: The present study aims to investigate the effect of SNAGs in the treatment of CGH. METHODS: Fourty female patients ranging from 20 to 40 years with CGH were randomly assigned to two groups: 20 in a treatment group and 20 in a control group. SNAGs were applied to the treatment group while the control group received placebo treatment. Both groups received their respective treatment for 20 minutes, alternately three times per week, for a total of 12 times in four weeks. The outcome measures were the Neck Disability Index (NDI) and the Visual Analogue Scale (VAS). Participants were assessed at baseline and at the end of each week. The data was analyzed using SPSS version 20. Independent t-testing was used to reveal changes between groups. One-way ANOVA was used to determine changes within groups. The level of significance was P< 0.05. RESULTS: Twenty participants (100%) in the treatment group and 17 (85%) in the control group had a history of headache aggravation with active movements or passive head positioning. There was no significant difference at baseline (p> 0.05), indicating that both groups were homogeneous at the time of recruitment. The p value (p< 0.05) showed a significant difference in pain and level of disability at three and four weeks (p< 0.05) in patients treated with SNAGs. However, the cervical range of motion (ROM) showed a statistically significant improvement in flexion and extension in the treatment group (p< 0.05) while there was no significant improvement in side flexion and rotation ROM in both groups (p> 0.05). CONCLUSION: This study found that SNAGs were effective in reducing pain and neck disability and improved ROM in females with CGH.


2020 ◽  
Vol 5 (1) ◽  
pp. 22-29
Author(s):  
Een Juliasti ◽  
Mury Kuswari ◽  
Idrus Jus’at

Physical activity on students in Jakarta is the lowest if it is compared to various regions in Indonesia. The low physical activity has an impact on the declining of health and fitness so that it affects toward the risk of various non-communicable diseases. The purpose of this research is to know the influence of gymnastics rhythm of Gizi Seimbang’s song to the level of fitness on students in State Elementary School Kebon Jeruk 08 Pagi West Jakarta. The type of research uses design experimental quasi research with design of Pre test - post test group control design. This design involves two groups of subjects, one is given an experimental group and one group is not enforced (control group). The population of this study are children aged 10-12 years old with 60 respondents (30 students of gymnastic group and 30 control group students) with gymnastics 3x/week for 12 times. Data analysis use t-dependent test, wilcoxon test because the data is not normally distributed. The result of the research shows that there is the influence of rhythmic gymnastics of Gizi Seimbang’s song to the significant fitness level (p value = 0.0001). Based on the results of this study, gymnastics rhythm of Gizi Seimbang’s song increases the level of fitness compared with control group on students in State Elementary School Kebon Jeruk 08 Pagi West Jakarta.


2016 ◽  
Vol 1 (2) ◽  
pp. 159
Author(s):  
Hanik Nuzulimah

This paper attempts to explore whether there is significant difference of achievement in vocabulary between students taught by using pictures and those are not. The subject of this study is the first year students of SLTP Muhammadiyah Simo Susukan, Semarang where the sample contains 50 students that is divided into experimental group (with treatment) and control group (without treatment). The data is gathered from participants’ score obtained from pre test and post test. Using t test as technique of data analysis, result shows that students taught by using pictures perform better than those are not. It means that there is significant difference between the two groups. Keywords: Vocabulary Teaching; Picture


2017 ◽  
Vol 1 (3) ◽  
pp. 122
Author(s):  
Ni Komang Amelia Kartadi

This study aimed at investigating of the effect of using word family game committed by the fifth grade student in SD Negeri 1 Astina in mastering the English vocabulary. This study was True-Experimental with post-test only control group design. The population was 59 students of the fifth grade and the sample was selected by using cluster random sampling. The sample of this research study was 22 students in 5A as an Experimental Group while 22 students in 5B as a Control Group. The experimental group was taught by using Word Family Game and control group was taught without using Word Family Game. The data was analyzed descriptively and inferentially through SPSS 16.0 Program. Descriptively, the students in experimental group were achieved better than the students in control group. It was proven by the result of the mean score of the experimental group was 90.45, while the mean score of control group was 83.18. The result of the t-test also showed that the score of the (tobs) was 3.393 which the score of (tcv) was 1.682 which based on the degree of freedom was 42. It showed that the (tobs) > (tcv), where: 3.393 > 1.682. It could be concluded that the word family game had a significant effect on the students’ vocabulary mastery rather than using conventional teaching. 


2021 ◽  
Vol 4 (1) ◽  
pp. 37
Author(s):  
Eva Faliyanti ◽  
Devi May Ratih

The aimed of this research is to test the effectiveness of using Pecha Kucha Technique in students’ speaking performance at fourth semester of English Department in Muhammadiyah University of Metro. Pecha Kucha is a presentation form of 20 pictures for 20 seconds and it is also called 20x20 presentations.The entire presentation always lasts for exactly 6 minutes and 40 seconds. The research method used in this research is an experimental research. The subjects of this research are the students at fourth semester of English Department in Muhammadiyah University of Metro academic year 2020. There are 21 students of control group and 21 students of experimental group. The research instrument used to collect the data in this research is an oral test. From the two classes, the experimental and control group, the measurement shows that increasing line of the speaking ability of the experimental group is higher than the control group. The result of pre-test score shows that the average score of the experimental group and the control group are 52.38 and 56.19. From the score of both groups, the result shows that the control group is better than experimental group. Then, the result of the post test of the experimental group is higher than control group; the average scores are 70,71 for experimental group and 62.38 for control group. It can be concluded that there is significant influence of using Pecha Kucha Technique in students’ speaking skill.


2017 ◽  
Vol 8 (6) ◽  
pp. 1195
Author(s):  
Islam NamazianDoost ◽  
Asadallah Hashemifardnya ◽  
Nasrin Panahi

This study examined the effects of using approximation and appealing for the help techniques on learning speaking skill among Iranian intermediate EFL learners. First sixteen participants out of 120 were chosen for the target population. The participants were then randomly assigned to three equal groups- two experimental groups and one control group. The groups were pretested by a speaking pre-test. Regarding the treatment, the experimental groups were taught by using the communicative approach techniques including approximation and appealing for the help. One experimental group received instruction on how to appeal for the help if their competence cannot come up with the exact word. The other experimental group received instruction on how to compensate failure in conversation by using approximate words. For example, in case of forgetting the exact word they used an approximate word or phrase like using "boat" instead of "ship" or "pipe" for "water pipe". However, the participants in the control group received traditional activities in learning speaking such as question and answer, topic discussion, dialogs and role playing. The treatment took 10 sessions of 45 minutes each under the guidance of the supervisor. Then, the control group and the experimental groups took the post-test of pet. After collecting the data, they were analyzed through using One-way Anova and Post-hoc Scheffe Test- Multiple Comparisons. The findings showed that both experimental groups outperformed than the control group. The results showed that those students who received appealing for the help treatment were better than approximation group and control group.


2014 ◽  
Vol 1 (1) ◽  
pp. 91
Author(s):  
Irawati . ◽  
Haryanto . ◽  
Syarifuddin Dollah

This study aimed at investigating the effect of strategies-based instruction on students’ speaking skill at Lakidende University and the students’ interest in learning English through strategies-based instruction. This research employed Quasi Experimental Method, with non-equivalent control group design. This research assigned experimental group and control group (30 students for each).Speaking test was used to see the effect of strategies-based instruction on students’ speaking skill and questionnaire was used to see students’ interest in learning English through strategies-based instruction. The data obtained through the speaking test were analyzed by using descriptive statistics and inferential statistics. Meanwhile, the data from questionnaire were analyzed in percentage and descriptive statistics. The students’ speaking skill covered three components: accuracy, fluency, and comprehensibility. The findings showed that there was an improvement on the students’ speaking ability after the treatment. There was a significant difference between the results of post-test of experimental and control group, where the mean score of post-test of experimental group was 70.37, which was higher than the mean score of post-test of control group was 59.63.The value of P-value or sig. (2-tailed) shows that P-value or sig. (2-tailed) is smaller than α (0.00 < 0.05).Furthermore, the data that were collected from questionnaire showed that the students were very high interest toward strategies-based instruction. It is showed by the mean score in scale of 89.6, which was categorized as very high interest. Keywords: effect, strategy-based instruction, speaking skill


2020 ◽  
Vol 19 (2) ◽  
pp. 0045
Author(s):  
M. Maison Mohammed Dr. Luma Sameer

When teaching or training fencing we find that most learners are able to perform some fencing skills during learning within the lesson, but they find it difficult to perform the same skills when linked in one sentence after a short period or in subsequent lessons, or during practical exams, so I conducted those Study to develop solutions to this problem by investing the Zahoric model and its distinctive educational steps in learning the kinetic sentences in the female blinds, and its impact on the process of learning and linking kinetic sentences in the sport of fencing and make the learning process more effective and economical.   The experimental method was used by designing the experimental and control groups with pre- and post-test on a sample of the second stage students (B22), representing the experimental group and learning the skills using the Zahoric model in its five steps, while the (D26) student representing the control group, which is learning the fencing skills according to the teaching method. Followed. The learning and performance of some kinetic sentences were evaluated by a standardized form of fencing according to the parts of the movement and their manifestations.  An educational curriculum has been prepared using the Zahorik model to learn the kinetic sentences by fencing according to the sectoral vocabulary of the second semester by following the steps of the model (activating information - acquiring - understanding - using - thinking in information). After the statistical treatments, it was concluded that the Zoharic model, designed to learn some kinetic sentences in the experimental group, gave positive results in evaluating the kinetic sentences better than the teaching method used in the control group. In light of the conclusion, it is recommended to adopt the Zoharik model in learning some kinetic sentences with a blind weapon, as it gives the learner a positive in the analysis, composition and understanding of the movements that are combined to give a kinetic sentence that ends with a touch in favor of the attacker who clearly understands where it begins and ends the syntax of the correct kinetic sentence, which resolves the sentence in his favor.


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