scholarly journals INTERVENSI ULTRASOUND DAN MUSCLE ENERGY TECHNIQUE LEBIH MENURUNKAN DISABILITAS LEHER DARIPADA INTERVENSI ULTRASOUND DAN MYOFASCIAL RELEASE TECHNIQUE PADA KASUS MYOFASCIAL PAIN SYNDROME OTOT UPPER TRAPEZIUS DI DENPASAR

Author(s):  
Ari Wibawa ◽  
Ni Luh Nopi Andayani ◽  
Anak Ayu Nyoman Trisna Narta Dewi

Background: Myofascial Pain Upper trapezius muscle syndrome is a condition of both acute and chronic pain from muscle or fascia involving sensory, motoric, or autonomic functions. Myofascial pain can be local or regional, such as the neck, shoulders, usually unilateral or more severe in one side. Objective: To prove Ultrasound and Muscle Energy Technique Interventions to reduce neck disability more than Ultrasound and Myofascial Release Technique Interventions in the case of Myofascial Pain Syndrome Upper Trapezius muscle in Denpasar. Method: This study uses the Randomized Pre-test method and the Design Group Post Test Control. This study used 36 subjects divided into 2 groups, First Treatment Group with Ultrasound and Muscle Energy Technique and II Treatment Group with Ultrasound and Myofascial Release Technique. The two treatment groups were given treatment for 4 weeks. The measuring instrument used for neck disability is the Neck Disability Index (NDI). Results: The results of the independent t-test which showed the results of the calculation of the difference in mean neck disability obtained p = 0.372 (p> 0.05). Conclusion: Ultrasound intervention and muscle energy technique further reduced neck disability than an ultrasound intervention and myofascial release technique in the case of myofascial pain syndrome upper trapezius muscleKeywords: Myofascial Pain Syndrome, upper trapezius muscle, Ultrasound, muscle energy technique, myofascial release technique, Neck Disability Index.

2020 ◽  
Vol 5 (2) ◽  
pp. 122-131
Author(s):  
Sulistyaningsih Sulistyaningsih ◽  
Adinda Riestiani Hernatha Putri

Background: Complaints due to upper trapezius myofascial pain syndrome include spasm, pain, and limitations in functional motion of the neck and surrounding areas. One way to overcome this is myofascial release, but there is no review article about the effect of myofascial release on the functional neck of myofascial pain syndrome. This study is to analyze the effect of myofascial release on pain and functional neck myofascial pain syndrome in the upper trapezius muscle. Methods: systematic review with the PICO framework (Population, Intervention, Comparison, Outcomes). Identify articles using relevant databases (Googlescholar, PubMed, PeDro) with customized keywords. Article selection using PRISMA flowchart, article assessment using critical appraisal. Results: The number of articles from 3 databases contained 3684 articles. After screening the title and the relevance of the abstract, 10 articles were obtained that proved the effectiveness of myofascial release in reducing neck pain and disability. Conclusion: myofascial release technique in the condition of myofascial pain syndrome, upper trapezius muscle is effective for reducing pain and increasing functional motion in the neck.


2018 ◽  
Vol 6 (3) ◽  
pp. 17
Author(s):  
Made Aditya Prawira Arthawan ◽  
Nila Wahyuni ◽  
I Gusti Ayu Artini

ABSTRACT               Pain is most commonly caused by myofascial pain syndrome, myofascial pain syndrome pain can affect the flexibility of the joints that will cause a decrease range of motion neck joint. The purpose of this study was to determine the comparison between muscle energy technique and infrared with contract relax stretching and infrared in increasing the range of motion neck joint on online game players with myofascial pain syndrome upper trapezius muscle in Denpasar. This research is an experimental research with pre and post test design group control design. The sample is an online game player of 22 people divided into two groups. Group 1 was given intervention of muscle energy technique and infrared, while group 2 was given contract relax stretching and infrared intervention. Result of hypothesis test with paired t-test, group 1 got difference average 6,36 ± 0,62 (p = 0,000) while group 2 got difference mean 5,00 ± 0,357 (p = 0,000). Differential test of improvement after group 1 and group 2 treatment using independent sample t-test showed that group 1 increase was higher than group 2 and this result was significantly different p = 0,019 (p <0,05) Keywords:  Range of motion neck joint, myofascial pain syndrome, contract relax stretching, infrared


2018 ◽  
Vol 6 (2) ◽  
pp. 26
Author(s):  
Putu Ayu Sita Saraswati ◽  
Ni Komang Juni Antari ◽  
Anak Agung Gede Angga Puspa Negara

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


2019 ◽  
Vol 12 (2) ◽  
Author(s):  
Arum Sekar Sunyiwara ◽  
Mega Widya Putri ◽  
Rifqi Sabita

AbstrakPekerja garment khususnya pada bagian operator jahit merupakan salah satu pekerjaan yang beresiko terkena gangguan myofascial pain syndrome otot upper trapezius. Myofascial pain syndrome pada otot upper trapezius adalah kondisi nyeri otot leher yang ditandai adanya trigger point (titik nyeri) yang terletak di otot yang kencang, biasanya disebabkan karena beban kerja otot yang berlebihan. Sebanyak 6-67% nyeri leher dialami oleh pekerja, 49% diantaranya dialami pekerja garmen dan lebih banyak dialami wanita. Penelitian ini bertujuan untuk mengetahui pengaruh kombinasi myofascial release dengan hold relax terhadap myofascial pain syndrome otot upper trapezius pada pekerja garmen Kecamatan Wonopringgo. Quasi experiment dengan rancangan one group pre test-post test adalah analisa data yang digunakan, penelitian ini menggunakan sample 20 responden, dilakukan selama 2 minggu dengan tindakan yang diberikan pada penelitian ini yaitu myofascial release selama 5 menit dan hold relax selama 15 menit. Hasil dari uji paired sample t test diperoleh hasil ρ value = 0,000 (<0,05), menunjukkan bahwa ada pengaruh kombinasi myofascial release dengan hold relax terhadap myofascial pain syndrome otot upper trapezius pada pekerja garmen Kecamatan Wonopringgo.Tindakan kombinasi myofascial myofascial release dengan hold relax ini dapat digunakan untuk mengatasi myofascial pain syndrome otot upper trapezius.Kata kunci: Myofascial Pain Syndrome, Myofascial Release dan Hold Relax. The Effects of Myofascial Release Combination with Hold Relax onMyofascial Pain SyndromeAbstractGarment workery especially in the sewing operators is a profession with high risk of myofascial pain syndrome disorders on upper trapezius muscle. Myofascial pain syndrome on the upper trapezius muscle is painful condition characterized by neck muscles trigger points (pain points) located on lean muscle, usually due to excessive muscle workload. As many as 6-67% of neck pain was experienced by workers, 49% of them experienced garment workers especially female workers. This study aimed to determine the effect of the combination of myofascial release with hold relax to myofascial pain syndrome of upper trapezius muscle to garment workers in Wonopringgo District. It was a quasi experimental research with one group pre test and post test design. 20 respondent were selected through a purposive sampling technique. The treatment was given for two weeks (e.g. 3 times for each week). In each treatment,each respondent as given 5 minutes of myofascial release and 15 minutes of hold relax. The paired sample t test resulted p value = 0,000 (<0,05). It indicated that there wasand influence of the combination of myofascial release and hold relax to myofascial pain syndrome of upper trapezius muscle in garment workers in Wonopringgo District. Therefore the combination of myofascial release combination with hold relax can be used to treat myofascial pain syndrome of upper trapezius muscle.Keywords  : Myofascial Pain Syndrome, Myofascial Release and Hold Relax.


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.


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.  


2019 ◽  
Vol 7 (3) ◽  
pp. 13
Author(s):  
Rifqy Fatara ◽  
Putu Ayu Sita Saraswati ◽  
I Dewa Ayu Inten Dwi Primayanti

Karakteristik gangguan kesehatan yang disebabkan oleh aktivitas mengetik dengan komputer cenderung pada cidera tingkat rendah yang muncul seiring waktu akibat sikap kerja yang salah, lama dan berulang, salah satunya adalah Myofascial Pain Syndrome (MPS) otot upper trapezius dengan gejala utama nyeri tekan dan terdapat nodul pada otot. Penelitian ini bertujuan untuk mengetahui hubungan sikap kerja saat mengetik  terhadap MPS otot upper trapezius pada pekerja kantor di Denpasar. Jenis penelitian ini adalah penelitian observasional analitik dengan rancangan cross sectional yang dilaksanakan pada bulan Maret 2018. Pengambilan sampel dilakukan dengan teknik purposive sampling dengan sampel berjumlah 53 orang. Pengukuran MPS otot upper trapezius dilakukan dengan pemeriksaan fisioterapi. Pengukuran sikap kerja saat mengetik dengan metode Rapid Upper Limb Assesment (RULA). Uji hipotesis yang digunakan adalah Chi Square Test untuk menganalisis signifikansi hubungan antara sikap kerja saat mengetik dengan MPS otot upper trapezius. Pada perhitungan analisis data, diperoleh nilai p sebesar 0,000 sehingga p < 0,05. Maka dapat disimpulkan bahwa terdapat hubungan yang signifikan antara sikap kerja saat mengetik terhadap MPS otot upper trapezius pada pekerja kantor di Denpasar. Kata Kunci: Sikap kerja mengetik, myofascial pain syndrome upper trapezius


2020 ◽  
Vol 4 (1) ◽  
pp. 1-8
Author(s):  
Safun Rahmanto ◽  
Kurnia Putri Utami ◽  
Eka Yanti Sri Utami

ABSTRACT Background: Myofascial pain syndrome is the situation of taut pain and tenderness pain, this syndrome is often found in trapezius muscle. The result of Preliminary study shows that the tahfidz program students in Ar – Rohmah Islamic Boarding School Malang spent time to learn Al – Qur’an for 6-8hour/day with static situation and complained about the pain in the neck. Purpose: To find out the effect of Post Isometric Relaxation on decrease pain of myofascial pain syndrome of the upper trapezius in Ar – Rohmah Islamic Boarding School Malang. Method: This study uses Pre-experimental one group pretest and posttest design. The respondents in this study are 26 students of thafidz program in Ar – Rohmah Islamic Boarding School Malang with technique of purposive sampling and were given intervention 3 times in a week for 2 weeks. Instrument of this research is Numerical Rating Scale (NRS) and the data analysis is using Wilcoxon test. Result: It shows 0,000 (α < 0,05) and show there is decrease pain from 0,742 to 0,633. Conclusion: There is an effect of post isometric relaxation on decrease the pain of myofascial pain syndrome of upper the trapezius in Ar – Rohmah Islamic Boarding School Malang.


2018 ◽  
Vol 6 (2) ◽  
pp. 42
Author(s):  
I Gede Donny Hendrawan ◽  
Nila Wahyuni ◽  
I Made Muliarta

ABSTRACTMyofascial pain syndrome is a collection of sensory, motor, and autonomic symptoms that cause local andreffered pain, limited range of motion and weakness of the affected muscles. The limitations range of motion will beannoying than the daily activities. Interventions that can improve range of motion of cervikal are IntegratedNeuromuscular Inhibition Technique, Deep Tissue Massage and Contract-Relax Stretching. The results show GroupNeuromuscular Inhibition Technique with Wilcoxan Sign Rank Test obtained a mean difference of 13.7 with p = 0.000,while the test results Hypothesis Group Contract-Relax Stretching with Paired Sample T-test showed a mean differenceof 12.1 with p = 0.000. Test the difference between Mann Whitney U-test showed no significant difference between theother group are obtained p = 0.420. These results indicate that there is no difference in increasing range of motion inboth groups.Keywords: Range of motion of cervical, Upper Trapezius Muscle,Myofascial Pain Syndrome, IntegratedNeuromuscular Inhibition Technique, Deep Tissue Massage, Contract-relax Stretching, Goniometer


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