Penatalaksanaan Fisioterapi Dengan Massage Dan Terapi Latihan Pada Cervical Syndrome Yang Disebabkan Spondylosis

Spondylosis merupakan penyakit degenerative yang menyerang vertebra, dan salah satu akibat dari spondylosis adalah nyeri pada leher, nyeri leher atau biasa disebut Cervical syndrome yaitu suatu kondisi medis yang sangat sering terjadi, biasanya muncul disebabkan karena sejumlah gangguan dan penyakit yang mengenai jaringan sekitar leher. Artikel ini bertujuan untuk menjelaskan tentang bagaimana penatalaksanaan fisioterapi pada kasus cervical syndrome yang disebabkan oleh spondylosis. Jenis artikel yang digunakan yaitu deskriptif kualitatif dengan pengambilan materi berbasis literature. Hasil penelitian ini menunjukan bahwa kasus cervical syndrome yang disebabkan oleh spondylosis dapat ditangani oleh fisioterapi dengan menggunakan intervensi berupa terapi latihan dan massage, intervensi ini bertujuan untuk mengurangi nyeri dan meningkatkan mobilitas sendi leher. Spondylosis is a degenerative disease that attacks the vertebrae, and one of the consequences of spondylosis is pain in the neck, neck pain or commonly called Cervical syndrome is a medical condition that is very common, usually appears due to a number of disorders and diseases that affect the tissues around the neck. This article aims to explain how to manage physiotherapy in cases of cervical syndrome caused by spondylosis. The type of article used is descriptive qualitative with literature-based material retrieval. The results of this study indicate that cases of cervical syndrome caused by spondylosis can be treated by physiotherapy using interventions in the form of exercise therapy and massage, this intervention aims to reduce pain and increase mobility of the neck joints.

The significance of balneotherapy for the reduction of pain in elderly patients with the cervical syndrome

Introduction/Aim: Neck pain is one of the most common musculoskeletal conditions, which is experienced by two thirds of world population at some stage in life. It can be associated with degenerative changes, psychosocial factors, sedentary way of life, reduced physical activity and stress. The aim of this study is to examine the significance of balneotherapy for the reduction of pain in elderly persons with moderately severe pain caused by cervical syndrome. Methods: Ten men and fifty-two women aged 61 to 80 years, who experienced a moderately severe pain caused by the cervical syndrome and who did not have contraindications for the application of balneotherapy and kinesitherapy, were included in this panel study. A Visual Analogue Scale (VAS) was used to measure the intensity of pain before and after balneotherapy and kinesitherapy. Results: There was no significant difference between men and women regarding age and propagation of cervical pain. After ten days of therapy, the pain stopped in around one-third of examinees, who experienced a moderately severe cervical pain and who used the thermal mineral bath with and without exercises. In every other examinee with the moderately severe intensity of cervical pain, this pain stopped after ten days of using thermal mineral water that reached ⅔ of the bathtub, and in one-third of examinees who used the thermal mineral pool and who exercised. A significantly better effect in pain elimination was achieved after the thermal mineral bath with water that filled ⅔ of the bathtub (p = 0.001) and the thermal mineral pool with exercises (p = 0.009) than after thermal mineral bath with water that filled ½ of the bathtub. It was not determined whether there was a significant difference regarding the reduction of cervical pain after the application of thermal mineral bath with ⅔ of water in the bathtub and after the use of the thermo-mineral pool with exercises. Conclusion: Balneotherapy takes an important place in the reduction of pain in elderly persons with a moderately severe pain caused by the cervical syndrome. However, more detailed research is needed to explore the significance of balneotherapy and kinesitherapy for the reduction of pain caused by cervical syndrome, especially if population aging is taken into consideration.

The efficacy of the use of vaginal suppositories API-NORM® in patients after surgical treatment of cervical ectopy associated with HPV

The aim of the study is to improve the effectiveness of rehabilitation measures after surgical treatment of ectopic cylindrical cervical epithelium in women of reproductive age associated with HPV. In order to increase the effectiveness of rehabilitation measures after surgical treatment, 70 women of reproductive age with an ectopia of the cylindrical epithelium of the cervix associated with HPV were examined. According to rehabilitation measures after surgical treatment, they were divided into two groups. The main group included 52 women who, after surgical treatment for rehabilitation, received vaginal suppositories containing activated propolis extract, beeswax, St. John's wort extract, marigold and sea buckthorn oil (API-NORM), once a day for 10 days. The comparison group included 28 women treated with suppositories containing 500 mg of methyluracil. Analysis of the data obtained was carried out using the program “STATISTICA 5.5” (owned by the Central Scientific Research Institute of National Pirogov Memorial Medical University, Vinnytsya, license No.AXXR910A374605FA) using non-parametric methods for assessing the results. It was determined that the use of this method of rehabilitation after electroexcision treatment of cervical pathology made it possible to reduce the period of regeneration of the wound surface by 2.4 times and reduce the bleeding rate to 1.9% in the postoperative period. The appointment of API-NORM vaginal suppositories for the purpose of postoperative rehabilitation helps to reduce the recurrence rate of the disease and coagulated cervical syndrome to 3.8% and 1.9%, respectively, and gives us the full cervical epithelization in 94.2% of cases. This proves the high efficiency of the proposed method of rehabilitation.

TEKNIK MULLIGAN PALING EFEKTIF DIBANDINGKAN MOBILISASI SEGMENTAL UNTUK PENINGKATAN KEMAMPUAN FUNGSIONAL PADA PEMBATIK TULIS DENGAN CERVICAL SYNDROME

Background: Cervical Syndrome is pain resulting from the interaction of which often bump into between of muscles and ligaments well as the that deals with the posture, over activity of the degenerative from discus cervikalis and its ankle urination and pain the neck.Purpose: To know the provision of mulligan technique is better than it was a segmental mobilization of to improve the ability functional at batik wrote disorder cervical syndrome. This research is designed an experimental research randomized pre and post test two group design , in which the grouping of random based on this subject .A kind of design in this research measure pre test and post test treatment in ekperimen group 2 .1 group given manipulation techniques and the mulligan snags 2 given a segmental mobilization of manipulation.Results :of value the measurement of the ability functional cervical syndrome that measured by NDI before intervention in group mean ± SD 65.00± 7.90 and group 2 mean ± SD = 70.00 ± 7.50 with p= 0.188 (p>0.05) with means there was no significant difference in both grup. Then the result afterthe intervention with NDI a showed mean mean ± SD = 37.22 ± 13.01 in group 1 and mean ± SD = 56.11 ± 4.85 in group 2 abtained p= 0,005 (p<0,005) that indicates which means that initial value ndi group 1 and a group of 2 there is no difference meaningful .The results of value ndi after the intervention in the 1 and a group of 2 get value p = 0.005 ( p < 0.05 ) this indicates there is a difference in meaningful between the 1 and a group of 2 after conducted therapy exercise.Conclusion: the enhancement of value weighted ndi in group 1 ( engineering mulligan ) smaller than a segmental ) ( both in terms of a group of 2 .Thus , it can be said that engineering mulligan produce the reduction of pain is greater than a segmental mobilization of.

Effects of Anxiety and Depressive Manifestations of Personality on Functional Recovery of Patients with Cervical Pain Syndrome

Introduction: Cervical syndrome is a set of symptoms that are manifested by pain in the neck segment and shoulder blade region, with the feeling of tightness and tension, and limited movement of the neck segment of the spine. Because of the long-term duration of symptoms, we often find psychopathological manifestations in the form of anxiety and depression in these patients.Objective: The goal was to detect the presence of anxiety and depressive manifestations of personality in patients with cervical syndrome at the beginning of rehabilitation treatment, to determine to what extent the presence of anxiety and depressive symptomatology affects the functional recovery of patients after a physical rehabilitation treatment.Patients and Methods: The study was conducted as a prospective study involving 100 patients. Criteria for inclusion were the diagnosis of cervical syndrome and the age of patients between 20 and 60 years of age. Exclusion criteria were diagnosis of cervical radiculopathy, vertebrobasilar syndrome, diagnosis of anxiety and depressionconfirmed by psychiatrist, as well as use of psychotropic substances. On admission, each patient filled in Beck’s questionaire for anxiety and depression (BAI and BDI)and accordingly patients were divided into 3 groups.Results: Out of total of 100 patients, 74% were female and 26% were male. In 77% of patients psychopathological manifestations of personality were found. A statistically significant association of gender and group placement was found (p=0,003). The women had a far greater percentage of anxiety and anxiety-depressive manifestations of the personality than men. In terms of BAI and BDI, there was a statistically significant difference between genders. All of the parameters ( VAS, Schober, CSS) monitored during rehabilitation treatment were improved at the end of treatment (p=0,0001). There was a positive correlation of BAI and BDI with CSS on admission and at discharge (p=0,05) in a group of anxiety-depressed patients.Conclusion: The presence of anxiety and depressive manifestations of personality did not have a negative impact on the functional recovery of patients. Physical therapy has led to reduction of pain, increased mobility and better functional status of cervical spine for patients with cervical spine syndrome.

BEDA PENGARUH PEMBERIAN MICROWAVE DIATHERMY DENGAN ULTRASOUND PADA PENERAPAN MUSCLE ENERGY TECHNIQUE TERHADAP PERUBAHAN NYERI AKIBAT SPASME OTOT UPPER TRAPEZIUS DI RUMAH SAKIT UMUM DAERAH SALEWANGANG MAROS

Penguluran atau kontraksi yang berlebihan dan berulang yang berlangsung dalam waktu lama menyebabkan otot mengalami spasme yang akhirnya menyebabkan nyeri hingga keterbatasan gerak sendi leher/cervical.Penelitian ini bertujuan untuk membandingkan pengaruh pemberian microwave diathermy dengan ultrasound pada penerapan muscle energy Technique terhadap perubahan nyeri akibat spasme otot upper trapezius Penelitian ini adalah quasy eksperimen menggunakan pretest-posttest two group design. Populasi penelitian adalah semua pasien nyeri leher (cervical syndrome) yang berkunjung di Poliklinik Fisioterapi Rumah Sakit Umum Daerah Salewangan Maros selama penelitian berlangsung. Sampel penelitian pasien nyeri leher yang berkunjung di poliklinik Fisioterapi Rumah Sakit Umum Daerah Salewangang Maros yang diperoleh dengan teknik purposive sampling sehingga jumlah sampel 20 orang yang dibagi atas dua kelompok.Hasil penelitian diperoleh adanya perbedaan yang signifikan sebelum dan sesudah pemberian microwave diathermy dan muscle energy technique dengan selisih rata-rata nilai aktualitas nyeri 2.73 + 0.40 cm dengan hasil uji wilcoxon p=0.005 < α= 0.05. Sedangkan pada intervensi ultrasound dan muscle energy technique diperoleh selisih rata-rata nilai aktualitas nyeri 2.96 + 0.56 cm dengan hasil uji wilcoxon p= 0.005 < α= 0.05. Pada uji Mann-Whitney tidak diperoleh adanya perbedaan yang signifikan diantara kedua perlakuan, dimana selisih nilai rata-rata VAS 0.2 cm dengan p= 0.40 > α= 0.05.Kesimpulan penelitian ini adalah ada perubahan aktualitas nyeri sebelum dan sesudah pemberian microwave diathermy dan muscle energy technique serta ultrasound dan muscle energy technique pada pasien nyeri leher. Tidak ada perbedaan perubahan aktualitas nyeri diantara kedua kelompok perlakuan. Kata Kunci : Microwave diathermy, Ultrasound, muscle energy technique, Nyeri leher

Pathology and Treatment of Traumatic Cervical Spine Syndrome: Whiplash Injury

Traumatic cervical syndrome comprises the various symptoms that occur as a result of external force such as that of a traffic accident. In 1995, the Quebec Task Force on whiplash-associated disorders (WAD) formulated the Quebec classification, with accompanying clinical practice guidelines. These guidelines were in accordance with the stated clinical isolated or combined symptoms of the syndrome: neck pain, headaches, dizziness, numbness of head or face, eye pain, vision loss, double vision, tinnitus, hearing loss, nausea, and numbness and/or weakness of extremities. In recent years, cerebrospinal fluid hypovolemia or fibromyalgia has been recognized as a major notable cause of a variety of symptoms, although many clinical questions remain regarding the pathology of this syndrome. Therefore, its diagnosis and treatment should be conducted extremely carefully. While the Quebec classification and its guidelines are very useful for the normalization and standardization of symptoms of traumatic cervical syndrome, in the future, we would like to see the emergence of new guidelines that better address the diversity of this disease.

PENGARUH MICRO WAVE DIATHERMY, TRANSCUTANEUS ELECTRICAL NERVE STIMULATION, TERAPI LATIHAN DAN TERAPI MANIPULASI PADA CERVICAL SYNDROME

Latar Belakang : Penelitian pada 251 responden seorang pekerja, didapatkan keluhan nyeri tengkuk menduduki peringkat ke 4 (37.5%) setelah bahu kanan 53.8%, bahu kiri 47,4% dan pinggang 45%. Dari hasil pemeriksaan didapa-kan prevalensi nyeri tengkuk sebesar 55.4% (Dina/Departemen Kesehatan, Indonesia.htm, 2004). Penelitian ini dilakukan di RSUD Sleman selama bulan Juni 2018 dengan jumlah partisipan sebanyak 8 orang dengan metode quasi eksperiment jenis pretest-posttest. Modalitas fisioterapi yang diberikan berupa Microwave Diathermy, Transcutaneous Electrical Nerve Stimulation, Terapi Latihan dan Terapi Manipulasi. Tujuan : untuk mengetahui pengaruh micro wave diathermy, TENS, Terapi Latihan dan Terapi Manipulasi pada cervical syndrome Hasil : Hasil uji normalitas menunjukkan bahwa nilai sig. vas sebelum terapi sebesar 0.857dan setelah terapi sebasar 0.857; MMT sebelum terapi sebesar 0.059 dan setelah terapi sebesar 0.432; NDI sebelum terapi sebesar 0.117 dan NDI setelah terapi sebesar 0.137. Berdasarkan data tersebut, maka data pada penelitian ini distribusinya normal. Hasil uji hipotesis menunjukkan nilai sig. 2 tailed nilai VAS 0,000 berarti terjadi perubahan yang signifikan dalam penurunan derajat nyeri partisipan, nilai secara sigfinikan, sig. 2-tailed nilai MMT 0,002 yang berarti ada perubahan yang signifikan dalam peningkatan kekuatan otot ekstensor neck partisipan, nilai sig. 2-tailed skor NDI 0,000 berarti terjadi perubahan yang signifikan dalam kemampuan aktivias fungsional leher partisipan. Kesimpulan : menggunakan modalitas fisioterapi berupa Microwave Diathermy, Transcutaneous Electrical Nerve Stimulation, Terapi Latihan dan Terapi manipulasi efektif dalam menurunkan nyeri, meningkatkan kekuatan otot ekstensor leher dan kemampuan aktivitas fungional leher partisipan.