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THE EFFICACY OF MUSCLE ENERGY TECHNIQUE IN INDIVIDUALS WITH MECHANICAL NECK PAIN: A SYSTEMATIC REVIEW Made Hendra Satria Nugraha; Ni Komang Ayu Juni Antari; Ni Luh Putu Gita Karunia Saraswati
Sport and Fitness Journal Vol 8 No 2 (2020): Volume 8, No. 2, Mei 2020
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (387.267 KB) | DOI: 10.24843/spj.2020.v08.i02.p12

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Introduction: Mechanical neck pain is a condition that includes minor strain / sprain in the muscles, ligaments, or facet joint dysfunction. Objective: This systematic review is aimed to find out the effectiveness of the muscle energy technique in mechanical neck pain. Method: The systematic review access to journal databases such as: PubMed, PEDro, and the Cochrane Library. Results: Based on inclusion and exclusion criteria 5 articles were used in this systematic review. The application of the muscle energy techniques was applied ranging from 1 time to 4 weeks of intervention. From the 5 reviewed studies concluded that muscle energy technique was effective in improving neck motion and function in mechanical neck pain. Conclusion: Based on the results of systematic review it can be concluded that the application of MET improve neck movement through The International Classification of Functioning, Disability, and Health (ICF) criteria evaluated by pain score, pain threshold, range of motion, functional performance, and muscle thickness. The appropriate articles are still limited to 5 studies, but have good to strong qualities. In addition, the application of intervention does not have the same standard.
INTERVENSI PROGRESSIVE MUSCLE RELAXATION LEBIH MENURUNKAN TEKANAN DARAH DARI PADA SLOW STROKE BACK MASSAGE PADA PASIEN HIPERTENSI DERAJAT I YANG MENGONSUMSI OBAT ANTI HIPERTENSI DI BADUNG Ni Komang Ayu Juni Antari; Alex Pangkahila; Muh. Ali Imron; I Putu Adiartha Griadhi; Luh Made Indah Sri Handari Adiputra; Muh. Irfan
Sport and Fitness Journal Volume 7, No.1, Januari 2019
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (439.881 KB) | DOI: 10.24843/spj.2019.v07.i01.p12

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ABTSRACT Introduction: Physical exercise as anticipate of hypertension along with nutrition and medicines. One of physical exercise that can be applicated here is relaxation techniques which is showed positive impact in decreased blood pressure. Objective: Determine the difference between PMR intervention with SSBM intervention to reduce blood pressure for grade I hypertension patients whose consumed anti-hypertension medicine in badung regency. Methods: Experimental method Pre and post-test control group design and used 24 subjects, divided in to 2 groups, in which the experimental group I (n=12) received progressive muscle relaxation (PMR) while the treatment group 2 (n=12) received slow stroke back massage (SSBM). Intervention is given 3 times a week for 4 weeks. This study was using simple random sampling. Blood pressure was measured by sphygmomanometer and stethoscope. Result: Independent Sample T-test showed there was significant difference between Group 1 and Group 2 which (p<0.05) for systolic and diastolic blood pressure. Conclusion: Progressive muscle relaxation intervention decrease blood pressure more than slow stroke back massage intervention in patients grade I hypertension whose consumed anti-hypertension medicine in Badung Regency.Keywords: progressive muscle relaxation, slow stroke back massage, grade I hypertension, blood pressure
THE ADDITION EFFECT OF SCAPULOTHORACIC JOINT MOBILIZATION IN INTERVENTION OF ULTRASOUND AND GLENOHUMERAL JOINT MOBILIZATION IN INCREASING RANGE OF MOTION AND FUNCTIONAL ABILITY IN INDIVIDUAL WITH FROZEN SHOULDER Ni Komang Ayu Juni Antari; Gede Parta Kinandana; Anak Agung Gede Angga Puspa Negara
Sport and Fitness Journal Vol 9 No 3 (2021): Volume 9, No. 3, September 2021
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/spj.2021.v09.i03.p04

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Frozen shoulder or commonly known as adhesive capsulitis is a condition of inflammation in the joint capsule or capsule that protects the glenohumeral joint. The purpose of this study was to prove the effect of adding scapulothoracic joint mobilization interventions in increasing the range of motion and functional ability in individuals with a frozen shoulder. The design used in this study was experimental with pre and post control group design involving 24 samples divided into two groups. Group 1 received conventional intervention including glenohumeral joint mobilization while Group 2 received the additional intervention, namely scapulothoracic joint mobilization in addition to glenohumeral joint mobilization. Ultrasound was given to both groups as initial therapy. The goniometer was used as a measurement of the shoulder range of motion and SPADI was used to measure the functional ability of the shoulder. Hypothesis testing using the independent sample t-test to compare the two interventions was found to be significantly different with the p-value = 0.000 (p <0.05). It can be concluded that the addition of scapulothoracic joint mobilization to conventional interventions proved to be effective in increasing the range of motion and functional ability of the shoulder in individual with frozen shoulder Keywords: frozen shoulder, scapulothoracic joint mobilization, glenohumeral joint mobilization, ultrasound, range of motion, SPADI
THE EFFECTIVENESS OF PROPRIOCEPTIVE NEUROMUSCULAR FACILITATION IN MECHANICAL NECK PAIN: A SYSTEMATIC REVIEW Made Hendra Satria Nugraha; Anak Agung Gede Angga Puspa Negara; Ni Komang Ayu Juni Antari; Anak Ayu Nyoman Trisna Narta Dewi
Sport and Fitness Journal Vol 9 No 2 (2021): Volume 9, No. 2, May 2021
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/spj.2021.v09.i02.p02

Abstract

Introduction: Neck pain is a health condition that has a high incidence rate and causes an inability to do daily activities and requires cost in handling it. People with neck pain could be associated with an alteration and deficit of the proprioception of the muscle and neck joint that play a significant role in joint position, postural stability, and motor control of the head and neck. Objective: The purpose of this systematic review is to find out the effectiveness of proprioceptive neuromuscular facilitation in mechanical neck pain. Method: The systematic review access to journal databases such as: PubMed Central (PMC) NCBI, Physiotherapy Evidence Database (PEDro), ProQuest, Google Scholar, MEDLINE, and the Cochrane Controlled Trials Register in the Cochrane Library. Results: The initial search in 6 databases found a total of 30 articles. Based on inclusion and exclusion criteria 4 articles were used in this systematic review. The application of the muscle energy techniques was applied ranging from 1 time to 8 weeks of intervention. From the 4 reviewed studies concluded that proprioceptive neuromuscular facilitation was effective in improving neck range of motion and function in mechanical neck pain. Conclusion: Based on the results of this systematic review it can be concluded that proprioceptive neuromuscular facilitation is effective in improving pain, pain threshold, range of motion, and functional performance in individual with neck pain. The appropriate articles are still limited to 4 studies, but have good to strong qualities. In addition, the application of intervention does not have the same standard.
PERBANDINGAN EFEKTIVITAS MYOFASCIAL RELEASE TECHNIQUE DENGAN MUSCLE ENERGY TECHNIQUE PADA INTERVENSI ULTRASOUND DALAM MENURUNKAN DISABILITAS Putu Ayu Sita Saraswati; Ni Komang Ayu Juni Antari; Anak Agung Gede Angga Puspa Negara
Sport and Fitness Journal Volume 7, No.3, September 2019
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (452.776 KB) | DOI: 10.24843/spj.2019.v07.i03.p01

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Introduction: A study shows the prevalence of musculoskeletal pain in the elbow most often diagnosed with elbow and forearm conditions is tennis elbow. Tennis Elbow, a common disease that can cause a decrease in productivity and economic losses. Treatment of physiotherapy that can be given for myofascial syndrome can be therapeutic modalities such as Ultrasound and manual therapy such as Muscle Energy Technique (MET) and Myofascial Release Technique (MRT). Method: This is an experimental study with pre and post test control group design. The number of samples was 24 people, which divided into 2 groups. Group I was given MRT with ultrasound, while Group II was given MET with ultrasound. Disability is measured by the Patient-Rated Tennis Elbow Evaluation Questionnaire. Results: Based on the results of the Paired Sample t-test in Group I and Group II the value of p <0.001 stated that there was a significant change after giving the exercise to each group. Furthermore, the comparison test between both groups used the independent sample t-test and p value <0.05. This shows that there are significant differences between groups. Conclusion: MRT further reduces disability due to tennis elbow compared to MET.Keywords: tennis elbow, disability, PRTEE, MET, MRT.
Efektivitas Penerapan Edukasi Sikap Kerja, Elektroterapi dan Terapi Latihan untuk Penderita Mechanical Neck Pain Made Hendra Satria Nugraha; Ni Komang Ayu Juni Antari; Ni Luh Putu Gita Karunia Saraswati
Jurnal Ergonomi Indonesia (The Indonesian Journal of Ergonomic) Vol 5 No 2 (2019): Volume 5 No 2 Desember 2019
Publisher : Program Studi Magister Ergonomi Fisiologi Kerja Pascasarjana Universitas Udayana Denpasar Bekerjasama dengan Perhimpunan Ergonomi Indonesia (PEI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/JEI.2019.v05.i02.p05

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Penyakit akibat kerja timbul akibat adanya ketidakseimbangan antara tugas dan kemampuan pekerja. Hal ini menimbulkan sikap kerja paksa seperti sikap kerja statis dan repetitif yang berlangsung terus-menerus. Hal ini dapat mengakibatkan terjadinya penyakit akibat kerja yang berdampak pada penurunan produktivitas kerja. Salah satu area yang mudah mengalami iritasi atau cedera adalah leher sebagai regio yang paling mobile sehingga perlu diberikan intervensi ergonomis. Adapun tujuan penelitian ini adalah untuk mengetahui efektivitas penerapan edukasi sikap kerja ergonomi, modalitas elektroterapi dan erapi latihan dalam menurunkan nyeri leher dan meningkatkan lingkup gerak sendi pada mechanical neck pain. Penelitian ini merupakan penelitian pre-eksperimental dengan one-group pre-test and post-test design. Hasil penelitian menunjukkan bahwa edukasi sikap kerja, penerapan elektroterapi dan terapi latihan dan dapat menurunkan nyeri leher (p<0,05) dan meningkatkan lingkup gerak sendi (p<0,05). Disimpulkan bahwa penerapan elektroterapi, terapi latihan, dan edukasi sikap kerja ergonomi dapat menurunkan nyeri leher dan meningkatkan lingkup gerak sendi pada mechanical neck pain.
PERBEDAAN WAKTU REAKSI VISUAL BERDASARKAN TINGKAT AKTIVITAS FISIK PADA MAHASISWA KEDOKTERAN UNIVERSITAS UDAYANA Ni Luh Githa Sumiati; Ni Komang Ayu Juni Antari; Ni Luh Nopi Andayani; I Made Winarsa Ruma
Majalah Ilmiah Fisioterapi Indonesia Vol 8 No 1 (2020): Majalah Ilmiah Fisioterapi Indonesia
Publisher : Bachelor of Physiotherapy and Physiotherapy Profession Study Program, Faculty of Medicine, Udayana University in collaboration with Indonesian Physiotherapy Association (IPA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (134.338 KB) | DOI: 10.24843/MIFI.2020.v08.i01.p05

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Waktu reaksi adalah interval antara permulaan stimulus dan inisiasi respon gerakan. Faktor-faktor yang mempengaruhi waktu reaksi adalah usia, jenis kelamin, penggunaan tangan dominan, intensitas rangsangan, kelelahan, olahraga, dan IMT. Penelitian ini bertujuan untuk mengetahui perbedaan waktu reaksi visual berdasarkan tingkat aktivitas fisik pada mahasiswa kedokteran Universitas Udayana. Desain penelitian yang digunakan adalah cross-sectional analytic yang dilakukan pada bulan Mei 2019. Total sampel penelitian ini adalah 88 orang yang dibagi menjadi dua kelompok penelitian berdasarkan tingkat aktivitas fisik. Variabel bebas pada penelitian ini adalah tingkat aktivitas fisik dan variabel terikatnya adalah waktu reaksi visual. Hasil penelitian menunjukkan nilai p=0,003 (p<0,05) dengan nilai rerata waktu reaksi visual pada kelompok aktivitas fisik aktif dan kelompok aktivitas fisik kurang aktif masing masing 462,77±50,116 ms dan 513,36±95,757 ms. Kesimpulan dari penelitian ini adalah terdapat perbedaan waktu reaksi visual yang signifikan berdasarkan tingkat aktivitas fisik pada mahasiswa kedokteran Universitas Udayana, dimana waktu reaksi visual pada kelompok aktivitas fisik aktif lebih cepat dibandingkan kelompok aktivitas fisik kurang aktif. Kata Kunci: aktivitas fisik, waktu reaksi visual, mahasiswa
PERBANDINGAN INTERVENSI ULTRASOUND DAN MUSCLE ENERGY TECHNIQUE DENGAN INTERVENSI ULTRASOUND DAN MCKENZIE EXERCISE TERHADAP PENINGKATAN KEMAMPUAN FUNGSIONAL PADA NON-SPECIFIC LOW BACK PAIN Ari Wibawa; Ni Wayan Tianing; Gede Parta Kinandana; Ni Komang Ayu Juniantari
Majalah Ilmiah Fisioterapi Indonesia Vol 6 No 2 (2018): Majalah Ilmiah Fisioterapi Indonesia
Publisher : Bachelor of Physiotherapy and Physiotherapy Profession Study Program, Faculty of Medicine, Udayana University in collaboration with Indonesian Physiotherapy Association (IPA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (238.678 KB) | DOI: 10.24843/MIFI.2018.v06.i02.p04

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Penelitian ini bertujuan untuk membandingkan intervensi ultrasound dan muscle energy technique lebih efektif daripada ultrasound dan mckenzie exercise dalam meningkatkan kemampuan fungsional pada kasus low back pain non-spesifik. Tes yang digunakan adalah modified oswestry low back pain disability questionnaire untuk mengukuran nyeri fungsional. Menggunakan desain experimental dengan pre-test and post-test group design melibatkan sampel sebanyak 32 orang yang terbagi dalam 2 kelompok. Kelompok 1 dengan perlakuan ultrasound dan muscle energy technique dan kelompok 2 dengan perlakuan ultrasound dan mckenzie exercise. Hasil Uji Hipotesis menggunakan independent sample t-test memperoleh hasil p = 0,000 dengan beda rerata pada kelompok 1 22,85(SB 4,348) sedangkan kelompok 2 didapatkan beda rerata 12,86(SB 2,797). Hasil tersebut menunjukan bahwa terdapat perbedaan penurunan nyeri fungsional LBP non-spesifik yang bermakna antara kelompok perlakuan muscle energy technique dan kelompok perlakuan mckenzie exercise.Kata kunci: low back pain non-spesifik, modified oswestry low back pain disability questionnaire, ultrasound, muscle energy technique, mckenzie exercise
PENGGUNAAN HIGH HEELS DENGAN SUDUT QUADRICEPS DAN RISIKO TERJADINYA PENURUNAN FUNGSIONAL SENDI LUTUT PADA SALES PROMOTION GIRL DI DENPASAR Fydananda Nimas Pahlevi; Ni Komang Ayu Juni Antari; I Made Niko Winaya; Gede Parta Kinandana
Majalah Ilmiah Fisioterapi Indonesia Vol 10 No 2 (2022): Majalah Ilimiah Fisioterapi Indonesia
Publisher : Bachelor of Physiotherapy and Physiotherapy Profession Study Program, Faculty of Medicine, Udayana University in collaboration with Indonesian Physiotherapy Association (IPA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MIFI.2022.v10.i02.p07

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Pendahuluan: Survei menunjukkan 37%-69% wanita menggunakan sepatu hak tinggi setiap harinya, persentase tersebut mewakili sebagian besar populasi wanita. Keadaan sosial dan fashion mendorong penggunaan sepatu hak tinggi dalam waktu lama tanpa memikirkan adanya efek gaya berjalan/gait dan fungsi dari ekstremitas bawah. Penelitian ini bertujuan untuk membuktikan hubungan antara penggunaan high heels dengan sudut quadriceps dan risiko terjadinya penurunan fungsional sendi lutut pada Sales Promotion Girls di Denpasar. Metode: Penelitian ini adalah penelitian observasional analitik dengan desain cross-sectional yang dilakukan pada bulan Maret 2021. Subjek penelitian adalah SPG mall di Denpasar dengan jumlah 50 responden yang dipilih melalui teknik purposive sampling. Peneliti melakukan anamnesis dan pemeriksaan sesuai kriteria inklusi dan eksklusi. Pengumpulan data dilakukan dari mengukur tinggi heels yang digunakan dengan penggaris, mengukur sudut quadriceps menggunakan meteran atau penggaris dan goniometer dan penilaian risiko terjadinya penurunan fungsional sendi lutut dengan kuesioner Western Ontario and McMaster (WOMAC). Hasil: Uji hipotesis yang digunakan dalam penelitian ini adalah spearman’s rho. Pada perhitungan analisis data, ditemukan nilai p=0,000(p<0,05) dan nilai korelasi r 0,715 untuk sudut quadriceps. Nilai p=0,048 dan nilai korelasi r 0,233 untuk risiko terjadinya penurunan fungsional sendi lutut. Selanjutnya adalah uji kanonikal untuk menganalisis hubungan bersama-sama untuk semua variabel. Pada perhitungan data,diperoleh hasil canonical loading sebesar 0,94898 untuk sudut quadriceps,0,95256 untuk risiko terjadinya penurunan fungsional sendi lutut, dan 1,00000 untuk penggunaan high heels sehingga semua hasil lebih tinggi dari nilai 0,5. Simpulan: Terdapat hubungan antara penggunaan high heels dengan sudut quadriceps dan risiko terjadinya penurunan fungsional sendi lutut pada Sales Promotion Girl di Denpasar. Kata Kunci: high heels, sudut quadriceps, penurunan fungsional sendi lutut
THE APLIKASI PROGRESSIVE MUSCLE RELAXATION TERHADAP PENURUNAN TEKANAN DARAH PADA HIPERTENSI DERAJAT I DI KOTA DENPASAR Ni Komang Ayu Juni Antari; I Gusti Ayu Artini; Ni Luh Nopi Andayani
Majalah Ilmiah Fisioterapi Indonesia Vol 4 No 1 (2016): Majalah Ilmiah Fisioterapi Indonesia
Publisher : Bachelor of Physiotherapy and Physiotherapy Profession Study Program, Faculty of Medicine, Udayana University in collaboration with Indonesian Physiotherapy Association (IPA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (218.925 KB) | DOI: 10.24843/MIFI.2016.v04.i01.p04

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Proressive Muscle Relaxation (PMR) merupakan salah satu metode relaksasi sederhana yang melalui dua proses yaitu menegangkan dan merelaksasikan otot tubuh. Penelitian ini dilakukan untuk mengetahui apakah pemberian PMR dapat menurunkan tekanan darah pada hipertensi derajat I di Kota Denpasar. Telah dilakukan penelitian eksperimental dengan rancangan Pre and Post Test Control Group Design. Sampel berjumlah 24 orang yang telah terdiagnosa hipertensi derajat I. Sampel dibagi menjadi 2 kelompok, yaitu kelompok perlakuan (PMR) berjumlah 12 orang dan kelompok kontrol (kontrol negatif) berjumlah 12 orang. Rerata selisih penurunan tekanan darah pada kelompok perlakuan dan kelompok kontrol diperoleh hasil p=0,000 (p<0,05) untuk data tekanan darah sistolik dan p=0,000 (p<0,05) untuk data tekanan darah diastolik. Disimpulakan bahwa terdapat perbedaan penurunan tekanan darah yang signifikan antara kelompok perlakuan dan kelompok. Hal ini disebabkan karena efek parasimpatis oleh saraf vagus pada jantung dan pembuluh darah. Proressive Muscle Relaxation dapat menurunkan tekanan darah pada hipertensi derajat I.
Co-Authors Agung Wiwiek Indrayani Aloysius Ivander Wirayudha Widjaja Anak Agung Gede Angga Puspa Negara Anak Agung Gede Angga Puspa Negara Anak Anak Gede Angga Puspa Negera Anjani Septania Soegiharto Ari Wibawa Dewi, Anak Ayu Nyoman Trisna Narta Doni Galih Bagaswara Ferdi Alkindi Fydananda Nimas Pahlevi Gede Parta Kinandana Gusti Ayu Nyoman Nanda Wulantika I Dewa Ayu Inten Dwi Primayanti I Gusti Ayu Artini I Gusti Ayu Artini I Gusti Ayu Awidiya Putri Wulandari I Gusti Ayu Diah Anjaswari I Gusti Ayu Mitha Aristya Dewi I Made Andika Tresnanda Putra I Made Buda Kurniantara I Made Niko Winaya I Made Winarsa Ruma I Nyoman Adi Putra I Putu Adiartha Griadhi I Putu Gede Adiatmika I Putu Yudi Pramana Putra Ida Ayu Dewi Wiryanthini Indira Vidiari Juhanna J. A. Pangkahila Jovanka Rayhan Susilo Kadek Rista Harjayanti Komang Ayu Widiyantari Komang Githa Pradnyamitha Dewi Luh Made Indah Sri Handari Adiputra Luh Made Indah Sri Handari Adiputra M Widnyana Made Hendra Satria Nugraha Made Winarsa Maria Assumpta Avila Beda Budhiyati Muh. Ali Imron Muhammad Irfan Ni Dyah Putu Purnamasari Ni Luh Ade Utari Ni Luh Dian Apsari Ni Luh Githa Sumiati Ni Luh Nopi Andayani Ni Luh Putu Gita Karunia Saraswati Ni Luh Veni Rahayu Ni Made Indri Sagita Ni Made Indri Sagita Ni Putu Ayu Dika Utami Ni Putu Silvia Yunia Dewi Ni Wayan Aprilia Astariani Putri Ni Wayan Tianing Nila Wahyuni Putu Ayu Sita Saraswati Putu Ayu Wulan Purnama Dewi Putu Rama Adhityadharma Rizka Tamalia Sayu Aryantari Putri Thanaya Sherly Lena Waromi Siluh Ngurah Ratih Trian Ocha Iswara