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All Journal Proceedings of the International Conference on Applied Science and Health Journal of Innovation Research and Knowledge
Suci Muqodimatul Jannah
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Humanities Economics, Econometrics & Finance Education Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences

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Journal : Journal of Innovation Research and Knowledge

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PENGARUH PEMBERIAN TENS & TEKNIK PNF TERHADAP PENURUNAN NYERI, PENINGKATAN LGS, DAN PENINGKATAN AKTIVITAS FUNGSIONAL PADA PASIEN FROZEN SHOULDER Iffah Fauzatu Zahro; Fitri Yani; Suci Muqodimatul Jannah
Journal of Innovation Research and Knowledge Vol. 5 No. 2: Juli 2025
Publisher : Bajang Institute

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Abstract

Kondisi Frozen shoulder didahului oleh adanya rasa nyeri, terutama rasa nyeri timbul sewaktu menggerakan bahu. Jika dibiarkan, dampaknya bisa terjadi imobilisasi jangka panjang. Gangguan Frozen shoulder biasanya terjadi pada usia dewasa akhir atau pre-lansia sampai masuk usia lansia, yaitu dari usia 40 tahun ke atas. Terutama dialami oleh wanita, dimana lebih sering menggunakan kedua lengannya untuk beraktivitas sehari-hari. Tujuan penelitian: Penelitian ini bertujuan untuk mengetahui pengaruh pemberian TENS dan teknik PNF terhadap derajat nyeri, Lingkup Gerak Sendi (LGS), dan aktivitas fungsional bahu pada pasien Frozen shoulder. Metode: Penelitian ini bersifat quasi-experiment dengan tipe one group pre-test & post-test design yang dilakukan pada bulan Mei-Juni 2025 dengan total sampel yang memenuhi kriteria inklusi berjumlah 20 pasien. Penelitian dilakukan di puskesmas Seyegan. Sampel penelitian menerima intervensi TENS dan teknik PNF selama 4 kali pertemuan. Pengukuran nyeri dengan menggunakan Visual Analogue Scale (VAS), Pengukuran Lingkup Gerak Sendi (LGS) menggunakan goneometer, serta aktivitas fungsional bahu dengan kuesioner Shoulder Pain and Disability Index (SPADI). Hasil: Uji hipotesis menggunakan Paired sample t-test menunjukkan bahwa pemberian TENS dan teknik PNF secara signifikan menurunkan nyeri dengan mean pre-test dan post-test yaitu 5,33-1,33 (P=0,002), meningkatkan Lingkup Gerak Sendi (LGS) dengan mean pre-test dan post-test yaitu 72-18,6 (P=0,000), serta meningkatkan aktivitas fungsional bahu dengan mean pre-test dan post-test untuk gerakan eksternal rotasi yaitu 44,75-73,75, gerakan internal rotasi sebesar 42-61,5, gerakan abduksi sebesar 75,25-110,75, dan gerakan flexi sebesar 83,00-122,00. Masing-masing dari keempat gerakan, didapatkan nilai P=0,000. Kesimpulan: Pemberian intervensi TENS dan teknik PNF secara rutin dapat memberikan efek yang cukup signifikan.
PERBEDAAN PENGARUH PEMBERIAN WILLIAM FLEXION EXERCISE DAN ISOMETRIC EXERCISE TERHADAP PENINGKATAN KEMAMPUAN FUNGSIONAL PADA PENDERITALOW BACK PAIN NON SPESIFIK Rafif Himawan Nimasdwi Putra; Agus Riyanto; Suci Muqodimatul Jannah
Journal of Innovation Research and Knowledge Vol. 5 No. 5 (2025): Oktober 2025
Publisher : Bajang Institute

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Abstract

Background: Non-specific low back pain (NSLBP) is a common musculoskeletal disorder among the elderly, leading to reduced functional ability and quality of life. William Flexion Exercise (WFE) and Isometric Exercise (IE) are two physical therapy interventions aimed at reducing pain and improving functional ability; however, the comparison of their effectiveness has not been extensively studied in the elderly population in Indonesia. Objective: This study aims to compare the effects of WFE and IE on improving functional ability in patients with LBP in the Bugar Mandiri elderly health center group in Tegalrejo, Yogyakarta. Methods: A quasi-experimental study with a pre-test and post-test design was conducted on 36 elderly individuals aged 60– 75 years, randomly divided into a WFE group (n = 18) and an IE group (n = 18). Interventions were administered three times a week for four weeks, with WFE including pelvic tilt, single knee to chest, double knee to chest, and hamstring stretch movements, and IE including curl up, side bridge, and bird dog exercises. Functional ability was measured using the Oswestry Disability Index (ODI), and pain intensity was assessed using the Visual Analogue Scale (VAS). Data analysis used the Shapiro-Wilk normality test, Levene's homogeneity test, paired t-test for effects within groups, and independent t-test for comparisons between groups. Results: Both groups showed a significant increase in functional ability (ODI) and a decrease in pain (VAS) (p<0.001). The WFE group had an ODI score of 31.5 before treatment and 26.56 after treatment, while the VAS score was 4.17 before treatment and 2.61 after treatment. Meanwhile, the IE group showed an ODI score of 28.22 before treatment and 23.33 after treatment, while the VAS score was 3.89 before treatment and 2.67 after treatment. However, the independent t-test showed no significant differences between groups in ODI (p=0.066) and VAS (p=0.879). Conclusion: WFE and IE are both effective in improving functional ability and reducing pain in patients with NPBNS, with no significant difference between the two interventions. Recommendation: Both exercises can be recommended as physiotherapy interventions for NPBNS in the elderly, taking into account patient comfort and clinical needs. Further research with larger samples and longer intervention durations is needed to confirm these findings.
Co-Authors AGUS RIYANTO Fitri Yani Iffah Fauzatu Zahro Rafif Himawan Nimasdwi Putra