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EFEKTIFITAS PENGGUNAAN DRY NEDDLING UNTUK MENURUNKAN NYERI PADA OSTEOARTHRITIS Fahruddin, Sri Gunda Fahriana; Nugraha, Rahmat; Diya Atiqa, Ulfa
JURNAL PROFESIONAL FISIOTERAPI Vol. 4 No. 2 (2025): July
Publisher : Universitas Muhammadiyah Metro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24127/fisioterapi.v4i2.9417

Abstract

Introduction: Osteoarthritis is a chronic and progressive joint disorder usually characterised by damage to the cartilage located at the joints of the bones. This cartilage damage can be caused by mechanical stress or biochemical changes in the body. The occurrence of Osteoarthritis is influenced by various risk factors such as age (aging process), genetic, obesity, joint injury, disease Many high quality research studies are needed in these findings, so it is necessary to assess the effect of dry needling on reducing pain in patients with Osteoarthritis. Dry Needling (DN) is a technique used in the management of various neuromusculoskeletal pain syndromes by inserting fine monofilament needles through the skin. DN uses needles similar to those used in acupuncture, but the application technique is different. In DN, the needle is moved up and down within the muscle, precisely in the area of the myofascial trigger point (MTrP). This study aims to determine the benefits of dry needling in reducing pain in Osteorthritis. Methods: This research uses the literature study/literature review method. Where data searches are obtained through literature search engines using a combination of keywords according to the topic. After reviewing selected journals or articles, literature data analysis is carried out by classifying, directing, eliminating unnecessary data and organising data in such a way that it ends in a conclusion. Results: the use of Dry Neddling (DN) can reduce pain in patients with Osteoarthritis. Keywords: Osteoarthritis; Dry Neddling; Pain
Kombinasi Dry Needling dan Manipulasi Cervicothoracal Junction Berhasil Menurunkan Intensitas Nyeri pada Kondisi Myofascial Trigger Point Neck Region Nugraha, Rahmat; Lestari, Virny Dwiya; Rahma, Sitti; Nurhalim, Latifa Insani; Ramli, Rizky Wulandari
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 16, No 1 (2025): Januari-Maret 2025
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf16149

Abstract

The use of laptops and gadgets among students with poor posture can cause uneven distribution of body weight. This condition risks reducing body stability and flexibility, which if prolonged can cause muscle tension around the neck and shoulders that leads to myofascial pain syndrome (MPS). Cervical myofascial pain syndrome is characterized by the presence of myofascial trigger points (MTrPs) in the cervical area. One effective non-pharmacological approach to reducing pain is a combination of dry needling and cervicothoracal junction manipulation. The purpose of this study was to evaluate the effect of the combination of dry needling and cervicothoracal junction manipulation on reducing pain in myofascial trigger point conditions. This study design was a one-group pretest-posttest, involving 20 students from the Department of Physiotherapy, Poltekkes Kemenkes Makassar who met the inclusion criteria, such as tenderness or tenderness in the cervical MTrPs region, and limited range of motion due to facet joint dysfunction. Pain was measured using a Visual Analog Scale (VAS), while cervical range of motion was measured using a digital goniometer. Data were analyzed using the pain difference test and ROOM between before and after the intervention. The results showed that the combination of dry needling and cervicothoracal junction manipulation significantly reduced pain intensity and increased cervical range of motion in students with myofascial trigger points, with a p-value of 0.000. Furthermore, it was concluded that the combination of dry needling and cervicothoracal junction manipulation successfully reduced pain intensity in myofascial trigger point neck region conditions.Keywords: myofascial pain syndrome; trigger points; dry needling; cervicothoracal junction manipulation; pain intensityABSTRAK Penggunaan laptop dan gadget di kalangan mahasiswa dengan postur yang kurang baik dapat menyebabkan distribusi beban tubuh menjadi tidak merata. Kondisi ini berisiko menurunkan stabilitas tubuh dan fleksibilitas, yang jika berlangsung lama dapat menimbulkan ketegangan otot di sekitar leher dan bahu yang berujung pada myofascial pain syndrome (MPS). Cervical myofascial pain syndrome ditandai dengan keberadaan myofascial trigger points (MTrPs) pada area servikal. Salah satu pendekatan nonfarmakologi yang efektif untuk mengurangi nyeri adalah kombinasi dry needling dan manipulasi cervicothoracal junction. Tujuan penelitian ini adalah mengevaluasi pengaruh kombinasi dry needling dan manipulasi cervicothoracal junction terhadap penurunan nyeri pada kondisi myofascial trigger points. Rancangan penelitian ini adalah one group pretest-posttest, yang melibatkan 20 mahasiswa Jurusan Fisioterapi, Poltekkes Kemenkes Makassar yang memenuhi kriteria inklusi, seperti adanya tenderness atau nyeri tekan pada MTrPs regio cervical, serta keterbatasan rentang gerak akibat disfungsi sendi facet. Pengukuran nyeri dilakukan menggunakan Visual Analog Scale (VAS), sedangkan rentang gerak servikal diukur menggunakan goniometer digital. Data dianalisis menggunakan uji perbedaan nyeri dan ROOM antara sebelum dan sesudah intervensi. Hasil penelitian menunjukkan bahwa kombinasi dry needling dan manipulasi cervicothoracal junction secara signifikan menurunkan intensitas nyeri dan meningkatkan rentang gerak servikal pada mahasiswa dengan kondisi myofascial trigger points, dengan nilai p adalah 0,000. Selanjutnya diimpulkan bahwa kombinasi dry needling dan manipulasi cervicothoracal junction berhasil menurunkan intensitas nyeri pada kondisi myofascial trigger point neck region.Kata kunci: myofascial pain syndrome; trigger points; dry needling; manipulasi cervicothoracal junction; intensitas nyeri
Peran Latihan Stabilisasi dalam Mengurangi Nyeri Osteoarthritis Lutut Masyarakat Desa Nugraha, Rahmat; Sudaryanto, Sudaryanto; Hakim, Supartina; Halimah, Andi; Ramadhani, Nur Awalia Syahri
ABDIMASKU : JURNAL PENGABDIAN MASYARAKAT Vol 8, No 3 (2025): SEPTEMBER 2025
Publisher : LPPM UNIVERSITAS DIAN NUSWANTORO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62411/ja.v8i3.3077

Abstract

Osteoarthritis (OA) lutut merupakan salah satu masalah kesehatan yang banyak dialami masyarakat, terutama pada kelompok usia lanjut, yang dapat menyebabkan nyeri, penurunan fungsi, dan keterbatasan aktivitas sehari-hari. Kondisi ini juga ditemukan pada masyarakat Desa Panaikang, di mana sekitar 40–50% warga melaporkan keluhan nyeri lutut saat melakukan aktivitas sehari-hari seperti berdiri lama, berjalan jauh, atau menaiki tangga rumah. Pengabdian masyarakat ini dilaksanakan dengan tujuan memberikan intervensi fisioterapi berupa latihan stabilisasi pada warga yang mengalami keluhan nyeri lutut akibat OA knee. Metode yang digunakan adalah edukasi kesehatan, demonstrasi, dan praktik langsung latihan stabilisasi sendi lutut yang dilakukan secara berkelompok. Hasil kegiatan menunjukkan adanya peningkatan pemahaman warga mengenai pentingnya latihan stabilisasi serta kemampuan mereka dalam mempraktikkan latihan secara mandiri di rumah. Selain itu, beberapa peserta melaporkan berkurangnya rasa nyeri dan peningkatan toleransi aktivitas sehari-hari setelah mengikuti latihan secara rutin. Kegiatan ini menegaskan pentingnya peran fisioterapi dalam penatalaksanaan OA knee di masyarakat, khususnya melalui latihan stabilisasi yang sederhana, aplikatif, dan dapat dilakukan secara mandiri untuk meningkatkan kualitas hidup.
Penambahan Core Stability pada Proprioceptive Neuromuscular Facilitation untuk Memperbaiki Kemampuan Ambulasi Pasien Hemiparese Pasca Stroke Sudaryanto, Sudaryanto; Erawan, Tiar; Nugraha, Rahmat; Hasbiah, Hasbiah; Usman, Nurhayati
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 15, No 1 (2024): Januari-Maret 2024
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf15132

Abstract

The degree of disability experienced by stroke patients depends on the severity of the hemiparesis experienced by the patient. Approximately 30-60% of patients with hemiparesis experience changes in ambulation ability. The aim of this study was to determine the effect of adding core stability to proprioceptive neuromuscular facilitation on improving the ambulation ability of post-stroke hemiparesis patients. The design of this research was a randomized pretest-posttest with control group, which involved 2 groups, namely the treatment group that was given core stability and proprioceptive neuromuscular facilitation, and the control group that was given proprioceptive neuromuscular facilitation. Each group consisted of 10 patients, which were determined by random allocation. In both groups, "sit to stand" activity measurements were carried out in the phases before and after the intervention was given. Then a difference test was carried out with the t test. Paired samples t-test showed the p value was 0.001 for the treatment group and 0.003 in the control group. Thus both methods were effective in achieving the expected results. The independent samples t-test showed the p value was 0.402, so it was concluded that the results obtained from the two methods were not significantly different, although the improvement was better in the treatment group. It was concluded that core stability in proprioceptive neuromuscular facilitation can produce greater improvements in ambulation ability than proprioceptive neuromuscular facilitation in post-stroke hemiparesis patients.Keywords: core stability; proprioceptive neuromuscular facilitation; ambulation; hemiparesis; post-strokeABSTRAKDerajat kecacatan yang dialami oleh pasien stroke tergantung dari beratnya hemiparese yang dialami oleh pasien. Sekitar 30-60% pasien dengan hemiparese mengalami perubahan kemampuan ambulasi. Tujuan penelitian ini adalah untuk mengetahui efek penambahan core stability pada proprioceptive neuromuscular facilitation terhadap perbaikan kemampuan ambulasi pasien hemiparese pasca stroke. Desain penelitian ini adalah randomized pretest-posttest with control group, yang melibatkan 2 kelompok, yaitu kelompok perlakuan yang diberikan core stability dan proprioceptive neuromuscular facilitation, serta kelompok kontrol yang diberikan proprioceptive neuromuscular facilitation. Masing-masing kelompok terdiri atas 10 pasien, yang ditentukan dengan cara random alokasi. Pada kedua kelompok dilakukan pengukuran aktivitas “sit to stand” pada fase sebelum dan sesudah diberikan intervensi. Lalu dilakukan uji perbedaan dengan uji t. Paired samples t-test menunjukkan nilai p adalah 0,001 untuk kelompok perlakuan dan 0,003 pada kelompok kontrol. Dengan demikian kedua metode efektif untuk mencapai hasil yang diharapkan. Independent samples t-test menunjukkan nilai p adalah 0,402, sehingga disimpulkan bahwa hasil yang diperoleh dari kedua metode tidak berbeda secara signifikan, meskipun peningkatan lebih baik pada kelompok perlakuan. Disimpulkan bahwa core stability pada proprioceptive neuromuscular facilitation dapat menghasilkan perbaikan kemampuan ambulasi yang lebih besar daripada proprioceptive neuromuscular facilitation pada pasien hemiparese pasca stroke.Kata kunci: core stability; proprioceptive neuromuscular facilitation; ambulasi; hemiparese; pasca stroke
Periosteal Pecking versus Piston Dry Needling Techniques: A Comparative Study on Pain Reduction in Tennis Elbow Nugraha, Rahmat; Dwiya Lestari, Virny; Hakim, Supartina; Awalia Syahri Ramdhani, Nur; Dermawan Syamsul, Ikhsan
Media Kesehatan Politeknik Kesehatan Makassar Vol 20 No 2 (2025): Media Kesehatan
Publisher : Direktorat Politeknik Kesehatan Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32382/medkes.v20i2.1770

Abstract

Lateral epicondylitis is a musculoskeletal disorder caused by overuse of the extensor carpi radialis brevis (ECRB) tendon, characterized by pain and decreased muscle function. This study aimed to compare the effectiveness of piston dry needling and periosteal pecking techniques in reducing pain and improving handgrip strength in patients with lateral epicondylitis. This research employed a quasi-experimental pretest–posttest two-group design involving 20 respondents who were divided into two groups: the piston dry needling group (n = 10) and the periosteal pecking group (n = 10). Both groups received dry needling intervention once per week for four consecutive weeks, for a total of four treatment sessions. The instruments used included the Visual Analog Scale (VAS) to measure pain and a Hand Dynamometer to measure handgrip strength. Data were analyzed using paired t-tests for within-group differences and independent t-tests for between- group comparisons. The results showed that both dry needling techniques were effective in significantly reducing pain and increasing handgrip strength (p<0.001). In the piston dry needling group, the mean VAS decreased from 6.78 ± 0.66 to 2.55 ± 1.27 (Δ 4.23 ± 1.01), and handgrip strength increased from 23.20 ± 3.82 to 28.30 ± 4.12 (Δ 5.10 ± 2.60). In the periosteal pecking group, the mean VAS decreased from 7.25 ± 0.54 to 1.55 ± 0.35 (Δ 5.20 ± 0.70), and handgrip strength increased from 22.60 ± 3.20 to 25.90 ± 3.85 (Δ 3.30 ± 1.60). The independent t-test revealed significant differences in pain reduction (p=0.020) and handgrip improvement (p=0.050). In conclusion Periosteal pecking demonstrated greater effectiveness in reducing pain, while piston dry needling showed a stronger tendency to increase handgrip strength, although the between-group difference for handgrip strength was marginal. Future studies with larger samples or longer follow-up periods are recommended.