Johan R, Aditya
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The Difference in the Effects of Dry Needling (DN) and Low Level Laser Therapy (LLLT) on Pain Reduction in Upper Trapezius Spasms Anggit Laksita Dewi; Zuhri, Saifudin; Johan R, Aditya
Jurnal Keterapian Fisik Jurnal Keterapian Fisik Volume 8 Number 2 Year 2023
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkf.v8i2.496

Abstract

Background: Upper trapezius muscle spasm pain often occurs due to excessive forward head posture and persistent muscle tension, thereby hindering functional activities. Various physiotherapy modalities are used to reduce pain, including Dry Needling (DN) and Low Level Laser Therapy (LLLT). The purpose of this study was to compare the effectiveness of DN and LLLT in reducing upper trapezius muscle spasm pain. Methods: This study was an experiment with a two-group pre- and post-test design. A sample of 30 patients from the Physiotherapy Clinic at Dr. Ramelan Hospital in Surabaya was selected using simple random sampling and divided into two groups of 15 people each. Group I received DN intervention, while group II received LLLT for four weeks at a frequency of three times per week. The research instrument used the Visual Analog Scale (VAS), which has a reliability of 0.97 and validity of 0.925. Data analysis was performed using the paired sample t-test and independent sample t-test. Results: There was a significant difference between the VAS scores before and after treatment in both groups (p=<0.001). The pain reduction score was higher in the DN group (Δ=3.5) than in the LLLT group (Δ=1.75), proving that DN is more effective in reducing upper trapezius muscle spasm pain. Conclusion: DN is more effective than LLLT in reducing upper trapezius muscle spasm pain. DN intervention can be used as the primary choice in the management of neck muscle spasm and combined with therapeutic exercises for optimal results.
Differences in the Effects of Two Combinations of Hold Relax Techniques on Gastrocnemius Muscle Pain Reduction Syafa'ah, Ma'rifatu; Johan R, Aditya; Syatibi, M Mudatsir
Jurnal Keterapian Fisik Jurnal Keterapian Fisik Volume 8 Number 2 Year 2023
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkf.v8i2.497

Abstract

Background: Pain in the gastrocnemius muscle is often experienced by garment factory workers due to repetitive standing and walking activities. Combination therapy techniques are an alternative to reduce pain and improve muscle function. This study aims to determine the difference in effectiveness between hold relax exercise with auto myofascial release technique and hold relax exercise with auto stretching in reducing gastrocnemius muscle pain in garment company employees. Methods: This study used a quasi-experimental design with a pre-post test control group. A sample of 40 employees with gastrocnemius muscle pain was selected using purposive sampling and divided into two intervention groups of 20 people each. The first group received hold relax exercise and auto myofascial release technique, while the second group received hold relax exercise and auto stretching. Pain was measured using the Visual Analog Scale (VAS). Data were analyzed using the Wilcoxon and Mann-Whitney tests. Results: Statistical testing using an independent t-test yielded a result of p=0.007 (p<0.05), which means that there was a difference between groups I and II, with a mean difference after treatment of 13.27 mm in group I and 3.53 mm in group II. Conclusion: Hold relax exercise with the Auto myofascial release technique is more effective in reducing gastrocnemius muscle pain than Hold relax exercise with Auto stretching in garment company employees.