The Effect Of Integrated Neuromuscular Inhibition Technique On Improving Neck Functional Ability In Tension-Type Headache

Tension-type headache is one of the most common complaints of musculoskeletal pain due to myofascial trigger points. The presence of pain and soreness in the neck and head, tightness, stiffness, spasms, and limitation of motion is a complaint that is often experienced by patients. Methods: This study aims to determine the effect of the Integrated Neuromuscular Inhibition Technique exercise on increasing the functional ability of the neck in Tension-Type Headache conditions. This research is a pre-experimental study with a pre-test and post-test one-group design using an accidental sampling technique with a total sample of 30 people. The place of research was conducted at the Telkomedika Makassar Clinic. A tool to measure the functional ability of the neck using the Neck Disability Index (NDI). Result: The results of the study were an increase in the functional ability of the neck based on measurements of the Neck Disability Index (NDI), namely a pre-test value of 48.80 to a post-test of 41.13 in the condition of Tension-Type Headache at the Telkomedika Clinic Makassar because after being given Integrated Neuromuscular Inhibition Technique therapy (INIT) decreased neck pain, decreased spasm of the neck muscles, and increased functional ability of the neck. Conclusion: Integrated Neuromuscular Inhibition Technique exercises can improve the functional ability of the neck in Tension-Type Headache conditions at the Telkomedika Clinic in Makassar

Edukasi dan Pendampingan Pembuatan Ovitrap sebagai Upaya Pengendalian Demam Berdarah

Dengue Hemorrhagic Fever (DHF) or Dengue Haemorhagic Fever (DHF) is one of several infectious diseases that are a health problem in the world, especially developing countries. Aedes spp mosquitoes are vectors of arbovirus diseases, including Yellow Fever, Dengue Fever, Dengue Hemorrhagic Fever (DHF), and Chikungunya. One method of controlling Aedes is the use of ovitrap. This service aims to provide education and assistance in the manufacture of ovitrap as one of the efforts to control DHF. This service is carried out by providing knowledge about dengue disease and its control and how to make simple ovitrap. Education is carried out by means of counseling which was previously given a pre-test and post-test as a measuring tool for increasing knowledge. The standard ovitrap is made with a small wide-mouthed glass/pot painted black on the outside and given gauze as an egg trap. The glass is half filled with water to part and placed inside and outside the house which is suspected to be the habitat of the Aedes mosquito. The results of education and assistance in making ovitrap for cadres in the Tamangapa sub-district were that participants benefited, namely increasing knowledge and increasing skills in making ovitrap. The conclusion of this activity is that the community gets an increase in general knowledge about DHF, Aedes Aegypty mosquitoes and how to control them and increases skills in making ovitra

PENGARUH PAPARAN DEBU TSP DAN PENGGUNAAN APD TERHADAP GEJALA ISPA PENGGUNA TERMINAL

Symptoms of Acute Respiratory Infection (ARI) are complaints experienced by a person in the respiratory tract. Respiratory tract disease is the third leading cause of death in workers, which is 21%. Some of the causes of ARI are dust exposure and non-compliance with the use of personal protection equipment (PPE), especially those that are in direct contact with dust. This study uses an analytical observational design with a cross sectional approach. Sampling by simple random sampling a number of respondents 80 respondents. Measurement of dust in the work environment using a digital dust monitor, assessment of symptoms of ARI using a questionnaire from the Ministry of Health in 2002 and the use of PPE based on observation sheets. The result of this research is that the average dust concentration is 4.606 mg/m3. for symptoms of ARI the majority of respondents are in the moderate category. The results of the bivariate test showed that there was a significant relationship between dust levels and the use of PPE with ARI symptoms with a p value of 0.045 and 0,024. There is a strong and unidirectional significant relationship between exposure to TSP dust and the use of PPE with ARI symptoms so that terminal users are expected to obey the use of masks to reduce the risk of dust exposure. Keywords : Acute Respiratory Infection, Dust, PP

PENERAPAN SHORTWAVE DIATHERMY, MANUAL CORRECTION LATERAL SHIFT DAN CORE STABILITY PADA LUMBAR RADICULOPATHY

Penelitian ini bertujuan untuk mengetahui Penerapan Shortwave Diathermy, Manual Correction Lateral Shift dan Core Stability pada Lumbar Radiculopathy di RSAD TK II Pelamonia Makassar. Jenis penelitian ini adalah studi kasus yaitu penelitian yang mendalam pada 1 jenis kasus terhadap 2 sampel. Modalitas yang digunakan adalah shortwave diathermy, manual correction lateral shift dan core stability, sedangkan evaluasi yang digunakan untuk melihat kemajuan terapi adalah nyeri (VAS), Derajat SLR (goniometer), dan kemampuan aktivitas fungsional Oswestry Disability Indeks(ODI). Hasil penelitian berdasarkan pemeriksaan fisioterapi didapatkan diagnosa yaitu nyeri radikuler dan keterbatasan SLR akibat hernia nucleus pulposus lumbal, sedangkan problematik yang ditemukan adalah adanya nyeri radikuler, spasme otot, keterbatasan gerak dan gangguan aktivitas fungsional. Setelah dilakukan terapi berupa shortwave diathermy, manual correction lateral shift dan core stability sebanyak 8 kali intervensi didapatkan perubahan nilai VAS untuk nyeri gerak dari 8 menjadi 4, nyeri tekan dari 7 menjadi 3 dan nyeri diam dari 5 menjadi 2 pada pasien A sedangkan pasien B nyeri gerak dari 6 menjadi 3, nyeri tekan dari 5 menjadi 2 dan nyeri diam dari 3 menjadi 0. Untuk perubahan Derajat SLR setelah 8 kali intervensi didapatkan peningkatan dari 50o menjadi 75o pada pasien A, sedangkan pasien B terjadi peningkatan dari 60o menjadi 80o. Perubahan kemampuan aktivitas fungsional didapatkan juga peningkatan dengan presentase skor awal yaitu 48% termasuk disabilitas berat menjadi 30% yaitu disabilitas sedang pada pasien A dan pada pasien B didapatkan peningkatan dengan presentase skor awal yaitu 26% termasuk disabilitas sedang menjadi 18% yaitu disabilitas minimal. Dengan demikian dapat disimpulkan bahwa shortwave diathermy, manual correction lateral shift dan core stability dapat memberikan efek terhadap penurunan nyeri radikuler, spasme otot, keterbatasan gerak dan gangguan aktivitas fungsional pada penderita lumbar radiculopathy.Kata Kunci: lumbar radiculopathy, shortwave diathermy, manual correction lateral shift dan core stabilit

PENGARUH ULTRASOUND DAN INTEGRATED NEUROMUSCULAR INHIBITION TECHNIQUE (INIT) TERHADAP PENURUNAN NYERI MYOFACIAL PAIN SYNDROME MUSCULUS UPPER TRAPEZIUS PADA MAHASISWA JURUSAN FISIOTERAPI

Latar Belakang: Myofascial pain syndrome (MPS) adalah kondisi nyeri yang umumnya kronis, tetapi bisa akut. MPS sering dikaitkan dengan myofascial trigger points (MTrPs) pada otot dan jaringan ikat termasuk fasia. MTrP aktif adalah salah satu generator nyeri perifer utama untuk kondisi nyeri muskuloskeletal.Metode: Jenis penelitian ini adalah pra experimen dengan disain penelitian pre test-post test one group design, bertujuan untuk mengetahui pengaruh Ultrasound dan Init (Integrated Neuromuscular Inhibition Technique) terhadap penurunan nyeri pada penederita Myofacial Pain Syndrome Musculus Upper Trapezius pada mahasiswa jurusan Fisioterapi dan menggunakan alat ukur Visual nalog scale (VAS).Hasil: Berdasarkan analisis uji statistik Wilcoxon menunjukkan bahwa terjadi penurunan nyeri yang dapat dilihat dari rerata pre-test 6.069 menjadi rerata post-test 3.263 dan diperoleh hasil p= .000 (p<0,05) yang berarti bahwa pemberian Ultrasound dan Init (Integrated Neuromuscular Inhibition Technique) dapat memberikan pengaruh yang bermakna terhadap penurunan nyeri pada Myofacial Pain Syndrome Musculus Upper Trapezius.Kesimpulan: Kesimpulan penelitian ini yaitu, kepada rekan-rekan fisioterapi di kampus jurusan fisioterapi atau Lahan Praktek agar menggunakan intervensi Ultrasound dan Init (Integrated Neuromuscular Inhibition Technique) sebagai salah satu terapi terpilih untuk penurunan nyeri pada penderita Myofacial Pain Syndrome Musculus Upper Trapezius.Kata Kunci: Ultrasound, Init (Integrated Neuromuscular Inhibition Technique) Nyeri, Myofacial Pain Syndrome Musculus Upper Trapezius