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Abstract
Bicipitalis tendinitis is an inflammation of the biceps tendon, which is the connective tissue between the biceps muscle and the humerus bone. This inflammation can cause pain, swelling and limited movement. The prevalence of bicipital tendinitis in Indonesia in 2023 is estimated at 2.5% of the general population. the prevalence of bicipital tendinitis in adults aged 18-65 years is 2.5% that athletes who use the bicep muscle more often, such as weightlifters, have a higher risk of suffering from bicipital tendinitis. If left untreated, it will hamper exercise and daily activities.The sample in this study amounted to 1 client. Data collection methods by means of subjective examination, objective examination, motion examination, examination of cognitive abilities, personal and interpersonal skills, functional examination and activity environment, and specific examination. This type of descriptive case study research uses participatory observation methods, physiotherapy intervention procedures with Ultrasound, TENS and Hold Relax exercise. The subject in this study was An. Sh is a 33 year old para-powerlifting athlete by profession, the patient is 177 cm tall and weighs 70 kg. The patient came to the NPC Indonesia physiotherapy clinic on August 25, 2023 because the patient complained of pain in the right front shoulder. muscle examination obtained normal results in all physical examinations except for the pain examination performed with Visual Analoque Scale (VAS) obtained silent pain 2/10, tenderness 5/10 and motion pain 6/10. The physiotherapist conducted a specific examination obtained positive Yergason Test results and a positive Speeds Test indicating the occurrence of dextra Bicipitalis Tendinitis. The results after being given intervention in Bicipitalis Tendinitis patients with Ultrasound, TENS and Hold Relax exercise for 6 times therapy in 2 weeks are a significant decrease in pain and an increase in activity.
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Copyright (c) 2023 Heru Purnomo, Suryo Saputra Perdana, Amalia Nur Azizah

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References
- Abdillah, O. Z., Putri, A. K., Nugraha, D. A., & Putri, A. M. A. (2021). Pengaruh Modalitas Infra Red Dan Terapi Latihan Hold Relax Exercise Dalam Megurangi Nyeri Dan Meningkatkan Kemampuan Fungsional Pasien Tendinitis Bicipitalis. Physiotherapy Health Science (PhysioHS), 3(2), 70-73.
- Abdillah, O. Z., Putri, A. K., Nugraha, D. A., & Putri, A. M. A. (2021). Pengaruh Modalitas Infra Red Dan Terapi Latihan Hold Relax Exercise Dalam Megurangi Nyeri Dan Meningkatkan Kemampuan Fungsional Pasien Tendinitis Bicipitalis. Physiotherapy Health Science (PhysioHS), 3(2), 70-73.
- Ahmed, A. A., Abdelraziq, G. M., Mosallam, K. H., & Ahmed, H. H. (2023). Comparative Study between High Resolution Ultrasound and MRI in Diagnosis of Rotator Cuff Tears. SVU-International Journal of Medical Sciences, 6(2), 639-651.
- Azizah, i. N. (2020). Penatalaksanaan fisioterapi pada tendinitis bicipitalis sinistra (Doctoral dissertation, Universitas Widya Husada Semarang).
- Berampu, S. S. (2023). Pengaruh mobilitation with movement dan basic exercise therapy terhadap peningkatan fungsional gerak shoulder joint pada penderita capsulitis adhesiva. Jurnal Ilmiah Kedokteran dan Kesehatan, 2(1), 141-151.
- Churgay, C. A. (2009). Diagnosis and treatment of biceps tendinitis and tendinosis. American family physician, 80(5), 470-476.
- Delgado, D. A., Lambert, B. S., Boutris, N., McCulloch, P. C., Robbins, A. B., Moreno, M. R., & Harris, J. D. (2018). Validation of Digital Visual Analog Scale Pain Scoring With a Traditional Paper-based Visual Analog Scale in Adults. Journal of the American Academy of Orthopaedic Surgeons Global Research and Reviews, 2(3), 1–6. https://doi.org/10.5435/JAAOSGlobal-D-17-00088
- Gulzar, K., Abdullah, S. A., Islam, F., Raza, A., Tuqeer, H., & Shakoor, a. Prevalence of biceps tendinitis among body builders.
- Hijayanti, S. (2021). Pengaruh Pemberian Tens dan William Fleksi pada Kondisi Ischialgia Sinistra EC Spondyloarthrosis. Jurnal Fusion, 1(03), 96-109.
- Kumar, V. P., & Satku, K. (1990). Tenodesis of the long head of the biceps brachii for chronic bicipital tendinitis. Long-term results. JBJS, 72(5), 789-790.
- Lee, J., & Trentman, C. (2023). Biceps Tendonitis. In A Case-Based Approach to Shoulder Pain: A Pocket Guide to Pathology, Diagnosis and Management (pp. 37-48). Cham: Springer International Publishing.
- Mamuaja, F. J. (2020). Penatalaksanaan fisioterapi dengan trancutaneus electrical nerve stimulation untuk mengurangi nyeri dan terapi latihan meningkatkan lingkup gerak sendi pada tendinitis bicipitali (doctoral dissertation, universitas katolik de la salle manado).
- McDevitt, A. W., Cleland, J. A., Addison, S., Calderon, L., & Snodgrass, S. (2022). Physical therapy interventions for the management of biceps tendinopathy: an international Delphi study. International Journal of Sports Physical Therapy, 17(4), 677.
- Novak, M., & Goolsby, M. (2023). optimising health equity through para sport. British Journal of Sports Medicine, 57(3), 130–131. https://doi.org/10.1136/bjsports-2022-106192
- Onga, T., Yamamoto, T., Akisue, T., Marui, T., & Kurosaka, M. (2005). Biceps tendinitis caused by an osteochondroma in the bicipital groove: a rare cause of shoulder pain in a baseball player. Clinical Orthopaedics and Related Research®, 431, 241-244.
- Patil, P. P., & Kadam, N. (2022). Effectiveness of muscle energy technique on shoulder range of motion in individuals with bicipital tendinitis, randomised clinical trial.
- Patton, W. C., & McCluskey III, G. M. (2001). Biceps tendinitis and subluxation. Clinics in sports medicine, 20(3), 505-529.
- Saptahady ZP, A., & Dwi Rosella, K. (2014). Penatalaksanaan Fisioterapi Pada Kasus Tendinitis Bicipitalis Sinistra Di RS PKU Muhammadiyah Yogyakarta (Doctoral dissertation, Universitas Muhammadiyah Surakarta).
- Setiawan, A. (2011). Faktor Timbulnya Cedera Olahraga. Media Ilmu Keolahragaan Indonesia, 1(1), 94–98.
- Setyaningrum, D. A. W. (2019). Cedera olahraga serta penyakit terkait olahraga. Jurnal Biomedika Dan Kesehatan, 2(1), 39–44. https://doi.org/10.18051/jbiomedkes.2019.v2.39-44
- Silva, M. P. M. E., Winckler, C., Silva, A. A. C. E., Bilzon, J., & Duarte, E. (2013). Sports injuries in Paralympic track and field athletes with visual impairment. Medicine & Science in Sports & Exercise, 45(5), 908-913.
- Walch, G. (2003). Biceps tendinitis: Classification andtreatment with tenotomys. Operative Techniques in Sports Medicine, 11(1), 2-5.
- Weiler, R., Van Mechelen, W., Fuller, C., & Verhagen, E. (2016). Sport Injuries Sustained by Athletes with Disability: A Systematic Review. Sports Medicine, 46(8), 1141–1153. https://doi.org/10.1007/s40279-016-0478-0
- Yuvarani, G., Paul, J., Abraham, M. M., & Harikrishnan, N. (2023). Impact of PNF, Active Release Technique and Conventional Physiotherapy on the physical ability of subjects with Periarthritis Shoulder. Journal of Population Therapeutics and Clinical Pharmacology, 30(8), 291-297.
References
Abdillah, O. Z., Putri, A. K., Nugraha, D. A., & Putri, A. M. A. (2021). Pengaruh Modalitas Infra Red Dan Terapi Latihan Hold Relax Exercise Dalam Megurangi Nyeri Dan Meningkatkan Kemampuan Fungsional Pasien Tendinitis Bicipitalis. Physiotherapy Health Science (PhysioHS), 3(2), 70-73.
Abdillah, O. Z., Putri, A. K., Nugraha, D. A., & Putri, A. M. A. (2021). Pengaruh Modalitas Infra Red Dan Terapi Latihan Hold Relax Exercise Dalam Megurangi Nyeri Dan Meningkatkan Kemampuan Fungsional Pasien Tendinitis Bicipitalis. Physiotherapy Health Science (PhysioHS), 3(2), 70-73.
Ahmed, A. A., Abdelraziq, G. M., Mosallam, K. H., & Ahmed, H. H. (2023). Comparative Study between High Resolution Ultrasound and MRI in Diagnosis of Rotator Cuff Tears. SVU-International Journal of Medical Sciences, 6(2), 639-651.
Azizah, i. N. (2020). Penatalaksanaan fisioterapi pada tendinitis bicipitalis sinistra (Doctoral dissertation, Universitas Widya Husada Semarang).
Berampu, S. S. (2023). Pengaruh mobilitation with movement dan basic exercise therapy terhadap peningkatan fungsional gerak shoulder joint pada penderita capsulitis adhesiva. Jurnal Ilmiah Kedokteran dan Kesehatan, 2(1), 141-151.
Churgay, C. A. (2009). Diagnosis and treatment of biceps tendinitis and tendinosis. American family physician, 80(5), 470-476.
Delgado, D. A., Lambert, B. S., Boutris, N., McCulloch, P. C., Robbins, A. B., Moreno, M. R., & Harris, J. D. (2018). Validation of Digital Visual Analog Scale Pain Scoring With a Traditional Paper-based Visual Analog Scale in Adults. Journal of the American Academy of Orthopaedic Surgeons Global Research and Reviews, 2(3), 1–6. https://doi.org/10.5435/JAAOSGlobal-D-17-00088
Gulzar, K., Abdullah, S. A., Islam, F., Raza, A., Tuqeer, H., & Shakoor, a. Prevalence of biceps tendinitis among body builders.
Hijayanti, S. (2021). Pengaruh Pemberian Tens dan William Fleksi pada Kondisi Ischialgia Sinistra EC Spondyloarthrosis. Jurnal Fusion, 1(03), 96-109.
Kumar, V. P., & Satku, K. (1990). Tenodesis of the long head of the biceps brachii for chronic bicipital tendinitis. Long-term results. JBJS, 72(5), 789-790.
Lee, J., & Trentman, C. (2023). Biceps Tendonitis. In A Case-Based Approach to Shoulder Pain: A Pocket Guide to Pathology, Diagnosis and Management (pp. 37-48). Cham: Springer International Publishing.
Mamuaja, F. J. (2020). Penatalaksanaan fisioterapi dengan trancutaneus electrical nerve stimulation untuk mengurangi nyeri dan terapi latihan meningkatkan lingkup gerak sendi pada tendinitis bicipitali (doctoral dissertation, universitas katolik de la salle manado).
McDevitt, A. W., Cleland, J. A., Addison, S., Calderon, L., & Snodgrass, S. (2022). Physical therapy interventions for the management of biceps tendinopathy: an international Delphi study. International Journal of Sports Physical Therapy, 17(4), 677.
Novak, M., & Goolsby, M. (2023). optimising health equity through para sport. British Journal of Sports Medicine, 57(3), 130–131. https://doi.org/10.1136/bjsports-2022-106192
Onga, T., Yamamoto, T., Akisue, T., Marui, T., & Kurosaka, M. (2005). Biceps tendinitis caused by an osteochondroma in the bicipital groove: a rare cause of shoulder pain in a baseball player. Clinical Orthopaedics and Related Research®, 431, 241-244.
Patil, P. P., & Kadam, N. (2022). Effectiveness of muscle energy technique on shoulder range of motion in individuals with bicipital tendinitis, randomised clinical trial.
Patton, W. C., & McCluskey III, G. M. (2001). Biceps tendinitis and subluxation. Clinics in sports medicine, 20(3), 505-529.
Saptahady ZP, A., & Dwi Rosella, K. (2014). Penatalaksanaan Fisioterapi Pada Kasus Tendinitis Bicipitalis Sinistra Di RS PKU Muhammadiyah Yogyakarta (Doctoral dissertation, Universitas Muhammadiyah Surakarta).
Setiawan, A. (2011). Faktor Timbulnya Cedera Olahraga. Media Ilmu Keolahragaan Indonesia, 1(1), 94–98.
Setyaningrum, D. A. W. (2019). Cedera olahraga serta penyakit terkait olahraga. Jurnal Biomedika Dan Kesehatan, 2(1), 39–44. https://doi.org/10.18051/jbiomedkes.2019.v2.39-44
Silva, M. P. M. E., Winckler, C., Silva, A. A. C. E., Bilzon, J., & Duarte, E. (2013). Sports injuries in Paralympic track and field athletes with visual impairment. Medicine & Science in Sports & Exercise, 45(5), 908-913.
Walch, G. (2003). Biceps tendinitis: Classification andtreatment with tenotomys. Operative Techniques in Sports Medicine, 11(1), 2-5.
Weiler, R., Van Mechelen, W., Fuller, C., & Verhagen, E. (2016). Sport Injuries Sustained by Athletes with Disability: A Systematic Review. Sports Medicine, 46(8), 1141–1153. https://doi.org/10.1007/s40279-016-0478-0
Yuvarani, G., Paul, J., Abraham, M. M., & Harikrishnan, N. (2023). Impact of PNF, Active Release Technique and Conventional Physiotherapy on the physical ability of subjects with Periarthritis Shoulder. Journal of Population Therapeutics and Clinical Pharmacology, 30(8), 291-297.