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Abstract
The hand is one of the limbs that is most often used in various daily activities. Excessive hand and wrist activity if prolonged can cause a problem. Problems caused by excessive activity can cause injury. Tennis elbow is one of the injuries also called the lateral epicondylus, this injury occurs due to excessive use of extensor muscles (overuse) resulting in inflammation (inflammation) of the extensor carpi radialis brevis tendon. Usually this injury occurs in tennis players, badminton and various jobs that dominantly use the wrist. Physiotherapy as one of the implementers of health services that play a role and are responsible for improving health status, physiotherapy is a form of health service aimed at individuals and / or groups to develop, maintain and restore motion and body function throughout the life span by using manual handling, motion enhancement, equipment (physical, electrotherapeutic and mechanical). To develop Standard Operating Procedures in performing physiotherapy treatment in cases of tennis elbow. This research was conducted using the research method of developing physiotherapy operational standards with this model of handling injuries to tennis elbow starting from preliminary studies, history taking, assessment, diagnosis, intervention and evaluation. The type of research conducted is quantitative research using quasi experimental methods with pretest-posttest control group design. The experimental group and control group did an initial test. Both groups received different treatments, where the experimental group received thrust manipulation intervention and the control group received non thrust intervention in the form of deep transverse friction. There is a decrease in pain after the thrust and nonthrust method manipulation therapy in both groups as measured using the Numeric Rating Scale (NRS), after being evaluated for two weeks it is known that the pain does not increase. The action of thrust and nonthrust manipulation therapy is recommended for the treatment of pain in tennis elbow injuries. However, between these two methods does not yet exist. There is no significant difference between these two methods given the time constraints of the study.
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References
- Bisset, L. M., & Vicenzino, B. (2015). Physiotherapy management of lateral epicondylalgia. Journal of Physiotherapy, 61(4), 174–181. https://doi.org/10.1016/j.jphys.2015.07.015
- Clar, C., Tsertsvadze, A., Court, R., Hundt, G. L., Clarke, A., & Sutcliffe, P. (2014). Clinical effectiveness of manual therapy for the management of musculoskeletal and non- musculoskeletal conditions : systematic review and update of UK evidence report.
- Coombes, B. K. (2015). Management of Lateral Elbow Tendinopathy: One Size Does Not Fit All. 45(11), 938–949. https://doi.org/10.2519/jospt.2015.5841
- Divandari, A., Mostafaee, N., Negahban, H., Kachooei, A. R., Moradi, A., & Ebrahimzadeh, M. H. (2022). Responsiveness and Minimally Important Changes for Persian-version of Patient-Rated Tennis Elbow Evaluation Questionnaire in Patients with Lateral Elbow Tendinopathy Following Physiotherapy Intervention. Archives of Bone and Joint Surgery, 10(10), 885–891. https://doi.org/10.22038/ABJS.2022.65220.3128
- Hariharasudhan, R., & Balamurugan, J. (2015). Effectiveness of muscle energy technique and Mulligan ’ s movement with mobilization in the management of lateral epicondylalgia. 198–202. https://doi.org/10.4103/2321-4848.171904
- Kumar, K. H., & Elavarasi, P. (2016). Definition of pain and classification of pain disorders. 3(June), 87–90. https://doi.org/10.15713/ins.jcri.112
- Landesa-Piñeiro, L., & Leirós-Rodríguez, R. (2022). Physiotherapy treatment of lateral epicondylitis: A systematic review. Journal of Back and Musculoskeletal Rehabilitation, 35(3), 463–477. https://doi.org/10.3233/BMR-210053
- Lenaini, I., Islam, U., Raden, N., & Palembang, F. (2021). TEKNIK PENGAMBILAN SAMPEL PURPOSIVE DAN. 6(1), 33–39.
- Najafi, M., Arazpour, M., Aminian, G., Curran, S., Madani, S. P., & Hutchins, S. W. (2016). Effect of a new hand-forearm splint on grip strength , pain , and function in patients with tennis elbow. https://doi.org/10.1177/0309364615592694
- Olaussen, M., Holmedal, Ø., Mdala, I., Brage, S., & Lindbæk, M. (2015). Corticosteroid or placebo injection combined with deep transverse friction massage , Mills manipulation , stretching and eccentric exercise for acute lateral epicondylitis : a randomised , controlled trial. ??? https://doi.org/10.1186/s12891-015-0582-6
- Patients, D., Rsud, I. N., Ahmad, J., Metro, Y., & Kunci, K. (2022). Jurnal Cendikia Muda Volume 2 , Nomor 3 , September 2022 ISSN : 2807-3469 Wati , Penerapan Guided Imagery PENDAHULUAN Nyeri adalah suatu pengalaman sensorik dan emosional yang tidak menyenangkan akibat dari kerusakan jaringan yang bersifat subjektif . Keluhan sensorik yang dinyatakan seperti pegal , linu , ngilu , dan seterusnya dapat hanya yang menggunakan pertolongan medis . Prevalensi dispepsia di Negara Barat dispepsia mencapai di Prevalensi Indonesia mencapai 40-50 %. Pada usia 40 tahun diperkirakan terjadi sekitar 10 juta jiwa atau 6 , 5 % dari total populasi penduduk . Pada tahun 2020 diperkirakan angka kejadian dispepsia terjadi peningkatan dari 10 juta jiwa menjadi 28 jiwa setara dengan 11 , 3 % dari keselurahan penduduk Berdasarkan data medical record di Rumah Sakit Umum Daerah ( RSUD ) Jend . Ahmad Yani Metro pada tahun 2020 , kasus dispepsia menempati urutan dianggap sebagai modalitas nyeri . Nyeri merupakan gejala yang sering dialami pada penderita thalasemia dan Thalasemia akan terlihat setelah penderita mamasuki gajala awal , seperti lemas , pusing , dan nyeri di bagian Sedangkan pada dispepsia ditandai dengan munculnya rasa nyeri Thalasemia merupakan penyakit akibat salah satu RSUD Jend . A Yani Kota Metro dengan Nyeri merupakan fenomena kelainan Berdasarkan data terdapat sekitar 7 % populasi dunia sebagai pembawa sifat Thalasemia dengan kematian sekitar terjadi di negara berkembang . Indonesia merupakan negara yang berada dalam sabuk Thalasemia dengan prevalensi multidimensional sehingga sulit untuk Nyeri merupakan pengalaman personal dan subjektif , dan tidak ada dua individu yang merasakan nyeri dalam pola yang identik ( sama ) 7 . Masalah yang dapat terjadi apabila nyeri tidak teratasi yaitu akan mempengaruhi perilaku ditandai dan dengan aktivitas klien kali dari Yayasan Thalasemia Indonesia , terjadi peningkatan kasus thalasemia yang terus menerus sejak tahun 2012 dari penderita hingga bibir , Angka kejadian dispepsia secara global , prevalensinya mencapai 7- 41 %, tetapi melakukan gerakan melindungi bagian tubuh sampai dengan menghindari percakapan , menghindari kontak sosial , Wati , Penerapan Guided Imagery. 2(September), 375–382.
- Pourahmadi, M. R., & Mohsenifar, H. (2018). Effectiveness of mobilization with movement ( Mulligan concept techniques ) on low back pain : a systematic review. https://doi.org/10.1177/0269215518778321
- Puentedura, E. J., Slaughter, R., Reilly, S., Ventura, E., Puentedura, E. J., Slaughter, R., Reilly, S., Ventura, E., Puentedura, E. J., Slaughter, R., Reilly, S., Ventura, E., & Young, D. (2016). Thrust joint manipulation utilization by U . S . physical therapists Thrust joint manipulation utilization by U . S . physical therapists *. 9817(June). https://doi.org/10.1080/10669817.2016.1187902
- Ramli, F., & Nim, A. (2016). Pengaruh penambahan kinesio taping pada transverse friction terhadap penurunan nyeri tennis elbow naskah publikasi. 1–15.
- Rijali, A. (2018). Analisis Data Kualitatif Ahmad Rijali UIN Antasari Banjarmasin. 17(33), 81–95.
- Rudianto, S. (2018). Jurnal Keperawatan & Fisioterapi (JKF). 30–35.
- Rudianto, S. S. (2018). No Title. Jurnal Keperawatan Dan Fisioterapi (JKF), 1(1), 30–35. https://doi.org/https://doi.org/10.35451/jkf.v1i1.105
- Wulandari, 2020. (2020). PENATALAKSANAAN FISIOTERAPI PADA TENNIS ELBOW DENGAN ULTRASOUND, MASSAGE, DAN MUSCLE ENERGY TECHNIQUE.
- Zaimsyah, F. R. (2020). Jurnal Ilmiah Fisioterapi ( JIF ) Volume 03 Nomor 02 Agustus 2020 Perbedaan Pengaruh Stretching Dengan Terapi Manipulasi Terhadap Peningkatan Aktivitas Fungsional Bahu Pada Penderita Frozen Shoulder. 03, 30–37.
References
Bisset, L. M., & Vicenzino, B. (2015). Physiotherapy management of lateral epicondylalgia. Journal of Physiotherapy, 61(4), 174–181. https://doi.org/10.1016/j.jphys.2015.07.015
Clar, C., Tsertsvadze, A., Court, R., Hundt, G. L., Clarke, A., & Sutcliffe, P. (2014). Clinical effectiveness of manual therapy for the management of musculoskeletal and non- musculoskeletal conditions : systematic review and update of UK evidence report.
Coombes, B. K. (2015). Management of Lateral Elbow Tendinopathy: One Size Does Not Fit All. 45(11), 938–949. https://doi.org/10.2519/jospt.2015.5841
Divandari, A., Mostafaee, N., Negahban, H., Kachooei, A. R., Moradi, A., & Ebrahimzadeh, M. H. (2022). Responsiveness and Minimally Important Changes for Persian-version of Patient-Rated Tennis Elbow Evaluation Questionnaire in Patients with Lateral Elbow Tendinopathy Following Physiotherapy Intervention. Archives of Bone and Joint Surgery, 10(10), 885–891. https://doi.org/10.22038/ABJS.2022.65220.3128
Hariharasudhan, R., & Balamurugan, J. (2015). Effectiveness of muscle energy technique and Mulligan ’ s movement with mobilization in the management of lateral epicondylalgia. 198–202. https://doi.org/10.4103/2321-4848.171904
Kumar, K. H., & Elavarasi, P. (2016). Definition of pain and classification of pain disorders. 3(June), 87–90. https://doi.org/10.15713/ins.jcri.112
Landesa-Piñeiro, L., & Leirós-Rodríguez, R. (2022). Physiotherapy treatment of lateral epicondylitis: A systematic review. Journal of Back and Musculoskeletal Rehabilitation, 35(3), 463–477. https://doi.org/10.3233/BMR-210053
Lenaini, I., Islam, U., Raden, N., & Palembang, F. (2021). TEKNIK PENGAMBILAN SAMPEL PURPOSIVE DAN. 6(1), 33–39.
Najafi, M., Arazpour, M., Aminian, G., Curran, S., Madani, S. P., & Hutchins, S. W. (2016). Effect of a new hand-forearm splint on grip strength , pain , and function in patients with tennis elbow. https://doi.org/10.1177/0309364615592694
Olaussen, M., Holmedal, Ø., Mdala, I., Brage, S., & Lindbæk, M. (2015). Corticosteroid or placebo injection combined with deep transverse friction massage , Mills manipulation , stretching and eccentric exercise for acute lateral epicondylitis : a randomised , controlled trial. ??? https://doi.org/10.1186/s12891-015-0582-6
Patients, D., Rsud, I. N., Ahmad, J., Metro, Y., & Kunci, K. (2022). Jurnal Cendikia Muda Volume 2 , Nomor 3 , September 2022 ISSN : 2807-3469 Wati , Penerapan Guided Imagery PENDAHULUAN Nyeri adalah suatu pengalaman sensorik dan emosional yang tidak menyenangkan akibat dari kerusakan jaringan yang bersifat subjektif . Keluhan sensorik yang dinyatakan seperti pegal , linu , ngilu , dan seterusnya dapat hanya yang menggunakan pertolongan medis . Prevalensi dispepsia di Negara Barat dispepsia mencapai di Prevalensi Indonesia mencapai 40-50 %. Pada usia 40 tahun diperkirakan terjadi sekitar 10 juta jiwa atau 6 , 5 % dari total populasi penduduk . Pada tahun 2020 diperkirakan angka kejadian dispepsia terjadi peningkatan dari 10 juta jiwa menjadi 28 jiwa setara dengan 11 , 3 % dari keselurahan penduduk Berdasarkan data medical record di Rumah Sakit Umum Daerah ( RSUD ) Jend . Ahmad Yani Metro pada tahun 2020 , kasus dispepsia menempati urutan dianggap sebagai modalitas nyeri . Nyeri merupakan gejala yang sering dialami pada penderita thalasemia dan Thalasemia akan terlihat setelah penderita mamasuki gajala awal , seperti lemas , pusing , dan nyeri di bagian Sedangkan pada dispepsia ditandai dengan munculnya rasa nyeri Thalasemia merupakan penyakit akibat salah satu RSUD Jend . A Yani Kota Metro dengan Nyeri merupakan fenomena kelainan Berdasarkan data terdapat sekitar 7 % populasi dunia sebagai pembawa sifat Thalasemia dengan kematian sekitar terjadi di negara berkembang . Indonesia merupakan negara yang berada dalam sabuk Thalasemia dengan prevalensi multidimensional sehingga sulit untuk Nyeri merupakan pengalaman personal dan subjektif , dan tidak ada dua individu yang merasakan nyeri dalam pola yang identik ( sama ) 7 . Masalah yang dapat terjadi apabila nyeri tidak teratasi yaitu akan mempengaruhi perilaku ditandai dan dengan aktivitas klien kali dari Yayasan Thalasemia Indonesia , terjadi peningkatan kasus thalasemia yang terus menerus sejak tahun 2012 dari penderita hingga bibir , Angka kejadian dispepsia secara global , prevalensinya mencapai 7- 41 %, tetapi melakukan gerakan melindungi bagian tubuh sampai dengan menghindari percakapan , menghindari kontak sosial , Wati , Penerapan Guided Imagery. 2(September), 375–382.
Pourahmadi, M. R., & Mohsenifar, H. (2018). Effectiveness of mobilization with movement ( Mulligan concept techniques ) on low back pain : a systematic review. https://doi.org/10.1177/0269215518778321
Puentedura, E. J., Slaughter, R., Reilly, S., Ventura, E., Puentedura, E. J., Slaughter, R., Reilly, S., Ventura, E., Puentedura, E. J., Slaughter, R., Reilly, S., Ventura, E., & Young, D. (2016). Thrust joint manipulation utilization by U . S . physical therapists Thrust joint manipulation utilization by U . S . physical therapists *. 9817(June). https://doi.org/10.1080/10669817.2016.1187902
Ramli, F., & Nim, A. (2016). Pengaruh penambahan kinesio taping pada transverse friction terhadap penurunan nyeri tennis elbow naskah publikasi. 1–15.
Rijali, A. (2018). Analisis Data Kualitatif Ahmad Rijali UIN Antasari Banjarmasin. 17(33), 81–95.
Rudianto, S. (2018). Jurnal Keperawatan & Fisioterapi (JKF). 30–35.
Rudianto, S. S. (2018). No Title. Jurnal Keperawatan Dan Fisioterapi (JKF), 1(1), 30–35. https://doi.org/https://doi.org/10.35451/jkf.v1i1.105
Wulandari, 2020. (2020). PENATALAKSANAAN FISIOTERAPI PADA TENNIS ELBOW DENGAN ULTRASOUND, MASSAGE, DAN MUSCLE ENERGY TECHNIQUE.
Zaimsyah, F. R. (2020). Jurnal Ilmiah Fisioterapi ( JIF ) Volume 03 Nomor 02 Agustus 2020 Perbedaan Pengaruh Stretching Dengan Terapi Manipulasi Terhadap Peningkatan Aktivitas Fungsional Bahu Pada Penderita Frozen Shoulder. 03, 30–37.