Main Article Content
Abstract
MTP's in the Upper Trapezius muscle is a condition where there is a pain point along the trapezius muscle which contains a collection of symptoms and complaints due to spasm or shortening of the trapezius muscle which is often felt as a stiff neck or nape, various manual therapy modalities are expected to be able to overcome this complaint. This study uses a quantitative approach with non-parametric test statistics. This study is a quasi-experimental case study with a treatment group without a control group with 10 research subjects who experienced MTP's in the Upper Trapezius muscle given manual therapy actions consisting of C0-C1; C2-C6; C7-T1 traction and stretching the upper Trapezius muscle, Friction sub occipitalis muscle. The parameters observed were pain in motion and joint range of motion. The action was given 3 times for two weeks, respondents will be examined before and after the 3rd therapy. There was a decrease in pain and LGS after manual therapy intervention was given with a significance value (p 0.001) in the influence test using the Willcoxon Test. From the results of this study, it was found that there is an influence of manual therapy on the MTP's Upper Trapezius muscle which can reduce patient symptoms and complaints.
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Copyright (c) 2024 Yosa Endrika Wiyono Putra, Totok Budi Santoso

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References
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- Atmadja, A. S. (2016). Sindrom Nyeri Myofascial. Cermin Dunia Kedokteran, 43(3), 176–179. https://doi.org/10.55175/cdk.v43i3.29
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- Guzman Pavon , M. J. , Cavero Redondo , I. , Martinez Vizcaino , V. , Ferri Morales , A. , Lorenzo Garcia , P. , & Alvarez Bueno , C. (2022). Comparative Effectiveness of Manual Therapy Interventions on Pain and Pressure Pain Threshold in Patients With Myofascial Trigger Points: A Network Meta-analysis. The Clinical journal of pain, 38(12), 749–760. https://doi.org/10.1097/AJP.0000000000001079
- Hernata Putri, A. R., & Sulistyaningsih. (2020). Myofascial Release Menurunkan Nyeri dan Meningkatkan Fungsional Leher Myofascial Pain Syndrome Otot Upper Trapezius. Jurnal Keterapian Fisik, 5(2), 62–145.
- Imran, M., Patollongi, I. J., & Aras, D. (2021). Perbedaan Hold Relax dan Contract Relax Pada Penderita Osteoarthritis Knee Joint. Jurnal Kesehatan Masyarakat Khatulistiwa, 9(2), 169–182. https://doi.org/10.29406/jkmk.v9i2.3007
- Jehaman, I.-, Berasa, S. M., Berampu, S., Siahaan, T., & Zannah, M. (2020). Pengaruh Pemberian Ischemic Compression Dan Contractrelax Stretching Terhadap Intensitas Nyeri Myofascial Trigger Point Syndrome Otot Upper Trapezius. Jurnal Keperawatan Dan Fisioterapi (Jkf), 2(2), 130–138. https://doi.org/10.35451/jkf.v2i2.354
- Karnadipa, T., Santoso, I., & Ramadhani, R. S. S. (2023). Efektivitas Kombinasi Elektroterapi, Terapi Manual dan Latihan Penguatan untuk Meningkatkan Fungsi Bahu pada Shoulder Impingement Syndrome. Jurnal Fisioterapi dan Rehabilitasi, 8(1), 7–15. https://doi.org/10.33660/jfrwhs.v8i1.267
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- Lestari, W. (2018). Penurunan Nyeri Myofascial Trigger Point Syndrom (Mtps) Otot Bisep Dan Trisep Dengan Metode Gelatik. Jurnal Media Kesehatan, 10(1), 045–051. https://doi.org/10.33088/jmk.v10i1.323
- Maruli, W. O., Sutjana, I. D., & Indrayani, A. W. (2014). Perbandingan Myofascial Release Technique dengan Contract Relax Stretching terhadap Penurunan Nyeri pada Sindroma Myofascial otot Upper Trapezius. Majalah Ilmiah Fisioterapi Indonesia, 2(3), 3. https://ojs.unud.ac.id/index.php/mifi/article/view/8470/6314
- Pawaria, S., & Kalra, S. (2015). Comparing Effectiveness of Myofascial Release and Muscle Stretching on Pain, Disability and Cervical Range of Motion in Patients with Trapezius Myofascial Trigger Points. Indian Journal of Health Sciences and Care, 2(1), 8. https://doi.org/10.5958/2394-2800.2015.00002.4
- Pratama, G. R. (2013). Pengaruh Latihan Contract Relax Stretching Terhadap Penurunan Nyeri Myofascial Triger Point Syndrome Otot Upper Trapezius Pada Pembatik Tulis Halus Laweyan. Universitas Muhammadiyah Surakarta.
- Putri, N. K. D., Winaya, I. M. N., & Tianing Ni Wayan. (2021). Maximum One Repetition Method Exercise is More Effective Than Hold Relax in Ultrasound (Us) and Transcutaneous Electrical Nerve Stimulation (Tens) Interventions in Reducing Grade Two Osteoarthritis Pain
- Puspitaningrum, D. K. (2014). Pengaruh Deep Trasvers Frizition Terhadap Nyeri Myofascial Trigger Point Syndrome Otot Upper Trapezius Pada Karyawan Desain Grafis. Universitas Muhammadyah Surakarta. https://eprints.ums.ac.id/30801/
- Rahmawati, F. (2020). Hubungan Durasi dan Posisi Penggunaan Smartphone dengan Nyeri Leher pada Mahasiswa Fisioterapi Universitas Muhammadiyah Surakarta. Universitas Muhammadiyah Surakarta. https://eprints.ums.ac.id/85374/
- Rodríguez-Jimenez, J., Ortega-Santiago, R., Bonilla-Barba, L., Falla, D., Fernández-De-Las-Peñas, C., & Florencio, L. L. (2022). Immediate Effects of Dry Needing or Manual Pressure Release of Upper Trapezius Trigger Points on Muscle Activity During the Craniocervical Flexion Test in People with Chronic Neck Pain: A Randomized Clinical Trial. Pain Medicine (United States), 23(10), 1717–1725. https://doi.org/10.1093/pm/pnac034
- Saraswati, P. A. S., Antari, N. K. J., & Puspa Negara, A. A. G. A. (2018). Integrated Neuromuscular Inhibition Technique Is More Effective Than Contract Relax Stretching To Ultrasound Modality in Increasing Neck Range of Motion of Myofascial Syndrome in Upper Trapezius Muscle. Majalah Ilmiah Fisioterapi Indonesia, 6(2), 26. https://doi.org/10.24843/mifi.2018.v06.i02.p06
- Sunyiwara, A. S., Widya Putri, M., & Sabita, R. (2019). Effect of Myofacial Release Combination with Hold Relax on Myofacial Pain Syndrome. Health Scientific Journal (JIK), XII.
- Stillerman, E., Riggs, A., & Grant, K. E. (2016). Myofascial Release. In Modalities for Massage and Bodywork chapter 9 (pp. 149–166).
- Syurrahmi, S., Rahmanti, A., & Purna, L. (2023). Hubungan Lama Mengetik Terhadap Terjadinya Myofascial Trigger Point Syndrome Otot Upper Trapezius Pada Pekerja Rental. Jurnal Fisioterapi Dan Ilmu Kesehatan Sisthana, 5(1), 20–26. https://doi.org/10.55606/jufdikes.v5i1.179
- Wulandari, N. H., & Santoso, T. B. (2024). Development of Physiotherapy Standard Operating Procedures for Tennis Elbow Cases in Badminton Players . Kinestetik : Jurnal Ilmiah Pendidikan Jasmani, 8(2), 320–329. https://doi.org/10.33369/jk.v8i2.34308
- Wulandari, R., & Fis, T. B. S. S. (2023). Efek Akut Intervensi Manual Terapi Pada Penderita Myoffascial Trigger Point Syndrome Otot Upper Trapezius (Doctoral dissertation, Universitas Muhammadiyah Surakarta). https://eprints.ums.ac.id/111092
References
Akhadiany, armitha, Kuntono, heru purbo, Sugiono, & Pertiwi, jasmine kartiko. (2022). Pengaruh Terapi Manual Terhadap Peningkatan Lingkup Gerak Sendi Pada Frozen Shoulder: Studi Literatur. Indonesian Journal of Physiotherapy Research and Education, Vol. 3 No.(1), 39–53. https://journal.aptifi.org/index.php/ijopre/article/view/59
Alghadir A, Iqbal A, Anwer S, Iqbal Z, & Ahmed H. (2020). Efficacy of Combination Therapies on Neck Pain and Muscle Tenderness in Male Patients with Upper Trapezius Active Myofascial Trigger Points. BioMed Research International, 2020. https://doi.org/10.1155/2020/9361405
Atmadja, A. S. (2016). Sindrom Nyeri Myofascial. Cermin Dunia Kedokteran, 43(3), 176–179. https://doi.org/10.55175/cdk.v43i3.29
Ceballos L, Medrano R, Mingo M, Hernando I, Estébanez E, & Jiménez S. (2022). Effects of dry needling on pain, disability, kinesiophobia, pain catastrophizing and psychological distress in patients with chronic neck pain: A randomized controlled pilot study. Journal of Back and Musculoskeletal Rehabilitation, 35(2), 393–401. https://doi.org/10.3233/BMR-200322
Dilek, B., Batmaz, I., Sariyildiz, M. A., Sahin, E., Bulut, D., Akalin, E., Cevik, R., & Nas, K. (2021). Effectiveness of training about kinesiotaping in myofascial pain syndrome: A prospective, single-blind, randomized-controlled study. Turkish Journal of Physical Medicine and Rehabilitation, 67(1), 17–24. https://doi.org/10.5606/TFTRD.2021.4258
Gallego-Sendarrubias, G. M., Rodríguez-Sanz, D., Calvo-Lobo, C., & Martín, J. L. (2020). Efficacy of dry needling as an adjunct to manual therapy for patients with chronic mechanical neck pain: a randomised clinical trial. Acupuncture in Medicine : Journal of the British Medical Acupuncture Society, 38(4), 244– 254. https://doi.org/10.1136/acupmed-2018-01168
Guzmán-Pavón, M. J., Cavero-Redondo, I., Martínez-Vizcaíno, V., Torres-Costoso, A. I., Reina-Gutierrez, S., & Álvarez-Bueno, C. (2022). Effect of Manual Therapy Interventions on Range of Motion Among Individuals with Myofascial Trigger Points: A Systematic Review and Meta-Analysis. Pain Medicine (United States), 23(1), 137–143. https://doi.org/10.1093/pm/pnab224
Guzman Pavon , M. J. , Cavero Redondo , I. , Martinez Vizcaino , V. , Ferri Morales , A. , Lorenzo Garcia , P. , & Alvarez Bueno , C. (2022). Comparative Effectiveness of Manual Therapy Interventions on Pain and Pressure Pain Threshold in Patients With Myofascial Trigger Points: A Network Meta-analysis. The Clinical journal of pain, 38(12), 749–760. https://doi.org/10.1097/AJP.0000000000001079
Hernata Putri, A. R., & Sulistyaningsih. (2020). Myofascial Release Menurunkan Nyeri dan Meningkatkan Fungsional Leher Myofascial Pain Syndrome Otot Upper Trapezius. Jurnal Keterapian Fisik, 5(2), 62–145.
Imran, M., Patollongi, I. J., & Aras, D. (2021). Perbedaan Hold Relax dan Contract Relax Pada Penderita Osteoarthritis Knee Joint. Jurnal Kesehatan Masyarakat Khatulistiwa, 9(2), 169–182. https://doi.org/10.29406/jkmk.v9i2.3007
Jehaman, I.-, Berasa, S. M., Berampu, S., Siahaan, T., & Zannah, M. (2020). Pengaruh Pemberian Ischemic Compression Dan Contractrelax Stretching Terhadap Intensitas Nyeri Myofascial Trigger Point Syndrome Otot Upper Trapezius. Jurnal Keperawatan Dan Fisioterapi (Jkf), 2(2), 130–138. https://doi.org/10.35451/jkf.v2i2.354
Karnadipa, T., Santoso, I., & Ramadhani, R. S. S. (2023). Efektivitas Kombinasi Elektroterapi, Terapi Manual dan Latihan Penguatan untuk Meningkatkan Fungsi Bahu pada Shoulder Impingement Syndrome. Jurnal Fisioterapi dan Rehabilitasi, 8(1), 7–15. https://doi.org/10.33660/jfrwhs.v8i1.267
Lai, G. H., Kareri, D. G. R., Amat, A. L. S., Setiawan, I. M. B., & Sasputra, I. N. (2023). Hubungan Durasi Dan Posisi Penggunaan Smartphone Terhadap Nyeri Leher Pada Mahasiswa Preklinik Fakultas Kedokteran Universitas Nusa Cendana. Cendana Medical Journal, 11(2), 207–218. https://doi.org/10.35508/cmj.v11i2.13907
Lestari, W. (2018). Penurunan Nyeri Myofascial Trigger Point Syndrom (Mtps) Otot Bisep Dan Trisep Dengan Metode Gelatik. Jurnal Media Kesehatan, 10(1), 045–051. https://doi.org/10.33088/jmk.v10i1.323
Maruli, W. O., Sutjana, I. D., & Indrayani, A. W. (2014). Perbandingan Myofascial Release Technique dengan Contract Relax Stretching terhadap Penurunan Nyeri pada Sindroma Myofascial otot Upper Trapezius. Majalah Ilmiah Fisioterapi Indonesia, 2(3), 3. https://ojs.unud.ac.id/index.php/mifi/article/view/8470/6314
Pawaria, S., & Kalra, S. (2015). Comparing Effectiveness of Myofascial Release and Muscle Stretching on Pain, Disability and Cervical Range of Motion in Patients with Trapezius Myofascial Trigger Points. Indian Journal of Health Sciences and Care, 2(1), 8. https://doi.org/10.5958/2394-2800.2015.00002.4
Pratama, G. R. (2013). Pengaruh Latihan Contract Relax Stretching Terhadap Penurunan Nyeri Myofascial Triger Point Syndrome Otot Upper Trapezius Pada Pembatik Tulis Halus Laweyan. Universitas Muhammadiyah Surakarta.
Putri, N. K. D., Winaya, I. M. N., & Tianing Ni Wayan. (2021). Maximum One Repetition Method Exercise is More Effective Than Hold Relax in Ultrasound (Us) and Transcutaneous Electrical Nerve Stimulation (Tens) Interventions in Reducing Grade Two Osteoarthritis Pain
Puspitaningrum, D. K. (2014). Pengaruh Deep Trasvers Frizition Terhadap Nyeri Myofascial Trigger Point Syndrome Otot Upper Trapezius Pada Karyawan Desain Grafis. Universitas Muhammadyah Surakarta. https://eprints.ums.ac.id/30801/
Rahmawati, F. (2020). Hubungan Durasi dan Posisi Penggunaan Smartphone dengan Nyeri Leher pada Mahasiswa Fisioterapi Universitas Muhammadiyah Surakarta. Universitas Muhammadiyah Surakarta. https://eprints.ums.ac.id/85374/
Rodríguez-Jimenez, J., Ortega-Santiago, R., Bonilla-Barba, L., Falla, D., Fernández-De-Las-Peñas, C., & Florencio, L. L. (2022). Immediate Effects of Dry Needing or Manual Pressure Release of Upper Trapezius Trigger Points on Muscle Activity During the Craniocervical Flexion Test in People with Chronic Neck Pain: A Randomized Clinical Trial. Pain Medicine (United States), 23(10), 1717–1725. https://doi.org/10.1093/pm/pnac034
Saraswati, P. A. S., Antari, N. K. J., & Puspa Negara, A. A. G. A. (2018). Integrated Neuromuscular Inhibition Technique Is More Effective Than Contract Relax Stretching To Ultrasound Modality in Increasing Neck Range of Motion of Myofascial Syndrome in Upper Trapezius Muscle. Majalah Ilmiah Fisioterapi Indonesia, 6(2), 26. https://doi.org/10.24843/mifi.2018.v06.i02.p06
Sunyiwara, A. S., Widya Putri, M., & Sabita, R. (2019). Effect of Myofacial Release Combination with Hold Relax on Myofacial Pain Syndrome. Health Scientific Journal (JIK), XII.
Stillerman, E., Riggs, A., & Grant, K. E. (2016). Myofascial Release. In Modalities for Massage and Bodywork chapter 9 (pp. 149–166).
Syurrahmi, S., Rahmanti, A., & Purna, L. (2023). Hubungan Lama Mengetik Terhadap Terjadinya Myofascial Trigger Point Syndrome Otot Upper Trapezius Pada Pekerja Rental. Jurnal Fisioterapi Dan Ilmu Kesehatan Sisthana, 5(1), 20–26. https://doi.org/10.55606/jufdikes.v5i1.179
Wulandari, N. H., & Santoso, T. B. (2024). Development of Physiotherapy Standard Operating Procedures for Tennis Elbow Cases in Badminton Players . Kinestetik : Jurnal Ilmiah Pendidikan Jasmani, 8(2), 320–329. https://doi.org/10.33369/jk.v8i2.34308
Wulandari, R., & Fis, T. B. S. S. (2023). Efek Akut Intervensi Manual Terapi Pada Penderita Myoffascial Trigger Point Syndrome Otot Upper Trapezius (Doctoral dissertation, Universitas Muhammadiyah Surakarta). https://eprints.ums.ac.id/111092