Jurnal Fisioterapi Terapan Indonesia or Indonesian Journal of Applied Physiotherapy


ABSTRACT: Adhesive Capsulitis is a disorder that occurs in the shoulder area in the form of inflammation of the joint capsule which causes a feeling of stiffness and pain. Glenohumeral joint mobilization with the Maitland mobilization technique is using passive mobilization with physiological oscillatory movements which can produce a stretching effect and release of adhesive on the ligament capsule in the shoulder so that the range of motion of the shoulder joint can be increased. Hold relax is an exercise therapy with the principle of reciprocal inhibition which aims to improve antagonistic pattern relaxation, and mobilization, and to reduce pain. In this technique stimulation occurs through maximum contraction of a number of motor units simultaneously and maximally so that there is a decrease in muscle tension around the joint to increase the range of motion of the shoulder joint. This paper aims to determine the decrease in the SPADI (shoulder pain disability index) score by administering glenohumeral joint glide mobilization and hold relax during ultrasound intervention in a 71-year-old female patient who was diagnosed with adhesive capjuangitis ec. bursitis subacromialis dextra. After six meetings there was a significant decrease in the SPADI score.


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Bahasa Abstract

ABSTRAK: Adhesive Capsulitis adalah gangguan yang terjadi di area bahu berupa peradangan pada kapsul sendi yang menyebabkan rasa kaku dan nyeri. Glenohumeral joint mobilization dengan teknik maitland mobilization menggunakan mobilisasi pasif dengan gerak osilasi fisiologis yang dapat menghasilkan efek penguluran dan pelepasan adhesive pada kapsul ligamen pada bahu sehingga dapat terjadi peningkatan luas gerak sendi bahu. Hold relax adalah terapi latihan dengan prinsip reciprocal inhibition yang bertujuan agar perbaikan relaksasi pola antagonis, perbaikan mobilisasi, dan penurunan nyeri. Pada teknik ini terjadi rangsangan melalui kontraksi maksimal dari sejumlah motor unit secara maksimum dan simultan sehingga terjadi penurunan ketegangan otot sekitar sendi untuk meningkatkan jarak gerak sendi bahu. Penulisan ini bertujuan untuk mengetahui penurunan skor SPADI (shoulder pain disability index) dengan pemberian glenohumeral joint glide mobilization dan hold relax pada intervensi ultrasound pada pasien perempuan yang berusia 71 tahun yang didiagnosis adhesive capsulitis ec.post bursitis subacromialis dextra. Setelah enam kali pertemuan terdapat penurunan yang signifikan pada skor SPADI.



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