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Jurnal Fisioterapi Terapan Indonesia

Abstract

Background: tailors tend to bow for a long time which results in excessive activation of the postural muscles in maintaining the position of the neck which causes weakness, decreased activity, and muscle imbalance which results in pain in the neck area. In overcoming these disorders, the intervention that can be given is deep neck flexor exercise. Objective: to determine the effect of deep neck flexor exercise on non-specific neck pain in tailors. Methods: this study used an experimental one group pre and post test with control design which was carried out in May-July 2024 at PT. Iskandar Indah Printing Textile with 30 subjects. The subject collection technique was carried out randomly by drawing lottery numbers. Group I was given an intervention in the form of deep neck flexor exercise and group II was given education about ergonomic positions for tailors. The study was conducted for 6 weeks with 2 meetings each week. Pain measurements using QVAS were carried out at the beginning and end of the study. Results: based on the results of statistical tests before and after treatment, group I obtained a p value = 0.001 (p 0.05) which indicates that there is no difference in QVAS before and after treatment in the control group. The results of the hypothesis test after treatment in groups I and II obtained a p value = 0.001 (p<0.05) which indicates that there is a difference in influence. Conclusion: giving deep neck flexor exercise can reduce pain in tailors who suffer from non specific neck pain.

References

  1. Khadijah, S., Mustika, D., Putri, R. S., Rahman, F., & Pristianto, A. (2018). Method : The activities included with survey location , health counseling , the demonstrations ofischemic compression implementation and auto stertching techniques, monitoring and evaluation activities using questionnaires . 74–87.
  2. Alfianty, D., Zakiyah, R., & Sulistyowati, E. (2021). Posisi Dan Durasi Kerja Menjadi Faktor Risiko Keluhan Nyeri Position and Work Duration As Risk Factors for Neck and Shoulder Pain Among Home Tailors in Malang City. 1–10.
  3. Norlinta, S. N. O., Kuswardhani, R. T., Imron, M. A., Tirtayasa, K., Adiputra, N., & Irfan, M. (2019). Teknik Mulligan Paling Efektif Dibandingkan Mobilisasi Segmental Untuk Peningkatan Kemampuan Fungsional Pada Pembatik Tulis Dengan Cervical Syndrome. Sport and Fitness Journal. https://doi.org/10.24843/spj.2019.v07.i02.p03
  4. Restuputri, D. P. (2018). Penilaian Risiko Gangguan Musculoskeletal Disorder Pekerja Batik Dengan Menggunakan Metode Strain index. Jurnal Teknik Industri, 19(1), 97–106. https://doi.org/10.22219/jtiumm.vol19.no1.97-10
  5. Tunang, I. P., Utama, W. T., & Ismunandar, H. (2022). Gangguan Muskuloskeletal Akibat Kerja: Epidemiologi, Faktor Risiko, Gejala Klinis, Tatalaksana dan Pencegahan. Jurnal Agromedicine, 9(2), 109-115.
  6. Chang, M. C., Choo, Y. J., Hong, K., Boudier-Revéret, M., & Yang, S. (2023). Treatment of Upper Crossed Syndrome: A Narrative Systematic Review. Healthcare (Switzerland), 11(16), 1–13. https://doi.org/10.3390/healthcare11162328
  7. Suvarnnato, T., Puntumetakul, R., Uthaikhup, S., & Boucaut, R. (2019). Effect of specific deep cervical muscle exercises on functional disability, pain intensity, craniovertebral angle, and neck-muscle strength in chronic mechanical neck pain: a randomized controlled trial. Journal of pain research, 12, 915–925. https://doi.org/10.2147/JPR.S19 0125
  8. Panjaitan, D. B., Octavariny, R., Br Bangun, S. M., Isnani Parinduri, A., & Julfiani Ritonga, A. (2021). Hubungan Beban Kerja Dan Masa Kerja Dengan Keluhan Nyeri Leher Pada Penjahit Di Lembaga Latihan Kerja Lubuk Pakam Tahun 2020. Jurnal Kesmas Dan Gizi (Jkg), 3(2), 144–148. https://doi.org/10.35451/jkg.v3i2.599
  9. Jehaman, I., . S., Tantangan, R., & Harahap, F. R. (2022). The Effect Of Mc Kenzie Exercise And Neck Stabilization Exercise On Neck Pain On Garments. Jurnal Keperawatan Dan Fisioterapi (Jkf), 4(2), 299–306. https://doi.org/10.35451/jkf.v4i2.967
  10. Wahyu, M. (2020). Efektifitas Penggunaan Traksi Cervical Untuk Menurunkan Derajat Nyeri Pada Penderita Nyeri Leher. Jurnal Ilmiah Umum Dan Kesehatan Aisyiyah, December. https://journal.polita.ac.id/index.php/jakiyah/article/view/12
  11. Jun, D., Zoe, M., Johnston, V. (2017). Physical risk factors for developing non-specififc neck pain in office workers: systematic review and meta- analysis. Kesehatan Lingkungan Int Arch Occup 90, 373– 410. https://doi.org/10.1007/s00420-017-1205-3
  12. Nugraha, M. H. S., Juni Antari, N. K. A., & Karunia Saraswati, N. L. P. G. (2019). Efektivitas Penerapan Edukasi Sikap Kerja, Elektroterapi dan Terapi Latihan untuk Penderita Mechanical Neck Pain. Jurnal Ergonomi Indonesia (The Indonesian Journal of Ergonomic), 5(2), 83. https://doi.org/10.24843/jei.2019.v05.i02.p05
  13. Verhagen A. P. (2021). Physiotherapy management of neck pain. Journal of physiotherapy, 67(1), 5–11. https://doi.org/10.1016/j.jphys.2020.12.005
  14. Kashfi, P., Karimi, N., Peolsson, A., & Rahnama, L. (2019). The effects of deep neck muscle-specific training versus general exercises on deep neck muscle thickness, pain and disability in patients with chronic non- specific neck pain: protocol for a randomized clinical trial (RCT). BMC Musculoskeletal Disorders, 20(1), 1–8. https://doi.org/10.1186/s12891-019-2880-x
  15. Kage, V., Patel, N. Y., & Pai, M. P. (2016). To Compare The Effect Of Deep Neck Flexor Strenghtning Exercise And Mc Kenzie Neck Exercise In Subject With Forward Neck Posture: A Randomised Clinical Trial. International Journal of Physiotherapy and Research, 4(2), 1451–1458. https://doi.org/10.16965/ijpr.2016.117
  16. Nazir, S., Arslan, H. R. M., Awan, N. G., & Bilal, H. (2022). To Compare the Effectiveness of Muscle Energy Technique and Deep Neck Flexors Training on Pain, Range of Motion and Functional Disability in Patients with Mechanical Neck Pain. Pakistan BioMedical Journal, 5(1), 296–299. https://doi.org/10.54393/pbmj.v5i1.308
  17. Iqbal, Z. A., Alghadir, A. H., & Anwer, S. (2021). Efficacy of Deep Cervical Flexor Muscle Training on Neck Pain, Functional Disability, and Muscle Endurance in School Teachers: A Clinical Trial. BioMed Research International, 2021. https://doi.org/10.1155/2021/7190808
  18. Puspitasari, N., & Yusti, A. N. (2020). Hubungan Postur Kerja Terhadap Upper Cross Syndrome Pada Penjahit. The 11th University Research Colloquium 2020, 2, 249–255.
  19. Sari, E. N., Handayani, L., & Saufi, A. (2017). Hubungan Antara Umur dan Masa Kerja dengan Keluhan Musculoskeletal Disorders (MSDs) pada Pekerja Laundry. Jurnal Kedokteran Dan Kesehatan, 13(2), 183
  20. Utami, U., Karimuna, S. R., & Jufri, N. (2017). Hubungan Lama Kerja, Sikap Kerja dan Beban Kerja Dengan Muskuloskeletal Disorders (MSDs) pada Petani Padi di Desa Ahuhu Kecamatan Meluhu Kabupaten Konawe Tahun 2017. Jurnal Ilmah Mahasiswa Kesehatan Masyarakat, 2(6), 1–10.
  21. Yani, F., Anniza, M., & Priyanka, K. (2020). Hubungan Masa Kerja Dan Lama Kerja Dengan Nyeri Leher Pada Pembatik Di Sentra Batik Giriloyo. Jurnal Ergonomi Indonesia (The Indonesian Journal of Ergonomic), 6(1), 31. https://doi.org/10.24843/jei.2020.v06.i01.p04
  22. Dinar, A., Susilowati, I. H., Azwar, A., Indriyani, K., & Wirawan, M. (2018). Analysis of Ergonomic Risk Factors in Relation to Musculoskeletal Disorder Symptoms in Office Workers. KnE Life Sciences, 4(5), 16. https://doi.org/10.18502/kls.v4i5.2536
  23. Blomgren, J., Strandell, E., Jull, G., Vikman, I., & Röijezon, U. (2018). Effects of deep cervical flexor training on impaired physiological functions associated with chronic neck pain: A systematic review. BMC Musculoskeletal Disorders, 19(1), 1–17. https://doi.org/10.1186/s12891-018-2324-z
  24. Hakim, S., Kadang, G. A. R., & Thahir, M. (2024). Neck Calliet Exercise Efektif untuk Menurunkan Nyeri Leher pada Myofascial Pain Syndrome. Jurnal Penelitian Kesehatan Suara Forikes, 15(2), 2023–2025. https://doi.org/10.24853/jkk.13. 2.183-194
  25. Abdel-Aziem, A. A., Mohamed, R. R., Draz, A. H., Azab, A. R., Hegazy, F. A., & Diab, R. H. (2022). The effect of McKenzie protocol vs. deep neck flexor and scapulothoracic exercises in subjects with chronic neck pain – a randomized controlled study. European Review for Medical and Pharmacological Sciences, 26(9), 3138–3150. https://doi.org/10.26355/eurrev_202205_28731
  26. Gede, P., Putra, A., Parwata, I. M. Y., & Yasa, I. M. A. (2020). Pengaruh Isometric Neck Exercise Terhadap Daya Tahan Deep Cervical Flexor Muscl e Pada Game Streamer. 6, 92–100
  27. Baxi, M., & Hande, D. (2023). Effect of Deep Neck Flexor Activation and Ergonomics Education on Work related Neck Pain in Bank Workers in Loni Effect of Deep Neck Flexor Activation and Ergonomics Education on Work related Neck Pain in Bank Workers in Loni. June. https://doi.org/10.21088/potj.0974.5777.11118.3

Bahasa Abstract

Latar belakang: Penjahit cenderung menunduk dalam waktu lama yang mengakibatkan aktivasi berlebih pada otot-otot postural dalam mempertahankan gerakan posisi leher yang menyebabkan terjadinya kelemahan, penurunan aktivitas, dan muscle imbalance yang mengakibatkan timbulnya nyeri pada daerah leher. Dalam mengatasi gangguan tersebut intervensi yang dapat diberikan adalah deep neck flexor exercise. Tujuan: mengetahui adanya pengaruh deep neck flexor exercise terhadap neck pain non specific pada penjahit. Metode penelitian: penelitian ini menggunakan desain experimental one group pre and post test with control design yang dilaksanakan pada bulan Mei-Juli tahun 2024 di PT. Iskandar Indah Printing Textile dengan 30 subjek. Teknik pengumpulan subjek dilakukan secara acak dengan mengambil nomor undian. kelompok I diberikan intervensi berupa deep neck flexor exercise dan kelompok II diberikan edukasi mengenai posisi ergonomis pada penjahit. Penelitian dilakukan selama 6 minggu dengan 2 kali pertemuan setiap minggu. Pengukuran nyeri menggunakan QVAS dilakukan pada awal dan akhir penelitian. Hasil: berdasarkan hasil uji statistik sebelum dan sesudah perlakuan, kelompok I diperoleh hasil nilai p = 0.001 (p 0.05) yang menunjukkan bahwa tidak terdapat perbedaan QVAS sebelum dan sesudah perlakuan pada kelompok kontrol. Hasil uji hipotesis sesudah perlakuan kelompok I dan II didapatkan hasil p = 0.001 (p deep neck flexor exercise dapat menurunkan nyeri pada penjahit yang menderita neck pain non specific.

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