PENAMBAHAN TRAKSI MANUAL PADA PEMBATASAN LINGKUP GERAK SENDI (LGS) DENGAN INTERVENSI ULTRASOUND (US) DAN RANSCUTANEOUS ELECTRIKAL NERVE STIMULATION (TENS) DAPAT MENINGKATKAN LINGKUP GERAK SENDI (LGS) ROTASI INTERNAL PADA PASIEN FROZEN SHOULDER

Abstract

Frozen shoulder is a syndrome or condition with attacks of pain and limitation of
active and passive motion with an uncertain cause / idiopathic often experienced by people
aged 40-60 years and had a history of trauma. Causes for auto immobilization response to
local tissue damage results repetitive injury, diabetes mellitus, paralysis, post breast surgery
and myocardial infarction or chest, of the glenohumeral joint (bicipitalis tendonitis, rotator
cuff inflammation, fracture) or extra-articular disorders (cervical spondylisis, angina
pectoris).
The main purpose of writing this paper to determine the diff addition of manual
traction therapy restrictions LGS, the US. and with US, TENS, TENS for the increase in
internal rotation in LGS patients soulder frozen. The research was conducted at the Poly
Clinic Physiotherapy Public Hospital Sanglah Denpasar and Mutiara Medika Clinic on May
2011 until September 2011. The problems examined in this study was limited range of
motion due to internal sendirotasi Frozen Shoulder is measured using a Goniometer.
The research was divided into two groups: a control group and treatment group. The
control group was given ultrasound and TENS treatment group was given intervention
ultrasound, TENS and Manual Traction in the restricted range of motion data processing and
data analysis using statistical program for science program (SPSS 13.0). By hypothesis
testing using the Mann-Whitney test derived p-value = 0.000 (p value <0.05) which means
that there are significant differences in the mean difference between the average value of
LGS internal rotation of the control group and the mean value of the difference in internal
rotation of the LGS treatment groups. This suggests that the addition of manual traction LGS
restrictions on U.S. intervention more effective and TENS increase LGS internal rotation in
significant U.S. intervention and TENS on the condition of frozen shoulder.
US intervention and TENS may provide increased internal rotation of the shoulder
joint LGS meaningful on condition of frozen shoulder, it can be seen from the hypothesis
testing using the Wilcoxon test p-value = 0.001 (p value <0.05). US intervention, TENS and
manual traction can provide an increase in restrictions LGS, LGS significant internal rotation
on the condition of frozen shoulder, it can be seen from the hypothesis testing using the
Wilcoxon test p-value = 0.001 (p value <0.05). The addition of manual traction LGS
restrictions on U.S. intervention more effective and TENS increase significantly LGS internal
rotation rather than the intervention of US and TENS on the condition of frozen shoulder, it
can be seen from the hypothesis testing using the Mann-Whitney test with p value = 0.000 (p
value <0 , 05).
To generate an increase in internal rotation of the shoulder joint LGS greater in the
frozen state should shoulder the provision of manual traction LGS restrictions to be one
obvious choice for the addition of various modalities of physiotherapy interventions.