AN INTEGRATED NEUROMUSCULAR INHIBITION TECHNIQUE COMBINATION WITH ULTRASOUND MORE EFFECTIVE IN REDUCE PAIN COMPARED TO A COMBINATION OF STRAIN COUNTERSTRAIN WITH ULTRASOUND IN PIRIFORMIS SYNDROME PATIENTS
By : I Nyoman Baktiyasa
Faculties : Fakultas Kedokteran
Department : PS. FISIOTERAPI
Piriformis Syndrome is a neuromuscular disorder that occurs due to sciatica nerve (nervus ischiadicus) compressed or irritated by piriformis muscle caused in pain, pins and needles, and numbness in the area of the buttocks until the journey of sciatica nerve. When the piriformis muscle is taut then the piriformis muscle can irritate sciatica or ischiadicus nerve and cause pain that spreads under the feet. The purpose of this study was to determine the combination of Integrated Neuromuscular Inhibition Technique with Ultrasound is more effective in reducing pain than the combination of Strain Counterstrain with Ultrasound in patients with piriformis syndrome. This research was an experimental research with pre and post control group design. The samples of research were 20 people divided into two groups. Group 1 was given an Integrated Neuromuscular Inhibition Technique intervention with Ultrasound, while Group 2 was given Strain Counterstrain intervention with Ultrasound. Measurement of pain value was measured by using Visual Analogue Scale (VAS). After obtained the data of the research results, the normality test was done with Shapiro Wilk test and homogeneity test with Levene's test. Hypothetical test with Paired Sample t-test was done to know difference of mean before and after intervention in each group. In Group 1, the results obtained p=0.000 with a mean difference of 2.940±0.96, whereas in Group 2 the results obtained p=0.000 with a mean difference of 1.910±0.60. These results indicate that there was a significant decrease in pain in each group. In different test between Group 1 and Group 2 using Independent Sample t-test obtained p=0.010 (p<0.05). It can be concluded that the combination of Integrated Neuromuscular Inhibition Technique with Ultrasound was more effective in reducing pain than the combination of Strain Counterstrain with Ultrasound in patients with Piriformis Syndrome.
Keyword : Integrated Neuromuscular Inhibition Technique, Strain Counterstrain, Ultrasound, Piriformis Syndrome, VAS