KOMBINASI FOOT MUSCLE STRENGTHENING DAN KINESIOTAPING LEBIH BAIK DIBANDINGKAN DENGAN FOOT MUSCLE STRENGTHENING TERHADAP PENINGKATAN KESEIMBANGAN DINAMIS PADA ANAK DENGAN FLEXIBLE FLATFOOT

Myofascial Trigger Point Syndrome (MTPs) is a small hypersensitive area that affects the upper trapezius muscle fascia. The use of muscles in static position at the long time, compression of the muscles and poor working mechanisms in the neck and shoulders can lead to spasm, muscle shortening, and blood circulation disorders that cause trigger point in the muscle that later can cause MTPs. The aims of study to prove the combination of ultrasound therapy and integrated neuromuscular inhibitation techniques_1 more effectively reduce pain in upper trapezius muscle MTPs rather than a combination of ultrasound and transverse friction massage therapy. This study is a randomized experimental design with pre-test and post-test design. There were two Groups which consist of 10 samples each. First Group used the combination therapy of ultrasound and integrated neuromuscular inhibition technique_1 and the Second Group used combination therapy ultrasound and transverse friction massage. The data used in this research is VAS scale taken before and after therapy. Treatment was given for 6 times at Klinik Merdeka Medical Centre.The results showed a decrease of average pain in Group 1 from the mean of 5.39 ± 0.70 to the average of 1.64 ± 0.51 and Group 2 from the mean of 5.83 ± 0.81 to the mean of 1.39 ± 0.50 after treatment. The mean difference of pain reduction was done before and after intervention of each Group using paired sample t-test obtained p=0.000 (p<0,05). The difference of average of pain after intervention of combination of ultrasound therapy and integrated neuromuscular inhibitation technique_1 and combination of ultrasound and transverse friction massage therapy using independent sample t-test showed p=0,287 (p>0,05), meaning there was no significant difference of intergroup intervention. The combination therapy of ultrasound and integrated neuromuscular inhibition technique_1 is no difference with the combination therapy of ultrasound and transverse friction massage to decrease pain in myofascial trigger point syndrome upper trapezius muscle. Need more instrument of objective pain.

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