The Relationship Between Superficial

Muscle Activity During Cranio-cervical

Flexion Test And Clinical Features
In Patien With Chronic Neck Pain
Shaun Oleary, Deborah Falla,
Gwendolen Jull

Oleh: Venny Tiursani Sarumpaet (G1A212049)

Abstrak
Perubahan perilaku motorik diketahui sebagai manifestasi dari gangguan nyeri
leher mekanik kronis. Penelitian ini meneliti hubungan anatara level nyeri dan
kecacatan dari 84 individu (63 perempuan dan 21 laki laki) dengan nyeri leher
mekanik kronis dan level aktivitas elektromiografik yang direkam dari otot
flexor cervical (sternocleidomastoideus; SCM dan skalenus anterior; AS)
selama tahap progresif dari tes fleksi cranioservical. Sebuah asosiasi positif
yang signifikan ditemukan anatara aktifitas otot superfisial dan intesitas nyeri
(p<0,003), tetapi bukan pada durasi nyeri (p>0,5) atau pada kecatatan
(p>0,21). Hubungan terkuat antara intesitas nyeri dan aktifitas otot superfisial
muncul pada kenaikan akhir dari test fleksi cranioservical (inner-range test
posisition) dari otot SCM dan AS (R2= 0,16). Walapuin muncul hubungan yang
positif dan signifikan anata intesitas nyeri dan aktivitas otot superfisial namun
hubungan tersebut tidak terlalu menonjol (16% variasi terjelaskan). Hal ini
mengindikasikan bawah berbagai faktor berkontibusi untuk mengibah fungsi
motorik pada individu dengan nyeri leher mekanik kronis.

Pendahuluan
Nyeri leher mekanik kronis (chronic mechanical
neck pain / CMNP) adalah gangguan
nonspesifik yang memiliki karakteristik
diperburuk oleh gerakan leher dan aktivitas
(Bogduk, 1984) dengan latihan yang ditandai
oleh periode remisi dan eksaserbasi (Cote et al.,
2004).

 Tujuan dari penelitian ini adalah untuk menguji

besarnya hubungan antara tingkat nyeri leher
dan kecacatan dengan aktivasi otot fleksor
superfisial serviks selama CCFT pada pasien
dengan CMNP

Kohort
Kohort

Kriteria inklusi:
Usia 18-60tahun
Riwayat nyeri leher >6 bln
NDI 5
Peremeriksaan fisik mendukung
Informed
consent (+)
Kriteria
ekslusi:
Menjalani program latuhan + korset bahu selama 6 bln
terakhir
Penyebab non muskuloskeletal
Kelainan neurologis

Nilai signifikansi p<0.05

Cranio-cervical flexion test (CCFT)

SCM + AS

1. Posisi nyaman supine

2. Leher, Kepala, dan tengkuk
mid-position
Tekanan 20, 22, 24, 26, 28, 30
mmHg
Dipandu oleh sensor tekanan
yang ditempatkan dibelakang
leher

Hasil
VAS

Hasil

Analisis Regresi

Pembahasan

Individu
Peningkatan
Studi
eksperimental
dengan
aktivitas
CMNP,
menunjukkan
terutama
tingkatpada
aktivitas
bahwa
tingkat
otot
reorganisasi
intensitas
fleksor serviks
kontrol
nyeri superfisialis
yang
neuromuskular
lebih tinggi
selama
pu
di

Pembahasan
Dalam jangka
Intensitas
Intensitas
nyeri
nyeri
panjang
hanya
bukanlah
menyumbang
satu-satunya
hingga faktor

Pembahasan

tidak ada hubungan antara aktivitas fleksor servikal superfisial selama CCFT den

Kesimpulan

Temuan penelitian ini mendukung hubungan antara nyeri leher dan perubaha

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