Comparative Study Of Deep Cervical Flexion Exercise With Pressure Biofeedback and Muscle Energy Technique for Neck Pain Reduction in Digital Workers

Ayu Feratywi; Susy Purnawati; Wahyuddin Wahyuddin

doi:10.32382/medkes.v20i2.1591

Penulis

Ayu Feratywi Master of Sport Physiology, Faculty of Medicine, Universitas Udayana, Denpasar, Bali
Susy Purnawati Department of Physiology, Faculty of Medicine, Universitas Udayana, Denpasar, Bali
Wahyuddin Faculty of Physiotherapy, Universitas Esa Unggul, Jakarta

DOI:

https://doi.org/10.32382/medkes.v20i2.1591

Kata Kunci:

Disabilitas leher, mechanical neck pain, deep cervical flexion exercise, pressure biofeedback, muscle energy technique

Abstrak

Mechanical neck pain menjadi gangguan musculoskeletal yang umum terjadi pada karyawan dengan aktivitas statis dan postur kerja tidak ergonomis dalam menggunakan perangkat digital yang dapat menimbulkan nyeri dan disabilitas sehingga menurunkan produktivitas kerja. Tujuan penelitian ini untuk membuktikan bahwa deep cervical flexion exercise with pressure biofeedback lebih efektif dibandingkan muscle energy technique terhadap penurunan nyeri dan disabilitas leher pada kondisi mechanical neck pain karyawan digital creative. Penelitian ini merupakan true eksperimen dengan pre test and post test two group design. Subjek penelitian berjumlah 24 orang yang dibagi menjadi dua kelompok secara acak. Sebanyak 12 orang dalam kelompok 1 diberikan intervensi deep cervical flexion exercise with pressure biofeedback dan sebanyak 12 orang dalam kelompok 2 diberikan intervensi muscle energy technique. Pengukuran dilakukan sebelum dan sesudah intervensi. Pengukuran intensitas nyeri menggunakan numeric pain rating scale dan pengukuran disabilitas leher menggunakan neck disability index. Hasil paired sample t test kelompok 1 menunjukkan penurunan bermakna dengan rerata nyeri 2,00 ± 1,53 (p = 0,001; p < 0,05) dan disabilitas leher 7,42 ± 2,27 (p = 0,001; p < 0,05). Kelompok 2 menunjukkan penurunan bermakna dengan rerata nyeri 3,50 ± 1,16 (p = 0,001; p < 0,05) dan disabilitas leher 11,75 ± 3,88 (p = 0,001; p < 0,05). Untuk independent sample t test antar kedua kelompok, diperoleh adanya perbedaan yang signifikan untuk intensitas nyeri (p = 0,013; p < 0,05) dan disabilitas leher (p = 0,003; p < 0,05). Sebagai kesimpulan, deep cervical flexion exercise with pressure biofeedback lebih efektif dibandingkan muscle energy technique terhadap penurunan nyeri dan disabilitas leher pada kondisi mechanical neck pain karyawan digital creative.

Referensi

Laeto A Bin, Santoso B, Zulissetiana EF, dkk. Hubungan antara Durasi Duduk dengan Kejadian Nyeri Leher pada Mahasiswa Kedokteran Universitas Sriwijaya selama Pembelajaran Daring. J Ilmu Kesehatan. 2024;2(2):244–9.

Abd-Eltawab AE, Ameer MA. Effect of Kinesio Taping Versus Mechanical Cervical Traction Combined with Physiotherapy Program on Chronic Neck Pain in Young Female University Students. Hong Kong Physiother J. 2023;44(1):69–78.

Phadke A, Bedekar N, Shyam A, Sancheti P. Effect of muscle energy technique and static stretching on pain and functional disability in patients with mechanical neck pain: A randomized controlled trial. Hong Kong Physiother J. 2016;35:5–11. Available from: http://dx.doi.org/10.1016/j.hkpj.2015.12.002

Suvarnnato T, Puntumetakul R, Uthaikhup S, Boucaut R. 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. J Pain Res. 2019;12:915–25.

Kashif M, Anwar M, Noor H, Iram H, Hassan HMJ. Prevalence of Musculoskeletal Complaints of Arm, Neck and Shoulder and Associated Risk Factors in Computer Office Workers. Phys Medizin Rehabil Kurortmedizin. 2020;30(5):299–305.

Nunes A, Espanha M, Teles J, Petersen K, Arendt-nielsen L, Carnide F. Neck pain prevalence and associated occupational factors in Portuguese office workers. Int J Ind Ergon. 2021;85:1–7. Available from: https://doi.org/10.1016/j.ergon.2021.103172

Choi W-H. The effects of the Cervical Deep Muscle Flexion Exercises on Pain and Cervical Function in Patients with Chronic Cervical Pain. J Korean Soc Neurother. 2019;23(1):55–9.

Jayaseeli P, Scindia GK, Jeyakhar J, Ramya S. Effect of Muscle Energy Technique and Mckenzie Exercise in Improving Disability and Reducing Pain in College Students with Mechanical Neck Pain. Int J Acad Med Pharm. 2024;6(3):716–20.

Lin LH, Lin TY, Chang KV, Wu WT, Özçakar L. Muscle energy technique to reduce pain and disability in cases of non-specific neck pain: A systematic review and meta-analysis of randomized controlled trials. Heliyon. 2023;9(11):1–15.

Lo CN, Teo VYE, Manaff NFABA, Seow TCY, Harve KS, Leung BPL. A Cross-Sectional Study Exploring the Relationship between Work-Related, Lifestyle Factors and Non-Specific Neck and Shoulder Pain in a Southeast Asian Population. Healthc. 2024;12(18).

Zheng B, Zheng L, Li M, Lin J, Zhu Y, Jin L, et al. Sex differences in factors associated with neck pain among undergraduate healthcare students: a cross-sectional survey. BMC Musculoskelet Disord. 2022;23(1):1–10. Available from: https://doi.org/10.1186/s12891-022-05782-z

Abbas M, Qamar S ul, Habib M, Hanif M, Masood S, Usman H. A Study to Compare the Effectiveness of McKenzie Neck Exercise and Contract Relax Stretching in Mechanical Neck Pain. J Heal Rehabil Res. 2024;4(2):1629–33.

Khanum F, Khan AR, Khan A, Aafreen A, Khan AA, Ahmad A, et al. Predicting mechanical neck pain intensity in computer professionals using machine learning : identification and correlation of key features. 2024;(March):1–9.

Karthi M, Gopalswami AD, Aseer AL. Efficacy of Endurance Training on Deep Cervical Flexor Muscles Using Pressure Feedback in Mechanical Neck Pain. Int J Physiother. 2019;6(3):95–101.

Rehab NI, Abdallah D, Fahmy EM, Mohamed SS. Effect of Deep Cervical Flexors Training Paradigm on neck pain and functional disability in Patients with Cervicogenic Headache. 2024;3(1):28–40.

Ahmed MM, El-Mageed SFA, Hassan KA, Saweeres ESB. Efficacy of Biofeedback Exercise of Deep Neck Flexors on Cervicogenic Headache. Med J Cairo Univ. 2019;87(March):967–80.

Rahnama L, Saberi M, Kashfi P, Rahnama M, Karimi N, Geil MD. Effects of Two Exercise Programs on Neck Proprioception in Patients with Chronic Neck Pain: A Preliminary Randomized Clinical Trial. Med Sci (Basel, Switzerland). 2023;11(3).

Kamayoga IDGA, Adyasputri AAIAF, Putra IPYP, Widnyana M, Utama AAGES. The Efficacy of Deep Cervical Flexor Training with Feedback Reducing Pain and Disability in Individuals with Work-Related Neck Pain. Phys Ther J Indones. 2021;2(2):50–3.

Rojas Galleguillos F, Clark-Hormazábal C, Méndez-Fuentes E, Guede-Rojas F, Mendoza C, Riveros Valdés A, et al. Exercise-induced hypoalgesia in chronic neck pain: A narrative review. Sport Med Heal Sci. 2024;6(1):37–47.

Buttagat V, Muenpan K, Wiriyasakunphan W, Pomsuwan S, Kluayhomthong S, Areeudomwong P. A comparative study of Thai massage and muscle energy technique for chronic neck pain: A single-blinded randomized clinical trial. J Bodyw Mov Ther. 2021;27:647–53. Available from: https://doi.org/10.1016/j.jbmt.2021.05.007

Osama M. Effects of autogenic and reciprocal inhibition muscle energy techniques on isometric muscle strength in neck pain: A randomized controlled trial. J Back Musculoskelet Rehabil. 2021;34(4):555–64.

Rana AA, Ahmad A, Gillani SA, Idrees MQ, Awan I. Effects of conventional physical therapy with and without muscle energy techniques for treatment of upper cross syndrome. Rawal Med J. 2020;45(1):127–31.

Albomahmood KH, Shadmehr A, Hadian MR, Jalaie S, Tahseen J, Fereydounnia S. Efficacy of Extracorporeal Shock Wave Therapy on Active Trigger Point in the Upper Trapezius Muscle. J Mod Rehabil. 2022;16(4):298–303.

Siddiqui M, Akhter S, Ahmed A, Baig M. Effects of autogenic and reciprocal inhibition techniques with conventional therapy in mechanical neck pain – a randomized control trial. BMC Musculoskelet Disord. 2022;23:1–11. Available from: https://doi.org/10.1186/s12891-022-05668-0

Sbardella S, La Russa C, Bernetti A, Mangone M, Guarnera A, Pezzi L, et al. Muscle energy technique in the rehabilitative treatment for acute and chronic non-specific neck pain: A systematic review. Healthc. 2021;9(6).

Joshi R, Poojary N. The Effect of Muscle Energy Technique and Posture Correction Exercises on Pain and Function in Patients with Non-specific Chronic Neck Pain Having Forward Head Posture—a Randomized Controlled Trail. Int J Ther Massage Bodyw Res Educ Pract. 2022;15(2):14–21.

Amalina N, Setiawati E. Effectiveness of Deep Cervical Flexor ( DCF ) Exercise on Neck Functional Scores in Helicopter Crew with Mechanical Neck Pain. 2021;3(2):71–6.

Matsi AE, Atsidakou N, Christakou A. Effectiveness of Craniocervical Flexion Exercise on Pain , Disability , and Cervical Range of Motion in Patients with Neck Pain. 2020;32(1):39–57.

Tsiringakis G, Dimitriadis Z, Triantafylloy E, McLean S. Motor control training of deep neck flexors with pressure biofeedback improves pain and disability in patients with neck pain: A systematic review and meta-analysis. Musculoskelet Sci. 2020;50:1–17. Available from: https://doi.org/10.1016/j.msksp.2020.102220

Hassan ES, Botla AM, Abdou MY, Attalla AHA, Ali KM, Aboelmaged SR. Effect of stabilizer pressure biofeedback on post-thyroidectomy neck pain in postmenopausal women: a randomized controlled trial. Physiother Q. 2024;32(4):35–41.

Alghadir AH, Iqbal ZA. Effect of Deep Cervical Flexor Muscle Training Using Pressure Biofeedback on Pain and Forward Head Posture in School Teachers with Neck Pain : An Observational Study. 2021;2021.

Tiwari J, Tiwari V, Sharma A, Malik A. The Impact of Deep Cervical Flexibility Training with Pressure Biofeedback on Neck Pain and Disability in Teachers. UGC Care Gr I List J. 2023;Vol.13(10):172–82.

Nazir S, Arslan HRM, Awan NG, Bilal H. 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 Biomed J. 2022;5(1):296–9.

Shah I, Kulkarni P, Kumar A. Assessment and Comparison between Cervical Retraction Exercise and Muscle Energy Technique on Cervical Joint Position Sense in Individuals with Forward Head Posture. Int J Sci Healthc Res. 2022;7(1):199–208.

Ojoawo AO, Ige B, Kunnuji K. Muscle energy technique and static stretching in patients with mechanical neck pain - a randomized study. Eur J Clin Exp Med. 2022;20(1):63–9.