THE EFFECT OF ADDITIONAL INTEGRATION NEUROMUSCULAR INHIBITION TECHNIQUE TO TENS AND ULTRASOUND ON PAIN IN PATIENTS WITH PIRIFORMIS SYNDROME AT PANDEGLANG REGIONAL HOSPITAL

  • Achwan Achwan Poltekkes Kemenkes Jakarta 3
Keywords: Piriformis Syndrome, INIT, TENS, Ultrasound, Pain, NRS.

Abstract

Background: Piriformis syndrome is a painful condition caused by compression or irritation of the sciatic nerve by the piriformis muscle. This study aims to determine the effect of the addition of Integration Neuromuscular Inhibition Technique (INIT) on reducing pain in piriformis syndrome patients. Research Method: is a quasi-experimental design with a pre-test and post-test control group, the sampling technique uses purposive sampling with criteria. A total of 42 respondents were divided into two groups, namely 21 respondents in the treatment group and 21 samples in the control group. The level of pain was measured using NRS. Results: the study showed that the average pain in the treatment group decreased from 7.95 ± 1.36 to 5.05 ± 1.65, while in the control group decreased from 7.71 ± 1.19 to 6.10 ± 1.44. The paired t-test showed a significant decrease in pain in both groups with a p value = 0.000. The results of the independent t-test showed a significant difference between the two groups (p = 0.015). Conclusion: The addition of INIT to TENS and Ultrasound significantly reduced pain in piriformis syndrome at Pandeglang Regional Hospital.

References

Andreyani, L., & Bhakti, W. K. (2023). Validitas Skala Ukur Nyeri Visual Analog and Numerik Ranting Scales (VaNRS) Terhadap Penilaian Nyeri. Jambura Journal of Health Sciences and Research, 5(2), 730–736. https://doi.org/10.35971/jjhsr.v5i2.19140
Chitale, N., Patil, D. S., & Phansopkar, P. (2022). Integrated Neuromuscular Inhibition Technique Versus Mulligan Mobilization on Functional Disability in Subjects With Nonspecific Low Back Pain: A Comparative Study. Cureus, 14(10). https://doi.org/10.7759/cureus.30253
Danazumi, M. S., Yakasai, A. M., Ibrahim, A. A., Shehu, U. T., & Ibrahim, S. U. (2021). Effect of integrated neuromuscular inhibition technique compared with positional release technique in the management of piriformis syndrome. Journal of Osteopathic Medicine, 121(8), 693–703. https://doi.org/10.1515/jom-2020-0327
Dianingtyas, A. S., & Prasetyo, E. B. (2021). Penatalaksanaan Fisioterapi Pada Kondisi Calcaneus Spurs Bilateral Dengan Modalitas Ultrasound, Trasnverse Friction dan Hold Rilex Exeercise di RSUD Bendan Kota Pekalongan. 37–47.
Ejaz, F., Safdar, M., & Ejaz, H. (2023). Comparative Effectiveness of Integrated Neuromuscular Inhibition Technique Along with Conventional Treatment Vs Conventional Treatment Alone in Patients of Knee Osteoarthritis. Pakistan Journal of Medical and Health Sciences, 17(1), 859–861. https://doi.org/10.53350/pjmhs2023171859
El-Azeim, A. S. A., Ahmed, S. E. B., Draz, A. H., Elhafez, H. M., & Kattabei, O. M. (2019). Integrated Neuromuscular Inhibition Technique Versus Kinesiotape on Upper Trapezius Myofascial Trigger Points a Randomized Clinical Trial. International Journal of Physiotherapy, 5(3), 105–112. https://doi.org/10.15621/ijphy/2018/v5i3/173934
Kazdal, C. (2022). Piriformis Syndrome. Musculoskeletal Pain (Common Clinical Presentations), 105–119. https://doi.org/10.21776/ub.jphv.2022.003.01.5Lin, T., Gargya, A., Singh, H., Sivanesan, E., & Gulati, A. (2020). Mechanism of peripheral nerve stimulation in chronic pain. Pain Medicine (United States), 21, S6–S12. https://doi.org/10.1093/PM/PNAA164
Lina, R. K., Berbudi B.L., A., & Parwati, S. (2022). Pengaruh Intervensi Ultrasound Terhadap Perubahan Nyeri Carpal Tunnel Syndrome Di Klinik Fisioterapi Sayang Jatinangor Tahun 2022. Jurnal Fisioterapi Dan Kesehatan Indonesia, 2(2), 1–10. https://doi.org/10.59946/jfki.2022.152
Mahendrakrisna, D. (2019). Diagnosis Sindrom Piriformis. Continuing Medical , 46, 62–64.
Metgud, S., Monteiro, S., Heggannavar, A., & D’Silva, P. (2020). Effect of integrated neuromuscular inhibition technique on trigger points in patients with nonspecific low back pain: Randomized controlled trial. Indian Journal of Physical Therapy and Research, 2(2), 99. https://doi.org/10.4103/ijptr.ijptr_49_19
Meylita Putri, R., Virny, ;, Lestari, D., Hasbiah, ;, Sudaryanto, ;, & Tang, A. (2022). The Effect Of Ultrasound And Integrated Neuromuscular Inhibition Technique (INIT) To Reduce Of Myofacial Pain Syndrome Musculus Upper Trapezius Pains For Physiotherapy Department Students. Media Fisioterapi Politeknik Kesehatan Makassar, 000, 1–9
Mutia, S. A., Kusuma, N., & Muna, Z. (2023). Physiotherapy Management of Piriformis Syndrome ; Case Study. Physio Move Journal, 2(2), 54–59.
Pristianto, A., Naufal, A. F., Istiqomah, I., & ... (2023). Penerapan Program Fisioterapi Untuk Mengatasi Permasalahan Nyeri Leher Pada Komunitas Pengrajin Stamp Batik Laweyan. Abdi …, 4(1), 10–17. https://journals2.ums.ac.id/index.php/abdigeomedisains/article/view/327
Purwasih, Y., Prodyanatasari, A., & Salam, A. (2020). Penatalaksanaan Transcutaneus Electrical Nerve Stimulation ( TENS ) pada Low Back Pain Myogenic. JURNAL PIKes Penelitian Ilmu Kesehatan, 1(1), 16–21.
Rafli, M. D., & Purnomo, D. (2024). Studi Kasus: Penatalaksanaan Fisioterapi Dengan Ultrasound, Transcutaneus Electrical Nerve Stimulation Dan Terapi
Ramsunder, L. (2012). The Effectiveness of Integrated Neuromuscular Inhibition Technique in the Treatment of Gluteus Medius Myofascial Pain and Dysfunction Syndrome. 129.
Rutika Thakur, Prachi Mande, & Muskaan Lokwani. (2022). Effectiveness of Integrated Neuromuscular Inhibition Technique and Instrument Assisted Soft Tissue Mobilisation in the Management of Upper Trapezius Myofascial Trigger Points. Indian Journal of Physiotherapy & Occupational Therapy - An International Journal, 16(4), 94–100. https://doi.org/10.37506/ijpot.v16i4.18713
Sani, A. F., Basuki, H. B. H. I. S. M., & Iii, W. R. I. (2019). THE CHALLENGES OF NEUROLOGICAL DEVELOPMENT IN 4.0 GENERATION OF INDUSTRIAL REVOLUTIONARY ERA. Riskesdas 2018, 3(1), 103–111.
Setiawan, Syatibi, M., & Handita, Y. (2013). Pengurangan Nyeri Menggunakan Terapi Integrated Neuromuscular Technique dan Massage Effleurage pada Sindrome Myofascial Otot Trapezius Atas. Jurnal Terapdu Ilmu Kesehatan, 3, 189–193. http://jurnal.poltekkes-solo.ac.id/index.php/Int/article/view/213
Sudaryanto, Nugraha, R., Hasbiah, Erawan, T., & Syaqshana, A. A. (2024). Kombinasi Transcutaneus Electrical Nerve Stimulation dan Integrated Neuromuscular Inhibition Technique untuk Menurunkan Nyeri dan Meningkatkan Kemampuan Fungsional Pasien dengan Hernia Nukleus Pulposus Lumbal. 15(3), 308–311.
Wigraha, N. B. A., & Wahyuddin. (2017). Perbedaan Efek antara Integrated Neuromuscular Inhibition Technique (INIT) dengan Myofascial Release terhadap Nyeri dan Disabilitas Kasus Myofascial Trigger Point Syndrome Otot Levator Scapulae. Jurnal Fisioterapi, 17(1), 7–25.
Published
2025-12-24
How to Cite
Achwan, A. (2025). THE EFFECT OF ADDITIONAL INTEGRATION NEUROMUSCULAR INHIBITION TECHNIQUE TO TENS AND ULTRASOUND ON PAIN IN PATIENTS WITH PIRIFORMIS SYNDROME AT PANDEGLANG REGIONAL HOSPITAL. Jurnal Fisioterapi Dan Kesehatan Indonesia, 5(02), 406-417. https://doi.org/10.59946/jfki.2025.477