Penerapan Teknik Chiropractic Dalam Manajemen Cidera Bahu: Laporan Kasus Deskriptif

  • Ronny Brayntin Rahail Universitas Musamus, Merauke, Indonesia
  • Ronald Universitas Musamus, Merauke, Indonesia
  • Ade Yuni Sahruni Universitas Musamus, Merauke, Indonesia
  • Febry Ramadhani Suradji Universitas Musamus, Merauke, Indonesia
  • Pricillya Margaretha Warwuru Universitas Musamus, Merauke, Indonesia
  • Muktamar Umakaapa Universitas Musamus, Merauke, Indonesia
  • Dani Nurcholis Universitas Musamus, Merauke, Indonesia
Keywords: chiropraktik, cedera, olahraga, bahu

Abstract

Abstrak

Teknik chiropractic telah muncul sebagai pendekatan alternatif dalam manajemen cedera bahu, namun bukti empirisnya masih terbatas.  Penelitian ini  mengevaluasi  efektivitas  teknik  chiropraktik  pada  dua  kasus  cedera  bahu  melalui  studi  deskriptif longitudinal. Dua pasien pria (28 dan 21 tahun) dengan riwayat cedera bahu yang berbeda menjalani perawatan chiropraktik selama 6 bulan. Data dikumpulkan melalui wawancara terstruktur dan kuesioner, yang mencakup tingkat nyeri, kemampuan fungsional, dan kepuasan pasien. Hasil penelitian menunjukkan penurunan yang signifikan pada tingkat nyeri dari 6/10 menjadi minimal pada kedua pasien. Kemampuan untuk melakukan aktivitas sehari-hari pun meningkat, dengan skor 8/10 dan 6/10 untuk pasien pertama dan kedua. Kedua pasien melaporkan kembali ke aktivitas normal setelah 6 bulan, tanpa efek samping. Tingkat  kepuasan  pasien  tinggi  (4/5  dan  5/5).  Perbedaan  dalam  tingkat  pemulihan  diamati,  dengan  pasien  yang  memiliki riwayat cedera yang lebih baru menunjukkan respons yang lebih cepat. Penelitian ini menunjukkan potensi teknik chiropraktik sebagai  metode  yang  efektif  dalam  manajemen  cedera  bahu,  meningkatkan  fungsi  dan  mengurangi  rasa  sakit  tanpa  efek samping yang signifikan. Meskipun hasil ini menjanjikan, penelitian lebih lanjut dengan sampel yang lebih besar diperlukan untuk mengkonfirmasi temuan dan mengeksplorasi faktor-faktor yang mempengaruhi efektivitas pengobatan.

Kata Kunci: chiropraktik, cedera, olahraga, bahu

 

Abstract

Chiropractic techniques have emerged as an alternative approach in shoulder injury management, yet empirical evidence remains limited. This study evaluates the effectiveness of chiropractic techniques in two cases of shoulder injury through a longitudinal descriptive study. Two male patients (28 and 21 years old) with different shoulder injury histories underwent chiropractic treatment for 6 months. Data were collected through structured interviews and questionnaires, encompassing pain levels, functional ability, and patient satisfaction. Results demonstrated a significant reduction in pain levels from 6/10 to minimal in both patients. The ability to perform daily activities improved, with scores of 8/10 and 6/10 for the first and second patients, respectively. Both patients reported returning to normal activities after 6 months, without side effects. Patient satisfaction levels were high (4/5 and 5/5). Differences in recovery rates were observed, with the patient having a more recent injury history showing a faster response. This study indicates the potential of chiropractic techniques as an effective method in shoulder injury management, improving function and reducing pain without significant side effects. Although these results are promising, further research with larger samples is needed to confirm the findings and explore factors influencing treatment effectiveness.

Keywords: chiropractic, injury, sports, shoulder

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References

AlvsÃ¥ker, K., Walther, S., KleffelgÃ¥rd, I., Mongs, M., Drægebø, R., & Keller, A. (2011). Inter-rater reliability of the Early Functional Abilities scale. Journal of Rehabilitation Medicine, 43(10), 892–899. https://doi.org/10.2340/16501977-0855

Cameron, P. A., Gabbe, B. J., Cooper, D. J., Walker, T., Judson, R., & McNeil, J. (2008). A statewide system of trauma care in Victoria: effect on patient survival. Medical Journal of Australia, 189(10), 546–550. https://doi.org/10.5694/j.1326-5377.2008.tb02176.x

de Munter, L., Polinder, S., Havermans, R. J. M., Steyerberg, E. W., & de Jongh, M. A. C. (2021). Prognostic factors for recovery of health status after injury: a prospective multicentre cohort study. BMJ Open, 11(1), e038707. https://doi.org/10.1136/bmjopen-2020-038707

Doiron-Cadrin, P., Lafrance, S., Saulnier, M., Cournoyer, É., Roy, J.-S., Dyer, J.-O., Frémont, P., Dionne, C., MacDermid, J. C., Tousignant, M., Rochette, A., Lowry, V., Bureau, N. J., Lamontagne, M., Coutu, M.-F., Lavigne, P., & Desmeules, F. (2020). Shoulder Rotator Cuff Disorders: A Systematic Review of Clinical Practice Guidelines and Semantic Analyses of Recommendations. Archives of Physical Medicine and Rehabilitation, 101(7), 1233–1242. https://doi.org/10.1016/j.apmr.2019.12.017

Dubé, M.-O., Desmeules, F., Lewis, J. S., & Roy, J.-S. (2023). Does the addition of motor control or strengthening exercises to education result in better outcomes for rotator cuff-related shoulder pain? A multiarm randomised controlled trial. British Journal of Sports Medicine, 57(8), 457–463. https://doi.org/10.1136/bjsports-2021-105027

Goertz, C. M., Long, C. R., Vining, R. D., Pohlman, K. A., Walter, J., & Coulter, I. (2018). Effect of Usual Medical Care Plus Chiropractic Care vs Usual Medical Care Alone on Pain and Disability Among US Service Members With Low Back Pain. JAMA Network Open, 1(1), e180105. https://doi.org/10.1001/jamanetworkopen.2018.0105

Green, S., Buchbinder, R., & Hetrick, S. E. (2003). Physiotherapy interventions for shoulder pain. Cochrane Database of Systematic Reviews, 2013(3). https://doi.org/10.1002/14651858.CD004258

Hasyim, A. H., & Karim, A. (2024). ANALISIS KOMPONEN FISIK TERHADAP KEMAMPUAN MAWASHI GERI PADA CABANG OLAHRAGA KARATE ATLET PRA PON SULSEL. Jurnal Ilmiah STOK Bina Guna Medan, 11(2), 225–234. https://doi.org/10.55081/jsbg.v11i2.1470

Karel, Y. H. J. M., Scholten-Peeters, W. G. M., Thoomes-de Graaf, M., Duijn, E., Ottenheijm, R. P. G., van den Borne, M. P. J., Koes, B. W., Verhagen, A. P., Dinant, G.-J., Tetteroo, E., Beumer, A., van Broekhoven, J. B., & Heijmans, M. (2013). Current management and prognostic factors in physiotherapy practice for patients with shoulder pain: design of a prospective cohort study. BMC Musculoskeletal Disorders, 14(1), 62. https://doi.org/10.1186/1471-2474-14-62

Kuhn, J. E. (2023). Prevalence, Natural History, and Nonoperative Treatment of Rotator Cuff Disease. Operative Techniques in Sports Medicine, 31(1), 150978. https://doi.org/10.1016/j.otsm.2023.150978

Kuhn, J. E., Dunn, W. R., Sanders, R., An, Q., Baumgarten, K. M., Bishop, J. Y., Brophy, R. H., Carey, J. L., Holloway, B. G., Jones, G. L., Ma, C. B., Marx, R. G., McCarty, E. C., Poddar, S. K., Smith, M. V., Spencer, E. E., Vidal, A. F., Wolf, B. R., & Wright, R. W. (2013). Effectiveness of physical therapy in treating atraumatic full-thickness rotator cuff tears: a multicenter prospective cohort study. Journal of Shoulder and Elbow Surgery, 22(10), 1371–1379. https://doi.org/10.1016/j.jse.2013.01.026

Kuijpers, T., van der Windt, D. A. W. M., van der Heijden, G. J. M. G., & Bouter, L. M. (2004). Systematic review of prognostic cohort studies on shoulder disorders. Pain, 109(3), 420–431. https://doi.org/10.1016/j.pain.2004.02.017

Lafrance, S., Charron, M., Roy, J.-S., Dyer, J.-O., Frémont, P., Dionne, C. E., Macdermid, J. C., Tousignant, M., Rochette, A., Doiron-Cadrin, P., Lowry, V., Bureau, N., Lamontagne, M., Sandman, E., Coutu, M., Lavigne, P., & Desmeules, F. (2022). Diagnosing, Managing, and Supporting Return to Work of Adults With Rotator Cuff Disorders: A Clinical Practice Guideline. Journal of Orthopaedic & Sports Physical Therapy, 52(10), 647–664. https://doi.org/10.2519/jospt.2022.11306

Leong, H., Fu, S., He, X., Oh, J., Yamamoto, N., & Yung, S. (2019). Risk factors for rotator cuff tendinopathy: A systematic review and meta-analysis. Journal of Rehabilitation Medicine, 51(9), 627–637. https://doi.org/10.2340/16501977-2598

Lewis, J. (2016). Rotator cuff related shoulder pain: Assessment, management and uncertainties. Manual Therapy, 23, 57–68. https://doi.org/10.1016/j.math.2016.03.009

Liberman, M., Mulder, D. S., Lavoie, A., & Sampalis, J. S. (2004). Implementation of a Trauma Care System: Evolution Through Evaluation. The Journal of Trauma: Injury, Infection, and Critical Care, 56(6), 1330–1335. https://doi.org/10.1097/01.TA.0000071297.76727.8B

Luime, J., Koes, B., Hendriksen, I., Burdorf, A., Verhagen, A., Miedema, H., & Verhaar, J. (2004). Prevalence and incidence of shoulder pain in the general population; a systematic review. Scandinavian Journal of Rheumatology, 33(2), 73–81. https://doi.org/10.1080/03009740310004667

Majaruddin, Ramadi, Ardiah, J., & Elisa, H. (2024). Pengaruh Latihan Interval Training Terhadap Daya Tahan Pemain Futsal Sma Negeri 1 Pangkalan Kerinci. Jurnal Ilmiah STOK Bina Guna Medan, 12(2), 145–154. https://doi.org/10.55081/jsbg.v12i2.2241

Peek, A. L., Miller, C., & Heneghan, N. R. (2015). Thoracic manual therapy in the management of non-specific shoulder pain: a systematic review. Journal of Manual & Manipulative Therapy, 23(4), 176–187. https://doi.org/10.1179/2042618615Y.0000000003

Rubinstein, S. M., de Zoete, A., van Middelkoop, M., Assendelft, W. J. J., de Boer, M. R., & van Tulder, M. W. (2019). Benefits and harms of spinal manipulative therapy for the treatment of chronic low back pain: systematic review and meta-analysis of randomised controlled trials. BMJ, l689. https://doi.org/10.1136/bmj.l689

Simon, C. B., Riley, J. L., Coronado, R. A., Valencia, C., Wright, T. W., Moser, M. W., Farmer, K. W., & George, S. Z. (2016). Older Age as a Prognostic Factor of Attenuated Pain Recovery After Shoulder Arthroscopy. PM&R, 8(4), 297–304. https://doi.org/10.1016/j.pmrj.2015.09.004

Tennent, D., Pitts, D., & Foote, J. (2013). Procedure-Based Assessment in Shoulder and Elbow Surgery. Shoulder & Elbow, 5(2), 73–77. https://doi.org/10.1111/j.1758-5740.2012.00226.x

Teunis, T., Lubberts, B., Reilly, B. T., & Ring, D. (2014). A systematic review and pooled analysis of the prevalence of rotator cuff disease with increasing age. Journal of Shoulder and Elbow Surgery, 23(12), 1913–1921. https://doi.org/10.1016/j.jse.2014.08.001

van der Windt, D. A., Burke, D. L., Babatunde, O., Hattle, M., McRobert, C., Littlewood, C., Wynne-Jones, G., Chesterton, L., van der Heijden, G. J. M. G., Winters, J. C., Rhon, D. I., Bennell, K., Roddy, E., Heneghan, C., Beard, D., Rees, J. L., & Riley, R. D. (2019). Predictors of the effects of treatment for shoulder pain: protocol of an individual participant data meta-analysis. Diagnostic and Prognostic Research, 3(1), 15. https://doi.org/10.1186/s41512-019-0061-x

Virk, M. S., & Cole, B. J. (2016). Proximal Biceps Tendon and Rotator Cuff Tears. Clinics in Sports Medicine, 35(1), 153–161. https://doi.org/10.1016/j.csm.2015.08.010

Yamamoto, A., Takagishi, K., Osawa, T., Yanagawa, T., Nakajima, D., Shitara, H., & Kobayashi, T. (2010). Prevalence and risk factors of a rotator cuff tear in the general population. Journal of Shoulder and Elbow Surgery, 19(1), 116–120. https://doi.org/10.1016/j.jse.2009.04.006

Published
2025-07-18
How to Cite
Rahail, R. B., Ronald, Ade Yuni Sahruni, Febry Ramadhani Suradji, Pricillya Margaretha Warwuru, Muktamar Umakaapa, & Dani Nurcholis. (2025). Penerapan Teknik Chiropractic Dalam Manajemen Cidera Bahu: Laporan Kasus Deskriptif. Jurnal Ilmiah STOK Bina Guna Medan, 13(2), 353-363. https://doi.org/10.55081/jsbg.v13i2.4380