i

PERBEDAAN EFEKTIVITAS STRAIN COUNTERSTRAIN

DENGAN POST ISOMETRIC RELAXATION TERHADAP

PENURUNAN NYERI LOW BACK PAIN MYOGENIC SISWI

MADRASAH ALIYAH NEGERI TULUNGAGUNG 1

SKRIPSI

Diajukan Sebagai Salah Satu Syarat

Untuk Memperoleh Gelar Sarjana Fisioterapi

OLEH

SITI AINUN MA’RUFA

201310490311095

PROGRAM STUDI S1 FISIOTERAPI

FAKULTAS ILMU KESEHATAN

UNIVERSITAS MUHAMMADIYAH MALANG

2017

iv

vi

KATA PENGANTAR

Puji Syukur penulis panjatkan kehadirat ALLAH SWT atas limpahan rahmat,

hidayah dan keridhaan-Nya penulis dapat menyelesaikan skripsi dengan judul

“Perbedaan Efektivitas Strain Counterstrain dengan Post Isometric Relaxation

terhadap Penurunan Nyeri Low Back Pain Myogenic Siswi Madrasah Aliyah

Negeri Tulungagung 1”. Skripsi ini disusun sebagai salah satu syarat guna

memperoleh gelar Sarjana Fisioterapi (S.Ft) pada Program Studi S1 Fisioterapi

Fakultas Ilmu Kesehatan Universitas Muhammadiyah Malang.

Penulis menyadari bahwa tugas akhir ini dapat terselesaikan berkat bantuan,

arahan, dukungan dan bimbingan dari berbagai pihak. Penulis tidak lupa mengucapkan

terimakasih yang sebesar-besarnya kepada yang terhormat:

1. Bapak Fauzan, selaku Rektor Universitas Muhammadiyah Malang periode

2016-2020).

2. Bapak Yoyok Bekti Prasetyo, selaku Dekan Fakultas Ilmu Kesehatan

Universitas Muhammadiyah Malang

3. Ibu Atika Yulianti, selaku Ketua Program Studi Fisioterapi Fakultas Ilmu

Kesehatan Universitas Muhammadiyah Malang

4. Bapak Safun Rahmanto, selaku Dosen pembimbing I yang telah memberikan

bimbingan, arahan dan motivasi dalam penyusunan skripsi ini.

5. Bapak Dimas Sondang Irawan, selaku Dosen pembimbing II dan Dosen

pembimbing akademik yang telah memberikan bimbingan, arahan dan

motivasi dalam penyusunan skripsi ini.

vii

6. Kedua orang tua dan saudara yang selalu mendoakan, memberikan motivasi,

mendukung secara moril maupun materil sehingga skripsi ini dapat

terselesaikan.

7. Seluruh Dosen Program Studi S1 Fisioterapi yang telah membagikan ilmunya.

8. Adik-Adik responden penelitian yang telah bekerjasama dengan baik selama

proses penelitian.

9. The Bestie (Della dan Dyta)

10. Teman-temanku Momon, Erina, Yosika, Aini, Irma, Titis, Fahri, Zain, Ashifa,

Enty, Agus, Bella, Sovia, Hayyu, Shelly, Yoga A., Dhani, Wahyu, Anugrah,

Meily, Nanda, Aga E.

11. FISIOTERAPI B 2013

12. HIMATERA FIKES UMM

13. Seluruh pihak yang telah membantu penyusunan skripsi ini.

Penulis menyadari dalam penulisan tugas akhir ini masih terdapat kekurangan

dan jauh dari kesempurnaan. Oleh karena itu, koreksi dari bapak ibu pembimbing dan

penguji serta kritik dari berbagai pihak sangat diperlukan bagi penulis untuk

menyempurnakan penulisan. Semoga skripsi ini bermanfaat bagi masyarakat dan

instansi terkait.

Malang, 10 Juli 2017

Penulis

x

DAFTAR ISI

HALAMAN JUDUL ..................................................................................................... i

SAMPUL DALAM ...................................................................................................... ii

LEMBAR PERSETUJUAN........................................................................................ iii

LEMBAR PENGESAHAN ........................................................................................ iv

SURAT PERNYATAAN KEASLIAN PENELITIAN ............................................... v

KATA PENGANTAR ................................................................................................ vi

ABSTRAK ................................................................................................................ viii

DAFTAR ISI ................................................................................................................ x

DAFTAR BAGAN .................................................................................................... xii

DAFTAR GAMBAR ................................................................................................ xiii

DAFTAR TABEL ..................................................................................................... xiv

DAFTAR LAMPIRAN .............................................................................................. xv

BAB I ........................................................................................................................... 1

A. Latar Belakang .................................................................................................... 1

B. Rumusan Masalah ............................................................................................. 5

C. Tujuan Penelitian ............................................................................................... 6

D. Manfaat Penelitian .............................................................................................. 6

E. Keaslian Penelitian ............................................................................................ 7

BAB II ........................................................................................................................ 11

A. Low Back Pain .................................................................................................. 11

B. Anatomi dan Fisiologi Vertebra Lumbar ........................................................ 18

C. Nyeri ................................................................................................................ 25

D. Strain Counterstrain ......................................................................................... 29

E. Post Isometric Relaxation ................................................................................ 37

BAB III ...................................................................................................................... 43

A. Kerangka Berpikir ............................................................................................ 43

xi

B. Kerangka Konsep ............................................................................................ 44

C. Hipotesis .......................................................................................................... 45

BAB VI ...................................................................................................................... 46

A. Desain Penelitian .............................................................................................. 46

B. Kerangka Penelitian ......................................................................................... 47

C. Populasi, Sampel dan Teknik Sampling .......................................................... 48

D. Tempat Penelitian ............................................................................................. 51

E. Waktu Penelitian .............................................................................................. 51

F. Definisi Operasional ......................................................................................... 52

G. Etika Penelitian ................................................................................................. 53

H. Alat Pengumpul Data ....................................................................................... 53

I. Prosedur Pengumpulan Data ............................................................................ 55

J. Analisa Data ..................................................................................................... 58

BAB V ........................................................................................................................ 66

A. Karakteristik Responden Penelitian ................................................................. 66

B. Uji Normalitas ................................................................................................. 68

C. Analisis Data .................................................................................................... 69

BAB VI ...................................................................................................................... 72

A. Interpretasi dan Diskusi Hasil .......................................................................... 72

B. Keterbatasan Penelitian ................................................................................... 79

C. Implikasi Fisioterapi ......................................................................................... 79

BAB VII ..................................................................................................................... 81

A. Kesimpulan ....................................................................................................... 81

B. Saran ................................................................................................................ 82

DAFTAR PUSTAKA ................................................................................................ 83

LAMPIRAN ............................................................................................................... 88

xv

DAFTAR LAMPIRAN

Lampiran 1. Kuisioner Penelitian

Lampiran 2. Prosedur Pemeriksaan

Lampiran 3. Mc Kenzie Lumbar Assessment

Lampiran 4. Standar Operasional Prosedur

Lampiran 5. Lembar Izin Penelitian dan Permohonan Menjadi Responden

Lampiran 6. Pernyataan Kesediaan Menjadi Responden

Lampiran 7. Surat Keterangan Selesai Penelitian

Lampiran 8. Karakteristik Responden

Lampiran 9. Uji Normalitas

Lampiran 10. T Test

Lampiran 11. Dokumentasi

Lampiran 12. Lembar Konsultasi, Lembar Persetujuan Seminar Proposal, Lembar

Revisi dan Persetujuan Penelitian

Lampiran 13. Curiculum Vitae

83

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