THE EFFECT OF HOMEMADE THERAPY GUN ON

MYOFACIAL PAIN TRIGGER POINTS POST

TRAINING FOR UKM MEMBERS
INKADO UMM

RESEARCH PAPER

Submitted as one of the conditions

To Obtain a Bachelor's Degree in Physiotherapy

Arranged by :

IHSANUL PIKRI

201510490311059

BACHELOR’S DEGREE OF PHYSIOTHERAPY STUDY PROGRAM

FACULTY OF HEALTH SCIENCE
MUHAMMADIYAH UNIVERSITY MALANG
2019
 THE EFFECT OF HOMEMADE THERAPY GUN ON
MYOFACIAL PAIN TRIGGER POINTS POST
TRAINING FOR UKM MEMBERS
INKADO UMM

RESEARCH PAPER

Submitted as one of the conditions

To Obtain a Bachelor's Degree in Physiotherapy

Arranged by :

IHSANUL PIKRI

201510490311059

BACHELOR’S DEGREE OF PHYSIOTHERAPY STUDY PROGRAM

FACULTY OF HEALTH SCIENCE
MUHAMMADIYAH UNIVERSITY MALANG
2019
 APPROVAL SHEET

THE EFFECT OF HOMEMADE THERAPY GUN ON

MYOFACIAL PAIN TRIGGER POINTS POST
TRAINING FOR UKM MEMBERS
INKADO UMM

RESEARCH PAPER

Submitted as one of the conditions

To Obtain a Bachelor's Degree in Physiotherapy

Arranged by :

IHSANUL PIKRI

201510490311059

Thesis Has Been Approved and Defended In Front Of The Examining Team
To Be Submitted On November 30, 2018

Mentor I Mentor II

Ali Multazam S.Pt., M.Sc., Physio Safun Rahmanto M.Fis

NIDN. 0701109202 NIDN. 0710078403

Knowing
Head of the Physiotherapeutic BACHELOR’S DEGREE OF Study Program
Faculty of Health Sciences University of Muhammadiyah Malang

Atika Mutaqin, SST.Ft, M.Fis

NIP. 11414100531
 VALIDITY SHEET

THE EFFECT OF HOMEMADE THERAPY GUN ON

MYOFACIAL PAIN TRIGGER POINTS POST
TRAINING FOR UKM MEMBERS
INKADO UMM

RESEARCH PAPER

Arranged by :

IHSANUL PIKRI

201510490311059

Thesis Has Been Approved and Defended In Front Of The Examining Team
To Be Submitted On May 10, 2019
Examiner I Examiner II

Ali Multazam S.Pt., M.Sc., Physio Safun Rahmanto M.Fis

NIDN. 0701109202 NIDN. 0710078403

Examiner III Examiner IV

Anita Faradilla Rahim S.Fis., Nungki Marlian Y.SST. Ft., M.Kes

NIDN. 0701109202 NIDN. 11414100531

Knowing,
Dean of the Faculty of Health Sciences
University of Muhammadiyah Malang

Faqih Ruhyahmidin. M.Kep.Sp.Kep.MB

NIP.111203090392
 STATEMENT OF RESEARCH AUTHENTICITY

I, the undersigned below :

Name : Ihsanul Pikri

ID Number : 201510490311059

Study Program : Bachelor of Physiotherapy

Thesis Title : The Effect of Homemade Therapy Gun on Myofacial Pain Trigger Point Post-
Exercise on Members of UKM INKADO University of Muhammadiyah Malang

Stating truthfully that the final project that I have written is based on my own work, not taken from
the writings or thoughts of others which I acknowledge as my own writing. If later there is evidence
that this final project is the copyright of someone else, then I am willing to accept sanctions for my
actions.
Malang, May 10, 2019

Ihsanul Pikri
NIM. 201510490311059
 ACKNOWLEDGMENTS

Praise and gratitude the author goes to the presence of Allah Subhanahuwatallah for the abundance
His grace, guidance and pleasure, the author can complete the thesis entitled The Effect of
Homemade Therapy Gun on Myofacial Pain Trigger Point Post Training for members of UKM
INKADO UMM. This thesis proposal is prepared based on requirements for obtaining a bachelor's
degree in physiotherapy (S.Ft) in the S-1 . study program Physiotherapy, Faculty of Health,
University of Muhammadiyah Malang.

The author realizes that the final project in the form of this thesis research is not can be completed
thanks to the help, direction, support and guidance of various parties. The author expresses his deepest
gratitude to the honorable ones.

1. Mr. Drs. Fauzan, M.Pd, Chancellor of the University of Muhammadiyah Malang

2. Mrs. Atika Yulianti, SST., Ft., M.Fis, Head of Physiotherapy Study Program, Faculty of Health
Sciences University of Muhammadiyah Malang

3. Mr. Ali Multazam S.Ft., M.Sc., Physio, as Advisor I Thesis UMM who has provided guidance and
direction in the preparation of the thesis.

4. Mr. Safun Rahmanto as the second Advisor for Thesis of UMM who has provide guidance and
direction in the preparation of the thesis.

5. Mr. Ahmad Abdullah, S.Ft., M.Kes., as a lecturer in the Research Methodology Course and
Research in the Undergraduate Physiotherapy Study Program, Faculty of Health Sciences, University
Muhammadiyah Malang.

6. Mrs. Nungki Marlian Yuliadarwati, SST.,Ft. and Mrs. Anita Faradilla Rahim, S.Fis., M. Case. as
examiner 1 and examiner 2 in the trial proposal and thesis.

7. Sarbani S.Pd, Anggraini S.Pd, and Hana Zarifa Putri as my parents and sister who always support
me physically, mentally, and spiritually until the end of my life.

8. Friends of the S-1 Physiotherapy Study Program, Faculty of Health Sciences, University
Muhammadiyah Malang who has helped, provided enthusiasm and motivation during the script
writing process.

9. Student Activity Unit INKADO University of Muhammadiyah Malang which has been willing to
accept the author to conduct research in the preparation of the thesis.

10. All Staff of the S-1 Physiotherapy Study Program, Faculty of Health Sciences University of
Muhammadiyah Malang who has provided guidance and direction in the preparation of the script.

11. Nova Maylinda Astuti S.Kep who has become a supporter, encouragement and research assistant
in completing this research.

The author realizes that in the research and preparation of this final project there are still deficiency.
Therefore, constructive criticism and suggestions from Mr. / Mrs supervisors, examiners and from
various parties are needed for writers to improve this research. Hopefully this thesis research is useful
and provides knowledge for the community and related institutions.
Malang, May 24, 2019

Author
 TABLE OF CONTENTS

Page

COVER PAGE .......................................................................................................................... i

APPROVAL SHEET................................................................................................................ ii
VALIDITY SHEET.................................................................................................................. iii
ACKNOWLEDGMENTS........................................................................................................... iv
ABSTRACT................................................................................................................................ vi
TABLE OF CONTENTS............................................................................................................. vii
LIST OF CHART...................................................................................................................... x
LIST OF DIAGRAM................................................................................................................ xi
LIST OF TABLES.................................................................................................................... xii
LIST OF PICTURE.................................................................................................................. xiii
LIST OF ATTACHMENT...................................................................................................... xiv
CHAPTER I. INTRODUCTION................................................................................................ 1
A. Background of the Study................................................................................................... 1
B. Formulation of the Problem.............................................................................................. 5
C. Objectives of the Study/Research..................................................................................... 5
D. Significance of the Study/Research.................................................................................. 5
E. Research Autenticity......................................................................................................... 7
CHAPTER II. REVIEW OF LITERATURE.......................................................................... 10
A. Homemade Therapy Gun and Thera Gun ......................................................................... 10
B. Myofacial Pain Trigger Point .............................................................................................
C. Mechanism of Thera Gun and Homemade Therapy Gun Against Myofacial Pain Trigger 13
Point.................................................................................................................................
D. Karate and The Exercises.................................................................................................. 15
21
CHAPTER III . CONCEPT FRAMEWORK AND HYPOTHESES.......................... 27
A. CONCEPT FRAMEWORK................................................................................................... 27
B. HYPOTHESES................................................................................................................. ... 28
CHAPTER IV. METHOD OF RESEARCH..................................................................... 29
A. Research Design............................................................................................................... 29
B. Research Frameowrk........................................................................................................ 30
C. Population, Sample and Sampling.................................................................................... 31
D. Operational definition....................................................................................................... 33
E. Location of the Research...................................................................................................
34
F. Research time....................................................................................................................
G. Research Ethics.................................................................................................................
34
H. Data Collection Instruments.............................................................................................. 34
I. Data Collection Procedure................................................................................................. 36
J. Data analysis...................................................................................................................... 38
CHAPTER V. RESEARCH RESULTS AND DATA ANALYSIS.............................. 44
A. Characteristics of Respondents.......................................................................................... 45
B. Data Analysis Test............................................................................................................. 46
CHAPTER VI. DISCUSSION ........................................................................................ 50
A. Interpretation and Discussion of Results ............................................... .......................... 50
B. The Effect of Homemade Therapy Gun on Myofacial Pain Trigger Point Post-Exercise
on Karate Members of INKADO Student Activity Unit, University of Muhammadiyah 52
Malang ...... ....................................................................................... ............................. 54
C. Research Limitations ................................................................. ....................................... 55
D. Implications for Physiotherapy Services ...........................................................................
CHAPTER VII. CONCLUSIONS AND SUGGESTIONS........................................................ 56
A. Conclusion ................................................. ................................. 56
B. Suggestion ................................................. ............................................... 57

REFERENCES
APPENDIX
 LIST OF CHART

Chart 3.1 Research Concept Framework ........................................................................................ 27

Chart 4.1 Research Framework ...................................................................................................... 30
 LIST OF DIAGRAM

Diagram 5.1 Characteristics of Respondents by Gender in 2019 .......................................................... 3

Diagram 5.2 Characteristics of Respondents by Age in 2019................................................................ 6
 LIST OF TABLES

Table 2.1 Indications and Contraindications Thera Gun ................................................................ 12

Table 4.1 Pre-Post Test Research Design With Control Group Design ......................................... 29

Table 4.2 Operational Design ............................................... ......................................................... 33

Table 5.1 Normality Test Results and Average NRS Pre, Post-test ............................................... 47

Table 5.1 Difference in Mean NRS Pre-test, Post-test and Wilcoxon Test Results ....................... 48

Table 2.1 Indications and Contraindications Thera Gun ................................................................ 12

Table 4.1 Pre-Post Test Research Design With Control Group Design ......................................... 29

Table 4.2 Operational Design ............................................... ......................................................... 33

Table 5.1 Normality Test Results and Average NRS Pre, Post-test ............................................... 47

Table 5.1 Difference in Mean NRS Pre-test, Post-test and Wilcoxon Test Results ....................... 48
 LIST OF PICTURE

Figure 2.1 Thera Gun Tools and Components ................................................................ ............... 31

Figure 2.2 TIP ............................................................... ........................................................... ...... 31
Figure 2.3 Homemade Therapy Gun ................................................................ .............................. 32
Figure 4.1 Numeric Rating Scale .......................................... .......................................................... 32
 APPENDIX LIST

Appendix 1. Respondent's Application Sheet

Appendix 2. Respondent's Consent Sheet
Appendix 3. SOP Chair Based Exercise
Appendix 4. Research Permit
Appendix 5. Statement Letter of Conducting Research
Appendix 6. Documentation
Appendix 7. Thesis Guidance Consultation Sheet
Appendix 8. Proposal Seminar Approval Questionnaire
Appendix 9. Seminar Result Approval Questionnaire
Appendix 10. Curiculum Vitae
 REFERENCES

Broadbent S, Rousseau JJ, Thorp RM, Choate SL, Jackson FS and Rowlands DS. Vibration Therapy
Reduces Plasma IL6 and Muscle Soreness After Downhill Running. British Journal of Sports
Medicine. 2010; 44(12), 888-94.

Brone, et al., (2011) BMC Medicine : Treatment of MTrP in Patients with Chronic Shoulder Pain.
Netherland: 9th ed, BC in Netherland Publications

Bruhl, .W., (2018) New Techniques to Treat Lower Back Pain Using Percussion Massage Therapy,
26:6, 11-09, NYC in Buffenuf Percussion Fitness Publication

Chesnal, H., A. J. M. Rattu and B.S. lamps. 2014. 2014. Relationship Between Age, Gender, and
Nutritional Status with Worker Fatigue in Production Department PT. Son of Karangetang Popontolen
South Minahasa. Essay. Faculty of Public Health, Sam Ratulangi University. From :
http://fkm.unsrat.ac.id Accessed March 26, 2015 14:57 WIB.

Davies .C., & Davies .A., (2013) The Trigger Point Therapy Workbook: Your Self- Treatment Guide
For Pain Relief. Canada: 3rd ed, New Harbinger Publications

Desai, et al., (2013) Myofacial Pain Syndrome, 2(21), 10-36, SC in PubMed Central Publication

Dstch, A., (2008) Muscle Pain Mechanism and Clinical Significance, 105(12), 214-9

Emril, .D.R., Musadir, .N., Nurul, .N.K., (2010) MTPrS in Head and Neck Muscles As a Cause of
Chronic Headache, Banda Aceh, Indonesia : 11, University Shia Kuala Publications

Grasse,.P.L., (2003) Muscle Tension Caused by Emotional Stress, Overwork, or Injury is Released by
a Combination of Heat and Vibration, 25(6), 19-03

Hakami M, Taghian F & Karimi A., (2010) The Effect Of Vibration On Preventing The Delayed
Onset Muscle Soreness In Active Girls. Journal of Research in Rehabilitation Sciences; 5: 2-1

Hamid, April. (2007). Basic Karate Techniques. Padang : Pramuda Design Publications

Imtiyaz, et al., (2014) Effect of Vibration Therapy and Massage in Prevention of DOMS, Vol-8(1),
133-136

Kramatmadja, Rosi H., (2009) Basic Principles of Karate Training, Jakarta.

Lakin, Derek. (2018) “What Is G2PRO by TheraGun?” . Electronic Reference,

https://www.highya.com/g2pro-by-theragun Accessed by researcher on 24 october 2018

Lystad, et al., (2014) The Orthopedic Journal of Sport Medicine, 2(1), 21-09

Melzack R, Wall PD. Pain Mechanisms: a New Theory. Science. 1965 Nov 19;150(3699):971–979.

Nathan PW. The Gate-Control Theory of Pain. A Critical Review. Brains. 1976 Mar;99(1):123–158.

Newham DJ, Jones DA, Ghosh G & Aurora P. Muscle Fatigue and Pain After Eccentric Contractions
at Long and Short Length. Clin Sci. 1988; 74(5):553-7

Petrina, .A.B., (2015) Myofascial Pain in Athletes, 10(1), 07-08. in Rome

Shah, et al., (2015) Myofacial Trigger Point Then and Now, 746-761 xv
Shindo, .T., (2015) The Effect of Vibration Therapy Over Neck Myofacial Trigger Points. Valencia,
University of Valencia

Taylor, .T. & Ingraham, .P., (2001). Trigger Points & Myofascial Pain Syndrome, 2(11), 02-18

Wall PD. The Gate Control Theory of Pain Mechanisms. A Re-Examination and Re-Statements.
Brains. 1978 Mar;101(1):1–18.

Wersland, J.S. (2014) Thera Gun G2PRO, Electronic Reference, https://www.theragun.com/

Accessed by researchers on 24 October 2018

Ziaee, .F., Shobbar, .M., Lotfian, .S., & Ahmadinejad, .M. (2015). Sport Injuries of Karate During
Training : An Epidemiological Study in Iran, 6(2), 20-06
 MUHAMMADIYAH UNIVERSITY MALANG
FACULTY OF HEALTH SCIENCE
D-3 & S-1 NURSING STUDY PROGRAM * S-1 PHARMACEUTICAL
STUDY PROGRAM * S-1 PHYSIOTHERPHY STUDY PROGRAM *
NERS PROFESSIONAL EDUCATION PROGRAM
Campus II : Jl. Sutami Dam 188-A Tel. 0341-552443 Hunting 0341-551149
Fax. 0341-582060 Malang 65145 E-mail : fikes@umm.ac.id Website :
fixes.umm.ac.id

PLAGIATION DETECTION RESULTS

Based on the results of the plagiarism detection test conducted by the Thesis Final Project Bureau of
the Physiotherapy Study Program, Faculty of Health Sciences, University of Muhammadiyah Malang,
which was carried out on the day and date: May 3, 2019

Name : Ihsanul Pikri

ID Number : 201510490311059
Study Program : Fisioterapi
Thesis Title : The Effect of Homemade Therapy Gun on Myofacial Pain Trigger Point
Post-Exercise on Members of UKM INKADO University of
Muhammadiyah Malang
Type of Manuscript : Research Paper
Necessities : Take the thesis result seminar exam
Result declared : Eligible / not eligible, with details as follows

No Type of Manuscript Maximum Similarity Detection Results

.
1 Chapter 1 ( INTRODUCTION) 10 % 10 %
2 Chapter 2 (REVIEW OF LITERATURE) 25 % 18 %
3 Chapter 3 & 4 (Conceptual framework & 35 % 35 %
methodology)
4 Chapter 5 & 6 (Discussion result) 15 % 15 %
5 Chapter 7 (Conclusion & Suggestions) 5% 5%
6 Publication manuscript 25 %

Decision: Meet the requirements and can continue the implementation of the thesis result seminar

Malang, May 10, 2019

Thesis Bureau for Physiotherapy Study Program,
FIKES UMM

(Anita Faradila Rahim, S.Fis, M.Kes, AIFO)