Physiotherapy management of cervical spondylosis with ultrasound therapy and therapeutic exercise: A case study at Hermina Bekasi Hospital

Authors

  • Nesi Nesi Institut Kesehatan Hermina
  • Cicilia Febriani Hayuningrum Institut Kesehatah Hermina
  • Putri Lola Irfanda Institut Kesehatan Hermina
  • Yulsefni Yulsefni RS Hermina Grand Wisata

DOI:

https://doi.org/10.54957/ijhs.v6i4.2350

Keywords:

Cervical Spondylosis, Exercise therapy, Ultrasound

Abstract

Cervical spondylosis is a degenerative condition affecting the cervical spine, characterized by dehydration and shrinkage of the intervertebral discs, which function as shock absorbers. Another common feature is the formation of osteophytes along the vertebral margins. Physiotherapy intervention for this condition included Ultrasound therapy, free active movement, stretching, Stretching and Strengthening. This study aimed to determine the benefits and effects of providing Ultrasound, Free Active Movement, Stretching and Strengthening interventions in cases of Cervical Spondylosis. A case study method was employed with 5 treatment sessions. Outcomes measured included the Numeric Rating Scale (NRS), goniometer, Manual Muscle Testing (MMT), postural grid, and Neck Disability Index (NDI) questionnaire. After administering the intervention 5 times, the results obtained were a decrease in tenderness from 5 (T1) to 3 (T5), a decrease in motion pain from 6 (T1) to 4 (T5), spasms decreased after therapy, an increased range of motion in cervical flexion from 32° (T1) to 47° (T5), increased strength in the shoulder flexor, shoulder abductor, elbow flexor, elbow extensor, wrist flexor, and wrist extensor muscles, an improvement in posture and gait pattern, and functional activity ability increased, as indicated by decreased NDI score from 25/50% (T1) to 21/50% (T5). In conclusion, the combination of Ultrasound therapy, Free Active Movement, Stretching and Strengthening in a patient with Cervical Spondylosis can reduce pain, reduce spasms, increase the range of joint motion, increase muscle strength, improved postural alignment and functional ability.

References

Al Gifari, M. Y., Permatasari, D. I., & Arial, N. P. (2023). Gambaran Kemampuan Fungsional Neck Terhadap Durasi Kerja Pegawai Yang Mengalami Neck Pain. Jurnal Kajian Ilmiah Kesehatan Dan Teknologi, 5(2), 87–98. https://doi.org/10.52674/jkikt.v5i2.106

Amayu, R. (2019). Tinjauan Literatur: Alat Ukur Nyeri Untuk Pasien Dewasa Literature Review: Pain Assessment Tool To Aduts Patients. Jurnal Manajemen Asuhan Keperawatan, 3(1), 1–7. https://jurnal-d3per.uwhs.ac.id/index.php/mak/article/view/ 51

Arrody, R., Purba, R. H., & Dewanti, R. A. (2016). Perbandingan Latihan Isotonik dan Isometrik terhadap Peningkatan Kekuatan Otot Fleksor Elbow pada Mahasiswa. Unj, 18–28. https://journal.unj.ac.id/unj/index.php/segar/ar ticle/view/4577

Damping, H. H. (2012). Kepuasan Pasien Fraktur Di Irina a. Keperawatan, 1(1), 23–29.

Djawas, F. A. (2022). Terapi Manual Dan Terapi Latihan Meningkatkan Kemampuan Fungsional Pada Kasus Cervical Syndrome Et Causa Flat Neck : Studi Kasus. Jurnal Fisioterapi Terapan Indonesia, 1(2). https://doi.org/10.7454/jfti.v01i02.1039

Fani, A. Pebrina Rzki. (2022). Pengkajian dalam proses keperawatan: anamnesis dan pemeriksaan fisik, abstrak, latar belakang. Pengkajian Dalam Proses Keperawatan Anamnesis Dan Pemeriksaan Fisik, 7(2), 11.

Gerhanawati, I. (2020). Studi Kasus: Program Fisioterapi Pada Low Back Pain Myogenik. Jurnal Fisioterapi Dan Kesehatan Indonesia, 8(1), 51. https://journal.um-surabaya.ac.id/index.php/JKM/article/view/12 570

Halimah, N., Putri Kasimbara, R., & Widyaningtyas, E. (2024). The Influence of Ultrasound and William Flexion Exercise on Decreased Pain in Patients with Low Back Pain Myofascial at Nahdlatul Ulama Tuban. Scientific Journal Of Nursing, 10(1). https://journal.stikespemkabjombang.ac.id/ind ex.php/jikep/article/view/1889

Haryoko, I., & Herdayanti, D. (2018). PEMERIKSAAN POSTUR TERHADAP PENGGUNAAN BEBAN BERLEBIH PADA TAS SISWA SMA NEGERI 1 PEMULUTAN BARAT PENDAHULUAN Anak sekolah merupakan aset atau modal utama pembangunan di masa depan yang perlu dijaga, ditingkatkan, dan kesehatannya dilindungi. Sekolah sel. 1, 1–6. https://pdfs.semanticscholar.org/2ed1/4bd6f8 974c05c0c00d1c7761a39a0ec1be1e.pdf

Hsu, J.-L., Lee, C.-H., & Hsieh, C.-H. (2020). Digitizing abdominal palpation with a pressure measurement and positioning device. PeerJ, 8, e10511. https://doi.org/10.7717/peerj.10511

Jones, S. J., & Miller, J.-M. M. (2026). Spurling Test. In StatPearls. http://www.ncbi.nlm.nih.gov/pubmed/29228289

Juliastuti, J. J. (2023). Penatalaksanaan Fisioterapi pada Kondisi Gangguan Gerak dan Fungsi Sendi Metacarpophalangeal I Akibat De Quervein Syndrome Dextra : Case Report. FISIO MU: Physiotherapy Evidences, 4(1), 57–63. https://doi.org/10.23917/fisiomu.v4i1.21058

Maharani, A. S., Wijiyanto, & Harmasto, E. (2023). CASE STUDY : EFEK STRETCHING EXERCISE UNTUK PENURUNAN NYERI DAN PENINGKATAN LINGKUP GERAK SENDI PADA KASUS NECK PAIN.

Mardiyana, U. H., Endaryanto, A. H., Priasmoro, D. P., & Abdullah, A. (2022). The Effect of Stretching Exercise on Pain Levels in Neck Pain Patients at Jombang Regional Hospital. Jurnal Keperawatan Muhammadiyah, 7(1), 2022. http://journal.um-surabaya.ac.id/index.php/JKM

Moon, H., Lee, S. K., Kim, W. M., & Seo, Y. G. (2021). Effects of exercise on cervical muscle strength and cross-sectional area in patients with thoracic hyperkyphosis and chronic cervical pain. Scientific Reports, 11(1), 1–9. https://doi.org/10.1038/s41598-021-83344-4

Pei Ting, H., Zakaria, Z., Fitzrol, D. N., Ismail, M. I., Song Yee, A., Kok Bing, N. Y., & Hui Mei, T. (2024). Lhermitte’s Sign¾A Neuropathic Pain and Its Neuroanatomy. Malaysian Journal of Medical Sciences, 31(5), 292–299. https://doi.org/10.21315/mjms2024.31.5.21

Priambudi, T. G. N. (2022). Perbedaan Pengaruh Latihan Handgrip & Dumbell Terhadap Peningkatan Kekuatan Genggaman Jari Pada Pemain Bulu Tangkis Jurnal Porkes ( Jurnal Pendidikan Olahraga Kesehatan & Rekreasi ). Jurnal Porkes, 5(1), 23–34. https://doi.org/10.29408/porkes.v5i1

Putri, M. W., Irawan, D. S., & Zaimah. (2024). PENATALAKSANAAN FISIOTERAPI PADA KONDISI SPONDYLOSIS CERVICAL: STUDI KASUS (Physiotherapy Management of Spondylosis Cervical: Case Study). Jurnal Kajian Ilmiah Kesehatan Dan Teknologi, 6(1), 27–31.

Rini, N., & Sengkey, L. (2016). Rehabilitasi Medik Cedera Saraf Tepi pada Tangan Pasca Repai. Jurnal PPDS, 1(1), 1–8. claudianajoan@yahoo.co.id lidwinasimasengkey@yahoo.com

Saputra A, & Qolbi G. (2021). Penatalaksanaan Fisioterapi Dengan Massage dan Terapi Latihan Pada Cervical Syndrome Yang Disebabkan Spondylosis. Indonesian Journal of Health Science, 1(1), 16–19. https://www.researchgate.net/publication/357610283_Penatalaksanaan_Fisioterapi_Dengan_Massage_Dan_Terapi_Latihan_Pada_Cervical_Syndrome_Yang_Disebabkan_Spondylosis

Syurrahmi, S., Wibisono, L. S., Ervianta, W., Ayu, A., Warnadi, K., Rahmah, A., Putri, R. A., & Maheswara, R. A. (2023). Natural : Jurnal Pelaksanaan Pengabdian Bergerak bersama Masyarakat Pengaruh Pemberian Terapi Latihan pada Nyeri Leher Non Spesifik Akibat Kesalahan Postur di Masyarakat Delik Sari , Gunung Pati The Effect of Giving Exercise Therapy on Non-Specific Neck P. Natural: Jurnal Pelaksanaan Pengabdian Bergerak Bersama Masyarakat, 1(4), 66–67. https://doi.org/https://doi.org/10.61132/natural.v1i4.789

Margetis, K., & Tadi, P. (2026). Cervical Spondylosis. In StatPearls. http://www.ncbi.nlm.nih.gov/pubmed/31350584

Trisnowiyanto, B. (2017). TEKNIK PENGULURAN OTOT – OTOT LEHER UNTUK MENINGKATKAN FUNGSIONAL LEHER PADA PENDERITA NYERI TENGKUK NON-SPESIFIK. Jurnal Kesehatan Terpadu, 1(1), 6–11. https://www.researchgate.net/publication/335324145_TEKNIK_PENGULURAN_OTOT-OTOT_LEHER_UNTUK_MENINGKATKAN_FUNGSIONAL_LEHER_PADA_PENDE RITA_NYERI_TENGKUK_NON-SPESIFIK

Valera‐Calero, J. A., Guodemar‐Pérez, J., Cleland, J. A., Ojedo‐Martín, C., & Gallego‐Sendarrubias, G. M. (2021). Physical therapist attitude and opinion about cervical spine examination: A national Spanish survey. International Journal of Clinical Practice, 75(3). https://doi.org/10.1111/ijcp.13781

Vetiani, A., Wijianto, & Pristianto, A. (2022). Program Fisioterapi Untuk Mengatasi Keluhan Pada Cervical Root Syndrome: Studi Kasus. Physiotherapy Health Science (PhysioHS), 4(1), 1–6. https://doi.org/10.22219/physiohs.v4i1.21864

Zatri Sawitri, R., Rakhma, T., Surakarta, M., Ilmu Saraf, B., Sayidiman Magetan Korespondensi, R., & Zatri Sawitri Alamat, R. (2022). SEORANG PEREMPUAN 80 TAHUN DENGAN CERVICAL ROOT SYNDROME 80 Year Old Woman with Cervical Root Syndrome. Continuing Medical Education, 2014, 179–183. https://proceedings.ums.ac.id/index.php/kedokteran/article/view/2107/2062

Downloads

Published

2026-09-09

How to Cite

Nesi, N., Hayuningrum, C. F., Irfanda, P. L., & Yulsefni, Y. (2026). Physiotherapy management of cervical spondylosis with ultrasound therapy and therapeutic exercise: A case study at Hermina Bekasi Hospital. Indonesian Journal of Health Science, 6(4), 843–857. https://doi.org/10.54957/ijhs.v6i4.2350

Issue

Vol. 6 No. 4 (2026)

Section

Articles

License

Copyright (c) 2026 Nesi Nesi, Cicilia Febriani Hayuningrum, Putri Lola Irfanda, Yulsefni Yulsefni

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Most read articles by the same author(s)

1 2 > >>