Effectiveness of Exercise Therapy Based on Loosening, Stretching and Strengthening in the Treatment of Chronic Pelvic Disorders

Exercise Therapy is one part of the treatment of chronic pelvic disorders. This study aims to determine the effectiveness of Exercise Therapy based on loosening, stretching and strengthening in handling chronic pelvic disorders to reduce pain, increase range of motion, and joint motion function in symptoms of chronic pelvic disorders. The study used pre-experimental with a one-group pretest-posttest design conducted on members at Darah Muda Squad (DMS) Fitness Klaten, Central Java who experienced chronic pelvic disorders as many as 15 people. The research instrument used in the form of a numeric rating scale (NRS) in measuring pain intensity, a goniometer measuring instrument used to measure range of motion, and harris hip score functions in assessing motion function. The treatment given is Exercise Therapy based on loosening, stretching, and strengthening for approximately 30 minutes for 6 treatments. The data analysis technique uses paired t-test or Wilcoxon sign rank test according to the data to compare pretest and posttest data. The results showed that pain intensity decreased from 6.5 ± 1.3 to 2.5 ± 1.03 (64%) with p=0.001, flexion movement increased from 78.1 ± 7.4 to 100.5 ± 4.5 (29%) with p=0.000, extension movement increased from 13.2 ± 2.1 to 23.3 ± 2.5 (76%) with p=0.000, abduction movement increased from 11.2 ± 1.8 to 20.1 ± 1.2 (53%) with p=0,000, adduction movement increased from 19.8 ± 5.06 to 30.4 ± 3.4 (79%) with p=0.000, internal rotation movement increased from 18.8 ± 4.9 to 29.7 ± 1.5 (58%) with p=0.001, external rotation movement increased from 25.2 ± 4.05 to 33.7 ± 3.8 (33%) with p=0.000, motion function increased from 56.7 ± 5.7 increased to 82.9 ± 5.6. (46%) with p=0.000. It can be concluded that Exercise Therapy based on loosening, stretching, and strengthening is effective in reducing pain, increasing range of motion and joint function, so it is recommended in the treatment of chronic pelvic disorders.