Pengaruh Pemberian Transcutaneous Electrical Nerve Stimulation (TENS) dan Ankle Strategy Exercise pada Sprain Ankle untuk Penurunan Nyeri dan Peningkatan Keseimbangan pada Pemain Hoki di Klub Spemda Hockey Surabaya

Latar Belakang: Sprain ankle merupakan salah satu cedera muskuloskeletal yang paling sering terjadi pada atlet, termasuk pemain hockey. Cedera ini dapat menyebabkan nyeri, gangguan proprioseptif, instabilitas sendi, dan penurunan keseimbangan yang berdampak pada performa olahraga. Transcutaneous Electrical Nerve Stimulation (TENS) diketahui efektif dalam menurunkan nyeri, sedangkan ankle strategy exercise berperan dalam meningkatkan keseimbangan melalui peningkatan kontrol neuromuskular dan proprioseptif. Oleh karena itu, diperlukan penelitian untuk mengetahui pengaruh pemberian TENS dan ankle strategy exercise terhadap penurunan nyeri dan peningkatan keseimbangan pada pemain hockey yang mengalami sprain ankle. Tujuan: Mengetahui pengaruh pemberian TENS dan ankle strategy exercise terhadap penurunan tingkat nyeri dan peningkatan keseimbangan pada pemain hockey yang mengalami sprain ankle. Metode Penelitian: Penelitian ini menggunakan desain one group pre-test post-test. Sampel penelitian berjumlah 12 atlet hockey usia 15–18 tahun yang mengalami sprain ankle, dipilih menggunakan teknik purposive sampling. Intervensi berupa pemberian TENS dan ankle strategy exercise dilakukan selama 3 minggu dengan total 9 kali pertemuan. Tingkat nyeri diukur menggunakan Numeric Rating Scale (NRS) dan keseimbangan diukur menggunakan Y Balance Test. Analisis data menggunakan uji Shapiro-Wilk untuk normalitas dan Paired Sample T-Test untuk menguji pengaruh intervensi. Hasil: Hasil penelitian menunjukkan rerata skor nyeri (NRS) mengalami penurunan dari 4,25 ± 0,965 menjadi 2,00 ± 0,853, sedangkan rerata skor keseimbangan (Y Balance Test) meningkat dari 49,04 ± 2,34 menjadi 82,30 ± 11,43. Hasil uji Paired Sample T-Test menunjukkan nilai p < 0,001 pada kedua variabel, yang berarti terdapat pengaruh signifikan pemberian TENS dan ankle strategy exercise terhadap penurunan nyeri dan peningkatan keseimbangan pada pemain hockey dengan sprain ankle. Kesimpulan: Pemberian TENS dan ankle strategy exercise berpengaruh signifikan terhadap penurunan nyeri dan peningkatan keseimbangan pada pemain hockey yang mengalami sprain ankle. Intervensi ini dapat digunakan sebagai salah satu pendekatan fisioterapi dalam rehabilitasi cedera sprain ankle.

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ABSTRAK
Background: Ankle sprain is one of the most common musculoskeletal injuries in athletes, including hockey players. This injury can cause pain, proprioceptive disorders, joint instability, and decreased balance that impact sports performance. Transcutaneous Electrical Nerve Stimulation (TENS) is known to be effective in reducing pain, while ankle strategy exercise plays a role in improving balance by increasing neuromuscular and proprioceptive control. Therefore, research is needed to determine the effect of TENS and ankle strategy exercise on reducing pain and improving balance in hockey players with ankle sprains. Objective: To determine the effect of TENS and ankle strategy exercise on reducing pain levels and improving balance in hockey players with ankle sprains. Research Methods: This study used a one-group pre-test post-test design. The study sample consisted of 12 hockey athletes aged 15–18 years who experienced ankle sprains, selected using a purposive sampling technique. The intervention of TENS and ankle strategy exercise was carried out for 3 weeks with a total of 9 meetings. Pain levels were measured using the Numeric Rating Scale (NRS) and balance was measured using the Y Balance Test. Data analysis used the Shapiro-Wilk test for normality and a Paired Sample T-Test to test the effect of the intervention. Results: The results showed that the mean pain score (NRS) decreased from 4.25 ± 0.965 to 2.00 ± 0.853, while the mean balance score (Y Balance Test) increased from 49.04 ± 2.34 to 82.30 ± 11.43. The results of the Paired Sample T-Test showed a p-value < 0.001 for both variables, indicating a significant effect of TENS and ankle strategy exercise on reducing pain and improving balance in hockey players with ankle sprains. Conclusion: TENS and ankle strategy exercise significantly reduced pain and improved balance in hockey players with ankle sprains. This intervention can be used as a physiotherapy approach in ankle sprain injury rehabilitation.