scholarly journals EFEKTIVITAS NEURAL MOBILIZATION TERHADAP PENINGKATAN AKTIVITAS DAN KEMAMPUAN FUNGSIONAL PADA ISCHIALGIA

2019 ◽  
Vol 1 (1) ◽  
pp. 6-16
Author(s):  
Siti Khadijah ◽  
Ilham Setya Budi

Tujuan: Mengidentifikasi efektivitas neural mobilization terhadap peningkatan kemampuan fungsional pada pasien ischialgia et causa compression fractures.Metode: Metode penelitian meliputi studi kasus “case report” yang dilakukan pada 2 orang pria dengan kondisi ischialgia et causa compression fractures. Alat ukur yang digunakan seperti VAS untuk derajat nyeri, pita ukur untuk ROM trunk, SLR test untuk pemeriksaan sensitivitas jaringan neurologis terhadap tekanan mekanis, MMT untuk kekuatan otot, dan modified oswestry low back pain disability questionnaire untuk kemampuan fungsional. Intervensi fisioterapi dengan neural mobilization. Evaluasi diukur setelah 2 kali perlakuan dengan menggunakan alat ukur yang sama. Outcome yang digunakan adalah modified oswestry low back pain disability questionnaire untuk mengukur kemampuan fungsional pasien.Hasil: Setelah dilakukannya terapi sebanyak 2 kali didapatkan hasil penilaian pada pasien 1 dan 2 ialah adanya perubahan pada derajat nyeri, ROM trunk, namun belum adanya perubahan pada kekuatan otot.Kesimpulan: Adanya perubahan terhadap derajat nyeri dan ROM trunk, namun belum adanya perubahan pada kekuatan otot yang menunjang peningkatan aktivitas dan kemampuan fungsional pasien. Merujuk pada hasil penelitian, perlu dilakukannya penelitian dengan waktu yang cukup lama untuk menyelesaikan permasalahan pada ischialgia et causa compression fractures.

Ozone Therapy ◽  
2016 ◽  
Vol 1 (1) ◽  
pp. 17
Author(s):  
Luca Morelli ◽  
Simona Carla Bramani ◽  
Marco Cantaluppi ◽  
Mara Pauletto ◽  
Alessandro Scuotto

Idiopathic low back pain can be considered as a chronic condition, characterized by recurrent episodes of pain and functional limitation. The aim of this study is to compare two therapeutic methods to treat this chronic disease: the oxygen-ozone therapy and the diathermy through Tear<sup>®</sup> therapy. Two groups of 10 patients each who suffered from postural idiopathic low back pain due to different pathologies have been recruited. All selected patients have been evaluated through spinometry and have been given the <em>Oswestry low back pain disability questionnaire</em> to fill in at the beginning of the treatments and at the end of them with a three-month follow-up. The first group underwent a diathermy treatment through Tecar<sup>®</sup> therapy, whilst the second group received an oxygen-ozone therapy treatment through a paravertebral lumbar infiltration; both treatments have been associated with a standard physiokinesitherapy treatment. Data collected through Formetric spinometry show an improvement in both groups, but in the second group (treated with oxygen-ozone therapy+physiokinesitherapy), the improvement is greater (from 6% to 57%) against the first group (from 20% to 38%). In conclusion, the study has cor roborated the validity of both treatments leading to improvement of symptomatology, but while one treatment leads to some relapses after a few months, the second one has a greater healing effect, which preserves over time.


2021 ◽  
Vol 15 (3) ◽  
pp. 35-42
Author(s):  
Vladimir A. Parfenov ◽  
Irina A. Lamkova

The aim of this study was to evaluate the effectiveness of physical therapy (kinesiotherapy or KT) for chronic non-specific low back pain (CNSLBP) in managing pain, improving functional and emotional state, and overall physical activity. Materials and methods. The study included 71 patients (17 men and 54 women) aged 1875 years (mean age 55.09 13.0 years) with CNSLBP, of whom 34 patients received standard KT and 37 patients received enhanced KT. Patients were asked to complete the Numeric Pain Rating Scale (NPRS), the Oswestry Low Back Pain Disability Questionnaire, the Hospital Anxiety and Depression Scale (HADS), and the International Physical Activity Questionnaire (IPAQ-SF) at baseline, after 7 days and 90 days. Results. In patients who received treatment, we observed a reduction in pain intensity as measured by the NPRS, from a score of 8 at baseline (68) to 3 (24) points after 7 days and down to 2 (04) after 3 months (p 0.0001). Depression severity decreased from 7 (59) points to 5 (37) after 7 days (p = 0.002) and 4 (36) points after 90 days (p = 0.002). Anxiety decreased from 7 (510) to 6 (48) after 7 days (p = 0.0003) and 5 (37) points after 90 days (p = 0.0003). The Oswestry Low Back Pain Disability Questionnaire score decreased from 46% (3457.77) to 28% (1235.55) after 7 days (p 0.0001), and then to 11.11% (4.4426) after 90 days (p 0.0001). Physical activity as measured by the IPAQ-SF increased from 11 (716) to 16 (1319) points after 7 days (p = 0.001) and to 23 (1526) points after 90 days (p = 0.0002). The patient group receiving enhanced KT had a more significant reduction in pain as measured by the NPRS after 7 days and 3 months (p = 0.02 and p = 0.055, respectively), depression as measured by the HADS (p 0.05), and disability as measured by the Oswestry Questionnaire (p = 0.015), accompanied by an increase in physical activity as measured by the IPAQ-SF after 90 days (p = 0.0002), as compared to the patient group receiving standard KT. Conclusion. KT not only reduces pain but also improves the functional and emotional state, and increases physical activity in patients with CNSLBP. Enhancing KT by using a personalized approach and educational programmes improves long-term treatment outcomes.


2019 ◽  
Vol 53 (2) ◽  
pp. 126
Author(s):  
Bolanle A. Nottidge ◽  
Adesola C. Odole ◽  
Nse A. Odunaiya ◽  
Matthew O. Akpa ◽  
Olufunmilayo I. Fawole ◽  
...  

2020 ◽  
Author(s):  
Hamad S. Al Amer ◽  
Fahad Alanazi ◽  
Mohamed ELdesoky ◽  
Ayman Honin

Author(s):  
Ahmet Karadağ ◽  
Muhammet Canbaş

BACKGROUND: Low back pain is an important health problem that may cause functional loss. Several back pain disability scales have been developed in different languages. OBJECTIVE: The present study evaluates the correlation between the Istanbul Low Back Pain Disability Index (ILBPDI) the Back Pain Functional Scale (BPFS) and other back pain disability scales in patients with mechanical low back pain. METHODS: Included in the study were 105 patients who presented to our outpatient clinics and who were diagnosed with mechanical low back pain. The ILBPDI, BPFS, Quebec back pain disability scale (QBPDS) and Oswestry low back pain disability questionnaire (ODI) were administered to all participants, and Visual analogue scale (VAS) scores were recorded. RESULTS: A strongly negative correlation was identified between ILBPDI and BPFS (p< 0.05), and a strongly positive correlation was noted between ILBPDI and QBPDS, ODI and VAS. CONCLUSION: A strong correlation exists between ILBPDI and BPFS, and a further strong correlation between ILBPDI ODI and QBPDS. These questionnaires can be used interchangeably to evaluate disability associated with chronic mechanical low back pain.


Author(s):  
Jeremy C. T. Fairbank ◽  
Judith Couper ◽  
Jean B. Davies ◽  
John P. O'Brien

Author(s):  
Sameed Liaqat ◽  
Muhammad Jawad ◽  
Wardah Rauf ◽  
Mehak Hamna Zahra Gilani

Automobile mechanic work is an extensive and physically hard job. Consequently, the automobile workers suffer from ergonomic risk factors including Low Back Pain (LBP) as a major.Objective: To find out the prevalence of Low Back pain (LBP) and disability among automobile mechanics in Lahore.Methodology:The study was cross-sectional and included 180 automechanics of Lahore. Oswestry Low Back Pain Disability Questionnaire (OLBPDQ) was used to measure the disability caused by pain. Pain was measured by Visual Analog Scale (VAS). Data was collected from 180 auto mechanics from auto repair shops of Lahore.Results:Out of 180 individuals, 125 subjects reported LBP with average age of 30±5.3 years. 87 individuals (69.6%) were minimally disabled and 31 individuals (24.8%) experienced moderate disability, whereas only 7 individuals (5.6%) experienced severedisability in activities of daily living (ADLs).Conclusions:LBP is highly frequent among automobile mechanics. Majority of the individuals suffering from LBP had minimal disability. The rate of moderate disability was also noticeable but number of individuals with severe disability was very low. Overall, LBP disturbed the quality of life.


2017 ◽  
Vol 62 (1) ◽  
Author(s):  
Magdalena Brylewska-Pinda ◽  
Ewa Kemicer-Chmielewska ◽  
Joanna Pierzak-Sominka ◽  
Hanna Mosiejczuk

Wstęp: Bóle dolnego odcinka kręgosłupa dotyczą większości kobiet w ciąży. Na skutek dolegliwości bólowych często pojawiają się ograniczenia funkcjonalne różnego stopnia sprawiające kłopot przy wykonywaniu wielu codziennych czynności. Celem pracy była ocena stopnia dolegliwości bólowych odcinka lędźwiowo-krzyżowego kręgosłupa oraz określenie zależności badanych ograniczeń od zmiennych kontrolowanych.Materiał i metody: Badanie przeprowadzono na terenie miasta Szczecina wśród 81 kobiet ciężarnych. Posłużono się standaryzowanym kwestionariuszem ankiety Oswestry (The Oswestry Low Back Pain Disability Questionnaire). Do weryfikacji statystycznej otrzymanych wyników badań wykorzystano test niezależności χ². Przyjęto poziom istotności p < 0,05.Wyniki: U większości kobiet będących po raz drugi w ciąży (n = 38) stwierdzono mierną niepełnosprawność. Zależność pomiędzy stopniem niepełnosprawności a kolejnością ciąż była statystycznie istotna (χ² = 40,457; p = 0,0000000085).Wnioski: U większości kobiet ciężarnych zaobserwowano ograniczenia funkcjonalne spowodowane dolegliwościami bólowymi odcinka lędźwiowo-krzyżowego kręgosłupa w stopnie miernym. Stopień ograniczeń funkcjonalnych zależny jest od trymestru ciąży i kolejności ciąż.


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