scholarly journals THE EFFECTIVITY OF BACK MASSAGE WITH MULLIGAN BENT LEG RAISE IN ULTRASOUND INTERVENTION TO REDUCE PAIN AND DISABILITY IN MECHANICAL LOW BACK PAIN

2021 ◽  
Vol 9 (3) ◽  
Author(s):  
Putu Ayu Sita Saraswati ◽  
Sayu Aryantari Putri Thanaya ◽  
Komang Embun Dini Hari

Mechanical Low Back Pain (LBP) is the result of poor posture which causes mechanical stress on the lower back. Data from Sanglah General Hospital in 2010 stated that of the 249 outpatient LBP patients, 26% -37% had a tendency to relapse, and 11% -12% had disabilities. LBP does not only have an impact on health, especially on musculoskeletal injuries, but it can give an impact on work and work productivity which it can have an impact on patient finances. Effective treatment for LBP can be a solution to patient complaints. Physiotherapists can provide treatments such as Ultrasound, Mulligan Bent Leg and Back Massage. This study was purpose to compare the effectiveness of the combination of Back Massage and Ultrasound with Mulligan Bent Leg Raise and Ultrasound in reducing pain and disability due to Mechanical LBP. The research method used was experimental randomized pre-test and post-test control group design. The results of this study were back massage intervention with ultrasound (p <0.001) and mulligan bent leg with ultrasound (p <0.001) can reduce disability and pain in patients with mechanical LBP, and Mulligan bent leg with ultrasound (p <0.001) proved to be more effective. compared back massage with ultrasound in reducing disability and pain in mechanical LBP patients. Keyword: Massage, Mulligan, Mechanical Low Back Pain, Pain, Disability

2018 ◽  
Vol 6 (2) ◽  
pp. 5
Author(s):  
Ni Komang Ayu Juniantari ◽  
Gede Parta Kinandana ◽  
Putu Ayu Sita Saraswati ◽  
I Made Niko Winaya

ABSTRAK Myogenic low back pain merupakan suatu sindroma nyeri punggung bawah yang disebabkan oleh ketegangan otot-otot di sekitar punggung bawah dan merupakan work related musculoskeletal disorder. Tujuan penelitian ini untukmembuktikan perbedaan efektivitas antara intervensi slow stroke back massage dan William flexion exercise terhadappeningkatan kemampuan fungsional pada penderita myogenic low back pain.. Penelitian ini merupakan penelitianeksperimental dengan pre dan post test control group design. Jumlah sampel sebanyak 36 orang yang dibagi menjadidua kelompok. Kelompok 1 diberikan intervensi slow stroke back massage dan Kelompok 2 diberikan intervensi Williamflexion exercise. Kedua kelompok mendapatkan intervensi microwave diathermy sebagai terapi awal. Pengukurankemampuan fungsional punggung bawah menggunakan MOLDBQ. Uji hipotesis menggunakan paired sample t-testdidapatkan hasil p=0,000 dengan selisih pre dan post 20,12±1,445 pada Kelompok 1, sedangkan pada Kelompok 2didapatkan hasil p=0.000 dengan selisih pre dan post 9.94±0.854. Uji perbandingan dengan independent sample t-testdidapatkan beda selisih p=0,000 (p<0,05). Berdasarkan hasil uji statistik, dapat disimpulkan bahwa intervensi slowstroke back massage lebih efektif dalam meningkatkan kemampuan fungsional dibandingkan dengan William flexionexercise pada penderita myogenic low back pain. Kata Kunci: myogenic low back pain, slow stroke back massage, William flexion exercise, microwave diathermy,MOLDBQ


2018 ◽  
Vol 5 (2) ◽  
pp. 101-107
Author(s):  
Neny Yuli Susanti ◽  
Eliyawati Eliyawati

Climacteric period especially in menopause is a definite time in the life of a woman. There are many physical and psychological changes that occur in a woman in those days, as a result of decreased estrogen in the body. One of the things that happens is the loss of bone mass so that the estimated prevalence of osteoporosis or bone loss increases. This occurs after a woman has menopause, because at that time the hormone estrogen production is low. The purpose of this study Analyzing the influence of soybean milk on decreased waist pain in pre menopausal women. This research used Quasi Experimental method with research design pre test-post test control group design. The population in this study was pre-menopausal women aged 40-50 years who experienced low back pain. Quota of sample of sample was 20 sample as experiment group and 20 sample as control group so total sample count was 40 people. The result of the research showed no effect on low back pain due to many factors that accompany the woman pre manoupouse that is accompanying disease factor such as uric acid and diabetus militus, job factor which demanded many respondent sitting and standing based on table in chapter V got result that most of the respondents work as teachers and traders 55% other than that the activity at home also affect the reponden like daily household work.data said that most respondents have many children / multipara of 75%, so the provision of soy milk no effect to the respondent. Keywords: Soy bean, Low Back Pain ABSTRAK Masa klimakterium merupakan masa transisi menuju menopause. Terjadi banyak perubahan fisik maupun psikis yang terjadi pada seorang wanita di masa itu, sebagai akibat berkurangnya estrogen dalam tubuh. Salah satu hal yang terjadi adalah kehilangan massa tulang sehingga diperkirakan prevalensi terjadinya osteoporosis atau pengeroposan tulang meningkat. Hal ini terjadi setelah wanita mengalami menopause, karena pada waktu itu produksi hormon estrogennya rendah. Tujuan penelitian ini Menganalisis pengaruh susu kedelei terhadap penurunan nyeri pinggang pada wanita pra menopause. Penelitian ini menggunakan metode Quasi Eksperimen dengan rancangan penelitian pre test-post test control group design. Populasi pada penelitian ini adalah wanita pra menopause umur 40-50 tahun yang mengalami nyeri pinggang. Quota sampel penelitian sejumlah20 orang sampel sebagai kelompok eksperimen dan 20 orang sampel sebagai kelompok kontrol sehingga jumlah total sampel sebanyak 40 orang. Hasil dari peneltian ternyata tidak ada pengaruhnya terhadap nyeri pinggang dikarenakan banyak faktor-faktor yang menyertai pada wanita pre manoupouse yaitu faktor penyakit yang menyertai seperti asam urat dan diabetus militus,faktor pekerjaan yang menuntut responden banyak duduk dan berdiri berdasarkan tabel pada bab V didapatkan hasil bahwa sebagian besar responden bekerja sebagai guru dan pedagang 55 % selain itu aktivitas dirumah juga mempengaruhi reponden seperti pekerjaan rumah tangga sehari-hari.data menyebutkan bahwa sebagian besar responden memiliki banyak anak / multipara sebesar 75 %, sehingga pemberian susu kedelai tidak ada pengaruhnya kepada responden. Kata kunci : Susu Kedelei, Nyeri Pinggang (Low Back Pain)


Author(s):  
Hotma Sauhur Hutagaol ◽  
Hanna Sriyanti Saragih

Child birth is a painful and stressful event in a woman life which is accompanied with fatigue, fear and negative feelings and as labor proceeds, the state worsens (Mortavazi, 2012).  The majority of pregnant women would prefer to experience labour without medical intervention, including pharmacological pain relief. The aim of this study is to analyze the effects of back massage to reduce lower-back pain in active phase of first stage of labour. A quasi-experimental design which involves both pre-test post-test control group design, an experimental group was used to study the effect of back massage intervention on  first stage in intrapartum women and no intervention in control group. Data were analyzed Paired sample t-test was used to compare the pre-test and post-test data.  Thus the hypotheses which stated that there is significant difference between the intervention group and the control group on were accepted. However, the hypotheses which stated that there is significant difference between the ntervention group and control group on hemoglobin levels were rejected. Thus, it can be concluded from the results of the present study that back massage has a significant effect in reducing back pain  in intrapartum.


Author(s):  
Virny Dwiya Lestari ◽  
Dewa Putu Gde Purwa Samatra ◽  
Syahmirza Indra Lesmana ◽  
Ni Wayan Tianing ◽  
Ni Nyoman Ayu Dewi ◽  
...  

Prevalensi low back pain meningkat seiring dengan meningkatnya aktivitas manusia. Aktivitas yang berlebihan dalam posisi statis dapat menimbulkan Non Specific Low back pain. Non Specific Low back pain merupakan nyeri di sekitar punggung bawah yang disebabkan karena gangguan non patologis. Non Specific Low back pain dapat mengakibatkan nyeri, spasme otot dan imbalance muscle, sehingga stabilitas otot perut dan punggung bawah mengalami penurunan, mobilitas lumbal terbatas, mengakibatkan penurunan aktivitas fungsional. Penelitian ini bertujuan untuk membuktikan intervensi Rhytmic Stabilization Exercise lebih baik dari pada intervensi Post Isometric Relaxation (PIR) dalam meningkatkan kemampuan fungsional pada kondisi Non Specific Low back pain. Penelitian ini menggunakan jenis penelitian eksperimental dengan rancangan penelitian pre-test and post-test control group design. Kelompok I terdiri dari 16 orang dengan intervensi yang diberikan adalah Rhytmic Stabilization Exercise dan Kelompok II yang terdiri dari 16 orang dengan intervensi yang diberikan adalah Post Isometric Relaxation (PIR). Kemampuan fungsional diukur menggunakan Oswestry Disability Index (ODI). Hasil penelitian menunjukkan bahwa (1) terdapat peningkatan kemampuan fungsional pada Kelompok I dengan nilai rerata pre test 25,50 ± 1,751% dan post test 21,12 ± 1,962%, (2) terdapat peningkatan kemampuan fungsional pada Kelompok II dengan hasil rerata pre test 24,93 ± 2,08% dan post test 21,43 ± 2,52%, (3) terdapat perbedaan yang signifikan pada hasil tes ODI pada Kelompok I dan Kelompok II dengan hasil rerata ± SB Kelompok I 4,37 ± 1,147% dan rerata ± SB Kelompok II 3,50 ± 1,211 % dengan nilai p = 0,044 yang berarti intervensi Rhytmic Stabilization Exercise lebih baik dari pada intervensi Post Isometric Relaxation (PIR) dalam meningkatkan kemampuan fungsional pada kondisi Non Specific Low back pain. Disimpulkan bahwa intervensi Rhytmic Stabilization Exercise lebih baik dari pada intervensi Post Isometric Relaxation (PIR) dalam meningkatkan kemampuan fungsional pada kondisi Non Specific Low back pain.Kata Kunci: Oswestry Disability Index, Rhytmic Stabilization Exercise, Post Isometric Relaxation (PIR), Non Specific Low back pain


Author(s):  
Dewa Agung Gina Andrini ◽  
N. Adiputra ◽  
Wahyuddin ◽  
Susy Purnawati ◽  
Ni Made Linawati ◽  
...  

Background: Myogenic low back pain is pain around of the lower back muscle or a disorder caused by abnormalities in the musculoskeletal system without neurological disorders.Combination of isotonic and rhythmic stabilization is PNF exercises that commonly used in the treatment of myogenic low back pain. Purpose : The purpose of this study prove that the combination of isotonic better than rhythmic stabilization to decrease disability in craftsman tile with myogenic low back pain in Darmasaba village. Methods: This study uses an experimental design with pre-test and post-test control group design. The experiment was conducted in Darmasaba village and subjects were 20 patients.Decreased disability was measured with the Modified Oswestry Disability Index (MODI) before and after training. Results: Statistical test results obtained, a decrease in MODI scores in the first treatment group showed that mean difference obtained 38.20±3.048 and for the second group obtained 31.80±4.050 with p=0.001.Conclusion: From these results it can be concluded that the combination of isotonic is better than rhythmic stabilization for decreased disability of tile craftsman with myogenic low back pain in Darmasaba village. Suggestion: For the next researcher can do follow up research to see long-term result of combination of isotonic and rhythmic stabilization for tile craftsman.


2019 ◽  
Vol 11 (1) ◽  
pp. 45
Author(s):  
Siti Harwanti ◽  
Budi Aji ◽  
Nur Ulfah

ABSTRACT Low back pain ( LBP ) is a musculoskeletal disorder that occurs in the lower back which can be caused by various diseases and  activity of the body being less good. One effort to overcome the LBP is back exercise. The research purpose is to find out the effect of back exercise therapy which concern to lowering painful complaint of batik artisants in Kauman village Sokaraja subsdistrict. This research is using Quasi Experiment technique phenomenological non equivalen control group design (pre -post test). Sample taking is using purposive sampling technique. Data analysis use Friedman experiment for treatment group and Repeated Annova experiment for control group. Experiment analysis is different between treatment group and control group with using Mann Whitney experiment. The result of Friedman experiment in treatment group shows that p-value=0,000(p<0,05), it means the therapy those given is effective to lowering painful complaint. The result of Repeated Annova experiment in control group shows that p-value=0,234(p>0,05), it means the painful complaint seems not different in control group. The result of Mann Whitney experiment shows that p-value=0,000(p<0,05) it means there are differences between painful complaint in treatment group and control group after doing back exercise. There is the effect by giving back exercise therapy which concern to lowering the complaint of low back pain for batik artisants in Kauman village Sokaraja subdistrict.   Key words: Handmade Batik, Low back pain, back exercise


Author(s):  
I Made Dhita Prianthara ◽  
I Made Jawi ◽  
Wahyuddin ◽  
I Nengah Sandi ◽  
I Putu Adiartha Griadhi ◽  
...  

Background: Mechanical low back pain is pain that resulting from poor posture which cause decreased disability and limitation of lumbar range of motion. Purpose: The purpose of this study was to prove mulligan bent leg raise more effective to increase lumbosacral range of motion and decreased disability than slump stretching among tile craftsman with Mechanical low back pain in Darmasaba village. Methods: This research was an experimental study with pre and post test control group design. Sample of this study is tile craftsman with mechanical low back pain with 20 samples aged 30-55. Samples were divided into two groups, which the first group (n = 10) was given Mulligan bent leg raise, while the second group was given slump stretching. Do exercise 3 times a week for 4 weeks. Lumbar range of motion was measured with modified-modified schober test while level of disability was measured with modified oswestry disability index. Result: Paired Sample T-test in Group 1 and Group 2 obtained p=0,000 that showed in each Group 1 and Group 2 there is significant difference. Independent Samples Test of Group 1 and Group 2 showed the result p=0,000 which mean that there is significant difference in increased lumbar range of motion and decreased disability. Conclusion: Mulligan bent leg raise more effective to increase lumbosacral range of motion and decreased disability than slump stretching to tile craftsman with mechanical low back pain in Darmasaba village.


2015 ◽  
Vol 1 (4) ◽  
pp. 191 ◽  
Author(s):  
Angel Rajakumari G ◽  
Soli T. K. ◽  
Malathy D

Aim: To assessment of effectiveness of spinal exercises and body mechanics on low back pain among post menopausal women.Participants and setting: A quasi experimental non equivalent control group pretest post test design was adapted. The study was conducted in the urban area of suryapet. 40 post menopausal women who fulfilled the inclusion criteria were selected by nonprobability purposive sampling technique.Intervention: The intervention such as spinal exercises and body mechanics were performed to overcome the level of low back pain among post menopausal women. The pre and post assessment was done by using a combined numerical and categorical pain scale.Measurement and findings: The women completed the demographic and obstetrical information and pain was measured by 0- 10 Modified combined numerical categorical pain intensity scale. This study revealed that there was high significant difference found in low back pain at p<0.001level between study group.Conclusion: The overall findings in the present study revealed that the spinal exercises and body mechanics was effectives and had brought about significant change in the reduction of low back pain among post menopausal women compared to pre test level of low back pain.


Author(s):  
Ganesa Puput Dinda Kurniawan ◽  
I Made Muliarta ◽  
Sugijanto ◽  
I Made Ady Wirawan ◽  
Susy Purnawati ◽  
...  

Non-specific low back pain is the symptom of lower back pain that occurs without an obvious cause, the diagnosis is based on exclusion of specific pathology. Non-specific low back pain can result in pain, muscle spasm and muscle imbalance, it can decrease the stability of the abdominals and lower back, limitation in lumbar mobility , changes posture, and it’s couse make disability in patients with non-specific low back pain. Exercise therapy for non-specific low back pain is high recommend to increased stability and correct posture of the spine, for this case thsth can be used for exercise therapy is like McKenzie exercises and core stability exercise. The purpose of this study is to determine the core stability excercise better than McKenzie excercise for release in reduce patient disability in non-specific low back pain. This research applied experimental research method with Pre and Post Test Control Group Design. The research was conducted in Dr Soeradji Tirtonegoro Klaten. There were 32 subjects taken for this research. Disability was measured by oswestry disability index (ODI) before and after treatment. They were divided into two treatment groups consisting of core stability 16 subject for the Mckenzie exercise is 16 and the frequens are 2 times a weak in a month. Statistical test results obtained, have a decline ODI score at the first group have done with a value of p = 0.000 and the second gorup with p = 0.000. it means that both of the group are significantly improve functional activity. From the comparative test data by t-test using the data difference in both groups p value <0.05, which means indicated that there is a significant difference. Therefore, the conclusion of this research indicated thar the core stability excercise better than McKenzie excercise for release in reduce patient disability in non-specific low back pain. The study is expected to benefit in patients with non-specific low back pain in reducing disability.


2018 ◽  
Vol 11 (1) ◽  
pp. 046-052
Author(s):  
Fitra Puspita Sari

The incidence of low back pain is about 80% of the population have sufferedfrom low back pain. Data of low back pain patients within 6 months (April to September2016) as many as 72 visits in Poly Saraf RSUD Bengkulu City. The purpose of the studyto determine the effect of stretching on the reduction of the scale of pain in low back painpatients in Poly Saraf RSUD Bengkulu City. The type of research is pre-experiment withone group pre-test post-test design. Respondents were lower back pain patients as manyas 32 people taken with purposive sampling technique. Data collection was done byinterview using numerical pain scale. The result showed that the average of pain scalebefore stretching was 4.81 with a standard deviation of 0.592, the pain scale afterstretching was 3.34 with a standard deviation of 0.701. Stretching exercises have asignificant effect on decreasing the scale of low back pain (p = 0.000 ≤ α 5%). It isdesirable for nurses to apply stretching exercises as an initial measure to lower the scaleof low back pain.


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