scholarly journals COGNITIVE FUNCTIONAL THERAPY LEBIH BAIK DALAM MENURUNKAN DISABILITAS DARIPADA LATIHAN MCKENZIE PADA PENDERITA NON-SPECIFIC LOW BACK PAIN DI DESA SUNGAI TENDANG

2020 ◽  
Vol 8 (3) ◽  
pp. 188
Author(s):  
Tri Wahyu Wulandari ◽  
Susy Purnawati ◽  
Sugijanto Sugijanto ◽  
I Nyoman Adiputra ◽  
Bagus Komang Satriyasa ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Oswestry Disability Index ◽  
T Test ◽  
Low Back ◽  
Functional Therapy ◽  
Paired Sample

Pendahuluan: Non-specific Low Back Pain (NLBP) merupakan nyeri punggung bawah yang tidak dihubungkan dengan patologi spesifik. Terjadinya disabilitas pada NLBP akibat adanya nyeri, imbalance muscle, spasme otot dan perubahan psikologis. Oleh karena itu, dengan adanya pemberian terapi fisik dapat menurunkan nyeri, peningkatan stabilitas dan koreksi postur pada tulang belakang, terapi latihan ini bisa berupa latihan McKenzie dan Cognitive Functional Therapy (CFT). Tujuan Penelitian: untuk mengetahui CFT dapat menurunkan disabilitas dibandingkan dengan latihan McKenzie pada NLBP. Metode: Penelitian ini menggunakan rancangan eksperimental melibatkan sejumlah 20 orang sampel yang merupakan warga Desa Sungai Tendang penderita NLBP berusia 30-60 tahun. Sampel terbagi menjadi 2 Kelompok secara acak sederhana, dimana Kelompok 1 (n = 10) diberikan CFT dan Kelompok 2 (n = 10) diberikan latihan McKenzie. Penelitian ini dilakukan 3 kali seminggu selama 4 minggu dengan menggunakan kuesioner penilaian Modified Oswestry Disability Index (MODI). Hasil: Hasil pengujian hipotesis menggunakan paired sample t-test sebelum dan setelah intervensi pada Kelompok 1 dengan nilai p <0,0001 yang berarti bahwa ada perbedaan yang bermakna dari nilai disabilitas sebelum dan setelah intervensi CFT pada NLBP. Pada Kelompok 2 didapatkan nilai p <0,0001 yang berarti bahwa ada perbedaan yang bermakna dari nilai disabilitas sebelum dan setelah intervensi McKenzie pada NLBP. Uji beda disabilitas setelah intervensi antara Kelompok 1 dan Kelompok 2 menggunakan Independent Samples t-test didapatkan nilai p = 0,001 dengan rerata setelah pada kelompok 1 sebesar 4,40±2,06 dan pada Kelompok 2 sebesar 10,80±4,63. Kesimpulan: CFT lebih daik dalam menurunkan disabilitas dibandingkan dengan MK pada penderita NLBP.   Kata Kunci: Cognitive Functional Therapy, McKenzie, Non-specific Low Back Pain

scholarly journals PERBEDAAN PENGARUH WILLIAM’S FLEXION EXERCISE DAN MCKENZIE EXERCISETERHADAP PENINGKATAN AKTIVITAS FUNGSIONAL PADA LOW BACK PAIN MYOGENIC

2019 ◽  
Vol 7 (1) ◽  
pp. 55-66
Author(s):  
Tyas Sari Ratna Ningrum
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Oswestry Disability Index ◽  
T Test ◽  
Low Back ◽  
Paired Sample ◽  
Lowback Pain

Pendahuluan. Orang dewasa biasanya mulai memasuki masa lansia sehingga terjadi penurunankemampuan fungsional tubuh akibat proses degeneratif terutama pada penjahit dikarenakan posisikerja yang tidak ergonimis dalam jangka waktu yang lama sehingga rentang terkena penyakit lowback pain myogenic. Tujuan Penelitian ini bertujuan untuk mengetahui pengaruh pemberianwilliam’s flexion exercisedanmckenzie exerciseterhadap peningkatan aktivitas fungsional. william’s flexion exercise Metode. Penelitian ini menggunakan metode QuasiExperimental dengan pre and post two groupdesign. Sebanyak 28 sampel yang ditentukan dengan menggunakan teknik purposive sampling.Sampel dibagi menjadi 2 kelompok yaitu kelompk 1 dengan perlakuan william’s flexion exercise dankelompok 2 dengan perlakuanmckenzie exercise . Latihan dilakukan selama 4 minggu denganfrekuensi latihan selama 3 kali dalam seminggu baik untuk william’s flexion exercise maupunmckenzie exercise. Alat ukur yang di gunakan Oswesty Disability Index (ODI). Teknik analisa datayang digunakan adalah paired sample T-Testuntuk hipotesis I dan II dan Independent sample T-Testuntuk hipotesis III karena data berdistribusi normal.Hasil. Hasil uji hipotesis I menggunakan Paired Sample T-test diperoleh nilai p=0,000 ( p<0,05) danhasil uji hipotesis II menggunakan Paired Sample t-testdiperoleh nilai p=0,002(p<0,05) yang berartibahwa kedua perlakuan memiliki pengaruh terhadap peningkatan keseimbangan dinamis lansia padamasing-masing kelompok. Hasil hipotesis III menggunakan Independent Sample T-test diperolehnilaip=0,503(p>0,05)yang berarti tidak ada perbedaan pengaruh pemberian intervensi william’sflexion exercisedanmckenzie exercise terhadap peningkatan aktivits fungsional.Kesimpulan. Tidak ada perbedaan pengaruh william’s flexion exercise danmckenzie exercise terhadappeningkatan aktivitas fungsional. Penelitian selanjutnya harus lebih memperhatikan berbagai faktoryang dapat mengganggu aktivitas fungsional danmengontrol aktivitas yang dilakukan oleh respondendalam keseharian, diluar waktu pemberian intervensi.Kata Kunci : William’s flexion exercise,mckenzie exercise, Aktivitas Fungsional,Pembatik, Oswestry Disability Index(ODI).

scholarly journals Perbandingan Efek Antara Mobilization of the Nervous as System Active Exercise Terhadap Perubahan Nyeri dan Fleksibilitas Penderita Low Back Pain

2019 ◽  
Vol 8 (2) ◽  
pp. 161-168
Author(s):  
Djohan Aras
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Visual Analogue Scale ◽  
Analogue Scale ◽  
T Test ◽  
Low Back ◽  
Paired Sample ◽  
Purposive Sampling ◽  
Group Design ◽  
Post Test

Low Back Pain merupakan gangguan yang dirasakan di punggung bagian bawah yang disebabkan oleh berbagai gangguan musculoskeletal maupun mobilisasi yang salah. LBP dapat menyebabkan timbulnya nyeri dan penurunan fleksibilitas lumbal sehingga mengganggu aktivitas penderitanya. Mobilization of the Nervous as System (MONAS) dan Active Exercise merupakan latihan yang dapat digunakan untuk menurunkan nyeri dan meningkatkan fleksibilitas pada penderita LBP. Penelitian ini bertujuan untuk mengetahui perbandingan antara Mobilization of the Nervous as System dan Active Exercise Terhadap Perubahan Nyeri dan Fleksibilitas pada Penderita Low Back Pain (LBP). Penelitian ini merupakan penelitian eksperimental dengan desain penelitian pre test-post test two group design. Teknik pengambilan sampel yaitu purposive sampling dengan jumlah sampel sebanyak 22 orang dibagi dalam 2 kelompok, yaitu kelompok MONAS dan Active Exercise. Masing-masing kelompok beranggotakan 11 responden. Alat ukur yang digunakan adalah Visual Analogue Scale (VAS) untuk mengukur nyeri dan Modified Schober Test (MST) untuk fleksibilitas. Penelitian ini menggunakan uji paired sampel T test sebagai uji pengaruh  dan uji perbandingan menggunakan uji Independent sampel T test. Hasil penelitan dengan uji paired sample t-test menunjukkan terdapat perubahan nyeri dan fleksibilitas pada penderita LBP setelah pemberian MONAS dengan nilai p=0,000 dan Active Exercise dengan nilai p=0,000. Sedangkan hasil uji independent sample t-test pada nyeri diperoleh nilai p=0,658 sedangkan fleksibilitas  p=0,729 yang artinya tidak ada perbedaan yang signifikan antara MONAS dan Active Exercise baik terhadap nyeri maupun fleksibilitas.

Protocol for a feasibility randomised controlled trial comparing cognitive functional therapy with usual physiotherapy care in people with persistent low back pain

2021 ◽  
pp. 1-14
Author(s):  
Christopher Newton ◽  
Gurpreet Singh ◽  
David Nolan ◽  
Vicky Booth ◽  
Claire Diver ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Cost Effectiveness ◽  
Randomised Controlled Trial ◽  
Controlled Trial ◽  
Low Back ◽  
Functional Therapy ◽  
Randomised Controlled ◽  
The Uk ◽  
Feasibility Rct

BACKGROUND: Combined physical and psychological programmes (CPPP) are recommended for people with disabling low back pain (LBP). Cognitive Functional Therapy (CFT) is a physiotherapist-led low intensity CPPP with positive effects in previous studies. The clinical and cost effectiveness of CFT has not previously been evaluated in a randomised controlled trial (RCT) in the United Kingdom (UK) National Health Service (NHS). Before a definitive RCT can be completed it is necessary to determine if completing such a study is possible. PURPOSE: To determine the feasibility of completing a definitive RCT, that will evaluate the clinical and cost-effectiveness of CFT in comparison to usual physiotherapy care for people with persistent LBP in the UK NHS. METHODS: A pragmatic two-arm parallel feasibility RCT comparing CFT with usual physiotherapy care for people with persistent LBP will be completed. Sixty participants will be randomly allocated to receive CFT or usual physiotherapy care. The primary outcome will be feasibility of completing a definitive RCT. Participant reported outcome measures will be recorded at baseline, three, six and twelve-month follow-up, including disability, pain intensity, quality of life and psychosocial function. Data will be analysed descriptively. A qualitative process evaluation will explore the acceptability of the research processes and interventions. DISCUSSION: The rationale and methodological design of a mixed methods feasibility RCT is presented. This study aims to inform the planning, design and completion of a future definitive RCT in the UK NHS. The results will be disseminated through peer reviewed open access journal publication.

scholarly journals The perspectives of physiotherapists on managing nonspecific low back pain following a training programme in cognitive functional therapy: A qualitative study

2018 ◽  
Vol 17 (1) ◽  
pp. 79-90 ◽  
Author(s):  
Ian Cowell ◽  
Peter O'Sullivan ◽  
Kieran O'Sullivan ◽  
Ross Poyton ◽  
Alison McGregor ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Qualitative Study ◽  
Training Programme ◽  
Low Back ◽  
Functional Therapy

scholarly journals Lumbar Lordosis, Pain Intensity and Type of Work in Women Participating in Fitness Activities

2019 ◽  
Vol 26 (4) ◽  
pp. 22-27
Author(s):  
Patrycja Proskura ◽  
Małgorzata Sobera
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Everyday Life ◽  
Oswestry Disability Index ◽  
Lumbar Lordosis ◽  
Daily Activities ◽  
Sitting Position ◽  
Low Back ◽  
Digital Inclinometer ◽  
Postural Muscles

AbstractIntroduction. The aim of this study was to examine women participating in fitness activities regarding their level of disability in daily activities and lumbar lordosis.Material and methods. Data were collected from 68 females between the ages of 25-70 participating in fitness exercises. The Oswestry Disability Index was applied to measure the level of disability due to the low back pain in everyday life. The angle of lumbar lordosis was measured using a Saunders’ digital inclinometer.Results. The results of the study confirmed the existence of problems related to low back pain in people performing sedentary work. There were no correlations between lumbar lordosis angle and the level of disability in daily activities of the groups. The low back pain increases especially among people performing sedentary work.Conclusions. The results of this study suggest that work in a sitting position is not associated with a decrease in the angle of lordosis in relation to another work than in a sitting position. Sitting work can be an indirect cause of back pain and slight disability in everyday life by weakening postural muscles.

scholarly journals Efficacy of intradiscal ozone gas therapy combined with physical therapy in contained lumber disc prolapse

2016 ◽  
Vol 44 (3) ◽  
pp. 146-151
Author(s):  
Mohammad Moniruzzaman ◽  
Md Shahadat Hosssain ◽  
Md Ruhul Amin ◽  
Moshiur Rahman Khasru ◽  
Md Azizur Rahman ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Physical Therapy ◽  
Oswestry Disability Index ◽  
Positive Outcome ◽  
Outcome Variable ◽  
Low Back ◽  
Disc Prolapse ◽  
Ozone Therapy ◽  
College Hospital

Percutaneous intra-discal ozone therapy has promising results in contained lumber disc prolapse but the effectiveness of this treatment has been tested in large clinical studies show a positive outcome in 70%–80% of patients. To increase success rate of ozone discectomy and prevention of disc surgery, intradiscal ozone therapy combined with physical therapy may bring new options for the management of low back pain (LBP) due to lumber disc prolpase. This prospective experimental study was done from August 2014 to Octber 2014 at the Popular Medical College Hospital, Dhanmondi, Dhaka, Bangladesh with the intention to assess the efficacy of percutaneous intra-discal ozone therapy combined with physical therapy in acute and chronic low back pain due to contained prolapsed intervertebral lumber disc (PLID). Seven (7) ml of oxygen-ozone mixture at a concentration of 30 mc/ml was injected in the disc by ozone resistant syringe over a period of 15-20 seconds. All patients got physiotherapy for 30 minutes, two times/day, up to two weeks and strictly maintained activities of daily living (ADL). The main outcome variable was VAS(Visual Analogue Scale) & ODI (Oswestry Disability Index). 100% patient experienced radiation of pain in the leg before ozone gas & physical therapy and 90% had relieved radiation till 4th week. The reduction of VAS score from baseline to four weeks following treatment was 8.0±1.63 to 0.30±0.95. Reduction of Oswestry Disability Index (ODI) from baseline to four weeks following treatment was 37.7±6.5 to 15.8±1.0. Percutaneous intra-discal ozone therapy in combination with physical therapy is an effective treatment for management of low back pain (LBP) due to contained lumber disc prolpase.Bangladesh Med J. 2015 Sep; 44 (3): 146-151

scholarly journals The effect of an integrated multidisciplinary rehabilitation programme alternating inpatient interventions with home-based activities for patients with chronic low back pain: a randomized controlled trial

2020 ◽  
Vol 34 (3) ◽  
pp. 382-393 ◽  
Author(s):  
Anne Mette Schmidt ◽  
Berit Schiøttz-Christensen ◽  
Nadine E Foster ◽  
Trine Bay Laurberg ◽  
Thomas Maribo
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Oswestry Disability Index ◽  
Controlled Trial ◽  
Rehabilitation Programme ◽  
Low Back ◽  
Oswestry Disability Index Score ◽  
Home Based

Objective: To compare the effectiveness of an integrated rehabilitation programme with an existing rehabilitation programme in patients with chronic low back pain. Design: A single-centre, pragmatic, two-arm parallel, randomized controlled trial (1:1 ratio). Setting: A rheumatology inpatient rehabilitation centre in Denmark. Subjects: A total of 165 adults (aged ⩾ 18 years) with chronic low back pain. Interventions: An integrated rehabilitation programme comprising an alternation of three weeks of inpatient stay and 12 weeks of home-based activities was compared with an existing rehabilitation programme of four weeks of inpatient stay. Main measures: Patient-reported outcomes were collected at baseline and at the 26-week follow-up. The primary outcome was back-specific disability (Oswestry Disability Index). Secondary outcomes included pain intensity (Numerical Rating Scale), pain self-efficacy (Pain Self-Efficacy Questionnaire), health-related quality of life (EuroQol-5 Domain 5-level (EQ-5D)), and depression (Major Depression Inventory). A complete case analysis was performed. Results: A total of 303 patients were assessed for eligibility of whom 165 (mean age: 50 years (SD 13) and mean Oswestry Disability Index score 42 (SD 11)) were randomized (83 to existing rehabilitation programme and 82 to integrated rehabilitation programme). Overall, 139 patients provided the 26-week follow-up data. Baseline demographic and clinical characteristics were comparable between programmes. The between-group difference in the Oswestry Disability Index score when adjusting for the corresponding baseline score was −0.28 (95% confidence interval (CI): −4.02, 3.45) which was neither statistically nor clinically significant. No significant differences were found in the secondary outcomes. Conclusion: An integrated rehabilitation programme was no more effective than an existing rehabilitation programme at the 26-week follow-up.

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