Hubungan Posisi Duduk dengan Keluhan Nyeri Punggung Bawah pada Tenaga Kependidikan Fakultas Kedokteran Universitas Islam Bandung

2021 ◽  
Vol 1 (1) ◽  
pp. 9-13
Author(s):  
Daris Akbar ◽  
Susan Fitriyana ◽  
Rika Nilapsari

Abstract. Low back pain (NPB) is the most common musculoskeletal disorder. Based on the Global Burden of Disease (GBD) the prevalence of low back pain in 2010, which reached 9.2% which was calculated from all ages on a clinical basis. NPB is most related to work or work with administrative factors which are not ergonomic factors for sitting. The purpose of this study was to determine the relationship between sitting and the incidence of low back pain in the teaching staff of the Faculty of Medicine, Islamic University, Bandung. The research method used an observational analytic method with a cross sectional approach, the research subjects consisted of 24 respondents with an average age of more than 30 years who were selected by total sampling. The attitude of the respondent sits on the value with observation by placing workers while doing work carried out based on OSHA that has been sent by (Syamsyiayah), while for low back pain using a validated questionnaire. The results showed that most of the respondents has NPB complaints as many as 17 people (70.8%). Most of the respondents who sat with a non-ergonomic position has NPB as many as 14 people (58.3%) and the results of statistical analysis using the right test showed that the value of p = 1, which means there is no relationship between sitting position and the incidence of NPB. In conclusion, there is no close relationship between sitting position and the incidence of low pain in the education staff of the Faculty of Medicine, Islamic University of Bandung, which may be due to many other factors that can cause low pain. Abstrak. Nyeri punggung bawah (NPB) adalah gangguan pada muskuloskeletal yang paling sering terjadi. Berdasarkan Global Burden Of Desease (GBD) prevalensi nyeri punggung bawah pada tahun 2010, yaitu mencapai 9,2 % yang dihitung dari seluruh usia secara gIobaI. NPB terbanyak berhubungan dengan pekerjaan administrasi atau perkantoran dengan faktor resiko posisi duduk yang tidak ergonomis. Tujuan pada penelitian ini-adalah untukimengetahuiihubungan posisi duduk dengan kejadian nyeri punggung bawah pada tenaga kependidikan Fakultas Kedokteran Universitas-Islam-Bandung. Metode pada penelitianiini menggunakan metode analitik observasionalidengan pendekatanicross sectional, subjek penelitian terdiri dari 24 responden dengan rata-rata usia lebih dari 30 tahun yang dipilih secara total sampling. Sikap duduk responden di nilai dengan observasi dengan cara memfoto posisi duduk pekerja saat melakukan pekerjaan secara tidak disadari lalu melakukan penilaian berdasarkan OSHA yang telah dimodifikasi oleh (Syamsyiayah), sedangkan untuk nyeri punggung bawah menggunakan kuesioner yang sudah tervalidasi. Hasil penelitian didapatkan bahwa sebagian besar responden memilikiikeluhan NPB sebanyak 17 orang (70.8%). Responden yang duduk dengan posisiiduduk tidak ergonomis sebagian besar mengalami NPB sebanyak 14 orang (58.3%) dan hasil dari analisis statistik menggunakan  fisher’s exact test menunjukan bahwa nilai p=1 yang berarti tidak terdapat hubungan bermakna antara posisi duduk dengan kejadian NPB. Kesimpulan, tidak terdapat hubungan bermakna antara posisi duduk dengan kejadian nyeri punggung bawah pada tenaga kependidikan Fakultas Kedokteran Universitas-Islam Bandung yang mungkin dapat disebabkan karena banyak faktor lain yang dapat menyebabkan nyeri punggung bawah.

Author(s):  
Pranjali Kulkarni ◽  
Manish Ray ◽  
Ashok Shyam ◽  
Parag Sancheti

<p class="abstract"><strong>Background:</strong> Spinal cord injury (SCI) is a distressing disorder that can cause of loss of physical, psychological and social functioning, that can cause high level of disability in patients. Due to disability, they are dependent on caregivers for their daily activities. Caregivers of SCI can be family or professional caregivers. Due to lack of training and awkward posture, caring for SCI patients may be burdensome which results in musculoskeletal problems in caregivers so it is important to find out the prevalence of musculoskeletal problems. The objectives were to find out the prevalence of musculoskeletal problems in caregivers handling non-ambulatory SCI patients and most common site of injury.</p><p class="abstract"><strong>Methods:</strong> A cross sectional study was carried out on 80 caregivers including both professional and family caregivers. Self-structured validated questionnaire used to interview the caregivers based on convenient sampling. The data was analysed by descriptive statistics.</p><p class="abstract"><strong>Results:</strong> The prevalence of musculoskeletal problems is 95% in caregivers including both family and professional caregivers. Low back pain was the commonest site of symptoms (53%) followed by 15% neck, 12% upper back pain, right shoulder (10%), right wrist (5%) and no pain (5%).</p><p class="abstract"><strong>Conclusions:</strong> The prevalence of musculoskeletal problems in caregivers handling non ambulatory SCI is high. Most affected area is low back pain and neck pain. The findings of the study indicated that proper training and exercise are required, on means of preventing musculoskeletal problems.</p><p> </p>


2019 ◽  
Vol 4 (1) ◽  
pp. 1
Author(s):  
Kursiah Warti Ningsih

<p><em>Low back pain is a painful condition that is felt in the lower back region, can be local pain, or radicular pain, or both. Some of the causes are sitting position and long sitting. This study aims to determine the factors associated with the incidence of low back pain in employees in the Bina Marga in the Public Works Department. An initial survey conducted on 30 employees, it is known that 21 employees (70%) said they had experienced lower back pain. This type of research is quantitative analytic with cross sectional design. This research was conducted on employees of the clan sector in the Public Works Department of Riau Province on August 4 to 24, 2014. The sample in this study amounted to 50 people, the sampling technique used was accidental sampling technique. Data collection using the RULA Employee Assessment Worksheet and questionnaire. Data analysis using frequency distribution and chi square test with α 0.05. The results showed that the four variables that were significantly related were sitting position ( 0.001), sitting length (0.004), age ( 0.001) and sex ( 0.001). Based on the results of this study it can be seen that the factor of sitting position, length of sitting, age and sex affects lower back pain in employees of the Community Development Division in the Public Works Department of Riau Province.</em></p><p><em><br /></em></p><p>Nyeri punggung bawah adalah kondisi nyeri yang dirasakan di daerah punggung bawah, dapat berupa nyeri lokal, maupun nyeri radikuler, maupun keduanya. Beberapa penyebabnyayaitu posisi duduk dan lama duduk. Penelitian ini  bertujuan untuk mengetahui faktor yang berhubungan dengan kejadian nyeri punggung bawah pada pegawai  bidang Bina Marga di Dinas Pekerjaan Umum. Survey awal yang dilakukan pada 30 pegawai, diketahui bahwa 21 orang pegawai (70%) mengatakan  pernah mengalami nyeri punggung bawah. Jenis penelitian ini adalah analitik kuantitatif dengan desain cross sectional. Penelitian ini dilakukan  pada pegawai bidang bina marga di Dinas Pekerjaan Umum Provinsi Riau  pada  tangal 4 s/d 24 Agustus  2014. Sampel dalam penelitian ini  berjumlah  50  orang, teknik pengambilan sampel mengunakan teknik accidental sampling. Pengumpulan data  mengunakanRULA Employee Assesment Worksheet dan kuesioner. Analisa data mengunakan  distribusi  frekuensi dan uji chi square dengan  α 0,05. Hasil penelitian menunjukkan keempat variabel yang berhubungan secara signifikan adalah posisi duduk (pvalue = 0.001),  lama duduk (pvalue = 0.004), umur (pvalue = 0.001) dan jenis kelamin (pvalue = 0.001). Berdasarkan hasil penelitian ini terlihat bahwa factor posisi duduk, lama duduk, umur dan jenis kelamin mempengaruhi nyeri punggung bawah pada pegawai Bidang Bina Marga di Dinas Pekerjaan Umum Provinsi Riau.</p>


2020 ◽  
Vol 2 (2) ◽  
Author(s):  
Emilda Hanifa ◽  
Deddy Koesmayadi ◽  
Yuli Susanti

Prevalensi low back pain (LBP) di Indonesia 85–95% terjadi karena penyebab non-spesifik, di antaranya aktivitas fisik yang berat, mengangkat beban terlalu berat, postur tubuh statis saat bekerja, posisi bekerja, faktor gaya hidup, dan faktor psikologis. Tujuan penelitian ini mengetahui hubungan beban kerja fisik dengan kejadian low back pain (LBP) pada kuli panggul beras di Pasar Induk Gedebage. Penelitian ini menggunakan metode analitik observasional dengan pendekatan cross-sectional. Subjek penelitian terdiri atas 33 responden. Pengambilan data dilakukan menggunakan kuesioner dan observasi. Hasil penelitian didapatkan bahwa sebagian besar responden mengalami kejadian LBP sebanyak 29 orang. Responden yang memiliki beban kerja fisik dengan beban 33–52 kg/angkat adalah sebanyak 23 orang dan kejadian LBP sebanyak 19 orang. Hasil ananisis statistik menunjukkan bahwa tidak terdapat hubungan yang bermakna antara beban kerja fisik dan kejadian low back pain (p=0,372), namun terdapat faktor lain yang terkait dengan kejadian LBP, di antaranya usia, masa kerja, posisi angkat, dan skala nyeri. THE RELATIONSHIP OF PHYSICAL WORKLOAD WITH THE INCIDENCE OF LOW BACK PAIN (LBP) IN RICE HIP COOLIES AT PASAR INDUK GEDEBAGEThe prevalence of low back pain (LBP) in Indonesia is about 85–95%, it occurs due to non-specific causes, including heavy physical activity, lifting weights too heavy, static posture at work, working position, lifestyle factors, and psychological factors. The purpose of this study was to determine the relationship of physical workload with the incidence of low back pain (LBP) in rice hip coolies at Pasar Induk Gedebage. This research used observational analytic method with cross sectional approach. The research subjects consisted of 33 respondents. Data were collected by using questionnaires and observations. The results showed that the majority of respondents experienced LBP events as many as 29 people. Respondents who had a physical workload with a load of 33–52 kg/lift were 23 people, and LBP events were 19 people. Statistical analysis showed that there was no significant relationship between physical workload and the incidence of low back pain (p=0.372). Conclusion, there is no relationship between physical workload and the incidence of low back pain in rice hip coolies at Pasar Induk Gedebage, but there are other factors associated with LBP events, including age, work period, lifting position, and pain scale.


Author(s):  
Edy Irwanto ◽  
Dwi Pudjonarko ◽  
Hermina Sukmaningtyas

THE CORRELATION OF UNILATERAL LOW BACK PAIN INTENSITY AND THE DEGREE OF CONTRALATERAL KNEE OSTEOARTHRITISABSTRACTIntroduction: Low back pain (LBP) is one of the most common and recurring forms of musculoskeletal pain. In back injuries or disc degenerative diseases that cause chronic LBP will increase the burden on the knee joint, thereby triggering or exacerbating the occurrence of osteoarthritis (OA) of the knee.Aims: To analyze the correlation of unilateral LBP intensity and the degree of contralateral knee OA.Methods: Cross-sectional observational analytic study of LBP patients who went to the neurology polyclinic of RSUP Dr. Kariadi, Semarang, from November 2018 to March 2019. The diagnosis of knee OA was made clinically based on the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) questionnaire and radiological with Kellgren-Lawrence scores. Fisher’s exact test was used to see the correlation between variables, and the results of the bi- variate analysis was continued with a logistic regression multivariate test to find out the variables that influence the degree of knee OA.Results: There were 36 subjects, the majority of which were women (58.3%) with an average age of 53.88±11.01 years. A significant relationship was found between the unilateral LBP intensity (p=0.004; Odds ratio/OR=32,500) and malalignment of the knee joint (p=0.024;  OR=11.67) with the degree of contralateral  knee OA based on the WOMAC score.Discussion: The unilateral LBP intensity and malalignment of the knee joint can increase the risk of contralateral knee OA based on WOMAC scores of 32.5 and 11.7 times, respectively.Keywords: Kellgren-Lawrence score, low back pain, osteoarthritis of the knee, WOMAC scoreABSTRAKPendahuluan: Nyeri punggung bawah (NPB) adalah salah satu bentuk nyeri muskuloskeletal yang paling umum terjadi dan dapat berulang. Pada cedera punggung atau penyakit degeneratif diskus yang menyebabkan NBP kronik akan meningkatkan beban pada sendi lutut, sehingga memicu atau memperparah terjadinya osteoartritis (OA) lutut.Tujuan: Untuk mengetahui hubungan intensitas NPB unilateral dengan derajat OA lutut kontralateral.Metode: Penelitian analitik observasional secara potong lintang terhadap pasien NPB yang berobat ke Poliklinik Saraf RSUP Dr. Kariadi, Semarang, pada bulan November 2018 hingga Maret 2019. Diagnosis OA lutut ditegakkan ber- dasarkan klinis menggunakan kuesioner Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) dan radiologis dengan skor Kellgren-Lawrence. Korelasi antar variabel menggunakan uji Fisher’s exact, hasil analisis bivariat dilanjutkan dengan uji multivariat regresi logistik untuk mengetahui variabel yang berpengaruh terhadap derajat OA lutut.Hasil: Didapatkan 36 subjek yang mayoritas perempuan (58,3%) dengan rerata usia 53,88±11,01 tahun. Didapatkan hubungan yang bermakna antara intensitas NPB unilateral (p=0,004; rasio Odds/RO=32,500) dan malalignment sendi lutut (p=0,024; RO=11,67) dengan derajat OA lutut kontralateral berdasarkan skor WOMAC.Diskusi: Intensitas NPB unilateral dan malalignment sendi lutut dapat meningkatkan risiko terjadinya OA lutut kontralateral berdasarkan skor WOMAC masing-masing sebanyak 32,5 dan 11,7 kali.Kata kunci: Nyeri punggung bawah, osteoartritis lutut, skor WOMAC, skor Kellgren-Lawrence


e-CliniC ◽  
2015 ◽  
Vol 3 (2) ◽  
Author(s):  
Ni Putu L. N. I. Sari ◽  
Theresia Isye Mogi ◽  
Engeline Angliadi

Abstract: Low Back Pain (LBP) is commonly found in society. LBP often results in decreased of productivity and disability. The most frequent causes of LBP are prolonged sitting, improper sitting position, bad body posture, excessive activity, and trauma. Risks of LBP are prolonged working such as computer operator. This study aimed to obtain the correlation of sitting duration of computer operators in travel agencies in Manado to LBP. This was an analytical observasional study with a cross sectional design. Data were collected by using questionnaires. The result showed that of 30 subjects, 27 (90%) had suffered from LBP. An upright sitting position is the most position that caused LBP in 18 subjects (60%). The sitting position where the knees were as high as the hip caused LBP in 25 subjects (83,33%). Prolonged sitting of 7-8 hours contributed in 21 subjects (70%). The alternative Fisher exact test showed a strong correlation (P=0.014) between prolonged sitting and LBP in computer operators of travel agencies. An upright sitting position (P=0.028) and the sitting position where knees were as high as the hips (P=0.003) were also correlated with LBP.Keywords: low back pain, computer operator, sitting position, knee positionAbstrak: Low Back pain (LBP) merupakan keluhan yang sering dijumpai dalam masyarakat. LBP sering menyebabkan penurunan produktivitas kerja juga disabilitas. Penyebab LBP yang paling sering ialah duduk terlalu lama, sikap duduk yang tidak tepat, postur tubuh yang tidak ideal, aktivitas berlebihan, serta trauma. Pekerjaan yang berisiko menimbulkan LBP antara lain yang memiliki jam kerja panjang seperti operator komputer. Penelitian ini bertujuan untuk mengetahui hubungan lama duduk dan angka kejadian LBP pada operator komputer perusahaan travel di Manado dengan menggunakan metode analitik observasional dan desain potong lintang. Data dikumpulkan menggunakan kuesioner kemudian dianalisis. Hasil penelitian memperlihatkan dari jumlah 30 subjek penelitian, 27 orang (90%) mengalami LBP. Posisi duduk tegak merupakan posisi terbanyak yang menimbulkan LBP pada 18 subjek penelitian (60%). Posisi lutut sejajar pinggul menimbulkan LBP pada 25 subjek penelitian (83,33%). Lama duduk 7-8 jam paling banyak menimbulkan LBP yaitu pada 21 subjek penelitian (70%). Uji alternatif Fisher exact memperlihatkan adanya korelasi kuat (P=0,014) antara lama duduk dan kejadian LBP pada operator komputer perusahaan travel. Posisi duduk tegak (P=0,028) dan posisi lutut sejajar pinggul (P=0,003) juga berkorelasi dengan LBPKata kunci: low back pain, lama duduk, operator komputer, posisi duduk, posisi lutut,


2021 ◽  
Vol 9 (3) ◽  
Author(s):  
Komang Trisna Bayu Suta ◽  
Ni Luh Putu Gita Karunia Saraswati ◽  
I Putu Adiartha Griadhi ◽  
I Made Niko Winaya

Pekerjaan sebagai kuli angkut sangat berisiko dilihat dari lifting index kuli angkut itu sendiri, seperti pada saat kuli angkut mengambil barang dari bawah dengan posisi membungkuk kemudian berdiri sekaligus memindahkan barang ke atas kepala, begitu juga pada saat kuli angkut menurunkan barang dengan posisi membungkuk maka beban yang di angkat akan semakin besar. Hal ini dapat menyebabkan otot dan ligamen tertarik lebih keras sehingga timbul gejala gangguan muskuloskeletal. Salah satu gangguan muskulosketal yang banyak dikeluhkan oleh pekerja sebagai kuli angkut adalah low back pain miogenik. Pelaksanaan penelitian ini bertujuan untuk mengetahui hubungan lifting index pada kuli angkut terhadap keluhan low back pain miogenik di pasar tradisional Denpasar. Metode penelitian yang digunakan yaitu penelitian observasional analitik dengan desain potong lintang atau yang biasa disebut dengan cross – sectional yang dilakukan pada Bulan November – Desember 2020.  Teknik yang digunakan dalam pengambilan sampel yaitu purposive sampling. Jumlah sampel penelitian ini sebanyak 89 orang. Variabel dependen dalam penelitian ini adalah low back pain miogenik yang diperoleh dengan melakukan proses anamnesis dan pemeriksaan fisik. Variabel independen yang diukur adalah lifting index yang diukur dengan menggunakan NIOSH lifting equation. Hasil fisher exact test menunjukkan bahwa adanya hubungan antara lifting index pada kuli angkut terhadap keluhan low back pain miogenik dengan nilai p sebesar 0,006 yang menunjukan nilai p < 0,05. Sampel dengan lifting index “berisiko” (LI > 3) dominan mengeluhkan nyeri LBP miogenik dan sampel dengan lifting index “kemungkinan berisiko” (1< LI < 3) dominan tidak mengeluhkan nyeri. Kata kunci: Lifting index, NIOSH lifting equation, low back pain miogenik, kuli angkut


2019 ◽  
Vol 1 (1) ◽  
pp. 15-20
Author(s):  
Manda Sub Jakaria Koteng ◽  
Jacob M Ratu ◽  
Noorce Christiani Berek

Low Back Pain (LBP) is the pain experienced in the lower back muscles region. Sitting for a long time as that of online game users may cause such complaints. Other risk factors such as age, sex, BMI, and a longer time to play the game theoretically have a relationship with the incidence of LBP. This study aims to determine the relationship of individual factors and ergonomic factors to the incidence of LBP on the use of online games in Kupang. The study design was cross-sectional. The sample consisted of 38 online game users in Kupang and selected by using accidental sampling technique. Data analyzed by Chi-Square test with the significance of 95%. Result research indicated that individual factors that were age (p = 0.497), gender (p = 0.198), smoking (p = 0.547), and body mass index (p = 0.554) had no association with the incidence of LBP, while the ergonomic factors namely the duration of playing games (p = 0.007) and sitting position (p = 0.004) were related with LBP. Therefore, online game users should consider the duration of the game and sitting position applied in order to reduce LBP.  


2017 ◽  
Vol 11 (1) ◽  
pp. 75
Author(s):  
Kursiah Warti Ningsih

<p><em>Low back pain </em>adalah rasa nyeri yang dirasakan pada punggung bawah yang sumbernya tulang belakang daerah spinal, otot, saraf, atau struktur lainnya disekitar daerah tersebut. Dari 10 perawat 6 perawat mengalami keluhan <em>low back pain</em>. Tujuan dari penelitian ini adalah untuk mengetahui faktor Keluhan <em>Low back pain</em>.</p><p>Jenis penelitian kuantitatif dengan desain <em>cross sectional</em>, pada 25 juni- 3 juli  di Rumah Sakit Umum Daerah Selasih Pangkalan Kerinci. Penelitian dilakukan pada 30 perawat dengan kuesioner. Analisa data yang digunakan secara univariat,</p><p>Hasil penelitian: 13 orang (43,3%) mengalami keluhan <em>low back pain</em>. Hasil uji bivariat terdapat hubungan antara sikap kerja, dan kebiasaan olahraga terhadap kejadian <em>low back pain</em>. Hasil analisis multivariate menunjukkan variable sikap kerja merupakan variable yang paling mempengaruhi kejadian low back pain deng nilai OR 43 kali. Dimana variable IMT merupakan <em>counfounding</em> terhadap variable sikap kerja dan kebiasaan olah raga dan variable kebiasaan olahraga merupakan <em>counfounding</em> terhadap variable IMT.</p><p>Peneliti mengharapkan pihak Rumah Sakit Umum Daerah Selasih Pangkalan Kerinci mengadakan seminar tentang sikap kerja yang baik, menjaga IMT karyawan &lt;25 dan  mengadakan kegiatan olah raga secara teratur di lingkungan Rumah Sakit Umum Daerah Selasih Pangkalan Kerinci.</p><p> </p><p><em>Low back pain is pain that felt in the lower back that is the source of the spine area of spinal, muscles, nerves, or other structures surrounding areas.</em><em> of the 10 nurses 6 nurses complain of low back</em><em> </em><em>pain. </em><em>the purpose of this study was to determine the factors complaint low backpain.</em></p><p><em>T</em><em>ype quantitative research cross-sectionaldesign,</em><em> </em><em>on 25 June-3 July at the General Hospital of </em><em>Selasih</em><em> Pangkalan Kerinci. The study was conducted on 30 nurses by questionnaires. Data analysis used univariate, </em><em>bivariate and multivariate.</em><em></em></p><p><em>E</em><em>esults of the study: 13 patients (43.3%) had complaints of low backpain.The result of bivariate correlation between working attitude and exercise habits on the incidence of low backpain.Results of multivariate analysis showed variable working attitude is the variable that most influences the incidence of low back pain deng OR value 43 times. Where the variable BMI is counfounding to variable working attitude and exercise habits and variable exercise habits is counfounding to variable IMT.</em></p><p><em>Researchers expect the Regional General Hospital Basil Pangkalan Kerinci hold a seminar on good working attitude, keep IMT employees &lt;25 and hold sports activities regular exercise in the District General Hospital Basil Pangkalan Kerinci.</em></p>


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