scholarly journals The Differences Effect Of Giving Snags And Mc Kenzie With Manual Traction And Mc Kenzie For Pain Reduction And Lumbal Disability In HNP Conditions

2021 ◽  
Vol 16 (1) ◽  
pp. 140
Author(s):  
Asrul Sani ◽  
Darwis Durahim

Latar Belakang : Herniated Nucleus Pulposus adalah kondisi penonjolan discus intervertebralis yang dapat menekan akar saraf yang keluar dari foramen intervertebralis sehingga menimbulkan nyeri radikular, dan pada akhirnya menyebabkan disabilitas lumbal. Metode Desain randomized two group pre test – post test dan menggunakan tehnik pulposive sampling bertujuan untuk mengetahui beda pengaruh pada intervensi SNAGs dan Mc kenzie dibandingkan dengan Manual Traction dan Mc.Kenzie terhadap penurunan nyeri dan disabilitas lumbal pada penderita HNP lumbal. Penelitian ini dilaksanakan di RSAD Tk. II Pelamonia Makassar dengan sampel adalah penderita HNP lumbal yang sesuai dengan kriteria inklusi. Jumlah sampel adalah 16 orang yang dibagi secara acak kedalam 2 kelompok yaitu kelompok perlakuan 1 yang diberikan SNAGs dan Mc kenzie sebanyak 8 orang dan kelompok perlakuan 2 yang diberikan Manual Traction dan Mc Kenzie sebanyak 8 orang. Alat ukur yang digunakan adalah Oswetry Disability Index (ODI). Hasil :  Berdasarkan analisis uji paired sample t pada kelompok perlakuan I diperoleh nilai (p = 0.000 < 0,05) untuk nilai Oswetry Disability Index yang berarti bahwa pemberian Sustained Apophysial Glides dan  Mc Kenzie dapat menghasilkan penurunan nyeri dan disabilitas lumbal yang signifikan. Sedangkan kelompok perlakuan II juga diperoleh nilai (p = 0.000 < 0,05) untuk nilai Oswetry Disability Index yang berarti bahwa pemberian Manual Traction dan  Mc Kenzie dapat menghasilkan penurunan nyeri dan disabilitas lumbal yang signifikan. Kemudian berdasarkan uji Indepentent sample t diperoleh nilai (p = 0.000 < 0,05) untuk nilai Oswetry Disability Index yang berarti bahwa pemberian Sustained Apophysial Glides dan  Mc Kenzie lebih efektif secara signifikan dibandingkan dengan pemberian Manual Traction dan  Mc Kenzie terhadap penurunan nyeri dan disabilitas lumbal. Kesimpulan : Dapat disipulkan bahwa  pemberian pemberian SNAGs dan Mc Kenzie lebih efektif dibandingkan dengan Manual Traction dan Mc Kenzie terhadap penurunan nyeri dan disabilitas lumbal pada penderita HNP. Kata kunci : Sustained Natural Apophyseal Glides, Manual traction, Mc Kenzie, ODI, HNP Lumbal

Author(s):  
Made Hendra Satria Nugraha ◽  
Susy Purnawati ◽  
Muh. Irfan ◽  
Luh Made Indah Sri Handari Adiputra ◽  
I Made Muliarta ◽  
...  

ABTSRACT Introduction: Herniated Nucleus Pulposus (HNP) is a pathological condition in which there is protrusion of the annulus fibrosus and nucleus pulposus into the lumen of the vertebral canal. Objective: The goal of this study is to determine the effectiveness of combination of pulsed shortwave therapy and lumbar spine stabilization exercise with combination of pulsed shortwave therapy and neurodynamic mobilization in decreasing low back disability in lumbosacral herniated nucleus pulposus patients at Denpasar and Badung Physiotherapy Clinic. Methods: The study used was an experimental method. Pre-test and post-test control group design is the design of this study. This study used 28 subjects were divided into two groups. The control group consist of 14 subjects received a combination of pulsed shortwave therapy and lumbar spine stabilization exercise while the treatment group consist of 14 subjects received a combination of pulsed shortwave therapy and neurodynamic mobilization. Intervention is given 2 times a week for 4 weeks. Sampling methods used in this study was simple random sampling. The low back disability is measured by a modified oswestry disability index. Result: The normality test of the data was tested using Saphiro-Wilk Test and homogeneity test of the data was tested with Levene's Test. Wilcoxon sign rank test results obtained significant differences in the control group with the value of p = 0.001, as well as in the treatment group found a significant difference with the value of p = 0.001. Post-test results with mann-whitney u-test showed a significant difference between the control group and the treatment group where p = 0.044 with the percentage of 48.53% in the control group and 54.88% in the treatment group. Conclusion: Based on the results of this study it can be concluded that the combination of pulsed shortwave therapy and neurodynamic mobilization is more effective than the combination of pulsed shortwave therapy and lumbar spine stabilization exercise in reducing low back disability in patients with lumbosacral herniated nucleus pulposus at the Denpasar and Badung Physiotherapy Clinic.Keywords: lumbosacral herniated nucleus pulposus, low back disability, pulsed shortwave therapy, neurodynamic mobilization, lumbar spine stabilization exercise


2016 ◽  
Vol 2 (1) ◽  
Author(s):  
Elsa Roselina ◽  
Safrin Arifin ◽  
Hermito Gidion

Abstract - Herniated nucleus pulposus (HNP) is a situation where the annulus fibrosus along nucleuspulposus protruding into the spinal canal. HNP patients often complain of back pain radiating to the lowerlimbs, especially when bending activity. Rehabilitation programs do to help reduce the pain. The aim of thisresearch knew which treatment was more effective among William's Flexion compared to Core Stability inreducing pain for HNP patients. This study used a double-blind experimental design with an alpha value of5%. The study was conducted at the Clinic “X”. Sample was 18 patients with medical diagnoses HNPundergoing therapy from September to December 2013, taken with randomization techniques. Pain wasmeasured using the Visual Analoque Scale (VAS). The results of the t-test analysis showed that Core stability(mean=4.56, SD=1.130) was more effective than William's flexion [mean = 2.78, SD = 0.972; t(16) = -3.578, p = 0.003] in reducing pain for HNP patients. The results of One-Way ANOVA showed that therewas no significant difference in pain reduction produced by William's flexion frequency of treatment [F(2,6)=1.857, p=0.236]. In contrast, there were significant differences in pain reduction produced by Corestability frequency treatment [F(1, 6)=12.333, p=0.007].Keywords: Core stability, Herniated Nucleus Pulposus


2020 ◽  
Vol 5 (2) ◽  
pp. 125
Author(s):  
Raden Alifian Setiawan ◽  
Hanna Hanna ◽  
Alberth Alberth

The use of videos in education makes it possible to overcome practical real-world constraints and explore far greater possibilities provided by digital spaces, especially for the video uploaded in online platform such as blog. This study examines whether online video blog as media have a significant effect on students’ achievement of passive voice. It used pre-experimental (one group pre-test and post-test) design. The samples of this study were 10 students at 4J Operation. A pre-test and post-test were conducted by using multiple choice questions as the instruments. Data analysis was through paired-sample t-test. Results showed that there was an increase in mean score of pre-test (49,1) and post-test (63,5). Data from Paired Sample t-test showed that Sig. (2-tailed) was 0.000 which was smaller than .05 which means that there was significance difference in mean score after employing treatment.


2016 ◽  
Vol 2 (1) ◽  
Author(s):  
Maslichah Maslichah ◽  
Bayu Akbar Khayudin ◽  
Ikha Ardianti

ABSTRAK Pasien yang dirawat di ICU pada umumnya mengalami sakit kritis biasanya hal ini akan menimbulkan bebagai  respons psikososial  dari anggota keluarganya. Respons ini dapat berupa respons positif maupun respons negatif. Salah satu cara agar respons psikososial menjadi positif yaitu memberikan penyuluhan kepada keluarga pasien agar ada peningkatan kognisi dan emosi. Desain penelitian ini menggunakan metode “Pre-Experiment”, dengan rancangan “One group pra-post test design”. Dengan populasi semua keluarga yang anggota keluarganya dirawat di Ruang ICU RSUD.dr.Sosodoro Djatikoesumo. Sampel diambil dengan proses Total Sampling. Variabel independen  yaitupenyuluhan keluarga pasien ICU, dan variabel dependen adalah respon psikososial keluarga pasien. Pengumpulan data menggunakan kuesioner. hasil penelitian yang dilakukan dengan uji statistik paired sample t-test, pada tingkat signifikansi diperoleh nilai 0,027 0,05 maka Ho ditolak dan H1 diterimaPerawat sebagai tenaga kesehatan yang harus selalu mengembangkan profesionalisme, perlu mengupayakan agar respons psikososial keluarga yang negatif dapat ditekan. Salah satu upayanya yaitu adalah memberikan penyuluhan kepada keluarga. Dalam penyuluhan akan diberikan: komunikasi, informasi, edukasi dan support. Kata Kunci : Penyuluhan, Respon Psikososial Keluarga  ABSTRACT Patients admitted to the ICU in general suffer from a critical illness usually this will lead to the kinds of psychosocial responses of family members. This response can be either a positive response or a negative response. One way to be positive psychosocial responses that provide counseling to the patient's family that there was an increase in cognition and emotion.This study design using the "Pre-Experiment", the draft "One group pre-post test design". With a population of all the families who have family members admitted to the ICU RSUD.dr.Sosodoro Djatikoesumo. Samples were taken with total sampling process. Independent variables, family counseling ICU patients, and the dependent variable is the family of the patient's psychosocial response. Collecting data using questionnaires. results of research conducted by the statistical test paired sample t-test, at a significance level obtained value 0,027 0,05 hence Ho refused and H1 accepted.Nurses as health workers must always develop professionalism, needs to strive for psychosocial response can be suppressed negative family. One of the efforts that are giving counseling to the family. In the extension will be granted: communication, information, education and support. Keywords: Counseling, Family Psychosocial Response


Spine ◽  
1999 ◽  
Vol 24 (19) ◽  
pp. 1980 ◽  
Author(s):  
Koichiro Satoh ◽  
Shinichi Konno ◽  
Keiji Nishiyama ◽  
Kjell Olmarker ◽  
Shinichi Kikuchi

2020 ◽  
Vol 5 (1) ◽  
pp. 30-32
Author(s):  
Anny Nur Hidayati ◽  
Danang Aji Setiawan ◽  
Tubagus Herlambang

Tujuan penelitian ini adalah untuk mengetahui peningkatan hasil tendangan shooting mahasiswi melalui program latihan circuit training dalam kegiatan UKM futsal putri Universitas PGRI Semarang. Metode penelitian ini menggunakan eksperimental dengan desain penelitian one group pre-test-post-test design. Populasi dalam penelitian ini adalah UKM futsal putri Universitas PGRI Semarang dengan jumlah 16 pemain. Hasil penelitian berdasarkan tabel output “ Paired Sample T- Test”, diketahui nilai Sig. (2- tailed) adalah 0.000 < 0.05, maka H0 ditolak dan Ha diterima. Sesuai pedoman dalam pengambilan keputusan dalam Uji Paired Sample T- Test Jika nilai Sig. (2- tailed) < 0,05 maka H0 ditolak dan Ha diterima. Jika nilai Sig. (2- tailed) > 0,05 maka H0 : tidak mempengaruhi dan Ha : ada peningkatan. Dapat disimpulkan bahwa program latihan circuit training mempengaruhi hasil tendangan shooting pada UKM futsal putri Universitas PGRI Semarang


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