MCKENZIE EXERCISE DAN WILLIAM’S FLEXION EXERCISE EFEKTIF MENURUNKAN INTENSITAS LOW BACK PAIN

2020 ◽  
pp. 42-52
Author(s):  
Muhammad Afrian Wiji Pratama ◽  
Nurfitri Bustamam ◽  
Fajriati Zulfa
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Rating Scale ◽  
Numeric Rating Scale ◽  
Exercise Group ◽  
Wilcoxon Test ◽  
Low Back ◽  
Purposive Sampling ◽  
Before And After ◽  
Numeric Rating

Low Back pain (LBP) merupakan sindroma klinis yang ditandai dengan nyeri pada regio punggung bawah dengan atau tanpa disertai nyeri tungkai. Pembatik berisiko mengalami LBP. McKenzie Exercise dan William’s Flexion Exercise merupakan back exercise yang mudah dilakukan. Penelitian ini bertujuan membandingkan efektivitas McKenzie Exercise dan William‘s Flexion Exercise untuk menurunkan intensitas LBP pada pembatik. Penelitian menggunakan two-group pretest-posttest design. Sebanyak 20 orang pembatik di Kampung Batik Giriloyo dipilih dengan teknik purposive sampling. Subjek penelitian dibagi menjadi dua, yaitu kelompok yang melakukan McKenzie Exercise dan kelompok yang melakukan William’s Flexion Exercise. Kedua kelompok melakukan latihan tersebut dengan frekuensi tiga kali seminggu selama dua minggu. Sebelum dan sesudah latihan, intensitas LBP diukur menggunakan Numeric Rating Scale.  Uji Wilcoxon digunakan untuk mengetahui apakah terdapat perbedaan intensitas LBP sebelum dan sesudah latihan. Uji Mann-Whitney digunakan untuk mengetahui apakah terdapat perbedaan efektivitas McKenzie Exercise dan William’s Flexion Exercise  dalam menurunkan intensitas LBP. Analisis data menunjukkan intensitas LBP  pada kedua kelompok sebelum melakukan back exercise adalah 5 (4-6). Pada kelompok yang melakukan McKenzie Exercise maupun kelompok yang melakukan William’s Flexion Exercise didapatkan penurunan intensitas LBP menjadi 2 (1-3). Terdapat perbedaan intensitas LBP sebelum dan sesudah latihan pada kelompok McKenzie Exercise (p = 0,004) dan pada kelompok William Flexion Exercise (p = 0,004). Tidak ada perbedaan penurunan intensitas LBP antara kelompok McKenzie Exercise dan kelompok William’s Flexion Exercise (p = 0,328). Low Back Pain (LBP) is a clinical syndrome that consists of pain at the lower back region with or without limb pain. Batik workers were at risk of LBP. McKenzie Exercise and William’s Flexion Exercise are an easy back exercise. This study was aimed to compare the effectiveness of McKenzie Exercise and William’s Flexion Exercise for reducing LBP among batik workers. This study used a two-group pretest-posttest design. A total of 20 batik workers in Kampung Batik Giriloyo were selected by purposive sampling technique. The research subjects were divided into two, namely the group doing the McKenzie Exercise and the group doing the William’s Flexion Exercise. Both groups did the exercise three times a week for two weeks. Before and after the exercise, the intensity of LBP was measured using the Numeric Rating Scale. The Wilcoxon test was used to determine whether there were differences in LBP intensity before and after exercise. The Mann-Whitney test was used to determine whether there was a difference in the effectiveness of the McKenzie Exercise and William's Flexion Exercise in reducing LBP intensity. Data analysis showed LBP intensity in both groups before doing back exercise was 5 (4-6). In the group that did the McKenzie Exercise and the group that did the William’s Flexion Exercise, the LBP intensity decreased to 2 (1-3). There were differences in LBP intensity before and after exercise in the McKenzie Exercise group (p = 0.004) and the William’s Flexion Exercise group (p = 0.004). There was no difference in the decrease in LBP intensity between the McKenzie Exercise group and the William’s Flexion Exercise group (p = 0.328).

Effectiveness of Simulated Horseback Riding for Patients With Chronic Low Back Pain: A Randomized Controlled Trial

2020 ◽  
Vol 29 (2) ◽  
pp. 179-185 ◽  
Author(s):  
TaeYeong Kim ◽  
JaeHyuk Lee ◽  
SeJun Oh ◽  
Seungmin Kim ◽  
BumChul Yoon
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Oswestry Disability Index ◽  
Rating Scale ◽  
Controlled Trial ◽  
Numeric Rating Scale ◽  
Low Back ◽  
Baseline Values ◽  
Numeric Rating

Context: A simulated horseback riding (SHR) exercise is effective for improvement of pain and functional disability, but its comparative effectiveness with the other is unknown. Objective: The authors aimed to demonstrate the effect of a SHR exercise in people with chronic low back pain. Design: A randomized controlled trial. Settings: Community and university campus. Participants: A total of 48 participants with chronic low back pain were divided into 2 groups, and SHR exercises (n = 24) or stabilization (STB) exercises (n = 24) were performed. Interventions: The exercises were performed for 30 minutes, 2 days per week for 8 weeks. Main Outcome Measures: Numeric rating scale, functional disabilities (Oswestry disability index and Roland–Morris disability), and fear-avoidance beliefs questionnaire (FABQ) scores were measured at baseline and at 4 weeks, 8 weeks, and 6 months. Results: A 2-way repeated analysis of variance identified that between-group comparisons showed significant differences in the FABQ related to work scale (F = 21.422; P = .01). There were no significant differences in the numeric rating scale (F = 1.696; P = .21), Oswestry disability index (F = 1.848; P = .20), Roland–Morris disability (F = 0.069; P = .80), and FABQ related to physical scale (F = 1.579; P = .24). In within-group comparisons, both groups presented significant differences in numeric rating scale (both SHR and STB after 4 wk), Oswestry disability index (both SHR and STB after 6 mo), and Roland–Morris disability (SHR after 6 mo and STB after 8 wk) compared with baseline values. In FABQ-related physical (SHR after 4 wk) and work scales (SHR after 6 mo), there were only significant differences in the SHR compared with baseline values. Conclusions: SHR exercise for 8 weeks had a greater effect than STB exercise for reducing work-related FABQ. The SHR exercise performed in a seated position could substantially decrease pain-related fear disability in young adults with chronic low back pain.

scholarly journals Utilization of Back Movement Technique to Intensity of Low Back Pain in Third Trimester Pregnant Women

2020 ◽  
Vol 9 (2) ◽  
pp. 535-542
Author(s):  
Putri Maretyara Saptyani ◽  
Ari Suwondo ◽  
Runjati Runjati
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pregnant Women ◽  
Rating Scale ◽  
Numeric Rating Scale ◽  
Control Group ◽  
Low Back ◽  
Third Trimester ◽  
Control Group Design ◽  
Numeric Rating

One of the discomforts in third-trimester pregnancy is lower back pain.The prevalence of back pain during pregnancy can reach 80%. The study aims to prove the use of back movement technique to decrease the intensity of low back pain in third trimester pregnant women. The study used quasy-experimental, pretest-posttest with control group design. The sample of the study was third-trimester pregnant women with low back pain totaling 40 respondents. The instrument used to measure back pain in pregnancy is the Numeric Rating Scale (NRS). Data analysis used wilcoxon and man-whitney. There was a decrease in intensity of low back pain before treatment by 4.75 cm and after being given a back movement technique of 1.55 cm (p = 0.001). Back movement technique is proven to be more effective in reducing the intensity of low back pain in third-trimester pregnant women.

scholarly journals HUBUNGAN POSTUR TUBUH DAN LAMA BERDIRI DENGAN KEJADIAN LOW BACK PAIN PADA PEKERJA DI CIKARANG

2021 ◽  
pp. 331-342
Author(s):  
Mayang Ameilia Putri ◽  
Mila Citrawati ◽  
Riezky Valentina Astari
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Rating Scale ◽  
Simple Random Sampling ◽  
Numeric Rating Scale ◽  
Entire Body ◽  
Low Back ◽  
Body Map ◽  
Rapid Entire Body Assessment ◽  
Numeric Rating

Low back pain (LBP) merupakan sebuah sindrom klinis ditandai dengan timbulnya gejala nyeri di sekitar punggung bawah yang tanpa atau dapat disertai penjalaran pada tungkai bawah. Posisi tidak ergonomis seperti membungkuk, memiringkan badan, dan posisi menggapai atau berlutut yang dapat menyebabkan beberapa dampak, salah satunya LBP. Penelitian ini dilakukan untuk menganalisis hubungan postur tubuh dan lama berdiri dengan kejadian LBP pada pekerja bidang produksi dan logistik di Cikarang. Penelitian ini menggunakan analitik observasional dengan desain penelitian potong lintang karena membahas dua variabel (independen dan dependen) selanjutnya diobservasi atau diukur hanya sekali pada setiap variabel dalam waktu yang sama. Sampel penelitian berjenis kelamin lakilaki, berjumlah 62 responden, berusia 18-40 tahun dengan kata lain termasuk kriteria inklusi dan teknik pengambilan sampel berupa simple random sampling. Analisis postur tubuh menggunakan Rapid Entire Body Assessment (REBA), untuk lokasi serta pengukuran intensitas nyeri LBP menggunakan kuesioner Nordic Body Map (NBM) dan Numeric Rating Scale (NRS), analisis bersifat kuantitatif karena didasarkan pada skala yang tersedia pada kategori setiap instrumen penelitian. Hasil uji Fisher hubungan postur tubuh dengan kejadian LBP diperoleh nilai signifikansi p=1,000 (p> 0,05) dan untuk lama berdiri dengan kejadian LBP didapatkan nilai signifikansi p=0,067 (p> 0,05). Kesimpulan hasil tersebut tidak terdapat hubungan antara postur tubuh dan lama berdiri dengan kejadian LBP pada pekerja. Hal ini dapat dipengaruhi usia pekerja yang dominan termasuk kategori usia produktif sehingga sifat fisiologis otot masih sangat menunjang produktivitas kerja. Selain itu disela-sela kegiatan, para pekerja dapat leluasa melakukan peregangan minimal pada tubuhnya sehingga kekakuan pada otot di sekitar punggung bawah dapat dihindari.

scholarly journals The Effect of William Flexion Exercise on Low Back Pain in Traditional Weaving Workers in The Village of Sidemen Karangasem

2021 ◽  
Vol 5 (2) ◽  
pp. 21
Author(s):  
A A Gede Saska A ◽  
Made Rini Damayanti S ◽  
Komang Menik Sri Krisnawati
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Rating Scale ◽  
Health Workers ◽  
Sampling Technique ◽  
Numeric Rating Scale ◽  
Pain Scale ◽  
Wilcoxon Test ◽  
Abdominal Muscles ◽  
Low Back

Low back pain (LBP) is a subjective sensation characterized by a major symptom of pain in the lower spine region. One of the basic causes is the stress inflicted on the inter-vertebral disk due to poor posture, so that the lumbar spine of the lumbar lordosis has too much strain on the posterior element. These complaints usually occur in workers due to incorrect posture or work position that does not meet the ergonomic principles of one of the traditional weavingworker. Exercise has been widely developed to cope with LBP such as stretching and muscle strengthening. William's flexion exercise (WFE) is an exercise aimed at stretching the posterior muscles and strengthening the abdominal muscles so that the tendon and spongy muscles are expected to relax. The purpose of this study is to determine the effect of WFE on LBP on traditional weaving workers. This study is a pre-experimental study (One-Group Pretest-Posttest Design). The sample consists of 28 respondents selected by using Purposive Sampling technique. Data collected by using questionnaires for respondent characteristics and Numeric Rating Scale for measuring pain scale before and after intervention. The result of the research before intervention was 75% of respondents had moderate pain, while after intervention 85.7% of respondents had mild pain. Based on the Wilcoxon test results obtained p = 0.000 which means there is the influence of WFE on LBP on traditional weavingworker. Based on the above research, it is suggested to health workers teach WFE in order to reduce LBP on traditional weavingworkers. Index Terms— Low back pain,Traditional weaving worker, William’s flexion exercise

scholarly journals Association of Serum Serotonin and Pain in Patients with Chronic Low Back Pain before and after Spinal Surgery

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Afshin Farhanchi ◽  
Behrouz Karkhanei ◽  
Negar Amani ◽  
Mashhood Aghajanloo ◽  
Elham Khanlarzadeh ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Low Back ◽  
Significant Difference ◽  
Before And After ◽  
Postoperative Serum ◽  
Serum Serotonin

Introduction. In this study we are aiming to evaluate the changes of serum serotonin and its association with pain in patients suffering from chronic low back pain before and after lumbar discectomy surgery. Patients and Methods. A prospective study was performed on the patients referring to the outpatient clinic in Besat hospital, Hamadan University of Medical Sciences, Hamadan, Iran, during 2016. A 2 mL fasting blood sample was collected from each patient at preoperative day 1 and postoperative day 14 and they were measured for level of serum serotonin. Besides, all patients were asked for severity of their low back pain in preoperative day 1 and postoperative day 14 and scored their pain from zero to ten using a Numerical Rating Scale. Results. Forty patients with the mean age of 47 ± 13 yrs/old (range 25–77) including 15 (37.5%) males were enrolled into the study. The overall mean score of preoperative pain was significantly decreased from 7.4 ± 2.18 (range 4–10) to the postoperative pain score 3.87 ± 2.92 (range 0–10) (P < .001). The overall levels of pre- and postoperative serum serotonin were 3.37 ± 1.27 (range 1.1–6.4) and 3.58 ± 1.32 (range .94–7.1) ng/mL, respectively, with no significant difference (P = .09). The levels of pre- and postoperative serum serotonin were significantly higher in males and patients older than 50 yrs/old compared to the females and patients younger than 50 yrs/old, respectively (P = .03 and .005, respectively). A significant inverse correlation between the postoperative levels of pain and serum serotonin was observed (r = -.36 and P = .02). Conclusion. A negative medium strength linear relationship may exist between the postoperative serum serotonin and low back pain.

scholarly journals PENGARUH AKUPRESUR TITIK BLADDER 23 TERHADAP INTENSITAS NYERI PUNGGUNG BAWAH IBU HAMIL TRIMESTER III DI UPTD PUSKESMAS I DENPASAR UTARA

2020 ◽  
Vol 2 (2) ◽  
pp. 75
Author(s):  
Ni Luh Putu Sentania Widhi Permana Putri ◽  
Ni Wayan Suarniti ◽  
Ni Nyoman Budiani
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pregnant Women ◽  
Mean Value ◽  
Lumbar Region ◽  
Low Back ◽  
Third Trimester ◽  
Purposive Sampling ◽  
Before And After ◽  
Pharmacological Method

Nyeri punggung bawah pada kehamilan digambarkan sebagai nyeri pada daerah lumbar, diatas sakrum yang menyebabkan ketidaknyamanan selama kehamilan. Akupresur titik bladder 23 merupakan metode non-farmakologi yang dapat mengurangi nyeri punggung bawah. Tujuan penelitian ini untuk mengetahui pengaruh akupresur titik bladder 23 terhadapintensitas nyeri punggung bawah ibu hamil trimester III di UPTD Puskesmas I Dinas Kesehatan Kecamatan Denpasar Utara. Penelitian ini menggunakan pre eksperimental dengan rancangan one grup pretest-posttest design.Sampel yang digunakan yaitu 12 orang ibu hamil trimester III dengan usia kehamilan 37-39 minggu dan di pilih secara purposive sampling. Data diambil dengan melakukan observasi intensitas nyeri punggung bawah sebelum dan sesudah dilakukan akupresur titik bladder 23. Responden melakukan akupresur sebanyak dua kali seminggu dengan durasi dua detik sebanyak 30 kali tekanan. Hasil intensitas nyeri punggung bawah sebelum perlakuan diperoleh nilai mean 4,17 dan setelah perlakuan berubah menjadi 2,67 dengan nilai ρ = 0,000 < α (0,05) dan nilai t (9,950). Simpulannya adalah ada pengaruh akupresur titik bladder 23 terhadap intensitas nyeri punggung bawah ibu hamil trimester III di UPTD Puskesmas I Dinas Kesehatan Kecamatan Denpasar Utara.Lower back pain in pregnancy described as pain in the lumbar region, above the sacrum which causes discomfort during pregnancy.Acupressurepoint bladder 23 is a non-pharmacological method that canreduce low back pain.This study aims to determine the effect of acupressure point bladder 23 on the low back pain level in third semester pregnant women in UPTD Puskesmas I of the Health Departement of North Denpasar. This is pre-experimental research with one group pretest-posttest design. The samples were 12pregnant women on third trimester with 37-39 weeks gestational age and were selected by purposive sampling. Data were collected byobserving the intensity of low back pain before and after treatment. Respondents did acupressure twice a week with the duration two seconds for each 30 times pressure. The results of low back pain intensity before treatment obtained a mean value of 4.17 and after the treatment there was reduce to 2.67 with a value of ρ = 0,000 <α (0.05) and t value (9,950). The conclusion is that there is an influence of acupressurepoint bladder 23 on the low back painintensityin third trimester pregnant women in UPTD Puskesmas I of the Health Departement of North Denpasar.  

scholarly journals Pengaruh Penggunaan Elastic Lumbal Corset Terhadap Penurunan Derajat Nyeri Pinggang Pada Buruh Tani Di Desa Tinawas Nogosari Boyolali

2016 ◽  
Vol 1 (2) ◽  
Author(s):  
Cica Tri Mandasari Ningsih ◽  
Dwi Setyawan
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Farm Workers ◽  
Wilcoxon Test ◽  
Low Back ◽  
It Use ◽  
Farm Laborer ◽  
Before And After ◽  
Post Test ◽  
The Village

Abstract : Back Pain, Pain, Lumbar Elastic Corset. The research was purposed to determine the effect of the use of elastic lumbar corset against degradation of low back pain in farm workers. The low back pain is pain that occurs in the area of the lower back and can spread to the foot, especially the back and sides outside. Giving elastic lumbar corset is one way to deal with complaints of back pain is often experienced farm workers. The subjects included 20 farm laborers in the village Tinawas Nogosari Boyolali. To analyze the data, it use quasi experiment methode with approaches one group pre and post test design. The statistical analysis using non-parametric tests of hypotheses for subjects <30 using Wilcoxon test. The Treatment in this research that the whole subject is applied elastic lumbar corset for 2 weeks. The result showed that the VAS values of different test results using Wilcoxon test, the pre and post test result p = 0.000 (<0.05), which means it can be concluded there is peberbedaan or significant influence between before and after the use of elastic corset. So, the hypothesis proposed in this research was accepted. In conclusion, it can be said that pain management waist on a farm laborer using elastic lumbar corset can reduce pain she felt every day on a farm laborer in the village Tinawas Nogosari Boyolali.

scholarly journals Antisipasi Pada Keluhan Low Back Pain Dapat Mengurangi Kelelahan dan Meningkatkan Motivasi Kerja

2020 ◽  
Vol 6 (1) ◽  
pp. 68
Author(s):  
I Ketut Widana ◽  
Ni Wayan Sumetri ◽  
I Ketut Sutapa ◽  
Gusti Ayu Oka Cahya Dewi
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Working Conditions ◽  
Rating Scale ◽  
Work Motivation ◽  
Descriptive Analysis ◽  
Wilcoxon Test ◽  
Low Back ◽  
Lower Back ◽  
The Impact

Low back pain has become a central issue of physiological health. Almost all the discussion of musculoskeletal complaints places more emphasis on the need to pay attention to the importance of health in the lower back. One of the causes of workers' complaints on the lower back is a less natural posture when on the move. The impact that is most easily observed as a result of the emergence of low back pain is the emergence of fatigue and decreased work motivation. Observation of the impact of low back pain on workers was examined using the same subject design. The subject are 11 people who work as wood carving artists. In period 1 the subjects worked in conventional working conditions, while in period 2 the subjects were given treatment, namely anticipation of complaints of low back pain, working in ergo-anthropometric working conditions, ie given ergonomic work tables and chairs with additional nutrition intake, active rest and work uniform. The fatigue variable was measured using a 30 items rating scale questionnaire and crafters' motivation was measured by a questionnaire on 4 Likert scales. Data analysis begins with descriptive analysis and normality test data with ShapiroWilk. Data with normal distribution are used t-paired analysis and data with abnormal distribution use Wilcoxon test. In this study it was found that ergo-anthropometric working conditions can reduce fatigue by 27.34% and increase work motivation by 20.39%. It can be concluded that efforts to anticipate complaints of low back pain can reduce fatigue and maintain work motivation of carving craftsmen.

scholarly journals A randomised controlled trial of ‘clockwise’ ultrasound for low back pain

2016 ◽  
Vol 72 (1) ◽  
Author(s):  
Adriaan Louw ◽  
Kory Zimney ◽  
Merrill R. Landers ◽  
Mark Luttrell ◽  
Bob Clair ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Rating Scale ◽  
Controlled Trial ◽  
Numeric Rating Scale ◽  
Leg Pain ◽  
Control Group ◽  
Low Back ◽  
Lumbar Flexion ◽  
Experimental Group

Aims: To examine how the choice of words explaining ultrasound (US) may influence the outcome of physiotherapy treatment for low back pain (LBP).Methods: Sixty-seven patients with LBP < 3 months were randomly allocated to one of three groups – traditional education about US (control group [CG]), inflated education about US (experimental group [EG]) or extra-inflated education about US (extra-experimental group [EEG]). Each patient received the exact same application of US that has shown clinical efficacy for LBP (1.5 Watts/cm2 for 10 minutes at 1 Megahertz, pulsed 20% over a 20 cm2 area), but received different explanations (CG, EG or EEG). Before and immediately after US,measurements of LBP and leg pain (numeric rating scale), lumbar flexion (distance to floor) and straight leg raise (SLR) (inclinometer) were taken. Statistical analysis consisted of mixed-factorial analyses of variance and chi-square analyses to measure differences between the three groups, as well as meeting or exceeding minimal detectable changes (MDCs) for pain, lumbar flexion and SLR.Results: Both EG and EEG groups showed a statistically significant improvement for SLR (p < 0.0001), while the CG did not. The EEG group participants were 4.4 times (95% confidence interval: 1.1 to 17.5) more likely to improve beyond the MDC than the CG. No significant differences were found between the groups for LBP, leg pain or lumbar flexion.Conclusion: The choice of words when applying a treatment in physiotherapy can alter the efficacy of the treatment.

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