scholarly journals GAMBARAN FOTO LUMBAL PASIEN DENGAN GEJALA KLINIS NYERI PUNGGUNG BAWAH DI BAGIAN/SMF RADIOLOGI BLU RSUP PROF. DR. R. D. KANDOU MANADO PERIODE JANUARI 2012 – DESEMBER 2012

2014 ◽  
Vol 6 (1) ◽  
Author(s):  
Sri C. Mutmainna ◽  
Ramli Hadji Ali ◽  
Elvie Loho

Abstract: Low back pain (LBP) is pain sensation that involves the lower part of the back and spreads to the lower extremity especially on the back and outer parts. LBP is one of the musculoskeletal disorders caused by inappropriate activities. The pain sensation is classified as local, radicular, referred, or spasmodic pain. LBP is not a diagnosis but a symptom which is commonly found among the population. This study aimed to obtain the lumbar X-ray profile of patients with clinical diagnosis of LBP at the Department of Radiology Prof. Dr. R.D. Kandou Hospital, Manado, in 2012. This was an observational analytical study with a cross-sectional design. The results showed that among the LBP cases, based on gender, females (64.35%) were more frequent than males; and based on ages, >50 years was the most frequent age group (71.3%). Lumbar X-rays showed that spondylosis lumbalis was found in 42.96% of cases, other abnormalities 46.88%, meanwhile no abnormalities 10.16%. Conclusion: At the Department of Radiology Prof. Dr. R.D. Kandou Hospital, Manado, in 2012, the most frequent lumbar X-ray among the LBP patients was spondylosis lumbalis.Keywords: low back pain, clinical symptom, lumbar X-ray  Abstrak : Nyeri punggang bawah (NPB) adalah rasa nyeri yang terjadi di daerah punggung bagian bawah dan dapat menjalar ke kaki, terutama sebelah belakang dan samping luar. NPB termasuk salah satu gangguan muskuloskeletal yang disebabkan oleh aktivitas tubuh yang kurang baik. Keluhan nyeri dapat beragam dan diklasifikasikan sebagai nyeri yang bersifat lokal, radikular, menjalar (referred pain), atau spasmodik. NPB bukan suatu diagnosis namun merupakan suatu gejala yang banyak ditemukan di masyarakat. Penelitian ini bertujuan untuk mengetahui gambaran foto lumbal penderita dengan gejala klinis nyeri punggung bawah di Bagian Radiologi BLU RSUP Prof. Dr. R.D. Kandou Manado tahun 2012. Penelitian ini bersifat analitik observasional yang menggunakan desain cross-sectional. Hasil penelitian memperlihatkan bahwa pada kasus NBP: berdasarkan jenis kelamin tersering didapatkan pada perempuan (64,35%), dan berdasarkan usia, tersering pada kelompok usia >50 tahun (71,3%). Hasil foto lumbal menunjukkan bahwa spondilosis lumbalis ditemukan pada 42,96% kasus, abnormalitas lainnya 4,88%, sedangkan tanpa kelainan 10,16%. Simpulan: Di Bagian/SMF Radiologi BLU RSUP Prof Dr. R.D. Kandou Manado, gambaran foto lumbal penderita dengan gejala klinis nyeri punggung bawah yang tersering ialah spondilosis lumbalis.Kata kunci: nyeri pinggang bawah, gejala klinis, foto lumbal

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Ingrid Heuch ◽  
Ivar Heuch ◽  
Knut Hagen ◽  
Kjersti Storheim ◽  
John-Anker Zwart

Abstract Background Associations between childbirths and subsequent risk of low back pain (LBP) have not been clarified. Changes in sex hormone levels or lumbar posture during pregnancy may have an impact on LBP later in life. The purpose of this study was to explore associations between the number of childbirths, age at childbirths and prevalence of chronic LBP in a general population of women. Methods Data were obtained from the Norwegian community-based Nord-Trøndelag Health Study, HUNT2 (1995–1997). Women aged 20–69 years indicated whether they suffered from chronic LBP, defined as LBP persisting at least 3 months continuously during last year. Information about LBP was collected from 3936 women who had experienced no childbirths, 3143 women who had delivered one child only and 20,584 women who had delivered 2 or more children. Of these, 7339 women reported chronic LBP. The 595 women who were pregnant when information was collected were considered separately, regardless of previous births, with 80 women reporting chronic LBP. Associations with prevalence of chronic LBP were examined by generalised linear modelling with adjustment for potential confounders in a cross-sectional design. Results Women who had delivered one child only showed a higher prevalence of chronic LBP than women with no childbirths (prevalence ratio (PR) 1.11; 95% CI: 1.01–1.22). Among women with one or more childbirths, no overall change in prevalence could be demonstrated with an increasing number of children in analyses adjusted for age at first delivery. In women with at least two childbirths, an age less than 20 years at first childbirth was associated with an increased prevalence of chronic LBP (PR 1.36; 95% CI: 1.25–1.49; compared with age 25–29 years). No association was observed between age at last delivery and chronic LBP. The lowest prevalence of chronic LBP was found among women who were currently pregnant (PR 0.80; 95% CI: 0.63–1.00; compared with women with no childbirths). Conclusions Having experienced at least one childbirth seems to be associated with a higher prevalence of chronic LBP later in life. A young age at first childbirth is also associated with a long-lasting increased prevalence.


2017 ◽  
Vol 2 (1) ◽  
Author(s):  
Martina Wulandari ◽  
Dwi Setyawan ◽  
Alfan Zubaidi

Abstract : Risk factors, Low Back Pain, Prosthetics and Orthotics Students of Health Polytechnic of Surakarta. Low Back Pain (LBP) or lower back pain is a common health problem that found in many people, not only in older people but also in younger nowadays. Low Back Pain associated with many kind of conditions and also risk factors. The etiology of LBP is widely accepted to be multi-factorial. The objectives of this study were to determine the risk factors causing LBP on Prosthetics and Orthotics students of Health Polytechnic of Surakarta. The study is cross sectional design used a questionnaire instrument to all Prosthetics and Orthotics students. Data analysis was performed by Chi square. The results showed that the prevalence of LBP after being Prosthetics and Orthotics students of Health Polytechnic of Surakarta is 32,2%. Risk factors associated with Low Back Pain were exercise (p value 0,033), daily time spend standing (p value 0,046), lifting (p value 0,027) and perceived stress (p value 0,008). Gender, body mass index and daily time spend sitting were not associate with Low Back Pain.


2020 ◽  
pp. 219256822093952 ◽  
Author(s):  
J. Alex Sielatycki ◽  
Tyler Metcalf ◽  
Marissa Koscielski ◽  
Clinton J. Devin ◽  
Scott Hodges

Study Design: Prospective lumbar radiograph analysis. Objective: To compare changes in lumbar lordosis in standing flexion versus seated lateral radiographs. Methods: Standing lateral, standing flexion, and seated lateral X-rays of the lumbar spine were obtained in patients presenting with low back pain. Trauma, tumor, and revision cases were excluded. Changes in global lumbar as well as segmental lordosis were measured in each position. Results: Seventy adult patients were reviewed. Overall, the greatest changes in lordosis were seen at L4-S1 in both the seated and flexion X-rays (12.5° and 6.3°, respectively). Greater kyphosis was seen in seated versus flexion X-rays (21.6° vs 15.8°); changes in lordosis from L1-L3 were similar in both positions, with little change seen at these levels (approximately 5° to 7°). On subgroup analysis, these differences were magnified in analyzing only patients that moved at least 20° globally, and there were no significant differences between sitting and flexion in “stiff” patients that moved less than 20° globally. Conclusion: Greater lumbar kyphosis was seen in the seated position compared to standing flexion, especially from L4-S1. Given these results we suggest the use of seated lateral X-rays to dynamically assess the lumbar spine. These findings may also guide future research into the mechanism and clinical relevance of a stiff versus mobile lumbar spine, as well as into the sensitivity of seated X-rays in detecting instability.


2020 ◽  
Vol 8 (2) ◽  
pp. 84
Author(s):  
Tintin Sukartini ◽  
Lailatun Ni'mah ◽  
Risma Wahyuningtyas

Introduction: Low back pain was discomfort sensation in the lower back area or above the gluteal. Low back pain was a potential health problem for ride-hailing riders. This study aimed to describe of low back pain in online ride-hailing in Surabaya.Method: This study was done in Surabaya, used a cross-sectional design. The sample was 100 respondents using a consecutive sampling technique. Data were obtained using a questionnaire and describe using crosstabs statistical.Results: Online ride-hailing experienced low back pain amounts 61% and has not experienced amounts of 39%. Respondents have experienced low back pain aged >30 years (43%), normal BMI (41%), work position (35%), work duration > 8 hours per day (50%), work period > 5 months (52%), smoking (50%), and not exercising (46%).Conclusion: Low back pain incident has a high value that amounts to 61%. Online ride-hailing are advised to pay attention to the duration of work and work position. Enough rest time and apply an ergonomic working position can prevent the fatigue that causes low back pain.


2021 ◽  
Vol 4 (1) ◽  
pp. 45-50
Author(s):  
Rahmad Gurusinga ◽  
Tati Murni KaroKaro ◽  
Kardina Hayati ◽  
Sarmana . ◽  
Bunga Br Saragih

Low back pain (LBP) is a very common world health problem, which causes activity restrictions and also absenteeism from work. Low back pain can reduce human productivity, 50-80% of workers worldwide have experienced low back pain where almost a third of their age have experienced some type of low back pain which is the second disease after the flu. The purpose of this study was to determine the relationship between sitting and sitting posture with complaints of low back pain among fish cutter workers at UD. Dumbo Jaya Group, Kota Galuh Village, Perbaungan District, Serdang Bedagai Regency. The research method uses an analytical survey with a cross sectional design. The number of samples as many as 31 fish cutter workers, data collection using questionnaires and data analysis using the chi-square test with a significant level of 95% or p≤α (0.05). The results showed that there was a significant relationship between length of sitting and complaints of low back pain in fish cutter workers P = 0.013 < = 0.05 and there was a significant relationship between sitting posture and complaints of low back pain in fish cutter workers P = 0.039 < = 0.05. It is recommended for fish cutter workers to be able to arrange rest hours and a good sitting posture so that lower back pain does not occur.  


2020 ◽  
Vol 11 (3) ◽  
pp. 4830-4835
Author(s):  
Waqar M Naqvi ◽  
Laukik Vaidya ◽  
Kiran Kumar

Fear is an uncomfortable feeling, which results from the proximity of actual threat or pain. A strong correlation exists between fear and pain. Kinesiophobia is the phobia of activity and physical movement, which results from a sensation of sensitivity to painful injury or reinjury. Low back pain (LBP) is among the frequent disorders of the musculoskeletal system. LBP is mainly due to bad postures and poor organisational ergonomics. Kinesiophobia has adverse effects on rehabilitation outcomes. So the systematic application of graded exposure to movements is recommended in patients with Kinesiophobia to prevent pain-related anxiety. We compared Kinesiophobia's impact on patients with both acute and chronic LBP. We aimed to find out the role of Kinesiophobia in patients having LBP. The survey-based research using Tampa scale of Kinesiophobia was conducted with cross-sectional design. It included participants of both genders,in the age group of 18-65 who were diagnosed with acute and chronic low back pain. Tampa Scale for Kinesiophobia, Evaluation Performa, NPRS and Goniometer were used as outcome measures for the study. The patients were thoroughly examined, and they were evaluated using the Tampa Scale. Scoring to 17-items Tampa Scale was performedin4-point Likert scale varying from “strongly disagree” to “strongly agree.” After the inversion of items 4, 8, 12, 16, the final score was determined. The total score ranges from a minimum of 17 to a maximum of 68. It was concluded that Kinesiophobia plays a crucial role in LBP, especially chronic LBP.


2020 ◽  
Author(s):  
Amanda Hall ◽  
Danielle Coombs ◽  
Helen Richmond ◽  
Krystal Bursey ◽  
Bradley Furlong ◽  
...  

Abstract Background: Low back pain (LBP) is one of the most common reasons for seeking health care and is costly to the health care system. Recent evidence has shown that LBP care provided by many providers is divergent from guidelines and one reason may be patient’s beliefs and expectations about treatment. Thus, examining the nature of patient beliefs and expectations regarding low back pain treatment will help coordinate efforts to improve consistency and quality of care. Methods: This study was a cross-sectional population-based survey of adults living in Newfoundland, Canada. The survey included demographic information (e.g. age, gender, back pain status and care seeking behaviors) and assessed outcomes related to beliefs about the inevitable consequences of back pain with the validated back beliefs questionnaire as well as six additional questions relating beliefs about imaging, physical activity and medication. Surveys were mailed to 3000 households in July-August 2018 and responses collected until September 30th, 2018.Results: 428 surveys were returned (mean age 55 years (SD 14.6), 66% female, 90% had experienced an episode of LBP). The mean Back Beliefs Questionnaire score was 27.3 (SD 7.2), suggesting that people perceive back pain to have inevitable negative consequences. Large proportions of respondents held the following beliefs that are contrary to best available evidence: (i) having back pain means you will always have weakness in your back (49.3%), (ii) it will get progressively worse (48.0%), (iii) resting is good (41.4%) and (iv) x-rays or scans are necessary to get the best medical care for LBP (54.2%). Conclusions: A high proportion of the public believe LBP to have inevitable negative consequences and hold incorrect beliefs about diagnosis and management options, which is similar to findings from other countries. This presents challenges for clinicians and suggests that considering how to influence beliefs about LBP in the broader community could have value. Given the high prevalence of LBP and that many will consult a range of healthcare professionals, future efforts could consider using broad reaching public health campaigns that target patients, policy makers and all relevant health providers with specific content to change commonly held unhelpful beliefs.


e-CliniC ◽  
2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Naftalia T.S. Goni ◽  
Herlyani Khosama ◽  
Melke J. Tumboimbela

Abstract: Low back pain is a clinical syndrome characterized by major symptoms of pain or other uncomfortable feelings in the lower spine. Low back pain is the leading cause of activity limitation and work absence world-wide. This study aimed to obtain the characteristics of nurses in Irina F Prof. Dr. R. D. Kandou Hospital Manado who had low back pain. This was a prospective descriptive study with a cross sectional design. Samples were 43 respondents. The results showed that of 50 respondents there were 43 respondents who suffered from low back pain. Of 43 respondents there were 14 male nurses (32.5%), and 29 female nurses (67.5%). Low back pain was suffered by 16 nurses (37,2%) aged 23-29 years, 19 nurses (44.2%) aged 30-39 years, two nurses (4.6%) aged 40-49 years, and six nurses (14%) aged 50-57 years. There were 16 nurses (37.2%) who had worked less than 5 years, and 27 nurses (72.8%) who had worked more than 5 years. There were seven nurses (16.3%) who had working time <8 hours a day, and 36 nurses (83.7%) who had working time >8 hours a day. Keywords: low back pain, nurse Abstrak: Nyeri punggung bawah (NPB) adalah sindroma klinik yang ditandai dengan gejala utama nyeri atau perasaan lain yang tidak enak di daerah tulang punggung bagian bawah. NPB merupakan penyebab utama dari keterbatasan aktivitas dan absen pekerjaan di sebagian besar dunia. Penelitian ini bertujuan untuk mengetahui karakteristik perawat di Irina F RSUP Prof. Dr. R. D. Kandou Manado. Jenis penelitian ini deskriptif prospektif dengan desain potong lintang. Sampel diperoleh sebanyak 43 responden. Hasil penelitian menunjukkan bahwa dari 50 responden terdapat 43 responden (86%) yang pernah mengalami keluhan NPB. Dari 43 responden terdapat 14 perawat laki-laki (32,5%) dan 29 perawat perempuan (67,5%). NPB dialami oleh 16 perawat (37,2%) berusia 23-29 tahun, 19 perawat (44,2%) berusia 30-39 tahun, 2 perawat (4,6%) berusia 40-49 tahun, dan 6 perawat (14%) berusia 50-57 tahun. Terdapat 16 perawat (37,2%) yang memiliki masa kerja <5 tahun, dan 27 perawat (62,8%) memiliki masa kerja >5 tahun. Terdapat 7 perawat (16,3%) yang memiliki lama kerja <8 jam sehari, dan 36 perawat (83,7%) memiliki lama kerja >8 jam sehari.Kata kunci: nyeri punggung bawah, perawat


Author(s):  
Ajayar Kum ◽  
Chanchal Kumar Dalai ◽  
Santanu Banerjee

Background: Orthopaedic Outpatient Department (OPD) is an important part of health care system. Patients coming with different illness for treatment. Distribution pattern of illness represents the area from where patients come for treatment.Methods: Cross sectional, Observation Study. The patients who had willingly participated were enrolled on the basis of subject selection criteria. Prescriptions were collected from newly patients attending the Orthopaedics OPD. No follow up visit was done.Results: Male patients attended more than female gender (62% vs 38%). 18-30 years age group attended OPD much than another group (32.5%). Trauma is an important contributing factor (38.5%). History of trauma was seen more in male gender group and among 18-30 years age group. Low back pain is common problem. (29.5%).Conclusions: Low back pain is the common problem among patients attended Orthopaedic OPD. Trauma is an important contributing factor among 18-30 years age group.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Amanda Hall ◽  
Danielle Coombs ◽  
Helen Richmond ◽  
Krystal Bursey ◽  
Brad Furlong ◽  
...  

Abstract Background Low back pain (LBP) is one of the most common reasons for seeking health care and is costly to the health care system. Recent evidence has shown that LBP care provided by many providers is divergent from guidelines and one reason may be patient’s beliefs and expectations about treatment. Thus, examining the nature of patient beliefs and expectations regarding low back pain treatment will help coordinate efforts to improve consistency and quality of care. Methods This study was a cross-sectional population-based survey of adults living in Newfoundland, Canada. The survey included demographic information (e.g. age, gender, back pain status and care seeking behaviors) and assessed outcomes related to beliefs about the inevitable consequences of back pain with the validated back beliefs questionnaire as well as six additional questions relating beliefs about imaging, physical activity and medication. Surveys were mailed to 3000 households in July–August 2018 and responses collected until September 30th, 2018. Results Fout hundred twenty-eight surveys were returned (mean age 55 years (SD 14.6), 66% female, 90% had experienced an episode of LBP). The mean Back Beliefs Questionnaire score was 27.3 (SD 7.2), suggesting that people perceive back pain to have inevitable negative consequences. Large proportions of respondents held the following beliefs that are contrary to best available evidence: (i) having back pain means you will always have weakness in your back (49.3%), (ii) it will get progressively worse (48.0%), (iii) resting is good (41.4%) and (iv) x-rays or scans are necessary to get the best medical care for LBP (54.2%). Conclusions A high proportion of the public believe LBP to have inevitable negative consequences and hold incorrect beliefs about diagnosis and management options, which is similar to findings from other countries. This presents challenges for clinicians and suggests that considering how to influence beliefs about LBP in the broader community could have value. Given the high prevalence of LBP and that many will consult a range of healthcare professionals, future efforts could consider using broad reaching public health campaigns that target patients, policy makers and all relevant health providers with specific content to change commonly held unhelpful beliefs.


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