scholarly journals Beda Efektivitas Elektroakupunktur Dengan Tens Terhadap Nyeri Dan Fleksibilitas Lumbal Pada Pasien Nyeri Punggung Bawah Myogenik

2017 ◽  
Vol 2 (2) ◽  
Author(s):  
Saifudin Zuhri ◽  
Marti Rustanti

Abstrack : Lower Back Pain, Electroacupuncture, TENS, Pain, Lumbar Flexibility. Myogenic lower back pain (LBP) is a prevalence that many experienced individuals who perform daily activities. Physiotherapy technology for myogenic LBP in the form of TENS is given more clinically than electroacupuncture that has not been effectively socialized. Objective: To compare the effectiveness of TENS with electroacupuncture for pain and lumbar flexibility of myogenic LBP patients. Quasi experimental research with two groups pre and post test design. The subjects of the study were myogenic LBP patients who met the study criteria. Inclusion criteria include: (1) age 50 - 70 years, (2)willing to be the subject of research. Exclusion criteria: (1) suffer myogenic LBP followed by other disorders, (2) pacemaker use, (3) impaired sensibility, (4) malignancy in the lower back. Criteria for drop out: (1) not following therapy program more than 3 times, (2) experiencing worsening condition, (3) not present during final evaluation of research. Data were collected directly at the start of the study (pre test), pain was measured by VAS and flexibility was measured by schober test. Data were analyzed with SPSS 11.5 for windows. The results of pre-post test different test in group I with Wilcoxon test, obtained p value = 0.005 (p <0.05). Test of pre-post test in group II with Wilcoxon test, got p value = 0,004 (p <0.05). Test of difference of post test in group I and group II using Mann-Whitney test, got value p = 0,017 (p˂ 0.05). The result of change of mean difference of VAS value of pre and post therapy in group I was 45 mm while in group II was 31 mm. Conclusions: (1) there was an effect of electroacupuncture therapy on the decrease of pain in myogenic LBP patients before administered by William Flexion Exercise (p = 0,005); (2) there was effect of TENS therapy on pain reduction in myogenic LBP patients before given William Flexion Exercise (p = 0.004), (3) there was a difference in effect between electro-acupuncture therapy and TENS therapy on pain reduction in patients with myogenic LBP prior to William Flexion Exercise (p = 0.017), (4) electroacupuncture was more effective than TENS for pain reduction in patients Myogenic LBP before administered by William Flexion Exercise was compared with the mean difference between pre and post I groupVAS values greater than group II (group I = 45 mm, group II = 31 mm).

2018 ◽  
Vol 1 (1) ◽  
pp. 1
Author(s):  
Gamalia Anggriya Dwi Putra ◽  
Asti Nuraeni ◽  
Mamat Supriyono

Lower back pain is one of musculoskeletal disorder in the shape of pain in the back bone, to be exact is in the forth lumbar to the first sacrum. It is caused by the not appropriate posture (not ergonomic) while working or doing the activities, such as very long standing or sitting. This complaint can be reduced by sit stretching regularly. The aim of this study is to find out impact of sit stretching towards the changes of scale of lower back pain on employees at PT. Rifan Financindo Berjangka Branch Semarang. The method of research is quasy experiment designed in pre test and post test with compare group. Research subjects are 30 male and female employees. Sample taking uses total sampling. Statisitic test utilizes Mann Whitney with level of meaning (α=0,05). The result of pre test statisitc test is p-value = 0,467 (> 0,05), it means that  there is no significant difference scale of lower back pain between intervention group and compare group  before performing sit stretching to intervention  group. The post test statisitic the result is p-value = 0,001 (> 0,05), it means there is a significant difference scale of lower back pain at intervention group with compare group after performing sit stretching on the intervention group. Based on result of p-value on post test can be concluded that there is an impact of sit stretching towards the changes in scale of lower back pain on the employees at PT. Rifan Financindo Berjangka Branch Semarang.


2021 ◽  
Vol 15 (9) ◽  
pp. 2773-2776
Author(s):  
Parveen Shafi ◽  
Rahim Khan ◽  
Tariq Ahmad ◽  
Syed Alam Zeb ◽  
Ahsan Sajjad

Objective: The aim of this study is to determine the prevalence of lower back pain in pregnant women with pre-eclampsia. Study Design: Cross sectional study Place and Duration: Mardan Medical Complex/BKMC, Tahseel Headquarter Hospital, Takht Bhai Mardan, Swabi Medical Complex /GKMC, from October 2019 to October 2021. Methods: Total 160 pregnant women were presented in this study. Patients were aged between 18-45 years. Detailed demographics of enrolled cases age, body mass index, gestational age, and residency and education status were calculated after taking informed written consent. Patients were divided into two groups. Group I had 80 patients with pre-eclampsia and group II had 80 patients with normotensive. Gravidity among both groups was assessed. Symptoms and prevalence of lower back pain among both groups were assessed and compared. Complete data was analyzed by SPSS 22.0 version. Results: Mean age of the patients in group I was 27.09±5.66 years with mean gestational age 33.14±7.41 weeks while in group II mean age was 26.55±8.26 years with mean gestational age 32.47±8.33 weeks. Thirty seven patients (46.3%) in group I was primigravida and 40 (50%) in group II was primigravida. Thirty nine patients (48.8%) had urban residency in group I and in group II thirty seven (46.3%) cases were from urban area. Frequency of literacy among both groups were 42 (52.5%) and 44 (55%). Prevalence of lower back pain in group I was 55 (68.8%) higher as compared to group II 53 (66.3%) with no any significant difference. Domestic work was the most common cause among both groups followed by social work (Job), lifting of heavy object and medication pain. Conclusion: We concluded in this study the prevalence of lower back pain among pregnant women was significantly high among both pre-eclampsia and normotensive cases. Most common causes of lower back among women was domestic work. Health professionals must be proactive in diagnosing LBP and providing proper management due to the enormous impact of it on the quality of life. Keywords: Pregnant Women, Low Back Pain, Prevalence, Symptoms, causes.


2020 ◽  
Vol 2 (3) ◽  
pp. 139-146
Author(s):  
Nur Azizah Putri Rahayu ◽  
Rafika Rafika ◽  
Lili Suryani ◽  
Hadriani Hadriani

In order to reduce and prevent back pain complaints and to form safe and comfortable daily activities during pregnancy, pregnant women need proper body mechanics. The purpose of this research is to know the influence of the application of mechanical body mechanics with lower back pain of the III trimester of pregnant women. This type of research is pre-experimental with one group Pretest posttest design. This research was conducted in the working area of Puskesmas Sangurara.  The population in this study is all III-trimester pregnant mothers with a sample number of 31 people, taken with a consecutive sampling technique. The treatment given is the technique of body mechanics observed during 1 week. Data collection using an observation sheet. The results showed before performing mechanical body mechanics there were 71% of respondents experienced moderate pain and after conducting mechanical body mechanics there were 74.2% of respondents experienced mild pain. Based on the Wilcoxon test obtained a p-value <0.001, with an average decrease in pain, is 7.50. The conclusion is the application of body mechanics techniques significantly affect the lower back pain of the III trimester of pregnant women.


2018 ◽  
Vol 1 (1) ◽  
pp. 47-53
Author(s):  
Tati Murni Karokaro ◽  
Melisa Queen Hutabarat

In fulfillment of these needs sometimes human forget to maintain their health, good attitude so that the position in work is not ergonomic which can lead to problems when carrying out activities. Lower back pain is a clinical symptom that is characterized by pain or a discomfort feeling in lower back area. In the United States, the incidence of lower back pain region in the past one year is 15% -20%. This study aims to see whether there were differences in giving of Mc Kenzie and Core Stability Exercise toward Functional Activity of Patients with Lower Back Pain. This study is quasi experiment with a sample of patients with lower back pain, with purposive sampling technique. The results obtained are p-value ? <(0,000 <0,05), it means that there is a difference in giving of Mc Kenzie Exercise toward the increase of Functional Activity of Patients with Lower Back Pain, that uses body movements that is directed to extension, to provide strengthening and reflecting on the extensor and flexor muscles of the lumbar joint, while the Core Stability Exercise has the ability to regulate the position and movement in the central region of the body, and it can be concluded that there is differences in Giving of Mc Kenzie Exercise toward the increase of Functional Activity of Patients with Lower Back Pain. It is recommended for patients who experience lower back pain so that keep always repeat the exercises that suggested by physiotherapist, for further research so that choose more samples.


Author(s):  
Kamariah Kamariah ◽  
Arifin Arifin ◽  
Gunung Setiadi

Low back pain is one of the musculoskeletal disorders resulting from the wrong ergonomics. Such conditions can occur in the informal work sector, such as clothes tailors at the Martapura Bauntung Batuah Market. The purpose of this study was to determine the relationship of work position with complaints of lower back pain in clothes tailors at the Bauntung Batuah Market Martapura. This study is an analytical study with a cross-sectional approach. The sampling technique uses total sampling with criteria for male sex so that the number of samples is 43 people. Data will be analyzed using the x2 test (Chi-square). The results of the statistical analysis obtained the value of the work position p-value of 0,000 meaning that there is a relationship between the work position and complaints of lower back pain in the clothes tailor at the Martapura Bauntung Batuah Market. For other researchers, further research needs to being done on other factors such as individual factors and physical environmental factors that can cause complaints of lower back pain.


2019 ◽  
Vol 2 (4) ◽  
pp. 87
Author(s):  
Dyah Suryani ◽  
Wibowo Wibowo

Background: Food is one of the basic important of human needs. Since the mid-20th century, the role of food additives, particularly preservatives are becoming increasingly important in line with advances in production technology of synthetic BTP (food additives). The use of BTP often adverse effects on health. Some of the causes were the use of non-organic materials due to economic reasons. The lower public's knowledge about quality and safety of food led to rampant cases of food poisoning. This compounded with various kinds of food additives (BTP) are derived from chemical products and its derivatives. Cracker was one of snack that much-loved by the majority of Indonesian people. On making of Crackers both the traditional and the modern are often added borax as a food additive that was felt to be more savory crackers and crunchy. This research aimed to examine the influence of counseling with audio-visual method on the improvement of knowledge and attitude of use borax on making gendar crackers family households in Kategan, Patalan, Jetis, Bantul, Special Region of Yogyakarta Province. Methods: This research used quasi experiment type with the design of one group pretest - posttest. The samples were housewives in the Kategan, Patalan, Jetis, Bantul. Results: There was a difference of housewife’s knowledge in Kategan on the use of borax on making gendar crackers between before and after counseling with audio-visual methods which seen by a mean value of 6.64 pre-test and 6.92 for post-test average with -1.238 as mean difference. Based on the results of Wilcoxon test obtained p-value of 0.216 (H0 was accepted). While the mean, obtained on the attitude of the pre-test of 10.28 and the mean of post-test of 11.19 with a mean difference of -2.018. The p-value was 0.044 (H0 was rejected). Conclusion: There was no effect of counseling with the use of audio-visual methods in use of borax on making gendar crackers on the knowledge. Whereas there was influence of counseling with the use of audio-visual methods in the use of borax on making gendar crackers on the attitude. Keywords: knowledge, attitudes, audio visual, borax


2020 ◽  
Vol 9 (2) ◽  
pp. 1539-1544
Author(s):  
Achmad Sya’id ◽  
Anita Fatarona

This study aims to nalyzing whether cupping is effective in increasing the flection range of motion of low back pain clients. Methods: This study is quassy experimental with one group pre-post test design, cupping care was carried out by a certified nurse giving therapy during the pandemic. This study using 30 acute low back pain clients. ROM was measured before and 15 minutes after cupping care was given. Before cupping 96.7% flection ROM was on 3th degree, 15 minutes after cupping care, the flection ROM of 96.7% respondents increased to 4th. Analysis: using the Wilcoxon test, P value is (0.000) smaller than alpha (0.05). Based on the study the changes of flection ROM are significant due to the increase in endogenous opiates such as endorphins, encephalins, and dinorphins in the body. The opiate is produced during cupping care, so that the concentration of tension decreases and the blood flows properly


2020 ◽  
Vol 7 (46) ◽  
pp. 2694-2699
Author(s):  
N. Imdad Ali ◽  
Paresh Sankhe ◽  
Ravishankar T.H.S

BACKGROUND Erectile dysfunction is a common condition affecting middle and old age men throughout the world. Tadalafil is preferred by many urologists as well as patients because of its long half-life. Tadalafil on demand was compared with daily dosing in many studies. We wanted to conduct the study in south India at a tertiary care medical center to study the effect of tadalafil daily (5 mg) vs. on demand (10 mg) and check its efficacy with the IIEF scoring system. METHODS Patients were randomised into two groups using simple randomization chit box method. Allocation concealments was done by sealed enveloped method. Before starting treatment IIEF scoring was done for both groups. Group A was given once-daily 5 mg tadalafil. The group B was given 10 mg tadalafil before sexual activity. All patients under either of the two medication regimens for a period of 12 wks. and assessment done at 4 wks. and 12 wks. interval. Both the patient and the examiner was blinded to the randomisation of the subjects. Scoring scale is 1 to 30 which is divided into five groups of sever, moderate, mild to moderate, mild, and no dysfunction for score of 0 - 10, 11 - 16, 17 - 21, 22 - 25, and 26 - 30 respectively. RESULTS Tadalafil 5 mg OD has statistically significant better result when compared with IIEF score after 4 wks. with percentage improvement of 21.12 % when compared to baseline, with a P value of < 0.0001. In group II tadalafil 10 mg on demand shows statistically significant results when IIEF score baseline was compared with that after 4 wks. When group I compared with group II for mean difference of score after 4 wks. group I shows statistically significant improvement with P value 0.017 (< 0.05). When compared with score after 16 wks. with baseline both group I and II shows statistically significant improvement in IIEF score. But group I which shows mean difference in score of 5.40 (42.05 % improvement from baseline) is a statistically significant difference (p value - 0.0001) when compared to group II which shows mean difference of score at 16 wks. as 2.73 (20.71 % improvement from baseline). CONCLUSIONS Tadalafil 5 mg daily provides significant increase in IIEF score as compared to on demand 10 mg tadalafil. We need longer duration of study the side effects in each group. KEYWORDS Tadalafil, IIEF, Once a Day, On Demand, Erectile Dysfunction


2016 ◽  
Vol 1 (1) ◽  
Author(s):  
Saifudin Zuhri ◽  
Marti Rustanti

Abstract : Back School Program, Mckenzie Techniques, Pain, Vas, Patients With Low Back Pain. On the other hand needed McKenzie method for relaxation to the muscles of the back due to spasm, so that the pain can be reduced. To prove the effectiveness of the program back school and McKenzie techniques in reducing lower back pain. Types of Research: experimental study. Two group pre test-post test design. Place and Time Research in Unit physiotherapy Hospital Dr Moewardi Surakarta from January to June 2015. Sample: lower back pain patients who met the study criteria. Research variables: independent variable is a back school program and McKenzie techniques, while the dependent variable was pain. The research data in the form of pain measured by VAS. Data obtained include scale ratio. Statistical Analysis: The subjects in one group <30 people, then analyzed with nonparametric tests. Homogeneity of data were tested with the Mann-Whitney test was obtained p = 0.030 (P <0.05) indicates the data are not homogeneous. Wilcoxon test group I obtained p = 0.000 (p <0.05) showed no difference effect of back school programs to decrease lower back pain. Wilcoxon test group II obtained p = 0.000 (p <0.05) showed no difference effect of McKenzie technique to decrease lower back pain. Mann-Whitney test after treatment was obtained p = 0.006 (p <0.05) showed no difference in effectiveness between the back school program with McKenzie techniques in reducing lower back pain. Results of the mean difference in pain reduction anatara back school program with the technique gained 9.71 higher McKenzie Techniques. McKenzie Technique is more effective than a back school program to reduce lower back pain.


Author(s):  
Hotma Sauhur Hutagaol ◽  
Hanna Sriyanti Saragih

Child birth is a painful and stressful event in a woman life which is accompanied with fatigue, fear and negative feelings and as labor proceeds, the state worsens (Mortavazi, 2012).  The majority of pregnant women would prefer to experience labour without medical intervention, including pharmacological pain relief. The aim of this study is to analyze the effects of back massage to reduce lower-back pain in active phase of first stage of labour. A quasi-experimental design which involves both pre-test post-test control group design, an experimental group was used to study the effect of back massage intervention on  first stage in intrapartum women and no intervention in control group. Data were analyzed Paired sample t-test was used to compare the pre-test and post-test data.  Thus the hypotheses which stated that there is significant difference between the intervention group and the control group on were accepted. However, the hypotheses which stated that there is significant difference between the ntervention group and control group on hemoglobin levels were rejected. Thus, it can be concluded from the results of the present study that back massage has a significant effect in reducing back pain  in intrapartum.


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