scholarly journals Gambaran Penurunan Nyeri Pada Pasien Low Back Pain Setelah Pemberian Dry Needling : Literatur Review

2021 ◽  
Vol 1 ◽  
pp. 1524-1530
Author(s):  
Indah Kurniawati Affandi ◽  
Lia Dwi Prafitri

AbstractLow back pain (LBP) is intermittent pain associated with ligaments, muscles and bones in the back area, resulting from bending, lifting, or straining movements.All ages can experience LBP (low back pain), which can lead to a decrease in productivity, as you get older, LBP complaints increase. The effectiveness of dry needling in reducing pain in patients can reduce muscle contractures and provide biochemical effects such as releasing analgesic endorphins, increasing blood flow, and improving the chemical environment. To the description of dry needling to reduce pain in patients with low back pain. Literature search in this study through keyword selection and database. Then carry out a critical review process with inclusion and exclusion criteria. Furthermore, the article selection process uses an online database, the total number of articles reviewed in Pubmed is 1 and Google Scholar is 4. The five articles have the effect of dry needling on reducing pain in cases of low back pain, evidenced by the average pre-test result of 17.32 and the average post-test result of 12.88 so that a difference of 4.44 was obtained from the VAS measurement before and after the dry needling intervention. A review of the five articles with a total of 213 respondents after being given dry needling intervention showed a decrease in pain in cases of low back pain using the VAS measuring instrument. For health workers to improve physiotherapy in patients with low back pain with dry needlingKeywords: Low back pain, dry needling, pain AbstrakLow back pain (LBP) adalah nyeri hilang timbul yang berkaitan dengan ligamen, otot dan tulang pada area punggung, akibat dari gerakan membungkuk,mengangkat, atau mengejan. Semua usia dapat mengalami LBP, yang dapat mengakibatkan penurunkan produktivitas, semakin bertambahnya usia semakin meningkat pula keluhan LBP. Adanya efektivitas dry needling terhadap penurunan nyeri pada pasien dapat mengurangi kontraktur otot serta memberikan efek biokimia seperti melepaskan endorfin analgesik, meningkatkan aliran darah, dan meningkatkan lingkungan kimiawi. Untuk menganalisa gambaran dry needling terhadap penurunan nyeri pada pasien low back pain. Pencarian literatur dalam penelitian ini melalui pemilihan kata kunci dan database. Kemudian melakukan poses telaah kritis dengan kriteria inklusi dan ekslusi. Selanjutnya proses selesi artikel menggunakan database online, total artikel yang di review di Pubmed sebanyak 1 dan Google scholar sebanyak 4. Kelima artikel yang berjumlah 212 orang responden, usia yang dapat mengalami low back pain adalah dari usia 10-70 tahun dan adanya pengaruh dry needling terhadap penurunan nyeri pada kasus low back pain, dibuktikan dengan rata-rata hasil pre test sejumlah 17,32 dan rata-rata hasil post test sejumlah 12,88 sehingga di dapatkan selisih sejumlah 4,44 dari pengukuran VAS sebelum dan setelah pemberian intervensi dry needling. Review dari kelima artikel dengan jumlah 213 orang responden sesudah diberikan intervensi dry needling menunjukan hasil adanya penurunan nyeri pada kasus low back pain dengan menggunakan alat ukur VAS. Pada tenaga kesehatan untuk meningkatkan fisioterapi pada penderita low back pain dengan dry needling.Kata kunci : Low back pain, dry needling, nyeri

2016 ◽  
Vol 1 (2) ◽  
Author(s):  
Cica Tri Mandasari Ningsih ◽  
Dwi Setyawan

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.


2019 ◽  
Vol 13 (1) ◽  
pp. 22-27
Author(s):  
Fenti Hasnani Hasnani

Abstract Non-specific low back pain is the symptom of lower back pain that occurs without an obvious cause, the diagnosis is based on exclusion of specific pathology. Non-specific low back pain can result in pain, muscle spasm and muscle imbalance, it can decrease the stability of the abdominals and lower back, limitation in lumbar mobility , changes posture, and it’s couse make disability in patients with non-specific low back pain. Exercise therapy for non-specific low back pain is high recommend to increased stability and correct posture of the spine. The purpose of this study is to determine the effect of McKenzie Exercise to reduce patient disability in non-specific low back pain. Method: This research applied pre experimental research method with one group Pre and Post Test Design. The research was conducted in Dr Soeradji Tirtonegoro hospital Klaten. There were 16 subjects taken for this research. Disability was measured by oswestry disability index (ODI) before and after treatment. Subject get Mckenzie exercise with the frequens are 2 times a weak in a month Result: Statistical test results obtained, have a decline ODI score at the McKenzie Exercise have done with a value of p = 0.000. This means that Mckenzie excercise can reduce patients disability in non-specific low back pain. Keywords: McKenzie exercises, disability, non-specific low back pain, oswestry disability index.


Rev Rene ◽  
2015 ◽  
Vol 16 (5) ◽  
pp. 699
Author(s):  
Sonia Maria Marques Gomes Bertolini ◽  
Maria Lúcia Ziroldo

Objective: to compare the efficacy of physiotherapy treatment involving kinesiotherapy and back school in older adults’ lowback pain. Methods: study of the case-series type. The pain visual analog scale and the WHOQOL-bref were used for assessingquality of life, and the Timed Up and Go Test was used for testing agility. A total of 21 older adults, who had had low back painfor over three months, participated in the study. The sample was divided in two groups (kinesiotherapy and back school).The older adults were assessed before and after the therapeutic interventions. Results: both groups obtained better scoresin all the variables analyzed in the post-test in relation to the pre-test, and as a result, in the inter-group comparison, theresults did not reveal statistically significant differences (p>0.05). Conclusion: back school and conventional kinesiotherapywere effective in improving the pain, quality-of-life and agility of older adults with low back pain.


2020 ◽  
Vol 15 (2) ◽  
pp. 73-80
Author(s):  
Putu Dyah Pramesti Cahyani ◽  
Ni Gusti Kompiang Sriasih ◽  
Made Widhi Gunapria Darmapatni

Low back pain is musculoscletal problem that causes discomfort during pregnancy. Prenatal yoga is non-pharmacology method that can reduce low back pain. This research aims to find the low back pain difference of third trimester pregnant mothers before and after having prenatal yoga in Bunda Setia clinic. This is pre-experimental research with one group pre-test post-test research design. The samples are 36 third trimester pregnant mothers with gestational age of 36-38 weeks who join prenatal yoga in Bunda Setia clinic, chosen by consecutive sampling. The data are taken by observing the level of lower back pain before and after having prenatal yoga. The respondents have prenatal yoga once a week for 2 weeks, 60 minutes duration. The bivariate analysis uses Wilcoxon test α < 0,05. The median of low back pain before prenatal yoga is 5, after prenatal yoga reduce to 2 with ρ value = 0,000 < α (0,05) and Z value (-5.233). The conclusion shows there is low back pain level difference of third trimester pregnant mothers before and after having prenatal yoga in Bunda Setia clinic. This intervention is suggested to be applied by medical staff in order to resolve  low back pain of pregnant mothers.


Author(s):  
Dewa Agung Gina Andrini ◽  
N. Adiputra ◽  
Wahyuddin ◽  
Susy Purnawati ◽  
Ni Made Linawati ◽  
...  

Background: Myogenic low back pain is pain around of the lower back muscle or a disorder caused by abnormalities in the musculoskeletal system without neurological disorders.Combination of isotonic and rhythmic stabilization is PNF exercises that commonly used in the treatment of myogenic low back pain. Purpose : The purpose of this study prove that the combination of isotonic better than rhythmic stabilization to decrease disability in craftsman tile with myogenic low back pain in Darmasaba village. Methods: This study uses an experimental design with pre-test and post-test control group design. The experiment was conducted in Darmasaba village and subjects were 20 patients.Decreased disability was measured with the Modified Oswestry Disability Index (MODI) before and after training. Results: Statistical test results obtained, a decrease in MODI scores in the first treatment group showed that mean difference obtained 38.20±3.048 and for the second group obtained 31.80±4.050 with p=0.001.Conclusion: From these results it can be concluded that the combination of isotonic is better than rhythmic stabilization for decreased disability of tile craftsman with myogenic low back pain in Darmasaba village. Suggestion: For the next researcher can do follow up research to see long-term result of combination of isotonic and rhythmic stabilization for tile craftsman.


2016 ◽  
Vol 5 (2) ◽  
Author(s):  
Heni Nur Kusumawati ◽  
Estuningsih Estuningsih ◽  
Risna Widowati

Abstract: Lower Back Pain (NPB) or Low Back Pain (LBP), VAS, Acupuncture Therapy, Healing Effect. Previous studies of acupuncture for low back pain were conducted. In this study, the researcher used a combination of BL 23. BL 40 and BL 23, KI 3. This study is aimed to determine the effectiveness of the combination of BL 23. BL 40 and BL 23, KI 3 for recovery low back pain. This study is done during March until May 2015 at Posyandu Lansia Klodran and Bendo Colomadu Karanganyar. This is a quasy experiment research with pre-test and post-test. Thirty subject studies were divided into two groups were treated combination of BL 23. BL 40 in the first group and BL 23, KI 3 in the second group. This treatment was conducted for 10 times. VAS was done before and after 10th therapy. The data obtained thus were analyzed using the Mann-Whitney test. Twenty-nine out of thirty subjects experienced decrease their VAS only one subject did not show any alteration. The average value of VAS decrease is 3.03. Acupuncture therapy with a combination of BL 23. BL 40 and BL 23, KI 3 has been shown that there are no differences between two groups (p>0.05)


Spine ◽  
1993 ◽  
Vol 18 (11) ◽  
pp. 1451-1455
Author(s):  
Soussan Khodadadeh ◽  
Stephen M. Eisenstein

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Afshin Farhanchi ◽  
Behrouz Karkhanei ◽  
Negar Amani ◽  
Mashhood Aghajanloo ◽  
Elham Khanlarzadeh ◽  
...  

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.


2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Mahnaz Bazzaz-Yamchi ◽  
Soofia Naghdi ◽  
Amin Nakhostin-Ansari ◽  
Monavar Hadizadeh ◽  
Noureddin Nakhostin Ansari ◽  
...  

Background. Chronic nonspecific low back pain (LBP) is one of the common health issues. Hamstring tightness contributes to the development of LBP. This study aimed to investigate the acute and short-term effects of deep dry needling (DN) in patients with chronic nonspecific LBP and hamstring muscle tightness. Methods. A single-group pretest-posttest clinical study design was followed. The outcome measures were the visual analog scale (VAS), passive knee extension (PKE) test, finger-floor distance (FFD) test, and functional rating index (FRI). Patients underwent one session of deep DN of three points on both hamstring muscles, each point for one minute. Patients were assessed before (T0), immediately after (T1), and one week after DN (T2). The FRI was assessed at T0 and T2. Results. Ten women with a mean age of 21.1 years (SD = 1.6) participated in the study. Significant large effect sizes in VAS pain reduction (d = 1.25) and PKE hamstring tightness were obtained (hamstring: right, d = 0.82; left, d = 0.88) at T2. Medium effect sizes were obtained for FFD (d = 0.45) and FRI (d = 0.72) at T2. Conclusion. A single session of deep DN improved pain and function and increased hamstring flexibility. This pilot study supports the use of DN in patients with LBP and hamstring tightness; however, future research with a rigorous study design of randomized controlled trial is required to confirm the findings. This trial is registered with IRCT20180511039612N1.


2012 ◽  
Vol 1 (1) ◽  
pp. 23-27
Author(s):  
Syed Abid Mehdi Kazmi ◽  
Nabiha Mujahid Faruq ◽  
Sumaira Imran Farooqui ◽  
Jharna Devi

OBJECTIVES To assess the effectiveness of lumbar manipulation (high velocity low amplitude) for the treatment of low back pain in comparison to back stretching exercises. Randomized Control Trial (Experimental Study) The study was conducted on 200 patients at the Physiotherapy Department of Ziauddin Hospital among patients with history of low back pain of acute, sub acute or chronic origin. In this study, patients were divided into two groups, group A and group B equally. Group A of 100 patients received Lumbar Manipulation (High Velocity Low Amplitude) and at the same time Group B of 100 patients were treated by back stretching exercises. A pre tested and structured questionnaire was used to collect data. Data was entered and analyzed by using SPSS. Pain was measured on Visual Analogue Scale before and after the given treatment. The study showed significant results for both the interventions in the treatment of low back pain but Lumbar Manipulation has been more effective in different types of low back pain while stretching exercises are less effective. On the basis of this study, we are very confident that lumbar manipulation is more effective for the treatment of low back pain compared to back stretching


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