scholarly journals PERBEDAAN PENGARUH WILLIAM’S FLEXION EXERCISE DAN MCKENZIE EXERCISETERHADAP PENINGKATAN AKTIVITAS FUNGSIONAL PADA LOW BACK PAIN MYOGENIC

2019 ◽  
Vol 7 (1) ◽  
pp. 55-66
Author(s):  
Tyas Sari Ratna Ningrum
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Oswestry Disability Index ◽  
T Test ◽  
Low Back ◽  
Paired Sample ◽  
Lowback Pain

Pendahuluan. Orang dewasa biasanya mulai memasuki masa lansia sehingga terjadi penurunankemampuan fungsional tubuh akibat proses degeneratif terutama pada penjahit dikarenakan posisikerja yang tidak ergonimis dalam jangka waktu yang lama sehingga rentang terkena penyakit lowback pain myogenic. Tujuan Penelitian ini bertujuan untuk mengetahui pengaruh pemberianwilliam’s flexion exercisedanmckenzie exerciseterhadap peningkatan aktivitas fungsional. william’s flexion exercise Metode. Penelitian ini menggunakan metode QuasiExperimental dengan pre and post two groupdesign. Sebanyak 28 sampel yang ditentukan dengan menggunakan teknik purposive sampling.Sampel dibagi menjadi 2 kelompok yaitu kelompk 1 dengan perlakuan william’s flexion exercise dankelompok 2 dengan perlakuanmckenzie exercise . Latihan dilakukan selama 4 minggu denganfrekuensi latihan selama 3 kali dalam seminggu baik untuk william’s flexion exercise maupunmckenzie exercise. Alat ukur yang di gunakan Oswesty Disability Index (ODI). Teknik analisa datayang digunakan adalah paired sample T-Testuntuk hipotesis I dan II dan Independent sample T-Testuntuk hipotesis III karena data berdistribusi normal.Hasil. Hasil uji hipotesis I menggunakan Paired Sample T-test diperoleh nilai p=0,000 ( p<0,05) danhasil uji hipotesis II menggunakan Paired Sample t-testdiperoleh nilai p=0,002(p<0,05) yang berartibahwa kedua perlakuan memiliki pengaruh terhadap peningkatan keseimbangan dinamis lansia padamasing-masing kelompok. Hasil hipotesis III menggunakan Independent Sample T-test diperolehnilaip=0,503(p>0,05)yang berarti tidak ada perbedaan pengaruh pemberian intervensi william’sflexion exercisedanmckenzie exercise terhadap peningkatan aktivits fungsional.Kesimpulan. Tidak ada perbedaan pengaruh william’s flexion exercise danmckenzie exercise terhadappeningkatan aktivitas fungsional. Penelitian selanjutnya harus lebih memperhatikan berbagai faktoryang dapat mengganggu aktivitas fungsional danmengontrol aktivitas yang dilakukan oleh respondendalam keseharian, diluar waktu pemberian intervensi.Kata Kunci : William’s flexion exercise,mckenzie exercise, Aktivitas Fungsional,Pembatik, Oswestry Disability Index(ODI).

scholarly journals COGNITIVE FUNCTIONAL THERAPY LEBIH BAIK DALAM MENURUNKAN DISABILITAS DARIPADA LATIHAN MCKENZIE PADA PENDERITA NON-SPECIFIC LOW BACK PAIN DI DESA SUNGAI TENDANG

2020 ◽  
Vol 8 (3) ◽  
pp. 188
Author(s):  
Tri Wahyu Wulandari ◽  
Susy Purnawati ◽  
Sugijanto Sugijanto ◽  
I Nyoman Adiputra ◽  
Bagus Komang Satriyasa ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Oswestry Disability Index ◽  
T Test ◽  
Low Back ◽  
Functional Therapy ◽  
Paired Sample

Pendahuluan: Non-specific Low Back Pain (NLBP) merupakan nyeri punggung bawah yang tidak dihubungkan dengan patologi spesifik. Terjadinya disabilitas pada NLBP akibat adanya nyeri, imbalance muscle, spasme otot dan perubahan psikologis. Oleh karena itu, dengan adanya pemberian terapi fisik dapat menurunkan nyeri, peningkatan stabilitas dan koreksi postur pada tulang belakang, terapi latihan ini bisa berupa latihan McKenzie dan Cognitive Functional Therapy (CFT). Tujuan Penelitian: untuk mengetahui CFT dapat menurunkan disabilitas dibandingkan dengan latihan McKenzie pada NLBP. Metode: Penelitian ini menggunakan rancangan eksperimental melibatkan sejumlah 20 orang sampel yang merupakan warga Desa Sungai Tendang penderita NLBP berusia 30-60 tahun. Sampel terbagi menjadi 2 Kelompok secara acak sederhana, dimana Kelompok 1 (n = 10) diberikan CFT dan Kelompok 2 (n = 10) diberikan latihan McKenzie. Penelitian ini dilakukan 3 kali seminggu selama 4 minggu dengan menggunakan kuesioner penilaian Modified Oswestry Disability Index (MODI). Hasil: Hasil pengujian hipotesis menggunakan paired sample t-test sebelum dan setelah intervensi pada Kelompok 1 dengan nilai p <0,0001 yang berarti bahwa ada perbedaan yang bermakna dari nilai disabilitas sebelum dan setelah intervensi CFT pada NLBP. Pada Kelompok 2 didapatkan nilai p <0,0001 yang berarti bahwa ada perbedaan yang bermakna dari nilai disabilitas sebelum dan setelah intervensi McKenzie pada NLBP. Uji beda disabilitas setelah intervensi antara Kelompok 1 dan Kelompok 2 menggunakan Independent Samples t-test didapatkan nilai p = 0,001 dengan rerata setelah pada kelompok 1 sebesar 4,40±2,06 dan pada Kelompok 2 sebesar 10,80±4,63. Kesimpulan: CFT lebih daik dalam menurunkan disabilitas dibandingkan dengan MK pada penderita NLBP.   Kata Kunci: Cognitive Functional Therapy, McKenzie, Non-specific Low Back Pain

scholarly journals Perbandingan Efek Antara Mobilization of the Nervous as System Active Exercise Terhadap Perubahan Nyeri dan Fleksibilitas Penderita Low Back Pain

2019 ◽  
Vol 8 (2) ◽  
pp. 161-168
Author(s):  
Djohan Aras
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Visual Analogue Scale ◽  
Analogue Scale ◽  
T Test ◽  
Low Back ◽  
Paired Sample ◽  
Purposive Sampling ◽  
Group Design ◽  
Post Test

Low Back Pain merupakan gangguan yang dirasakan di punggung bagian bawah yang disebabkan oleh berbagai gangguan musculoskeletal maupun mobilisasi yang salah. LBP dapat menyebabkan timbulnya nyeri dan penurunan fleksibilitas lumbal sehingga mengganggu aktivitas penderitanya. Mobilization of the Nervous as System (MONAS) dan Active Exercise merupakan latihan yang dapat digunakan untuk menurunkan nyeri dan meningkatkan fleksibilitas pada penderita LBP. Penelitian ini bertujuan untuk mengetahui perbandingan antara Mobilization of the Nervous as System dan Active Exercise Terhadap Perubahan Nyeri dan Fleksibilitas pada Penderita Low Back Pain (LBP). Penelitian ini merupakan penelitian eksperimental dengan desain penelitian pre test-post test two group design. Teknik pengambilan sampel yaitu purposive sampling dengan jumlah sampel sebanyak 22 orang dibagi dalam 2 kelompok, yaitu kelompok MONAS dan Active Exercise. Masing-masing kelompok beranggotakan 11 responden. Alat ukur yang digunakan adalah Visual Analogue Scale (VAS) untuk mengukur nyeri dan Modified Schober Test (MST) untuk fleksibilitas. Penelitian ini menggunakan uji paired sampel T test sebagai uji pengaruh  dan uji perbandingan menggunakan uji Independent sampel T test. Hasil penelitan dengan uji paired sample t-test menunjukkan terdapat perubahan nyeri dan fleksibilitas pada penderita LBP setelah pemberian MONAS dengan nilai p=0,000 dan Active Exercise dengan nilai p=0,000. Sedangkan hasil uji independent sample t-test pada nyeri diperoleh nilai p=0,658 sedangkan fleksibilitas  p=0,729 yang artinya tidak ada perbedaan yang signifikan antara MONAS dan Active Exercise baik terhadap nyeri maupun fleksibilitas.

scholarly journals Lumbar Lordosis, Pain Intensity and Type of Work in Women Participating in Fitness Activities

2019 ◽  
Vol 26 (4) ◽  
pp. 22-27
Author(s):  
Patrycja Proskura ◽  
Małgorzata Sobera
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Everyday Life ◽  
Oswestry Disability Index ◽  
Lumbar Lordosis ◽  
Daily Activities ◽  
Sitting Position ◽  
Low Back ◽  
Digital Inclinometer ◽  
Postural Muscles

AbstractIntroduction. The aim of this study was to examine women participating in fitness activities regarding their level of disability in daily activities and lumbar lordosis.Material and methods. Data were collected from 68 females between the ages of 25-70 participating in fitness exercises. The Oswestry Disability Index was applied to measure the level of disability due to the low back pain in everyday life. The angle of lumbar lordosis was measured using a Saunders’ digital inclinometer.Results. The results of the study confirmed the existence of problems related to low back pain in people performing sedentary work. There were no correlations between lumbar lordosis angle and the level of disability in daily activities of the groups. The low back pain increases especially among people performing sedentary work.Conclusions. The results of this study suggest that work in a sitting position is not associated with a decrease in the angle of lordosis in relation to another work than in a sitting position. Sitting work can be an indirect cause of back pain and slight disability in everyday life by weakening postural muscles.

scholarly journals Efficacy of intradiscal ozone gas therapy combined with physical therapy in contained lumber disc prolapse

2016 ◽  
Vol 44 (3) ◽  
pp. 146-151
Author(s):  
Mohammad Moniruzzaman ◽  
Md Shahadat Hosssain ◽  
Md Ruhul Amin ◽  
Moshiur Rahman Khasru ◽  
Md Azizur Rahman ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Physical Therapy ◽  
Oswestry Disability Index ◽  
Positive Outcome ◽  
Outcome Variable ◽  
Low Back ◽  
Disc Prolapse ◽  
Ozone Therapy ◽  
College Hospital

Percutaneous intra-discal ozone therapy has promising results in contained lumber disc prolapse but the effectiveness of this treatment has been tested in large clinical studies show a positive outcome in 70%–80% of patients. To increase success rate of ozone discectomy and prevention of disc surgery, intradiscal ozone therapy combined with physical therapy may bring new options for the management of low back pain (LBP) due to lumber disc prolpase. This prospective experimental study was done from August 2014 to Octber 2014 at the Popular Medical College Hospital, Dhanmondi, Dhaka, Bangladesh with the intention to assess the efficacy of percutaneous intra-discal ozone therapy combined with physical therapy in acute and chronic low back pain due to contained prolapsed intervertebral lumber disc (PLID). Seven (7) ml of oxygen-ozone mixture at a concentration of 30 mc/ml was injected in the disc by ozone resistant syringe over a period of 15-20 seconds. All patients got physiotherapy for 30 minutes, two times/day, up to two weeks and strictly maintained activities of daily living (ADL). The main outcome variable was VAS(Visual Analogue Scale) & ODI (Oswestry Disability Index). 100% patient experienced radiation of pain in the leg before ozone gas & physical therapy and 90% had relieved radiation till 4th week. The reduction of VAS score from baseline to four weeks following treatment was 8.0±1.63 to 0.30±0.95. Reduction of Oswestry Disability Index (ODI) from baseline to four weeks following treatment was 37.7±6.5 to 15.8±1.0. Percutaneous intra-discal ozone therapy in combination with physical therapy is an effective treatment for management of low back pain (LBP) due to contained lumber disc prolpase.Bangladesh Med J. 2015 Sep; 44 (3): 146-151

scholarly journals The effect of an integrated multidisciplinary rehabilitation programme alternating inpatient interventions with home-based activities for patients with chronic low back pain: a randomized controlled trial

2020 ◽  
Vol 34 (3) ◽  
pp. 382-393 ◽  
Author(s):  
Anne Mette Schmidt ◽  
Berit Schiøttz-Christensen ◽  
Nadine E Foster ◽  
Trine Bay Laurberg ◽  
Thomas Maribo
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Oswestry Disability Index ◽  
Controlled Trial ◽  
Rehabilitation Programme ◽  
Low Back ◽  
Oswestry Disability Index Score ◽  
Home Based

Objective: To compare the effectiveness of an integrated rehabilitation programme with an existing rehabilitation programme in patients with chronic low back pain. Design: A single-centre, pragmatic, two-arm parallel, randomized controlled trial (1:1 ratio). Setting: A rheumatology inpatient rehabilitation centre in Denmark. Subjects: A total of 165 adults (aged ⩾ 18 years) with chronic low back pain. Interventions: An integrated rehabilitation programme comprising an alternation of three weeks of inpatient stay and 12 weeks of home-based activities was compared with an existing rehabilitation programme of four weeks of inpatient stay. Main measures: Patient-reported outcomes were collected at baseline and at the 26-week follow-up. The primary outcome was back-specific disability (Oswestry Disability Index). Secondary outcomes included pain intensity (Numerical Rating Scale), pain self-efficacy (Pain Self-Efficacy Questionnaire), health-related quality of life (EuroQol-5 Domain 5-level (EQ-5D)), and depression (Major Depression Inventory). A complete case analysis was performed. Results: A total of 303 patients were assessed for eligibility of whom 165 (mean age: 50 years (SD 13) and mean Oswestry Disability Index score 42 (SD 11)) were randomized (83 to existing rehabilitation programme and 82 to integrated rehabilitation programme). Overall, 139 patients provided the 26-week follow-up data. Baseline demographic and clinical characteristics were comparable between programmes. The between-group difference in the Oswestry Disability Index score when adjusting for the corresponding baseline score was −0.28 (95% confidence interval (CI): −4.02, 3.45) which was neither statistically nor clinically significant. No significant differences were found in the secondary outcomes. Conclusion: An integrated rehabilitation programme was no more effective than an existing rehabilitation programme at the 26-week follow-up.

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 Oswestry Disability Index Scoring Made Easy

2008 ◽  
Vol 90 (6) ◽  
pp. 497-499 ◽  
Author(s):  
A Mehra ◽  
D Baker ◽  
S Disney ◽  
PB Pynsent
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Staff Training ◽  
Oswestry Disability Index ◽  
Outcome Measure ◽  
Low Back ◽  
Prospective Audit ◽  
Staff Members ◽  
Active Life ◽  
Scoring Accuracy

INTRODUCTION Low back pain effects up to 80% of the population at some time during their active life. Questionnaires are available to help measure pain and disability. The Oswestry Disability Index (ODI) is the most commonly used outcome measure for low back pain. The aim of this study was to see if training in completing the ODI forms improved the scoring accuracy. PATIENTS AND METHODS The last 100 ODI forms completed in a hospital's spinal clinic were reviewed retrospectively and errors in the scoring were identified. Staff members involved in scoring the questionnaire were made aware of the errors and the correct method of scoring explained. A chart was created with all possible scores to aid the staff with scoring. A prospective audit on 50 questionnaires was subsequently performed. RESULTS The retrospective study showed that 33 of the 100 forms had been incorrectly scored. All questionnaires where one or more sections were not completed by the patient were incorrectly scored. A scoring chart was developed and staff training was implemented. This reduced the error rate to 14% in the prospective audit. CONCLUSIONS Clinicians applying outcome measures should read the appropriate literature to ensure they understand the scoring system. Staff must then be given adequate training in the application of the questionnaires.

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