scholarly journals HUBUNGAN INTENSITAS NYERI PUNGGUNG BAWAH UNILATERAL DENGAN DERAJAT OSTEOARTRITIS LUTUT KONTRALATERA

Author(s):  
Edy Irwanto ◽  
Dwi Pudjonarko ◽  
Hermina Sukmaningtyas

THE CORRELATION OF UNILATERAL LOW BACK PAIN INTENSITY AND THE DEGREE OF CONTRALATERAL KNEE OSTEOARTHRITISABSTRACTIntroduction: Low back pain (LBP) is one of the most common and recurring forms of musculoskeletal pain. In back injuries or disc degenerative diseases that cause chronic LBP will increase the burden on the knee joint, thereby triggering or exacerbating the occurrence of osteoarthritis (OA) of the knee.Aims: To analyze the correlation of unilateral LBP intensity and the degree of contralateral knee OA.Methods: Cross-sectional observational analytic study of LBP patients who went to the neurology polyclinic of RSUP Dr. Kariadi, Semarang, from November 2018 to March 2019. The diagnosis of knee OA was made clinically based on the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) questionnaire and radiological with Kellgren-Lawrence scores. Fisher’s exact test was used to see the correlation between variables, and the results of the bi- variate analysis was continued with a logistic regression multivariate test to find out the variables that influence the degree of knee OA.Results: There were 36 subjects, the majority of which were women (58.3%) with an average age of 53.88±11.01 years. A significant relationship was found between the unilateral LBP intensity (p=0.004; Odds ratio/OR=32,500) and malalignment of the knee joint (p=0.024;  OR=11.67) with the degree of contralateral  knee OA based on the WOMAC score.Discussion: The unilateral LBP intensity and malalignment of the knee joint can increase the risk of contralateral knee OA based on WOMAC scores of 32.5 and 11.7 times, respectively.Keywords: Kellgren-Lawrence score, low back pain, osteoarthritis of the knee, WOMAC scoreABSTRAKPendahuluan: Nyeri punggung bawah (NPB) adalah salah satu bentuk nyeri muskuloskeletal yang paling umum terjadi dan dapat berulang. Pada cedera punggung atau penyakit degeneratif diskus yang menyebabkan NBP kronik akan meningkatkan beban pada sendi lutut, sehingga memicu atau memperparah terjadinya osteoartritis (OA) lutut.Tujuan: Untuk mengetahui hubungan intensitas NPB unilateral dengan derajat OA lutut kontralateral.Metode: Penelitian analitik observasional secara potong lintang terhadap pasien NPB yang berobat ke Poliklinik Saraf RSUP Dr. Kariadi, Semarang, pada bulan November 2018 hingga Maret 2019. Diagnosis OA lutut ditegakkan ber- dasarkan klinis menggunakan kuesioner Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) dan radiologis dengan skor Kellgren-Lawrence. Korelasi antar variabel menggunakan uji Fisher’s exact, hasil analisis bivariat dilanjutkan dengan uji multivariat regresi logistik untuk mengetahui variabel yang berpengaruh terhadap derajat OA lutut.Hasil: Didapatkan 36 subjek yang mayoritas perempuan (58,3%) dengan rerata usia 53,88±11,01 tahun. Didapatkan hubungan yang bermakna antara intensitas NPB unilateral (p=0,004; rasio Odds/RO=32,500) dan malalignment sendi lutut (p=0,024; RO=11,67) dengan derajat OA lutut kontralateral berdasarkan skor WOMAC.Diskusi: Intensitas NPB unilateral dan malalignment sendi lutut dapat meningkatkan risiko terjadinya OA lutut kontralateral berdasarkan skor WOMAC masing-masing sebanyak 32,5 dan 11,7 kali.Kata kunci: Nyeri punggung bawah, osteoartritis lutut, skor WOMAC, skor Kellgren-Lawrence

2020 ◽  
Vol 8 (3) ◽  
pp. 51
Author(s):  
Alit Triwahyuni ◽  
Ni Wayan Tianing ◽  
Anak Ayu Nyoman Trisna Narta Dewi ◽  
Made Widnyana

Osteoarthritis biasanya menyerang persendian yang mempunyai titik tumpu besar salah satunya knee joint. Kondisi knee osteoarthritis ini dapat menimbulkan keluhan pada area lain salah satunya low back pain. Low back pain yang terjadi pada penderita knee osteoarthritis merupakan low back pain non spesifik tipe miogenik yang terjadi karena indirect muscle function. Terjadinya keluhan low back pain miogenik ini dapat disebabkan oleh knee spine syndrome yaitu kondisi yang menyebabkan berkurangnya sudut lordosis lumbal. Tujuan penelitian ini adalah untuk mengetahui hubungan antara kejadian knee osteoarthritis dengan keluhan low back pain miogenik pada masyarakat Pasar Kreneng Kota Denpasar Penelitian ini menggunakan rancangan study cross sectional dengan teknik pengambilan sampel secara simple random sampling. Pengumpulan data dilakukan dengan pemeriksaan knee osteoarthritis yang dilakukan oleh fisioterapis dan .pemeriksaan low back pain miogenik menggunakan kuisioner Rolland Morris Low Back Pain and Disability serta palpasi. Sampel penelitian berjumlah 52 orang yaitu 42 orang perempuan dan 10 orang laki-laki. Hasil rerata usia dan IMT pada penelitian yakni 52,5 tahun dan 28,1 kg/m2. Pada perhitungan analisis data dengan uji chi-square diperoleh nilai p sebesar 0,781 dimana p>0,05 yang berarti tidak ada hubungan antara knee osteoarthritis dengan kejadian low back pain miogenik pada masyarakat Pasar Kreneng Kota Denpasar. Nilai p yang tidak signifikan ini dipengaruhi oleh faktor alat ukur, sampel yang tidak represntatif, motivasi, persepsi nyeri dan aktifitas fisik sampel. Berdasarkan hasil penelitian tersebut maka dapat disimpulkan bahwa tidak terdapat hubungan antara kejadian knee osteoarthritis dengan keluhan low back pain miogenik pada masyarakat Pasar Kreneng Kota Denpasar.


2021 ◽  
Vol 9 (3) ◽  
Author(s):  
Komang Trisna Bayu Suta ◽  
Ni Luh Putu Gita Karunia Saraswati ◽  
I Putu Adiartha Griadhi ◽  
I Made Niko Winaya

Pekerjaan sebagai kuli angkut sangat berisiko dilihat dari lifting index kuli angkut itu sendiri, seperti pada saat kuli angkut mengambil barang dari bawah dengan posisi membungkuk kemudian berdiri sekaligus memindahkan barang ke atas kepala, begitu juga pada saat kuli angkut menurunkan barang dengan posisi membungkuk maka beban yang di angkat akan semakin besar. Hal ini dapat menyebabkan otot dan ligamen tertarik lebih keras sehingga timbul gejala gangguan muskuloskeletal. Salah satu gangguan muskulosketal yang banyak dikeluhkan oleh pekerja sebagai kuli angkut adalah low back pain miogenik. Pelaksanaan penelitian ini bertujuan untuk mengetahui hubungan lifting index pada kuli angkut terhadap keluhan low back pain miogenik di pasar tradisional Denpasar. Metode penelitian yang digunakan yaitu penelitian observasional analitik dengan desain potong lintang atau yang biasa disebut dengan cross – sectional yang dilakukan pada Bulan November – Desember 2020.  Teknik yang digunakan dalam pengambilan sampel yaitu purposive sampling. Jumlah sampel penelitian ini sebanyak 89 orang. Variabel dependen dalam penelitian ini adalah low back pain miogenik yang diperoleh dengan melakukan proses anamnesis dan pemeriksaan fisik. Variabel independen yang diukur adalah lifting index yang diukur dengan menggunakan NIOSH lifting equation. Hasil fisher exact test menunjukkan bahwa adanya hubungan antara lifting index pada kuli angkut terhadap keluhan low back pain miogenik dengan nilai p sebesar 0,006 yang menunjukan nilai p < 0,05. Sampel dengan lifting index “berisiko” (LI > 3) dominan mengeluhkan nyeri LBP miogenik dan sampel dengan lifting index “kemungkinan berisiko” (1< LI < 3) dominan tidak mengeluhkan nyeri. Kata kunci: Lifting index, NIOSH lifting equation, low back pain miogenik, kuli angkut


2021 ◽  
Vol 1 (1) ◽  
pp. 9-13
Author(s):  
Daris Akbar ◽  
Susan Fitriyana ◽  
Rika Nilapsari

Abstract. Low back pain (NPB) is the most common musculoskeletal disorder. Based on the Global Burden of Disease (GBD) the prevalence of low back pain in 2010, which reached 9.2% which was calculated from all ages on a clinical basis. NPB is most related to work or work with administrative factors which are not ergonomic factors for sitting. The purpose of this study was to determine the relationship between sitting and the incidence of low back pain in the teaching staff of the Faculty of Medicine, Islamic University, Bandung. The research method used an observational analytic method with a cross sectional approach, the research subjects consisted of 24 respondents with an average age of more than 30 years who were selected by total sampling. The attitude of the respondent sits on the value with observation by placing workers while doing work carried out based on OSHA that has been sent by (Syamsyiayah), while for low back pain using a validated questionnaire. The results showed that most of the respondents has NPB complaints as many as 17 people (70.8%). Most of the respondents who sat with a non-ergonomic position has NPB as many as 14 people (58.3%) and the results of statistical analysis using the right test showed that the value of p = 1, which means there is no relationship between sitting position and the incidence of NPB. In conclusion, there is no close relationship between sitting position and the incidence of low pain in the education staff of the Faculty of Medicine, Islamic University of Bandung, which may be due to many other factors that can cause low pain. Abstrak. Nyeri punggung bawah (NPB) adalah gangguan pada muskuloskeletal yang paling sering terjadi. Berdasarkan Global Burden Of Desease (GBD) prevalensi nyeri punggung bawah pada tahun 2010, yaitu mencapai 9,2 % yang dihitung dari seluruh usia secara gIobaI. NPB terbanyak berhubungan dengan pekerjaan administrasi atau perkantoran dengan faktor resiko posisi duduk yang tidak ergonomis. Tujuan pada penelitian ini-adalah untukimengetahuiihubungan posisi duduk dengan kejadian nyeri punggung bawah pada tenaga kependidikan Fakultas Kedokteran Universitas-Islam-Bandung. Metode pada penelitianiini menggunakan metode analitik observasionalidengan pendekatanicross sectional, subjek penelitian terdiri dari 24 responden dengan rata-rata usia lebih dari 30 tahun yang dipilih secara total sampling. Sikap duduk responden di nilai dengan observasi dengan cara memfoto posisi duduk pekerja saat melakukan pekerjaan secara tidak disadari lalu melakukan penilaian berdasarkan OSHA yang telah dimodifikasi oleh (Syamsyiayah), sedangkan untuk nyeri punggung bawah menggunakan kuesioner yang sudah tervalidasi. Hasil penelitian didapatkan bahwa sebagian besar responden memilikiikeluhan NPB sebanyak 17 orang (70.8%). Responden yang duduk dengan posisiiduduk tidak ergonomis sebagian besar mengalami NPB sebanyak 14 orang (58.3%) dan hasil dari analisis statistik menggunakan  fisher’s exact test menunjukan bahwa nilai p=1 yang berarti tidak terdapat hubungan bermakna antara posisi duduk dengan kejadian NPB. Kesimpulan, tidak terdapat hubungan bermakna antara posisi duduk dengan kejadian nyeri punggung bawah pada tenaga kependidikan Fakultas Kedokteran Universitas-Islam Bandung yang mungkin dapat disebabkan karena banyak faktor lain yang dapat menyebabkan nyeri punggung bawah.


2017 ◽  
Vol 11 (1) ◽  
pp. 75
Author(s):  
Kursiah Warti Ningsih

<p><em>Low back pain </em>adalah rasa nyeri yang dirasakan pada punggung bawah yang sumbernya tulang belakang daerah spinal, otot, saraf, atau struktur lainnya disekitar daerah tersebut. Dari 10 perawat 6 perawat mengalami keluhan <em>low back pain</em>. Tujuan dari penelitian ini adalah untuk mengetahui faktor Keluhan <em>Low back pain</em>.</p><p>Jenis penelitian kuantitatif dengan desain <em>cross sectional</em>, pada 25 juni- 3 juli  di Rumah Sakit Umum Daerah Selasih Pangkalan Kerinci. Penelitian dilakukan pada 30 perawat dengan kuesioner. Analisa data yang digunakan secara univariat,</p><p>Hasil penelitian: 13 orang (43,3%) mengalami keluhan <em>low back pain</em>. Hasil uji bivariat terdapat hubungan antara sikap kerja, dan kebiasaan olahraga terhadap kejadian <em>low back pain</em>. Hasil analisis multivariate menunjukkan variable sikap kerja merupakan variable yang paling mempengaruhi kejadian low back pain deng nilai OR 43 kali. Dimana variable IMT merupakan <em>counfounding</em> terhadap variable sikap kerja dan kebiasaan olah raga dan variable kebiasaan olahraga merupakan <em>counfounding</em> terhadap variable IMT.</p><p>Peneliti mengharapkan pihak Rumah Sakit Umum Daerah Selasih Pangkalan Kerinci mengadakan seminar tentang sikap kerja yang baik, menjaga IMT karyawan &lt;25 dan  mengadakan kegiatan olah raga secara teratur di lingkungan Rumah Sakit Umum Daerah Selasih Pangkalan Kerinci.</p><p> </p><p><em>Low back pain is pain that felt in the lower back that is the source of the spine area of spinal, muscles, nerves, or other structures surrounding areas.</em><em> of the 10 nurses 6 nurses complain of low back</em><em> </em><em>pain. </em><em>the purpose of this study was to determine the factors complaint low backpain.</em></p><p><em>T</em><em>ype quantitative research cross-sectionaldesign,</em><em> </em><em>on 25 June-3 July at the General Hospital of </em><em>Selasih</em><em> Pangkalan Kerinci. The study was conducted on 30 nurses by questionnaires. Data analysis used univariate, </em><em>bivariate and multivariate.</em><em></em></p><p><em>E</em><em>esults of the study: 13 patients (43.3%) had complaints of low backpain.The result of bivariate correlation between working attitude and exercise habits on the incidence of low backpain.Results of multivariate analysis showed variable working attitude is the variable that most influences the incidence of low back pain deng OR value 43 times. Where the variable BMI is counfounding to variable working attitude and exercise habits and variable exercise habits is counfounding to variable IMT.</em></p><p><em>Researchers expect the Regional General Hospital Basil Pangkalan Kerinci hold a seminar on good working attitude, keep IMT employees &lt;25 and hold sports activities regular exercise in the District General Hospital Basil Pangkalan Kerinci.</em></p>


Pain Medicine ◽  
2021 ◽  
Author(s):  
Beth B Hogans ◽  
Bernadette C Siaton ◽  
Michelle N Taylor ◽  
Leslie I Katzel ◽  
John D Sorkin

Abstract Objective Low back pain (LBP) is a leading cause of pain and disability. Substance use complicates the management of LBP, and potential risks increase with aging. Despite implications for an aging, diverse U.S. population, substance use and LBP comorbidity remain poorly defined. The objective of this study was to characterize LBP and substance use diagnoses in older U.S. adults by age, gender, and race. Design Cross-sectional study of a random national sample. Subjects Older adults including 1,477,594 U.S. Medicare Part B beneficiaries. Methods Bayesian analysis of 37,634,210 claims, with 10,775,869 administrative and 92,903,649 diagnostic code assignments. Results LBP was diagnosed in 14.8±0.06% of those more than 65 years of age, more in females than in males (15.8±0.08% vs. 13.4±0.09%), and slightly less in those more than 85 years of age (13.3±0.2%). Substance use diagnosis varied by substance: nicotine, 9.6±0.02%; opioid, 2.8±0.01%; and alcohol, 1.3±0.01%. Substance use diagnosis declined with advancing age cohort. Opioid use diagnosis was markedly higher for those in whom LBP was diagnosed (10.5%) than for those not diagnosed with LBP (1.5%). Most older adults (54.9%) with an opioid diagnosis were diagnosed with LBP. Gender differences were modest. Relative rates of substance use diagnoses in LBP were modest for nicotine and alcohol. Conclusions Older adults with LBP have high relative rates of opioid diagnoses, irrespective of gender or age. Most older adults with opioid-related diagnoses have LBP, compared with a minority of those not opioid diagnosed. In caring for older adults with LBP or opioid-related diagnoses, health systems must anticipate complexity and support clinicians, patients, and caregivers in managing pain comorbidities. Older adults may benefit from proactive incorporation of non-opioid pain treatments. Further study is needed.


2020 ◽  
Vol 25 (1) ◽  
Author(s):  
Mina Magdy Wahba ◽  
Dina Othman Shokri Morsi Galal ◽  
Aliaa Rehan Youssef

Abstract Background Smartphone use has been associated with pain in the upper quadrant; however, the relationship between usage duration and low back pain is still unclear. This study investigated the association between continuous smartphone use up to 30-min and back pain severity and proprioception acuity in patients with chronic low back pain. Fifty-eight patients with chronic mechanical LBP played a game for 10- and 30-min. In each session, pain and back repositioning errors were measured at baseline and immediately after task completion. Results Pain significantly but slightly increased following smartphone use, regardless to the duration (after 10 min: mean increase = 0.75 ± 1.17, P value < 0.001, 95% CI 0.44–1.06; after 30 min: mean increase = 0.96 ± 1.93, P value < 0.001, 95% CI 0.44–1.46). However, changes in perceived pain scores were not significantly different between the two tested durations (P value = 0.42). Proprioception repositioning error was not significantly different within the same testing session (mean change = 0.08 ± 1.83, 0.13 ± 1.77, P value = 0.73, 0.58, 95% CI − 0.40–0.56, − 0.60–0.33, for the 10 and 30 min, respectively). The changes in proprioception were not significant between the two-tested durations (P value = 0.56). Further, smartphone addiction did not significantly affect changes in pain and proprioception after game playing, regardless of the duration (P > 0.05). Conclusions These findings show that smartphone use slightly increases back pain immediately after continuous use; with no effect on back proprioception within the duration tested in this study. Changes in pain and proprioception were not influenced by smartphone addiction.


2021 ◽  
Vol 22 (1) ◽  
Author(s):  
R. Meier ◽  
C. Emch ◽  
C. Gross-Wolf ◽  
F. Pfeiffer ◽  
A. Meichtry ◽  
...  

Abstract Background Low back pain (LBP) is one of the most common musculoskeletal disorders, causing significant personal and social burden. Current research is focused on the processes of the central nervous system (particularly the sensorimotor system) and body perception, with a view to developing new and more efficient ways to treat chronic low back pain (CLBP). Several clinical tests have been suggested that might have the ability to detect alterations in the sensorimotor system. These include back-photo assessment (BPA), two-point discrimination (TPD), and the movement control tests (MCT). The aim of this study was to determine whether the simple clinical tests of BPA, TPD or MCT are able to discriminate between nonspecific CLBP subjects with altered body perception and healthy controls. Methods A cross-sectional study was conducted. At one point in time, 30 subjects with CLBP and 30 healthy controls were investigated through using BPA, TPD and MCT on the lower back. Correlations among the main covariates and odds ratios for group differences were calculated. Results MCT showed an odds ratio for the presence of CLBP of 1.92, with a statistically significant p-value (0.049) and 95%CI. The TPD and BPA tests were unable to determine significant differences between the groups. Conclusions Of the three tests investigated, MCT was found to be the only suitable assessment to discriminate between nonspecific CLBP subjects and healthy controls. The MCT can be recommended as a simple clinical tool to detect alterations in the sensorimotor system of nonspecific CLBP subjects. This could facilitate the development of tailored management strategies for this challenging LBP subgroup. However, further research is necessary to elucidate the potential of all the tests to detect alterations in the sensorimotor system of CLBP subjects. Trial registration No trial registration was needed as the study contains no intervention. The study was approved by the Swiss Ethics Commission of Northwest and Central Switzerland (EKNZ) reference number 2015–243.


Author(s):  
Yen-Mou Lu ◽  
Chung-Hwan Chen ◽  
Yi-Jing Lue

BACKGROUND: Sex and gender affect responses to pain, but little is known about disability and quality of life. OBJECTIVES: To investigate the effects of sex and gender on disability and health-related quality of life (HRQOL) in patients with low back pain. METHODS: Ninety-three patients with low back pain were included in this cross-sectional survey study. Disability, HRQOL and gender identity were respectively assessed with the Oswestry Disability Index, Short Form-36 and Bem Sex Role Inventory. The participants were classified into four gender role orientations (masculinity, femininity, androgyny and undifferentiated). One-way analysis of variance was used to analyze both the sex and the gender role orientation. RESULTS: Females had higher disability than males (p< 0.05), but in gender identity, no significant difference was found. Seven domains of HRQOL were lower than the healthy norms. Males experienced greater impacts than females on vitality and mental health (p< 0.05). For gender identity, five domains of HRQOL had significant differences (p< 0.05). Masculinity orientation had the least impact on four domains (p< 0.05), while undifferentiated orientation had the largest impact on all domains. CONCLUSION: Sex and gender effects can be used to analyze disability and HRQOL in patients with low back pain. Females have higher disability, while HRQOL is greatly influenced by different gender role orientations.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Sungwoo Choi ◽  
Sangun Nah ◽  
Hae-Dong Jang ◽  
Ji Eun Moon ◽  
Sangsoo Han

AbstractLow back pain (LBP) is a very common health problem worldwide, and has a major impact on quality of life. This is a cross-sectional study using data obtained from the Korea National Health and Nutrition Examination Survey (KNHANES) to investigate the health and nutritional status of Korean people, conducted in 2013, 2014, and 2015. The total of 8,473 patients included in the analysis. A 357 (19.34%) subjects in the chronic LBP group and 1,697 (25.61%) subjects in the no chronic LBP group reported no stress (P < 0.001). The numbers of subjects reporting mild, moderate, and severe stress in the two groups were 934 (50.6%) vs. 3,785 (57.11%), 432 (23.4%) vs. 910 (13.73%), and 123 (6.66%) and 235 (3.55%), respectively (all P < 0.001). Multiple logistic regression analysis with full adjustment for other variables indicated higher OR for severe stress (OR 2.82, P < 0.001) than moderate (OR 2.54, P < 0.001) and mild (OR 1.55, P < 0.001) stress. We confirmed that there was a significant association between chronic LBP and degree of stress. Therefore, the degree of stress should be assessed in clinical treatment of chronic LBP patients.


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