Penurunan Skala Nyeri Sendi Setelah diberikan Senam Yoga pada Lansia

ABSTRACT : DECREASE IN JOINT PAIN SCALE AFTER BEING GIVEN YOGA EXERCISE TO THE ELDERLY Background: The problem of joint pain in the elderly (elderly) is quite high with increasing age, including those who experience joint pain problems due to physical changes.Purpose: This study aims to identify the effect of yoga on joint pain in the elderly. Research Methods: This type of research is a case study design research, which is a form of research (inquiry) or case studies and interventions about a problem that has a specificity (particularity).Results: The results of this study were that there was a change in the pain scale in the elderly with joint pain after being given yoga exercise therapy, before being given therapy the pain scale value was 4 currently, after yoga exercise therapy the scale value became 3 light based on these results indicating that there was a significant decrease.Conclusion: The conclusion of this study is that the application of yoga exercise therapy intervention has an effect on changes in pain scale, as evidenced by data on the characteristics of joint pain sufferers, namely age, gender and activities such as factors that rarely exercise and do not repeat therapy. pain scale in patients with joint pain. Keywords : Ederly; joint pain; yoga exercise INTISARI: PENURUNAN SKALA NYERI SENDI SETELAH DIBERIKAN SENAM YOGA PADA LANSIA Latar Belakang : Masalah nyeri sendi pada lanjut usia (lansia) cukup tinggi dengan bertambahnya usia lansia termasuk golongan yang mengalami masalah nyeri sendi akibat perubahan fisik.Tujuan : Penelitian ini bertujuan untuk teridentifikasi adanya pengaruh yoga dengan nyeri sendi pada lansia.Metode Penelitian : Jenis penelitian ini adalah penelitian case study design yaitu suatu bentuk penelitian (inquiry) atau studi kasus dan intervensi tentang suatu masalah yang memiliki sifat kekhususan (particularity).Hasil: Hasil penelitian pada 4 responden yang dilakukan mengalami perubahan skala nyeri pada lansia nyeri sendi setelah diberikan therapy senam yoga, sebelum diberikan terapi nilai skala nyeri 4 sedang, setelah dilakukan terapi senam yoga nilai skala menjadi 3 ringan berdasarkan hasil tersebut menunjukkan bahwa terjadi penurunan yang signifikan.Kesimpulan : Kesimpulan dari penelitian ini penerapan intervensi therapy senam yoga berpengaruh terhadap perubahan skala nyeri, dibuktikan dengan data karakteristik penderita nyeri sendi yaitu usia, jenis kelamin dan aktivitas seperti faktor jarang berolahraga dan tidak terapi berulang, hal ini menunjukkan semakin sering melakukan terapi senam yoga dapat mempengaruhi penilaian skala nyeri pada penderita nyeri sendi. Kata Kunci : Lansia; Nyeri Sendi; Senam Yoga

Pemberian Terapi Minyak Jahe Merah Dalam Mengurangi Intensitas Nyeri Sendi Pada Lansia

ABSTRAK Lansia merupakan populasi yang mayoritas memiliki masalah nyeri sendi. Proses penuaan dan penyakit penyerta membuat lansia mengalami nyeri sendi yang tidak dapat menggangu aktifitas harian dan pergerakan. Selama ini lansia mengatasi nyeri sendi dengan terapi famakologi atau terapi obat pengurang nyeri. Masih sedikit yang mengetahui bahwa terapi komplementer seperti jahe merah dapat membantu menguragi nyeri sendi. Jahe merah mempunyai kandungan minyak atsiri yang digunakan sebagai pengurang rasa nyeri. Tujuan kegiatan pengabdian masyarakat ini adalah mengidentifikasi efektifitas terapi jahe merah terhadap intensitas nyeri sendi pada lansia. Metode kegiatan pengabdian masyarakat ini adalah sosialisasi dan demonstrasi terapi minyak jahe merah pada lokasi nyeri sendi. Sebanyak 25 lansia berpartisipasi aktif dalam kegiatan ini. Sebelum terapi minyak jahe merah ditemukan 90 % lansia dengan instensitas nyeri 6-7 (nyeri berat). Setelah dilakukan terapi minyak jahe merah 95 % lansia dengan intensitas nyeri menjadi skala 4-5 (nyeri ringan). Hal ini menunjukan bahwa terapi minyak jahe merah efektif mengurangi intensitas nyeri sendi. Kesimpulan pemberian minyak jahe merah pada lansia dengan intensitas nyeri sendi merupakan salah satu terapi yang efektif untuk menurunkan intensitas nyeri sendi. Kata Kunci: Jahe Merah; Lansia; Nyeri ABSTRACT The elderly are the majority of the population with joint pain problems. The aging process and concomitant diseases make the elderly experience joint pain that cannot interfere with daily activities and movements. During this time the elderly overcome joint pain with pharmacology therapy or pain reduction drug therapy. Few know that complementary therapies such as red ginger can help reduce joint pain. Red ginger has an essential oil content that is used as a pain reduction. The purpose of this community service activity is to identify the effectiveness of red ginger therapy on the intensity of joint pain in the elderly. This method of community service activity is socialization and demonstration of red ginger oil therapy at the site of joint pain. A total of 25 seniors actively participated in this activity. Before red ginger oil therapy found 90 % elderly with pain intensity 6-7 (severe pain). After therapy red ginger oil 95 % elderly with pain intensity to a scale of 4-5 (mild pain). This indicates that red ginger oil therapy effectively reduces the intensity of joint pain. The conclusion of giving red ginger oil to the elderly with the intensity of joint pain is one of the effective therapies to lower the intensity of joint pain. Keyword: Red Ginger; Elderly; Pain

Comparing Spinomed® and Elderly Spinal Orthosis Use on Kyphosis Angle, Back Pain, and Quality of Life in Elderly With Thoracic Hyperkyphosis

Objectives: Thoracic hyperkyphosis is one of the most common conditions in the elderly. The use of orthosis and exercise is one of the most effective treatments suggested, but unfortunately, there is little evidence to support this treatment. The study aimed to compare the effect of Spinomed® orthosis and elderly spinal orthosis with exercise and exercise alone on the angle of kyphosis, quality of life, and pain in the elderly with thoracic hyperkyphosis. Methods: In this study, 40 older adults aged 60 years and older with a kyphosis angle of more than 50 degrees were recruited. The participants were allocated into three groups: Spinomed® orthosis and exercise (n=14), elderly spinal orthosis and exercise (n=15), and exercise only (n=11). The groups were treated for three months. Results: There was a significant decrease in the kyphosis angle of participants in the Spinomed® orthosis and exercise groups (P=0.005). Pain score was significantly decreased in the Spinomed® orthosis and exercise group (P=0.023). There was only a significant increase in the physical component summary in the Spinomed® orthosis and exercise group (P=0.03) and the elderly spinal orthosis and exercise group (P=0.04) . Discussion: The combination of Spinomed® orthosis with exercise is the best choice to correct the kyphosis angle, reduce pain, and increase the quality of life. Elderly spinal orthosis and exercise can also improve the quality of life scores.

The Effect Of Back Massage Therapy On Rheumatic Pain In The Elderly In The Geriatric Clinic Kesdam Cijantung Hospital, East Jakarta Year 2019

Rheumatic disease is a chronic joint inflammatory disease caused by an autoimmune disorder. Pain is a clinical complaint most frequently encountered by nurses. This study aims to determine the comparison of the results of back message therapy and not back message therapy with pain in elderly rheumatism. This study is a quantitative study with a quasi-experimental research design made using a non-equivalent group design with pre and post tests. The research sample was 18 respondents. The sampling technique used purposive sampling. Data collection using experimental method. The instrument for measuring the level of pain uses a numerical rating scale (NRS) . From the results of statistical analysis using the Independent Sample Test, it is known that the average difference in the measurement results of back message therapy in the pre category of 5.22 and post is 2.00 with p value = 0.000 (<0.05), while there is a difference of pre 5, 17 and post 3.50 on no back message therapy which obtained p value = 0.000 (<0.05). It was concluded that there was a significant difference in pain in elderly arthritic patients who took back message therapy and did not follow back message therapy. It is important for the results of this study that health workers teach back message therapy for the elderly who experience pain because this is a very effective therapy for people with rheumatism.Keywords: Back Message, Rheumatic Pain, Elderly

Community consumption of analgesic opioids and opiate substitution treatments in a self-employed workers health plan: trend, substitution effects and demographic factors

Objective: Our aim was to evaluate community consumption of strong prescription opioid treatments in France in 2015 and 2017.Methods: A nation-wide French health care insurance claims database was analyzed for opioids average annual cost, annual prevalence of dispensations and users by mean of two repeated retrospective cross sectional study in 2015 and 2017.Results: In 2015–2017 prevalence of users per 100 000 beneficiaries per year rose from 878 to 932 (+6%) for strong opioid analgesics and lowered from 160 to 150 (-6%) for opiate substitution treatments. Prevalence of users of oxycodone, fentanyl, morphine, hydromorphone, buprenorphine, and methadone shifted by +17%, -5%, +4%, -8%, -13%, and +10%, respectively (+20% for methadone capsules). Oxycodone moved from third place to first place in terms of number of dispensation. Highest prevalence were in the western half of France, age over 60 and female for strong analgesic opioids and the north-east quarter and the south-west quarter of France, age 30 to 49 and male for opiate substitution treatments. The factor most strongly associated with prevalencewas age in strong analgesic opioids and gender in opiate substitution treatments.Conclusions: In 2 years the use of analgesics progresses, especially for oxycodone, while that of the substitution drugs decreases. Despite its greater danger, methadone tends to replace buprenorphine and capsule form tends to replace the syrup. Regulatory changes or enhanced controls may have played a role. The age of strong analgesic opioids consumers highlights the issue of severe pain in the elderly.

SPECIFICS OF THERAPY FOR BACK PAIN IN PATIENTS WITH FACET SYNDROME

Back and neck pain are among the most common medical complaints in developed countries, with up to 66% of the population suffering from acute nonspecific back pain. As early as 1911, Goldthwaite J.E. proved that the articular joints of the spine can serve as a source of pain impulsation, with the proportion of facet syndrome increasing in older age groups, which can cause a clinical dilemma in identifying causes of back pain in the elderly. Like other synovial joints, the bicuspid joints, which are richly innervated by nociceptors, are also at risk of developing dystrophic changes with destruction of articular cartilage and, accordingly, the development of pain, which is provoked by stretching of the bicuspid joint capsule against the background of inflammatory modulators activation. Aim. The aim of the study was to investigate the efficacy of different methods of treatment of facet syndrome. Material and methods. An analytical review of publications in the scientific medical literature was performed. Results and discussion. In facetsyndrome, both local injection therapy with glucocorticosteroids, hyaluronic acid, local anesthetics, mesenchymal stem cells, and platelet-derived autoplasma are effective. Additional application of non-pharmacological treatments such as therapeutic gymnastics, physiotherapy, and therapeutic massage potentiates the effects of conventional conservative therapy. Radiofrequency laser neurotomy has been recognized as an alternative effective treatment for facet syndrome with a long-term positive effect. The choice of drugs and cellular substances for therapeutic blocks is wide enough and provides an adequate therapeutic approach to the treatment of nonspecific back pain caused by articular joint lesions. Conclusion. The diagnosis of facet syndrome is a diagnosis of exclusion, which requires a thorough differential diagnosis to choose further adequate treatment strategy.

Chronic Pain in the Elderly: Mechanisms and Distinctive Features

Background: Chronic pain is a major issue affecting more than 50% of the older population and up to 80% of nursing homes residents. Research on pain in the elderly focuses mainly on the development of clinical tools to assess pain in patients with dementia and cognitive impairment or on the efficacy and tolerability of medications. In this review, we searched for evidence of specific pain mechanisms or modifications in pain signals processing either at the cellular level or in the central nervous system. Methods: Narrative review. Results: Investigation on pain sensitivity led to conflicting results, with some studies indicating a modest decrease in age-related pain sensitivity, while other researchers found a reduced pain threshold for pressure stimuli. Areas of the brain involved in pain perception and analgesia are susceptible to pathological changes such as gliosis and neuronal death and the effectiveness of descending pain inhibitory mechanisms, particularly their endogenous opioid component, also appears to deteriorate with advancing age. Hyperalgesia is more common at older age and recovery from peripheral nerve injury appears to be delayed. In addition, peripheral nociceptors may contribute minimally to pain sensation at either acute or chronic time points in aged populations. Conclusions: Elderly subjects appear to be more susceptible to prolonged pain development, and medications acting on peripheral sensitization are less efficient. Pathologic changes in the central nervous system are responsible for different pain processing and response to treatment. Specific guidelines focusing on specific pathophysiological changes in the elderly are needed to ensure adequate treatment of chronic pain conditions.

Efektivitas Retrowalking Terhadap Penurunan Nyeri Pada Lansia Dengan Knee Osteoarthritis di Puskesmas Kendal Kerep Kota Malang

Knee osteoarthritis is a degerative disease in the form of musculoskeletal disorders that occurs in the knee joint due to the integrity of the damaged articular cartilage which can cause pain. Pain in the knee that is allowed to continue without treatment will cause physical dysfunction in the individual with knee osteoarthritis. One of the interventions to treat pain in knee osteoarthritis is retrowalking. The mechanism of action of retrowalking in reducing pain is through its unique biomechanical mechanism, starting from the toe on phase. This study aims to determine the effectiveness of retrowalking to reduce pain in the elderly with knee osteoarthritis at Kendal Kerep Public Health Center.

DEPRESSION AND PAIN IN ELDERLY WITH KNEE OSTEOARTHRITIS PAIN.

Aim Of The Study:The study aims to review depression and pain in the elderly with knee Osteoarthritis. Material And Methods: Subjects fullling selection criteria were recruited from the Department of Orthopaedics Surgery, KGMU, Lucknow, India. 1. Mobile numbers of subjects from the records available were obtained from JANUARY 2018 to JANUARY 2020 2. Topics were contacted over the telephone and recruited according to the nomination standards for the study. The call was recorded after taking consent. 3. Subjects were contacted during the daytime 10 am -2 pm. 4. Subjects were approached three times. 5. The survey was completed in a maximum of 2 sessions,15 minutes each (if the subject was not comfortable answering in a single session). 6. Proper introduction of the Doctor calling them and the purpose of the telephone was given to the subjects. 7. Telephone subjects were interviewed based on the sociodemographic questionnaire. 8. Following the basic interview, subjects were evaluated using scales that include PHQ-9, SF-12 and WOMAC. ( Antonio Escobar, 2006) 9. HRQoL was measured by SF-12 which includes general health, limitation of activities, physical health, emotional health and social activities. ( MoheddineYounsi, 2015 ) 10. PHQ-9 to assess the diagnosis and severity of depression was applied. 11. WOMAC scale was applied which gives the status of pain, stiffness and physical disabilities. 12. Each assessment took 20-30 minutes. 13. If subjects and attenders ask for advice regarding the treatment were addressed properly following guidance from consultants. 14. For the subjects with depression, the advice was given to consult the geriatric mental health helpline number of KGMU. The specimen length assumed for this study is 90 (30 in each group in KL grade 2/3/4). Results: This study shows that depression was extensively observed among sufferers with knee OA. Patients with knee OA analyzed with these comorbidities encountered more pain and discomfort, had systematic hospital calls, took more medication, and documented less optimal results. Being a cross-sectional, telephonic survey, this study shows results accordingly.( Anirudh Sharma, et al., 2020). Conclusion: Depression seems to have adverse impacts on the sufferers with knee OA. Physicians or caregivers are highly instructed to contemplate these comorbidities in patients with knee OA. KOA studies usually comprise pain and function scores but haven't routinely incorporated psychosocial variables estimating QoL(Prtha Kudesia, et al., 2020). This study concludes that there is a considerable difference in pain and general health-related quality of life (HRQoL). Pain and HRQoL worsen with higher grading of KOA. Eventually, a holistic customised surveillance method is essential to enhance patient results.( Roman Sosnowski, et al., 2017).