PROPIOCEPTIVE NEUROMUSKULAR LEBIH BAIK DARIPADA CORE STABILITY PADA PENURUNAN NYERI LOW BACK PAIN NON SPESIFIK DI RSAD TK.II PELAMONIA MAKASSAR

Authors

  • Wildayati Wildayati Universitas udayana
  • Arpanjam’an Arpanjam’an Jurusan Fisioterapi Poltekkes Kemenkes Makassar
  • Andi Halimah Jurusan Fisioterapi Poltekkes Kemenkes Makassar

DOI:

https://doi.org/10.32382/medkes.v18i1.451

Abstract

ABSTRAK

Latar Belakang: Non spesifik low back pain merupakan keluhan muskulokeletal yang sering menyebabkan nyeri gerak dan hipomobile pada segmen lumbal. Sumber nyeri umunya berasal dari facet joint dan otot, sehingga sering menimbulkan nyeri saat terjadi pembebanan pada facet joint dan otot. Kondisi Low back pain non-spesific sering berkembang menjadi chronic low back pain dan akibatnya akan menimbulkan penurunan aktivitas penurunan aktivitas fungsional lumban.Metode: Penelitian ini adalah penelitian quasy eksperimen dengan desain pre test – post test two group design, bertujuan untuk mengetahui perbedaan pengaruh pemberian PNF dengan Core Stability pada penerapan MWD  terhadap penurunan nyeri pada penderita non spesifik low back pain. Penelitian ini dilaksanakan di RSAD TK.II Pelamonia Makassar, dengan sampel adalah penderita non spesifik low back pain yang sesuai dengan kriteria inklusi dan cara pengambilan sampel dengan cara purposive sampeling. Jumlah populasi 71 orang dengan sampel adalah 18 orang yang dibagi secara acak ke dalam 2 kelompok yaitu kelompok perlakuan PNF dan MWD sebanyak 9 orang dan kelompok perlakuan Core Stability dan MWD sebanyak 9 orang Hasil: Berdasarkan Uji Wilcoxon menunjukkan bahwa PNF dan MWD menghasilkan penurunan nyeri yang signifikan dengan 3,667 ± 0,931 cm dengan nilai p< 0,05, sedangkan Core Stabilty  dan MWD menghasilkan penurunan nyeri yang signifikan dengan 4,300 ± 0,507 cm dengan nilai p< 0,05. Berdasarkan Ujii Mann Whitney, menunjukkan bahwa ada pengaruh yang signifikan antar kelompok perlakuan dengan nilai p = 0,053 < 0,05 Kesimpulan: Kesimpulan penelitian ini adalah PNF  dan MWD dengan Core Stability dan MWD  memiliki perbedaan pengaruh yang signifikan terhadap penurunan nyeri pada penderita non spesifik low back pain

Kata Kunci : PNF, MWD, Core Stability, Non Spesifik Low Back Pain

References

Adler, S., beckers, d., buck, m. 2008. Pnf in practice. Third edition. Berlin: spiger medizin verlag Heidelberg

Ahmad, Hasnia., Sri Saadiyah. L, St. Nurul Fajriah, M. Nurdin. T., Muhammad Akraf., 2015. Buku Ajar Fisioterapi Kesehatan Wanita. Makassar : Poltekkes Kemenkes Makassar

Andini, fauzi. 2015. Risk factors of low back pain in works. Journal volume : 4 nomor 1

Andarmoyo, S. 2013. Konsep & Keperawatan Nyeri. Jogjakarta : Ar-Ruzz.

Anshar, Sudaryanto, Halima. A, Hendrik. 2017. Buku Panduan Skripsi Prodi D.IV Fisioterapi. Makassar : Poltekkes Kemenkes Makassar.

Ahmed Shaik. Md, Shakoor A. Md, Aminuddin A. Khan. 2009. Evaluation of the effects of shortwave diathermy in patients with chronic low back pain, Department of Physical Medicine and Rehabilitation, Chittagong Medical College, Chittagong, Banglades.

Areeudomwon P & Buttagat V. 2018. Proprioceptive neuromuscular facilitation training improves pain-related and balance outcomes in working-age patients with chronic low back pain: a randomized controlled trial, Department of Physical Therapy, School of Health Science, Mae Fah Luang University, Chiang Rai, Thailand, Chiang Rai.

Areeudomwong P , Wongrat W , Neammesri N , Thongsakul T. 2016. A randomized controlled trial on the long‐term effects of proprioceptive neuromuscular facilitation training, on pain‐related outcomes and back muscle activity, in patients with chronic low back pain, Department of Physical Therapy, School of Health Science, Mae Fah Luang University, Chiang Rai, Thailand, Chiang Rai

Awal M, Arpandjam'an, Hasbiah, Aco Tang, 2018. Pengaruh Contract Relax Streching Terhadap Perubahan Rom Lumbal Pada Kondisi Mekanikal Low Back Pain Di Rsud Salewangang Maros, Health Polytechnic of Makassar, Department of Physiotherapy, Makassar.

Bahruddin, M. 2017. Patofisiologi Nyeri (Pain). E journal Universitas Muhammadiyah Malang.Volume 13 Nomor.I. Hal. 8-9.

Berua, s.k. & sultana, n.2014. prevalence of low back pain among women living in slum areas of Dhaka city. Chattagram maa-o-shishu hospital medical collage journal, 14(1), 47-51.

Borestein and wissel. 2004. Low back pain medical diagnosis and comprehensive management. Wb saunders company. Philaelphia,

Braddom RI, 2011, Low Back Pain Medical Diagnosis and comprehensive manangent, WB Saunders Compeny, Philadelphin,

Camila CA, Vinicius Z. Maldaner S, Gerson CJ, Richard EL, Joao LD, 2017. Transcutaneous electrical nerve stimulation and interferential current demonstrate similar effects in relieving acute and chronic pain: a systematic review with meta-analysis, Physical Therapy Division, Instituto Hospital de Base do Distrito federal e Escola Superior de Ciências da Saúde (ESCS), Brasilia, DF, Brazil, Brasilia.

Cho HY, Kim EH, Kim J, 2014. Effects of the CORE Exercise Program on Pain and Active Range of Motion in Patients with Chronic Low Back Pain, Department of Physical Therapy, College of Health Science, Korea University: 1 Jungneung-3-dong, Sungbuk-gu, Seoul 136-703, Republic of Korea. Seoul.

Desita Herawati, 2016, Pengaruh Core Stability Dan William Exercise Terhadap Penurunan Nyeri Punggung Bawah Pada Kuli Panggul Beras Di Daerah Jati Kurung Kabupaten Karanganyar, Program Studi S1 Fisioterapi Fakultas Ilmu Kesehatan Universitas Muhammadiyah Surakarta, Surakarta.

Elfindri, Hasnita Evi, Abidin Zainal, Machmud Elmiyasna Rizanda. 2012. Metodologi Penelitian Kesehatan. Jakarta : Baduose Media Jakarta.

Gauri S, Yama J, 2014. Effect of Core Stability Exercises in Treatment of Non Specific Low Back Pain in Young Adults, Research Scholar, Singhania University, Pachheri Bari, Rajasthan, India. 2MPT, Physiotherapist, Gujarat, India, Gujarat.

Hislop, H, J.k and Montgomery, 2013. Muscle testing Of Manual Examination, sixth editaion, WB Saunders Company, Philadelphia.

Hoy, d, 2010, the epidemiologi of low back pain. Best practice & research clinical rheumatology, 24: 769-781

James M. Cox 1998. Mechanism, Diagnosis, and treatment Low Back Pain, Sixth Edition. USA: Williams & Wilkins

John F, Deivendran K, Tushar P, Nikky N, 2013. Effectiveness of PNF Training for Chronic Low Back Pain, Associate professor, Padmashree Dr. D. Y. Patil College of Physiotherapy, Dr. D. Y. Patil Vidyapeet University, Pimpri, Pune, India, Volume 2, Pune.

Kalangi, Patricia, Angliadi, Engeline,. Gessal, Joudy. 2015. Perbandingan kecepatan berjalan pada pasien nyeri punggung bawah mekanik subkutan dan kronik menggunkan timed up and go test. Jurnal. Unuversitas Sam Ratulangi Manado

Kapandji. 2010. The Physiology Of the Joint. Sixth edition. Churchil Living Stone. New York.

Kim BR & Lee HJ, 2017. Effects of proprioceptive neuromuscular facilitation-based abdominal muscle strengthening training on pulmonary function, pain, and functional disability index in chronic low back pain patients, Department of Physical Therapy, Graduate School, Sahmyook University, Seoul, Korea, Seoul.

Kisner, Colby. 2007. Therapeutic exercise foundation and techniques. Fifth edition. Philadelphia: f.a davis company.

Kumar Praveen, Moitra Monika. 2015. Efficacy of Muscle Energy Technique and PNF Stretching Compared to Conventional Physiotherapy in Program of Hamstring Flexibility in Chronic Nonspecific Low Back Pain, Associate Professor, Maharishi Markandeshwar Institute of Physiotherapy and Rehabilitation, Mullana, Ambala

Lin, c, 2011, relationship between physical activity and isability in low back pain :. Internasional asocial-tion for the study of pain.

Norasteh AA, 2012. Low Back Pain, Janeza Trdine, Rijeka, Costarica,

Ogunlana, M .O., Odunaiya, N.A., Dairo, M .D. & Ihekuna, O (2012). Predictors of Health-related Quality of Life in Patients with Non-specific Low Back Pain. African Journal of Physiotherapy and Rehabilitation Sciences. 4(1), 15 – 23.

Pardis Noormohammadpour, Mahla Kordi, Mohammad Ali Mansournia, Maryam Akbari-Fakhrabadi, Ramin Kordi. 2018. The Role of a Multi-Step Core Stability Exercise Program in the Treatment of Nurses with Chronic Low Back Pain: A Single-Blinded Randomized Controlled Trial, Sports Medicine Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran. Iran.

Pramita, indah. 204. Core stability exercise lebih baik meningkatkan aktivitas fungsional daripaa william fleksion exercise pada pasien nyeri punggung bawah miogenik. Thesis universitas udayana Denpasar.

Putz, R, & Pabst, R. 2006, Atlas Anatomi Manusia Sabotta. Jakrta :Buku Kedokteran, EGC.

Purnamasari, H, 2010, Over Wight sebagai faktor resiko Low Back Pain pada Pasien saraf RSUD Prof.Dr.Margono Soekarjo Purwekerto. Mandala Of Health.

Rakha Faturachman, 2015, Hubungan antara kebiasaan menggunakan tas punggung berat dan kejadian Low back pain (LBP) pada mahasiswa Program Studi Pendidikan Dokter FKIK UIN Syarif Hidayatullah Jakarta. Fakultas Kedokteran dan Ilmu Kesehatan UIN Syarif Hidayatullah,

Sumit B & Sohan P, 2013. Effect of core stabilization exercises versus conventional exercises on pain and functional status in patients with non-specific low back pain: A randomized clinical trial, MIP College of Physiotherapy, Latur, Maharashtra, India, Maharashtra.

Suryo Nugroho. 2013 pengaruh kinesio taping dan core stability terhadap penurunan nyeri & peningkatan lingkup gerak sendi kasus nyeri punggung bawah. Universitas Muhammadia Surakarta,Indonesia, Surakarta

Starkey C. 2013, Therapeutic Modalities, Davis Company, United States of America, Philadelphia.

Tae woon Kang, Beom Ryon Kim, 2017. The effect of stretching and stretening exercises on the pai, pelvic tilt, functional disability index, and balance ability of patients with choronical lower back pain, J Kor Phys Ther. Korea Selatan.wonju

Trisnowiyanto, Bambang, 2012. Instrument Pemeriksaan Fisioterapi Dan Penelitian Kesehatan. Yogyakarta.

Widiarti. 2016. Pengukuran Dan Pemeriksaan Fisioterapi. Edisi I. Yogyakarta : Deepublish.

Waldman, S. D. 2011. Pain Management. Second Edition. Philadelpia : Elsevier.

Yanuar, andrea. 2002. Anatomi, fisiologi dan biomekanik tulang belakang, symposium menagemen terpadu nyeri punggung bawah, Surakarta.

Zakaria, R. F. 2017. Referat Teknik Penilaian Nyeri. Kepaniteraan Klinik Ilmu Neurologi RSUD Pasar Rebo. Fakultas Kedokteran. Universitas Yarsi

Published

2023-06-30

How to Cite

Wildayati, W., Arpanjam’an, A., & Halimah, A. (2023). PROPIOCEPTIVE NEUROMUSKULAR LEBIH BAIK DARIPADA CORE STABILITY PADA PENURUNAN NYERI LOW BACK PAIN NON SPESIFIK DI RSAD TK.II PELAMONIA MAKASSAR. Media Kesehatan Politeknik Makassar, 18(1), 152–161. https://doi.org/10.32382/medkes.v18i1.451