PERBANDINGAN EFEKTIVITAS WILLIAM’S FLEXION EXERCISE DAN MCKENZIE EXERCISE Terhadap Perubahan Nyeri dan Lingkup Gerak Sendi Lumbosakral pada Low Back Pain Mekanik Pasien Tinjauan di RSUD Ulin Banjarmasin Periode 2022

Zanuba Tarieq Ridho Pambudi, Azka Hayati, Zairin Noor, Muhammad Siddik, Fakhrurrazy Fakhrurrazy

Abstract


Low back pain is a pain that is felt in the lower back area, with various variations of the duration of the pain. This pain is localized below the angle of the last rib to the lumbar region, which can cause movement limitations in the lumbosacral joints. The causes of low back pain can be caused by musculoskeletal diseases, psychological disorders, and incorrect mobilization. This study aims to determine the differences in the effectiveness of the william’s flexion exercise and the mckenzie exercise on changes in pain and the range of motion of the lumbosacral joints in mechanical low back pain in review patients at Ulin General Hospital, Banjarmasin. This study used a quasi-experimental research design with a two group pretest-posttest design with an approach through direct observation and interviews with respondents at Ulin Hospital, Banjarmasin, on 23 samples that met the inclusion criteria. The results of this study indicated that there was a decrease in the pain scale (VAS) in group I (william flexion exercise) with a value of p = 0.03 and group II (mckenzie exercise) with p = 0.02, which means there is a significant difference. Whereas in ROM groups I and II the value of p = 0.317 which means there is no significant difference. For differences in the effectiveness of groups I and II, p = 0.795 on VAS and p = 0.606 on ROM, which means there is no significant difference between them.


Keywords


low back pain, visual analogue scale, range of motion, william flexion exercise, mckenzie exercise

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References


Selly F. Metode core stability excercise untuk meningkatkan range of motion (ROM) pada penderita low lack pain myogenic. Jurnal Penelitian. 2019;18

Ehrlich GE. Low back pain. Bulletin of the world health organization. 2003;81(9):671–6.

Bull E. Nyeri punggung. Jakarta : Erlangga. 2007;

Tanderi EA, Hendrianingtyas M. Hubungan kemampuan fungsional dan derajat nyeri pada pasien low back pain mekanik di instalasi rehabilitasi medik RSUP Dr. Kariadi Semarang. Jurnal Kedokteran Diponegoro. 2017;6(1):63–72.

Wu A, March L, Zheng X, Huang J, Wang X, Zhao J, et al. Global low back pain prevalence and years lived with disability from 1990 to 2017: estimates from the global burden of disease study 2017. Ann Transl Med. 2020;8(6):299–299.

PERDOSSI. Panduan praktis klinis neurologi. Jakarta: PERDOSSI. 2016.

Widiyanti ECL, Basuki E, Jannis J. Hubungan sikap tubuh saat mengangkat dan memindahkan pasien pada perawat perempuan dengan nyeri punggung bawah. 2007;107–12.

RSUD Ulin. Sensus pasien low back pain rawat inap dan rawat jalan RSUD Ulin Banjarmasin periode pelayanan 2017-2022. 2022;

Eko N. Ergonomi konsep dasar dan aplikasinya edisi kedua. Surabaya: Guna Widya. 2004;

Daneshmandi H, Choobineh A, Ghaem H, Karimi M. Adverse effects of prolonged sitting behavior on the general health of office workers. J Lifestyle Med. 2017;7(2):69–75.

Pramita I, Pangkahila A, Sugijanto S. Core stability exercise lebih baik meningkatkan aktivitas fungsional daripada william’s flexion exercise pada pasien nyeri punggung bawah miogenik. Sport and Fitness Journal. 2015;3(1):35–49.

Risydianto MN. Pengaruh kombinasi william flexion exercise dan myofascial trigger point release technique menurunkan nyeri punggung bawah komunitas tani Desa Sukomulyo Malang [skripsi]. Malang : Universitas Muhammadiyah Malang. 2019;(2010):11–31.

Novia HA. Perbedaan efektifitas terapi latihan william flexion exercise dan mc.kenzie extension exercises terhadap penurunan nyeri punggung bawah miogenik pada lansia di wilayah kerja Puskesmas Bojong Purbalingga [Internet]. Purwokerto : Fakultas Ilmu Keseahtan UMP. 2018;34–7. Available form : http://repository.ump.ac.id/7808/

Imani F, Safari S. “Pain relief is an essential human right”, we should be concerned about it. Anest Pain Med I. 2011;1(2):55–7.

Wahyuni N. Perbedaan efektivitas antara terapi latihan wiliam’s flexion dengan mckenzie extension pada pasien yang mengalami postural low back pain. Majalah Ilmiah Fisioterapi Indonesia (MIFI). 2015;29

Afrian M, Pratama W, Bustamam N, Zulfa F, Universitas K, Nasional P, et al. Mckenzie exercise dan william's flexion exercise. Jurnal Kesehatan Kusuma Husada. 2021;42–52.

Dachlan LM. Pengaruh back exercise pada nyeri punggung bawah. Thesis. 2009;

Kaplan W, Wirtz VJ, Mantel-Teeuwisse A, Stolk P, Duthey B, Laing R. priority medicines for Europe and the world 2013 update. J Chem Inf Model. 2013;53(9):1–246.

Rachmaputri J, Kusumawati NR. Gambaran gangguan fungsional dan kualitas hidup pada pasien low back pain mekanik. Jurnal Kedokteran Diponegoro. 2015;4(4):112254.

Harahap PS, Marisdayana R, Al Hudri M. Faktor-faktor yang berhubungan dengan keluhan low back pain (LBP) pada pekerja pengrajin batik tulis di Kecamatan Pelayangan Kota Jambi Tahun 2018. Riset Informasi Kesehatan. 2019;7(2):147.

Fitriana R. Nyeri punggung bawah (LBP) yankes kemenkes RI. 2018;

Tarwaka. Ergonomi Industri : Dasar-dasar pengetahuan ergonomi dan aplikasi di tempat kerja. Harapan Press. 2014;

Tarwaka. Kesehatan kerja dan produktivitas. Surakarta : UNIBA Pres. 2004;

Andersen LL, Christensen KB, Holtermann A, Poulsen OM, Sjøgaard G, Pedersen MT, et al. Effect of physical exercise interventions on musculoskeletal pain in all body regions among office workers: a one-year randomized controlled trial. Man. Ther. 2010;15(1):100–4.

Riningrum H, Widowati E. Pengaruh sikap kerja, usia, dan masa kerja terhadap keluhan low back pain. Pena Medika Jurnal Kesehatan. 2016;6(2):91–102

Jin W, Han Q, Fu X, Wan J. Anchorage system for FRP material-based sheets. Huazhong Keji Daxue Xuebao (Ziran Kexue Ban)/J. Huazhong Univ. Sci. Technol. (Nat. Sci. Ed.). 2011;39(8).

Wulandari M, Setyawan D, Zubaidi A. Faktor risiko low back pain pada mahasiswa jurusan ortotik prostetik politeknik kesehatan Surakarta. Jurnal Keterapian Fisik. 2017;2(1):8–14.

Guyton A. Buku ajar fisiologi kedokteran. 2018;11.

Ahmad A, Budiman F. Hubungan posisi duduk dengan nyeri punggung bawah pada penjahit vermak levis di pasar tanah pasih kelurahan penjaringan Jakarta Utara tahun 2014. Jurnal Bunga Rampai. 2014;11(3):412–20.

Roffey DM, Wai EK, Bishop P, Kwon BK, Dagenais S. Causal assessment of awkward occupational postures and low back pain: results of a systematic review. Spine J. 2010;10(1):89–99.

Utami R. Referat low back pain. Universitas Mulawarman. 2012;

Hills EC. Mechanical low back pain. 2006;

PERDOSRI. Buku ilmu kedokteran fisik & rehabilitasi. 2016;

Dreisinger TE. Mckenzie therapy for mechanical low back pain. Spine-health. 2007;60015.

Zofir A. Pengaruh pemberian kombinasi mc kenzie exercise dan myofascial release tecnique terhadap penurunan nyeri dengan keluhan low back pain miogenik pada sopir bis di Kota Malang. Universitas Muhammadiyah Malang. 2017;

Liebenson C. McKenzie self-treatments for sciatica. J Bodyw Mov Ther 2005;9(1):40–2.

PERDOSRI. Latihan terapeutik. 2016;

Hutagalung R, Sugijanto. Perbedaan pengaruh intervensi MWD dan TENS dengan MWD, TENS dan traksi leher manual terhadap pengurangan nyeri kepala pada cervical headache. Jurnal Fisioterapi Indonusa. 2007;7(1):1–19.

I, Bangun SM, Parinduri AI, Ginting R, Hidayat W. The effect of micro wave diathermy and core stability exercise on pain in low back pain myogenic patients at RSUD Rantauprapat. Jurnal Keperawatan Dan Fisioterapi (Jkf). 2022;4(2):255–9.

Breivik H, Borchgrevink PC, Allen SM, Rosseland LA, Romundstad L, Breivik Hals EK, et al. Assessment of pain. Br J Anaesth. 2008;101(1):17–24

Kusuma, H.; Setiowati A. Pengaruh william flexion exercise terhadap peningkatan lingkup gerak sendi penderita low back pain. JSSF. 2015;4(3):16–21.

Moore KL. Anatomi berorientasi klinis. 2013;5.

Yefita R. Pengaruh back exercise metode william flexion dan mckenzie extension terhadap nyeri punggung bawah pada lansia di Panti Werdha Hisosu Binjai [skripsi]. Medan : Universitas Sari Mutiara Indonesia. 2015.

Wina I. Penatalaksanaan fisioterapi pada kasus low back pain et causa spondylolisthesis grade II dengan modalitas microwave diathermy dan william flexion exercise di RSUD Cikalong Wetan. JPhiS. 2022.




DOI: https://doi.org/10.20527/ht.v6i3.11474

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