EFEKTIVITAS LATIHAN ABDOMINAL HOLLOWING TERHADAP PENURUNAN NYERI DAN DISABILITAS LOW BACK PAIN PADA PEKERJA KANTOR: NARRATIVE REVIEW
Keywords:
Abdominal Hollowing, Low Back Pain, Disabilitas, Pekerja Kantor, Core StabilityAbstract
Latar belakang: Low Back pain (LBP) merupakan keluhan muskuloskeletal yang sering dialami oleh pekerja kantor akibat postur duduk statis yang berkepanjangan. Kondisi ini dapat mengakibatkan nyeri serta penurunan fungsi, sehingga berkontribusi pada penurunan produktivitas kerja dan disabilitas. Latihan Abdominal Hollowing (AH) dikenal dengan teknik aktivasi core muscle yang bertujuan untuk meningkatkan stabilitas lumbal dan mengurangi keluhan LBP. Tujuan: Penelitian ini bertujuan untuk meninjau efektivitas latihan AH terhadap penurunan nyeri dan disabilitas LBP pada pekerja kantor berdasarkan bukti ilmiah terkini. Metode: Penelitian ini menggunakan metode narrative review dengan penelusuran literatur pada database PubMed, MDPI, PMC, ScienceDirect, IJSDR, dan PhysicalTreatment. Kriteria inklusi meliputi artikel internasional tahun 2015-2025, artikel penelitian eksperimen, dan artikel dengan populasi pasien LBP. Data dianalisis secara naratif untuk mengidentifikasi pengaruh intervensi terhadap nyeri dan disabilitas. Hasil: Latihan AH terbukti efektif secara signifikan dalam menurunkan nyeri dan disabilitas LBP pada pekerja kantor melalui peningkatan stabilitas segmental, memodifikasi pola aktivasi otot, dan mengurangi beban mekanik pada tulang belakang. Efektivitas latihan ini optimal dicapai ketika latihan dilakukan secara teratur selama 6-10 minggu. Kesimpulan: Latihan AH efektif dalam menurunkan nyeri dan disabilitas low back pain pada pekerja kantor.
References
Baklikar, R., & Patel, M. (2024). EFFECT OF ABDOMINAL HOLLOWING EXERCISE ALONG WITH DIAPHRAGM TRAINING ON PAIN, DIAPHRAGM STRENGTH AND LUMBAR STABILITY IN SUBJECTS WITH NON-SPECIFIC LOW BACK PAIN- RANDOMIZED CONTROL TRIAL. 9(6), 578–586.
Golob, I., Opara Zupančič, M., & Kozinc, Ž. (2024). Abdominal Hollowing vs. Abdominal Bracing: A Scoping Review of Clinical Trials on Effectiveness for Trunk Stability and Rehabilitation. Journal of Functional Morphology and Kinesiology, 9(4). https://doi.org/10.3390/jfmk9040193
Greggi, C., Visconti, V. V., Albanese, M., Gasperini, B., Chiavoghilefu, A., Prezioso, C., Persechino, B., Iavicoli, S., Gasbarra, E., Iundusi, R., & Tarantino, U. (2024). Work-Related Musculoskeletal Disorders: A Systematic Review and Meta-Analysis. Journal of Clinical Medicine, 13(13). https://doi.org/10.3390/jcm13133964
Gregory, A. T., & Denniss, A. R. (2018). An Introduction to Writing Narrative and Systematic Reviews — Tasks, Tips and Traps for Aspiring Authors. Heart Lung and Circulation, 27(7), 893–898. https://doi.org/10.1016/j.hlc.2018.03.027
Hijami, N. ’Afifah, & Kurniawidjaja, L. M. (2022). Faktor Risiko Gangguan Otot Dan Tulang Rangka Akibat Kerja Pada Pekerja Perkantoran: a Systematic Review. PREPOTIF: Jurnal Kesehatan Masyarakat, 6(1), 251–267. https://doi.org/10.31004/prepotif.v6i1.2972
Kirk, A., Gibson, A.-M., Laverty, K., Muggeridge, D., Kelly, L., & Hughes, A. (2016). Patterns of Sedentary Behaviour in Female Office Workers. AIMS Public Health, 3(3), 423–431. https://doi.org/10.3934/publichealth.2016.3.423
Kurt, V., Aras, O., & Buker, N. (2020). Comparison of conservative treatment with and without neural mobilization for patients with low back pain: A prospective, randomized clinical trial. Journal of Back and Musculoskeletal Rehabilitation, 33(6), 969–975. https://doi.org/10.3233/BMR-181241
Luan, H. D., Hai, N. T., Xanh, P. T., Giang, H. T., Van Thuc, P., Hong, N. M., & Khue, P. M. (2018). Musculoskeletal Disorders: Prevalence and Associated Factors among District Hospital Nurses in Haiphong, Vietnam. BioMed Research International, 2018. https://doi.org/10.1155/2018/3162564
Nijs, J., Kosek, E., Chiarotto, A., Cook, C., Danneels, L. A., Fernández-de-las-Peñas, C., Hodges, P. W., Koes, B., Louw, A., Ostelo, R., Scholten-Peeters, G. G. M., Sterling, M., Alkassabi, O., Alsobayel, H., Beales, D., Bilika, P., Clark, J. R., De Baets, L., Demoulin, C., … George, S. Z. (2024). Nociceptive, neuropathic, or nociplastic low back pain? The low back pain phenotyping (BACPAP) consortium’s international and multidisciplinary consensus recommendations. The Lancet Rheumatology, 6(3), e178–e188. https://doi.org/10.1016/S2665-9913(23)00324-7
Osuka, S., Ishida, T., Yamanaka, M., Chiba, T., Miura, T., Koshino, Y., Saito, Y., Nakata, A., Samukawa, M., Kasahara, S., & Tohyama, H. (2020). Abdominal draw-in maneuver changes neuromuscular responses to sudden release from trunk loading in patients with non-specific chronic low back pain. Journal of Orthopaedic Science, 25(5), 781–786. https://doi.org/10.1016/j.jos.2019.10.007
Pakkir Mohamed, S. H., & Seyed, M. A. (2021). Low back pain: A comprehensive review on the diagnosis, treatment options, and the role of other contributing factors. Open Access Macedonian Journal of Medical Sciences, 9, 347–359. https://doi.org/10.3889/oamjms.2021.6877
Park, S., & Lee, M. (2020). Comparison of Effects of Abdominal Draw-In Lumbar Stabilization Exercises with and without Respiratory Resistance on Women with Low Back Pain: A Randomized Controlled Trial. 1–9. https://doi.org/10.12659/MSM.921295
Puntumetakul, R., Saiklang, P., Tapanya, W., & Chatprem, T. (2021). The Effects of Core Stabilization Exercise with the Abdominal Drawing-in Maneuver Technique versus General Strengthening Exercise on Lumbar Segmental Motion in Patients with Clinical Lumbar Instability: A Randomized Controlled Trial with. Cli, 1–17.
Roquelaure, Y. (2019). Musculoskeletal Disorders and Psychosocial Factors at Work. In SSRN Electronic Journal. https://doi.org/10.2139/ssrn.3316143
Rubí-carnacea, F., Masbernat-almenara, M., Climent-sanz, C., & Soler-gonzález, J. (2023). Effectiveness of an exercise intervention based on preactivation of the abdominal transverse muscle in patients with chronic nonspecific low back pain in primary care: a randomized control trial. 1–10.
Saiklang, P., Puntumetakul, R., & Chatprem, T. (2022). The Effect of Core Stabilization Exercise with the Abdominal Drawing-in Maneuver Technique on Stature Change during Prolonged Sitting in Sedentary Workers with Chronic Low Back Pain. International Journal of Environmental Research and Public Health, 19(3). https://doi.org/10.3390/ijerph19031904
Saiklang, P., Puntumetakul, R., Swangnetr Neubert, M., & Boucaut, R. (2021). The immediate effect of the abdominal drawing-in maneuver technique on stature change in seated sedentary workers with chronic low back pain. Ergonomics, 64(1), 55–68. https://doi.org/10.1080/00140139.2020.1810326
Statistik, B. P. (2024). Keadaan Ketenagakerjaan Indonesia Agustus 2024. Badan Pusat Statistik, 11(84), 1–28.
Takasaki, H., & Kawazoe, S. (2021). Investigation on the effectiveness of abdominal hollowing home-exercises using a portable ultrasound: Randomized controlled trial. Journal of Electromyography and Kinesiology, 58(January), 102532. https://doi.org/10.1016/j.jelekin.2021.102532
Vaičienė, G., Berškienė, K., Slapsinskaite, A., Mauricienė, V., & Razon, S. (2018). Not only static: Stabilization manoeuvres in dynamic exercises – A pilot study. PLoS ONE, 13(8), 1–12. https://doi.org/10.1371/journal.pone.0201017
Yalfani, A., Khani, M. M., Ahmadi, M., & Asgarpoor, A. (2023). A b s t r a c t. 13(3), 165–174.
