PENGARUH PEMBERIAN DYNAMIC NEUROMUSCULAR STABILIZATION TERHADAP PENURUNAN NYERI PADA LOW BACK PAIN MYOGENIC et causa HIPERLORDOSIS LUMBAL di RSUD Dr. HARDJONO PONOROGO
DOI:
https://doi.org/10.53625/jirk.v3i2.5816Keywords:
Low Back Pain Myogenic, Hiperlordosis Lumbal, StabilizationAbstract
Introduction: Low Back Pain is a health problem in almost all countries in the world. It is almost certain that 50-80 percent of people aged 20 years and over have experienced LBP. Generally suffered by women aged 60 years and over more often feel lower back pain. The prevalence of low back pain cases is estimated at one year to be 38.0% ± 19.4% and is higher in the elderly population. Hyperlordosis is one of the factors that causes mechanical low back pain. Based on the existing prevalence of women who tend to experience hyperlordosis, because women’s physiological muscle abilities are lower than men’s. Hiperlordosis causes the point of body weight will shift forward. Hyperlordosis, this is because the point of body weight will shift forward. As compensation, the back muscles will work harder. Purpose: this study was to determine the effect of dynamic neuromuscular stabilization on reducing pain in low back pain myogenic et causa lumbar hyperlordosis. Methods: patients are given dynamic neuromuscular stabilization for 4 weeks 5x meetings with doses 3 times a week each session is 30 minutes. Results: evaluation was carried out using Range Of Motion (ROM), Manual Muscle Testing, Numeric Rating Scale. Conclusion: There is an increase in Manual Muscle Testing and a decrease in pain on the Numeric Rating Scale, so that this intervention is very effective in reducing back pain caused by incorrect posture.
References
Andini, F. (2015). Risk factors of low back pain in workers, 4(1), 13–15
Benedetti, M. G., Ceccarelli, F., Berti, L., Luciani, D., Catani, F., Boschi, M., et al. (2011, January 1). Diagnosis of Flexible Flatfoot in Children: A Systematic Clinical Approach. Volume 34, Issue 2.
Been E., Kalichman L. Lordosis lumbalis. The Spine Journal 14. Elsevier. 2014. p:87-97.
Caglayan M, Tacar O, Demirant A, et al. Effects of lumbosacral angles on development of low back pain. J Musculoskelet Pain. 2014;22(3):251–255. doi: 10.3109/ 10582452.2014.907855
Frank, C., Kobesova, A. and Kolar, P. 2013. Dynamic Neuromuscular Stabilization & Sports Rehabilization. The International Journal of Sports Physical Therapy, 8, pp.62-73
Ghagholestani, B. N., Gandomi, F., Assar, S., & Spears, L. R. (2022). Effects of Dynamic Neuromuscular Stabilization and Aquatic Exercises on the Pain, Disability, Lumbopelvic Control, and Spinal Posture of Patients With Non-specific Low Back Pain. Iranian Rehabilitation Journal, 20(3), 333–344. https://doi.org/10.32598/ irj.20.3.1319.2
Hamill J, Knutzen K, Derrick TR. Biomechanical Basis of Human Movement. 4th ed. Philadelphia: Lippincott Williams and Wilkins; 2015
Herawati, N. (2019). Perbedaan Pengaruh Pemberian Heel Raises Exercise Dan Tigtrope Walker Terhadap Peningkatan Keseimbangan Statis Pada Anak Flat Foot. 5-7.
Hikhmah, S. N. (2022). Jurnal Fisioterapi Terapan Indonesia or Indonesian Journal of Applied Physiotherapy Efektivitas Pemberian Lumbar Stabilization Exercise terhadap Peningkatan Kemampuan Fungsional pada Kasus Low Back Pain Myogenic : Literature Review. Jurnal Fisioterapi Terapan Indonesia or Indonesian Journal of Applied Physiotherapy, 1(1).
Jairus Quesnele, D. C. (2011). The assessment and treatment of muscular imbalance – The Janda approach. In Manual Therapy (Vol. 16, Nomor 5). https://doi.org/10.1016/ j.math.2011.03.001
Ikeda et.al. (2019). Socioeconomic Inequalities In Low Back Pain Among Older
People: the JAGES cross-sectional study. Ikeda et al. International Journal
for Equity in Health (2019) 18:15 https://doi.org/10.1186/s12939-019-0918-1Mahmud, S. (2015). Profil Distribusi Nyeri Punggung Bawah Di RSU PKU Muhammadiyah Yogyakarta Tahun 2005-2007 Ditinjau Dari Berbagai Faktor Distribution Profile of Low Back Pain in RSU PKU Muhammadiyah Yogyakarta 2005-2007: Some Underlying Factors, 23 (2015)
Muyor J.M., Feniando A., Pedro L.M. Spinal posture of thoracic and lumbar spine and pelvic tilt in highly trained cyclists. [Online] J Sports Sci Med. 2011;10(2): 355-61.
Nugroho, I. A., Marchianti, A. C. N., & Hermansyah, Y. (2017). Pengaruh Beban Kerja Fisik terhadap Tingkat Disabilitas Pasien Nyeri Punggung Bawah di RSD dr . Soebandi Jember Disabilities at RSD dr . Soebandi Jember ). Jurnal Pustaka Kesehatan, 5(2), 316–322. https://jurnal.unej.ac.id/index.php/JPK/article/view/5759
Purnama M.S., Doewes M., Purnama S.K. Distorsi postural tulang belakang atlet ditinjau dari cabang olahraga. 2018. p:80.
Ramdan I.M., Laksmono T.B. Determinan keluhan muskuloskeletal pada tenaga kerja wanita. Kesmas. 2012;7(4): p171-2. 55
Sastroasmoro S., Ismael S. Dasar-dasar metodologi penelitian klinis (Edisi ke-5). Sagung Seto. Jakarta, Indonesia. 2014. p:130,361.
Siburian Ria Yohana, (2018). Teknik Pemeiksaan Lumbosacral Di Sumatra Utara
Singh D.K., Bailey M., Lee R. Biplanar measurement of thoracolumbar curvature in older adults using an electromagnetic tracking device. Arch Phys Med Rehabil. 2010; 91:137 42. 3.
Sedrez J.A., Candotti C.T., Furlanetto T.S., Loss J.F. Non-invasive postural assessment of the spine in the sagittal plane: a systematic review. Motricidade. 2016;12(2): p151.
Yueniwati, Y. 2014. Prosedur Pemeriksaan Radiologi untuk Mendeteksi Kelainan dan Cedera Tulang Belakang. Malang: Universitas Brawijaya Press.
Ziang, Y., Qing, W., Kaplar, Z. Increased low back pain prevalence in females than in males after menopause age: evidences based on synthetic literature review. Quant Imaging Med Surg 2016;6(2) : 199-206
