MANAGEMENT FISIOTERAPI DENGAN DIATERMY DAN TERAPI LATIHAN PADA KASUS LOW BACK PAIN ET. CAUSA ISCHIALGIA: A CASE REPORT

Ifah Nur Fauziyyah; Wahyuni Wahyuni; Sukatwa Sukatwa

Authors

Ifah Nur Fauziyyah fakultas ilmu kesehatan, program studi profesi fisioterapi, universitas muhammadiyah surakarta
Wahyuni fakultas ilmu kesehatan, program studi profesi fisioterapi, universitas muhammadiyah surakarta
Sukatwa RDJD Dr RM Soedjarwadi Klaten

Keywords:

Low Back Pain, Ischialgia, Diatermy, Terapi Latihan

Abstract

Introduction: Low back pain (LBP) is a common musculoskeletal disorder. LBP patients usually experience weakness in the back muscles compared to people who do not experience back pain. In addition, decreased propeoception can cause problems for spinal stability which can lead to recurring pain. Ischialgia is a symptom of back pain caused by compression of the sciatic nerve. Method: This research method uses a case report carried out at RSJD Dr RM Soedjarwadi Klaten on female patients Mrs. S is 61 years old. The patient's physiotherapy diagnosis was Low Back Pain et. causa Ischialgia. The patient has carried out a physiotherapy program for 1 week twice with a total of 4 training sessions. Results: The patient complained of low back pain, radiating to the right leg, the pain increased when moved, and interfered with daily activities. Seeing the patient's condition, we carried out physiotherapy interventions 2 times a week, a total of 4 meetings in this study. Evaluations are carried out 4 times at each meeting. Conclusion: Based on case report studies, the Diathermy method and exercise therapy have been proven to be effective, especially for reducing lower back pain. In functional activities there is a decrease in pain and an increase in muscle strength. The conclusion from the evaluation results of the therapy provided showed improvement

References

A. Fourré et al., “Low-back related leg pain: is the nerve guilty? How to differentiate the underlying pain mechanism,” J. Man. Manip. Ther., vol. 31, no. 2, pp. 57–63, 2023, doi: 10.1080/10669817.2022.2092266.

Y. S. Kong, G. U. Jang, and S. Park, “The effects of prone bridge exercise on the Oswestry disability index and proprioception of patients with chronic low back pain,” J. Phys. Ther. Sci., vol. 27, no. 9, pp. 2749–2752, 2015, doi: 10.1589/jpts.27.2749.

H. P. Rini and A. M. Rakasiwi, “Physiotherapy for Ischialgia Dexstra With Micro Wave Diathermy , Transcutaneous Electrical Nerve Stimulation And William Flexion Exercise,” Int. Conf. Univ. Pekalongan, pp. 291–297, 2021, [Online]. Available: https://proceeding.unikal.ac.id/index.php/icunikal2021/article/view/675.

S. Trelle, “Erratum: Improved effectiveness of partner notification for patients with sexually transmitted infections: Systematic review (British Medical Journal (2007) 334, (334-357) DOI: 10.1136/bmj.39079.460741.7C),” Br. Med. J., vol. 334, no. 7607, p. 1317, 2007, doi: 10.1136/bmj.39223.428495.BE.

S. Karasel, S. Oncel, and I. Sonmez, “The Effect of Short-Wave Diathermy and Exercise on Depressive Affect in Chronic Low Back Pain Patients,” Med. Arch. (Sarajevo, Bosnia Herzegovina), vol. 75, no. 3, pp. 216–220, 2021, doi: 10.5455/medarh.2021.75.216-220.

Lusia Intan Purnamasari, Umi Budi Rahayu, and K. Kingkinnarti, “Managemen Fisioterapi Dengan Terapi Latihan Pada Kasus Low Back Pain Et. Causa Ischialgia: a Case Report,” J. Innov. Res. Knowl., vol. 2, no. 12, pp. 4585–4594, 2023, doi: 10.53625/jirk.v2i12.5637.

M. B. Shamsi, M. Mirzaei, S. Shahsavari, A. Safari, and M. Saeb, “Modeling the effect of static stretching and strengthening exercise in lengthened position on balance in low back pain subject with shortened hamstring: a randomized controlled clinical trial,” BMC Musculoskelet. Disord., vol. 21, no. 1, pp. 1–9, 2020, doi: 10.1186/s12891-020-03823-z.

S. Amaral, A. C. Pássaro, and R. A. Casarotto, “Effect of the association of continuous shortwave diathermy and Pilates-based exercises on pain, depression, and anxiety in chronic non-specific low back pain: a randomized clinical trial,” Brazilian J. Med. Biol. Res., vol. 56, pp. 1–9, 2023, doi: 10.1590/1414-431X2023e12338.

D. Moore, A. I. Semciw, and T. Pizzari, “a Systematic Review and Meta-Analysis of Common Therapeutic Exercises That Generate Highest Muscle Activity in the Gluteus Medius and Gluteus Minimus Segments,” Int. J. Sports Phys. Ther., vol. 15, no. 6, pp. 856–881, 2020, doi: 10.26603/ijspt20200856.

S. S. Hlaing, R. Puntumetakul, E. E. Khine, and R. Boucaut, “Effects of core stabilization exercise and strengthening exercise on proprioception, balance, muscle thickness and pain related outcomes in patients with subacute nonspecific low back pain: a randomized controlled trial,” BMC Musculoskelet. Disord., vol. 22, no. 1, pp. 1–13, 2021, doi: 10.1186/s12891-021-04858-6.

Z. Zhang, C. Zhang, Y. Li, C. Wang, and Q. Yu, “Lipid and metabolic alteration involvement in physiotherapy for chronic nonspecific low back pain,” Lipids Health Dis., vol. 21, no. 1, pp. 1–14, 2022, doi: 10.1186/s12944-022-01737-4.

J. A. Hayden, J. Ellis, R. Ogilvie, A. Malmivaara, and M. W. van Tulder, “Exercise therapy for chronic low back pain,” Cochrane Database Syst. Rev., vol. 2021, no. 9, 2021, doi: 10.1002/14651858.CD009790.pub2.