scholarly journals Penatalaksanaan Fisioterapi Pada Kasus Low Back Pain (LBP) Akibat Hernia Nucleus Pulposus (HNP) Di Klinik Fisioterapi Karya Suci Pematangsiantar Tahun 2017

2020 ◽  
Vol 10 (4) ◽  
pp. 273
Author(s):  
Simson Sinuhaji
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Muscle Strength ◽  
Nucleus Pulposus ◽  
Exercise Therapy ◽  
Short Wave ◽  
Joint Motion ◽  
Low Back ◽  
Keywords Low Back Pain ◽  
Pain At Rest

Hernia Nucleus Pulposus (HNP) is the release of the contents of the nucleus from the intervetebral disc so that the nucleus protrudes into the annular ring and provides nerve compression manifestations of muscle strength. Physiotherapy modalities that can be used to treat physiotherapy problems in the case of Hernia Nucleus Pulposus include Short Wave Diathermy (SWD) and McKenzie's exercise therapy to reduce pain, increase the scope of joint motion to increase muscle strength. To determine the implementation of physiotherapy in reducing pain, increasing the scope of joint motion, and increasing muscle strength in the case of Hernia Nucleus Pulposus (HNP) and McKenzie exercise therapy. After doing therapy for six times the result is a decrease in pain at rest T1: 6.3 to T6: 0, tenderness T1: 6.3 to T6: 1.3 motion pain T1: 6.3 to T6: 1.3. There is an increase in the range of joint motion from lumbar flexion T1: 3 cm to T6: 0 cm lumbar extension from T1: 3 cm to T6: 0 cm. Short Wave Diathermy (SWD) and McKenazie Exercise therapy exercises can reduce pain, increase the speed of motion and can increase muscle strength in the condition of Hernia Nucleus Pulposus (HNP). Keywords: low back pain (LBP); hernia nucleus pulposus (HNP); short wave diathermy (SWD); McKenzie exercise training therapy ABSTRAK Hernia Nucleus Pulposus (HNP) merupakan terjadinya pengeluaran isi nucleus dari dalam discus intervetebralis sehingga nucleus menonjol ke dalam cincin annulus dan memberikan manifestasi kompresi saraf kekuatan otot. Tujuan penelitian adalah melaksanakan modalitas fisioterapi yang dapat digunakan untuk menanngani problematika fisioterapi pada kasus Hernia Nucleus Pulposus diantaranya adalah Short Wave Diathermy (SWD) dan terapi latihan McKenzie untuk mengurangi nyeri, menambah lingkup gerak sendi meningkatkan kekuatan otot. Untuk mengetahui pelaksanaaan fisioterapi dalam mengurangi nyeri,meningkatkan lingkup gerak sendi, dan meningkatkan kekuatan otot pada kasus Hernia Nucleus Pulposus (HNP) dan terapi latihan McKenzie. Setelah dilakukan terapi selama enam kali didapat hasil adanya penurunan nyeri pada diam T1 : 6,3 menjadi T6 : 0, nyeri tekan T1 : 6,3 menjadi T6 : 1,3 nyeri gerak T1 :6,3 menjadi T6 : 1,3. Terdapat piningkatan lingkup gerak sendi dari gerak fleksi lumbal T1 : 3 cm menjadi T6: 0 cm ekstensi lumbal dari T1: 3 cm menjadi T6 : 0 cm. Short Wave Diathermy (SWD) dan terapi latihan McKenazie Exercise dapat mengurangi nyeri, menambah linggkup gerak dan dapat meningkatkan kekuatan otot pada kondisi Hernia Nucleus Pulposus (HNP). Kata kunci: low back pain (LBP); hernia nucleus pulposus (HNP); short wave diathermy (SWD); terapi latihan McKenzie Exercise

scholarly journals Aged Lumbar Extension Strength of Chronic Low Back Pain in Korean Population of 10-80 Years

2020 ◽  
Author(s):  
Ji-Hoon CHO ◽  
Ki-Hyuk LEE ◽  
Seung-Taek LIM
Keyword(s):  
Body Mass Index ◽  
Low Back Pain ◽  
Back Pain ◽  
Muscle Strength ◽  
Range Of Motion ◽  
Body Mass ◽  
Exercise Therapy ◽  
Basic Data ◽  
Low Back ◽  
Lumbar Extension

Background: The purpose of this study was to find the basic data of medical and exercise therapy by indexing lumbar extension muscle strength of low back pain (LBP) patients. Methods: In this cross-sectional study, 3078 chronic LBP participants from The J hospital, Seoul, Republic of Korea, from 2003 to 2010 were enrolled. Maximum muscle strength was measured at maximum flexion angle and maximum extension angle according to range of motion (ROM) results. For each isometric test, participants were seated and secured in the MEDX (medx lumbar extension machine, Ocala, FL, USA) machine. Results: The relative ROM (P=0.012) differed significantly among the aged groups in all participants. In addition, mean of strength (P<0.001), maximal of strength (P<0.001), mean of strength %BW (P<0.001) and maximal of strength %BW (P<0.001) are significant differences in all participants. The results of multiple regression analysis was the ‘model A’, maximal of strength for 32.1% of the variance in weigh, body mass index and range of motion. In addition, ‘model B’ was 30.4%, ‘model C’ was 28.8%, ‘model D’ was 28.5%, ‘model E’ was 21.7%, and ‘model F’ was 23.5% of the variance in weigh, body mass index and range of motion. Conclusion: We found the three predictor (weight, BMI, and ROM) variables accounted for 32.1% of the variance in maximal of strength %BW, the highest in < 29 yr groups. Our data indicate the basic data of medical and exercise therapy by indexing lumbar extension muscle strength of LBP patients.

scholarly journals Posterior-Chain Resistance Training Compared to General Exercise and Walking Programmes for the Treatment of Chronic Low Back Pain in the General Population: A Systematic Review and Meta-Analysis

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Nicholas Tataryn ◽  
Vini Simas ◽  
Tailah Catterall ◽  
James Furness ◽  
Justin W. L. Keogh
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Resistance Training ◽  
Muscle Strength ◽  
Adverse Events ◽  
Muscular Strength ◽  
Meta Analysis ◽  
Low Back ◽  
Pain Level ◽  
General Exercise

Abstract Background While chronic exercise training has been demonstrated to be an effective non-pharmacological treatment for chronic low back pain (CLBP), there has been a relative lack of evidence or clinical guidelines for whether a posterior chain resistance training programme provides any benefits over general exercise (GE). Objectives To determine if chronic posterior chain resistance training (PCRT), defined as exercise programmes of ≥6 weeks duration focused on the thoracic, lumbar and hip extensor musculature, is more effective than GE in improving pain, level of disability, muscular strength and the number of adverse events in recreationally active and sedentary individuals with CLBP. Methods Four electronic databases were systematically searched from 25 September 2019 until 30 August 2020. Using the Joanna Briggs Institute (JBI) Critical Appraisal Tools checklist for randomized controlled trials (RCTs), articles were critically appraised and compared against the inclusion/exclusion criteria. Standardized mean difference (SMD), risk difference (RD) and confidence interval (CI) were calculated using Review Manager 5.3. Results Eight articles were included, with a total of 408 participants (203 PCRT, 205 GE). Both PCRT and GE were effective in improving a number of CLBP-related outcomes, but these effects were often significantly greater in PCRT than GE, especially with greater training durations (i.e. 12–16 weeks compared to 6–8 weeks). Specifically, when compared to GE, PCRT demonstrated a greater reduction in pain (SMD = − 0.61 (95% CI − 1.21 to 0.00), p = 0.05; I2 = 74%) and level of disability (SMD = − 0.53 (95% CI − 0.97 to − 0.09), p = 0.02; I2 = 52%), as well as a greater increase in muscle strength (SMD = 0.67 (95% CI 0.21 to 1.13), p = 0.004; I2 = 0%). No differences in the number of adverse events were reported between PCRT and GE (RD = − 0.02 (95% CI − 0.10 to 0.05), p = 0.57; I2 = 72%). Conclusion Results of the meta-analysis indicated that 12–16 weeks of PCRT had a statistically significantly greater effect than GE on pain, level of disability and muscular strength, with no significant difference in the number of adverse events for recreationally active and sedentary patients with CLBP. Clinicians should strongly consider utilizing PCRT interventions for 12–16 weeks with patients with CLBP to maximize their improvements in pain, disability and muscle strength. Future research should focus on comparing the efficacy and adverse events associated with specific PCRT exercise training and movement patterns (i.e. deadlift, hip lift) in treating this population. Trial registration PROSPERO CRD42020155700.

Isometric Trunk Muscle Strength and Body Sway in Relation to Low Back Pain in Young Adults

Spine ◽  
2008 ◽  
Vol 33 (13) ◽  
pp. E435-E441 ◽  
Author(s):  
Niko Paalanne ◽  
Raija Korpelainen ◽  
Simo Taimela ◽  
Jouko Remes ◽  
Pertti Mutanen ◽  
...  
Keyword(s):  
Young Adults ◽  
Low Back Pain ◽  
Back Pain ◽  
Muscle Strength ◽  
Trunk Muscle ◽  
Body Sway ◽  
Low Back ◽  
Trunk Muscle Strength

The Effectiveness of Technology-Supported Exercise Therapy for Low Back Pain

2017 ◽  
Vol 96 (5) ◽  
pp. 347-356 ◽  
Author(s):  
Thomas Matheve ◽  
Simon Brumagne ◽  
Annick A.A. Timmermans
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Exercise Therapy ◽  
Low Back
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