Non-specific low back pain is the symptom of lower back pain that occurs without an obvious cause, the diagnosis is based on exclusion of specific pathology. Non-specific low back pain can result in pain, muscle spasm and muscle imbalance, it can decrease the stability of the abdominals and lower back, limitation in lumbar mobility , changes posture, and it’s couse make disability in patients with non-specific low back pain. Exercise therapy for non-specific low back pain is high recommend to increased stability and correct posture of the spine, for this case thsth can be used for exercise therapy is like McKenzie exercises and core stability exercise. The purpose of this study is to determine the core stability excercise better than McKenzie excercise for release in reduce patient disability in non-specific low back pain. This research applied experimental research method with Pre and Post Test Control Group Design. The research was conducted in Dr Soeradji Tirtonegoro Klaten. There were 32 subjects taken for this research. Disability was measured by oswestry disability index (ODI) before and after treatment. They were divided into two treatment groups consisting of core stability 16 subject for the Mckenzie exercise is 16 and the frequens are 2 times a weak in a month. Statistical test results obtained, have a decline ODI score at the first group have done with a value of p = 0.000 and the second gorup with p = 0.000. it means that both of the group are significantly improve functional activity. From the comparative test data by t-test using the data difference in both groups p value <0.05, which means indicated that there is a significant difference. Therefore, the conclusion of this research indicated thar the core stability excercise better than McKenzie excercise for release in reduce patient disability in non-specific low back pain. The study is expected to benefit in patients with non-specific low back pain in reducing disability.
Being elderly is potentially risk for the emerging of progressive neurodegenerative syndrome, including cognitive impairment. Various efforts have been made to minimize the negative impact. Brain gym is an alternative intervention that is widely used. A series of motion between the legs and hands employed to stimulate the brain to remain optimal. This study aims to determine whether brain gym exercise is beneficial for cognitive improvement among elderly in Indonesia. The systematic literature review was carried out from 28 May 2020 – 05 June 2020 at Semantic Scholar, Google Scholar, Garba Rujukan Digital (Garuda). Searching process employed keywords compiled using PICOS (Population, Intervention, Comparison and Outcomes) method and applied a filtering of articles using clinical trial or randomized controlled trial design, published in the last five years, and free/open access literature. There are 5 articles that meet the inclusion criteria: sample age 60 years and over, type of brain gym intervention, and focus on assessing cognitive function using the Mini-Mental State Examination (MMSE), Montreal Cognitive Assessment Indonesian Version (MoCA-Ina. Overall, the result shows in participants (n=211) experienced a significant increase in cognitive function (p<0.05). Indeed, additional outcomes were found, namely a decrease in stress levels and an increase in physical activity function.
Non-specific low back pain merupakan gejala nyeri pinggang bawah yang terjadi tanpa penyebab yang jelas, diagnosisnya berdasarkan eklusi dari patologi spesifik. Non-specific low back pain dapat mengakibatkan nyeri, spasme otot dan imbalance muscle, sehingga stabilitas otot perut dan punggung bawah mengalami penurunan, mobilitas lumbal terbatas, perubahan postur, dan mengakibatkan disabilitas pada pasien non-specific low back pain. Pemberian terapi latihan pada kasus non-specific low back pain sangat dianjurkan untuk peningkatan stabilitas dan koreksi postur pada tulang belakang, terapi latihan ini bisa berupa McKenzie exercise. Tujuan penelitian ini untuk mengetahui pengaruh mckenzie excercise dalam penurunan disabilitas pasien non-specific low back pain. Jenis penelitian ini merupakan penelitian pre eksperimental dengan mengunakan rancangan one group pre and post test design. Penelitian dilaksanakan di RSUP Dr Soeradji Tirtonegoro Klaten. Subjek sebanyak 16 pasien yang memenuhi kriteria yang ditetapkan peneliti. Disabilitas diukur dengan oswestry disability index (ODI) sebelum dan sesudah pelatihan. Subjek diberikan mckenzie excercise dengan frekuensi 2 kali semingu selama 1 bulan. Hasil uji statistik didapatkan, terjadi penurunan skor ODI pada pemberian mckenzie excercise dengan nilai p=0,000. Ini berarti mckenzie excercise dapat menurunkan disabilitas pada pasien non-specific low back pain.
Background:The non-specific low back pain (LBP) is a frequent problem faced by the majority of people at some point in their lifetime. Exercise therapy has been advocated an effective treatment for chronic low back pain. This study aimed to determine the effectiveness of McKenzie's exercises and core stability exercises for pain relief in patients with LBP. Subjects and Method: This was a randomized control trial (RCT) conducted at Dr. Soeradji Tirtonegoro Hospital, Klaten, Central Java from August to September 2017. A sample of 32 patients were randomized into two groups: 16 patients received Mc Kenzie exercise and 16 patients received core stability exercise. The independent variable was pain treatment (McKenzie exercise vs. core stability exercise). The dependent variable was non-specific LBP. LBP was measured by visual analog scale (VAS). The difference in mean reduction of non-specific LBP between the two groups was tested by independent t test. Results: The difference in the non-specific LBP reduction after treatment in the Mc Kenzie exercise group (Mean= 34.81; SD= 9.61) was higher than in the core stability group (Mean= 26.88; SD= 7.60) and it was statistically significant (p=0.015). Conclusion:The Mc Kenzie exercise is more effective than core stability exercise to reduce non-specific low back pain.
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