Background : Low back pain (LBP) is the second cause of pain after headache and remains one of the most common symptoms for seeing a physician. About 90% of LBP is caused by mechanical factor. There are various physical modalities to relieve pain, such as, Short Wave Diathermy (SWD) and Transcutaneus Electrical Nerve Stimulation (TENS) which are proved to be useful to relieve pain. The aim of the study is to compare SWD and TENS on relieving pain in mechanical LBP patients. Methods : A pre-posttest study in 36 outpatients, with subacute mechanical LBP, ranging from 30–55 years old, were randomly divided into two even groups, the SWD group and TENS group. The subjects received either SWD or TENS on lumbosacral area for 15 minutes, 3 times a week, with the interval of 2–3 days during 2 weeks. Visual Analogue Scale (VAS) was applied for pain assessments to all subjects before and 24 hours after the sixth therapy session. Results : There was a reduction on VAS score in the SWD group from 4.56 ± 0.62 cm to 1.90 ± 0.51 cm (p<0.001). There was a reduction on VAS score in the TENS group from 4.64 ± 0.59 cm to 2.03 ± 0.50 cm (p<0.001). There was no significant difference on VAS score reduction between SWD and TENS group (p = 0.643). Conclusion : TENS therapy relieves pain in subacute mechanical LBP patients as good as SWD Therapy. Keywords : Mechanical low back pain, SWD, TENS.
Background:Despite the high succesful rate of Total Knee Replacement (TKR), there are still patients with permanent dysfunction and a longer period of rehabilitation that interfere with functional performance. Strengthening exercise before TKR namely prehabilitation exercise using resistance bands is expected to optimize patient’s condition before surgery that will increase functional performance after TKR and accelerate rehabilitation programs.Methods:16 eligible patients were allocated into the treatment group (n=8) and the control group (n=8). The treatment group received 4 weeks of prehabilitation exercise with a frequency of 2 times and one time as a home program. The control group only received conventional therapy. The TUG and WOMAC scores were measured 3 times; at baseline, after 4 weeks of prehabilitation exercise and at 8 weeks of rehabilitation after TKR.Results:Before intervention, there were no significant differences between groups for the TUG score (p=0.674) and WOMAC (p=0.928). After 4 weeks of intervention, there was significant difference in the TUG score (p=0.003) and WOMAC (p=0.002), whereas at 8 weeks after rehabilitation programs there was a significant difference in the TUG score (p=0.009) while for the WOMAC score there was no significant difference (p=0.125).Conclusion:Prehabilitation exercise using resistance band improved functional performances in patients undergone TKR.
LATAR BELAKANG : Proses penuaan akan menyebabkan perubahan anatomik maupun penurunan fungsi dari berbagai sistem organ. Pada penuaan terjadi gangguan keseimbangan yang dapat menyebabkan jatuh yang diakibatkan oleh adanya penurunan fungsi pada sistem sensorik maupun motorik. Latihan keseimbangan direkomendasikan untuk meningkatkan keseimbangan lansia dan mencegah timbulnya jatuh. Penelitian ini dilakukan di Paguyuban Lansia Melati 7 Karangasem, Laweyan, Surakarta. TUJUAN : Mengetahui apakah penambahan latihan penguatan dengan Resistance Band dapat meningkatkan keseimbangan fungsional lansia yang mendapat latihan keseimbangan. METODE : Metode penelitian ini adalah quasi eksperimental Populasi adalah lansia sehat. 24 subjek lansia yang memenuhi kriteria penelitian dibagi secara acak dengan undian menjadi kelompok Latihan keseimbangan (n=12) dan kelompok Latihan keseimbangan + Resistance Band (n=12). Kedua kelompok mendapatkan latihan tiga kali seminggu selama lima minggu. Keseimbangan diukur sebelum dan setelah intervensi dengan menggunakan Berg Balance Scale (BBS). Inform konsen diberikan pada tanggal 11 September 2020. HASIL: Terdapat penambahan skor BBS sebelum dan sesudah intervensi pada kelompok Latihan keseimbangan (p=0,047), dan pada kelompok Latihan keseimbangan + Resistance Band (p=0,016). Perbandingan antar kelompok tidak menunjukkan perbedaan signifikan pada rerata peningkatan skor BBS (p=0,882), namun terdapat peningkatan skor BBS yang lebih tinggi pada kelompok Latihan keseimbangan + Resistance Band. KESIMPULAN : Penambahan latihan penguatan dengan Resistance Band pada latihan keseimbangan tidak berpengaruh secara statistik terhadap peningkatan keseimbangan fungsional lansia. KATA KUNCI : Keseimbangan fungsional, lansia, latihan keseimbangan, latihan penguatan, resistance band
Objectives: To compare the difference between sling suspension versus balance and proprioceptive exercise’s effect on pain and functional capacity of knee osteoarthritis patients before, 2 weeks after and 4 weeks after exercise.Methods: This longitudinal study with case series design was done on 34 subjects with knee osteoarthritis grade II and III in Outpatient Clinic of Medical Rehabilitation Installation in Dr. Kariadi General Hospital Semarang from November 2009 to February 2010. They were randomly assigned into ‘sling suspension’ and ‘balance and proprioceptive’ exercise group. Each group contains 17 subjects. Subjects conducted their exercise 3 times a week for four weeks. Assesment of VAS, WOMAC modification index, TUG test were done before, 2 weeks after and 4 weeks after exercise.Results: There were statistically significant changes in pain (measured by VAS category) and functional capacity (measured by WOMAC modification index subscale of pain, stiffness and functional activity, and TUG test) before, 2 weeks after and 4 weeks after exercise in both groups (p<0.05). However, there were no statistically significant difference in pain and functional capacity between groups (p>0.05).Conclusions:There were no significant diffrences between sling suspension and balance and proprioceptive exercise, although both exercise gave significant improvement in vas category, WOMAC modification index and walking time on TUG test.Keywords: knee osteoarthritis, sling suspension exercise, balance and proprioceptive exercise, VAS,
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