Joint mobilization is one of integral part in the application of manual therapy. In the development of the physiotherapy profession, the term of joint mobilization began to be used which was the development manipulative manual therapy with gradual force. In practice, physiotherapists often rely on only one well-known method to practice manual mobilization therapy and / or compare with other well-known methods. In general, the manual joint mobilization therapy was first developed by Kaltenborn, then followed by Maitland and then came another manual therapy with the approach of each of its inventors such as McKenzie and Mulligan. From the results of previous research articles, it was found that all joint mobilization manual therapy techniques did not have any differences in treating musculoskeletal disorders in general. Joint mobilization by any method still gives good results in general musculoskeletal disorders. The basic theories of manual therapy such as arthrokinematics, osteokinematics, grade of mobilization and their development needs to be well understood so as not to be mistaken in its clinical application in patients. The effects of manual therapy on musculoskeletal disorders are still theoretically relevant to the results of recent studies.
Background of study: Non-specific low back pain (LBP) becomes the most common cases in University population. Prolonged sitting has been identified as one of the factors leading to non-specific LBP among University population. The purpose of the study is to identify the change of functional disability in non-specific LBP among university population after PNF and McKenzie method. Methods: A quasi-experimental study involving 36 subjects (students and office workers) from the university population. The study population were selected from students and office worker of KPJ Healthcare University College (KPJUC) who met the inclusion criteria. The subjects were divided into three treatment groups: PNF group, McKenzie group and control group (hot pack and educational home exercise sheet) which underwent 12 treatment sessions distributed over three times in a week for four weeks duration. Subjects were measured on functional disability by Oswestry Disability Index (ODI). Measurement was performed at pre-test, mid-test and post-test. Repeated measures ANOVA was used to analyse the effectiveness of PNF and McKenzie treatments based on the measurement time. Result: This study showed that the PNF and McKenzie gave effect in improving ODI score in within group analysis. However, the results of PNF showed that it has more effect than McKenzie method on functional disability score (p <0.05) after 4 weeks. Conclusion: There was a change in functional disability on non-specific LBP after PNF and McKenzie method. Furthermore, the study findings showed that the PNF exercise has more effect in improving functional disability compared to McKenzie method on non-specific LBP among university population.
Angka case fatality rate (CFR) dari kasus demam berdarah dengue yang terjadi di Provinsi Jawa Barat pada tahun 2018 adalah 0,56. Penanganan untuk menekankan angka CFR kasus DBD setiap tahunnya menjadi program rutin yang terus diupayakan tetapi tampaknya belum dapat menekankan angka kematian tersebut. Unsur iklim yang meliputi curah hujan, suhu, kelembaban, kecepatan angin, dan lamanya penyinaran matahari dapat mempengaruhi kasus DBD. Data iklim yang tersedia online dapat menjadi early warning system melalui model prediksi jumlah kasus DBD. Tujuan penelitian untuk mendapatkan model prediksi unsur iklim terhadap jumlah kasus DBD di Provinsi Jawa Barat tahun 2010-2019. Melalui desain penelitian observasi dan pendekatan kuantitatif dengan uji analisis korelasi Spearmen Rho menunjukkan hasil bahwa kelembaban rata-rata berkorelasi positif kuat dan bermakna (r=0,64; p<0,01), lamanya penyinaran matahari berkorelasi negatif cukup kuat dan bermakna (r= -0.43; p< 0,01), dan kecepatan angin rata-rata berkorelasi positif sangat lemah dan tidak bermakna (r=0,1; p>0,05) terhadap jumlah kasus DBD. Model prediksi yang tepat dengan analisis regresi berganda yaitu DBD=-9548.071+133.005*kelembaban rata-rata+177.887*kecepatan angin rata-rata. Hasil model prediksi dapat dipakai Dinas Kesehatan Provinsi Jawa Barat untuk mendapatkan angka kasus DBD, dimana ketika didapat angka kasus yang tinggi maka pada satu bulan kedepan dapat siap siaga untuk memberikan pertolongan yang cepat guna mengurangi angka CFR.
Introduction: Proprioceptive Neuromuscular Facilitation (PNF) is an exercise based on neuromuscular control by stimulation of proprioceptors. The PNF exercise is more popular in the treatment of neurological problems than for musculoskeletal disorders. Numerous research has been done on its application on low back pain (LBP) condition. However, there is not many studies review the application of PNF approach on LBP condition. The aim of this study is to review the PNF approach and explore on its effect on LBP condition. Method: This research uses a simple research literature review method. Data were collected through searches on research article databases such as Google Scholar and health research databases, namely PubMed, Cochrane PEDro and other scientific journals databases. Result: After searching for articles from the Google Scholar, PubMed, Cochrane and PEDro databases, several research results were obtained on the use of PNF in LBP conditions with the following results. There were 19 researches that has been published provided by the databases. Conclusions: All studies have shown that the PNF approach in patients with LBP, whether chronic or not, is sufficient to provide beneficial effects in reducing pain, increasing functional ability, postural control, trunk stability, the flexibility of the lumbar and hip, increasing FEV1 and increasing trunk muscle activity. Furthermore, in general, PNF also appears to be more dominant than other exercises for the management of LBP conditions.
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