<p>ABSTRAK<br />Kasus stroke banyak dijumpai di lapangan, dimana penanganan pada pasien pasca stroke hanya menitik beratkan pada kemampuan motorik dan kurang memperhatikan kontrol postural. Sedangkan pada pasien pasca stroke memiliki masalah dengan kontrol postural yang berfungsi mengontrol posisi badan agar tetap tegak. Adanya masalah tersebut menghambat gerakan pada pasien pasca stroke dan mengakibatkan bertambahnya gangguan keseimbangan. Penelitian ini bertujuan untuk mengetahui manfaat latihan stabilisasi postural terhadap perbaikan keseimbangan statis dan dinamis pada pasien pasca stroke. Rancangan penelitian one group pre-test and post-test design dengan sampel sebanyak 6 orang yang diberikan latihan stabilisasi postural sebanyak 3x/minggu selama 1 bulan. Hasil Penelitian FRT sebelum perlakuan didapatkan rerata±SD sebesar 19,67±6,28 sedangkan rerata±SD FRT setelah perlakuan sebesar 25,50±5,28 dan p=0,004 (p<0,05). Hal ini menunjukkan ada pengaruh antara latihan stabilisasi postural terhadap keseimbangan statis pada pasien pasca stroke. Hasil TUG test sebelum perlakuan didapatkan rerata±SD sebesar 31,17±1,82 sedangkan rerata±SD TUG test setelah perlakuan sebesar 18,50±5,17 dan p = 0,027 (p < 0,05). Data ini juga menunjukkan ada pengaruh antara latihan stabilisasi postural terhadap keseimbangan dinamis pada pasien pasca stroke. Latihan stabilisasi postural meningkatkan keseimbangan statis dan dinamis pada pasien pasca stroke.<br />Kata kunci: Latihan, Keseimbangan , Stroke<br />ABSTRACT Many cases of stroke in the field, where the handling of post-stroke patients only focuses on motor skills and lack of attention to postural control. While in post-stroke patients have problems with postural control that controls the position of the body to remain upright. The existence of these problems hamper the movement in post-stroke patients and lead to increased disturbance of balance. This study aims to know the benefits of postural stabilization exercises to improve static and dynamic balance in patients with post stroke. This was an experimental pre using the design of a one group pre-test and post-test design. The number of subjects as many as 6 people, get as much 3x/minggu postural stabilization exercises for 1 month. Result of FRT before treatment obtained a mean ± SD of 19.67 ± 6.28 while the mean ± SD FRT after treatment for 25.50 ± 5.28 and p = 0.004 (p <0.05). It shows atients with post stroke. Results TUG test before and after treatment. TUG test results obtained before treatment the mean ± SD of 31.17 ± 1.82 while the mean ± SD TUG test after treatment for 18.50 ± 5.17 and p = 0.027 (p <0.05). It means there is influence between postural stabilization exercises on dynamic balance in patients with post stroke.The postural stabilization exercises enhance static and dynamic balance in patients with post stroke.<br />Keywords: Exercise, balance, Stroke</p>
Abstrack : Lower Back Pain, Electroacupuncture, TENS, Pain, Lumbar Flexibility. Myogenic lower back pain (LBP) is a prevalence that many experienced individuals who perform daily activities. Physiotherapy technology for myogenic LBP in the form of TENS is given more clinically than electroacupuncture that has not been effectively socialized. Objective: To compare the effectiveness of TENS with electroacupuncture for pain and lumbar flexibility of myogenic LBP patients. Quasi experimental research with two groups pre and post test design. The subjects of the study were myogenic LBP patients who met the study criteria. Inclusion criteria include: (1) age 50 - 70 years, (2)willing to be the subject of research. Exclusion criteria: (1) suffer myogenic LBP followed by other disorders, (2) pacemaker use, (3) impaired sensibility, (4) malignancy in the lower back. Criteria for drop out: (1) not following therapy program more than 3 times, (2) experiencing worsening condition, (3) not present during final evaluation of research. Data were collected directly at the start of the study (pre test), pain was measured by VAS and flexibility was measured by schober test. Data were analyzed with SPSS 11.5 for windows. The results of pre-post test different test in group I with Wilcoxon test, obtained p value = 0.005 (p <0.05). Test of pre-post test in group II with Wilcoxon test, got p value = 0,004 (p <0.05). Test of difference of post test in group I and group II using Mann-Whitney test, got value p = 0,017 (p˂ 0.05). The result of change of mean difference of VAS value of pre and post therapy in group I was 45 mm while in group II was 31 mm. Conclusions: (1) there was an effect of electroacupuncture therapy on the decrease of pain in myogenic LBP patients before administered by William Flexion Exercise (p = 0,005); (2) there was effect of TENS therapy on pain reduction in myogenic LBP patients before given William Flexion Exercise (p = 0.004), (3) there was a difference in effect between electro-acupuncture therapy and TENS therapy on pain reduction in patients with myogenic LBP prior to William Flexion Exercise (p = 0.017), (4) electroacupuncture was more effective than TENS for pain reduction in patients Myogenic LBP before administered by William Flexion Exercise was compared with the mean difference between pre and post I groupVAS values greater than group II (group I = 45 mm, group II = 31 mm).
Back School Program, Mckenzie Techniques, Pain, Vas, Patients With Low Back Pain. Low back pain is a problem that affects about 60-80% of the population in his lifetime. This pain is often triggered behavior ergonomics so that the necessary education in school programs to lower back pain. On the other hand needed McKenzie method for relaxation to the muscles of the back due to spasm, so that the pain can be reduced. Objective: To prove the effectiveness of the program back school and McKenzie techniques in reducing lower back pain. Types of Research: an experimental study. The study design: two group pre-test-post-test design. Statistical Analysis: The subjects in one group <30 people, then analyzed with nonparametric tests. Homogeneity of data was tested with the Mann-Whitney test was obtained p = 0.030 (P <0.05) indicates the data are not homogeneous. Wilcoxon test group I obtained p = 0.000 (p <0.05) showed no differential effect of back school programs to decrease lower back pain. Wilcoxon test group II obtained p = 0.000 (p <0.05) showed no differential effect of McKenzie technique to decrease lower back pain. Mann-Whitney test after treatment was obtained p = 0.006 (p <0.05) showed no difference in effectiveness between the back school program with McKenzie techniques in reducing lower back pain. Results of the mean difference in pain reduction anatara back school program with the technique gained 9.71 higher McKenzie McKenzie techniques. Conclusion: McKenzie technique is more effective than a back school program to reduce lower back pain
<p><strong>Latar Belakang:</strong> Akibat kehamilan akan menimbulkan Diastasis Recti Abdominal Muscle (DRAM) atau celah yang terbentuk oleh karena terpisahnya otot rectus abdominalis selama pembesaran rahim dan dan setelah melahirkan. DRAM dapat berpengaruh terhadap timbulnya berbagai kasus seperti nyeri punggung bawah, incontinensia urin, instabilitas panggul, sehingga perlu terapi dini. <strong>Tujuan: </strong>Penelitian ini untuk mengetahui manfaat latihan otot perut terhadap DRAM.</p><p><strong>Metode:</strong> Desain penelitian quasi eksperimen dengan <em>two group pre and post test design</em>. Subjek penelitian adalah ibu pasca melahirkan normal yang terbagi menjadi dua kelompok secara acak. Kelompok perlakuan diberikan latihan otot perut selama 4 minggu. Data dianalisis dengan menggunakan uji <em>chi-square</em> digunakan untuk menguji hasil pengukuran.</p><p><strong>Hasil:</strong> Terdapat perbedaan pengaruh antara kelompok perlakuan dengan kelompok kontrol secara bermakna (p= 0,009; POR=0,714; CI 95%: 0,545-0,936). Latihan otot perut berkontribusi sebesar 41% dalam penutupan DRAM. <strong>Simpulan:</strong> Latihan otot perut (transversus abdominis) mampu mencegah insiden DRAM pada ibu pasca melahirkan. Ibu setelah melahirkan perlu melakukan latihan dengan mandiri atau dibimbing oleh tenaga kesehatan.</p>
Low back pain (LBP) complaints are prevalent that many people experience daily. Dry needling physiotherapy technology for myogenic LBP complaints has not been widely used in the clinical setting than laser. In contrast, it turns out that the application of laser for pain cases was not effectively socialized. In this study, the efficacy of dry laser needling was compared after the addition of myofascial release for myogenic LBP complaints. The research method was experimental study used two groups before and after the test design. The subjects were determined by reasoned sampling. The subjects were all patients with complaints of myogenic LBP who met the research criteria. The number of subjects in group I was 37 subjects, and group II was 36 subjects with myogenic LBP. The research was conducted from March to October 2020 at Sunafa physiotherapy practice, Colomadu, Karanganyar. There was a significant effect of dry needling with the myofascial release on pain reduction in patients with myogenic LBP (p=0,000). Also, there was a significant effect of laser with the myofascial release on pain reduction in patients with myogenic LBP (p=0,000). Dry needles and laser after adding myofascial release effectively reduce pain in patients with myogenic LBP.
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