Sekitar 65%-80% manusia akan mengalami NPB pada suatu waktu selama hidupnya (lifetime prevalence), bahkan sebagai penyebab yang serius dan persistem untuk timbulnya nyeri dan disabilitas. Frekuensi paling sering terjadi pada usia pertengahan antara 45-65 tahun. Sekitar 95% HNP terjadi pada region lumbal segmen L4-L5 atau L5-S1, area lumbal ini adalah COG tubuh manusia. Proses degeneratif dan traumatik adalah penyebab utama HNP. Tujuan penelitian untuk membuktikan penambahan nerve stretching lebih baik dibandingkan nerve gliding setelah Mc Kenzie exercise dalam menurunkan gangguan sensorik dan meningkatkan fleksibilitas nervus ischiadicus pada kasus HNP lumbal. Penelitian ini dilakukan di RSU Aisyiyah Ponorogo selama 4 Minggu. Penelitian ini menggunakan metode eksperimental dengan rancangan penelitian Randomized Pre and Post Test Group Design, subjek berjumlah 26 orang yang didapat dari populasi dan dibagi menjadi 2 Kelompok, masing-masing Kelompok 13 orang, Kelompok 1 diberikan perlakuan Nerve Stretching setelah Mc. Kenzie exercise sedangkan Kelompok 2 diberikan perlakuan nerve gliding setelah Mc. Kenzie exercise. Ke dua Kelompok diukur nilai gangguan sensorik berupa skor itensitas nyeri menggunakan NPRS-11 point dan nilai fleksibilitas berupa derajad lingkup SLR menggunakan universal goniometer. Hasil penelitan pada rerata selisih nilai intensitas nyeri Kelompok 1=5,85±0,555 dan Kelompok 2=4,92±0,760 dengan nilai p=0,002 (p=<0,05). Pada rerata selisih nilai lingkup SLR Kelompok 1=45,54±2,106 dan Kelompok 2=39,77±4,045 dengan nilai p=<0,001 (p=<0,05). Dapat disimpulkan bahwa penambahan nerve stretching lebih baik dibandingkan nerve gliding setelah Mc Kenzie exercise dalam menurunkan gangguan sensorik dan meningkatkan fleksibilitas nervus ischiadicus pada HNP lumbal.Kata Kunci : nerve stretching, nerve gliding, Mc kenzie, gangguan sensorik dan fleksibilitas HNP lumbal.
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.
Pengkajian ini dilakukan di PT. Dharma Lautan Utama Surabaya dengan tujuan ingin mengetahui pengaruh variabel lingkungan kerja fisik, motivasi kerja dan komitmen organisasi terhadap kepuasan kerja karyawan baik secara parsial maupun simultan. Metode penelitian yang dipakai adalah kuantitatif dimana sampel yang dipakai sebanyak 154 karyawan. Adapun teknik dalam pengambilan data yang dipakai yaitu dengan kuisioner, dokumentasi, wawancara dan observasi dengan teknik purposive sampling. Jenis data yang di pakai pada pengkajian disini berupa data primer dengan memakai metode regresi linier berganda. Hasil dari pengkajian ini memperlihatkan bahwasanya secara parsial dan simultan lingkungan kerja fisik, motivasi kerja dan komitmen organisasi berpengaruh signifikan terhadap kepuasan kerja karyawan di PT. Dharma Lautan Utama Surabaya
Background: Calf Muscle Pain is discomfort and pain feeling in the gastrocnemius and soleus muscles, a result of constantly receiving the loading due to excessive wear. Purpose: This study was to determine hold relax exercise and auto myofascial release technique was more effective to reduce calf muscle pain than hold relax and auto stretching on SPG at Lippo Mall Kuta Bali. Methods: This research was an experimental study with pre and post test control group design. Total sample of this study were 22 SPGs, which divided into 2 groups. Group 1 (n = 11) was given hold relax exercise and auto stretching while the group 2 (n = 11) was given intervention hold relax exercise and auto myofascial release technique. Do exercise 3 times a week for 4 weeks. Sampling techniques with random sampling. Calf muscle pain was measured with modification sphygmomanometer to provoked pain. Result: Group 1 result obtained p value = 0,001 (p <0.05) and in Group 2 got result obtained p value = 0.001 (p<0.05) for Paired Sample T-test. Different test of mean value with independent sample t-test after treatment found that the decrease of calf muscle pain in group 2 was 232.73 mmHg better than group 1 was 199.09 mmHg with p value = 0.035 (p <0.05). Conclusion: Hold relax exercise and auto myofascial release technique more effective to reduce calf muscle pain than hold relax exercise and auto stretching on SPGs in Lippo Mall Kuta Bali. Suggestion: For the next researcher can do follow up research to see long-term result of hold relax and auto stretching exercise as well hold relax and auto myofascial release technique for SPGs.
Pendahuluan: Keseimbangan dinamis merupakan sistem gerak yang berfungsi mengontrol dan mempertahankan posisi tubuh yang melibatkan sistem neuromuskular, muskuloskeletal dan kognitif dengan perubahan dari center of gravity. Keseimbangan merupakan komponen penting dalam aktivitas motorik dan kontrol postural. Hal ini dapat terganggu karena kondisi flexible flatfoot. Flexible Flatfoot adalah bentuk telapak kaki datar yang disebabkan oleh hilangnya arkus longitudinal medial saat berdiri dan akan muncul saat telapak kaki tidak menyentuh tanah yang akan menyebabkan keseimbangan dinamisnya terganggu. Tujuan penelitian ini adalah untuk membuktikan perbedaan efektivitas kombinasi foot muscle strengthening dan kinesiotaping dengan foot muscle strengthening terhadap peningkatan keseimbangan dinamis pada anak dengan flexible flatfoot.Metode: Penelitian ini adalah eksperimental dengan rancangan pre and post test control group design. Subyek penelitian ini berjumlah 26 orang, yang terbagi menjadi 2 kelompok, dimana Kelompok Perlakuan (n=13) diberikan intervensi foot muscle strengthening dan kinesiotaping sedangkan Kelompok Kontrol (n=13) diberikan intervensi foot muscle strengthening. Diberikan perlakuan 3x seminggu selama 6 minggu. Teknik pengambilan sampel dengan random sampling. Keseimbangan dinamis diukur dengan balance beam walking test dan flexible flatfoot diukur dengan wet foot print test. Hasil: pada Kelompok Perlakuan diperoleh beda rerata keseimbangan dinamis sebelum intervensi sebesar 1,77±0,927 dan sesudah intervensi sebesar 3,54±0,877 dengan nilai p=0,001. Sedangkan hasil penelitian Kelompok Kontrol diperoleh beda rerata keseimbangan dinamis sebelum intervensi sebesar 1,46±0,776 dan sesudah intervensi sebesar 2,62±0,870 dengan nilai p=0,001. Uji beda sesudah intervensi pada Kelompok Perlakuan dan Kelompok Kontrol dengan menggunakan independent samples t-test didapatkan p=0,013 (p<0,05).Simpulan: kombinasi foot muscle strengthening dan kinesiotaping lebih baik dibandingkan dengan foot muscle strengthening terhadap peningkatan keseimbangan dinamis pada flexible flatfoot. Saran: baik intervensi foot muscle strengthening dan kinesiotaping dapat digunakan sebagai intervensi fisioterapi dalam meningkatkan keseimbangan dinamis pada anak dengan flexible flatfoot.Kata Kunci: Flexible Flatfoot, Keseimbangan Dinamis, Foot Muscle Strengthening, Kinesiotaping, Balance Beam Walking Test, Wet Foot Print Test.
This study aims to discuss the performance of lecturers, because locus of control plays a role in in improving their performance, and is supported by motivation and competence. With the explanatory method, 200 samples were obtained from distributing questionnaires, and using SEM analysis. As a result, locus of control has an effect on motivation and competence, and has a negative effect on lecturer performance. It is characterized by the absence of changes in behavior and attitudes, they still expect fate, luck, and other support for closeness to the ruler, external support is stronger than internal locus of control. They prefer to wait for the actions of others, as long as they can meet their performance needs. Motivation and competence have a fairly good influence in supporting their performance improvement. This situation occurs because their belief, effort, ability, and independence in producing a successful performance are still weak compared to fate.
Background: Myogenic low back pain is pain around of the lower back muscle or a disorder caused by abnormalities in the musculoskeletal system without neurological disorders.Combination of isotonic and rhythmic stabilization is PNF exercises that commonly used in the treatment of myogenic low back pain. Purpose : The purpose of this study prove that the combination of isotonic better than rhythmic stabilization to decrease disability in craftsman tile with myogenic low back pain in Darmasaba village. Methods: This study uses an experimental design with pre-test and post-test control group design. The experiment was conducted in Darmasaba village and subjects were 20 patients.Decreased disability was measured with the Modified Oswestry Disability Index (MODI) before and after training. Results: Statistical test results obtained, a decrease in MODI scores in the first treatment group showed that mean difference obtained 38.20±3.048 and for the second group obtained 31.80±4.050 with p=0.001.Conclusion: From these results it can be concluded that the combination of isotonic is better than rhythmic stabilization for decreased disability of tile craftsman with myogenic low back pain in Darmasaba village. Suggestion: For the next researcher can do follow up research to see long-term result of combination of isotonic and rhythmic stabilization for tile craftsman.
In the game of futsal, work of postural muscle balance needed to maintain the stability of the body for receiving the pass and put the ball into the other team's goal at the time of attack, changing the direction of movement quickly when returning to their respective positions and avoid of back disorder. This research is a form of experimental research that will test the effectiveness of the provision of trunk balance exercise is better than the strengthening of back exercises to improve muscle work balance of erector spine on futsal beginner players, in this study sample will be divided into two groups, the first group will be given trunk balance exercise to improve balance of erectorspine muscles work in futsal begginer players, the second group will be given back strengthening exercise to improve balance of erectorspine muscles work in futsal begginer players.This study was conducted for 6 weeks and the intervention performed 18 times during the study period. Samples measured by surface electromyography to measure work of right and left erector muscle by calculating the proportion of the work on the muscle, the measurement is performed at before the intervention and then intervention in accordance with the grouping which has been divided and then after completion of the intervention, the samples will be re-measured to obtain the value of the intervention.The results of the first group who has been given of trunk balance exercise shows the average value of the before treatment (83.82 ± 2.94) % and the mean value of the after treatment (96.74 ± 2.39) %, and in the second group who has been given strengthening back exercise shows the mean value of the before treatment (88.29 ± 1.89) % and the mean value after treatment (95.91 ± 1.75) %, with the probability value of both groups is 0.000 (p <0.05), and can be expressed there is a significant difference between both groups. In the fourth hypothesis test conducted comparative results of both groups, using independent samples t-test using mean value of the first and second groups, in the first group (12.92 ± 2.94) %, and the second group (7.61 ± 2.12) %, with a probability value 0.000 (p<0.05) and can be expressed in statistical analysis is no significant difference between both treatments were carried out and that means, giving trunk balance exercise is better than back strengthening exercise to improve balance of erector spine muscles work on futsal beginner players.
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