Herniated Nucleus Pulposus in Dr. Hasan Sadikin General Hospital Bandung Indonesia

Abstract

Background: Herniated nucleus pulposus (HNP) is one of the most common diseases of the spine. For an optimal management and prevention, there's a need for data on factors related to the onset of complaints because this disease lowers the quality of life and increases morbidity. This study is aimed to see the scale and pattern of the HNP in Dr. Hasan Sadikin General Hospital, Bandung. Methods: This is a descriptive study with the design of case series, data was obtained from medical records of patients with the diagnosis of HNP in the inpatient care of Dr. Hasan Sadikin General Hospital in the period of 2007-2011. Results: According to the study on 79 patients, with 43 men and 36 women, the highest incidence was at the age group of 51-60 years old (31.6%) and most common occupation was civil servant (11.4%). The most common clinical symptoms were sciatica (51.9%) and low back pain (51.9%). Most frequent location was in the lumbar vertebrae at the level of L5-S1 (58.2%). Trauma was found to be the highest relatable history in the patients (39.2%). Therapy of choice was primarily conservative (58.2%) and most patients went home after the progression (84.8%). The year 2007 showed the highest prevalence of HNP at 25.3%. The most common clinical symptoms were sciatica (51.9%) and low back pain (51.9%) Conclusions: The most common clinical symptoms were sciatica and low back pain. Most frequent location was in the lumbar vertebrae at the level L5-S1. [AMJ.2015;2(1):

The Effect of Hydrotherapy on Pain Intensity and Functional Ability in Lumbar Disk Herniation (LDH) Patients that Undergo Non-operative Procedure Pre-experimental Study at Medical Rehabilitation Installation of RSUP dr. Mohammad Hoesin Palembang

“…The results of this study shows that the highest incidence of LDH was at the age group 51-60 years old, ranging from 35-76 years old. There results are in accordance with Ikhsanawati et al, (2015) which in their research found that the incidence of LDH peaked in the age group 51-60 years old. 2 Other research conducted by Schroeder, Guyre, & Vaccaro (2016) support that LDH are mostly found at the age above 30 years old because at this age the degenerative process begins.…”

“…HNP most commonly affects adults in the age of 30-50 years old. 2 About 15-45% of adults in developed countries suffer from low back pain each year. 3 The prevalence of low back pain in Indonesia have not been clearly obtained, but are estimated between 7,6% to 37%.…”

Effect of Hydrotherapy on Pain Intensity and Functional Ability in Lumbar Disk Herniation (LDH) Patients that Undergo Non-operative Procedure

“…There results are in accordance with Ikhsanawati et al, (2015) which in their research found that the incidence of LDH peaked in the age group 51-60 years old. 2 Other research conducted by Schroeder, Guyre, & Vaccaro (2016) support that LDH are mostly found at the age above 30 years old because at this age the degenative process begins. 12 In this study also found that from 30 subjects, the number of women was more that that of men (76.7% to 23.3%).…”

“…HNP most commonly affects adults in the age of 30-50 years old. 2 About 15-45% of adults in developed countries suffer from low back pain each year. 3 The prevalence of low back pain in Indonesia have not been clearly obtained, but are estimated between 7,6% to 37%.…”

“…11 In Indonesia, studies on LDH have not been widely carried out, especially those related to hydrotherapy. 2 Therefore, this study was conducted to analyze the effect of hydrotherapy on LDH patients that undergo non-operative prosedure so that it could be seen whether there was an effect of hydrotherapy on decreasing pain intensity and improvement functional ability.…”