"Comparison of Conservative Physiotherapy with Core Stability Exercise in Cases of Lower Back Pain" by Angria Pradita and Nurul Halimah
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Jurnal Fisioterapi Terapan Indonesia

Abstract

ABSTRACT: Low back pain is a major complaint caused by multifactorial conditions. The most common factors of low back pain complaints are due to age, occupation and gender. This study aims to compare the differences in therapeutic effects of conservative physiotherapy with the provision of electrotherapy, namely; microwave diathermy combined with transcutaneous electrical nerve stimulation (TENS), core stability exercise techniques and a combination of electrotherapy with core stability exercise (CSE). This type of research is quasi experimental with a pre-post test design in a population of 90 low back pain patients who seek treatment at the Physiotherapy clinic. By using purposive sampling technique of 60 patients who have met the exclusion and inclusion criteria, patients were divided into intervention groups, namely; (1) conservative physiotherapy (electrotherapy); (2) core stability exercise; (3) conservative physiotherapy and core stability exercise. Data collection techniques using visual analogue scale (VAS) measurement, and schoober method with analysis test using krusskal wallis. The results of this study showed a difference in the median value of pain of 2 (group 1), 4 (group 2), and 3.5 (group 3) with a P value on pain of 0.06>0.05, and a difference in the median value of muscle flexibility of 1.5 (group 1); 1.75 (group 2); 1.75 (group 3) with a P value showing 0.895. The three intervention groups have no difference in reducing pain and increasing flexibility.

References

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Bahasa Abstract

Nyeri punggung bawah merupakan keluhan utama yang disebabkan kondisi multifactorial. Faktor yang terbanyak dari keluhan nyeri punggung bawah adalah akibat usia, pekerjaan dan jenis kelamin. Penelitian ini memiliki tujuan membandingkan perbedaan efek terapeutik fisioterapi konservatif dengan pemberian elektroterapi, yakni; microwave diathermi kombinasi transcutaneous electrical nerve stimulation (TENS), teknik latihan core stability dan kombinasi elektroterapi dengan core stability exercise (CSE). Jenis penelitian ini kuasi eksperimental dengan pre-post test design pada populasi 90 pasien nyeri punggung bawah yang berobat ke poli Fisioterapi. Dengan menggunakan teknik purposive sampling pada 60 pasien yang telah memenuhi kriteria ekslusi dan inklusi, pasien tersebut dibagi dalam kelompok intervensi, yaitu; (1) fisioterapi konservatif (elektroterapi); (2) core stability exercies; (3) fisioterapi konservatif dan core stability exercise. Teknik pengumpulan data menggunakan pengukuran visual analogue scale (VAS),dan metode schoober dengan uji analisis menggunakan krusskal wallis. Hasil penelitian ini secara berturut-turut menunjukkan selisih nilai median nyeri sebanyak 2 (kelompok 1), 4 (kelompok 2), dan 3,5 (kelompok 3) dengan nilai P pada nyeri 0,06>0,05, dan selisih nilai median fleksibilitas otot sebanyak 1,5 (kelompok 1); 1,75 (kelompok 2); 1,75 (kelompok 3) dengan nilai P menunjukkan 0,895. Dengan Kesimpulan bahwa ketiga kelompok intervensi tersebut tidak terdapat perbedaan dalam menurunkan nyeri dan meningkatkan fleksibilitas

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