Penatalaksanaan Fisioterapi pada Kondisi Low Back Pain Et Causa Hernia Nucleus Pulposus Lumbal = Physiotherapy Management in Conditions of Low Back Pain Et Cause Lumbar Nucleus Pulposus Hernia

Nabila, Anggita Esa (2023) Penatalaksanaan Fisioterapi pada Kondisi Low Back Pain Et Causa Hernia Nucleus Pulposus Lumbal = Physiotherapy Management in Conditions of Low Back Pain Et Cause Lumbar Nucleus Pulposus Hernia. D3 thesis, Universitas Kristen Indonesia.

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Abstract

Latar Belakang: Low Back Pain Et Causa Hernia Nucleus Pulposus Lumbal merupakan suatu kondisi yang disebabkan pekerjaan mengangkat berat yang berulang-ulang, postur duduk yang salah, atau kecelakaan yang melibatkan gerakan berulang pada trunk sehingga timbulnya bulging/ herniasi pada nucleus pulposus lumbal. Tujuan: Untuk mengetahui penatalaksanaan fisioterapi pada kondisi low back pain et causa hernia nucleus pulposus lumbal. Metode: Desain karya tulis ini menggunakan studi kasus pada satu pasien disalah satu rumah sakit umum daerah. Pengumpulan data menggunakan kuesioner Barthel index dengan wawancara secara langsung dan juga dilakukan pengukuran Range of Motion (ROM) menggunakan instrument midline, Oswestry Disability Index (ODI) dan Visual Analogue Scale (VAS). Modalitas intervensi berupa Microwave Diathermy (MWD) dan TENS. Hasil: Setelah dilakukan terapi sebanyak 3 kali pertemuan di dapatkan hasil berupa hasil evaluasi periodik pada perubahan nyeri tekan dari nilai 4 menjadi nilai 2, nyeri gerak aktif dan pasif dari nilai 4 menjadi nilai 2 pada seluruh gerakan lumbal serta peningkatan Lingkup Gerak Sendi (LGS), kemampuan fungsional dengan pengukuran ODI dari nilai 24 menjadi nilai 14 . Kesimpulan: Microwave diathermy dan TENS mampu membantu dalam menurunkan nyeri, meningkatkan kekuatan otot, meningkatkan kemampuan fungsional pada lumbal. / Background: Low Back Pain Et Causa Lumbar Nucleus Pulposus Hernia is a condition caused by repetitive heavy lifting, incorrect sitting posture, or accidents involving repetitive movements of the trunk resulting in bulging/herniation of the lumbar nucleus pulposus. Objective: To find out physiotherapy management in conditions of low back pain et causa lumbar nucleus pulposus hernia. Method: The design of this paper uses a case study of one patient at a regional general hospital. Data were collected using the Barthel index questionnaire with direct interviews and Range of Motion (ROM) measurements were also carried out using midline instruments, Oswestry Disability Index (ODI) and Visual Analogue Scale (VAS). Intervention modalities in the form of Microwave Diathermy (MWD) and TENS. Results: After undergoing therapy for 3 meetings, the results were obtained in the form of periodic evaluation results on changes in pressure pain from value 4 to value 2, active and passive movement pain from value 4 to value 2 in all lumbar movements as well as an increase in Joint Range of Motion (LGS) , functional ability with ODI measurements from a value of 24 to a value of 14 . Conclusion: Microwave diathermy and TENS can help reduce pain, increase muscle strength, increase functional ability in the lumbar region.

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