Fisioterapi pada Kondisi Lumbar Disc Bulging Syndrome: Case Report
DOI:
https://doi.org/10.35960/vm.v16i3.969Keywords:
Pold Method, SNAGs extension, Mc Kenzie exercise, pold method, SNAGs extension, Mc Kenzie excerciseAbstract
Pendahuluan: Lumbar disc bulging syndrome tidak menyebabkan penekanan pada nerve root, sehingga hanya akan menyebabkan central low back pain. Studi ini bertujuan untuk mengetahui penatalaksanaan fisioterapi dengan manual terapi dan mc-kenzie exercises pada kondisi lumbar disc bulging syndrome. Metode: Penelitian ini menggunakan sampel 1 orang pasien dengan kondisi Lumbar disc bulging syndrome dan diberikan intervensi manual terapi berupa POLD Method dan SNAGs extension serta latihan Mc-Kenzie dengan 3x/minggu selama 45 menit dalam 4 sesi pertemuan. Analisa data didasarkan pada perkembangan hasil evaluasi pengukuran yang disajikan dalam bentuk grafik. Hasil: Evaluasi nyeri mengalami penurunan nyeri tekan (4/10) dan nyeri gerak (5/10). Adanya peningkatan lingkup gerak sendi lumbar (S: 30°-0°-80°; F: 30°-0°-30°; T: 45°-0°-45°). Adanya perbaikan fungsional (20%: Keterbatasan sedang). Kesimpulan: Terdapat penurunan tingkat nyeri, peningkatan lingkup gerak sendi lumbar, dan perbaikan fungsional pada pasien lumbar disc bulging setelah diberikan POLD Method dan SNAGs extension serta latihan Mc-Kenzie selama 4 sesi pertemuan.
References
Allegri, M., Montella, S., Salici, F., Valente, A., Marchesini, M., Compagnone, C., Baciarello, M., Manferdini, M. E., & Fanelli, G. (2016). Mechanisms of low back pain: A guide for diagnosis and therapy [version 1; referees: 3 approved]. F1000Research, 5, 1–11. https://doi.org/10.12688/F1000RESEARCH.8105.1
Braun, J., Baraliakos, X., Regel, A., & Kiltz, U. (2014). Assessment of spinal pain. Best Practice and Research: Clinical Rheumatology, 28(6), 875–887. https://doi.org/10.1016/j.berh.2015.04.031
Choi, J., Hwangbo, G., Park, J., & Lee, S. (2014). The effects of manual therapy using joint mobilization and flexion-distraction techniques on chronic low back pain and disc heights. Journal of Physical Therapy Science, 26(8), 1259–1262. https://doi.org/10.1589/jpts.26.1259
Davis, K. G., & Kotowski, S. E. (2014). Postural variability: An effective way to reduce musculoskeletal discomfort in office work. Human Factors, 56(7), 1249–1261. https://doi.org/10.1177/0018720814528003
Dreischarf, M., Shirazi-Adl, A., Arjmand, N., Rohlmann, A., & Schmidt, H. (2016). Estimation of loads on human lumbar spine: A review of in vivo and computational model studies. Journal of Biomechanics, 49(6), 833–845. https://doi.org/10.1016/j.jbiomech.2015.12.038
López-Díaz, J. V., Arias-Buría, J. L., Lopez-Gordo, E., Lopez Gordo, S., & Aros Oyarzún, A. P. (2015). “Effectiveness of continuous vertebral resonant oscillation using the POLD method in the treatment of lumbar disc hernia”. A randomized controlled pilot study. Manual Therapy, 20(3), 481–486. https://doi.org/10.1016/j.math.2014.11.013
Moutzouri, M., Billis, E., Strimpakos, N., Kottika, P., & Oldham, J. A. (2008). The effects of the Mulligan Sustained Natural Apophyseal Glide (SNAG) mobilisation in the lumbar flexion range of asymptomatic subjects as measured by the Zebris CMS20 3-D motion analysis system. BMC Musculoskeletal Disorders, 9, 1–9. https://doi.org/10.1186/1471-2474-9-131
Namnaqani, F. I., Mashabi, A. S., Yaseen, K. M., & Alshehri, M. A. (2019). The effectiveness of McKenzie method compared to manual therapy for treating chronic low back pain: A systematic review. Journal of Musculoskeletal Neuronal Interactions, 19(4), 492–499.
Paladini, L. H., Almeida, N., Korelo, R. I. G., De MacEdo, R. M., Guarita-Souza, L. C., Zotz, T. G. G., & De MacEdo, A. C. B. (2020). Short-wave diathermy in patients with chronic low back pain: A systematic review. Coluna/ Columna, 19(3), 218–222. https://doi.org/10.1590/S1808-185120201903219301
Shaikh, K., Ingle, G., & Kadam, K. (2021). Effects of Mckenzie exercises in reducing pain and improving functional range of motion in individuals with low back pain associated with lumbar disc prolapse- A Review of Literature . Green Publication, 1(1), 22–40.
Shore, S., Orthopedic, H., & Therapy, S. (2016). Lumbar_Disc_Herniation protocole-South shore hosp.pdf. 1–8.
Subramanian, S., & Arun, B. (2017). Risk Factor Analysis in Sedentary Office Workers with Low Back Pain. Journal of Chalmeda Anand Rao Institute of Medical Sciences, 13(1), 15–18.
Szulc, P., Wendt, M., Waszak, M., Tomczak, M., Cieślik, K., & Trzaska, T. (2015). Impact of McKenzie method therapy enriched by muscular energy techniques on subjective and objective parameters related to spine function in patients with chronic low back pain. Medical Science Monitor, 21, 2918–2932. https://doi.org/10.12659/MSM.894261
Ulger, O., Demirel, A., Oz, M., & Tamer, S. (2017). The effect of manual therapy and exercise in patients with chronic low back pain: Double blind randomized controlled trial. Journal of Back and Musculoskeletal Rehabilitation, 30(6), 1303–1309. https://doi.org/10.3233/BMR-169673
Warude, T., & Shanmugam, S. (2014). The Effect of Mckenzie Approach and Mulligan’s Mobilisation (SNAGS) in Lumbar Disc Prolapse with Unilateral Radiculopathy. International Journal of Science and Research (IJSR), 3(10), 59–63.
Downloads
Published
How to Cite
Issue
Section
License
Submitted paper will be firstly reviewed by the editors to determine whether the paper meet the edition theme and submission guidelines. Papers which meet the theme and the guidelines will be assigned to selected reviewers for peer-reviews. Viva Medika: Jurnal Kesehatan, Kebidanan dan Keperawatan is a double blind peer-reviewed journal which involves reviewers based on their experties relevant to the topic of the paper. Final decision of paper acceptance is solely decided by the editors according to reviewers' comment.
Plagiarism and self-plagiarism are prohibited. Viva Medika: Jurnal Kesehatan, Kebidanan dan Keperawatan uses PlagiarismCheckerX and iThenticate to scan papers for detecting plagiarism. Thus, Appropriate citation and quotation should be used
.png)
.png){kind=small}
