Abstrak
Nyeri punggung bawah non-spesifik (NSLBP) memiliki prevalensi yang tinggi di antara populasi. NSLBP tidak hanya mempengaruhi individu tetapi juga berdampak pada penurunan produktivitas kerja dan pada akhirnya mempengaruhi sektor ekonomi. Ada beberapa multimodal yang dapat diberikan untuk mengobati NSLBP. Seri kasus ini merupakan studi pendahuluan untuk mengetahui efektivitas kombinasi terapi ultrasound, pelatihan peregangan, mobilisasi sendi lumbar, dan pelatihan stabilisasi lumbopelvic di NSLBP dalam meningkatkan rasa sakit dan mengurangi kecacatan punggung. Intervensi diberikan tiga kali dalam 1 minggu selama empat minggu (12 sesi) kepada 3 responden. Efektivitas terapi dinilai menggunakan skala peringkat numerik (NRS) untuk mengukur pengurangan rasa sakit dan versi Indonesia dari indeks kecacatan Oswestry yang dimodifikasi (MODI) untuk menilai penurunan kecacatan punggung bawah di NSLBP. Berdasarkan hasil seri kasus, terjadi penurunan nilai NRS rata-rata dari 4,67 menjadi 1,93 (dengan perbedaan penurunan rata-rata 2,74), dan terjadi penurunan nilai MODI rata-rata dari 32 menjadi 13,67 (dengan perbedaan penurunan rata-rata 18,33). Hasil seri kasus ini memberikan informasi bahwa kombinasi UST, latihan peregangan, mobilisasi sendi, dan latihan stabilisasi lumbopelvic bermanfaat dalam mengurangi rasa sakit dan kecacatan pada NSLBP. Seri kasus ini adalah studi pendahuluan tentang kombinasi multimodal dalam pengobatan NSLBP. Diharapkan bahwa studi eksperimental lebih lanjut akan dilakukan untuk membuktikan efektivitas kombinasi ini dalam mengobati individu dengan NSLBP.
Referensi
Bitenc-Jasiejko, A., Konior, K., & Lietz-Kijak, D. (2020). Meta-Analysis of Integrated Therapeutic Methods in Noninvasive Lower Back Pain Therapy (LBP): The Role of Interdisciplinary Functional Diagnostics. Pain Research and Management, 2020, 1–17. https://doi.org/10.1155/2020/3967414
Câmara-Gomes, L. F., Dibai Filho, A. V., Diniz, R. R., Alvares, P. D., Veneroso, C. E., & Cabido, C. E. T. (2022). Mechanisms of muscle stretching exercises for reduction of low back pain: narrative review. Brazilian Journal Of Pain, 5(1). https://doi.org/10.5935/2595-0118.20220001
Chang, W.-D., Lin, H.-Y., & Lai, P.-T. (2015). Core strength training for patients with chronic low back pain. Journal of Physical Therapy Science, 27(3), 619–622. https://doi.org/10.1589/jpts.27.619
Chen, H.-M., Wang, H.-H., Chen, C.-H., & Hu, H.-M. (2014). Effectiveness of a Stretching Exercise Program on Low Back Pain and Exercise Self-Efficacy Among Nurses in Taiwan: A Randomized Clinical Trial. Pain Management Nursing, 15(1), 283–291. https://doi.org/10.1016/j.pmn.2012.10.003
Chiarotto, A., Maxwell, L. J., Ostelo, R. W., Boers, M., Tugwell, P., & Terwee, C. B. (2019). Measurement Properties of Visual Analogue Scale, Numeric Rating Scale, and Pain Severity Subscale of the Brief Pain Inventory in Patients With Low Back Pain: A Systematic Review. The Journal of Pain, 20(3), 245–263. https://doi.org/10.1016/j.jpain.2018.07.009
Coulter, I. D., Crawford, C., Hurwitz, E. L., Vernon, H., Khorsan, R., Suttorp Booth, M., & Herman, P. M. (2018). Manipulation and mobilization for treating chronic low back pain: a systematic review and meta-analysis. The Spine Journal, 18(5), 866–879. https://doi.org/10.1016/j.spinee.2018.01.013
Ebadi, S., Henschke, N., Nakhostin Ansari, N., Fallah, E., & van Tulder, M. W. (2014). Therapeutic ultrasound for chronic low-back pain. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD009169.pub2
Haile, G., Hailemariam, T. T., & Haile, T. G. (2021). Effectiveness of Ultrasound Therapy on the Management of Chronic Non-Specific Low Back Pain: A Systematic Review. Journal of Pain Research, Volume 14, 1251–1257. https://doi.org/10.2147/JPR.S277574
Hecimovich, M., Pomije, M., & Harbaugh, A. (2018). Comparing lumbopelvic stabilization exercises and yoga on functional stability and low back pain in young, non-elite, female gymnasts. Physiotherapy and Health Activity, 25(1), 1–8. https://doi.org/10.1515/pha-2017-0001
Kisner, C., & Colby, L. (2012). Therapeutic Exercise: Foundations and Techniques. F.A. Davis Company.
Lutke Schipholt, I. J., Coppieters, M. W., Meijer, O. G., Tompra, N., de Vries, R. B. M., & Scholten-Peeters, G. G. M. (2021). Effects of joint and nerve mobilisation on neuroimmune responses in animals and humans with neuromusculoskeletal conditions: a systematic review and meta-analysis. PAIN Reports, 6(2), e927. https://doi.org/10.1097/PR9.0000000000000927
Oliveira, C. B., Maher, C. G., Pinto, R. Z., Traeger, A. C., Lin, C.-W. C., Chenot, J.-F., van Tulder, M., & Koes, B. W. (2018). Clinical practice guidelines for the management of non-specific low back pain in primary care: an updated overview. European Spine Journal, 27(11), 2791–2803. https://doi.org/10.1007/s00586-018-5673-2
Papadopoulos, E. S., & Mani, R. (2020). The Role of Ultrasound Therapy in the Management of Musculoskeletal Soft Tissue Pain. The International Journal of Lower Extremity Wounds, 19(4), 350–358. https://doi.org/10.1177/1534734620948343
Princeton University. (2017). Lumbar/Core Strength and Stability Exercises. Http://Www.Rsgplus.Org/Wp-Content/Uploads/2017/10/Lumbar.Pdf.
Ribeiro, R. P., Sedrez, J. A., Candotti, C. T., & Vieira, A. (2018). Relação entre a dor lombar crônica não específica com a incapacidade, a postura estática e a flexibilidade. Fisioterapia e Pesquisa, 25(4), 425–431. https://doi.org/10.1590/1809-2950/18001925042018
Shiri, R., Coggon, D., & Falah-Hassani, K. (2018). Exercise for the Prevention of Low Back Pain: Systematic Review and Meta-Analysis of Controlled Trials. American Journal of Epidemiology, 187(5), 1093–1101. https://doi.org/10.1093/aje/kwx337
Smith, B. E., Littlewood, C., & May, S. (2014). An update of stabilisation exercises for low back pain: a systematic review with meta-analysis. BMC Musculoskeletal Disorders, 15(1), 416. https://doi.org/10.1186/1471-2474-15-416
Tavares, F. A. G., Chaves, T. C., Silva, E. D., Guerreiro, G. D., Gonçalves, J. F., & Albuquerque, A. A. A. de. (2017). Immediate effects of joint mobilization compared to sham and control intervention for pain intensity and disability in chronic low back pain patients: randomized controlled clinical trial. Revista Dor, 18(1). https://doi.org/10.5935/1806-0013.20170002
Wahyuddin, Ivanali, K., & Harun, A. (2016). Adaptasi Lintas Budaya Modifikasi Kuesioner Disabilitas untuk Nyeri Punggung Bawah (Modified Oswestry Low Back Pain Disability Questionnaire/ODI) Versi Indonesia. Jurnal Ilmiah Fisioterapi, 16(2).
Watson, T. (2017). Ultrasound Dose Calculations. http://www.electrotherapy.org/assets/Downloads/Ultrasound Dose Calculations 2017.pdf
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