Efektivitas Mobilisasi Sendi dan Pelatihan Stabilisasi Lumbopelvis pada Non-Specific Low Back Pain

https://doi.org/10.22146/jkesvo.70447

Made Hendra Satria Nugraha(1*), Ni Komang Ayu Juni Antari(2), Anak Ayu Nyoman Trisna Narta Dewi(3)

(1) Departemen Fisioterapi, Fakultas Kedokteran, Universitas Udayana
(2) Departemen Fisioterapi, Fakultas Kedokteran, Universitas Udayana
(3) Departemen Fisioterapi, Fakultas Kedokteran, Universitas Udayana
(*) Corresponding Author

Abstract


Latar Belakang: Non-specific low back pain merupakan tipe nyeri muskuloskeletal yang sering dilaporkan. Permasalahan yang biasanya menyertai non-specific low back pain di antaranya adalah keterbatasan gerak sendi lumbopelvis, nyeri, serta disabilitas punggung bawah. Terdapat beberapa penanganan yang dapat diberikan untuk memperbaiki gerak dan fungsi pada non-specific low back pain,yaitu melalui pemberian modalitas elektroterapi, terapi latihan, serta manual terapi.

Tujuan: Membandingkan efektivitas penambahan mobilisasi sendi dan pelatihan stabilisasi lumbopelvis (Mostab) pada penanganan standar fisioterapi berupa intervensi ultrasound therapy (UST) dan pelatihan peregangan dalam menurunkan disabilitas punggung bawah.

Metode: Penelitian ini adalah penelitian eksperimental dan peserta penelitian dibagi secara acak ke dalam 2 kelompok. Kelompok kontrol (n=12) diberikan UST + pelatihan peregangan, sedangkan kelompok perlakuan (n=12) diberikan UST + pelatihan peregangan + Mostab. Alat ukur evaluasi terapi yang digunakan adalah modified oswestry disability index versi Indonesia (MODI).

Hasil: Hasil uji komparasi antar kelompok didapatkan nilai yang signifikan (p=0,000) antarkedua kelompok. Penambahan Mostab pada intervensi ultrasound therapy dan pelatihan peregangan lebih signifikan daripada kombinasi ultrasound therapy dan pelatihan peregangan saja dalam menurunkan disabilitas pungggung bawah pada non-specific low back pain.

Kesimpulan: Mostab efektif dalam menurunkan disabilitas pungggung bawah pada non-specific low back pain.


Keywords


pelatihan peregangan; mobilisasi sendi; stabilisasi lumbopelvis; ultrasound therapy; non-specific low back pain

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DOI: https://doi.org/10.22146/jkesvo.70447

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