Efektivitas Program Aquatic Exercise Terhadap Penurunan Nyeri Pasien Chronic Low Back Pain

Cafin Surya Putra Pratama(1*), Arif Pristianto(2), Isnaini Herawati(3), Widya Ervianta(4), Muh Ridhuwan(5)

(1) 
(2) Universitas Muhammadiyah Surakarta
(3) Universitas Muhammadiyah Surakarta
(4) Rumah Sakit Tentara dr. Soedjono Magelang
(5) Rumah Sakit Tentara dr. Soedjono Magelang
(*) Corresponding Author

Abstract

Chronic low back pain (CLBP) atau nyeri punggung bawah kronis didefinisikan kurangnya koordinasi dan lemahnya daya tahan otot disekitar tulang belakang dan core muscle yang dapat menyebabkan spasme otot berlangsung selama 12 minggu. Nyeri low back pain terjadi akibat adanya penurunan kekuatan dan daya tahan otot abdominals dan gluteus maximus serta ketegangan otot pada iliopsoas dan erector spine. Memanfaatkan fisika air seperti daya apung untuk mengurangi tekanan pada sendi, viskositas untuk latihan tahanan, tekanan hidrostatik mengurangi tekanan darah ke jantung dan penggunaan suhu air kisaran 33-37 derajat celcius dapat menurunkan tonus otot dan mengurangi muscle guarding. Untuk mengetahui efektivitas program aquatic exercise terhadap penurunan nyeri pada pasien chronic low back pain di RST dr. Soedjono Magelang. Jenis penelitian yang digunakan adalah Quasi Experimental Design dengan pendekatan One Group Pre-Test dan Post-Test. Teknik pengambilan sampel dalam penelitian ini menggunakan purposive sampling. Jumlah sampel sebanyak 11 orang. Hasil Uji Paired Sample t-Test rata-rata pengukuran nyeri sebelum dan sesudah perlakuan sebesar 6,82 dan 4,45. Hasil uji statistik diperoleh p adalah 0,001. Kesimpulan dalam penelitian ini  aquatic exercise efektif terhadap penurunan nyeri pasien chronic low back pain pada RST dr. Soedjono Magelang.

References

Bello, A. I., Kalu, N. H., Adegoke, B. O. A., & Agyepong-Badu, S. (2010). Hydrotherapy versus land-based exercises in the management of chronic low back pain: A comparative study. Journal of Musculoskeletal Research, 13(4), 159–165. https://doi.org/10.1142/S021895771000 2594

Bigos, S. J., Holland, J., Holland, C., Webster, J. S., Battie, M., & Malmgren,

J. A. (2009). High-quality controlled trials on preventing episodes of back problems: systematic literature review in working-age adults. Spine Journal, 9(2), 147–168. https://doi.org/10.1016/j.spinee.2008.11. 001

Chou, R. (2010). Low back pain (chronic). Clinical Evidance, 10(1116), 1–41.

Kwon, B. K., Roffey, D. M., Bishop, P. B.,Dagenais, S., & Wai, E. K. (2011). Systematic review: Occupational physical activity and low back pain. Occupational Medicine, 61(8), 541–548. https://doi.org/10.1093/occmed/kqr092

Manchikanti, L., Singh, V., Falco, F. J. E., Benyamin, R. M., & Hirsch, J. A. (2014). Epidemiology of low back pain in Adults. Neuromodulation, 17(S2), 3– 10. https://doi.org/10.1111/ner.12018

Meucci, R. D., Fassa, A. G., & Xavier Faria,

N. M. (2015). Prevalence of chronic low back pain: Systematic review. Revista de Saude Publica, 49, 1–10. https://doi.org/10.1590/S0034- 8910.2015049005874

Prabhu, C., & Dadmi, P. (2019). Effect of aquatic therapy v/s relaxation therapy in chronic low back pain. International Journal of Orthopaedics Sciences, 5(1.3), 279–284. https://doi.org/10.22271/ortho.2019.v5.i 1e.49

Pristianto, Arif., Rahman, Farid, Wijianto. (2018). Terapi Latihan Dasar. Surakarta: Muhammadiyah University Press.

Romanò, C. L., Romanò, D., & Lacerenza, M. (2012). Antineuropathic and antinociceptive drugs combination in patients with chronic low back pain: A systematic review. Pain Research and Treatment, 2012.

https://doi.org/10.1155/2012/154781 Sawant, R. S., & Shinde, S. B. (2019). Effect

of hydrotherapy based exercises for chronic nonspecific low back pain. Indian Journal of Physiotherapy and Occupational Therapy - An International Journal, 13(1), 133.

https://doi.org/10.5958/0973- 5674.2019.00027.3

Sevimli, D., Kozanoglu, E., Guzel, R., & Doganay, A. (2015). The effects of aquatic, isometric strength-stretching and aerobic exercise on physical and psychological parameters of female patients with fibromyalgia syndrome. Journal of Physical Therapy Science, 27(6), 1781–1786.

https://doi.org/10.1589/jpts.27.1781

Shi, Z., Zhou, H., Lu, L., Pan, B., Wei, Z.,

Yao, X., Feng, S. (2018). Aquatic Exercises in the Treatment of Low Back Pain: A Systematic Review of the Literature and Meta-Analysis of Eight Studies. American Journal of Physical Medicine and Rehabilitation, 97(2), 116–122.

https://doi.org/10.1097/PHM.000000000 0000801

Taglietti, M., Facci, L. M., Trelha, C. S., de Melo, F. C., da Silva, D. W., Sawczuk, G., … Cardoso, J. R. (2018). Effectiveness of aquatic exercises compared to patient-education on health status in individuals with knee osteoarthritis: a randomized controlled trial. Clinical Rehabilitation, 32(6), 766–776.

https://doi.org/10.1177/0269215517754 240

van Middelkoop, M., Rubinstein, S. M., Verhagen, A. P., Ostelo, R. W., Koes, B.

W., & van Tulder, M. W. (2010). Exercise therapy for chronic nonspecific low-back pain. Best Practice and Research: Clinical Rheumatology, 24(2), 193–204.

https://doi.org/10.1016/j.berh.2010.01.0 02

Verhagen, A. P., Cardoso, J. R., & Bierma- Zeinstra, S. M. A. (2012). Aquatic exercise & balneotherapy in musculoskeletal conditions. Best Practice and Research: Clinical Rheumatology, 26(3), 335–343. https://doi.org/10.1016/j.berh.2012.05.0 08

Vismara, L., Francesco, M., Zaina, F., Galli, M., Negrini, S., & Capodaglio, P. (2010). Effect of obesity and low back pain on spinalmobility. Journal of NeuroEngineering and Rehabilitation, 3(7), 1–8.

Wang, Y. X. J. (2017). Menopause as a potential cause for higher prevalence of low back pain in women than in age- matched men. Journal of Orthopaedic Translation, 8, 1–4. https://doi.org/10.1016/j.jot.2016.05

DOI: 10.23917/fisiomu.v1i2.10525

Article Metrics

Abstract view(s): 746 time(s)
PDF (Bahasa Indonesia): 843 time(s)

Refbacks

  • There are currently no refbacks.