INTERVENSI FISIOTERAPI TRANSCUTANEUS ELECTRICAL NERVE STIMULATION (TENS) DAN LUMBAR STABILIZATION UNTUK MENGURANGI NYERI DAN MENINGKATKAN LINGKUP GERAK SENDI (LGS) PADA KASUS LOW BACK PAIN E.C. HERNIA NUCLEUS PULPOSUS
Keywords:
LBP e.c HNP Transcutaneus Electrical Nerve Stimulation, Lumbar Stabilization ExerciseAbstract
Lower Back Pain (LBP) e.c Herniated Nucleus Pulposus (HNP) is pain in the lower back that is localized or radicular because the nucleus pulposus is compressed by work factors and protrudes from the intervertebral disc, causing pain in the spine. In the long term, this causes immobilization, increases pain, decreases muscle strength, decreases LGS, and decreases functional performance. physiotherapy management in cases of LBP e.c HNP using Transcutaneal Electrical Stimulation (TENS) and Lumbar Stabilization. The method used a case study conducted at the Husada Asih YPAC Malang Clinic on 14-24. December 2022 with 4 meetings. The TENS dose used is symmetrical waves, frequency 20 Hz, pulse 330 ms and duration 20 minutes, with the aim of reducing pain. Lumbar stabilization exercise aims to increase joint range of motion, increase muscle strength, and improve functional performance. The conclusion of this case study is that physical therapy management of LBP e.c HNP cases using TENS techniques and lumbar stabilization reduces pain, increases joint range of motion, but does not increase muscle strength. and increases functional activity.
References
Amin, D.J. and Goodman, M. (2014) ‘The effects of selected asanas in Iyengar yoga on flexibility: Pilot study’, Journal of Bodywork and Movement Therapies, 18(3), pp. 399–404. Available at: https://doi.org/10.1016/j.jbmt.2013.11.008.
Carla Maria Verruch, Andersom Ricardo Fréz, G.R.F.B. (2019) ‘Comparative analysis between three forms of application of transcutaneous electrical nerve stimulation and its effect in college students with non-specific low back pain’, BrJP. São Paulo, 2(2), pp. 132–136. Available at: https://doi.org/10.5935/2595-0118.20190024.
Hardini, K.F. (2022) ‘Penatalaksanaan Fisioterapi Dengan Modalitas Transcutaneous Electrical Nerve Stimulation (Tens) Dan Terapi Latihan Pada …’, https://ejournal.mandalanursa.org/index.php/JISIP/article/view/3671/2977, 6(4), pp. 2318–2322. Available at: https://doi.org/10.36312/jisip.v6i4.3671/http.
Hardini, K.F. and Putri, G.I.S.H. (2021) ‘Penatalaksanaan Fisioterapi dengan Modalitas Infrared dan Deep Breathing Exercise terhadap Penurunan Nyeri dan Ekspansi Thoraks pada Pasien Efusi Pleura Post Water Seal Drainage’, Physiotherapy Health Science (PhysioHS), 3(2), pp. 108–112. Available at: https://doi.org/10.22219/physiohs.v3i2.19466.
Khokhawala, Alisha Murtaza, R.G. (PT) (2019) ‘THE EFFECTS OF LUMBAR STABILIZATION EXERCISES ON A SWISS BALL IN PATIENTS WITH MECHANICAL LOW BACK PAIN’, Int J Physiother. February, Vol 6(1), pp. 17–22.
Ligia Maria FacciI, Jean Paulus NowotnyI, Fabio TormemI, V.F.M.T. (2011) ‘Effects of transcutaneous electrical nerve stimulation (TENS) and interferential currents (IFC) in patients with nonspecific chronic low back pain: randomized clinical trial’, Sao Paulo Med J, 129(4), pp. 206–16.
Nasikhatussoraya, N., Octaviani, R.V. and Julianti, H.P. (2016) ‘HUBUNGAN INTENSITAS NYERI DAN DISABILITAS AKTIVITAS SEHARI-HARI DENGAN KUALITAS HIDUP : STUDI PADA PASIEN HERNIA NUKLEUS PULPOSUS ( HNP ) LUMBAL’, 5(4), pp. 1364–1377.
Ricca Sahara, T.Y.R.P. (2020) ‘Jurnal Ilmiah Kesehatan’, Jurnal Ilmiah Kesehatan, 19(3), pp. 92–99. Available at: https://doi.org/10.33221/jikes.v19io3.585.
Rizqi, A.S. (2018) ‘Transcutaneous Electrical Nerve Stimulation (Tens) Affecting Pain Treshold’, Link, 14(2), p. 79. Available at: https://doi.org/10.31983/link.v14i2.3775.
Suyasa IK , Wiguna I G . L . N . A . A ., Vidyaputra T . A ., Wibowo T ., Y.I.G. (2019) ‘Serial Kasus : Pembedahan Minimal Invasif pada Herniasi Diskus Lumbal di RSUP Sanglah’, JURNAL MEDIKA UDAYANA, 9(9).
Trisnowiyanto, B. (2016) ‘Beda pengaruh intervensi peregangan dan mobilisasi sendi terhadap perbaikan keterbatasan lingkup gerak sendi’, Jurnal Kesehatan, Volume VII(2), p. hlm 182-188.
