Pengaruh Kombinasi TENS Dan Self-Stretching  Terhadap Perubahan Nyeri Dan Kemampuan Fungsional Pada Pasien Low Back Pain Myogenic  Di Rumah Sakit Eka Husada

Samuel Prasetyo; Nurul Halimah; Yohanes Fau; Achmad Fariz

Penulis

Samuel Prasetyo INSTITUT TEKNOLOGI SAINS DAN KESEHATAN RS dr. SOEPRAOEN FAKULTAS ILMU KESEHATAN PROGRAM STUDI S1 FISIOTERAPI
Nurul Halimah INSTITUT TEKNOLOGI SAINS DAN KESEHATAN RS dr. SOEPRAOEN FAKULTAS ILMU KESEHATAN PROGRAM STUDI S1 FISIOTERAPI
Yohanes Fau INSTITUT TEKNOLOGI SAINS DAN KESEHATAN RS dr. SOEPRAOEN FAKULTAS ILMU KESEHATAN PROGRAM STUDI S1 FISIOTERAPI
Achmad Fariz INSTITUT TEKNOLOGI SAINS DAN KESEHATAN RS dr. SOEPRAOEN FAKULTAS ILMU KESEHATAN PROGRAM STUDI S1 FISIOTERAPI

Kata Kunci:

low back pain myogenic; transcutaneous electrical nerve stimulation; self-stretching

Abstrak

Objective: This study aims to determine the effect of a combination of TENS and self-stretching on changes in pain and functional ability in patients with Myogenic Low Back Pain at Eka Husada Hospital.

Methods: This research is quasi-experimental research. With research design, it refers to the pre-test group and post-test control design. Researchers gave a pre-test on pain and functional ability to 30 respondents with myogenic low back pain who would be given treatment. Then the researchers carried out treatment in the form of a combination of Transcutaneous Electrical Nerve Stimulation and Self-stretching. After completing the treatment, the researcher gave a post-test on pain and functional ability. The research population was all low back pain patients with decreased functional ability, totaling 35 patients at Eka Husada Hospital. The research sample was 30 low back pain patients with decreased functional ability at Eka Husada Hospital who met the inclusion and exclusion criteria. Primary data was collected through direct interviews followed by examination. Data analysis used the Wilcoxon test.

Results: Based on the analysis, it is known that there is an effect of a combination of Transcutaneous Electrical Nerve Stimulation and Self-stretching on reducing pain and increasing functional ability in conditions of myogenic low back pain at Eka Husada Hospital

Conclusion: There is an effect of TENS and self-stretching on reducing pain and improving function in patients with myogenic low back pain.

Referensi

Artanik, E. V. F. (2021). Penatalaksanaan Fisioterapi Pada Low Back Pain Myogenic Dengan Modalitas Infrared, Transcutaneous Electrical Nerve Stimulation, Dan William Flexion Exercise. Diploma Thesis, Universitas Widya Husada Semarang.

Bento, T. P. F., Genebra, C. V. dos S., Maciel, N. M., Cornelio, G. P., Simeão, S. F. A. P., & Vitta, A. de. (2020). Low back pain and some associated factors: is there any difference between genders? Brazilian Journal of Physical Therapy, 24(1), 79–87. https://doi.org/10.1016/j.bjpt.2019.01.012

Hasmar, W., & Faridah. (2022). E-Book Physiotherapy Exercise Methods for Myogenic Low Back Pain. Formosa Journal of Applied Sciences, 1(6), 1241–1254. https://doi.org/10.55927/fjas.v1i6.1918

Johnson, M. I. (2021). Resolving Long-Standing Uncertainty about the Clinical Efficacy of Transcutaneous Electrical Nerve Stimulation (TENS) to Relieve Pain: A Comprehensive Review of Factors Influencing Outcome. Medicina, 57(4), 378. https://doi.org/10.3390/medicina57040378

Kisner, C., Colby, L. A., & Borstad, J. (2017). Therapeutic exercise: foundations and techniques. Fa Davis.

Lazaridou, A., Elbaridi, N., Edwards, R. R., & Berde, C. B. (2018). Pain assessment. In Essentials of pain medicine (pp. 39–46). Elsevier.

Nieminen, L. K., Pyysalo, L. M., & Kankaanpää, M. J. (2021). Prognostic factors for pain chronicity in low back pain: a systematic review. PAIN Reports, 6(1), e919. https://doi.org/10.1097/PR9.0000000000000919

Niri, H. G., Ghanavati, T., Mostafaee, N., Salahzadeh, Z., Divandari, A., Adigozali, H., & Ahadi, J. (2024). Oswestry Disability Index, Roland-Morris Disability Questionnaire, and Quebec Back Pain Disability Scale: Responsiveness and Minimal Clinically Important Changes in Iranian People with Lumbar Disc Herniation Following Physiotherapy. Archives of Bone and Joint Surgery, 12(1), 58.

Nuach, B. M., Widyawati, I. Y., & Hidayati, L. (2014). Pemberian transcutaneous electrical nerve stimulation (TENS) menurunkan intensitas nyeri pada pasien bedah urologi di Ruang Rawat Inap Marwah RSU Haji Surabaya. Critical Medical and Surgical Nursing Journal (CMSNJ), 3(1), 11–19.

Pratson, L., & Cavanaugh, D. (2021). Low Back Pain. In Clinical Foundations of Musculoskeletal Medicine: A Manual for Medical Students (pp. 317–327). Springer International Publishing. https://doi.org/10.1007/978-3-030-42894-5_24

Starkey, C. (2015). Therapeutic modalities. FA Davis.

Triwahyuni, G. A. A., Tianing, N. W., Dewi, A. A. N. T. N., & Widnyana, M. (2020). Hubungan Kejadian Knee Osteoartrhitis Terhadap Keluhan Low Back Pain Miogenik Pada Masyarakat Pasar Kreneng Kota Denpasar. Majalah Ilmiah Fisioterapi Indonesia.

Turci, A. M., Nogueira, C. G., Carrer, H. C. N., & Chaves, T. C. (2023). Self-administered stretching exercises are as effective as motor control exercises for people with chronic non-specific low back pain: a randomised trial. Journal of Physiotherapy, 69(2), 93–99.

Vance, C. G. T., Dailey, D. L., Chimenti, R. L., Van Gorp, B. J., Crofford, L. J., & Sluka, K. A. (2022). Using TENS for Pain Control: Update on the State of the Evidence. Medicina, 58(10), 1332.

Wicaksono, A., Fariz, A., Halimah, N., & Pradita, A. (2023). The Effect of a Combination of Short Wave Diathermy and Dynamic Stretching on Pain Values in Cases of Myogenic Low Back Pain Employees at Menur Mental Hospital, Surabaya. Jurnal EduHealth, 14(04), 812–818.