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Dysmenorrhea is a painful cramping or aching sensation in the lower abdomen, often radiating to the lower back, hips, and thighs. This condition significantly affects daily activities, limiting women’s physical and academic performance, particularly among female students who frequently experience dysmenorrhea during menstruation. Various interventions can help prevent or reduce the prevalence and severity of dysmenorrhea, including specific physical exercises such as McKenzie exercises and Kegel exercises. McKenzie exercises focus on strengthening and mobilizing the lower back and abdominal muscles, whereas Kegel exercises target the pelvic floor muscles to enhance circulation and reduce uterine tension. The purpose of this study was to determine the difference in effectiveness between Kegel exercises and McKenzie exercises in alleviating dysmenorrhea pain among adolescents aged 12–15 years at SMP Negeri 28 Semarang. The study employed an experimental two-group pre-posttest design with a total sample of 22 female students who met the inclusion criteria. The Randomized Controlled Trial (RCT) technique was used to assign participants to the intervention groups. Pain intensity was measured using the Quadruple Visual Analog Scale (QVAS) both before and after the interventions, which were administered three times per week over a three-week period. The results showed a statistically significant reduction in pain for both groups, with a p-value of 0.001 (p < 0.05), indicating that both McKenzie and Kegel exercises effectively decreased dysmenorrhea pain. The study concluded that there is a measurable difference in the effectiveness of these two exercise interventions, emphasizing the importance of selecting appropriate physical exercises tailored to adolescent students for dysmenorrhea management. These findings provide evidence-based guidance for educators, healthcare providers, and adolescents seeking non-pharmacological strategies to reduce menstrual pain and improve quality of life.

          During the second and third trimesters of pregnancy, as fetal development progresses, pregnant women often experience lower back pain. This condition not only causes discomfort but also affects daily activities and overall quality of life. One of the non-pharmacological approaches believed to reduce lower back pain is prenatal exercise. This study aims to evaluate the effect of pregnancy exercise on reducing lower back pain among pregnant women in the second and third trimesters. This research employed a quasi-experimental design with a pre-post test approach without a control group. The sample consisted of 28 pregnant women in their second and third trimesters who met the inclusion criteria and reported experiencing lower back pain. Pain levels were assessed before and after the intervention using a valid and reliable pain scale. Data were analyzed using appropriate statistical tests, particularly the paired sample t-test. The findings revealed that the mean pain score before the intervention was 3.32 with a standard deviation of 0.772. After the intervention, the mean pain score decreased to 2.25 with a standard deviation of 1.005. Results of the paired t-test indicated a p-value of 0.000 (p < 0.05), demonstrating a significant difference in pain levels before and after pregnancy exercise. These results indicate that pregnancy exercise is effective in reducing lower back pain in women during the second and third trimesters of pregnancy. Therefore, prenatal exercise can be recommended as a safe, simple, and beneficial non-pharmacological intervention in midwifery care. It is expected that this study provides scientific evidence supporting the role of pregnancy exercise in improving maternal comfort and quality of life throughout pregnancy.

Background: Dysmenorrhea, characterized by pain around the abdomen, waist, and lower back, arises due to increased prostaglandin hormone levels during menstruation. If left untreated, this pain will disrupt the daily activities and academic performance of adolescent girls. Management can be achieved through the use of acupressure and listening to the recitation of the Qur'an, both of which are safe and effective in alleviating pain, promoting relaxation, and obtaining the blessings of Allah SWT. The objectives of the research: This study aims to evaluate the impact of acupressure therapy with Ar-Rahman murottal on the reduction of dysmenorrheic pain in students of SMP Negeri 2 Giriwoyo Methods: This research employs a quasi-experimental design with a pretest-posttest non-equivalent control group approach. The study sample consists of 36 respondents selected through a purposive sampling technique. Data analysis was performed using the Mann-Whitney test to compare the treatment and control groups. Results: he dysmenorrhea pain scale in the treatment group significantly decreased compared to the control group, with a P-value of 0.016 < α 0.05. Acupressure therapy combined with the recitation of Surah Ar-Rahman was effective in reducing dysmenorrhea pain in female students at SMP Negeri 2 Giriwoyo. Summary: This study concludes that acupressure therapy combined with the recitation of Surah Ar-Rahman can be an effective alternative for alleviating dysmenorrhea pain in adolescent girls.

Low back pain (LBP) is one of the most common musculoskeletal disorders and significantly impacts functional activities and patients’ quality of life. Non-pharmacological approaches such as hydrotherapy and William flexion exercise are widely used to reduce pain. Objective: This study aimed to determine the effect of combining hydrotherapy and William flexion exercise on reducing pain in patients with myogenic low back pain. Methods: This research applied a quasi-experimental design with a one-group pretest–posttest approach. The sample consisted of 20 respondents aged 40–60 years who met the inclusion criteria. The intervention was conducted over 12 sessions within one month at Biara OSF Magdalena Daemen BSB. Pain levels were measured using the Visual Analog Scale (VAS) before and after the intervention. Data were analyzed using the Paired Sample t-Test. Results: The findings revealed a significant reduction in pain levels. The mean pretest score of 43.36 increased to 79.45 in the posttest with a difference of 36.09 points. Statistical testing showed p = 0.001 (< 0.05), indicating that the combination of hydrotherapy and William flexion exercise had a significant effect on reducing low back pain. Hydrotherapy contributed to muscle relaxation and improved circulation, while William flexion exercise strengthened lumbar flexor muscles. Conclusion: The combination of hydrotherapy and William flexion exercise is effective in reducing myogenic low back pain. This approach can be considered a safe, applicable, and beneficial non-pharmacological rehabilitation strategy to improve patients’ quality of life.

This community service program was implemented to address the needs of farmers in Kalicaah Village, Tanjung Jaya Village, Panimbang District, for an affordable, simple, and user-friendly fertilizing tool. Traditionally, the application of solid fertilizer has been done manually, which not only leads to inefficiency but also significantly increases the physical workload of farmers. To overcome this issue, the program team designed a solid fertilizer spreader using appropriate technology, constructed from recycled materials such as PVC pipes and used water gallons. This innovation was aimed at creating a sustainable, low-cost solution for the local agricultural community. The program’s implementation involved several key activities, including identifying the farmers' challenges, conducting assembly training sessions, demonstrating the tool’s use, and running direct field trials in local farms. The results showed that the use of the newly developed fertilizer spreader led to a 45% reduction in the time spent applying fertilizer, which directly contributed to more efficient farming practices. Additionally, there was a significant reduction in physical complaints, particularly lower back pain, which had been a common issue due to the manual labor involved in fertilizing. The tool proved to be easy to construct, requiring minimal technical knowledge, and the farmers were able to adopt the technology independently. The high rate of adoption among farmers further emphasizes the tool’s potential for widespread use. The success of this program also suggests that this simple, affordable technology could be replicated in other agricultural regions, benefiting more communities by improving work efficiency, reducing physical strain, and fostering a sustainable approach to farming practices.

Significant physical and psychological changes occur throughout pregnancy, especially in the third trimester (weeks 27–40).  Lower back pain, frequently caused by poor posture, changes in the curvature of the spine, and increasing body weight that shifts the center of gravity forward, is a common issue during this time.  Between 30% and 78% of pregnant women report experiencing lower back discomfort.  Maintaining physical health, endurance, and mental preparedness for childbirth are key objectives of prenatal exercise.  This study aimed to examine the effect of pregnancy exercise on lower back discomfort in third-trimester pregnant women at the Likupang Community Health Center.  The study used a one-group pretest-posttest design and was pre-experimental in nature, with the Likupang Community Health Center serving as the research site.  Fifteen pregnant women from the Likupang Community Health Center were chosen as the study sample.  The results indicated that pregnancy exercise had a significant impact on reducing back pain (p-value 0. 000), showing a clear effect between pregnancy exercise and the reduction of lower back pain (p-value 0. 000), as confirmed by the bivariate statistical test.  The findings suggest that pregnancy exercise can effectively alleviate lower back discomfort in third-trimester pregnant women.

Low back pain, also known as low back pain, is a common condition characterized by pain or discomfort in the lower back area, which is between the lower ribs and the buttock folds. This condition can be mild to severe, and can be temporary or chronic. One of the nonpharmacological methods that is often used to reduce the intensity of pain is ice packs. Ice packs are able to provide an analgesic effect by lowering local blood flow and reducing inflammation in the area experiencing pain. This study aims to determine the effectiveness of ice packs in reducing low back pain in office administration employees. The research design uses an experimental method with a one group pre-test–post-test design approach. The research sample consisted of 25 respondents who were administrative employees at the Helvetia Health Institute. Pain intensity measurements were taken before and after the administration of ice packs to determine the effect of this therapy on low back pain. The results showed a decrease in the intensity of low back pain with an average value before treatment of 51.63 and after treatment decreasing to 38.8. Statistical analysis yielded a significance value (p) of 0.004 < 0.05, which showed that ice packs had a significant effect on reducing low back pain in administrative employees. Regular application of ice packs can be a simple, safe, and effective intervention that can be done independently at home by employees to reduce pain. This study provides recommendations for health workers to promote ice pack therapy as a non-pharmacological pain relief method, especially for office workers who often experience low back pain due to static work positions.

Pregnancy is divided into three stages: the first trimester, second trimester, and third trimester. During pregnancy, the body undergoes various changes that can cause discomfort. Common discomforts experienced by pregnant women include varicose veins, back pain, muscle and joint aches, and lower back pain. These discomforts can be alleviated through pregnancy exercise (prenatal yoga or maternity gymnastics). The purpose of this study was to examine the relationship between pregnant women’s knowledge about the benefits of pregnancy exercise and the childbirth process at Ampelgading Public Health Center. The research design used was descriptive quantitative. The population consisted of 35 pregnant women in May 2025, with a total sampling technique. Data were collected using a questionnaire and analyzed using univariate analysis. The results showed that 36 respondents (50.0%) had moderate knowledge, 25 respondents (34.7%) had poor knowledge, and 11 respondents (15.3%) had good knowledge about pregnancy exercise. Overall, most pregnant women had a moderate level of knowledge. Based on the Spearman Rank statistical test with a 95% confidence level, the P-value was 0.000 (< 0.05), indicating a statistically significant relationship. The conclusion of this study is that there is a relationship between pregnant women's knowledge of the benefits of pregnancy exercise and the childbirth process at Ampelgading Public Health Center.

Sewing workers at CV Cahaya Setia Mulia Abadi perform static and repetitive tasks, such as prolonged sitting in a bent posture and continuous sewing movements. These conditions lead to various physical complaints, including back pain (78%), lower neck pain (75%), upper neck discomfort (73%), as well as shoulder fatigue, wrist tingling, and lower back stiffness. This research is conducted to evaluate the potential risk of musculoskeletal disorders (MSDs) through the application of the Rapid Entire Body Assessment (REBA) method, determine the body parts most frequently affected using the Nordic Body Map (NBM) questionnaire, and develop posture correction strategies based on anthropometric measurements.The REBA results indicate that most sewing activities fall into the medium-risk category (score 5–7), with some in the high-risk category (score 8). The intervention involved adjusting chair dimensions based on anthropometry, and adding seat cushions and backrests. After the simulation of improvements, the REBA score decreased to 2, placing it in the low-risk category. These findings demonstrate that ergonomic chair design and proper working posture significantly reduce physical strain, increase comfort, and help maintain worker productivity. This study offers practical recommendations for creating a healthier and safer work environment in the manufacturing sector.

Nyeri punggung bawah (low back pain) merupakan salah satu masalah kesehatan muskuloskeletal yang sering terjadi di masyarakat, terutama pada kelompok usia produktif dan lanjut usia. Di Desa Tanjung Anom, kasus nyeri punggung bawah cukup tinggi akibat gaya hidup tidak aktif, posisi kerja yang salah, serta kurangnya pengetahuan mengenai pencegahan dan penanganan mandiri. Kegiatan edukasi ini bertujuan untuk meningkatkan pemahaman dan keterampilan masyarakat dalam mengelola nyeri punggung bawah melalui pendekatan self-care management. Metode yang digunakan dalam kegiatan ini adalah edukasi interaktif, demonstrasi latihan peregangan dan penguatan otot, serta pembagian leaflet sebagai media informasi. Hasil kegiatan menunjukkan peningkatan pengetahuan peserta sebesar 85% dan kemampuan praktik mandiri sebesar 75% dalam melakukan teknik self-care, seperti senam punggung, teknik relaksasi, dan ergonomi sederhana dalam aktivitas sehari-hari. Edukasi self-care management terbukti efektif dalam meningkatkan kapasitas masyarakat Desa Tanjung Anom untuk mencegah dan mengatasi nyeri punggung bawah secara mandiri dan berkelanjutan. Diharapkan kegiatan ini dapat menjadi model intervensi promotif-preventif yang dapat direplikasi di desa lain dengan masalah serupa.

Low Back Pain (LBP) is one of the most common musculoskeletal problems experienced by people in various age groups and work backgrounds. This complaint can be acute, subacute, or chronic, with various causes ranging from mechanical, degenerative, to psychosocial factors. This study aims to examine the characteristics of LBP through a literature review of several previous studies that focus on prevalence, risk factors, and their impact on patients' daily lives. The method used is a narrative literature review, with data sources coming from national and international journals, research reports, and academic repositories. The results of the study show that the prevalence of LBP is very high, with a significant percentage of occurrence in the elderly, pregnant women, administrative workers, and individuals with a sedentary lifestyle and non-ergonomic work posture. In addition to age, female gender, non-ideal body mass index, and long work duration, it was also found that psychosocial characteristics such as low social support and high work pressure play a role in triggering or worsening LBP. A study at Ibnu Sina Hospital Makassar showed that most LBP patients were elderly women with acute pain and radiological results showed lumbar spondylosis as the most common diagnosis. The conclusion of this study emphasizes the importance of prevention through ergonomic education, work stress management, and early intervention based on a healthy lifestyle. These findings are expected to be the basis for designing promotive and preventive strategies for high-risk groups.

Work in the informal sector, such as weaving, has high health risks due to the repetitive nature and static positions required. Weavers often experience Musculoskeletal Disorders (MSDs) due to sitting too long in front of the loom for about 8 hours. This condition causes muscle contractions in the shoulders and neck, reduces blood flow, and causes pain and fatigue. A study of two sarong weaving industries in Dalangan Village found that 70% of 10 workers complained of low back pain. Many workers work with non-ergonomic positions and inappropriate equipment. Improvements in work attitudes are needed so that workers' health and productivity are maintained. This study aims to determine the relationship between work attitudes and MSDs disorders in the central craftsmen of the weaving industry. This research is a quantitative study using observational analysis method with cross sectional approach. The population was 35 from 4 locations with a sample of 35 respondents taken using total sampling technique. Assessment for work attitudes using the Rapid Entire Body Assessment (REBA) and for Musculoskeletal Disorders (MSDs) experienced using the Nordic Body Map (NBM). The results of the Spearman correlation test showed no significant relationship between work attitudes and musculoskeletal complaints with a p-value = 0.261 (p < 0.05) and a correlation coefficient value of r = 0.195 which is included in a weak correlation with a positive direction. The study shows there is no significant relationship between work attitude and musculoskeletal disorders in weaving industry workers. Routine ergonomics education is recommended to prevent complaints and maintain sustainable occupational health.

Background: Bell's Palsy is a condition of facial muscle weakness due to inflammation or damage to the VII cranial nerve (facial nerve), which is classified as a primary acute idiopathic lower motor neuron (LMN) type. This condition is characterized by unilateral facial paralysis and pain in the mastoid area, which can affect the patient's quality of life. Method: This study design used a case report method which observed one patient with a case of Bell Palsy Right. Physiotherapy intervention was carried out during four meetings at Dr. Moewardi Hospital, with therapy modalities including Transcutaneous Electrical Nerve Stimulation (TENS), massage, and mirror exercise. Evaluation was carried out using the Numeric Rating Scale (NRS) for pain, Manual Muscle Testing (MMT) for facial muscle strength, and the Ugo Fisch scale for functional ability. Results: This study shows that physiotherapy treatment during 4 meetings resulted in decreased pain, increased muscle strength, and increased functional ability with Bell palsy. Conclusion: Physiotherapy interventions in the form of TENS, massage, and mirror exercise are effective in reducing pain, increasing muscle strength, and improving functional abilities in patients with Bell's Palsy Right.

Adolescent Idiopathic Scoliosis (AIS) is the most common progressive musculoskeletal disorder among adolescents, characterized by a lateral curvature of the spine with an unknown cause. This condition often results in postural asymmetry, chronic low back pain, and reduced mobility. This case report involves a 17-year-old female high school student diagnosed with AIS, presenting with lower back pain and functional limitations. The physiotherapy intervention included three sessions over two weeks, utilizing Microwave Diathermy (MWD) as a physical modality, along with Schroth method and strengthening exercises. The outcomes demonstrated a reduction in pain intensity, improved muscle strength, increased spinal mobility, and enhanced thoracic expansion. Additionally, the patient showed an improvement in quality of life as measured by the Scoliosis Research Society-22 (SRS-22) questionnaire. These findings suggest that structured conservative physiotherapy, combining physical modalities and specific exercises, is effective in alleviating clinical symptoms, improving postural awareness, and supporting the functional well-being of AIS patients. This case highlights the importance of early and consistent physiotherapeutic intervention to manage symptoms and potentially slow curve progression.

Low back pain (LBP) is one of the most common musculoskeletal problems experienced by workers, especially those in professions that require prolonged static sitting, such as public transportation drivers. This condition not only impacts work productivity but can also disrupt daily activities and increase the risk of chronic health problems. This study aims to analyze factors associated with the incidence of LBP in public transportation drivers on the Latuhalat route at Mardika Terminal, Ambon City. The study design used an observational analytical approach with a cross-sectional approach. The study population consisted of 96 public transportation drivers, and 51 were selected as samples through a purposive sampling technique based on inclusion criteria. The independent variables in this study included driving position, driving duration, age, and length of service, while the dependent variable was low back pain. Data were collected using questionnaires and observation sheets, then analyzed using the Chi-square test. The results showed that all independent variables, namely driving position, driving duration, age, and length of service, had a significant relationship with the incidence of LBP (p < 0.05). Thus, ergonomic factors and workload significantly contribute to the occurrence of NPB in public transportation drivers. Therefore, ergonomic interventions, proportional work hour arrangements, and the implementation of occupational health programs are important steps in reducing the risk of NPB in drivers.

Background: Low back pain (LBP) is one of the most common musculoskeletal problems that affect the quality of life and productivity of individuals. LBP lasting more than 12 weeks is categorized as chronic LBP and often has no specific cause. Core stability exercise (CSE) is one of the effective rehabilitation methods in managing pain and disability in chronic LBP patients. Objective: This review aims to evaluate the effectiveness of CSE in reducing pain in patients with chronic LBP based on a literature review. Methods: This study used the literature review method by reviewing various relevant studies related to CSE and chronic LBP. Data sources were obtained from databases such as PubMed, ScienceDirect, Google Scholar, and PEDro. Articles used had inclusion criteria in the form of randomized controlled trial (RCT) studies published in the last 10 years (2014-2024), in English, and involving patients with non-specific chronic LBP. Article quality assessment was conducted using the PEDro scale. Results: From the analysis of eight articles that met the inclusion criteria, it was found that CSE has significant effectiveness in reducing pain in patients with chronic LBP. The mean visual analogue scale (VAS) score showed a greater reduction in the group undergoing CSE compared to the control group or other therapeutic methods. Moreover, the combination of CSE with adjunctive therapies such as pain neuroscience education (PNE), interferential therapy (IFC), and myofascial release technique (MRT) showed better results in reducing pain and improving postural stability and physical function. Conclusion: CSE can be an effective rehabilitation method to reduce pain and improve core muscle stability in patients with chronic LBP. Combination with other therapies may provide more optimal results.

Introduction: Low back pain is one of the most common musculoskeletal disorders encountered in the work environment and is categorized as a disease caused by work activities. Methods: This study used health promotion counseling method on stretching exercise for low back pain (LBP). The counseling was held on March 15, 2025 at Bening's Clinic Pamekasan which is located on Jl. Trunojoyo no. 325-327, Pocok, Laden, Kec. Pamekasan, Pamekasan Regency, East Java. A total of 21 workers participated in this counseling. The promotional media used in this activity was a leaflet, and pre-test and post-test were applied as instruments to measure the effectiveness of the counseling. Results: The results of the evaluation of 21 participants showed that their understanding of Low Back Pain (LBP) and stretching exercise increased to 100%. Conclusion: Based on the results evaluation results, the counseling conducted at Bening's Clinic Pamekasan successfully increased participants' understanding of stretching exercise for low back pain (LBP).

Background: When entering the third trimester of pregnancy, many pregnant women have difficulty sleeping as they face physical and psychological changes, such as back pain, frequent urination, anxiety, and worries about the upcoming labor process. Almost 66% of pregnant women experience sleep disruptions that can jeopardize maternal and fetal health, including the risk of preeclampsia and low birth weight. Prenatal yoga can relieve stress and anxiety, thus contributing to improving the sleep quality of third trimester pregnant women. Purpose: To know the influence of prenatal yoga on sleep quality of third trimester pregnant women at PMB Appi Ammelia Kasihan Bantul Yogyakarta. Methods: This research utilizes the Pre-Experimental research type and One-Group Pretest-Posttest Design. The sample comprised of three trimester pregnant women totaling 24 respondents. The sampling method used total sampling. Sleep quality assessment was evaluated using the PSQI questionnaire and applying Wilcoxon test analysis. Results: Before treatment, 3 respondents (12.5%) of third trimester pregnant women had good sleep quality. After treatment, there was a change so that 18 (75%) respondents had good sleep quality. A p-value of 0.001 was found from the Wilcoxon test analysis. Conclusion: Prenatal yoga affects the sleep quality of third trimester pregnant women at PMB Appi Ammelia Kasihan Bantul Yogyakarta.

Myogenic low back pain is a complaint of pain in the lower back area caused by disorders of muscle tissue or tendons, without nerve involvement. This complaint is often experienced by individuals who perform repetitive physical activities or maintain a hunched sitting position for long periods, resulting in muscle fatigue and discomfort. This study aims to analyze the effectiveness of McKenzie Exercise and infrared therapy in reducing myogenic low back pain. The study design used a one-group pre- and post-test with control design, with a total of 20 employees in the rehabilitation unit of RSU Medika Tanjung Mulia who had met the inclusion criteria. Subjects were randomly divided into two groups: Group I received McKenzie Exercise and infrared therapy interventions along with standard hospital therapy, while Group II only received standard hospital therapy. Pain levels were measured using a Numeric Rating Scale before and after the intervention. The results of statistical analysis showed a significant reduction in pain in both groups after the intervention, with a p value = 0.000 (p < 0.05). In addition, the results of the comparison between groups showed that the group receiving McKenzie Exercise and infrared therapy experienced a greater reduction in pain than the control group. This suggests that the combination of McKenzie Exercise and infrared therapy is more effective in reducing myogenic low back pain. This study recommends the use of both interventions as part of the physiotherapy management of low back pain caused by muscle disorders.  

Rheumatoid arthritis (RA) is an autoimmune disease that causes chronic inflammation in the joints, causing pain, swelling, and limited movement. Heat therapy is one of the effective methods to relieve RA symptoms because it can improve blood circulation, relax muscles, and reduce joint stiffness. This study designed and analyzed an Arduino IDE-based rheumatic therapy device with two main features: a waist heater using a DC Heater and a back electrostimulator through the L298N module. The device has three operating modes (Low, Medium, High) that regulate the pulse delay to adjust the patient's comfort. An input temperature of 50°C is programmed to provide optimal warmth. The measurement results showed that the output voltage of the power supply was 4.51 V with an error of 9%, the microcontroller input was 4.98 V with an error of 0.4%, the output of the L298N driver was 23.9 V, and the input of the DC Heater was 4.98 V with an error of 0.4%. All values are within safe tolerance limits. The 15- and 25-minute temperature stability tests show a small difference between the temperature of the appliance and the thermocouple, indicating stable and accurate appliance performance. Based on the results of technical analysis and temperature testing, this rheumatic therapy tool is considered suitable for use as an alternative to non-pharmacological therapy for RA patients.