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Bamboo crafts are works of art that have many benefits, such as musical instruments and household utensils. One way to make bamboo crafts is by weaving. The largest craft industry in the city of Trenggalek is the bamboo weaving industry. There are many health problems and work accidents in bamboo weavers such as complaints of low back pain, CTS or work accidents such as cuts, stabs, etc. The purpose of this physiotherapy education is to increase the understanding and knowledge of bamboo weaving craftsmen in order to avoid or resolve problems with the health and safety of workers. This activity shows results, namely that bamboo weaving craftsmen can understand the material well after being evaluated with a pre-test and post-test.

The process of aging in the course of human life is a natural thing. A common problem experienced by elderly people related to physical health is that they are susceptible to various diseases, due to reduced body resistance in dealing with external influences. Low back pain or lower back pain is a feeling of discomfort that can cause various kinds of disorders that can cause health problems in human life. So it is important for people to understand about low back pain. Therefore, there is a need to increase knowledge and understanding at community health centers about low back pain, including signs of symptoms, prevention and treatment for the elderly at Posyandu, Kedungkandang Village. The method used is to provide physiotherapy education in the form of health promotion about low back pain to elderly posyandu participants using posters as an educational medium. Questions and answers to participants to measure effectiveness and provide independent training education. The activity ran smoothly and was easily understood by the elderly at the Posyandu, Kedungkandang Village and could increase participants' knowledge about cases of low back pain.

Nguter is one of the villages in Nguter Subdistrict, Sukoharjo Regency, Central Java. The geographical location of Nguter Subdistrict is at an altitude of 104 meters above sea level. One of the healthcare facilities in Nguter Village is the Nguter Community Health Center (Puskesmas). From January to July 2024, the number of low back pain cases treated at Nguter Community Health Center reached 285 people. This figure is considered quite hi gh, as it continues to show a significant increase each year. The goal of this program is to provide education on William Flexi Exercise for myogenic low back pain in the elderly, helping alleviate the complaints of lower back pain. The method used involves counseling sessions through lectures and leaflets for the Elderly Posyandu Community in RW 07, Nguter Subdistrict, Sukoharjo Regency, Central Java. The result of this community service program is that the elderly understood the material provided and are able to perform the exercises independently at home.

As cities in Indonesia continue to develop, there will inevitably be ignorance of the elderly's knowledge of their own health. For example, elderly people with working backgrounds are generally at risk of lower back pain, pinched nerves, complaining of various muscle tension problems and so on which can disrupt their daily activities. This problem is caused by incorrect positioning while working, such as frequently pushing, lifting, bending, sitting or standing for long periods of time and unergonomic body posture while working. Physiotherapy outreach activities related to increasing knowledge of daily activity disorders, efforts to educate the elderly regarding activity disorders, especially about definitions, signs of symptoms, causes, prevention, and daily activity activity therapy independently after work to reduce the symptoms suffered. This outreach activity uses leaflets as media, containing educational material for the elderly, then education and training depending on the location of the disorders the elderly complain of. The counseling activities at the Mobile Health Center Posyandu which are held every day by the Kendalsari Community Health Center, Malang City, went smoothly, the response was good, full of enthusiasm. The results obtained show the results of the pretest so that there is increased knowledge among workers which shows that workers have knowledge and insight regarding prevention and independent treatment after work. The results obtained showed that most of them were mild complaints, so that the majority of complaints involving disruption of daily activities were experienced by women, 68% of which were indicated by questionnaires for 25 elderly people at the Kendalsari Community Health Center and Posyandu for the Elderly in Malang City.

Changes in the musculoskeletal system during the third trismester of pregnancy cause changes in body weight, abdominal muscle elasticity, and center of gravity which affect the balance of pregnant women. Back pain in pregnancy can be detrimental to the quality of life of pregnant women and is caused by changes in posture, hyperlordosis, paraspinal muscle tension, and decreased blood flow to the spine. Physiotherapy is a non-pharmacological solution by applying massage and stretching techniques. Massage helps relax muscles, reduce pain, increase blood flow, and improve muscle flexibility. Stretching plays a role in reducing pain, increasing flexibility, muscle strength, and preventing deformity. This activity is carried out by conveying physiotherapy information through leaflets as a promotional medium, pre-test, post-test, and questions to pregnant women to measure knowledge. The results of the activity showed active participation from 12 pregnant women class participants with positive responses to the material presented. Interesting material accompanied by demonstrations of massage and stretching techniques helps increase knowledge of pregnant women. Evaluation before and after the activity showed an increase in knowledge from 5% to 100%, indicating the success of the extension activity.

Lower back pain is pain in the lower back area that is felt down to the buttocks and thighs which is often found in society, especially in housewives. The core is the central part of the body including the pelvis, lower back and hips. Core exercises train the muscles to work in harmony and improve body balance. This study uses leaflet media and direct tutorials to members of the Dharma Wanita Persatuan Balai Perikanan Budidaya Laut (BPBL) Ambon to overcome lower back pain (Low Back Pain).      

 Mojolaban is one of the sub-districts in Sukoharjo Regency, Central Java, which has 15 villages. The district has Mojolaban main health center, Jatimalang auxiliary health center and Kustati Clinic. Low back pain (LBP) is a disease that is widely suffered in Sukoharjo Regency, according to the Sukoharjo Regency Health Office, LBP sufferers amounted to 3,670 people from 2018-2022. LBP is one of the health problems that is often not taken seriously by the community, especially the elderly. Even though if left unchecked it can interfere with daily life and reduce quality of life. The purpose of this counseling is to prevent, promote health related to LBP with the target participants of the Matahari Elderly Posyandu located in Ds. Wirun Mojolaban. The measurement used in this activity is a pre-test and post-test questionnaire to measure the understanding of the elderly. The results of the questionnaire showed a good improvement with an average pre test and post test increase of 50%. For this reason, posyandu cadres always follow-up so that the elderly can do this exercise not only during counseling but also at home.

Maternal Mortality Rate (MMR) is a component of the development index and quality of life index which is calculated by considering and taking into account women's health status (MMR). The aim of this study was to determine the effect of pregnancy exercise on reducing lower back pain in pregnant women III at the Sidomulyo Banyuasin Community Health Center. The research population was pregnant women in the third trimester at the Sidomulyo Banyuasin Community Health Center with a total of 16 pregnant women. Univariate and bivariate data analysis.  The results of research show that pregnancy exercise has an effect on reducing lower back pain in pregnant women. This shows that 0.018 is smaller than 0.05. Through this research, pregnant women understand the benefits of pregnancy exercise during pregnancy, especially during the third trimester of pregnancy, which has a very good impact so that mothers feel comfortable and reduce complaints during pregnancy, such as lower back pain, especially.

The purpose: To determine the effect of differences between SWD and neural mobilization with SWD and William’s flexion exercise to improve of functional ability on patient’s with low back pain ischialgia. Design: Two group pretest and posttest design. Participants and interventions: Ten patients with low back pain ischialgia from both sexes were involved (outpatient hospital clinic). Age of the patients between 46 – 65 years. They were divided into two equal groups, Group (I) received SWD and neural mobilization intervention and Group (II) received SWD and William’s flexion exercise. Outcome measure: The Oswestry disability index (ODI) was used to assess changes in perceived disability. The mean differences between week 0 and week 3 were compared across the two treatment groups using Mann-Whitney. Ninety-five percent (95%) confidence intervals (CIs) for the differences between groups were calculated. Results: The results of study revealed that: there was significant difference in functional ability group I (p=0.034) and group II (p=0.038). Howeverthere wasn’t a significant difference between both groups on functional disabilities improvement (p=0.245), so there wasn’t intervention which better of both. Conclusion: It is concluded that SWD addition neural mobilization and SWD addition William’s flexion exercise may be beneficial in the management of patients with low back pain ischialgia to improving of functional ability in two groups.

Liver cirrhosis and nephrolithiasis are significant health problems with different pathophysiological mechanisms. Liver cirrhosis, the final stage of chronic liver disease, is characterized by fibrosis and regenerative nodules, leading to severe complications, including portal hypertension and liver failure. Nephrolithiasis, commonly known as kidney stones, is a common urological condition characterized by the formation of stones in the renal system. Although these conditions are distinct, metabolic and physiological changes in cirrhotic patients may predispose to nephrolithiasis.  It was reported that a man came to the emergency room of RSUD Dr. Suhatman MARS with complaints of left-sided low back pain that had been felt for 1 week. The complaint was accompanied by shortness of breath which was getting worse over time. The patient also felt cough, headache, nausea, fatigue, urine slightly coloured like tea, weight loss. The patient has a history of untreated kidney stones. The patient has a history of hepatitis 31 years ago. The main objective of investigating the coexistence of liver cirrhosis and nephrolithiasis is to understand the relationship between these two conditions and to develop effective management strategies that can address their combined impact on patients.      

Based on the data from Central Java shows that 40% people started from 20 until 65 years old suffered from LBP, estimated 18,2% for men and 13,6% for women. All farmer activities involve the spinal muscles which can caused farmers to suffer from low back pain. One steps to reduce LBP  is apply the William Flexion. Describe the results observations application William Flexion to Farmer with Low Back Pain. This method descriptive analysis and a pain measurement scale with Visual Analog Scale (VAS). In this method implemented the William Flexion, measured level Low Back Pain after intervention has been carried out for 6 meetings in 2 weeks. After applying the William Flexion to the respondents, there was a reduction in the level of Low Back Pain. Application William Flexion to farmers with Low Back Pain can reduce level of pain.

Background: Dysmenorrhea pain is lower abdominal pain that can spread the lower back, waist, pervis, caused contractions uterine muscles when blood released from the uterus, causing the muscles highten and causing pain and cramps. The incidence rate in Indonesia 64,25% divided  primary dysmenorrhea 54,89% and secondary dysmenorrhea 9,36%. Warm compresses have the body’s  response heat which causes dilation of blood vassels wich improves blood circulation. Deep breathing relaxation through breathing exercises stimulates  body form  pain suppression system, wich ultimately can reduce pain intensity. Objective : Describe the results before and after administering warm electric compresses and deep breathing relaxation on the level of dysmenorrhea pain. Method: Case study method by observing pain levels and using the Numeric Rating Scale (NRS) measuring scale. Results: There was reduction  dysmenorrhea pain both respondents after giving warm compresses electric and deep breathing relaxtion to Nn. R  a scale of 6 to 4 and Nn. A a scale of 8 to 5. Conslusion: Applying warm compresses and deep breathing relaxation  young women with dysmenorrhea pain can reduce the level of pain.

Low Back Pain (LBP) is a complaint characterized by pain or discomfort felt in the lower back, which may radiate to the legs, either the right or left leg. Prolonged sitting can cause tension in the lower back muscles, eventually leading to pain. This activity aims to educate the batik artisan community on self-care methods to manage low back pain and correct sitting positions while working as batik artisans. The target of this activity is the batik artisans in Dusun 1 and Dusun 6 of Tanjung Anom Village. The method used in this program involved students conducting direct field observations, engaging in dialogue, and interviewing batik artisans using screening forms with a sample size of 20 artisans. The results showed that the majority of batik artisans in Dusun 1, Tanjung Anom Village, complained of low back pain. The conclusion of this activity is that a monotonous working position significantly affects the incidence of low back pain, especially among batik artisans.    

Lower back pain is a common complaint among pregnant women in the third trimester. It is estimated that approximately 70% of pregnant women experience some form of back pain during pregnancy, childbirth, or postpartum. Non-pharmacological therapies such as deep breathing relaxation techniques and effleurage massage therapy can effectively reduce pain levels in these women. This study employs a quantitative approach using a quasi-experimental research method and employs purposive sampling with a sample size of 37 participants. Data analysis includes both univariate and bivariate analyses. Most respondents (64.9%) were aged between 20 and 35 years old. Additionally, the majority (64.9%) were experiencing their first pregnancy. All respondents (100%) were confirmed to have no comorbidities. Furthermore, 73% of the participants had tertiary education (Diploma, Bachelor's, Master's, or Doctorate degrees), and 62.2% continued working during pregnancy. The results of the Wilcoxon test indicated a significant effect (p = 0.000 < 0.05), confirming that effleurage massage and deep breathing relaxation techniques effectively reduce lower back pain in pregnant women. This reduction is attributed to the stimulation of tactile fibers in the skin by effleurage massage, which inhibits pain signals. In conclusion, the findings suggest that implementing effleurage massage and deep breathing relaxation techniques is beneficial for alleviating lower back pain in pregnant women. Public health advice advocates for the application of these techniques to manage such pain effectively.

Pregnancy is a very important experience for a woman. Based on the journal Of Midwifery issued in 2020, it is stated that lower back pain is the most common complaint in the third trimester of pregnancy. Predisposing factors for back pain include uterine growth which causes changes in posture, weight gain, the influence of the relaxin hormone on ligaments, previous history of back pain, parity and activity. Research Objective: to determine the effect of progressive muscle relaxation on lower back pain in third trimester pregnant women at the Malifut Community Health Center. This type of research is experimental research involving one group of subjects with a pre-experimental approach, one group pretest posttest design. The respondents for this research were 30 people. Purposive sampling technique. Results: This study showed that 30 respondents who had not been treated with progressive muscle relaxation techniques experienced moderate pain as many as 18 people (60%) and experienced mild pain as many as 12 people (40%). Shows that 30 people (100%) experienced a reduction in pain. The results after it was discovered that the Wilcoxon test was carried out above the P value = 0.000 (< 0.05) so that there was a significant difference between lower back pain before the relaxation intervention was given. Advice for pregnant women who experience levels of pain is to carry out progressive muscle relaxation to reduce the level of lower back pain  

Low back pain is one of the diseases that contributes greatly to disability. The World Health Organization (WHO) states that the incidence of low back pain is 619 million people throughout the world and is expected to increase to 843 million cases in 2050. One of the interventions that supports this is Mc Kenzie Exercise therapy to treat lower back pain. The aim of this research was to determine the effect of the Mc Kenzie Exercise on the level of lower back pain in batik craftsmen. This research method is a type of Pre-Experimental research with a One-Group Pre Test-Post Test Design. Using a sampling technique in the form of non-probability sampling, namely the purposive sampling method. Sample of 15 batik craftsmen. Mc Kenzie Exercise is done 8x for 4 weeks. Data analysis used was the Wilcoxon sign rank test. The results of this research, before the intervention was carried out, most batik craftsmen experienced moderate pain with a percentage of 46.7%, after the intervention it decreased to mild pain with a percentage of 53.3%, and the Wilcoxon test results showed a p-value of 0.005 < 0.05, which means There is an effect of Mc Kenzie Exercise on reducing lower back pain. The conclusion of this research is that the Mc Kenzie Exercise has the effect of reducing lower back pain in batik craftsmen.

Background; In Lampung province, the incidence of dysmenorrhea is quite high, the results of the study found that 54.9% of women experience it. Dysmenorrhea is lower abdominal pain that sometimes extends to the waist, lower back and thighs, caused by high production of prostaglandins then stimulates the uterus to contract. The most common impact of dysmenorrhea is limited physical activity and poor concentration, so it must be addressed immediately so as not to further interfere with daily activities. One of the non-pharmacological treatments is by drinking carrot juice where carrots contain vitamin E and beta-carotene which can suppress prostaglandin production so that it can reduce the pain experienced. Objective; To determine the effect of carrot juice on reducing dysmenorrhea in adolescent girls at JHS Muhammadiyah 2 Wonosobo, Lampung. Method; This type of research is quantitative research with a pre-experimental design with a one group pretest and posttest design approach, the population is 28 respondents, the number of samples is 22 respondents with Simple Random Sampling technique. Data collection tools using observation sheets, data analysis with Wilcoxon test ? = 0.05. Results; The results of observations for 1 day with a frequency of 2x a day obtained a p-value of 0.000 where 0.000 <0.05 this means H0 is rejected and Ha is accepted. Conclusion; There is an effect of giving carrot juice on reducing dysmenorrhea in adolescent girls at JHS Muhammadiyah 2 Wonosobo, Lampung.

Physical fitness is explored in relation to muscle strength. Back pain is a musculoskeletal complaint that often occurs in productive young adults in today's digital era. The aim of the service activity is to increase knowledge regarding muscle strength training to prevent back pain and early detection of factors that cause back pain. The method of implementing the activity is screening for BMI, back pain, muscle endurance and education on back strengthening exercises. Educational and examination activities were carried out on Friday 10 November 2023 at 15.00-18.00 attended by 25 participants with 11 male participants and 14 female participants. The average age of service participants was 24.32 years, in the range of 20-28 years. There were 15 participants with overweight and obesity nutritional status. There were 18 participants who often experienced stiffness in their shoulders and back during activities. There were 22 participants who often experienced back pain, 14 participants had never done muscle strength training and 1 participant did exercise more than 5 times in 1 week. Health education is also carried out regarding the knowledge that there is no need to be afraid to move actively if the shoulder or back muscles are weak or tense. Participants are introduced to types of exercise as well as exercises to strengthen and stabilize the inner abdominal muscles (stomach), back and pelvis, as well as stretching exercises for the calf and hip muscles. and thighs.

Introduction: Low back pain is one of the most common musculoskeletal disorders in the world. In general, this pain is caused by muscle stretching and increasing age which will cause the intensity of exercise and movement to decrease. This will cause the back and abdominal muscles to become weak. Objective: In this study, to analyze the effect of warm compresses of red lemongrass (cymbopogon nardus) on reducing the scale of lower back pain in fishermen in Negeri Latuhalat, Nusaniwe District. Method: Using a one group pre test-post test design, this research design is included in the Pre-Experimental research type and the sample size is 56 fishermen using instruments in the form of SOPs and observation sheets. The analysis used is the Willcoxon test. Results: It was found that there was an effect of warm red lemongrass (Cymbopogon nardus) compresses on reducing the scale of lower back pain in fishermen (p-value = 0.000). Conclusion: There is an influence between the pain scale before and after being given a warm compress of red lemongrass (cymbopogon nardus) on reducing the scale of lower back pain in fishermen in Negeri Latuhalat, Nusaniwe District.  

Prenatal gentle yoga (yoga during pregnancy) is a type of modification of hatha yoga which is adapted to the conditions of pregnant women. Some discomforts in the third trimester in pregnant women include frequent urination 50%, vaginal discharge 15%, constipation 40%, flatulence 30%, swelling in the legs 20%, cramps in the legs 10%, headaches 20%, striae gravidarum 50%, hemorrhoids 60%, shortness of breath 60% and back pain 70%. The aim of the research was to see whether there was an effect of Prenatal Gentle Yoga on reducing complaints of lower back pain in third trimester pregnant women. The conclusion of the Wilcoxon test results shows that 0.000 < 0.05, meaning that there is an acceptable effect of prenatal gentle yoga on lower back pain in third trimester pregnant women. It is hoped that pregnant women will take part in prenatal gentle yoga classes with prenatal gentle yoga facilitators who have undergone training and received certificates so that they can apply prenatal gentle yoga which is useful for reducing maternal complaints during pregnancy, including lower back pain.