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Background: Restaurant workers are a profession that complains neck pain due to high intensity, lifting heavy loads, often using wrong postures while working. Physiotherapy interventions such as education using leaflets, stretching and education about correct posture while working, can be given to increase knowledge and prevent pain progression. Purpose: To provide education related to neck pain with physiotherapy treatment for the Rumah Makan Pangeran Kota Jambi workers. Method: This activity is community service which held on January, 5-6th 2022. Results: After being given education, there is an increased understanding of neck pain in the Rumah Makan Pangeran Kota Jambi workers, and there is a decrease in level of pain felt, whether it is static pain or tenderness after being given stretching. Conclusion: The provision of education and treatment of physiotherapy can reduce complaints and increase understanding regarding neck pain in the Rumah Makan Pangeran Kota Jambi workers.

Back pain during pregnancy peaks at week 24 to week 28, when abdominal enlargement reaches its maximum. Pregnancy and childbirth are natural processes that can cause pain. However, many women feel the pain more severely than they should because they are affected by panic and stress. This is known as the fear-tension-pain concept, where fear triggers tension or panic which causes muscles to stiffen and ultimately increases pain. Overcoming this discomfort requires non-conventional therapy, one of which is pregnant gymnastics. Based on this, the community service team conducted the implementation of pregnant exercises for third-trimester pregnant women with the aim that pregnant women can do pregnant exercises independently at home and reduce complaints of back pain they experience. This training method is carried out using lectures and demonstrations of pregnant exercises. Implementation was carried out 1x / once a week for 1 month at Puskesmas Lembang Lego Village, Lembang Kec. Lembang, Polman Regency in January 2021 which 20 pregnant women attended. The care method used is qualitative with case research (CSR) by collecting pre- test and post-test data with pain scale observation using Numeric Rating Scale (NRS) measurement. Physical training of pregnant women to prepare for their labor through pregnancy exercises is considered effective as a preventive measure for pregnant women in preparing for their labor. It can reduce the intensity of back pain in Trimester III pregnancy.

Background: Temporomandibular joint disorder (TMD) is characterized by craniofacial pain involving the jaw joint, masticatory muscles, or muscles that innervate the head and neck. The causes of TMD are multifactorial, including tooth loss and bad habits. The new DC/TMD protocol is a TMD examination protocol that is highly recommended for use as a clinical and research protocol for dentists. Objective: This study aims to determine the prevalence of TMD diagnosis results using the DC/TMD method, to determine the types of TMD diseases experienced and their relationship to the status of tooth loss in students. Method: The study used a cross-sectional analytical design with samples that met the inclusion criteria of 150 students aged 19-25 years who were taken by total sampling. The research subjects were asked to agree and sign an informed consent in advance by the researcher. Data were obtained from the results of anamnesis and physical examination with a diagnosis of TMD using the DC/TMD protocol based on the International RDC/TMD Consortium Network which has been translated into Indonesian. The examination data were processed using SPSS statistical software with univariate and bivariate tests. Results: 48% of students had tooth loss, 62% of students were diagnosed with TMD, and the results of the relationship analysis using the chi-square test showed that there was a significant relationship between tooth loss and TMD (p-value = 0.024; p  

Background: Lower back pain (NPB) Ischialgia is a pinched ischialgia nerve in the lower back area which causes the buttocks, thighs, lower legs and even feet to become tingling, painful, and sometimes causing weakness. Nerve mobilization is a manipulation technique by moving and stretching nerve tissue to increase axonal transportation so that it can improve nerve conduction. Nerve mobilization can reduce the pressure in the nerves so that there is an increase in blood flow to the nerves, which can have a regenerative and healing effect on injured nerves (Butler, 1991). Nerve mobilization is often used as a form of diagnosis and treatment for musculoskeletal conditions with nerve involvement (Butler, 1991). Nerve mobilization in the Lower Limb Tension Test (LLTT) is carried out at the branches of the Brachial plexus such as the radial nerve, median nerve and ulnar nerve. But here the author only discusses LLTT in the ishiadic nerve, namely LLTT 1 which is related to lower back pain. The aim is to determine physiotherapy management and the effect of Ultrasoundtherapy therapy and nerve mobilization using the LLTT 1 method in cases of lower back pain on reducing pain and increasing the functional ability of the hand. Two group pre test and post test method. RESEARCH PLACE: Physiotherapy clinic, RSU Sidoarjo. TIME: Measuring instrument: Visual Analouge Scale (VAS). Results: treatment using the Mann-Whtney test. With confidence interval (CI) (95%) The results of the study revealed that there was a significant difference in pain in group 1 (p = 0.00) and group 2 (p = 0.00). But there was no significant difference between the two groups in pain improvement (p = 0.152), so there was no better treatment between the two groups. Conclusion: It is concluded that ULTT is useful in treating CTS patients to reduce pain in two groups. The targeted outcomes are publications in national journals indexed by Sinta and HAKI. The TKT target for implementing this gamelan accompaniment exercise is level 2.

Background: Lower back pain (NPB) Ischialgia is a pinched ischialgia nerve in the lower back area which causes the buttocks, thighs, lower legs and even feet to become tingling, painful, and sometimes causing weakness. Manipulation is a term to cover all forms of passive movement techniques used to treat musculoskeletal disorders. Manipulation techniques are passive movement techniques that are carried out quickly so that the movement is completed before the patient can prevent it. The movement that occurs should not exceed the physiological range of motion of the joint. G.D. Maitland (1997), The aim is to determine the effect of physiotherapy management on manual therapy in cases of lower back pain. Two group pre test and post test method. RESEARCH PLACE: Physiotherapy polyclinic, KRMT Wongsonegoro Hospital. TIME: Measuring instrument: Visual Analouge Scale (VAS). Results: treatment using the Mann-Whtney test. With confidence interval (CI) (95%) The results of the study revealed that there was a significant difference in pain in group 1 (p = 0.00) and group 2 (p = 0.00). But there was no significant difference between the two groups in pain improvement (p = 0.00), so there was a better effect between the two groups. Conclusion: It is concluded that manual therapy is useful in treating patients with lower back pain to reduce pain in two groups. The targeted outcome is publication in national indexed journals Sinta and HAKI. The TKT target for implementing this gamelan accompaniment exercise is level 2

Low Back Pain (LBP) is one of the most popular health problem in society. The World Health Organization (WHO) states that there are 150 types of musculoskeletal disorders experienced by millions of people causing pain, inflammation, and functional limitation that will affect psychology and quality of life. Therefore, it is necessary to take steps for control the incidence of LBP and prevent complication due to LBP that can implemented to the community. This activity aims to increase the understanding of community members about Low Back Pain. Community service activities carried out in the form of physiotherapy counseling orderly with talkative method using power point and leaflets. Based on the response of the participants amount 8 respondents, it was found that before the delivered of material there were 3 people (37,5%) who had fair level of knowledge and 5 people (62.5%) had good level of knowledge about LBP. Meanwhile, after the counseling process, there were 8 people (100%) had a good level of knowledge about LBP. In conclusion, education and counseling had a good impact for increasing the knowledge of community members about Low Back Pain.

Low back pain merupakan salah satu gangguan musculoskeletal akibat dari ergonomi yang salah dan dapat didefinisikan sebagai nyeri yang terlokalisasi antara batas costae dan lipatan gluteus inferior yang berlangsung lebih dari sehari. Pada tahun 2018 di Indonesia, tenaga kesehatan pernah mendiagnosis sebanyak 11.9% kasus penyakit musculoskeletal  sedangkan  kasus  yang  terdiagnosis  menurut  gejala  yang  muncul  sebesar  24,7%. Persentase penderita LBP di Indonesia diperkirakan antara 7.6%-37% pada tahun 2018. Pada tahun yang sama didapatkan sekitar 26.74% penduduk Indonesia yang berusia 15 tahun keatas dan bekerja yang mengeluh mengalami nyeri di  daerah  punggung  bawah.  Hal  ini  diakibatkan  karena  seiring  bertambahnya  usia  maka  kekuatan  otot  akan mengalami penurunan sehingga rentan mengalami gangguan kesehatan. Kami berinisiatif untuk memberikan penyuluhan terkait nyeri punggung bawah pada Mahasiswa yang berada di Universitas Muhammadiyah Surakarta khususnya pada program studi fisioterapi angkatan 2019 kelas praktek E dan juga kegiatan pengabdian ini di support dengan pemberian leaflet, pre-test, post-test untuk mengukur tingkat pengetahuan dan penambahan wawasan responden terhadap nyeri punggung bawah baik gejala, faktor resiko, cara pencegahan serta penanganan secara mandiri maupun medis., agar kedepannya para lansia menambah pengetahuan perihal low back pain dan dapat menerapkan pola hidup sehat untuk mencegah penyakit ini. Berdasarkan hasil pengisian kuesioner pre- test dan post-test yang kami berikan, pengetahuan lansia tentang nyeri punggung bawah meningkat dari yang awalnya belum mengerti perbedaan nyeri lutut biasa dengan osteoarthritis menjadi paham, dan adanya peningkatan pengetahuan akan tanda dan gejala low back pain

Low back pain during pregnancy occurs due to changes in pregnancy hormones which increase relaxant hormones that affect the flexibility of the ligament tissue which ultimately increases joint mobility in the pelvis and will have an impact on spinal and pelvic instability and cause back pain. One way to reduce low back pain is to do pregnancy exercises. Pregnancy exercise can relieve lower back pain that is felt by pregnant women because in pregnancy exercise there are movements that can strengthen the abdominal muscles, make the elasticity of the muscles and ligaments in the back and relax, so that pregnant exercise can reduce lower back pain. The purpose of this study was to determine the effect of pregnancy exercise on reducing low back pain in pregnant women in the second and third trimesters in Panei District 2021. This study used a quasi-experimental research design with a pre-post-test design with one group test. The population in this study were all pregnant women in the second and third trimesters in Panei Tongah Health Center many as 30 people. The sample in this study amounted to 28 people. Analysis of the data used is univariate analysis and bivariate analysis using the Paired-Samples T Test. The average lower back pain before treatment was 3.32 and the Std. Deviation was 0.772. The average low back pain after treatment was 2.25 and the Std. Deviation was 1.005. There is an effect of pregnancy exercise on reducing low back pain in pregnant women in the second and third trimesters in Panei Tongah Health Center in 2021 with a value of p = 0.000 p <0.05. It is recommended for further researchers to develop other variables in order to get better results Panei Tongah Health Center.

Low back pain termasuk salah satu gangguan muskuloskeletal yang menyebabkan penurunan produktivitas kerja dan disabilitas. Low back pain diklasifikasikan ke dalam tiga kategori berdasarkan lamanya waktu dari gejala yaitu akut, sub akut, dan kronis. Upaya pencegahan nyeri punggung bawah dengan melakukan kegiatan sehari-hari dengan baik dan benar seperti ketika duduk posisinya harus tegak dan tidak membungkuk bisa dibantu dengan menggunakan bantal pada punggung untuk membantu menopang tulang belakang, mengangkat barang dengan beban yang tidak berat, dan posisi tidur yang benar seperti side lying atau miring dengan kaki salah satu ditekuk, karena nyeri punggung sering diakibatkan karena postur yang salah serta akibat beban di tulang belakang. Kegiatan penyuluhan ini bertujuan agar ibu-ibu PKK dapat mengetahui dan melakukan pencegahan maupun penanganan pada kasus low back pain. Metode yang digunakan adalah ceramah dan tanya jawab. Penyuluhan ini terkait permasalahan kesehatan yang terjadi pada ibu PKK yaitu nyeri punggung bawah. Kegiatan ceramah dimulai dengan melakukan pre-test dan diakhiri dengan post-test untuk mengukur pemahaman dan pengetahuan pada ibu-ibu PKK terhadap topik yang disampaikan. Berdasarkan pre-test dan post-test yang telah dilakukan didapatkan hasil bahwa terdapat peningkatan pemahaman pada ibu-ibu PKK mengenai low back pain.

Background: Dysmenorrhea is discomfort in the lower abdomen spreading to the waist which is often experienced by young women aged 12-18 years or even almost all women during menstruation, usually often felt before menstruation or during menstruation. Benson relaxation technique is one of the complementary therapies developed as a relaxation technique that is simple and easy to implement and is a combination of relaxation response techniques with individual belief systems or faith factors. Purpose : Knowing changes in the level of dysmenorrhea in adolescents before and after doing benson relaxation therapy. Method: this application with descriptive research methods and observing events or events that have occurred. Descriptive research is research conducted to describe or describe an event that occurs. Results: handling dysmenorrhea with benson relaxation therapy given for 2 days with 1 time a day for 15 minutes can affect the patient's level of dysmenorrhea so that there are changes in the patient's pain scale. Conclusion: Benson relaxation therapy can reduce the level of dysmenorrhea in adolescents who are experiencing menstrual pain.  

Background: Spinal anesthesia is a type of extensive nerve block by inserting a local anesthetic drug into the subarachnoid space at the lumbar level (Rehatta, 2019). This method produces anesthesia by blocking transmission, deactivating motor and sensory abilities, thus creating loss of pain sensation in the perineum. lower abdomen to lower extremities. Among the effects of spinal anesthesia that often occur, post-spinal anesthesia headache is a complication that often does not receive special attention. Due to the minor effects of spinal anesthesia. Management of headaches after spinal anesthesia, one of which is using non-pharmacological techniques with Head Up therapy, namely providing a 30 degree head elevation position with the aim of increasing blood flow to the brain in an effort to maximize oxygen flow to the brain which is believed to reduce the sensation of headaches. Objective: To analyze the effect of giving Head up therapy on headaches in post-operative patients with spinal anesthesia. Method: This research is a quantitative research using a type of experiment with a pre-experimental design, post-test control group design. Sampling technique: accidental sampling Population: The population of this study was 300 people. Sample: This study involved 76 respondents with a division of 38 respondents who were given Head Up therapy and 38 respondents who were not given Head Up therapy. Data analysis: Data were analyzed using the Mann Whitney test. The research instruments were Head Up SOP and Posttest Numeric Rating Scale (NRS) questionnaire. This research was carried out in February-April 2024 at Dr Hardjono Ponorogo Regional Hospital. Results: Based on research and after data analysis, the significance value (P value) in the Mann Whitney test was 0.001 (p>0.05). Conclusion: It was found that there was an effect of giving Head up therapy to post-operative patients with spinal anesthesia

Background: General anesthesia is the act of administering a combination of drugs during surgery with the aim of reducing consciousness and eliminating pain in the patient. There are 2.5% of patients experiencing intra-anesthesia complications including hypotension.Objective: To determine the comparison of giving fluid loading and reducing inhaled gas with giving ephedrine to prevent hypotension in patients in central surgery installations.Research Metod: Quantitative method with experimental research type with quasi-experiment. This research used a Pretest-Posttest Two Group Design with 22 respondents.Research Result: Based on test statistics, it is known that the results of the Independent Sample T Test data analysis test show a P value (>0.05), namely H0 is accepted. Based on this test, it was concluded that there was no significant relationship between administering fluid loading and reducing inhaled gas with administering ephedrine to prevent hypotension.Conclusion: Based on this research, researchers are more effective in using fluid loading and reducing inhaled gas than administering ephedrine in the ETT technique for general anesthesia.

Pregnancy is defined as fertilization or union of spermatozoa and ovum and followed by nidation or implantation. If calculated from the fertility phase until the birth of the baby, a normal pregnancy will take place within 40 weeks or 10 lunar months or 9 months according to the international calendar. Pregnancy lasts in three trimesters, the first trimester lasts 13 weeks, the second trimester 14 weeks (weeks 14 to 27), and the third trimester 13 weeks (weeks 28 to 40)). Pregnancy is a normal process that produces a series of physiological and psychological changes in pregnant women Lower back pain during pregnancy occurs due to changes in pregnancy hormones which increase relaxant hormones (hormones that make muscles relax and become weak), this affects the flexibility of the ligament tissue which ultimately increases joint mobility in the pelvis and will have an impact on spinal and pelvic instability and cause pain. on the back. Other predisposing factors that cause back pain are related to weight gain, changes in body posture due to uterine enlargement, previous back pain and repetitive stretching. Apart from that, back pain is also felt due to incorrect body posture when sitting, standing, lying down and even when doing household activities

Background: Lower back pain is one of the complaints felt by almost all pregnant women, especially in the third trimester due to stretching, especially in the spine due to the enlargement of the uterus. Efforts to reduce back pain in pregnant women non-pharmacologically include warm compresses. The aim of the research was to determine the effect of warm compresses on the level of lower back pain in third trimester pregnant women. Method: This research uses a pre-experiment method with a research design using one group pre test post test. The sampling technique used total sampling, totaling 40 pregnant women in the Kutamendala Community Health Center Working Area, Brebes Regency. Results: Of the 40 respondents before the warm compress was applied, it was found that 30 respondents (75%) experienced mild levels of lower back pain, while 10 respondents (25%) experienced moderate levels of lower back pain, and after doing this Warm compresses showed that 32 respondents (80%) did not complain of lower back pain, while 8 respondents (20%) experienced low back pain at a mild level. The results of the analysis using the Wilcoxon test showed p value = 0.000 < 0.05. Conclusion: There is an influence of warm compresses on the level of lower back pain in third trimester pregnant women

Background: Acute Myocardial Infarction (AMI) is one of the cardiovascular emergency diseases. Sign and symptoms of IMA that accompany patients coming to the Emergency departement are complaints of chest pain. Chest pain is a response that occurs due to ischemia in the myocardium. Untrained chest pain more than 20 minutes will result in irreversible heart damage. The purpose of this case study is to describe emergency nursing care in IMA patients with acute pain Method: The method used in this paper is a descriptive method with a case study approach that describes the condition of two patients suffering from IMA with acute pain. The tools used to retrieve data are IMA observation checklists and interview sheets. The data obtained were analyzed by narrating the data obtained and comparing the existing theory. Results: The IMA patient assessment focused on secondary assessment of SAMPLE. Chest pain data were obtained through the PQRST approach so that the main nursing problem was acute pain. Emergency measures performed by oxygen delivery as nonpharmacological therapy and administration of anti-ischaemic therapy and fibrinolysis as pharmacological therapy. Evaluation performed for 1 hour, the results obtained are reduced pain from the weight scale to moderate. Conclusions: As emergency nurses should pay attention to IMA assessment on secondary assessment and collaborate with medical personnel to reduce pain with pharmacological and nonpharmacological therapies.Keywords: Acute Myocardial Infarction (AMI); Acute Pain; Nursing Care; Emergency