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Lilik Sigit Wibisono; Fitratun Najizah; Ni Kadek Krisna Dwi Patrisia; Lulu'ah Feby Purwanti

Jurnal Riset Rumpun Ilmu Kedokteran 2022 Pusat riset dan Inovasi Nasional

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.

Widya Ervianta; Lilik Sigit Wibisono; Fitratun Najizah; Ni Kadek Krisna Dwi Patrisia; Lulu'ah Feby Purwanti

Jurnal Riset Rumpun Ilmu Kesehatan 2022 Pusat riset dan Inovasi Nasional

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

Aulia Marsha Panandita; Khonsa Qonita Ramadhani; Devi Rahma Fadila

Jurnal Pengabdian Kepada Masyarakat 2022 Pusat Riset dan Inovasi Nasional

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.

Anggraeni Puji Safitri; Andung Maheswara Rakasiwi

Jurnal Rumpun Ilmu Kesehatan 2022 Pusat Riset dan Inovasi Nasional

Bell's palsy is a neurological disorder and disorder of the cranial nerve VII (facial nerve) in the temporal bone area that causes weakness or paralysis of the facial muscles around the stylomastoid foramen. The cause is not known to be vascular ischemia, viral disease (Herpes simplex, Herpes zoster), autoimmune disease, or a combination of these factors. The purpose of this study was to determine the effect of Physiotherapy Management in Bell's Palsy with Infra Red, Electrical Stimulation of Faradic Current and Exercise Therapy as modalities. The study was conducted at Bendan Hospital, Pekalongan City with descriptive analytic method in patients with Bell's Palsy condition. Methods of collecting research data using autoanamnesis and physical examination. The research instrument consisted of examining pain using the Visual Analogue Scale, muscle spasm with palpation, muscle strength using manual muscle testing, and functional activity using the Ugo Fisch scale. After therapy 1 to therapy 4 there was a decrease in pain from T1 = tenderness 4 to T4= tenderness 0. Increased facial muscle strength T1 = m. orbicularis oculi 3 to T4 = m.orbicularis oculi 5. Decreased muscle spasm T1 = m. frontalis 1, m. corrugator supercilli 1, m. zygomaticum 1, m. orbicularis oris 1, m. mentality 1 to T4 = m. frontalis 0, m. corrugator supercilli 0, m. zygomaticum 0, m. orbicularis oris 0, m. mentalis 0. The conclusion is Infra Red, Electrical Stimulation of faradic currents and Exercise Therapy can reduce pain, decrease muscle spasm and increase muscle strength on Bell’s Palsy Sinistra.