PERBEDAAN POLD METHODDENGAN SNAGS EXTENSION TERHADAP PENURUNAN DISABILITAS DAN PENINGKATAN MOBILITAS FLEKSI LUMBAL PADA KASUS NYERI PINGGANG DISKOGENIK
Abstract
Abstract                                                  Â
Objective: The research aims to find out the difference in POLD method with SNAGS extension in decreasing disability and increasing lumbal flexion mobility in casses of discogenic low back pain. Methods: The research method used quasi-experimentalwith pre-test post-test design group, where disability is measured using the modified oswestry disability index (MODI) and lumbar flexion mobility is measured using modified-modified schober test (MMST). Samples were taken from the discogenic low back pain population at Clinic Berlian, which consisted 20, the samples were grouped into 2 groups, group I consisted of 10 samples with POLD method and group II consisted of 10 samples with SNAGs extension intervention.Result: Normality test with shapiro wilk test was obtained with normal diffusion data white homogenity test with Levene's test got variance homogenous. The result of hypothesis test I with paired sample t-test was obtained p < 0.0001 for MODI and p < 0.0001 for MMST. Hypothesis test II with paired sample t-test was obtained p < 0.0001 for MODI and p < 0.0001 for MMST. And hypothesis test III with independent sample t-test shows the value of p < 0,0001 for MODI and p<0.0001 for MMST. Conclusion: There was a difference between POLD method with SNAGs extension in decreasing disability and increasing lumbal flexion mobility in casses of discogenic low back pain.
Â
Keywords: Diskogenic low back pain,POLD method, SNAGS extension
Â
Abstrak
Tujuan: Untuk mengetahui perbedaan POLD method dan SNAGs extension terhadap penurunan disabilitas dan peningkatan mobilitas fleksi lumbal pada kasus nyeri pinggang diskogenik. Metode: Penelitian ini bersifat quasi exsperimental dengan pre test-post test design group, dimana disabilitas diukur menggunakan modified oswestry disability index (MODI) dan peningkatan mobilitas fleksi lumbal diukur menggunakan modified-modified schober test (MMST). Sampel diambil dari populasi nyeri pinggang diskogenik di Klinik Berlian terdiri dari 20 orang pasien dikelompokan menjadi 2 kelompok, kelompok I terdiri dari 10 orang sampel dengan intervensi POLD method dan kelompok II terdiri dari 10 orang sampel dengan intervensi SNAGs extension. Hasil: Uji normalitas dengan Shapiro wilk test didapatkan data berdistribusi normal sedangkan uji homogenitas dengan Levene’s test didapatkan varian bersifat homogen. Hasil uji hipotesis I dengan paired sample t-test, didapatkan p < 0,0001 pada MODI dan p < 0,0001 pada MMST. Pada uji hipotesa II dengan paired sample t-test, didapatkan p < 0,0001 pada MODI dan p < 0,0001 pada MMST. Dan uji hipotesa III dengan independent sample t-test menunjukkan nilai p < 0,0001 pada MODI dan p < 0,0001 pada MMST. Kesimpulan: Ada perbedaan antara intervensi POLD method dengan SNAGs extension terhadap penurunan disabilitas dan peningkatan mobilitas fleksi lumbal pada kasus nyeri pinggang diskogenik.
Â
Kata kuci : Nyeri pinggang diskogenik, POLD method, SNAGS extention
Full Text:
PDF (Bahasa Indonesia)References
Alexander, C., Varacallo, M. 2016. Lumbosacral Radiculopathy. Stat Publishing LLC.
Dreischarf, M., Shirazi-Adl, A., Arjmand, N., Rohlmann, A. andSchmidt, H. (2016). Estimation of Loads on Human Lumbar Spine: A Review of In Vivo And Computational Model Studies.Journal of Biomechanics. 49 : 833-845.
Hussein, H., Abdel-Raoof, N.A., Kattabei, O.M. and Ahmed, H.H. (2017). Effect of Mulligan Concept Lumbar SNAG on Chronic Nonspecific Low Back Pain. Journal of Chiropractic Medicine. 16 (2) : 94-102.
Ito, K. andCreemers, L. (2013). Mechanisms of Intervertebral Disk Degeneration/Injury and Pain: A Review.Netherlands : Global Spine J. (3) :145–152.
Kisner, C. and Cloby L. (2014). Terapi Latihan Dasar dan Teknik. EGC. 2 (6).
López-DÃaz, J.V., BurÃa, J.L.A., Lopez-Gordo, E., Gordo, S.L., Alejandra, P. and Oyarzún, A. (2014). Effectiveness of Continuous Vertebral Resonant Oscillation Using The POLD Method in The Treatment Of Lumbar Disc Hernia. Manual Therapy Journal. 20 (3) : 481–486.
Mbada, C.E., Ayanniyi, O., Ogunlade, S.O., Orimolade, E.A., Oladiran, A and Ogundele, O.A. (2014). Influence of McKenzie protocol & two modes of endurance exercises on health-related quality of life of patients with longterm mechanical low-back pain. Pan African Med J.
Moutzouri, M., Billis, E., Strimpakos, N., Kottika, P. and Oldham, J.A. (2008). The effects of the Mulligan Sustained Natural Apophyseal Glides (SNAGS) mobilisation in the lumbar flexion rnage of asymptomatic subjects as measured by the Zebris CMS 20 3-D motion analysis system. Biomed Central Musculoskeletal disorder. 9 : 131.
Staal, J.B., Hendriks, E.J.M., Heijmans, M., Kiers, H., Lutgers-Boomsma, A.M., Rutten, G., Van Tulder, M.W., Boer, J.D., Ostelo, R. and Custers, J.W.H. (2013). Clinical Practice Guideline for Physical Therapy in Patients with Low Back Pain. Nederlands : Royal Dutch Society for Physical Therapy. 7.
Warude, T. and Shanmugam, S. (2012). The Effect of Mckenzie Approach and Mulligan’s Mobilisation (SNAGS) in Lumbar Disc Prolapse with Unilateral Radiculopathy. India : International Journal of Science and Research (IJSR). 3 (10) : 59-63.
DOI: https://doi.org/10.47007/fisio.v19i2.2914
Refbacks
- There are currently no refbacks.