EFEKTIFITAS KINESIO TAPING TERHADAP NYERI DAN PERFORMA FUNGSIONAL PADA NYERI PUNGGUNG BAWAH MEKANIK
Abstract
Abstract
Objective: To acknowledge the effectiveness of Kinesio Taping in reducing pain and improve the functional performance of the patient with mechanical Low Back Pain (LBP). Methods: The study was an experimental study with pretest-posttest group design. The subjects were all doctors and staff of Central Surgery Unit of Prof. Dr. R.D. Kandou General Hospital Manado with mechanical LBP meeting the inclusion criteria. All subjects were evaluated before treatment, on day 12 and day 30 after treatment in the form of pain assessment using Pain Numeric Rating Scale (PNRS) and functional performance using the Oswestry Disability Index (ODI). Kinesio Taping Double I strip was applied from insersion to origin of lumbar erector spinae muscle with 25% stretch in lower back area between  lowest costal bone and gluteal fold. Treatment was done for 3 times in 12 days with 3 days application and 1 day removal of tape. Results: There was a very significant reduction in pain (p <0.0001) and a very significant increase in functional performance (p <0.0001) after 12 days and 30 days of Kinesio Taping application. Conclusion: Kinesio Taping can reduce pain and improve functional performance in patients with mechanical NPB.
Keywords: Kinesio Taping, Low Back Pain, Pain Numeric Rating Scale, Oswestry Disability Index
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Abstrak
Tujuan: Mengetahui efektivitas Kinesio Taping dalam mengurangi nyeri dan meningkatkan performa fungsional penderita dengan Nyeri Punggung Bawah (NPB) mekanik. Metode: Penelitian yang dilakukan adalah penelitian eksperimental dengan pretest-posttest group design. Subyek penelitian adalah semua dokter dan staf Instalasi Bedah Sentral RSUP Dr. R.D. Kandou Manado dengan NPB mekanik yang memenuhi kriteria inklusi.Semua subyek dievaluasi sebelum perlakuan, pada hari ke-12 dan hari ke-30 sesudah perlakuan berupa penilaian nyeri dengan menggunakan Pain Numeric Rating Scale (PNRS) dan performa fungsional dengan menggunakan Oswestry Disability Index (ODI). Dilakukan pemasangan Kinesio Taping Double I strip dari insersio ke origo otot erector spina lumbal dengan tarikan sebesar 25% di daerah punggung bawah antara tulang kosta 12 lipatan gluteal. Perlakuan sebanyak 3 kali dalam 12 hari dengan aplikasi 3 hari dan 1 hari tape dilepas. Hasil: Terdapat penurunan nyeri yang sangat bermakna (p <0,0001) dan peningkatan performa fungsional yang sangat bermakna (p <0,0001) setelah diberikan perlakuan Kinesio Taping selama 12 hari yang dinilai pada hari ke-12 dan hari ke-30. Kesimpulan: Kinesio Taping dapat mengurangi nyeri dan meningkatkan performa fungsional pada penderita NPB mekanik.
Kata kunci: Kinesio Taping, Nyeri Punggung Bawah, Pain Numeric Rating Scale, Oswestry Disability Index
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