PENGARUH REPETITIVE PERIPHERAL MAGNETIC STIMULATION TERHADAP NYERI DAN KEMAMPUAN FUNGSIONAL PADA NYERI PUNGGUNG BAWAH MEKANIK KRONIK
Abstract
ABSTRAK
Tujuan: Menganalisa efek peripheral repetitive magnetic stimulation terhadap nyeri dan kemampuan fungsional pada nyeri punggung bawah mekanik kronik
Metode: Penelitian ini menggunakan eksperimental desain dengan pre test dan post test design. Subjep penelitian merupakan perawat dan traf administrasi di Rumah Sakit Umum Pusat Prof. R. D. Kandou Manado dengan nyeri punggung bawah mekanik kronik. tatal 27 subjek memenuki kriteria inklusi. Semua subjek dievalusi sebelum mendapatkan perlakuakn dan setelah 8 kali mendapatkan perlakukan Repetitive Peripheral Magnetic Stimulation. Evaluasi yang dilakukan adalah evaluasi nyeri menggunakan Pain Numeric Rating Scale (NPRS) dan evaluasi kemampuan fungsional menggunakan Oswesrty Disability Index (ODI)
Hasil: dari studi ini ditemukan penurunan tingkat nyeri yang signifikan (p<0.0001) dan juga peningkatan kemampuan fungsional yang isfnifikan (p<0.0001) setelah subjek mendapatkan 8 kali Repetitive Peripheral Magnetic Stimulation.
Kesimpulan: Repetitive Peripheral Magnetic Stimulation dapat menurunkan nyeri dan juga meningkatkan kemampuan fungsional pada pasien dengan nyeri punggung bawah mekanik kronik.
Kata kunci: Repetitive Peripheral Magnetic Stimulation, Nyeri Punggung Bawah, Pain Numeric Rating Scale, Oswestry Disability Index.
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ABSTRACT
Objective: To acknowledge the effectiveness of Repetitive Peripheral Magnetic Stimulation on pain and functional ability in chronic mechanical low back pain
Methods: The study was an experimental study with pretest-posttest group design. The subjects were all nurse and administration staff of of Prof. Dr. R.D. Kandou General Hospital Manado with chronic mechanical LBP. A total of 27 meeting the inclusion criteria. All subjects were evaluated before treatment, and after 8 times treatment of Repetitive Peripheral Magnetic Stimulation in the form of pain assessment using Pain Numeric Rating Scale (PNRS) and functional performance using the Oswestry Disability Index (ODI).
Results: There was a very significant reduction in pain (p <0.0001) and a very significant increase in functional performance (p <0.0001) after 8 times of Repetitive Peripheral Magnetic Stimulation
Conclusion: Repetitive Peripheral Magnetic Stimulation can reduce pain and improve functional performance in patients with chronic mechanical low back pain.
Keywords: Repetitive Peripheral Magnetic Stimulation, Low Back Pain, Pain Numeric Rating Scale, Oswestry Disability IndexReferences
Lubis I. Epidemiologi Nyeri Punggung Bawah. Nyeri Punggung Bawah. Jakarta: PERDOSSI; 2003. h. 1-3.
PERDOSRI. Latihan Terapeutik pada Nyeri Punggung Bawah. Dalam Latihan Terapeutik. Jakarta: PERDOSSI; 2017. h. 311-22.
Homaid B, et al. Prevalence and Risk Factors of Low Back Pain Among Operation Room Staff at a Tertiary Care Center, Makkah, Saudi Arabia: A Cross-Sectional Study. Annals of Occupational and Environmental Medicine 2016; 28:1
Hoy D, Bain C, Williams G, March L, Brooks P, et al. A Systematic Review of the Global Prevalence of Low Back Pain. Arthritis & Rheumatism 2012; 64(6): 2028–2037.
Duthey B. Low Back Pain. Priority Medicines for Europe and the World; 2013.
Nunn et al. Current management practices for patients presenting with low back pain to a large emergency department in Canada. BMC Musculoskeletal Disorders (2017) 18:92.
Barr KP, Goncannon LG, Harrast MA. Chapter 33: Low back pain. In: Cifu DX, editor, Braddom’s Physical Medicine and Rehabilitation, fifth edition. Elsevier, Inc., Philadelphia; 2016
Budhrani-Shani p, et al. Mind-body exercise for nurse with chronic low back pain: an evidence-based review. Review article. Hindawi Publishing Corporation Nursing Research and Practice, Volume 2016. Available in URL http://www.dx.doi.org/10.1155/2016/9018036
Allegri M, Montella S, Salici F et al. Mechanisms of low back pain: a guide for diagnosis and therapy. F1000Research 2016; 5:1530
Young-Ho, Ji Min Song, Eun-Hi Choi, Jang Wo Lee. Effects of Repetitive Peripheral Magnetic Stimulation on Patients With Acute Low Back Pain: A Pilot Study. Original Article from Annals of Rehabilitation Medicine. 2017
Dragana Zarkovic, Krasimira Kazalakova. Repetitive Peripheral Magnetic Stimulation as Pain Management Solution in Musculoskeletal and Neurological Disorder-A Pilot Study. International Journal of Physiotherapy. Vol. 3(6), p. 671-675. 2016
Hoy D, Brooks P, Blyth F, Buchbinder R. The Epidemiology of Low Back Pain. Best Practice & Research Clinical Rheumatology. 2010; 24: 769–781.
Ganesan S, Acharya AS, Chauhan R, Acharya S. Prevalence and Risk Factors for Low Back Pain in 1,355 Young Adults: A Cross-Sectional Study. Asian Spine J. 2017;11(4):610-617
Ocarino JM, Gonçalves GGP, Vaz DV, Cabral AAV, Porto JV, Silva MT. Correlation Between a Functional Performance Questionnaire and Physical Capability Tests among Patients with Low Back Pain. Rev Bras Fisioter 2009; 13(4): 343-9
Ramdas J et al. Prevalence and risk factors of Low Back Pain. Original Research Article. International Journal of Advances in Medicine. 2018. DOI: http//dx.doi.org/10.18203/2349-3933.ijam20183413
Papageorgiou AC, Croft PR, Ferry S, Jayson MI, Silman AJ. Estimating the prevalence of low back pain in the general population. Evidence from the South Manchester back pain survey. Spine. 1995;20(17):1889-94
Sikiru L, Hanifa S. Prevalence and Risk Factors of Low Back Pain among Nurses in a Typical Nigerian Hospital. African Health Sciences. 2010; 10(1): 26 – 30.
Shieh SH, et al. Increased Low Back Pain in nurse with high workload for patient care: A questionnaire survey. Taiwanese Journal of Obstetric & Gynecology, Vol. 55 (2016); pp. 525-29. Available in URL http://www.tjog-online.com
OSHA. Healthcare Wide Hazard Ergonomi. United State: Departemen of Labor United State. 2013
Shieh SH, et al. Increased Low Back Pain in nurse with high workload for patient care: A questionnaire survey. Taiwanese Journal of Obstetric & Gynecology, Vol. 55 (2016); pp. 525-29. Available in URL http://www.tjog-online.com
Marc Russo et all, Muscle Control and Non-Spesific Chronic of Low Back Pain, Wiley Periodicals, Inc. on behalf of International Neuromodulation Society, 2017, www.neuromodulationjounal.com, DOI: 10.1111/ner.12738
Krammer A, Horton S, Tumilty S. Pulsed electromagnetic energy as an adjunct to physiotherapy for the treatment of acute low back pain: a randomised controlled trial. N Z J Physiother. 2015;43:16–22
Kankaanpää M. Lumbar Muscle Function and Dysfunction in Low Back Pain. Encyclopedia of Life Support Systems; 2010: 4.
Gallasch CH, Alexandre NM. The Measurement of Musculoskeletal Pain Intensity: A Comparison of Four Methods. Rev Gaucha Enferm 2007;28(2):260-5.
Breivik H. Patient’s Subjective Acute Pain Rating Scales (VAS, NRS) are Fine; More Elaborate Evaluations Needed for Chronic Pain, Especially in the Elderly and Demented Patients. Scandinavian Journal of Pain 2017; 15: 73–74.
Ralmila RK, Sinha AGK. Prevalence and Associated Risk Factors of Low Back Pain among Employees of Punjabi University, Patiala. International Journal of Therapies and Rehabilitation Research. 2016; 6 (1): 83-90.
Oke K, Umebese P. Evaluation of the efficacy of pulsed electromagnetic therapy in the treatment of back pain: a randomized controlled trial in a tertiary hospital in Nigeria. West Indian Med J. 2013;62:205–9
Renato Andrande et al. Pulsed Electromagnetic Field Therapy Effectiveness in Low Back Pain: A Systematic Review of Randomized Controlled Trials. Review Article. Porto Biomedical Journal 2016;1(5): 156-163. http://www.portobiomedicaljournal.com/
Ann Marie NB et all, The Effect of Pulsed Electromagnetic Frequency Therapy on Health-Related Quality of Life in Military Service Member with Chronic Low Back Pain. Nurs OUTLOOK 65 (2017) S26-S33. Published by Elsevier Inc. www.sciencedirect.com. http://dx.doi.org/10.1016/j.outlokk.2017.07.012
El Abd O, Amadera JED. Low Back Strain or Sprain. In: Frontera WR, Silver JK, Rizzo TD. Essentials of Physical Medicine and Rehabilitation 3rd Ed. United States: Elsevier; 2015.p.244-8.
Payares K, Lugo LH, Morales V, Londoño A. Validation in Colombia of the Oswestry Disability Questionnaire . Spine. 2011; 36: 1730–5
P, Kim Y, Lim Y, Lee C, Choi S, Park S, et al. Efficacy of pulsed electromagnetic therapy for chronic lower back pain: a randomized, double-blind, placebo-controlled study. J Int Med Res. 2006;34:160–7
M. Markov. XXIst Century Magnetotherapy, Electromagnetic Biology and Medicine. Original Article. 2015. 34:3, 190-196. DOI: 10.3109/15368378.2015.1077338.
Marko S. Markov. Magnetic Field Therapy: A Review, Electromagnetic Biology and Medicine. 2009. 26:1, 1-23, DOI: 10.1080/15368370600925342.
BTL 6000. Super inductive system medical introduction. 2017
SŤASTNÃ, E. et PROUZA, O. Clinical Study of Applied High-induction Electromagnetic Field on Painful Conditions. Rehabilitace a fyzikálnà lékaÅ™stvÃ, 2016, vol. 23, no. 3, p. 142–148.
