Pengaruh Lumbar Stabilization Exercise terhadap aktivitas fungsional pada ibu hamil dengan keluhan nyeri punggung

Authors

  • Navisatul Oktaviana Universitas Muhammadiyah Surakarta, Indonesia
  • Tiara Fatmarizka Universitas Muhammadiyah Surakarta, Indonesia

DOI:

https://doi.org/10.31101/jitu.3605

Keywords:

aktivitas fungsional, nyeri punggung kehamilan

Abstract

Lebih dari 50% wanita hamil mengeluhkan nyeri punggung  selama kehamilannya karena dalam masa kehamilan terdapat perubahan adaptasi anatomi, biokimia, serta fisiologi pada tubuh ibu hamil. Ibu hamil dengan nyeri punggung akan mengalami kesulitan dalam menjalani aktivitas sehari-hari. Lumbar stabilization exercise (LSE) merupakan latihan yang dapat mengaktivasi otot-otot trunk dan abdominal sehingga nyeri punggung berkurang dan meningkatkan kemampuan fungsional. Tujuan dari studi ini untuk mengetahui bagaimana LSE mempengaruhi aktivitas fungsional pada ibu hamil yang mengeluhkan nyeri punggung. Pemberian LSE dilakukan 3 sesi per minggu selama 6 minggu. Jenis penelitian ini adalah quasi experimental desain pre test and post test with control grup design. Subjek yang digunakan yaitu ibu hamil di wilayah kecamatan Kartasura yang mengalami nyeri punggung dengan jumlah 22 responden dengan dibagi 2 kelompok yakni: 1) kelompok eksperimen ialah ibu hamil yang mendapatkan LSE, 2) kelompok kontrol ialah ibu hamil yang hanya mengikuti aktivitas kelas hamil tiap bulannya. Kuesioner untuk mengukur aktivitas fungsional pada ibu hamil menggunakan Roland-Morris Disability Questionnaire. Studi ini menemukan bahwa LSE berpengaruh pada aktivitas fungsional pada ibu hamil yang mengeluhkan nyeri punggung dengan p-value 0,000, dan ada perbedaan pengaruh antara kelompok eksperimen LSE dan kelompok kontrol dengan p-value = 0,001.

References

Afifah, I. N. N., & Pristianto, A. (2022). Penyuluhan Program Back Exercises Guna Mengatasi Keluhan Nyeri Punggung Bawah Pada Ibu Pkk Desa Klewor Boyolali. Jurnal Pengabdian Masyarakat Multidisiplin, 5(2), 48–54. https://doi.org/10.36341/jpm.v5i2.2265

Amin, D. R. (2023). Pregnancy, Low Back Pain, Woman, Age, Parity C. Trimester III, 348–353.

Arummega, M. N., Rahmawati, A., & Meiranny, A. (2022). Faktor-Faktor yang Mempengaruhi Nyeri Punggung Ibu Hamil Trimester III : Literatur Review Factors Affecting Back Pain In Pregnant Trimester III : A Literature Review. 9(1), 14–30.

Back, L., & Randomized, P. A. S. (2018). The Role of a Multi-Step Core Stability Exercise Program in the Treatment of Nurses with Chronic. 12(7), 490–502.

Bakara, D. M. (2020). Pelvic Tilt Exercise Against Lower Back Pain For Third Trimester Pregnant Women In Rejang Lebong Regency. 5(1), 1–7.

Boucher, J. A., Preuss, R., Henry, S. M., Dumas, J. P., & Larivière, C. (2016). The effects of an 8-week stabilization exercise program on lumbar movement sense in patients with low back pain. BMC Musculoskeletal Disorders, 17(1), 1–8. https://doi.org/10.1186/s12891-016-0875-4

Casagrande, D. M., Zbigniew Gugala, MD, P., Shannon M. Clark, M., & Ronald W. Lindsey, M. (2015). 539.Full-2. 23(9), 539–549.

Chen, L., Ferreira, M. L., Beckenkamp, P. R., Caputo, E. L., Feng, S., & Ferreira, P. H. (2021). Comparative Efficacy and Safety of Conservative Care for Pregnancy-Related Low Back Pain: A Systematic Review and Network Meta-analysis. Physical Therapy, 101(2), 1–13. https://doi.org/10.1093/ptj/pzaa200

Dyani Dewi, M., Deborah Anwar, A., Sasotya, R. M. S., Zulkarnain, R., Rifayani Krisnadi, S., Hasan Purwara, B., & Susiarno, H. (2019). Pengaruh Kinesio Taping terhadap Intensitas Low Back Pain pada Kehamilan Trimester Tiga. Indonesian Journal of Obstetrics & Gynecology Science, 2(1), 26–34. https://doi.org/10.24198/obgynia.v2n1.86

Emília, M., Costa, C., Cavalcanti, L., Alves, C., Terceiro, D. L., Ravy, D., Pinto, L., Neves, M., Araújo, G., Cursino, T., & Couceiro, D. M. (2017). Back Pain During Pregnancy. Journal of Midwifery & Women’s Health, 62(1), 135–136. https://doi.org/10.1111/jmwh.12597

Fatmarizka, T., Afriani Khasanah, D., & Arwida, N. (2021a). Prevalensi pola keluhan nyeri punggung pada ibu hamil di Puskesmas Kartasura. Journal Physical Therapy UNISA, 1(2), 64–67. https://doi.org/10.31101/jitu.2415

Fatmarizka, T., Ramadanty, R. S., & Khasanah, D. A. (2021b). Pregnancy-Related Low Back Pain and The Quality of Life among Pregnant Women : A Narrative Literature Review. Journal of Public Health for Tropical and Coastal Region, 4(3), 108–116. https://doi.org/10.14710/jphtcr.v4i3.10795

Fatmatika, T., Putri, C. K., Prastiwi, M. G., & Wulandari, R. (2022). Edukasi Yoga Untuk Mengatasi Nteri Punggung Bawah Pada Ibu Hamil. 892–897.

Fiana, D. N., Nisa, K., & Rahmayani, F. (2022). Korelasi Intensitas Nyeri dengan Paritas Kehamilan pada Ibu Hamil yang Mengalami Nyeri Punggung Bawah di Puskesmas Kedaton Kota Bandar Lampung Correlation of Pain Intensity with Pregnancy Parity in Pregnant Women Experiencing Lower Back Pain at Kedaton He. 6, 84–88.

Fontana Carvalho, A. P., Dufresne, S. S., Rogério De Oliveira, M., Couto Furlanetto, K., Dubois, M., Dallaire, M., Ngomo, S., & Da Silva, R. A. (2020). Effects of lumbar stabilization and muscular stretching on pain, disabilities, postural control and muscle activation in pregnant woman with low back pain. European Journal of Physical and Rehabilitation Medicine, 56(3), 297–306. https://doi.org/10.23736/S1973-9087.20.06086-4

Gangakhedkar, G. R., & Kulkarni, A. P. (2021). Physiological Changes in Pregnancy. Indian Journal of Critical Care Medicine, 25(S3), S189–S192. https://doi.org/10.5005/jp-journals-10071-24039

Hikhmah, S. N., Noviana, M., & Pahlawi, R. (2022). Efektivitas Pemberian Lumbar Stabilization Exercise terhadap Peningkatan Kemampuan Fungsional pada Kasus Low Back Pain Myogenic: Literature Review. Jurnal Fisioterapi Terapan Indonesia or Indonesian Journal of Applied Physiotherapy, 1(1), 6–27. https://scholarhub.ui.ac.id/jfti/vol1/iss1/14

Hinman, S. K., Smith, K. B., Quillen, D. M., & Smith, M. S. (2015). Exercise in Pregnancy: A Clinical Review. Sports Health, 7(6), 527–531. https://doi.org/10.1177/1941738115599358

Ho, S., Jun, S., & Hyun, D. (2020). The effects of lumbar stabilization exercise on transversus abdominis muscle activation capacity and function in low back pain patients. 28, 147–152. https://doi.org/10.3233/IES-182127

Khan, M. J., Israr, A., Basharat, I., Shoukat, A., Mushtaq, N., & Farooq, H. (2017). Prevalence of pregnancy related low back pain in third trimester and its impact on quality of life and physical limitation. Journal of Islamic International Medical College, 12(1), 39–43. https://www.bibliomed.org/?mno=242354

Kokic, I. S., Ivanisevic, M., Uremovic, M., Kokic, T., Pisot, R., & Simunic, B. (2017). Effect of therapeutic exercises on pregnancy-related low back pain and pelvic girdle pain: Secondary analysis of a randomized controlled trial. Journal of Rehabilitation Medicine, 49(3), 251–257. https://doi.org/10.2340/16501977-2196

Kumar, T., Kumar, S., Nezamuddin, M., & Sharma, V. (2015). Efficacy of core muscle strengthening exercise in chronic low back pain patients. Journal of Back and Musculoskeletal Rehabilitation, 28(4), 699–707. https://doi.org/10.3233/bmr-140572

Lonica, T., Oktaria, S., Makmur, T., & Soedjatmiko, P. (2021). Hubungan Kualitas Nyeri Dengan Aktivitas Fungsional Pada Pasien Osteoarthtritis Genu. Jurnal Kedokteran Ibnu Nafis, 9(2), 56–64. https://doi.org/10.30743/jkin.v9i2.95

Manyozo, S. D., Nesto, T., Bonongwe, P., & Muula, A. S. (2019). Low back pain during pregnancy: Prevalence, risk factors and association with daily activities among pregnant women in urban Blantyre, Malawi. Malawi Medical Journal, 31(1), 71–76. https://doi.org/10.4314/mmj.v31i1.12

Mcgowan, C. J., Pyne, D. B., Thompson, K. G., & Rattray, B. (2015). Warm-Up Strategies for Sport and Exercise : Mechanisms and Applications. Sports Medicine, 45(11), 1523–1546. https://doi.org/10.1007/s40279-015-0376-x

Morino, S., Ishihara, M., Umezaki, F., Hatanaka, H., Iijima, H., Yamashita, M., Aoyama, T., & Takahashi, M. (2017). Low back pain and causative movements in pregnancy: A prospective cohort study. BMC Musculoskeletal Disorders, 18(1), 1–8. https://doi.org/10.1186/s12891-017-1776-x

Pakkir Mohamed, S. H., & Seyed, M. A. (2021). Low back pain: A comprehensive review on the diagnosis, treatment options, and the role of other contributing factors. Open Access Macedonian Journal of Medical Sciences, 9, 347–359. https://doi.org/10.3889/oamjms.2021.6877

Pristianto, A., Wijianto, W., Susilo, T. E., Naufal, A. F., Rahman, F., & Addiningsih, Y. (2021). Edukasi Program Aquatic Exercise Dalam Mengurangi Keluhan Serta Meningkatkan Kemampuan Fungsional Pasien Nyeri Pinggang Kronik. Jurnal Pengabdian Masyarakat Multidisiplin, 4(3), 190–193. https://doi.org/10.36341/jpm.v4i3.1880

Purnamasari, K. D. (2019). Nyeri Punggung Bawah Pada Ibu Hamil Trimester Ii Dan Iii. Journal of Midwifery and Public Health, 1(1), 9. https://doi.org/10.25157/jmph.v1i1.2000

Rusniawati, N. (2022). Efektivitas Pelvic Tilt Exercise Terhadap Penurunan Nyeri Punggung Pada Ibu Hamil Trimester Iii Di Desa Cimanggu Wilayah Kerja Puskesmas Cimanggu Kabupaten Pandeglang Tahun 2021. Jurnal Kebidanan, 11(2), 118–122. https://doi.org/10.35890/jkdh.v11i2.212

Shiri, R., Coggon, D., & Falah-Hassani, K. (2018). Exercise for the prevention of low back and pelvic girdle pain in pregnancy: A meta-analysis of randomized controlled trials. European Journal of Pain (United Kingdom), 22(1), 19–27. https://doi.org/10.1002/ejp.1096

Thahir, M. (2018). Pengaruh Kinesiotapping Terhadap Penurunan Nyeri Akibat Low Back Pain Pada Ibu Hamil Trimester Iii Di Rskdia Pertiwi Makassar. Media Kesehatan Politeknik Kesehatan Makassar, 13(1), 18. https://doi.org/10.32382/medkes.v13i1.100

Urits, I., Burshtein, A., Sharma, M., Testa, L., Gold, P. A., Orhurhu, V., Viswanath, O., Jones, M. R., Sidransky, M. A., Spektor, B., & Kaye, A. D. (2019). Low Back Pain, a Comprehensive Review: Pathophysiology, Diagnosis, and Treatment. Current Pain and Headache Reports, 23(3), 1–10. https://doi.org/10.1007/s11916-019-0757-1

Walters, C., West, S., & A Nippita, T. (2018). Pelvic girdle pain in pregnancy. Australian Journal of General Practice, 47(7), 439–443. https://doi.org/10.31128/AJGP-01-18-4467

Weis, C. A., Barrett, J., Tavares, P., Draper, C., Ngo, K., Leung, J., Huynh, T., & Landsman, V. (2018). Prevalence of Low Back Pain, Pelvic Girdle Pain, and Combination Pain in a Pregnant Ontario Population. Journal of Obstetrics and Gynaecology Canada, 40(8), 1038–1043. https://doi.org/10.1016/j.jogc.2017.10.032

Weis, C. A., Pohlman, K., Draper, C., daSilva-Oolup, S., Stuber, K., & Hawk, C. (2020). Chiropractic Care for Adults With Pregnancy-Related Low Back, Pelvic Girdle Pain, or Combination Pain: A Systematic Review. Journal of Manipulative and Physiological Therapeutics, 43(7), 714–731. https://doi.org/10.1016/j.jmpt.2020.05.005

Wijayanti, I. T. (2020). Perbandingan Ibu Hamil Yang Melakukan Exercise Gym Ball Dan Ibu Hamil Yang Melakukan Senam Hamil Terhadap Penurunan Nyeri Punggung Bawah. Jurnal Kebidanan Indonesia, 11(1), 38. https://doi.org/10.36419/jkebin.v11i1.324

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Published

2024-04-20

How to Cite

Oktaviana, N., & Fatmarizka, T. (2024). Pengaruh Lumbar Stabilization Exercise terhadap aktivitas fungsional pada ibu hamil dengan keluhan nyeri punggung. Journal Physical Therapy UNISA, 4(1), 10–21. https://doi.org/10.31101/jitu.3605

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Vol. 4 No. 1 (2024): April

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