The effect of core stability exercise and functional ability for prevention of recurrences of low‐back pain in patients with herniated nucleus pulposus
DOI: https://doi.org/10.33024/minh.v8i1.749
Core Stability Exercise Functional Ability Hernia Nucleus Pulposus Low Back Pain
Abstract
Background: An intervertebral disc's nucleus pulposus or annulus fibrosus may protrude in part or in its entirety in a condition known as herniated nucleus pulposus (HNP). This can put pressure on the spinal canal or nerve roots through the annulus fibrosus's tear. Over 90% of HNP instances take place in the disc between the L4-L5 lumbar vertebrae or the L5-S1 sacral vertebrae, which is the disc between the fourth and fifth lumbar (L4-L5) vertebrae, which means that pressure is exerted on the L4, L5 and S1 nerves, causing local low back pain and radicular pain in the lower limbs, especially in the back of the lower leg and in the back of the foot.
Purpose: To determine the effect of core stability exercise on reducing pain and increasing functional ability in LBP EC HNP patients.
Method: A quantitative research method in the form of Quasy Experimental with a Two Group Pretest-Posttest design, namely a control group and a group of 20 respondents who experienced LBP EC HNP. The research instrument uses the ODI questionnaire and Visual Analog Scale (VAS). The data obtained were then analyzed using the Wilcoxon test and the Mann Whitney test.
Results: There is a difference in the influence of ODI and Motion Pain between group 1 control and group 2 treatment (p <0.05). While in the pressure pain value (p > 0.05) then the decision was taken to fail to reject H0 which means there is no difference in the influence of pressure pain between group 1 control and group 2 treatment.
Conclusion: There is an effect of Core Stability Exercise on reducing pain and increasing the ability of functional activities of daily living in patients with Lumbar Hernia Nucleus Pulposus.
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Aco, A., & Sulfandi, W. D. C. (2022). Pengaruh Core Stability Exercise Terhadap Perubahan Nyeri Dan Functional Activity Daily Living Pada Pasien Hernia Nucleus Pulposus Lumbalis Di Rs. Haji Darjad Samarinda. Physio Res Cent, 2(1), 7-12.
Andini, F. (2015). Risk factors of low back pain in workers. J majority, 4(1), 12-19.
Areeudomwong, P., & Buttagat, V. (2019). Comparison of core stabilisation exercise and proprioceptive neuromuscular facilitation training on pain-related and neuromuscular response outcomes for chronic low back pain: a randomised controlled trial. The Malaysian journal of medical sciences: MJMS, 26(6), 77.
Beatty, S. (2018). We need to talk about lumbar total disc replacement. International Journal of Spine Surgery, 12(2), 201-240.
Donnally III, C. J., & Dulebohn, S. C. (2017). Lumbar degenerative disk disease. Treasure Island: StatPearls Publishing.
Foster, M. R. (2017). Herniated Nucleus Pulposus Medscape.
Hartvigsen, J., Hancock, M. J., Kongsted, A., Louw, Q., Ferreira, M. L., Genevay, S., & Woolf, A. (2018). What low back pain is and why we need to pay attention. The Lancet, 391(10137), 2356-2367.
Hasmar, W., & Faridah, F. (2022). E-book core stability exercise on myogenic low back pain. Indonesian Journal of Sport Management and Physical Education, 1(1), 1-10.
Hlaing, S. S., Puntumetakul, R., Khine, E. E., & Boucaut, R. (2021). Effects of core stabilization exercise and strengthening exercise on proprioception, balance, muscle thickness and pain related outcomes in patients with subacute nonspecific low back pain: a randomized controlled trial. BMC musculoskeletal disorders, 22, 1-13.
Khalid, M. T., Sarwar, M. F., Sarwar, M. H., & Sarwar, M. (2015). Current role of physiotherapy in response to changing healthcare needs of the society. International Journal of Education and Information Technology, 1(3), 105-110.
Madabane, T. K. Z. (2017). Examining Risk Factors Associated with Lower Back Pain (LBP) in Drivers/Operators of Articulated Vehicles (DAVs) and Non-Davs, in Ngqura Container Terminal, Eastern Cape (Master's thesis, University of Johannesburg (South Africa)).
Masaki, M., Ikezoe, T., Yanase, K., Ji, X., Umehara, J., Aoyama, J., & Ichihashi, N. (2019). Association of pain history and current pain with sagittal spinal alignment and muscle stiffness and muscle mass of the back muscles in middle-aged and elderly women. Clinical spine surgery, 32(7), E346-E352.
El Melhat, A. M., Youssef, A. S., Zebdawi, M. R., Hafez, M. A., Khalil, L. H., & Harrison, D. E. (2024). Non-surgical approaches to the management of lumbar disc herniation associated with radiculopathy: a narrative review. Journal of clinical medicine, 13(4), 974.
Ministry of Health of the Republic of Indonesia. (2020). Laporan Nasional Riskesdas 2018. Lembaga Penerbit Badan Penelitian dan Pengembangan Kesehatan, Jakarta. ISBN 978-602-373-118-3. Accessed from: https://repository.badankebijakan.kemkes.go.id/id/eprint/3514/
Nasikhatussoraya, N., Octaviani, R. V., & Julianti, H. P. (2016). Hubungan intensitas nyeri dan disabilitas aktivitas sehari-hari dengan kualitas hidup: Studi pada pasien hernia nukleus pulposus (HNP) lumbal. Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal), 5(4), 1364-1377.
Pramita, I., Pangkahila, A., & Sugijanto, S. (2014). Core stability exercise lebih baik meningkatkan aktivitas fungsional daripada william’s flexion exercise pada pasien nyeri punggung bawah miogenik. Universitas Udayana: Denpasar, 3(1), 35-49.
Praveen, N. (2020). Low Back Pain and its Association with Vitamin D Levels in a Tertiary Care Hospital (Master's thesis, Rajiv Gandhi University of Health Sciences (India)).
Rohmah, N. (2018). Diagnosis Dan Tindakan Keperawatan Pada Kasus Orthopedi Dan Traumatologi Berbasis Nursing Intervention Classification.
Satriadi, A. A., Fitriangga, A., Zakiah, M., & Rahmayanti, S. (2018). Pengaruh Peregangan terhadap Keluhan Nyeri Punggung Bawah pada Pekerja Bagian Produksi di PT. SDJ Pontianak. Jurnal Mahasiswa PSAPD FK Universitas Tanjungpura, 4(2).
Tantangan, R., Bintang, S. S., & Ginting, S. (2021). Pengaruh Metode Mc Kenzie Exercise dan Core Stability Exercise terhadap Penurunan Nyeri pada Penderita Hernia Nucleus Pulposus. Jurnal Riset Hesti Medan Akper Kesdam I/BB Medan, 6(2), 107-111.
Wong, A. Y. (2017). Low back pain in older adults: risk factors management options and future directions. Scoliosis and Spinal Disorders, 12(1), 1–23.
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