Keywords
Microwave
Diathermy
Non-spesific low back pain
How to Cite
Abstract
Non-specific low back pain (NSLBP) can cause pain, muscle imbalances, spasms, and postural alterations. It may also restrict lumbar mobility, compromise the stability of lower back and abdominal muscles, and potentially lead to disability. The application of Muscle Energy Technique (MET) combined with Microwave Diathermy (MWD) has been shown to effectively address these issues by reducing pain, improving muscle balance, relieving spasms, and restoring lumbar mobility. This combination therapy enhances the stability of the core muscles, thereby preventing further disability and improving patient outcomes. This study aimed to investigate the effect of MET combined with MWD on reducing pain in patients with NSLBP at Tadjuddin Chalid Hospital, Makassar. A quasi-experimental design with two groups and pre-test/post-test measurements was used. The study population comprised 21 individuals diagnosed with NSLBP. Using purposive sampling based on specific inclusion criteria and the Slovin formula, a total sample of 20 participants was selected. One individual was excluded for not meeting the criteria. Participants were randomly assigned to either the treatment group (n=10), which received MET combined with MWD, or the control group (n=10), which received Infrared (IR) and Transcutaneous Electrical Nerve Stimulation (TENS). Paired sample t-test results showed a statistically significant reduction in pain in both groups (p = 0.000). However, the independent sample t-test indicated a significant difference between groups (p = 0.001), with the treatment group demonstrating a greater mean reduction in pain (3.870) compared to the control group (2.290). In conclusion, the combination of MET and MWD was found to be more effective in reducing pain associated with NSLBP than conventional IR and TENS therapy.
References
Abdul Qudus, & Anggi Desthia Sumirat. (2019). Pengaruh Terapi Microwave Diathermy Terhadap Nyeri Pada Pasien LBP Miogenik Di Rsud Kesehatan Kerja Rancaekek. INFOKES (Informasi Kesehatan), 2(2), 1-9. https://journal.piksi.ac.id/index.php/INFOKES/article/view/39
Al Matif, S., Alfageer, G., ALNasser, N., Alabbas, G., Al Sawidan, H., & ALhareth, H. (2023). Effectiveness Of Muscle Energy Technique On Pain Intensity And Disability In Chronic Low Back Patients: A Systematic Review. Bulletin of Faculty of Physical Therapy, 28(1), 24.
https://doi.org/10.1186/s43161-023-00135-w
Aristia, M. E., & Yani, F. (2022). Pengaruh Teknik Mulligan Terhadap Penurunan Nyeri Pada Kasus Low Back Pain Non Spesifik. Jurnal Ilmiah Fisioterapi Muhammadiyah, 1(2). https://journal.umsurabaya.ac.id/Jar/article/view/16719/
Bizzoca, D., Solarino, G., Pulcrano, A., Brunetti, G., Moretti, A. M., Moretti, L., Piazzolla, A., & Moretti, B. (2023). Gender-Related Issues in the Management of Low-Back Pain: A Current Concepts Review. Clinics and Practice, 13(6), 1360–1368.
https://doi.org/10.3390/clinpract13060122
Islam, F., Amalia, A., Awal, M., Durahim, D., Lestari, V. D., & Syarifuddin. (2024). Proprioceptive Neuromuscular Facilitation, Core Stability Exercise and Microwave Diathermy on Improving Lumbal Functional Activities in Chronic Low Back Pain Patients. Media Fisioterapi Politeknik Kesehatan Makassar, 16(1), 18–24. https://doi.org/10.32382/fis.v16i1.697
Kemenkes RI. (2018). Hasil Riset Kesehatan Dasar Tahun 2018. Kementrian Kesehatan RI, 53(9), 1689–1699.
Kim, B., & Yim, J. (2020). Core Stability and Hip Exercises Improve Physical Function and Activity in Patients with Non-Specific Low Back Pain: A Randomized Controlled Trial. The Tohoku Journal of Experimental Medicine, 251(3), 193–206. https://doi.org/10.1620/tjem.251.193
Kurniawan, G. P. D. (2019). Mckenzie Excercise dalam Penurunan Disabilitas Pasien Non-Specific Low Back Pain. Quality : Jurnal Kesehatan, 13(1), 5–8. https://ejournal.poltekkesjakarta1.ac.id/index.php/adm/article/view/53
Lee, S.-A., & Cha, H.-G. (2023). The Effects of Microwave Diathermy on Pain and Function in Chronic Low Back Pain Patients Dear Editor-in-Chief. In Iran J Public Health 52(1)
Mahfud, R., Hayati, A., Noor, Z., Siddik, M., & Fakhrurrazy, F. (2023). Perbandingan Efektivitas Microwave Diathermy dan Transcutaneous Electrical Nerve Stimulation dengan High Intensity Laser dan Transcutaneous Electrical Nerve Stimulation. Homeostasis, 6(1), 225–232.
Makkiyah, F. A., Sinaga, T. A., & Khairunnisa, N. (2023). A Study from a Highly Populated Country : Risk Factors Associated with Lower Back Pain in Middle-Aged Adults. Journal of Korean Neurosurgical Society, 66(2), 190–198. https://doi.org/10.3340/jkns.2021.0278
Ojeniweh, O. N., Ezema, C. I., Anekwu, E. M., Amaeze, A. A., Olowe, O. O., & Okoye, G. C. (2015). Efficacy of six weeks infrared radiation therapy on chronic low back pain and functional disability in national orthopaedic hospital, Enugu, South East, Nigeria. The Nigerian Health Journal, 15(4), 155–160. https://www.ajol.info/index.php/nhj/article/view/137644
Pollet, J., Ranica, G., Pedersini, P., Lazzarini, S. G., Pancera, S., & Buraschi, R. (2023). The Efficacy of Electromagnetic Diathermy for the Treatment of Musculoskeletal Disorders: A Systematic Review with Meta-Analysis. In Journal of Clinical Medicine (Vol. 12, Issue 12). Multidisciplinary Digital Publishing Institute (MDPI). https://doi.org/10.3390/jcm12123956
Rizal, Y., Zaimsyah, F. R., Studi, P., & Universitas, F. (2021). Faktor Yang Berpengaruh Terhadap Kejadian Low Back Pain Pada Guru Di SMPN 1 Bathin Solapan. Jurnal Ilmiah Fisioterapi (JIF) 4(1). https://jurnal.univrab.ac.id/index.php/jif/article/view/1740/973
Santos, G. K., de Oliveira, R. G., de Oliveira, L. C., de Oliveira, C. F. C., Andraus, R. A., Ngomo, S., Fusco, A., Cortis, C., & da Silva, R. A. (2022). Effectiveness of muscle energy technique in patients with nonspecific low back pain: a systematic review with meta-analysis. European Journal of Physical and Rehabilitation Medicine, 58(6), 827–837. https://doi.org/10.23736/S1973-
9087.22.07424-X
Sari, S. A. A. Y. (2017). Perbedaan Pengaruh Antara Transcutaneus Electrical Nerve Stimulation (Tens) Dengan Terapi Massage Terhadap Penurunan Nyeri Pada Penderita Nyeri Punggung Bawah Non Spesifik. Interest : Jurnal Ilmu Kesehatan, 6(1), 101–111.
https://doi.org/10.37341/interest.v6i1.93
Shokri, P., Zahmatyar, M., Falah Tafti, M., Fathy, M., Rezaei Tolzali, M., Ghaffari Jolfayi, A., Nejadghaderi, S. A., Sullman, M. J. M., Kolahi, A. A., & Safiri, S. (2023a). Non-Spinal Low Back Pain: Global Epidemiology, Trends, And Risk Factors. Health Science Reports, 6(9), 1–12.
https://doi.org/10.1002/hsr2.1533
Tamsil, R., Anwar, S., Muthiah, St., & Ahmad, H. (2024). Combination Effects of Microwave Diathermy and Mulligan Bent Leg: Raise Technique on Myogenic Low Back Pain. International Journal of Multidisciplinary Approach Research and Science, 2(01), 496–502.
https://doi.org/10.59653/ijmars.v2i01.414
Tang, A., Thahir, M., & Hasbiah, H. (2022). Muscle Energy Technique dan Micro Wave Diathermy untuk Menurunkan Nyeri pada Low Back Pain. Jurnal Penelitian Kesehatan" SUARA FORIKES"(Journal of Health Research" Forikes Voice"), 13, 223–225. https://forikesejournal.com/index.php/SF/article/view/sf13nk440
Wieland, L. S., Skoetz, N., Pilkington, K., Harbin, S., Vempati, R., & Berman, B. M. (2022). Yoga For Chronic Non-Specific Low Back Pain. Cochrane Database of Systematic Reviews, 2022(11). https://pubmed.ncbi.nlm.nih.gov/36398843/
Zaina, F., Côté, P., Cancelliere, C., Di Felice, F., Donzelli, S., Rauch, A., Verville, L., Negrini, S., & Nordin, M. (2023). A Systematic Review of Clinical Practice Guidelines for Persons With Nonspecific Low Back Pain With and Without Radiculopathy: Identification of Best Evidence for Rehabilitation to Develop the WHO’s Package of Interventions for Rehabilitation. In Archives of Physical Medicine and Rehabilitation (Vol. 104, Issue 11, pp. 1913–1927). W.B. Saunders. https://doi.org/10.1016/j.apmr.2023.02.022
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