PEMBERIAN CORE STABILITY EXERCISE UNTUK MENGURANGI NYERI DAN MENINGKATKAN AKTIVITAS FUNGSIONAL PADA KASUS SPONDYLOLISTHESIS LUMBAL

Authors

  • Kamilia Malihah Nur Salsabila Program Studi D3 Fisioterapi Program Pendidikan Vokasi Universitas Indonesia
  • Triana Karnadipa Program Studi D4 Fisioterapi Program Pendidikan Vokasi Universitas Indonesia http://orcid.org/0000-0002-9446-9832

DOI:

https://doi.org/10.52019/ijpt.v1i2.3196

Keywords:

Kata Kunci, Spondylolisthesis, Core Stability Exercise, nyeri, dan aktivitas fungsional

Abstract

Spondylolisthesis merupakan suatu pergeseran ke depan satu korpus vertebra (vertebral body) jika dibandingkan dengan vertebra yang terletak dibawahnya (inferior). Hal ini menyebabkan dampak mekanis, radikuler, atau nyeri. Tujuan: Studi kasus ini bertujuan untuk mengevaluasi pengaruh intervensi fisioterapi core stability exercise pada pasien wanita berusia 63 tahun dengan diagnosis spondylolisthesis dalam mengurangi nyeri dan meningkatkan aktivitas fungsional pada sendi lumbal. Metode: Core stability exercise yang diberikan pada penelitian ini berupa posterior pelvic tilt exercise, bridging exercise, bird-dog exercise, dan wall squat exercise dilakukan 9 kali treatment selama 3 minggu. Nyeri dievaluasi dengan menggunakan visual analog scale (VAS) dan aktivitas fungsional dengan oswestry disability index (ODI). Hasil Temuan: Setelah dilakukan 4 kali intervensi, terjadi penurunan nyeri pada gerak fleksi neck (2 poin), gerak fleksi trunk (1 poin), gerak fleksi hip bilateral(2 poin), nyeri tekan m. piriformis bilateral (1 poin), nyeri tekan m. hamstring bilateral (2 poin), nyeri tekan m. gastrocnemius bilateral (2 poin), dan nyeri tekan celah processus transversus vertebra L5(1 poin). Penurunan skor ODI menunjukkan penurunan disabilitas fungsional pasien sebanyak 9 poin. Kesimpulan: Berdasarkan hasil tersebut, dapat disimpulkan bahwa intervensi core stability exercise cukup efektif untuk mengurangi nyeri dan meningkatkan aktivitas fungsional pada pasien spondylolisthesis pada vertebra lumbal.

References

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Salam, D. A. A. El, Fayez, E. S., Ahmed, S. M., & Khalifa, H. A. (2020). Effect of L4 Mobilization and Posterior Pelvic Tilting Exercise on Sciatica in Patients with Spondylolisthesis. The Medical Journal of Cairo University, 88(12), 2045–2050. https://doi.org/10.21608/mjcu.2020.125148

Situs Online:

Wheeless, C. R. (n.d.). Lumbar Spine Textbook (S. D. Boden (ed.)). Data Trace. https://www.wheelessonline.com/issls/

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Published

2021-09-11

Issue

Vol. 1 No. 2 (2021): Indonesian Journal of Physiotherapy

Section

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