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Low back pain myogenic is pain around the lower back caused by disorders or abnormalities in the elements of the muscles and tendons without neurological disorders. Low back pain myogenic is a pain syndrome that occurs in the lower back region with the main cause being muscle. The causes of low back pain are myogenic in addition to excessive muscle work can also occur due to poor postures such as kyphosis, lordosis, scoliosis, round back, and flatback. If a muscle is injured and if it is not treated immediately, spinal spasms occur which can cause complaints of pain in the lower back area. This type of research uses a quasi-experimental two groups pre-test and post-test design, which aims to determine the difference between the intervention of the William flexion exercise and core stability exercise on patients with low back pain myogenic. The samples in this study were all patients with a diagnosis of low back pain myogenic who came to the Nagi Larantuka Public Health Center in 2022. The number of samples in this study were 24 people who were divided into two groups, each group consisting of 12 respondents. Based on the results of the different test results using the Mann Whitney test between the William Flexion Exercise and Core Stability Exercise groups, it is known that the P value is 0.284> 0.05. These results indicate that there is no significant difference between the measurement results between the William flexion exercise and core stability exercise groups. Because there is no difference, it can be concluded that the William flexion exercise and core stability exercise both affect patients with low back pain myogenic.

Low Back Pain (LBP) is a leading cause of disability worldwide, which places a significant economic burden on the healthcare system. Nonspecific low back pain Low back pain (LBP) is defined as low back pain that is not caused by a recognized and recognized specific pathology. Low back pain does not cause death, but causes individuals who experience it to become unproductive so that it will cause a very large economic burden for individuals, families, communities, and governments. Promising physiotherapy measures for the treatment of LBP myalgia are extracorporeal shock wave therapy and laser. The purpose of this study was to determine the effect of radial shock wave therapy and laser therapy on pain in low back pain myalgia patients at EMC Hospital Cikarang in 2022. This research method was experimental with a quasi-experimental approach, namely research by conducting experiments to determine the symptoms or effects that arise. as a result of a certain treatment or experiment with a one group pretest posttest design, with the aim of knowing the effect of radial shockwave therapy and laser therapy on pain in low back pain myalgia patients at EMC Hospital Cikarang in 2022. The number of samples from this study was 12 people. who is an employee of EMC Cikarang Hospital in 2022 with complaints of LBP myalgia. Respondents will be measured the value of pain using Verval Analogue Scale (VAS) before and after being given radial shockwave therapy and laser therapy. The test used to analyze the data is the Wilcoxon test. The results of data analysis using the Wilcoxon test obtained a significance value (p-value) of 0.001 which is smaller than 0.05 (p

In doing sewing work, a tailor will arrange the work-place and the table into the most comfortable position which is sometimes a bit low and will cause the back to bend slightly and automatically the shoulders will be lifted to feel comfortable in sewing activities. A sedentary and monotonous position will burden the neck, shoulders, arms so that fatigue / discomfort / pain in the neck and upper-back area often occurs. Neck pain is pain is felt at the top of the spine. This is a sign that the joints, muscles or other parts of the neck are injured, strained or not functioning as they should. Neck pain is also a common problem. Two out of three people will experience it in their lifetime. To determine the difference between Mc Kenzie Exercise and Neck Stabilization Exercise Interventions on reducing neck pain in tailors at Bangko Lereng Market who came to Suparno's Independent Physiotherapy Practice. This research design uses a quasi-experimental method with a pre-test and post-test two group design using a purposive sampling technique. The population in this study were 25 employees and the samples were taken from 20 employees, who tailor garments at the Lereng market with neck pain. there is an impact of Mc Kenzie Exercise on reducing neck pain. There is an impact of Neck Stabilization Exercise on reducing neck pain there is no difference between Mc Kenzie Exercise intervention and the provision of Neck Stabilization Exercise in reducing neck pain. there is an effect of giving Mc Kenzie Exercise and Neck Stabilization Exercise interventions in reducing neck pain, but there is no difference in the intervention between those two. It is hoped that the sample can perform the movements that have been taught by the researcher independently in order to reduce neck pain

The aging process is one of the life cycles experienced by every human being. However, it is a process of slowly diminishing the ability of body tissues to maintain normal structure and function. Increasing one's age has an effect on decreasing balance function. Otago Exercise and Gaze Stability Exercise to improve balance in the elderly. This research is a quantitative study with a quasi-experimental approach with a research design using pre-test and post-test. Determination of the number using purposive sampling method and obtained a sample of 14 people. Data collection was carried out by direct interviews using observation sheets. The independent variable in this study was the Otago Exercise and Gaze Stability Exercise, while the dependent variable was balance. Balance assessment using TUG> 12 seconds experienced a balance of 14 people. Statistical test using wilcoxon signed ranked test with α = 0.05. The results of the analysis show that there is a significant effect between giving Otago Exercise and Gaze Stability Exercise on the balance of the elderly, with a p value (0.001≤0.005). The conclusion of this study is that there is an effect between the provision of Otago Exercise and Gaze Stability Exercise on the balance of the elderly. The advice that can be given is that it is hoped that the patient should always do exercises to maintain body balance.

Osteoarthritis is a chronic degenerative disorder that primarily affects the articular cartilage of the synovial joint, and ultimately bone and remodeling (spurs) at the joint boundary occur. Synovial thickening and capsule progression and joint effusion also occur. Disorders due to Osteoarthritis cause limited activity and limited ability in activities. Because, damage to the cartilage (cartilage) of the joint, so that the thickness of the subcondral bone increases, sclerosis of the bone plate, the growth of osteophytes in the joints, can stretch the joint capsule, resulting in inflammation, and weakening of the muscles connecting the joints. This study aimed to determine the effect of Manual Traction and Isometric Exercise in patients with Knee Osteoarthritis at Grandmed Lubuk Pakam Hospital. Using quasi experiments with one group pretest posttest with a sample of 19 respondents. Measurement of Functional Activity with Jette Scale, using paired sample t-test analysis. There is a significant influence on functional activities before and after. hypothesis test by paired sample t-test obtained with the results of p-value < α (0.001

Background: Frozen shoulder is a joint disorder that causes limited motion of the shoulder joint in all directions of movement, causing both physical and functional problems. This activity aims to see the benefits of manual therapy and pendular codman exercises in increasing the activity of frozen patients at Grandmed Lubuk Pakam Hospital in 2019. Manual therapy methods and codman pendular exercises were given to 24 patients at the Physiotherapy Clinic of Grandmed Lubuk Pakam Hospital. The measuring instrument used to measure the functional activity ability of the shoulder is the index of shoulder pain and disability with the 0% -60% category being improving and 61% -100% being worse. Based on the results obtained during manual therapy and codman pendular exercise, it shows that the ability of the patient's shoulder functional activity has increased. where manual therapy and pendular codman exercise from 16 samples, the ability of shoulder functional activity with a SPADI value of 100% decreased and after manual therapy and pendular codman exercises for 3 times decreased to 12.5% ​​decreased and 87.5% improved. Based on these data it can be neglected that there is an effect of offering manual therapy exercises and pendular codman in increasing the patient's shoulder functional activity by 87.5%

Carpal tunnel syndrome is an eddy condition where the middle nerve is compressed in the wrist which results in parasthesia, numbness and muscle weakness in the hand. One nactor in the increasing number on carpal tunnel syndrome complaints is the outbreak on activities that use the hands especially those that carry out long periods on time. based on a preliminary study on 10 ulos weavers, there were 7 ulos weavers who had Carpal tunnel syndrome complaints in the norm on hand pain, tingling and numbness in the hands. The purpose on this study was to determine the relationship on work tenure and work attitude with complaints on carpal tunnel syndrome in ulos weaver workers at the Galery Ulos Sianipar Medan. The method in this study is an analytic observer research method with a cross sectional research approach. The respondents on this study are the ulos weavers in the Galery Ulos Sianipar Medan. Research instruments in the norm on questionnaires and measurement on phalen test data were analyzed by chi-square test. Based on the results on the study, the majority on ulos weavers experienced complaints on carpal tunnel syndrome as many as 34 people (65.4%). In this study it was nound that there was a relationship between work period (p = 0.0030.05) had no relationship with complaints on carpal tunnel syndrome. Suggestions nor ulos weaver workers are expected to take regular breaks by bending and straightening hands nor 3-5 minutes to reduce the risk on carpal tunnel syndrome

Neck pain is a collection of symptoms related to degenerative processes as well as those that are not related to degenerative processes such as poor positioning in job activity, direct trauma or repetitive micro-trauma. In helping to reduce neck pain in patients, the treatment given is neck cailliet exercise. To find out the influence of neck cailliet exercise to decrease neck pain in administration. This research is a quantitative study, a pseudo-experimental quasi by using the one group pre-Test post-Test design, having a sample of 18 respondents with a total sampling technique. Data analysis obtained using T-Test paired sample test which obtained the mean result prior to the administration neck Cailliet exercise is 5.50 with a standard deviation of 0.985 and the mean after giving neck cailliet exercise is 3.44 with a standard deviation 0.856, which means there is a decrease in neck pain after given the neck cailliet exercise with P value = 0.000 (P < 0.05). Result showed that the giving of neck cailliet exercise was influential for the reduction of neck pain in administration. Conclusion: giving neck cailliet exercise is very effective against reduction of neck pain in administration. Suggestion: The patient must re-apply the instruction given by the physiotherapy at home

The fitness condition of the elderly is an indicator that can be used to determine the health level of the elderly. The level of physical activity is one of the factors that determine body composition from childhood to old age, proper flexibility helps people to have a functional balance throughout their life and to participate fully in countless recreational and communitarian activities. Lack of reasonable flexibility a greater chance of developing lesions and functional problems. Gymnastics for the elderly is a sport that can be done regularly so that the fitness of the elderly can increase. The study was to determine the effect of elderly exercise on improving fitness and flexibility and speed in the elderly in Sionom Hudon Selatan Village in 2020. Method of research is Quasi Experiment or quasi-experimental research with the design or research design used is one group pre and post test conducted in the Village of Sionom Hudon Selatan.The sample consisted of 12 people in each action taken. The results of the hypothesis test with the Wilcoxon signed rank test test p value α = (0.002

Background: Myofascial Trigger point syndrome is a local pain trigger point characterized by irritation, inflammation, and swelling. The main problem is that when the emphasis is made, it creates a hypersensitive pain. Myofacial trigger point occured by adhesions, increase by malnutritions and oxygen to ischemic. The problems are pain on muscle cervical contraction and spasm, tenderness, tightness, stiffness, decrease muscle strength.Physiotherapy modalities that can be used for Myofascial Trigger point syndrome are Ischemic Compression and Stretching exercise. Objectives: The study aims to determine influence of Ischemic Compression and Stretching exercise in patients with the myofascial trigger point syndrome with pain of the Upper Trapezius muscle Trigger Point at the Grandmed Lubuk Pakam Hospital. Research method: uses quasi experiments with one group pre test and post test. Samples for this research are 20 respondents got Ischemic Compression and Stretching exercise intervention. Respondents divided into two variable, dependent variable got stretching and ischemic compression method and independent variable is measure for pain in myofascial trigger point syndrome. Results: Hypotheses test results with the Wilcoxon saigned rank test result obtained by P-value ≤ α (0.000 < 0.05). Mean of pain based on Numeric rating scale before intervention (pre test) is 4,60 and after interventiom (post test) is 2,00. Conclusion:According to experimental decisions, there is an influence Ischemic Compression and Stretching exercise to decrease pain in the Myofascial trigger point syndromeof the upper trapezius muscle trigger point at the Grandmed Lubuk Pakam Hospital.

Chronic Obstructive Pulmonary Disease (COPD) is a chronic lung disease characterized by limited air flow in the respiratory tract that is not completely reversible and is progressive. Patients with COPD tend to experience inactivity that occurs due to reduced oxygen in the tissues, resulting in decreased fitness in helping to improve fitness given Pursed lips breathing treatment and limb training. This study was to determine the difference between pursed lips breathing with pursed lips breathing and exercise extremity on fitness in patients with COPD. Method is a quantitative research with quasi experimental type using the design of two groups pre-test and post-test, has a sample of 18 respondents divided into 2 groups, the control group (Pursed Lips Breathing) and the intervention group (Pursed Lips Breathing And Extremity Exercise) with purposive sampling technique that is adjusted to the inclusion and exclusion criteria. Analysis of the data obtained using the independent sample t test showed a p-value of 0,000 which means that there are differences in Pursed Lips Breathing with Pursed Lips Breathing and Extremity Exercises Against Fitness in Patients with COPD. With a mean of 17.22 with SD 11.487 and p-value α

Myofascial trigger point syndrome is a hypersensitive pain point in the tightened area that can cause local pain, if pressed it will give spesific, and the muscle that has the most myofascial trigger point syndrome is the upper trapezius. Purpose: This study is to find aims to determine the effect of ischemic compression and contract relax stretching on the intensity of myofascial trigger point syndrome upper trapezius muscle in Nurse station (Ns) administration employees at Granmed Lubuk Pakam Hospital in 2019. This type of research is a type of pure experimental research using one group pre and post test design research, conducted at Grandmed Lubuk Pakam hospital. The population and sample used in this study were 13 people. The statistical test of the hypothesis with the t test obtained p- value α < (0.001 >0,05). Ther is the effect of fiving ischemic compression and contract relax stretching to the intensity of myofascial pain trigger point syndrome upper trapezius muscle in Nurse station (Ns) administration employees in Granmed Lubuk Pakam Hospital in 2019. The researcher recommends that the next researcher add a longer sample size and research time so that the result of the research obtained are more maximal.

The most common cause cited for plantar heel pain is biomechanical abnoemalities that lead to pathologic stress to the plantar soft tissues. Localized nerve entrapment of the medial calcaneal or muscular branch off the lateral plantar nerve may be a contributing factor. Sample of 14 subjects were divided into two groups, each group consist of 7 people. Control Group treated with the addition of exercise therapy. Measuring the degree of pain was used Visual Analogue Scale. This study used an experimental study or quasi experiment with pre test and post test group design. Techniques sampling by Purposive Sampling. Data processing and analysis of data using paired sample t-test. Result: Obtained difference of pain scale shortwave diathermy with the addition of exercise theraphy to patients calcaneus spurs with a mean value after control group of 3.29 treathment with SD amounting to 1.113 and then a mean value after control group of 2.57 with SD 0.535. There is the effect of a significant increase pain scale of shortwave diathermy with the addition of exercise therapy after statistical test result prove that the p value = 0,021 (p

Degenerative diseases are chronic chronic diseases that affect a person's quality of life and productivity. One of the most common degenerative diseases and which has a high mortality rate is osteoarthritis in the knee. The purpose of this study was to determine the differences in the administration of TENS with Oscillation Traction on pain intensity in patients with genital osteoarthritis in Grandmed Lubuk Pakam Hospital. Research Method: this is research is quasi-experimental while the research design uses pre-test and post-test. The sample of this study used 2 treatment groups, namely treatment group 1 using TENS and treatment group 2 using oscillation traction. Both sample groups measured pain scales using the verbal description scale. The results of the analysis of the influence test with Independent t-test in treatment group 1 and treatment group 2. Test paired sample t-test obtained p value = 0.001 (p 5 0.05), which means that there is a difference in pain intensity before and after being given TENS. Whereas in the treatment group 2 oscillation traction obtained results of p = 0.001 (.050.05) which means that there is a difference in pain intensity before and after being given oxyylation traction. From the results of the independent t-test in getting results with p = 0.000 (α