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Nurul Halimah
Program Studi Sarjana Fisioterapi, Institut Teknologi Sains dan Kesehatan RS dr. Soepraoen, Malang, Indonesia
Health Professions Nursing

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Perbandingan Pengaruh Dosis Kombinasi Ultrasound dan McKenzie terhadap Nyeri, Fleksibilitas, dan Kemampuan Fungsional pada Pasien Nyeri Punggung Bawah Arief Efendi; Nurul Halimah; Afrizal Febri Eko Saputra; Aril Firzan Syahroni
Jurnal Keperawatan Muhammadiyah Vol 11 No 2 (2026): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

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Background: Low back pain (LBP) is a common musculoskeletal disorder associated with reduced lumbar flexibility and functional ability. Ultrasound and McKenzie exercise are commonly combined in physiotherapy; however, the optimal exercise dosage remains unclear. Objective: This study compared the effects of two dosages of combined ultrasound and McKenzie exercise (10 repetitions × 2 sets and 10 repetitions × 3 sets) on pain, flexibility, and functional ability in patients with LBP. Methods: A quasi-experimental pretest-posttest two-group design was conducted involving 40 patients with LBP aged 25–60 years and symptom duration of 4–24 months. Participants were divided into Group A (2 sets; n = 20) and Group B (3 sets; n = 20). Pain was assessed using the Visual Analogue Scale (VAS), lumbar flexibility using the Modified Schober Test (MST), and functional ability using the Oswestry Disability Index (ODI). Data were analysed using paired-samples and independent-samples t-tests at α = 0.05. Results: Both groups demonstrated significant improvements in VAS, MST, and ODI scores (p < 0.001). Group B achieved greater improvements than Group A in delta VAS (3.08 ± 0.44 vs. 2.15 ± 0.40), delta MST (1.41 ± 0.31 vs. 0.86 ± 0.27), and delta ODI (18.20 ± 4.25 vs. 12.40 ± 3.02), with p < 0.001 for all outcomes. Conclusion: Combining ultrasound with McKenzie exercise at 10 repetitions × 3 sets produced greater reductions in pain and greater improvements in lumbar flexibility and functional ability than the 2-set dosage in patients with LBP.
Hubungan Antara Tingkat Pendidikan dan Status Ekonomi pada Penderita Low Back Pain Kartika Agung Kurniawan; Nurul Halimah; Mey Jeni Mafroh Hasibuan; Ichwanushofa Ramadani
Jurnal Keperawatan Muhammadiyah Vol 11 No 2 (2026): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

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Background: Low back pain (LBP) is one of the most common musculoskeletal complaints and is influenced by sociodemographic factors, including education level and economic status. Objective: This study aimed to determine the relationship between education level and economic status among patients with low back pain. Methods: A descriptive-analytic cross-sectional study was conducted among 50 LBP patients at Physiomar Clinic and Rehab.in Clinic, selected through consecutive sampling. Education level and economic status based on monthly household income were collected using a questionnaire. Data were analysed using the Chi-square test, Fisher's exact test, and Spearman's rank correlation. Results: Most respondents had low or secondary education (36.0% each), while 52.0% had a middle economic status. Low education was significantly associated with low economic status (Fisher's exact test, p < 0.001; OR = 108.5; 95% CI: 9.6–475.5). Education level was strongly correlated with monthly income (rho = 0.947; p < 0.001). Education and income were also negatively correlated with NRS pain scores (rho = -0.851 and rho = -0.806, respectively; both p < 0.001). Conclusion: Lower education and economic status were closely interrelated among LBP patients and were associated with greater pain severity. Targeted ergonomic education, health-literacy support, and improved access to physiotherapy are needed for vulnerable groups.
Co-Authors Afrizal Febri Eko Saputra Arief Efendi Aril Firzan Syahroni Ichwanushofa Ramadani Kartika Agung Kurniawan Mey Jeni Mafroh Hasibuan