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All Journal International Journal of Public Health Excellence (IJPHE) Physical Therapy Journal of Indonesia
Kurniantara, I Made Buda
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Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health

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Adding Dry Needling to Post-Isometric Relaxation Reduces Pain and Disability in Office Workers with Non-Specific Neck Pain Kurniantara, I Made Buda
International Journal of Public Health Excellence (IJPHE) Vol. 5 No. 1 (2025): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v5i1.1058

Abstract

Non-specific neck pain in office workers has increased due to changes in work habits after the pandemic. Manual therapy approaches such as Post-Isometric Relaxation (PIR) and Dry Needling (DN) are promising but lack sufficient research support. This study aims to evaluate the effects of PIR combined with DN, as well as compare DN with PIR alone. This experimental study employed a randomized two-group pre-test-post-test design. The intervention group (IG) received DN in addition to PIR, while the control group (CG) received only PIR. Each group comprised 16 participants. The study was conducted over two weeks, with three PIR sessions and two DN sessions per week. Measurements using the Numerical Pain Rating Scale (NPRS) and the Neck Disability Index (NDI) were taken two weeks post-study and at a one-month follow-up. Results showed both groups experienced reductions in NPRS and NDI disability scores at the second-week evaluation with p <0.001. However, there were no significant differences in NPRS and NDI scores at the one-month follow-up (NDI p=0.620 and 0.319; NPRS p=0.705 and 0.206). The intervention group showed better results at the second-week evaluation with NPRS p=0.005 and NDI p <0.001, but not at the one-month follow-up with NPRS p=0.984 and NDI p=0.280. Thus, adding DN to PIR is more effective in reducing pain and disability in non-specific neck pain among office workers.
Knee Spine Syndrome Mechanism in Knee Osteoarthritis: Review Article Kurniantara, I Made Buda; Triwahyuni, Gusti Ayu Alit
Physical Therapy Journal of Indonesia Vol. 1 No. 2 (2020): July-December 2020
Publisher : Universitas Udayana dan Diaspora Taipei Medical University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/ptji.v1i2.9

Abstract

Introduction: Osteoarthritis (OA) is the most common arthritis and one of the main causes of disability. This injury can occur in any joint, but the most common OA occurrence globally, especially in Indonesia, is Knee OA (KOA). Damage caused by KOA's degenerative process affects the knee and affects the surrounding structures, such as the lumbar vertebra, which increases symptoms of low back pain (LBP). The occurrence of symptoms of LBP is thought to be caused by knee spine syndrome, which is a condition reduced lumbar lordosis angle due to the degenerative phase of KOA. the mechanism of this syndrome has not yet been discussed in detail, so further discussion is needed in the future. Methods: We searched articles using a list of keywords, including "knee osteoarthritis and low back pain", "knee osteoarthritis and knee contracture", "knee contracture and muscle weakness", "knee contracture and spinal alignments", "knee osteoarthritis and spinal alignment", "knee osteoarthritis and sagittal spinal alignment", and "muscle activation and spinal imbalance" on the data sources of PubMed, ScienceDirect, and Google Scholar. The argumentative, descriptive analysis was used for the data analysis technique. Results: Based on the literature search, the author found four related articles. This study provides evidence of the effect of KOA on lumbar proprioception. These articles explained that an impact on knee posture could have long-term effects both in the spine and pelvis, such as lumbar lordosis. Conclusion: Knee spine syndrome results from a reduced angle of lumbar lordosis, increasing pressure between discs, which might increase LBP symptoms. In the future, it is hoped that there will be studies that raise the relationship between KOA and symptom of LBP.
Co-Authors Triwahyuni, Gusti Ayu Alit