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Meta-Analysis the Effectiveness of McKenzie Exercise to Reduce Pain in Patients with Non-Specific Low Back Pain Putri, Sima Asmara Dewa Marya Mahardika; Kristiyanto, Agus; Prasetya, Hanung
Journal of Epidemiology and Public Health Vol. 6 No. 1 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Low back pain (LBP) is defined as a symptom that cannot be specifically validated. LBP is one of the most common forms of musculoskeletal disorders. Anyone can experience lower back pain throughout his life, because LBP is back pain without any underlying abnormalities. There are many exercises that can be given to treat this LBP, one of which is the McKenzie Exercise. The principle of this exercise is to improve posture to reduce lumbar hyperlordosis. This study aims to analyze the effectiveness of the McKenzie Exercise for pain reduction in patients with non-specific LBP. Subjects and Method: This was a systematic review and meta-analysis carried out with the PRISM flow diagram. Search for articles through journal databases includes: PubMed, Science Direct, Google Schoolar and PEDro by selecting articles published in 2010-2020. The keywords used were ("LBP" OR "Low Back Pain") AND ("McKenzie Exercise" OR "Therapy") AND "randomized controlled trial". The inclusion criteria were full paper articles with the Randomized Controlled Trial (RCT), the size of the relationship used with the Mean SD, the intervention given was McKenzie Exercise, the study subjects had an age range of 18-65 years, and experienced non-specific low back pain, without radicular pain. Eligible articles were analyzed using the Revman 5.3. Results: A meta-analysis of 11 articles showed that the McKenzie Exercise was able to reduce pain in patients with non-specific low back pain by 0.44 times compared to other interventions or no intervention. (SMD -0.44; 95% CI = -1.06 to 0.18; p = 0.16).Conclusion: McKenzie Exercise has a weak effect to reduce pain in patients with non-specific low back pain.

Hubungan Masa Kerja Dan Posisi Kerja Duduk Statis Terhadap Nyeri Upper Trapezius Pada Karyawan Marya Mahardika Putri, Sima Asmara Dewa
Jurnal Penelitian Kesmasy Vol 7 No 1 (2024): JURNAL PENELITIAN KESMASY
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Deli Husada Delitua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpksy.v7i1.2091

Someone whose job requires them to sit still for long periods of time is at risk of experiencing a forward head posture. Spasm, tightness, and stiffness can be caused by muscle overuse and overwork. The infraspinatus, scalenus, levator scapula and upper trapezius muscles contribute around 84% to the cause of discomfort which results in pain. The aim of this research was to determine the relationship between length of service and static sitting working position on upper trapezius muscle pain in employees at Widya Husada University, Semarang. This research uses a quantitative research strategy with analytical observation and a cross-sectional study design as the research methodology. Quota sampling procedures include three sets of criteria: acceptance, rejection, and dropout. The p value of 0.595 was obtained from statistical tests carried out on the relationship between working years and upper trapezius muscle pain. It was concluded that there was no significant relationship between the two. Respondents with more than ten years of work experience were 1.14 times more likely to experience upper trapezius muscle pain compared with those with less than ten years of work experience, as indicated by an odds ratio (OR) of 1.14 in this analysis. The correlation results between upper trapezius muscle pain and sitting for long periods of time are statistically significant (p = 0.001), these findings support the research hypothesis. An odds ratio (OR) of 6.75 was also produced by this analysis, meaning that there was a 6.75-fold increase in the likelihood of upper trapezius muscle pain in workers who required them to sit for long periods of time compared to those whose jobs did not require them to sit for long periods of time long time.

Meta-Analysis the Effectiveness of McKenzie Exercise to Reduce Pain in Patients with Non-Specific Low Back Pain Putri, Sima Asmara Dewa Marya Mahardika; Kristiyanto, Agus; Prasetya, Hanung
Journal of Epidemiology and Public Health Vol. 6 No. 1 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2021.06.01.06

Background: Low back pain (LBP) is defined as a symptom that cannot be specifically validated. LBP is one of the most common forms of musculoskeletal disorders. Anyone can experience lower back pain throughout his life, because LBP is back pain without any underlying abnormalities. There are many exercises that can be given to treat this LBP, one of which is the McKenzie Exercise. The principle of this exercise is to improve posture to reduce lumbar hyperlordosis. This study aims to analyze the effectiveness of the McKenzie Exercise for pain reduction in patients with non-specific LBP. Subjects and Method: This was a systematic review and meta-analysis carried out with the PRISM flow diagram. Search for articles through journal databases includes: PubMed, Science Direct, Google Schoolar and PEDro by selecting articles published in 2010-2020. The keywords used were ("LBP" OR "Low Back Pain") AND ("McKenzie Exercise" OR "Therapy") AND "randomized controlled trial". The inclusion criteria were full paper articles with the Randomized Controlled Trial (RCT), the size of the relationship used with the Mean SD, the intervention given was McKenzie Exercise, the study subjects had an age range of 18-65 years, and experienced non-specific low back pain, without radicular pain. Eligible articles were analyzed using the Revman 5.3. Results: A meta-analysis of 11 articles showed that the McKenzie Exercise was able to reduce pain in patients with non-specific low back pain by 0.44 times compared to other interventions or no intervention. (SMD -0.44; 95% CI = -1.06 to 0.18; p = 0.16).Conclusion: McKenzie Exercise has a weak effect to reduce pain in patients with non-specific low back pain.

EFFECTIVENESS OF PROVISION OF TRANSCUTANEUS ELECTRICAL NERVE STIMULATION (TENS) AND INFRA RED (IR) MODALITY IN CASE OF OSTEOARTHRITIS KNEE Yoel Kristian Adi Candra; Daniel Saka Pratama; Sima Asmara Dewa Marya Mahardika Putri
Physiotherapy and Physical Rehabilitation Journal Vol. 1 No. 2 (2022): November : Physiotherapy and Physical Rehabilitation Journal
Publisher : STIKES Telogorejo Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63520/pprj.v1i2.305

Background : Osteoarthritis of the knee is joint disorders knee that causes happening erosion marked joints with existence symptom painful as well as increase functional disability. Functional disability of knee OA patients here is subtraction against activity physique daily caused by pain. Because of that, from a number of research obtained gift modality therapy in the form of TENS and Infra Red effective in reduce knee osteoarthritis pain. Research objective : For knowing influence gift modality TENS and Infrared therapy to knee osteoarthritis condition.Methodology : Overview systematic from three related articles with administration of TENS and Infra Red in the condition of knee osteoarthritis. Results : Modality TENS and Infra Red (IR) therapy can give significant influence for lower pain in knee osteoarthritis. Conclusion : Giving modality TENS and Infrared therapy capable give influence decreased pain.

RULA-Based Ergonomic Assessment of Sitting Posture as a Risk Factor for Neck Pain in Students Septadina, Indri Seta; Wardiansah; Suciati, Tri; Adnindya, Msy Rulan; Putri, Sima Asmara Dewa Marya Mahardika; Legiran; Malahayati, Putri; Odiesta, Muhammad Ramadhan; Hasbi, Alfian
Majalah Kesehatan Indonesia Vol. 6 No. 4 (2025)
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/makein.2025294

Research on ergonomic risk factors for neck pain among Islamic boarding school students remains scarce, despite their prolonged study and Qur’an memorization activities in static sitting postures. Non-neutral body posture during learning may increase the risk of musculoskeletal disorders (MSDs), particularly neck pain, which can impair concentration and quality of life. This analytic cross-sectional study aimed to assess students’ body posture during study and memorization activities and to examine its association with neck pain. A total of 72 boarding and non-boarding students participated. Data were collected using questionnaires and the Rapid Upper Limb Assessment (RULA), and analyzed with chi-square tests and logistic regression to obtain prevalence ratios (PR) and p-values. Neck pain was reported by 63.9% of respondents; 72.2% exhibited poor sitting posture, and 80.6% reported moderate-to-severe stress. Bivariate analysis showed a significant association between stress level and neck pain (p = 0.033; PR = 2.19; 95% CI: 1.25–3.83). In multivariate logistic regression, no variable reached conventional statistical significance; however, students with moderate-to-severe stress had a 3.81-fold higher risk of neck pain (p = 0.057). These findings underscore the need for integrated ergonomic and psychosocial interventions in Islamic boarding school settings to reduce neck pain risk among students.

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