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Efektivitas Dry Needling Terhadap Nyeri Punggung Bawah: Literature Review Prasetyo, Karinina Zahwa Putri; Alpiah, Dini Nur
JURNAL ILMIAH NUSANTARA Vol. 3 No. 2 (2026): Jurnal Ilmiah Nusantara Maret 2026
Publisher : CV. KAMPUS AKADEMIK PUBLISING

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61722/jinu.v3i2.8579

Abstract

Low back pain (LBP) is one of the most common musculoskeletal complaints affecting the spinal region and can significantly interfere with daily activities while reducing long-term functional capacity. Management strategies targeting myofascial trigger points (MTrPs) often require safe and effective physiotherapeutic approaches. One technique that has been widely investigated is dry needling (DN), which involves inserting a fine needle into the MTrP to elicit a local twitch response that may reduce pain and improve muscle performance. This study aims to analyze the effectiveness of DN in reducing pain and enhancing function in patients with non-specific low back pain, based on ten randomized controlled trials (RCTs) published between 2020 and 2024. Data were obtained from PubMed, ScienceDirect, and Google Scholar. The findings indicate that DN significantly decreases pain intensity, increases pressure pain threshold (PPT), and improves disability scores (ODI). The therapeutic effects of DN are greater when combined with core stabilization exercises or spinal manipulation therapy. DN is also considered safe, with only minor and transient adverse effects such as localized soreness.
Efektivitas Infra Red Yang Dipadukan Dengan Exercise Terhadap Penyakit Low Back Pain Fathan, Muhammad Hafidz Al; Alpiah, Dini Nur
JURNAL ILMIAH NUSANTARA Vol. 3 No. 2 (2026): Jurnal Ilmiah Nusantara Maret 2026
Publisher : CV. KAMPUS AKADEMIK PUBLISING

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61722/jinu.v3i2.8580

Abstract

Low back pain (LBP) is one of the most common musculoskeletal problems and can lead to limited activity and reduced quality of life. This condition is often experienced by individuals whose jobs involve sitting for long periods, poor ergonomic work postures, or excessive physical activity. One non-invasive physical therapy method commonly used to reduce LBP pain is Infra Red (IR). IR works by producing superficial heat that can improve blood flow, reduce muscle spasms, and lower pain sensitivity. In addition, providing exercise or therapeutic workouts aims to increase flexibility, muscle strength, and lumbar stability. Combining Infra Red with exercise is expected to provide more effective results in managing LBP. This study is a literature review conducted using the PICO approach to search databases such as PubMed, ScienceDirect, and Google Scholar. The articles used are Randomized Controlled Trials (RCTs) published in the last five years. The review results show that applying Infra Red combined with exercise significantly reduces pain intensity, improves flexibility of the lower back muscles, increases range of motion (ROM), and enhances functional ability in patients with LBP. Applying Infra Red for 15–20 minutes combined with regular exercise for 4–6 weeks provides optimal results for patients with non-specific LBP. Based on these findings, it can be concluded that combining Infra Red and exercise is effective in reducing pain and improving function in patients with Low Back Pain.
Efektivitas Exercise Pada Penyakit Myofacial Pain Syndrome Trapezius Upper Literature Review Lubis A, Muhamad Fahri; Alpiah, Dini Nur
JURNAL ILMIAH NUSANTARA Vol. 3 No. 2 (2026): Jurnal Ilmiah Nusantara Maret 2026
Publisher : CV. KAMPUS AKADEMIK PUBLISING

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61722/jinu.v3i2.8582

Abstract

Myofascial Pain Syndrome (MPS) is a musculoskeletal condition that commonly affects the upper trapezius muscle, causing pain and limitations in daily activities. Physiotherapy, particularly exercise-based programs, plays a significant role in managing this condition. A literature review of experimental studies and randomized controlled trials indicates that regular exercise is effective in reducing pain, increasing range of motion, and improving functional outcomes. Exercises targeting the neck and shoulder muscles have been shown to reduce trigger point sensitivity and enhance local blood circulation. Furthermore, exercise programs demonstrate effectiveness comparable to other physiotherapy interventions. Therefore, exercise therapy can be considered a safe and effective non-pharmacological approach for the management of upper trapezius Myofascial Pain Syndrome.
Efektivitas Terapi Ultrasound Pada Penanganan Carpal Tunnel Syndrome Dzuhdi, Muhammad Imam; Alpiah, Dini Nur
JURNAL ILMIAH NUSANTARA Vol. 3 No. 2 (2026): Jurnal Ilmiah Nusantara Maret 2026
Publisher : CV. KAMPUS AKADEMIK PUBLISING

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61722/jinu.v3i2.8583

Abstract

Carpal Tunnel Syndrome (CTS) is a common median nerve compression neuropathy that causes pain, tingling, and impaired hand function. Various conservative approaches have been used, including ultrasound therapy, nerve-gliding exercises, phonophoresis, and ultrasound-guided injection techniques. This literature review aims to examine the effectiveness of ultrasound-based interventions in the management of mild to moderate CTS. Methods: This review analyzed eight Randomized Controlled Trial (RCT) studies published between 2021 and 2025. The literature sources were obtained from international journals indexed in Scopus (Q1–Q3). The evaluated outcome parameters included pain (VAS), hand function (BCTQ-SSS/FSS), nerve conduction (ENMG, DML, SNCV), and median nerve cross-sectional area (CSA). Results: Most studies reported that ultrasound-based interventions—either as a therapeutic modality (underwater ultrasound, phonophoresis, or combined with exercise) or as guidance for injection procedures (hydrodissection and transverse carpal ligament release)—produced significant improvements in symptoms and hand function. The combination of ultrasound with splinting and exercise therapy yielded superior outcomes compared to single-modality treatment. Ultrasound-guided hydrodissection also demonstrated improvements in nerve parameters and symptom reduction in the medium term (6–12 months). Conclusion: Ultrasound therapy is effective, safe, and relevant as both a conservative and minimally invasive interventional approach for managing mild to moderate CTS. Its combination with exercise or nerve-gliding techniques enhances clinical and electrophysiological outcomes.
Efektivitas Modalitas Stimulasi Elektroterapi Terhadap Pemulihan Pasien Pasca Stroke: Literatur Review Kusuma, Hafizh Ammar; Alpiah, Dini Nur
JURNAL ILMIAH NUSANTARA Vol. 3 No. 2 (2026): Jurnal Ilmiah Nusantara Maret 2026
Publisher : CV. KAMPUS AKADEMIK PUBLISING

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61722/jinu.v3i2.8584

Abstract

One of the leading causes of long-term disability is stroke, which impacts motor function impairment, spasticity, balance, and decreased ability to perform functional activities. One way to maximize functional recovery and patient independence in post-stroke rehabilitation is by using electrotherapy stimulation modalities. The purpose of this literature review is to evaluate the effectiveness of various electrotherapy stimulation methods on the recovery of patients who have experienced stroke. Literature research on the use of transcutaneous electrical nerve stimulation (TENS), neuromuscular electrical stimulation (NMES), transcutaneous electrical acupoint stimulation (TEAS), and transcutaneous auricular vagus nerve stimulation (taVNS) was used in the writing methodology. The results showed that electrotherapy stimulation improves motor function, reduces spasticity, increases functional activities, and improves the quality of life of post-stroke patients. The results suggest that this modality can be used as an additional component of post-stroke patient rehabilitation programs. Electrotherapy stimulation can be used both alone or in combination with conventional therapy.
Efektivitas Terapi Latihan Pada Pasien Post-Op Rekontruksi Acl : Literatur Review Yahya, Arip Maulana; Alpiah, Dini Nur
JURNAL ILMIAH NUSANTARA Vol. 3 No. 2 (2026): Jurnal Ilmiah Nusantara Maret 2026
Publisher : CV. KAMPUS AKADEMIK PUBLISING

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61722/jinu.v3i2.8585

Abstract

ACL reconstruction is a common surgery done to restore knee stability, but many patients still experience pain, muscle weakness, and reduced function after the operation. Exercise therapy is a key part of rehabilitation after ACL reconstruction. This review looked at ten randomized controlled trials (RCTs) that evaluated different types of exercises, including neuromuscular training, progressive resistance exercise, visuo-motor training, aquatic proprioceptive exercise, and blood flow restriction training, during the middle to later stages of rehabilitation. Each study had an intervention period of 6 to 20 weeks, and used tools like KOOS, IKDC, SF-36, and Hop Test to measure results. The analysis showed that all types of exercise significantly improved muscle strength, balance, proprioception, and knee function, while also reducing pain and fear of movement. Neuromuscular and progressive resistance exercises were found to be the most effective in improving muscle symmetry and functional performance. Evidence-based exercise approaches, patient education, and the use of digital tools (mHealth) and hydrotherapy also helped increase patient adherence and quality of life. Therefore, structured, progressive, and multimodal exercise programs are recommended as the main strategy in ACL reconstruction rehabilitation to speed up recovery and prevent future injuries.
Efektivitas Ultrasound Dan Massage Pada Penyakit Myofacial Pain Syndrome Pada Trapezius Upper: Literatur Review Rozaan N, Hilmi; Alpiah, Dini Nur
JURNAL ILMIAH NUSANTARA Vol. 3 No. 2 (2026): Jurnal Ilmiah Nusantara Maret 2026
Publisher : CV. KAMPUS AKADEMIK PUBLISING

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61722/jinu.v3i2.8586

Abstract

In the field of musculoskeletal rehabilitation, the quality of physiotherapy in the treatment of myofascial pain syndrome (MPS) is crucial because it influences the effectiveness of therapy and patient satisfaction. If we want to improve the quality of care, it is crucial to understand the effectiveness of various therapy methods. This literature review summarizes studies that have been conducted to evaluate how ultrasound and deep tissue massage (also known as deep tissue massage) reduce pain and musculoskeletal function in patients with MPS. In a study by Chen et al. (2025), ultrasound-guided myofascial hydrodissection (UMHT) was found to be comparable in effectiveness to 1% lidocaine trigger point injection. Both methods have been shown to reduce pain and improve function without significant side effects. However, a study by Bingölbali et al. found that deep tissue massage (DTM) significantly reduced pain, increased range of motion (ROM), and improved quality of life compared to a control group. Overall, these two studies demonstrate that non-pharmacological methods such as ultrasound-guided therapy and deep tissue massage are effective and safe methods for musculoskeletal rehabilitation physiotherapy. Furthermore, they have the potential to improve the quality of physiotherapy care.
Efektivitas Short Wave Diathermy Terhadap Penurunan Nyeri Dan Exercise Punggung Bawah:Literatur Review Agastya, Dhendra Bhima; Alpiah, Dini Nur
JURNAL ILMIAH NUSANTARA Vol. 3 No. 2 (2026): Jurnal Ilmiah Nusantara Maret 2026
Publisher : CV. KAMPUS AKADEMIK PUBLISING

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61722/jinu.v3i2.8587

Abstract

Low Back Pain (LBP) is the most common musculoskeletal condition with a high global disability impact. Short-Wave Diathermy (SWD) is a deep-heating modality frequently used to reduce pain and increase tissue extensibility. The purpose of this literature review is to evaluate the effectiveness of SWD, either independently or in combination with therapeutic exercises, on reducing pain intensity and improving function in chronic LBP patients. This research uses a literature review design with article searches from databases such as PubMed, Google Scholar, and ScienceDirect. A total of 10 relevant research journals were analyzed, most of which used a Randomized Controlled Trial (RCT) design. The analysis results show that SWD application provides a significant analgesic effect (p < 0.05) through nociceptive system modulation and microcirculation enhancement. The combination of SWD with active exercises such as Pilates or dynamic stretching provides more optimal short-term and medium-term results compared to monotherapy. In conclusion, SWD is an effective and safe modality as part of a comprehensive rehabilitation management for LBP sufferers.
Efektivitas Tens Dan Massage Pada Pasien Low Back Pain (LBP) Zahir, Ilham Fairuz; Alpiah, Dini Nur
JURNAL ILMIAH NUSANTARA Vol. 3 No. 2 (2026): Jurnal Ilmiah Nusantara Maret 2026
Publisher : CV. KAMPUS AKADEMIK PUBLISING

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61722/jinu.v3i2.8588

Abstract

Low back pain (LBP) adalah masalah yang sering terjadi pada sistem muskuloskeletal di masyarakat. Di Indonesia, angka terjadinya LBP diperkirakan berkisar antara 7,6% hingga 37% dari populasi umum. Menurut data Riskesdas tahun 2021, prevalensi penyakit sendi, termasuk LBP, sekitar 3,71%. Tingginya angka kasus ini mendorong penelitian tentang terapi fisik non-farmakologis yang efektif, seperti Transcutaneous Electrical Nerve Stimulation (TENS) dan Massage. Peninjauan ini bertujuan menggabungkan hasil penelitian terkini mengenai efektivitas kedua terapi tersebut dalam mengurangi nyeri dan meningkatkan fungsi bagi penderita LBP di Indonesia. Penelitian tinjauan literatur dilakukan dengan mencari informasi menggunakan metode PICO pada beberapa database seperti Google Scholar, Science Direct, dan PubMed. Sebanyak 7 jurnal ditemukan yang memenuhi kriteria dan menunjukkan bahwa TENS dan Massage yang dilakukan 2 kali seminggu selama 6 sesi, 6 minggu, dengan follow-up selama 2 minggu, masing-masing berdurasi 30 menit, dengan TENS (Heat TENS, n=25) dan Massage (n=35), serta nilai p < 0,05 menunjukkan efek yang signifikan terhadap penurunan nyeri LBP. Dari hasil tersebut dapat disimpulkan bahwa TENS dan Massage efektif dalam mengatasi LBP
Efektivitas Hidroterapi Terhadap Peningkatan Kapasitas Fungsional Pasien Low Back Pain: Sebuah Studi Literatur. munqiz, Ihsan; Alpiah, Dini Nur
JURNAL ILMIAH NUSANTARA Vol. 3 No. 2 (2026): Jurnal Ilmiah Nusantara Maret 2026
Publisher : CV. KAMPUS AKADEMIK PUBLISING

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61722/jinu.v3i2.8600

Abstract

Low Back Pain (LBP) has become a significant global health challenge, with incidence rates continuing to rise alongside an aging population. This condition is not merely a sensation of pain but a complex pathology that triggers long-term physical limitations and a drastic decline in quality of life. Clinically, the onset of LBP is often associated with intervertebral disc degeneration, such as Lumbar Disc Herniation (LDH), which causes nerve compression and disrupts motor and sensory functions in the lower body.The primary implication of LBP is the impairment of daily functional activities, where patients experience difficulties in basic mobility, such as bending or standing for extended periods. If not managed comprehensively, this disorder can progress into a chronic state and negatively impact the economic sector due to loss of work productivity. In the rehabilitation process, hydrotherapy or aquatic exercise emerges as an effective intervention option by utilizing the principle of buoyancy to reduce mechanical loads on the spinal joints. Additionally, hydrostatic effects and warm water temperatures help optimize blood circulation and promote muscle relaxation.