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All Journal SURABAYA PHYSICAL MEDICINE AND REHABILITATION JOURNAL
Vivid Prety Anggraini
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Chemical Engineering, Chemistry & Bioengineering Health Professions Medicine & Pharmacology

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The Effect of Therapeutic Exercise in Postural Low Back Pain: A Case Report Vivid Prety Anggraini; Sheilla Elfira San Pambayun; Pudji Hapsari, Rosalyna; Arya Pringga, Gutama
Surabaya Physical Medicine and Rehabilitation Journal Vol. 6 No. 1 (2024): SPMRJ, FEBRUARY 2024
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v6i1.47433

Abstract

Postural low back pain (LBP) is a non-specific LBP defined as pain or discomfort in low back areas caused by incorrect posture for ages. Most patients only experience mild and moderate pain from low back pain, however, it can cause chronic pain and disability for several groups. This case report aims to investigate the effect of therapeutic exercise on posture and pain in postural LBP. A 37-year-old male presented with LBP for 4 months with Numeric Rating Scale (NRS) 7. Physical examination showed impaired posture, wide base gait, limitation ROM of trunk, reduced breathing count test, muscle spasm at upper and lower back areas, positive in Thomas test, Ely test, and hamstring tightness test. The back pain functional scale (BPFS) was 7. The therapeutic exercise program consisted stretching exercises (neck, upper and lower back, hamstring, rectus femoris, iliopsoas muscle), core strengthening, William's flexion, McKenzie's, breathing and chest expansion exercise, alongside proprioceptive exercise. One cycle (eight times) of physical modalities, TENS at paralumbal and USD at paracervical, upper and middle trapezius, rhomboid, sternocleidomastoideus, paralumbal, and insertion of hamstring were given. We evaluated the patient's condition for about 4 months, and the patient showed a good compliance with improvement in pain score, ROM of the trunk, reduced muscle spasm and tightness, improved posture, gait, breathing, and BPFS. The patient can return to do his job again. This case report is able to demonstrate that therapeutic exercise improves clinical and functional conditions. These findings suggest the clinical implications of therapeutic exercise in patients with postural LBP are beneficial.
Unveiling the Potential of Perineural Injection Therapy in Trigeminal Neuralgia Management Vivid Prety Anggraini; Razi, Fakhrur
Surabaya Physical Medicine and Rehabilitation Journal Vol. 7 No. 1 (2025): SPMRJ, FEBRUARY 2025
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v7i1.56458

Abstract

Trigeminal neuralgia is characterized by severe pain that is restricted to the trigeminal nerve and frequently causes abrupt, severe bouts in the face. About 80% of cases of classical trigeminal neuralgia are classed as idiopathic. With the use of the Numeric Rating Scale (NRS) and the SF-36 questionnaire, this case study aims to determine how perineural injection therapy (PIT) affects pain relief in early trigeminal neuralgia cases and how it can affect patient function. The patient presented with a history of 8 years persistent facial pain, localized to the right side of the face. Described as sharp and intermittent, the pain rated between 6 on the Numeric Rating Scale (NRS). It was exacerbated by activities such as chewing and combing, yet alleviated by rest and medication. Injections of a 5% dextrose solution in sterile water (D5W) are administered subcutaneously and intracutaneously at the trigeminal nerve point. The PIT has been performed three times. with an injection interval of 2-3 weeks. Injections are made at the trigeminal nerve point, based on the Lyftogt book. The NRS score on first injection was changed from 6 to 2, second injection was from 2 to 1, and third injection was 1 before and after injection. The quality of life is better than before. SF-36 questionnaire showed a change from 50-75% on first injection, 75-100% on second injection, and 100% on the third injection. This study showed that PIT can improve patient's pain and patient's quality of life.
Co-Authors Arya Pringga, Gutama Fakhrur Razi Pudji Hapsari, Rosalyna Sheilla Elfira San Pambayun