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Effectiveness of Manual Therapy for Pain in Neck Pain Patients: A Systematic Review and Meta-Analysis Apriliyani, Yuyun; Wahyuni, Wahyuni
Indonesian Journal of Medicine Vol. 9 No. 2 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2024.9.2.697

Abstract

Background: Neck pain (NP) is a musculoskeletal public health problem that is often experienced, especially by modern society, with a high prevalence that can cause disability. Neck pain can be treated with various physiotherapy modalities, one of which is manual therapy/manipulation of the cervical spine. This study aims to determine the effectiveness of manual therapy in reducing pain in neck pain patients. Subjects and Method: This research is a systematic review and meta-analysis study, using PICO as follows, P= neck pain patients, I= manual therapy, C= other than manual therapy, O= reduction in pain. The articles included in this research were articles taken from several databases including Google Scholar, PubMed, NCBI, Science Direct, Embase, and Springer Link between 2010 and 2023. The keywords used to search for articles were: "neck pain" OR " chronic neck pain” OR “cervical pain” OR “cervicalgia” OR “upper cervical pain” OR “nonspecific neck pain” OR “nonspecific chronic neck pain” AND “manual therapy” OR “mobilization” OR “musculoskeletal manipulation” OR “cervical manipulation ” AND “RCT” OR “randomized controlled trial” OR “randomized controlled trial”. This research analysis was carried out using the RevMan 5.3 application. The results of the meta-analysis were reported using PRISMA flow diagrams. Results: A total of 9 articles have been analyzed originating from Spain, Canada, Germany, Turkey, and Pakistan. The study showed that patients with neck pain who received manual therapy experienced -2.01 units lower pain than those who did not receive manual therapy (SMD=-2.01; 95%CI=-3.00 to -1.03; p=0.001). Conclusion: Manual therapy significantly reduces neck pain compared to usual care.
Deteksi Dini Keseimbangan Statis dan Penerapan Core Stability Exercise pada Lansia Di Kebak Kalang, Karanganyar Pristianto, Arif; Apriliyani, Yuyun; Azizi, Laili Rahmawati; Putri, Fauzia Alya; Yasmin, Safira Yulia
Journal of Appropriate Technology for Community Services Vol. 5 No. 2 (2024)
Publisher : Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/jattec.vol5.iss2.art1

Abstract

The elderly is a person who has entered the age of over 60 where changes in his body begin to take place, both visible and invisible changes. One apparent change is that physical and functional changes can cause the lack of muscle in the body. Postural muscle weakness can be fatal to one of these balancing disorders. Balance is the body's ability to maintain position in either silence or movement. The purpose of this devotion is to detect early, static balance in the elderly with functional reach test. Beyond that, to find out the effectiveness of the core returned home administration and gymnastics to enhance the delicate balance of stasis. This method of devoted activity includes observation, preparation, performance and evaluation of activities. The results of giving the core stability exercise and gymnastics have proven to improve the elderly's balance significantly. This is demonstrated by an increase in the measuring of balance from a starting value of 32% to 71.4%.