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All Journal Jurnal Kesehatan Manarang Media Kesehatan Politeknik Kesehatan Makassar
Dwiya Lestari, Virny
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Dentistry Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Effect Of Muscle Energy Technique And Microwave Diathermy On Pain Due To Non-Specific Low Back Pain Tang, Aco; Haruju, Darmawati; Ramba, Yonathan; Dwiya Lestari, Virny; Ronny, Ronny; Andi Munawarah Abduh, Hardianty
Jurnal Kesehatan Manarang Vol 11 No 1 (2025): April 2025
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v11i1.1528

Abstract

Non-specific low back pain (NSLBP) can cause pain, muscle imbalances, spasms, and postural alterations. It may also restrict lumbar mobility, compromise the stability of lower back and abdominal muscles, and potentially lead to disability. The application of Muscle Energy Technique (MET) combined with Microwave Diathermy (MWD) has been shown to effectively address these issues by reducing pain, improving muscle balance, relieving spasms, and restoring lumbar mobility. This combination therapy enhances the stability of the core muscles, thereby preventing further disability and improving patient outcomes. This study aimed to investigate the effect of MET combined with MWD on reducing pain in patients with NSLBP at Tadjuddin Chalid Hospital, Makassar. A quasi-experimental design with two groups and pre-test/post-test measurements was used. The study population comprised 21 individuals diagnosed with NSLBP. Using purposive sampling based on specific inclusion criteria and the Slovin formula, a total sample of 20 participants was selected. One individual was excluded for not meeting the criteria. Participants were randomly assigned to either the treatment group (n=10), which received MET combined with MWD, or the control group (n=10), which received Infrared (IR) and Transcutaneous Electrical Nerve Stimulation (TENS). Paired sample t-test results showed a statistically significant reduction in pain in both groups (p = 0.000). However, the independent sample t-test indicated a significant difference between groups (p = 0.001), with the treatment group demonstrating a greater mean reduction in pain (3.870) compared to the control group (2.290). In conclusion, the combination of MET and MWD was found to be more effective in reducing pain associated with NSLBP than conventional IR and TENS therapy.
Periosteal Pecking versus Piston Dry Needling Techniques: A Comparative Study on Pain Reduction in Tennis Elbow Nugraha, Rahmat; Dwiya Lestari, Virny; Hakim, Supartina; Awalia Syahri Ramdhani, Nur; Dermawan Syamsul, Ikhsan
Media Kesehatan Politeknik Kesehatan Makassar Vol 20 No 2 (2025): Media Kesehatan
Publisher : Direktorat Politeknik Kesehatan Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32382/medkes.v20i2.1770

Abstract

Lateral epicondylitis is a musculoskeletal disorder caused by overuse of the extensor carpi radialis brevis (ECRB) tendon, characterized by pain and decreased muscle function. This study aimed to compare the effectiveness of piston dry needling and periosteal pecking techniques in reducing pain and improving handgrip strength in patients with lateral epicondylitis. This research employed a quasi-experimental pretest–posttest two-group design involving 20 respondents who were divided into two groups: the piston dry needling group (n = 10) and the periosteal pecking group (n = 10). Both groups received dry needling intervention once per week for four consecutive weeks, for a total of four treatment sessions. The instruments used included the Visual Analog Scale (VAS) to measure pain and a Hand Dynamometer to measure handgrip strength. Data were analyzed using paired t-tests for within-group differences and independent t-tests for between- group comparisons. The results showed that both dry needling techniques were effective in significantly reducing pain and increasing handgrip strength (p<0.001). In the piston dry needling group, the mean VAS decreased from 6.78 ± 0.66 to 2.55 ± 1.27 (Δ 4.23 ± 1.01), and handgrip strength increased from 23.20 ± 3.82 to 28.30 ± 4.12 (Δ 5.10 ± 2.60). In the periosteal pecking group, the mean VAS decreased from 7.25 ± 0.54 to 1.55 ± 0.35 (Δ 5.20 ± 0.70), and handgrip strength increased from 22.60 ± 3.20 to 25.90 ± 3.85 (Δ 3.30 ± 1.60). The independent t-test revealed significant differences in pain reduction (p=0.020) and handgrip improvement (p=0.050). In conclusion Periosteal pecking demonstrated greater effectiveness in reducing pain, while piston dry needling showed a stronger tendency to increase handgrip strength, although the between-group difference for handgrip strength was marginal. Future studies with larger samples or longer follow-up periods are recommended.
Co-Authors Andi Munawarah Abduh, Hardianty Awalia Syahri Ramdhani, Nur Dermawan Syamsul, Ikhsan Hakim, Supartina Haruju, Darmawati Rahmat Nugraha Ramba, Yonathan Ronny Ronny Tang, Aco