Differences between SNAGS and Mc Kenzie Interventions with Core Stability and Mc Kenzie on the Functional Ability of Elderly People with Lumbar HNP Conditions at Hermina Hospital Depok

Authors

  • Irma Megawanty Universitas Medika Suherman
    Indonesia
  • Luluk Maulina Universitas Medika Suherman
    Indonesia

DOI:

https://doi.org/10.23917/fisiomu.v5i1.2370

Keywords:

physiotherapy, HNP, SNAGS, Mc Kenzie, Core Stability, Elderly

Abstract

HNP is a degenerative disease where the elasticity of the annulus fibrosus decreases so that it becomes one of the causes of  LBP and often occurs in the elderly. One of the roles of physiotherapy in HNP cases can be treated with exercise therapy, with the SNAGS and Mc Kenzie intervention methods as well as with Core Stability and Mc Kenzie. To help improve the functional abilities of the elderly. The purpose of the study is to determine the differences in interventions for Lumbar HNP cases using the SNAGS and Mc Kenzie methods as well as Core Stability and Mc Kenzie on the functional abilities of the elderly. The design of this study used a quasi-experimental with two groups pre-post test. A sample of 22 people was selected by purposive sampling which was divided into two, namely treatment 1 and treatment 2. The research was conducted for 4 weeks consisting of one pretest, with meetings twice a week with a duration of 30-45 minutes and one post-test. The instrument used is the ODI  questionnaire. The result showed that the normality test using the Shapiro-Wilk test resulted in a value of p=0.000, which means it was significant in both treatment groups. From the results of the paired test, it is significant with a value of p = 0.000 meaning p <0.05. The reduction of the difference in the percentage of disability in treatment group 1 was -32.55 per cent, and in treatment group 2 was -37.27 per cent. The conclusion from the study is SNAGS and Mc Kenzie interventions as well as Core Stability and Mc Kenzie can affect the functional abilities of the elderly. With more effective results on Core stability and Mc Kenzie interventions in improving the functional abilities of the elderly with Lumbar HNP conditions.

References

Adi, S., Kurniawan, S., & Ardian, K. (2020). Efek Senam Lanjut Usia Terhadap Peningkatan Aktifitas Fisik Lanjut Usia Di Dusun Bonorejo Kelurahan Plesungan. Wiraraja Medika : Jurnal Kesehatan, 10(1), 17–22.

Amin, A. A., Abidin, Z., & Widianingrum, U. (2018). Pengaruh Infra Red, Tens Dan Low Back Core Stabilization Exercise Pada Kondisi Myalgia. Jurnal Fisioterapi Dan Rehabilitasi, 2(1), 17–25. https://doi.org/10.33660/jfrwhs.v2i1.43

Ariyanto, A., Puspitasari, N., & Utami, D. N. (2020). AKTIVITAS FISIK TERHADAP KUALITAS HIDUP PADA LANSIA Physical Activity To Quality Of Life In The Elderly. Jurnal Kesehatan Al-Irsyad, XIII(2), 145–151.

Dwi, W., Mu’jizatillah, & Fauziah, E. (2020). Management of Physiotherapy for Lumbar Functional Disorders due to Hernia Nucleus Pulposus with PNF Technique, TENS and McKenzie Exercise at RSUD Ulin Banjarmasin 2019. Jurnal Kajian Ilmiah Kesehatan Dan Teknologi, 2(1), 6–14.

Harder, L. (2021). The effects of the McKenzie Method and strengthening/stabilization exercises in patients with chronic nonspecific low back pain. Honors College Theses.

Kemenkes RI No. 80 Tahun 2013. (2013). Keputusan Mentri Kesehatan No.80 Tahun 2013. 1536, 3. file:///C:/Users/User/Downloads/Documents/bn1536-2013.pdf

Maycahyasari, D., Herawati, I., Hidayati, A., & Rahman, F. (2022). Penatalaksanaan Fisioterapi Pada Kasus Lansia Dengan Penurunan Fungsional Low Back Pain Di Klinik Atik Hidayati Davini. Jurnal Kesehatan Dan Masyarakat, 2(April), 13–18.

Norlinta, S. N. O., Kuswardhani, R. T., Imron, M. A., Tirtayasa, K., Adiputra, N., & Irfan, M. (2019). Teknik Mulligan Paling Efektif Dibandingkan Mobilisasi Segmental Untuk Peningkatan Kemampuan Fungsional Pada Pembatik Tulis Dengan Cervical Syndrome. Sport and Fitness Journal. https://doi.org/10.24843/spj.2019.v07.i02.p03

Nugroho, F., Weta, I. W., -, S., Griadhi, I. P. A., Satriyasa, B. K., & Irfan, M. (2018). Penambahan Nerve Stretching Lebih Baik Dibandingkan Nerve Gliding Setelah Mc Kenzie Exercise Dalam Menurunkan Gangguan Sensorik Dan Meningkatkan Fleksibilitas Nervus Ischiadicus Pada Hernia Nucleus Pulposus Lumbal. Sport and Fitness Journal, 6(1), 91–101. https://doi.org/10.24843/spj.2018.v06.i01.p12

Rikesdas. (2013). Riset Kesehatan Dasar. In Science. https://doi.org/10.1126/science.127.3309.1275

RS Hermina Depok, R. (2022). Statistik Harian Rawat Jalan Fisioterapi Rsu Hermina Depok.

Sani, A., & Durahim, D. (2021). The Differences Effect Of Giving Snags And Mc Kenzie With Manual Traction And Mc Kenzie For Pain Reduction And Lumbal Disability In HNP Conditions. Media Kesehatan Politeknik Kesehatan Makassar, 16(1), 140. https://doi.org/10.32382/medkes.v16i1.2052

Sipayung, I., Anggiat, L., & Soeparman. (2020a). Terapi Konvensional Dan Metode Mckenzie Pada Lansia Dengan Kondisi Low Back Pain Karena Hernia Nukleus Pulposus Lumbal : Studi Kasus Conventional Physiotherapy And Mckenzie Method For An Eldery Patient With Low Back Pain Caused By Lumbal Herniated Nucleus. Jurnal Fisioterapi Dan Rehabilitasi (JFR), 4(2).

Sipayung, I., Anggiat, L., & Soeparman. (2020b). Terapi konvensional dan metode mckenzie pada lansia dengan kondisi low back pain karena hernia nukleus pulposus lumbal. ResearchGate, August. https://doi.org/10.33660/jfrwhs.v4i2.113

Tantangan, R., Bintang, S., & Ginting, S. (2021). Pengaruh Metode Mc Kenzie Exercise dan Core Stability Exercise terhadap Penurunan Nyeri pada Penderita Hernia Nucleus Pulposus. Jurnal Riset Hesti Medan Akper Kesdam I/BB Medan, 6(2), 107. https://doi.org/10.34008/jurhesti.v6i2.240

Widyasari, O., & Wulandari, I. (2020). Penatalaksanaan Fisioterapi Pada Hernia Nucleus Pulposus (HNP) Dengan Modalitas Traksi Dan Mc. Kenzie Exercise Di Rso Prof Dr. R. Soeharso Surakarta. Jurnal PENA Vol.34 No.1 Edisi Maret 2020, 2507(1), 1–9. https://doi.org/10.1016/j.solener.2019.02.027persen0Ahttps://www.golder.com/insights/block-caving-a-viable-alternative/persen0A???

Wijayani, N. K., Wahyudi, A., & Darmawijaya, I. P. (2022). Keseimbangan Dinamis Dengan Kecepatan Berjalan Pada Lansia Di Banjar Celuk Buruan Gianyar. Program Studi Fisioterapi, Fakultas Kesehatan, Sains, Dan Teknologi Universitas Dhyana Pura, 2(5), 2097–2104.Wijoyo, E. B., & Daulima, N. H. . (2020). Optimalisasi Integritas Diri Melalui Terapi Kelompok Teraupetik Lansia: Studi Kasus. Jurnal JKFT, 5(2), 26. https://doi.org/10.31000/jkft.v5i2.3919

Zahratur, A., & Priatna, H. (2019). Perbedaan Efektivitas Antara William Flexion Exercise Dan Core Stability Exercise Dalam Meningkatkan. Jurnal Fisioterapi, 19(1), 1–9.

Zulvikar, J. (2016). Pengaruh Latihan Core Stability Statis (Plank dan Side Plank) dan Core Stability Dinamis (Side Lying Hip Abduction dan Oblique Crunch) Tterhadap Keseimbangan. Journal of Physical Education Health and Sport, 3(2), 96–103.

Downloads

Submitted

2023-07-29

Accepted

2023-11-06

Published

2023-11-08