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"Salah satu masalah yang sering dijumpai pada obesitas adalah Nyeri Punggung Bawah (NPB) mekanik. Penelitian ini bertujuan untuk mengetahui efektifitas program standar dengan Proper Body Mechanics Terprogram terhadap nyeri dan fungsi fungsional pada pasien obesitas dengan NPB mekanik. Studi single blind, randomized controlled trial ini dilakukan tiga kali seminggu selama enam minggu. Skor nyeri diukur dengan Visual Analogue Scale (VAS) dan fungsi fungsional dengan Oswestry Disability Index (ODI). Pengukuran outcome dilakukan sebelum penelitian, minggu pertama, kedua, ketiga, keempat, kelima dan keenam untuk VAS dan sebelum penelitian, minggu ketiga dan keenam untuk ODI. Total 30 subjek dibagi menjadi dua kelompok, 14 kelompok perlakuan dan 16 kelompok kontrol. Kelompok perlakuan mendapat Diet, TENS, Aerobic Exercise, William Flexion Exercise dengan Proper Body Mechanics Terprogram sedangkan kelompok kontrol tanpa Proper Body Mechanics Terprogram. Kedua kelompok melakukan latihan dengan supervisi. Kelompok perlakuan diberikan logbook latihan Proper Body Mechanics di rumah. Hasil penelitian terdapat perbedaan bermakna secara statistik pada skor VAS dan fungsi fungsional pada masing-masing kelompok. Terdapat perbaikan dan secara statistik bermakna pada delta skor VAS antar kelompok (p= 0,011) setelah intervensi selama enam minggu. Tidak ditemukan perbedaan bermakna fungsi fungsional antar kelompok (p= 0,976). Kombinasi Program Standar dengan penambahan Proper Body Mechanics Terprogram dapat mengurangi nyeri secara signifikan setelah intervensi selama enam minggu. Meskipun perbaikan fungsi fungsional tidak signifikan antara kedua kelompok, namun perubahan perbaikan fungsi fungsional lebih besar pada kelompok Proper Body Mechanics Terprogram setelah intervensi selama enam minggu pada pasien obesitas dengan Nyeri Punggung Bawah Mekanik.

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One of the most common problems with obesity is mechanical Low Back Pain (LBP). This study aims to determine the effectiveness of a standard program with Programmed Proper Body Mechanics on pain and functional function in obese patients with LBP mechanics. This single-blind, randomized controlled trial was conducted three times a week for six weeks. Pain score was measured by Visual Analogue Scale (VAS) and functional function by Oswestry Disability Index (ODI). Outcome measurements were carried out before the study, the first, second, third, fourth, fifth and sixth weeks for VAS and before the study, the third and sixth weeks for ODI. Total of 30 subjects were divided into two groups, 14 as the treatment groups and 16 as the control groups. The treatment group received Diet, TENS, Aerobic Exercise, and William Flexion Exercise, with Programmed Proper Body Mechanics, while the control group didn’t received Programmed Proper Body Mechanics. Both groups did the exercise under supervision. The treatment group was given Proper Body Mechanics exercise logbook at home. The results showed that there was a statistically significant difference in the VAS delta scores between groups (p=0.011) after 6 weeks of intervention. There was no significant difference in functional function between groups (p = 0.976). The VAS score and functional function in each group improved and were statistically significant. The combination of the Standard Program with the addition of Programmed Proper Body Mechanics resulted in significant pain reduction after six weeks of intervention. Although the improvement in functional function was not significant between the two groups, the change in functional function improvement was greater in the Proper Body Mechanics Programmed group after six weeks of intervention in obese patients with Mechanical Low Back Pain."

"Pendahuluan: Low back pain adalah penyakit musculoskeletal yang disebabkan oleh gangguan akibat kerja. Kejadian nyeri punggung bawah di Dunia mencapai 15-45% dengan berbagai variasi diantaranya ialah 33% penduduk di beberapa Negara berkembang mengalami nyeri persisten. Persentase penderita lowback pain di Indonesia sebanyak 18 %, yang terjadi akibat berbagai faktor seperti kegemukan, gangguan musculoskeletal, usia >35 tahun, genetik, perokok aktif, dan gangguan akibat beban kerja. Teknik slow stroke back massage memberikan efek relaksasi pada vaskularisasi, saraf, dan muscular sehingga dapat menjadi intervensi mengurangi nyeri Teknik ini diberikan 12-15 kali pijatan selama 3-5 menit , penelitian ini juga memberikan kombinasi William flexion exercise merupakan latihan bagi kasus nyeri akibat low back pain Teknik yang dilakukan bisa untuk mengatasi nyeri, menstabilakan lower stability hamstring trunk untuk mengaktifkan abdominal muscle, gluteus maksimus, menjadikan fleksibility hip muscle dan lowerback. Latihan ini diberikan sebanyak 3-4 kali selama satu minggu untuk menurunkan intensitas nyeri low back pain. Tujuan: Penelitian ini bertujuan untuk mengetahui pengaruh kombinasi slow stroke back massage dan William flexion exercise terhadap nyeri low back pain pada perawat kamar operasi rumah sakit An-Nisa Tangerang. Metode: Penelitian ini menggunakan desain quasi eksperimental pretest dan posttest dengan control group. Sampel dalam penelitian ini ialah 40 orang 20 orang kelompok intervensi dan 20 orang kelompok kontrol. Hasil: Pada penelitian ini menunjukkan hasil uji statistic wilxocon Asym.sig. sebesar 0,000 (nilai p), maka dapat ambil keputusan bahwa jika nilai p<0,05 dapat dikatakan bahwa ada perbedaan yang bermakna sebelum dan sesudah intervensi. Kesimpulan:kompinasi slow stroke back massage dan William flexion exercise memiliki pengaruh terhadap penurunan intensitas nyeri low back pain pada perawat kamar operasi.

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Introduction: Low back pain is a musculoskeletal disease caused by work-related disorders. The incidence of low back pain in the world reaches 15-45% with various variations including 33% of the population in several developing countries experiencing continuous pain. The percentage of low back pain sufferers in Indonesia is 18%, which occurs due to various factors such as obesity, musculoskeletal disorders, age > 35 years, genetics, active smokers, and workload-related disorders. The slow stroke back massage technique has a relaxing effect on vascularization, nerves and muscles so that it can reduce pain intervention. This technique is given 12-15 massages for 3-5 times. low back pain, the technique can be used to treat pain, stabilize the lower hamstring trunk stability to activate the abdominal muscles, gluteus maximus, make the hip and lower back muscles flexible. This exercise is given 3-4 times a week to reduce the intensity of low back pain.

Purpose: This study aims to determine the effect of a combination of slow stroke back massage and William flexion exercise on low back pain in operating room nurses at An-Nisa Hospital, Tangerang.

Methods: This study used a quasi- experimental design with pretest and posttest with a control group. The sample in this study were 40 people, 20 people in the intervention group and 20 people in the control group.

Results: In this study, the results of the Wilxocon Asym.sig statistical test were shown. of 0.000 (p value), then it can be concluded that if the p value <0.05 it can be said that there is a significant difference before and after the intervention.

Conclusion: the combination of slow stroke back massage and William flexion exercise has an effect on reducing the intensity of low back pain in operating room nurses.Keywords: Slow Stroke Back Massage, William Flexion Exercise, Low Back Pain, Nurse, Operating Room."