Abstrack : Lower Back Pain, Electroacupuncture, TENS, Pain, Lumbar Flexibility. Myogenic lower back pain (LBP) is a prevalence that many experienced individuals who perform daily activities. Physiotherapy technology for myogenic LBP in the form of TENS is given more clinically than electroacupuncture that has not been effectively socialized. Objective: To compare the effectiveness of TENS with electroacupuncture for pain and lumbar flexibility of myogenic LBP patients. Quasi experimental research with two groups pre and post test design. The subjects of the study were myogenic LBP patients who met the study criteria. Inclusion criteria include: (1) age 50 - 70 years, (2)willing to be the subject of research. Exclusion criteria: (1) suffer myogenic LBP followed by other disorders, (2) pacemaker use, (3) impaired sensibility, (4) malignancy in the lower back. Criteria for drop out: (1) not following therapy program more than 3 times, (2) experiencing worsening condition, (3) not present during final evaluation of research. Data were collected directly at the start of the study (pre test), pain was measured by VAS and flexibility was measured by schober test. Data were analyzed with SPSS 11.5 for windows. The results of pre-post test different test in group I with Wilcoxon test, obtained p value = 0.005 (p <0.05). Test of pre-post test in group II with Wilcoxon test, got p value = 0,004 (p <0.05). Test of difference of post test in group I and group II using Mann-Whitney test, got value p = 0,017 (p˂ 0.05). The result of change of mean difference of VAS value of pre and post therapy in group I was 45 mm while in group II was 31 mm. Conclusions: (1) there was an effect of electroacupuncture therapy on the decrease of pain in myogenic LBP patients before administered by William Flexion Exercise (p = 0,005); (2) there was effect of TENS therapy on pain reduction in myogenic LBP patients before given William Flexion Exercise (p = 0.004), (3) there was a difference in effect between electro-acupuncture therapy and TENS therapy on pain reduction in patients with myogenic LBP prior to William Flexion Exercise (p = 0.017), (4) electroacupuncture was more effective than TENS for pain reduction in patients Myogenic LBP before administered by William Flexion Exercise was compared with the mean difference between pre and post I groupVAS values greater than group II (group I = 45 mm, group II = 31 mm).

<p>ABSTRAK<br />Kesehatan wanita di usia produktif merupakan hal penting yang harus diperhatikan. Pertambahan umur dan perubahan postur tubuh setelah melahirkan akan mempengaruhi kemampuan fleksibilitas punggung yang cenderung akan menurun. Penurunan fleksibilitas punggung akan menyebabkan timbulnya nyeri saat beraktivitas. Program yang direkomendasikan untuk menjaga dan meningkatkan fleksibilitas punggung di usia dewasa madya adalah senam yoga. Tujuan: untuk mengetahui pengaruh pemberian senam yoga terhadap fleksibilitas trunk pada wanita dewasa umur 30-45 tahun. Metode Penelitian: eksperimen kuasi dengan rancangan one group pretest and posttest design. Alat Ukur: alat ukur fleksibilitas trunk dengan sit and reach test yang dinyatakan dalam numerik. Subjek: 17 orang wanita dewasa umur 30-45 tahun di kelompok Arisan di sekitar sanggar senam RM7, Malangjiwan, Colomadu, Karanganyar yang memenuhi kriteria inklusi. Analisis: Uji nonparametrik dengan Wilcoxon untuk mengetahui nilai fleksibilitas trunk antara sebelum dan sesudah perlakuan. Uji statistik Wilcoxon didapatkan nilai p 0,000.Ada pengaruh pemberian senam yoga terhadap fleksibilitas trunk pada wanita dewasa umur 30-45 tahun. <br />Kata kunci: senam yoga, fleksibilitas, sit and reach test<br />ABSTRACT<br />Woman’s health in productive aged is the most important thing to be concern. The increased of age and posture changes after birth will decrease the trunk flexibility. The decrease of trunk flexibility, it can cause low back pain during activity. The recommended programs to maintain and increase back flexibility in the middle adulthood is yoga exercise. Objectives: to know the effect of yoga exercise to trunk flexibility on adult woman aged 30-45 years old. Research Method: A quasi-experimental design with one group pre-test and post-test design. Measurement Instrument: Measurement instrument of trunk flexibility is sit and reach test. Subject: 17 adult women aged 35-40 years old in Arisan group around RM7 Gymnastic Studio, Malangjiwan, Colomadu, Karanganyar and have the inclusion criteria. Analysis: Non-parametric test by Wilcoxon to know the score of trunk flexibility between before and after treatment. Wilcoxon statistical test obtained p=0.000. There was the effect of yoga exercise to trunk flexibility on adult woman aged 30-45 years old. <br />Keyword: yoga exercises, flex ibility, sit and reach test</p>

Background: While performing daily activities, the incidence of myogenic low back pain (LBP) is experienced by many people. Physiotherapy technology in the form of dry needling and laser after both have received core stability exercise has not been widely applied in physiotherapy measures to reduce pain in complaints of myogenic low back pain. Therefore, further research is needed to compare the effectiveness of dry needling and laser with a combination of core stability exercises on low back pain myogenic complaints. Methods: Experimental study design with two groups of pre-test and post-test designs. The research was conducted in 2021 at Sunafa physiotherapy practice, Colomadu, Karanganyar. Subjects with myogenic low back pain complaints who met the study criteria. Analysis of the research data obtained, the data is not normally distributed, therefore tested with a non-parametric test, namely the Wilcoxon test and Mann-Whitney test. Results: Has the effect of dry needling with core stability exercise on pain reduction in myogenic low back pain complaints (p = 0,000), has the effect of a laser with core stability exercise on pain reduction pain in myogenic low back pain complaints (p = 0,000), there is a different effect between dry needling and core stability exercise and laser with core stability exercise to reduce pain in myogenic low back pain complaints (p = 0.002), dry needling with core stability exercise was more effective than laser with core stability exercise in reducing pain in myogenic low back pain complaints with a mean difference of 8.94 mm more significant in the group I. Conclusion: Dry needling is more effective than laser after both have undergone core stability exercise to relieve pain with myogenic low back pain complaints equations. So dry needling is preferable to laser in the treatment of myogenic low back pain.

Back School Program, Mckenzie Techniques, Pain, Vas, Patients With Low Back Pain. Low back pain is a problem that affects about 60-80% of the population in his lifetime. This pain is often triggered behavior ergonomics so that the necessary education in school programs to lower back pain. On the other hand needed McKenzie method for relaxation to the muscles of the back due to spasm, so that the pain can be reduced. Objective: To prove the effectiveness of the program back school and McKenzie techniques in reducing lower back pain. Types of Research: an experimental study. The study design: two group pre-test-post-test design. Statistical Analysis: The subjects in one group <30 people, then analyzed with nonparametric tests. Homogeneity of data was tested with the Mann-Whitney test was obtained p = 0.030 (P <0.05) indicates the data are not homogeneous. Wilcoxon test group I obtained p = 0.000 (p <0.05) showed no differential effect of back school programs to decrease lower back pain. Wilcoxon test group II obtained p = 0.000 (p <0.05) showed no differential effect of McKenzie technique to decrease lower back pain. Mann-Whitney test after treatment was obtained p = 0.006 (p <0.05) showed no difference in effectiveness between the back school program with McKenzie techniques in reducing lower back pain. Results of the mean difference in pain reduction anatara back school program with the technique gained 9.71 higher McKenzie McKenzie techniques. Conclusion: McKenzie technique is more effective than a back school program to reduce lower back pain

<p><strong>Latar Belakang:</strong> Akibat kehamilan akan menimbulkan Diastasis Recti Abdominal Muscle (DRAM) atau celah yang terbentuk oleh karena terpisahnya otot rectus abdominalis selama pembesaran rahim dan dan setelah melahirkan. DRAM dapat berpengaruh terhadap timbulnya berbagai kasus seperti nyeri punggung bawah, incontinensia urin, instabilitas panggul, sehingga perlu terapi dini. <strong>Tujuan: </strong>Penelitian ini untuk mengetahui manfaat latihan otot perut terhadap DRAM.</p><p><strong>Metode:</strong> Desain penelitian quasi eksperimen dengan <em>two group pre and post test design</em>. Subjek penelitian adalah ibu pasca melahirkan normal yang terbagi menjadi dua kelompok secara acak. Kelompok perlakuan diberikan latihan otot perut selama 4 minggu. Data dianalisis dengan menggunakan uji <em>chi-square</em> digunakan untuk menguji hasil pengukuran.</p><p><strong>Hasil:</strong> Terdapat  perbedaan pengaruh antara kelompok perlakuan dengan kelompok kontrol secara bermakna (p= 0,009; POR=0,714; CI 95%: 0,545-0,936). Latihan otot perut berkontribusi sebesar 41% dalam penutupan DRAM. <strong>Simpulan:</strong> Latihan otot perut (transversus abdominis) mampu mencegah insiden DRAM pada ibu pasca melahirkan. Ibu setelah melahirkan perlu melakukan latihan dengan mandiri atau dibimbing oleh tenaga kesehatan.</p>