Effect of Cryotherapy Combined with William Flexion Exercise in Reducing Myogenic Low Back Pain
DOI:
https://doi.org/10.26911/theijmed.2023.08.02.011Abstract
Background: Health problems related to daily activities can be experienced by individuals or groups. The most common complaint in the musculoskeletal system is low back pain. Low Back Pain according to the Ministry of Health of the Republic of Indonesia in 2018 means pain that is felt in the lower back area, between the lowest costal angle to the sacrum. The purpose of this study was to determine the effect of adding cold pack therapy to the William flexion exercise on reducing pain in myogenic LBP patients.
Subjects and Method: This was an experiment study conducted at Dr. Moewardi Hospital, Surakarta, Central Java, in September 2022. A sample of 22 patients with myogenic low back pain was allocated into two groups. The dependent variable was pain. The independent variable was cryotherapy combined with William flexion exercise. Pain was measured using quadripel visual analogue scale. Mean between groups after intervention was analyzed using independent t test.
Results: Mean of pain in the intervention group (Mean= 6.27; SD= 1.00) was lower than control group (Mean= 7.09; SD= 0.94), and it was statistically significant (p<0.001).
Conclusion: Cryotherapy combined with William flexion exercise is better to reduce pain in patients with myogenic low back pain.
Keywords: low back pain myogenic, cryotherapy, William flexion exercise.
Correspondence: Yoga Handita Windiastoni. Study Program of Physiotherapy, Health Polytechnic, Ministry of Health Surakarta, Karanganyar, Central Java. Email: handitayoga@gmail.com. Mobile: 081329036114.
References
Atlas SJ, Deyo RA (2001). Evaluating and managing acute low back pain in the primary care setting. J. Gen. Intern. Med. 120131.
Barua SK, Sultana N (2015). Prevalence of low back pain among women living in slum areas of Dhaka city; chattagram maaoshishu hospital. Med. Coll. J. 1(14): 4751.
Borenstein D, Wiesel S (1989). Low Back Pain: medical diagnosis and comprehensive management; first edition, WB Saunders Company, Philadelphia. 147155.
Elders LAM, Burdoff A (2004). Prevalence, incidence, and recurrence of low back pain in scaffolders during a three-year follow-up study. J. Spine. 6(29): E101E106.
Engels JA, van der Gulden JW, Senden TF, van’t Hof B (1996). Low back pain: prevalence and associated risk factors among hospital staff. 516524.
Ernst E, Fialka V (1994). Ice freezes pain? A review of the clinical effectiveness of analgesic cold therapy. J. Pain Manag. 9(1): 56.
Fuji, Tomoko (2013). Prevalence of low back pain and factors associated with chronic disabling back pain in Japan. 22(2):4328. Doi: 10.1007/s0058601224390.
Ismaningsih (2019). The effect of long sitting on myogenic low back pain cases with infrared modality and William flexion exercise in Aliyah Madrasah Students in Pekanbaru. 2(2).
Karahan A, Kav S, Abbasoglu A, Dogan N (2009). Low back pain: prevalence and associated risk factors among hospital staff. J. Adv. Nurs. 65: 516524.
Wirawan RB (2004). Low back pain diagnosis and management; in pain symposium paper collection: toward mechanism base treatment, Yogyakarta. 105108.
