Comparison Between Dry Needling And Laser Combination Of Core Stability Exercise To Decrease Myogenic Low Back Pain Complaints

Saifudin Zuhri, Marti Rustanti
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Abstract

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.
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干针与激光联合核心稳定性训练减少肌源性腰痛的比较
背景:许多人在进行日常活动时都会发生肌源性腰痛(LBP)。干针和激光等物理治疗技术在进行核心稳定性锻炼后,尚未广泛应用于减轻肌源性腰痛主诉疼痛的物理治疗措施中。因此,需要进一步的研究来比较干针和激光结合核心稳定性锻炼对腰痛肌源性主因的有效性。方法:采用前测和后测两组设计进行实验研究。该研究于2021年在卡兰甘雅尔哥伦比亚的Sunafa理疗诊所进行。有肌源性腰痛主诉且符合研究标准的受试者。对得到的研究数据进行分析,由于数据不是正态分布,因此采用非参数检验,即Wilcoxon检验和Mann-Whitney检验。结果:干针加核心稳定性锻炼对减轻肌源性腰痛主诉疼痛有效果(p = 0000),激光加核心稳定性锻炼对减轻肌源性腰痛主诉疼痛有效果(p = 0000),干针加核心稳定性锻炼和激光加核心稳定性锻炼对减轻肌源性腰痛主诉疼痛有不同的效果(p = 0.002)。干针联合核心稳定性运动在减轻肌源性腰痛主诉疼痛方面比激光联合核心稳定性运动更有效,平均差值为8.94 mm。结论:干针联合核心稳定性运动在缓解肌源性腰痛主诉疼痛方面比激光更有效。因此干针治疗肌源性腰痛优于激光治疗。
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