人体工程学干预物理治疗方案减轻疼痛和残疾水平与肌源性腰痛受试者:一个案例报告

I. M. D. Prianthara, Ida Ayu Astiti Suadnyana, Komang Tri Adi Suparwati, Siti Ainun Marufa
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引用次数: 6

摘要

肌源性腰痛是一种腰部不舒服的疼痛,通常由肌肉骨骼疾病引起,导致疼痛和残疾。本病例报告旨在回顾人体工程学干预对肌源性腰痛的物理治疗方案。病例描述:一名45岁的屋顶瓦工男子,自诉腰背部疼痛,1个月前就已感到疼痛。疼痛没有扩散到腿部。病人没有神经症状和体征。病人报告说在过去的三年里他经历了9次同样的事情。病人每天都要做弯曲运动和掀瓦片。患者接受了七周的物理治疗,并接受了人体工程学干预和物理治疗项目,如核心稳定性锻炼,软组织活动和模式。在人体工程学干预和治疗性运动应用后,视觉模拟量表得分从6降至0。改良Oswestry伤残指数评分由60%伤残逐渐下降至0%伤残。患者不再抱怨MLBP,并且能够很好地抬起屋顶瓦。结论:经过7周的物理治疗,患者感觉不到疼痛,可以进行前屈。改进后的Oswestry残疾指数得分提高了,并证明了在没有任何抱怨的情况下提高了屋顶瓦片的举起。我们得出结论,人体工程学干预结合物理治疗方案有效地降低了MLBP患者的疼痛和残疾水平
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Ergonomic Intervention on Physical Therapy Programs Decrease Pain and Disability Level on Subject with Myogenic Low Back Pain: A Case Report
Introduction: Myogenic Low Back Pain is an uncomfortable pain on the lower back, often caused by musculoskeletal disorders resulting in pain and disability. This case report aims to review ergonomic intervention on physical therapy program on myogenic low back pain. Case description: A 45-years-old man working as a roof tile craftsman complained of pain in the lower back area and already felt it for 1 month ago. The pain did not radiate to the leg. The patient has no neurological signs and symptoms. Patient-reported that he had experienced the same incident about 9 times in the last 3 years ago. The patient always performed bending motion and lifting the roof tile every day. The patient has been visited physical therapy and received ergonomic intervention and physical therapy programs such as core stability exercise, soft tissue mobilization and modalities for seven weeks. Following the ergonomic intervention and therapeutic exercise application, the Visual Analogue Scale score decreased from 6 to 0. The Modified Oswestry Disability Index score gradually decreased from 60% disability to 0% disability. The patient no longer complained of MLBP and was able to lift the roof tile well. Conclusion: After a seven-weeks physical therapy treatment session, the patient did not feel pain and can perform forward bending. Modified Oswestry Disability Index score improved and demonstrated improved lifting the roof tile without any complaints. We concluded that the ergonomic intervention combined with physical therapy programs effectively decreased pain and disability level on a subject with MLBP
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