Rehab Medik LBP

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Pppk Rehab Medik

dr Wikha Aprian
LBP
• Vas kurang dari 7
• Mekanik 97%
– Strain
– Sprain Lumbal
LBP
Pain Descriptions And Related Structures
Type pain Struktur
1. Kram , tumpul , nyeri Otot
2. Tumpul, Nyeri Ligamen, Join Capsule
3. Sharp , shooting (menembak ) Nerve root
4. sharp, bright , ligntening like Nerve
5. Burning , Pressure-Like ,stinging, aching Saraf Simpatis
6. Deep , Nagging (terus Menerus) , dull Bone
7. Sharp , severe, intorable Frakture
8. Throbbing , Difuse Vaskulature
Redflag
• 1. Trauma
• 2. Unexplained Weight Loss
• 3. Neurologic System
• 4. Age
• 5. Fever
• 6. Intravenous Drug Use
• 7. Steroid use
• 8. History of Cancer
LBP
• Reassurance and patient education
• Back School
• Exercise
• Aquatic Exercise
• Lumbar Sport
• Exercise after spine surgery
• Injection and Neddle therapy for LBP
• Manual Mobilization or Manipulation
• Modalitas (TENS,LLLT,SWD)
• Complementary Movement Therapies
Core Strengthening Exercise
1. Knee to chest 8-10 detik bergantian
- Knee to chest bersamaan
2. Trunk Rotation
3. Gluteal Streng
4. Bridging 8-10 x
5. Strengtening Multidifus
6. Cat Camel
7. Back Strech 8-10 detik
8. Hamstring Strech
Do
• Dduduk tegak
• Lakukan streching 1-2 jam sekali
• Bawa bra
• Jalan postur benar
• Mengambil barang posisi jongkok
Terapi
• Suhu
– Dingin (akut)
– Kompres hangat (kronis >2 minggu)
• Thermal Bag
• Ice cube , botol 10 menit
• Latian Fisik
– Neutral spine
– Jangan tahan nafas

– Peregangan
• Child’s pose
• Kneeling hip flexor
• Cat and Cow Strech
• Warrior pose
– Penguatan
• Plank
• Glute bride
• Squat
• Dead bug
• Bird dog
• Posisi atau postur
– Sleeping on back /on side
– Getting into-out of bed
– Laundry basket
– Lumbar pad

– Do /don’t
Glute bridge
Latihan duduk
• Piriformis Strech
• Hamstring Strech
Resep latihan
• Penguatan
– 2-3x minggu
– 2-4 set , 8-12 repetisi
– Tahan 5-10 detik
– Istirahat sampai 2-3 menit
• Peregangan
– 2- 3x/ minggu
– Strech pada dimana titik tidak nyaman
– Tahan 3-6 detik

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