PENGARUH PEMBERIAN GLUTEUS STRENGTHENING EXERCISE TERHADAP PENINGKATAN FUNGSIONAL DISABILITAS PADA PASIEN LOW BACK PAIN MYOGENIC: CASE STUDY

Abstrak

Low back pain myogenic merupakan salah satu gangguan muskuloskeletal yang dapat menyebabkan nyeri, keterbatasan gerak, dan penurunan kemampuan fungsional dalam aktivitas sehari-hari. Kelemahan otot gluteal diketahui berkontribusi terhadap menurunnya stabilitas lumbopelvic sehingga dapat memperberat disabilitas fungsional pada pasien dengan low back pain myogenic. Penelitian ini bertujuan untuk mengevaluasi pengaruh pemberian gluteus strengthening exercise terhadap peningkatan fungsional disabilitas pada pasien low back pain myogenic. Penelitian menggunakan desain case study pada tiga pasien dengan diagnosis klinis low back pain myogenic yang menjalani intervensi fisioterapi selama 6 minggu dengan frekuensi 2 kali per minggu, sehingga total terdapat 12 sesi terapi. Intervensi yang diberikan meliputi side-lying hip abduction, clamshell, unilateral hip bridge, side-lying hip bridge, single-leg wall squat, dan donkey kick. Penilaian kemampuan fungsional dilakukan menggunakan Modified Oswestry Disability Index (MODI) sebelum intervensi dan secara berkala selama terapi. Hasil penelitian menunjukkan adanya penurunan skor MODI pada seluruh subjek. Pada subjek pertama skor MODI menurun dari 21 menjadi 0, pada subjek kedua dari 29 menjadi 3, dan pada subjek ketiga dari 18 menjadi 0. Penurunan skor tersebut menunjukkan adanya peningkatan kemampuan fungsional dan penurunan disabilitas setelah pemberian intervensi. Dengan demikian, dapat disimpulkan bahwa gluteus strengthening exercise berpotensi efektif dalam meningkatkan kemampuan fungsional dan menurunkan disabilitas pada pasien low back pain myogenic.

Myogenic low back pain is a musculoskeletal disorder that may cause pain, limited movement, and decreased functional ability in daily activities. Weakness of the gluteal muscles is known to contribute to reduced lumbopelvic stability, which may worsen functional disability in patients with myogenic low back pain. This study aimed to evaluate the effect of gluteus strengthening exercise on improving functional disability in patients with myogenic low back pain. This study used a case study design involving three patients with a clinical diagnosis of myogenic low back pain who underwent physiotherapy intervention for 6 weeks, twice per week, with a total of 12 treatment sessions. The intervention program consisted of side-lying hip abduction, clamshell, unilateral hip bridge, side-lying hip bridge, single-leg wall squat, and donkey kick. Functional ability was assessed using the Modified Oswestry Disability Index (MODI) before the intervention and periodically throughout the treatment sessions. The results showed a reduction in MODI scores in all subjects. In the first subject, the MODI score decreased from 21 to 0; in the second subject, from 29 to 3; and in the third subject, from 18 to 0. The decrease in these scores indicates improved functional ability and reduced disability after the intervention. In conclusion, gluteus strengthening exercise has the potential to be an effective intervention for improving functional ability and reducing disability in patients with myogenic low back pain.