Stimulasi Magnetik Lebih Meningkatkan Kemampuan Fungsional pada Pasien Nyeri Punggung Bawah Dibanding Stimulasi Elektris

Abstract

AbstractIntroduction : A long with the development of physical agents modalities, there are many recent modalities that has many beneficial for physical therapy practice, generally physical agents modalities are suit for musculoskeletal cases, one of beneficial effect for musculoskeletal case is maintaining of muscle’s physiology, electrical stimulations are familiar modalities we find in physiotherapy practice, this modality is use to inhibit pain signal and produce muscle contraction. Recently a new physical agent modality such as magnetic stimulation also has smiliar effect such as electrical stimulations, however there are less evidence to compare magnetic and electrical stimulation for musculoskeletal problems. Objective : Purpose of this study to compare magnetic and electrical stimulation effect for reducing pain and improve functional activity in low back pain patients. Methods : 60 low back pain patients recruited as subjects, devided into two groups, Group 1 given magnetic stimulation and Group 2 given electrical stimulation, after four mounth intervention two days in every weeks, pain index and functional activity measured with Oswestry instrument. Result : After 4 mounth intervention we find reducing pain index and improvement of functional activity in two groups, Group 1 the Oswestry score is 0.2 ± 0.08, while Group 2 the Oswestry score is 0.3 ± 0.05, based on the result we analyzed with Wilcoxon test, we find significant different between two groups, the significant value is 0.001 (p<0.05). Conclussion : magnetic stimulation is more effective to reduce pain index and improve functional activity by using Oswestry instrument than electrical stimulation.
 Keyword : Magnetic, Electrical, Stimulation, C fiber, A delta fiber