Decrease In Joint Pain Research Articles

The Effect of Stretching on Reducing Lower Extremity Joint Pain in the Elderlies at the Binjai Elderly Service Unit

<div><table cellspacing="0" cellpadding="0" align="left"><tbody><tr><td align="left" valign="top"><p><em>Pain is one of the main complaints that drives a person to come to health services. Aging is a natural process experienced by every living creature. The process includes several changes such as physiological, psychological, social and spiritual status. One of the causes of physiological changes in the musculoskeletal system is joint pain. There are several ways to overcome this, namely by practicing footwork (stretching). The aim of this study was to determine the effect of leg movement exercises (stretching) on reducing lower extremity joint pain in the elderly at the Elderly Care Service in Binjai. The type of research used in this research is pre-experimental design with a one group pre test-post test design. The population in this study was 52 elderly people aged 45-59 years. The samples in this study were 10 respondents in the treatment group and 10 respondents in the control group. The sampling technique used in this research is Non Probability Sampling, purposive sampling type. Data was taken using questionnaires and observation sheets. The variable is those who experience lower extremity joint pain. Next, the data were analyzed using a paired t-test with a significance level of p ≤ 0.05. The results showed a decrease in joint pain after giving exercise (stretching). The conclusion is that stretching reduces lower extremity joint pain in the elderly. By reducing joint pain, elderly people can become more active, productive and can live out their old age more comfortably. For future researchers, it is recommended that the scope of the research be deeper for more accurate results by involving a large sample, longer research time and stricter methods of controlling confounding factors.</em></p><p><strong><em> </em></strong></p></td></tr></tbody></table></div><strong><em>Keywords : Joint Pain, Middle age, Stretching</em></strong>

Computer-guided versus conventional arthrocentesis in treatment of anterior disc displacement of temporomandibular joint

Objectives This study aimed to compare computer-guided arthrocentesis with conventional double puncture technique in the treatment of anterior disc displacement with reduction of the temporomandibular joint. Patient and methods 16 adult patients were included in the study and were divided into two equal groups: group I: treated with guided arthrocentesis using ringer’s lactate solution and injection of hyaluronic acid, group II: treated with conventional double puncture technique of arthrocentesis using ringer’s lactate solution and injection of hyaluronic acid. Patients were evaluated clinically and radiographically preoperatively and postoperatively: clinically for evaluation of pain intensity, maximal mouth opening, and clicking at 1 week and 2 weeks and 1, 2, 3, and 6 months. Radiographically by MRI imaging at 3 and 6 months to determine any changes in the disc position and inflammatory changes within the joint. Results 16 patients (13 females and 3 males), their ages ranged from 17 to 35 years the results of the clinical data including pain intensity, maximal mouth opening, and clicking presented with significant improvements of all outcomes from preoperative to 6 months postoperatively for group I when compared with group II. Radiographically MRI after 3 and 6 months presented with no changes in the disc condyle relationship. Conclusion Arthrocentesis is a useful minimally invasive technique in the treatment of anterior disc displacement with reduction. It plays a role in decreasing joint pain and improving its function and by making arthrocentesis computer-guided this makes the procedures more accurate, safe, less painful, and time-saving and preventing postoperative complications.

Collagen Hydrolysates: A Source of Bioactive Peptides Derived from Food Sources for the Treatment of Osteoarthritis.

Osteoarthritis (OA) is the most common joint disorder, with a social and financial burden that is expected to increase in the coming years. Currently, there are no effective medications to treat it. Due to limited treatment options, patients often resort to supplements, such as collagen hydrolysates (CHs). CHs are products with low molecular weight (MW) peptides, often between 3 and 6 kDa, and are a result of industrialized processed collagen. Collagen extraction is often a by-product of the meat industry, with the main source for collagen-based products being bovine, although it can also be obtained from porcine and piscine sources. CHs have demonstrated positive results in clinical trials related to joint health, such as decreased joint pain, increased mobility, and structural joint improvements. The bioactivity of CHs is primarily attributed to their bioactive peptide (BAP) content. However, there are significant knowledge gaps regarding the digestion, bioavailability, and bioactivity of CH-derived BAPs, and how different CH products compare in that regard. The present review discusses CHs and their BAP content as potential treatments for OA.

PENGARUH KOMBINASI SENAM LANSIA DENGAN BERDIRI JINJIT TERHADAP PENURUNAN NYERI SENDI PADA LANSIA

The elderly is an individual who experiences various deteriorations of organ function so that it is susceptible to diseases and infections. Joint pain is a chronic complaint of the elderly, the main pain occurs when waking up in the morning which makes the elderly even more unproductive. The experimental quasy study was used in this study with post test only control design approach for the elderly given routine elderly gymnastics by combining with tiptoe standing. The results of the study found that the elderly experienced a decrease in joint pain, the joint muscles of the legs became more flexible and because the elderly gymnastics was carried out together, the elderly became happier so that they felt more comfortable. The combination of physical therapy of elderly gymnastics, gathering together with peers and music rhythms is a psychosocial impact that can reduce pain in addition to walking in place and tiptoe standing can train muscle strength and flexibility.

Efficacy of a Patented Menthol‐Fortified Phytochemical Formulation in the Alleviation of Joint Pain and Inflammation in Human Subjects: A Clinical Investigation of HerboJoint

Standardized botanical formulations have often yielded promising results in the treatment of debilitating joint pains such as those encountered in Osteoarthritis (OA) and Rheumatoid Arthritis (RA). We report a novel formulation of essentials oils made from the Generally Recognized as Safe (GRAS) family of plants widely used in Ayurveda namely Kattrna (CC‐Cymbopogon citratus) (3.0%), Sati (Hedychium spicatum) (1.0%) and Tumuru (ZA‐ Zanthoxylum alatum) oil (1.0%) along with Menthol (M‐ Mentha arvensis) (1.3%) in a non‐greasy cream base which can provide relief against joint pains arising out of arthritis. The formulation was designed as a topical cream for applying around the affected joint. Its purity was confirmed through HPLC and GC‐MS analysis by comparing with identifiable marker components. The formulation patented as HerboJoint was able to substantially bring down the levels of inflammatory cytokines TNF‐α, IL‐6 and IL‐1β in a Type II collagen induced mouse arthritis model. In human clinical trials, the formulation significantly decreased joint pain, joint swelling and joint stiffness arising out of Osteoarthritis and Rheumatoid Arthritis by 2.2, 2.7 and 3.6 times respectively and provided relief to about 90% of patients selected randomly. The corresponding TNF‐α levels in the sera of patients also decreased substantially thus indicating that the formulation was effective in management of both OA and RA. The present invention based on synergistic action of Essential Oils and Menthol is believed to provide a significant relief to these extremely painful and potentially incurable medical conditions.

Points of undenatured type II collagen application in musculoskeletal pain syndromes treatment

The dominant collagen of the cartilaginous matrix in adults is type II collagen. The amount of type II collagen in the intercellular matrix of cartilage is significantly reduced against the background of musculoskeletal system diseases. The basis of articular cartilage is hyaline cartilage tissue consisting of chondrocytes with tissue-specific antigens that induce the production of antibodies in patients with osteoarthritis (OA). Today, new approaches are being considered in the treatment of OA with the use of udenatured type II collagen (UC-II). Such molecular mechanisms of action of UC-II as the formation of a systemic response through oral tolerance are discussed, since the induction of tolerance is the immune pathway, by default, in the intestine. A number of experimental, preclinical (on volunteers) and clinical studies have shown the effectiveness and safety of the use of UC-II in OA. Standardized extracts of UC-II exhibit anti-inflammatory, immunoregulatory, chondroprotective effects, contributing to the reduction of pain symptoms of OA. Against the background of taking UC-II with induced OA, there is a statistically significant decrease in the level of proinflammatory cytokines, such as interleukin (IL-1β, IL-6), tumor necrosis factor alpha (TNF), C-reactive protein (CRP) in serum and the level of max proteinases (MMP-3), nucleated factor «kappa-bi» (NF-κB) in the knee joint. UC-II significantly inhibits the production of prostaglandin E2 (by 20%) and the expression of genes encoding proinflammatory proteins. In experimental models and in OA patients, a decrease in the severity of pain syndrome, an increase in endurance, mobility and an improvement in the functional state of the joints were noted. Clinically, no changes in the structure of the muscle fiber were detected with increased physical exertion. With OA on the background of UC-II (10-40 mg/s), there was a statistically significant decrease in joint pain according to WOMAC. A promising direction of OA therapy is the combination of UC-II with chondroitin sulfate and glucosamine sulfate.

The Effect of Cupping Therapy on Pain Degree in Athralgia

Joint inflammation characterized by swelling of the joints, redness, heat, pain and movement disorders. Arthralgia causes the elderly to have difficulty in carrying out activities that are burdening the joints of the body. Wet cupping therapy is a complementary therapy that has a working principle of vacuum, injury and blood-sucking in certain areas so it can cure the disease. This study was to identify the effect of cupping therapy on pain intensity in elderly patients with arthralgia in Malang. It was a quasy experiment research with pretest-posttest with control group approach. The sample in this study was 30 elderly then divided into two groups, i.e. 15 elderly in the wet cupping therapy group and 15 elderly in the warm compress group. It used purposive sampling. The average pain intensity before moist cupping therapy was 7.47, and after wet cupping therapy 5.53. While the moderate pain intensity before warm compress was 7.00 and after warm compress 5.73. Wilcoxon test results moist cupping therapy obtained P-value 0.001 means there are significant differences before and after the wet cupping therapy. While Wilcoxon test results, warm compress got P-value 0.001 means there are substantial differences before and after the warm compress. Mann Whitney test result obtained P-value 0.383 means there is no significant difference of effect between the treatment group and the control group. There is an effect of cupping therapy and warm compress on pain intensity. Elderly can use wet cupping therapy as an alternative treatment to decrease joint pain intensity arthralgia.

Therapeutic Effect Of Warm Fragrant Lemongrass Foot Soak Against Changes In The Joint Pain Scale Of Rheumatoid Arthritis Patients

Uric acid is a natural antioxidant produced by the human body, but it can trigger rheumatoid arthritis if the amount exceeds the normal threshold with typical symptoms in the form of pain accompanied by swelling in the joint area, even in advanced conditions there is joint stiffness. Cymbopogon nardus (L.) Rendle or lemongrass is an effective plant to reduce joint pain and swelling. The purpose of this study was to describe the effect of warm lemongrass foot bath therapy on changes in the scale of joint pain in patients with rheumatoid arthritis. This study is a pre-experimental study with one group pre-test and post-test design without a control group, changes after two days of soaking warm lemongrass feet by observing changes in the pain scale of 23 respondents. The Wilcoxon test results showed that there was a change in the pain scale after intervention with a value of p = 0.01, which means that warm scented lemongrass foot soak affects reducing the pain scale of patients with rheumatoid arthritis. The warm sensation of the foot soaking intervention provides a peripheral vasodilation effect which causes a decrease in joint pain in inflamed tissues, the chemical effect of citronellal compounds is around 32-45%, geraniol 12-18%, and citronellol 12-25% in citronella plants are also proven to play a role in reducing pain. This study concluded that warm lemongrass foot soaking therapy affected the changes in the scale of joint pain in Rheumatoid Arthritis.

Short-term Efficacy of Ultrasonographic Guidance for Intra-articular Corticosteroid Injection in Hallux Rigidus: A Single-Blind Randomized Controlled Trial

Multiple considerations should be taken before standardizing a clinical procedure such as efficacy, safety, or the cost. The aim of this study was to compare the effects of landmark-guided vs ultrasonography-guided intra-articular injection of corticosteroid into the first metatarsophalangeal joint cavity to reduce pain and dysfunction in patients with hallux rigidus. We carried out a single-blind randomized controlled trial with 2 parallel arms in an outpatient clinic affiliated with a medical university. In total, 50 participants (35 women) with the mean (SD) age of 49.8 (10.3) years were randomly allocated to landmark-guided or ultrasonography-guided groups (each n = 25). Each patient received a single intra-articular injection of 40-mg methylprednisolone plus 1 mL lidocaine into the affected first metatarsophalangeal joint. The primary outcome was joint pain and the secondary outcome was the American Orthopaedic Foot & Ankle Society score. We measured the outcomes at baseline and 2 and 6 weeks after the intervention. Six weeks after the injections, there were no statistically significant differences between the study groups in pain reduction and increase in the American Orthopaedic Foot & Ankle Society scores (P = .131 and .241, respectively). We did not find any complications for the injections in both groups. There were statistically significant changes within each group in pain and the scores for the landmark (P < .001, and P = .007), and ultrasonography groups (both P < .001). Landmark guidance is as effective as ultrasonographic guidance for intra-articular injection in patients with hallux rigidus. A single intra-articular injection of 40 mg methylprednisolone plus 1 mL lidocaine is an efficient and safe therapeutic measure for decreasing joint pain and maintaining its function, at least for 6 weeks. Level I, high-quality prospective randomized study.

Parathyroid hormone attenuates osteoarthritis pain by remodeling subchondral bone in mice.

Osteoarthritis, a highly prevalent degenerative joint disorder, is characterized by joint pain and disability. Available treatments fail to modify osteoarthritis progression and decrease joint pain effectively. Here, we show that intermittent parathyroid hormone (iPTH) attenuates osteoarthritis pain by inhibiting subchondral sensory innervation, subchondral bone deterioration, and articular cartilage degeneration in a destabilized medial meniscus (DMM) mouse model. We found that subchondral sensory innervation for osteoarthritis pain was significantly decreased in PTH-treated DMM mice compared with vehicle-treated DMM mice. In parallel, deterioration of subchondral bone microarchitecture in DMM mice was attenuated by iPTH treatment. Increased level of prostaglandin E2 in subchondral bone of DMM mice was reduced by iPTH treatment. Furthermore, uncoupled subchondral bone remodeling caused by increased transforming growth factor β signaling was regulated by PTH-induced endocytosis of the PTH type 1 receptor-transforming growth factor β type 2 receptor complex. Notably, iPTH improved subchondral bone microarchitecture and decreased level of prostaglandin E2 and sensory innervation of subchondral bone in DMM mice by acting specifically through PTH type 1 receptor in Nestin+ mesenchymal stromal cells. Thus, iPTH could be a potential disease-modifying therapy for osteoarthritis.

The Influence of Warm Compress and Progressive Muscle Relaxation Therapy in Decreasing Joint Pain to Elderly at Posyandu Lansia RW 04 Kelurahan Bangsal Kota Kediri

Pain management does not always have to use drugs, but there are some nursing measures that can be given to relieve pain such as relaxation therapy, for example TROP and warm compress. The study population was all elderly who experienced joint pain. The samples were 36 respondents, which were divided into two intervention groups. Sampling method used purposive sampling technique. Data collected by using Numerical Rating Scale (NRS). Data were analyzed using Wilcoxon signed ranks test with α = 0.05. The conclusion of this study is TROP and warm compresses can be used to reduce joint pain scale in the elderly, although statistically shows that TROP intervention is more effective in reducing pain.

THE EFFECT OF CUPPING THERAPY ON THE SCALE OF PAIN IN ADVANCED AGE WHO EXPERIENCED JOINT PAIN IN JEMBER

Joint inflammation characterized by swelling of the joints, redness, heat, pain and movement disorders. Arthralgia causes the elderly to have difficulty in carrying out activities that are burdening the joints of the body. Wet cupping therapy is a complementary therapy that has a working principle of vacuum, injury and blood-sucking in certain areas so it can cure the disease. This study was to identify the effect of cupping therapy on pain intensity in elderly patients with arthralgia in Bangsalsari Jember. It was a quasy experiment research with pretest-posttest with control group approach. The sample in this study was 30 elderly then divided into two groups, i.e. 15 elderly in the wet cupping therapy group and 15 elderly in the warm compress group. It used purposive sampling. The average pain intensity before moist cupping therapy was 7.47, and after wet cupping therapy 5.53. While the moderate pain intensity before warm compress was 7.00 and after warm compress 5.73. Wilcoxon test results moist cupping therapy obtained P- value 0.001 means there are significant differences before and after the wet cupping therapy. Whi le Wilcoxon test results, warm compress got P-value 0.001 means there are substantial differences before and after the warm compress. Mann Whitney test result obtained P-value 0.383 means there is no significant difference of effect between the treatment group and the control group. There is an effect of cupping therapy and warm compress on pain intensity. Elderly can use wet cupping therapy as an alternative treatment to decrease joint pain intensity arthralgia.

Ehlers-Danlos Syndrome And CD5 Deficiency In A 22 Year-old Male

HISTORY: A previously-active male presented with joint pain at age 15. He is positive for joint hypermobility and dislocation/subluxation, joint pain, food allergies, gastritis, gastroesophageal reflux, and CD5 immune deficiency (diagnosed at age 5, one of eight in the world at the time). He has a family history of aortic aneurysm. PHYSICAL EXAMINATION: The patient exhibited joint paing and extreme hypermobility on examination. Genetic tests were performed on the patient, his mother, and his sister. DIFFERENTIAL DIAGNOSIS: While there exists a family history of hypermobility, along with orthostatic hypotension in this patient (consistent with Ehlers-Danlos Syndrome, or EDS) the patient also exhibits CD5 immune deficiency, psychogenic seizures, a likely pathogenic variant in the AK2 gene (c.656deIT), associated with reticular dysgenesis. His sister also carries this variant. He also carries the variant associated with cystic fibrosis, the congenital bilateral absence of the vas deferens, and chronic pancreatitis. TEST AND RESULTS: We are presently working with this patient to determine if a moderate-intensity exercise program yields a decrease in joint pain, hypermobility, and downregulation of gene expression. FINAL WORKING DIAGNOSIS: This is a work-in-progress of a patient with two rare diseases and a variety of genetic issues., which to our knowledge have never been exhibited in a single patient. TREATMENT AND OUTCOMES: We will present working data and determine if an exercise intervention has a positive impact in this patient.

THE EFFECT OF CUPPING THERAPY ON THE SCALE OF PAIN IN ADVANCED AGE WHO EXPERIENCED JOINT PAIN IN JEMBER

ABSTRACT&#x0D; &#x0D; Joint inflammation characterized by swelling of the joints, redness, heat, pain and movement disorders. Arthralgia causes the elderly to have difficulty in carrying out activities that are burdening the joints of the body. Wet cupping therapy is a complementary therapy that has a working principle of vacuum, injury and blood-sucking in certain areas so it can cure the disease. This study was to identify the effect of cupping therapy on pain intensity in elderly patients with arthralgia in Bangsalsari Jember. It was a quasy experiment research with pretest-posttest with control group approach. The sample in this study was 30 elderly then divided into two groups, i.e. 15 elderly in the wet cupping therapy group and 15 elderly in the warm compress group. It used purposive sampling. The average pain intensity before moist cupping therapy was 7.47, and after wet cupping therapy 5.53. While the moderate pain intensity before warm compress was 7.00 and after warm compress 5.73. Wilcoxon test results moist cupping therapy obtained P-value 0.001 means there are significant differences before and after the wet cupping therapy. While Wilcoxon test results, warm compress got P-value 0.001 means there are substantial differences before and after the warm compress. Mann Whitney test result obtained P-value 0.383 means there is no significant difference of effect between the treatment group and the control group. There is an effect of cupping therapy and warm compress on pain intensity. Elderly can use wet cupping therapy as an alternative treatment to decrease joint pain intensity arthralgia.

Evaluating the Therapeutic Potential of Bone-Marrow Mesenchymal Stromal Cells and Exercise in a Post-Traumatic Osteoarthritis Model: Functional and Radiographic Analysis

Background & Aim The management and optimal treatment of post-traumatic osteoarthritis (PTOA) in the young active patient remains a challenge. Rehabilitation has long been used as a treatment modality for patients with OA in order to improve knee function by decreasing joint pain and stiffness. This study aims to analyze the interaction between bone-marrow mesenchymal stromal cells (BM-MSCs) and exercise as a therapeutic strategy to halt or ameliorate the progression of PTOA in a meniscus destabilization model. Methods, Results & Conclusion 12 week old wild-type C57BL/6 male mice (n=185) underwent destabilization of medial meniscus (DMM) surgery in the right knee. At 3 weeks after surgery, the animals received an intra-articular injection (vehicle or BM-MSCs) and were randomly assigned to their respective activity group (free cage,FC; or treadmill,T). OA development was evaluated using micro-CT, X-Ray and routine histology (OARSI and osteophyte scoring system). Gait analysis was performed and several kinematic parameters were quantified. BM-MSCs adhere to the synovial membrane 24h after injection (Fig1).Histopathologic scores demonstrated cartilage degradation and osteophyte formation beginning at 8w post-DMM predominantly in the treadmill groups. Ectopic bone formation was significantly more prominent in the T+BM-MSCs group at 12w (Fig2). Micro-CT analysis revealed marked anatomical changes in femoral and tibial trabecular and subchondral bone on the medial side, ectopic ossification and osteophyte formation, strongly correlated with the T+BM-MSCs group over time. Gait analysis revealed an antalgic pattern in all groups starting at 4w. Only treadmill injection groups were not significantly different by 12w, suggesting that the combination of injection and exercise ameliorated motion/function. Pain behavior at 12w was lowest in the treadmill groups, with no significant differences between groups or across timepoints. Footprint area and intensity imbalance were significant increased starting at 8w. Significance differences were observed only between the T+BM-MSCs group and FC no injection at 12w (Fig 3). The fate of BM-MSCs injected into an OA joint environment is affected by mechanical loading. Further studies are necessary to understand how the interaction between mechanical and biologic factors influences the biologic responses to implanted cells. Such information will help to identify rehabilitation techniques to aid development of innovative therapies to mitigate or ameliorate the development of PTOA.

Improving osteoarthritis care by digital means - Effects of a digital self-management program after 24- or 48-weeks of treatment.

Osteoarthritis (OA) is highly prevalent in older adults and a growing cause of disability. Easily accessible first-line treatment of OA is increasingly important. Digital self-management programs have in recent years become available. Evidence of short-term effects of such programs are abundant, yet reports on long-term benefits and adherence to treatment are scarce. The current study's objective was to investigate the long-term pain and function outcomes of people with hip or knee OA participating in a digital self-management programme. In this longitudinal cohort study, individuals with hip and knee OA, from the register of a digital self-management program and with 0-24-week (n = 499) or 0-48-week adherence (n = 138), were included. The treatment effect in terms of monthly pain (NRS, 0-10 worst to best) and physical function (30-second chair stand test (30CST), number of repetitions) change were investigated using a mixed model, controlling for the effect of age, body mass index (BMI), gender and index joint. For the 24-week sub-sample, pain NRS decreased monthly by -0.43 units (95% CI -0.51, -0.35, mean knee pain from 5.6 to 3.1, and hip pain from 5.9 to 3.8) and 30CST repetitions increased monthly by 0.76 repetitions (95% CI 0.64, 0.89 mean for knee from 10.0 to 14.3, and for hip from 10.9 to 14.8). For the 48-week sub-sample, pain decreased monthly by -0.39 units (95% CI -0.43, -0.36, mean knee pain from 5.7 to 3.2, and hip pain from 5.8 to 3.8), and repetitions increased by 0.72 repetitions (95% CI 0.65, 0.79, mean repetitions for knee from 10.3 to 14.4, and for hip from 11.1 to 14.9). There were no clinically relevant effects on the improvement of pain or function by any covariate (age, sex, index joint). The lack of a control group and randomization limit our ability to explain the mechanisms of the observed results. Continuously participating in a digital OA treatment program for 6 or 12 months was associated with a clinically important decrease in joint pain and increased physical function, in hip and knee OA. Future research should follow OA-related outcomes in participants that end their treatment to explore when and why that decision was made.

Decreased Joint Pain Associated with Curcumin Use in a Controlled Study for Alzheimer’s Disease: A Serendipitous Observation

Decreased Joint Pain Associated with Curcumin Use in a Controlled Study for Alzheimer’s Disease: A Serendipitous Observation

PENATALAKSANAAN NYERI SENDI PADA LANSIA MENGGUNAKAN TEKNIK HIPNOTERAPI DI PANTI SOSIAL TRESNA WERDA BUDI LUHUR JAMBI

Latar belakang: Nyeri sendi merupakan penyakit yang banyak diderita pada lansia, sehingga perlu mendapatkan perhatian melalui penatalaksanaan manajemen nyeri. Salah satu terapi komplementer yang telah dikembangkan dan dapat menjadi alternatif pengurangan penggunaan terapi farmakologi dengan pengelolaan alam bawah sadar yaitu hipnoterapi. Penelitian ini bertujuan untuk mengetahui pengaruh hipnoterapi terhadap skala nyeri sendi pada lansia.&#x0D; Metode: Desain penelitian adalah quasi eksperimen dengan rancangan one group pre test- post test. Penelitian dilakukan pada bulan Agustus sampai September 2018, dengan jumlah sampel 20 orang lansia yang menderita nyeri sendi. Sampel dipilih secara purposive sampling. Pengumpulan data dilakukan menggunakan Verbal Descriptor Scale. Analisis data menggunakan uji Wilcoxon Signed Ranks Test untuk membandingkan perbedaan rerata nyeri sebelum dan sesudah intervensi.&#x0D; Hasil: Hasil penelitian menunjukkan ada perbedaan rerata nyeri pada lansia sebelum dan sesudah intervensi hipnoterapi (nilai p 0,000 ˂ α 0,05; CI 4,844 – 5,956).&#x0D; Kesimpulan: Berdasarkan hasil penelitian ini dapat disimpulkan bahwa ada pengaruh hipnoterapi terhadap penurunan nyeri sendi pada lansia.

Effects of a comprehensive self-management intervention on extraintestinal symptoms among patients with IBS

ObjectiveAdults with irritable bowel syndrome (IBS) often report extraintestinal pain, fatigue, and sleep disturbances in addition to abdominal pain. Few interventions have sought to reduce these extraintestinal symptoms within the IBS population. To address this, we compared the effects of a comprehensive self-management (CSM) intervention to a control intervention (usual care) on extraintestinal pain, fatigue, and sleep disturbances among patients with IBS. MethodData were obtained from 243 IBS patients participating in two CSM intervention trials. Daily symptom diaries were collected at baseline, 3 and 6 months post-randomization. Daily symptoms of headache, backache, muscle pain, joint pain, fatigue, sleepiness during the day, sleep quality, and refreshed by sleep were analyzed. Analysis of covariance was used to determine the effects of the intervention on each symptom at 3 and 6 months controlling for ‘study’ and baseline symptom levels. ResultsPatients in the CSM intervention group reported decreased symptoms of fatigue, sleep disturbances, backache and headache compared to usual care at 3 and 6 months. The CSM group also reported significantly decreased joint pain at 3 months compared to usual care, but not 6 months. No significant difference was found for muscle pain. ConclusionsAn existing CSM intervention is effective in reducing fatigue and sleep disturbances. However, mixed results for extraintestinal pain indicates a need to better differentiate between underlying mechanisms. Addressing such symptoms is important to decrease the overall burden of IBS, reduce health care expenditures, and improve patients' quality of life.Trial Registration: NCT00907790; NCT00167635

THE EFFECT OF WARM GINGER COMPRESS TOWARDS JOINT PAIN OF THE ELDERLY AT UPT PANTI WERDHA MOJOPAHIT, MOJOKERTO DISTRICT

Background: There was joint pain that frequently happens by the elderly, which was joint pain. One of actions to abate the joint pain was compress with warm ginger.Objectives: The aims of this research were to identify the effect of warm ginger compress towards joint pain of the elderly at UPT Panti Werdha Mojopahit, Mojokerto District.Method: Design of this research was Pre-Experiment with Type of one group pre-test-post test design. Population of this research was whole of elderly who undergoes joint pain at UPT Panti Werdha Mojopahit Mojokerto district. Technique that used to take sample in this research was purposive sampling with 20 respondents. Data collecting was done before and after warm ginger compress was given use pain scale instrument PAINAD with 1-10 scale. The researcher used Wilcoxon statistic test with value of α=0, 05 to analyze the data.Results: The result of this research wasgained before carried out by warm ginger compress with advance pain scale of 6 respondents (30%), and intermediate pain scale of 10 respondents (50%). After the warm ginger compress was done by 8 respondents (40%) with light pain scale and 11 respondents (55%) with intermediate pain. Data analyzing used statistic test with Wilcoxon P value test 0,003 (α˂ 0, 05). It showed that warm ginger compress effective towards joint pain of the elderly.Conclusion: Looking at the result above shows that warm ginger compress can be created as one of alternative choices to decrease joint pain intensity of the elderly, because this non-pharmacologist treatment uses easy to be obtained ingredient and there is no side effect for the elderly.Key words: Joint Pain, Warm Ginger Compress, Elderly.