Naylatur Rizkiyah, . (2026) PENATALAKSANAAN FISIOTERAPI PADA KASUS SPONDYLOSIS DAN HERNIA NUCLEUS PULPOSUS LUMBAL L5-S1. Tugas Akhir thesis, Universitas Pembangunan Nasional Veteran Jakarta.
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Abstract
Background: Lumbar spondylosis is a degenerative spinal disorder characterized by osteophyte formation, intervertebral disc degeneration, and disc space narrowing. These changes may lead to Hernia Nucleus Pulposus (HNP), causing nerve root compression, radicular pain, paresthesia, muscle weakness, and functional limitations. In this case, the condition was aggravated by a history of abdominal surgery, resulting in core muscle inhibition, reduced trunk stability, and lower abdominal pain that negatively affected spinal biomechanics. Objective: To determine the physiotherapy management of a patient with lumbar spondylosis and L5–S1 HNP, including physiotherapy problems, examinations, and intervention outcomes. Methods: This descriptive case study involved Mrs. MS, a 31-year-old female private employee diagnosed with lumbar spondylosis and L5–S1 HNP, with a history of abdominal surgery on February 13, 2026. Data were collected at Gatot Subroto Hospital, Central Jakarta, from March 3 to April 14, 2026 over five treatment sessions. Outcome measures included the Numeric Rating Scale (NRS), goniometer for Range of Motion (ROM), Manual Muscle Testing (MMT), and the Oswestry Disability Index (ODI). Interventions consisted of Transcutaneous Electrical Nerve Stimulation (TENS), infrared therapy, core stability exercises (diaphragmatic breathing, pelvic tilt, back bridge, side bridge, front bridge, and bird dog), and myofascial release using a foam roller. Results: After five sessions, silent pain during sitting for more than one hour decreased from 6/10 to 2/10, motion pain during walking from 5/10 to 3/10, and paralumbar tenderness from 3/10 to 2/10. Thoracolumbar flexion improved from 35° to 70°, ankle dorsiflexion from 35° to 45°, and knee flexion from 125° to 130°. Muscle strength of dorsiflexion, toe extension, and plantarflexion increased from grade 4 to grade 5. ODI scores improved from 23% (moderate disability) to 14% (minimal disability). Conclusion: A combination of TENS, infrared therapy, core stability exercises, and myofascial release over five sessions effectively reduced pain, improved ROM, increased lower-extremity muscle strength, and enhanced functional activity in a patient with lumbar spondylosis and L5–S1 HNP.
| Item Type: | Thesis (Tugas Akhir) |
|---|---|
| Additional Information: | [No.Panggil: 2310702057] [Pembimbing: Andy Sirada] [Penguji 1: Enny Fauziah] [Penguji 2: Purnamadywati] |
| Uncontrolled Keywords: | Spondylosis, Hernia Nucleus Pulposus, Core Stability Exercise, Myofascial Release, Oswestry Disability Index. |
| Subjects: | Q Science > QM Human anatomy Q Science > QP Physiology R Medicine > R Medicine (General) R Medicine > RB Pathology |
| Divisions: | Fakultas Ilmu Kesehatan > Program Studi Fisioterapi (DIII) |
| Depositing User: | NAYLATUR RIZKIYAH |
| Date Deposited: | 21 Aug 2026 01:01 |
| Last Modified: | 21 Aug 2026 01:01 |
| URI: | http://repository.upnvj.ac.id/id/eprint/51231 |
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