mediamedika.net

Low back pain banyak dalam praktek sehari-hari, penyebabnya banyak, sehingga tidak jarang sulit untuk mendiagnosis secara spesifik dan bahkan struktur anatomik penyebab sakit tidak teridentifikasi. Beberapa faktor risiko telah diketahui, namun dari segi rehabilitasi yang penting ialah mengetahui stadium mana yang dihadapi, impairment, disabilitas atau handicap . Fisoterapi banyak berperan dalam stadium impairment sedangkan latihan penguatan otot-otot punggung serta korset dibutuhkan pada stadium disabilitas. Akhirnya analisa sifat pekerjaan dan penyesuaian cara bekerja dibutuhkan pada stadium handicap. Perlu diingiatkan, bahwa tirah baring pada low back pain tanpa kelainan saraf hanya 48 jam dan program rehabilitasi pada lansia hanya sebatas mobilisasi dan melakukan AKS secara mandiri. Untuk evaluasi disarankan memakai RAP (Rehabilitation Activities Profile).

Low back pain very common in everyday practice. There are varieties of etiology which often cause difficulty in making specific diagnosis, moreover in many cases the anatomic structure that causes pain is not identified. Certain risk factors predisposing to low back pain have been identified, how ever from the rehabilitation point of view, it is important to recognize which stage are we facing, impairment, disability or handicap. Physical therapy plays an important role in the impairment stage, while back exercise and corset might be needed in the disability stage. Job analysis and work adaptation, are needed in the handicap stage. It should be stressed that 2 days bed rest is quite enough for acute low back pain without neurological deficits and that in geriatric rehabilitation complete independence in activity of daily living (ADL) and in mobility is the most realistic goal. It is suggested to use Rehabilitation Activities Profile (RAP) as a tool for evaluation.