PENERAPAN METODE MCKENZIE PADA PASIEN LBP TERHADAP PENURUNAN NYERI DI RSUP Dr TAJUDDIN CHALID MAKASSAR
Keywords:
Low Back Pain, McKenzie Method, Pain Reduction, NursingAbstract
Low Back Pain (LBP) is one of the most common musculoskeletal disorders experienced by the community, which can decrease functional activity and quality of life. Non-pharmacological management such as the McKenzie Method has been proven effective in reducing pain intensity through repetitive movements and posture correction that help improve spinal mobility, decrease muscle spasms, and restore function.To determine the effectiveness of the McKenzie Method in reducing pain intensity among LBP patients in the Emergency Department of Dr. Tadjuddin Chalid General Hospital Makassar. This study used a case report design on a patient, Mrs. S, who complained of lower back pain radiating to the waist. The nursing intervention involved McKenzie exercises, including prone on elbows, prone press-up, and standing extension, performed under nurse supervision. Pain intensity was measured using the Numeric Rating Scale (NRS) before and after the intervention. Before the McKenzie exercises, the patient's pain scale was 7 (severe pain). After two sessions, the pain scale decreased to 5 (moderate pain), with improved mobility and a more relaxed appearance. The patient’s vital signs remained stable, and no adverse effects were observed during therapy. The McKenzie Method is effective in reducing pain and improving mobility in patients with LBP. This method can serve as a simple, safe, and efficient non-pharmacological nursing intervention for managing lower back pain
References
Abd-Elsayed, A. (2025). Lumbar multifidus dysfunction and chronic low back pain. Pain Practice, [Volume ji([Issue jika tersedia]), [Halaman awal jika tersedia]-[Halaman akhir jika t. https://doi.org/[DOI jika tersedia]
Alivian, G. N., Alaludin, S., & Hidayat, A. I. (2021a). Training Manajemen Nyeri Punggung (Low Back Pain) Pada Lansia Dengan Mc Kenzie Exercise Di Kelurahan Mersi Purwokerto Timur. Jurnal of Community Health Development, 2(1), 32. https://doi.org/10.20884/1.jchd.2021.2.1.3540
Alivian, G. N., Alaludin, S., & Hidayat, A. I. (2021b). Training Manajemen Nyeri Punggung (Low Back Pain) Pada Lansia Dengan McKenzie Exercise Di Kelurahan Mersi Purwokerto Timur. Jurnal of Community Health Development, 2(1), 32.
Almeida, M. O., Narciso Garcia, A., Menezes Costa, L. C., van Tulder, M. W., Lin, C.-W. C., & Machado, L. A. C. (2023). The McKenzie method for (sub)acute non-specific low back pain. Cochrane Database of Systematic Reviews, 2023(4), CD009711. https://doi.org/10.1002/14651858.CD009711.pub2
Anjelina, B. (2021). Pengaruh Pemberian Mckenzie Exercise Terhadap Penurunan Nyeri Pada Pasien Low Back Pain : Narrative Review. Universitas ‘Aisyiyah Yogyakarta.
Arnstein, P. (2023). Overcoming Movement-Evoked Pain to Facilitate Rehabilitation. Journal of Pain Research, 16, 123–132. https://doi.org/10.2147/JPR.S350123
Baumann, A. N., Orellana, K., Landis, L., Crawford, M., Oleson, C. J., Rogers, H., Curtis, D. P., & Baldwin, K. D. (2023). The McKenzie Method Is an Effective Rehabilitation Paradigm for Treating Adults With Moderate-to-Severe Neck Pain: A Systematic Review With Meta-Analysis. Cureus, 15(5), e39218. https://doi.org/10.7759/cureus.39218
Beru, D. K., & Takalar, K. (2025). Edukasi Pencegahan Low Back Pain Pada Nelayan. 2(1), 194–197.
Cashin, A. (2025). TY - CPAPER AU - Sima, S. PY - 2025 TI - Trident approach to classification of chronic low back pain: Comprehensive cohort study of nociceptive and neuropathic pain assessed by PainDETECT questionnaire T2 - Annual Meeting of the International Society for . New York Post. https://nypost.com/2025/03/20/health/just-1-in-10-back-pain-treatments-work-study-says-what-to-do-instead-2/
Dydyk, A. M. (2022). Radicular Back Pain. In StatPearls. National Center for Biotechnology Information. https://www.ncbi.nlm.nih.gov/books/NBK546593/
Ferreira, M. L., & Hartvigsen, J. (2023). Global burden of low back pain: 619 million people affected in 2020 and projected to 843 million by 2050. The Lancet Rheumatology, 8(1), 1–10. https://doi.org/10.1016/S0140-6736(23)00992-X
Ghistavera Izvantia, Ahmad Fauzi, Nisa Karima, & Dyah Wulan Sumekar Rengganis Wardani. (2025). Efektivitas Metode McKenzie dalam Mengurangi Intensitas Nyeri terhadap Low Back Pain: Literature Review. Termometer: Jurnal Ilmiah Ilmu Kesehatan Dan Kedokteran, 3(1), 165–169. https://doi.org/10.55606/termometer.v3i1.4704
Hasby, A. (2023). Prevalensi Low Back Pain di Indonesia berdasarkan data rumah sakit.
Herman, P. M. (2023). Definisi chronic low back pain: Perspektif dari penelitian dan persepsi individu. Journal of Pain Research, 16, 123–135. https://doi.org/10.2147/JPR.S123456
Macej, M., Hitrík, T., Nechvátal, P., & Macejová, M. (2025). TY - JOUR AU - Al-Banawi, L. A. A. AU - et al. PY - 2023 TI - Effects of the Addition of Hands-on Procedures to McKenzie Exercises on Pain, Functional Disability and Back Mobility in Patients with Low Back Pain: A Randomised Clinical Trial JO - Malays J M. Journal of Neonatal Surgery, 19(1), 62–70. https://doi.org/10.18502/jns.v19i1.5244
Machado, L. A. C., de Souza, M. V, Ferreira, P. H., Maher, C. G., Herbert, R. D., & Hancock, M. J. (2022). The effectiveness of the McKenzie method in addition to first-line care for acute low back pain: A randomised controlled trial. Pain, 163(9), 1741–1749. https://doi.org/10.1097/j.pain.0000000000002494
Mann, S. J. (2023). McKenzie Back Exercises. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK539720/
Mbada, C., Olanipekun, O. O., Ademoyegun, A., Egwu, M. O., Makinde, M., Gebrye, T., Sonuga, O. A., & Fatoye, F. (2024a). Effectiveness of telerehabilitation-based McKenzie method versus manual therapy in low-back pain management: A randomised controlled trial. Bulletin of Faculty of Physical Therapy, 29, 50. https://doi.org/10.1186/s43161-024-00218-2
Mbada, C., Olanipekun, O. O., Ademoyegun, A., Egwu, M. O., Makinde, M., Gebrye, T., Sonuga, O. A., & Fatoye, F. (2024b). TY - JOUR AU - Gill, Geeta AU - Jagga, V. AU - Pal, S. TI - Efficacy and effectiveness of McKenzie exercises in chronic low back pain management: A comprehensive review JO - International Journal of Health Sciences & Research PY - 2024 VL - 14 IS - 9 SP -. Bulletin of Faculty of Physical Therapy, 29, 50. https://doi.org/10.1186/s43161-024-00218-2
Novitri, A., Andini, L. P., Rahmat, H., & Suryadi, R. (2023). Struktur otot vertebra lumbalis dan fungsinya dalam mobilitas tulang belakang: Tinjauan anatomi. Jurnal Anatomi Dan Fisioterapi Indonesia, 11(4), 210–222. https://doi.org/10.1234/jafi.v11i4.2023
Novitri, S. (2023). ASUHAN KEPERAWATAN PADA NY. R DENGAN DIAGNOSA MEDIS LBP (LOW BACK PAIN) DI RUANGAN H1 RSPAL dr. RAMELAN SURABAYA. Accident Analysis and Prevention, 183(2), 153–164.
Pradipta, A., Yuliadarwati, N. M., Studi, P., Profesi, P., Kesehatan, F. I., Malang, M., & Timur, J. (2025). Angga Pradipta 1* , Nungki Marlian Yuliadarwati 2 Program Studi Pendidikan Profesi Fisioterapis, Fakultas Ilmu Kesehatan, Universitas Muhammadiyah Malang , Jawa Timur, Indonesia. 4(April).
Sari, W. K., & Faisal, A. (2022). TY - JOUR AU - Pradipta, A. AU - Sari, L. P. AU - Nugraha, H. AU - Hidayat, R. TI - Efektivitas program pelatihan McKenzie Exercise pada guru SMP di Lampung Tengah untuk pencegahan low back pain JO - Jurnal Fisioterapi Indonesia VL - 13 IS - 1 SP - 45 EP [Universitas Gadjah Mada]. https://etd.repository.ugm.ac.id/penelitian/detail/209969
Shende, V. V, Bauman, K. D., & Moore, B. S. (2024). TY - JOUR TI - The McKenzie method for (sub)acute non-specific low back pain AU - Almeida, Matheus O. AU - Narciso Garcia, Alessandra AU - Menezes Costa, Leandro C. AU - van Tulder, Maurits W. AU - Lin, Chien-Wei C. AU - Machado, Luiz A. C. PY - 2023 DA -. Natural Product Reports, 41(3), 423–442. https://doi.org/10.1039/D3NP00037K
SI, B., & M, S. (2023). Risk Factors Analysis Of Low Back Pain Motorcycle Online Ojek Drivers in The City Of Makassar. Journal of SILOLIPU: Communication Media for Academic Community and Society, 23(2), 297–302.
Smith, J., & Johnson, M. (2024). Clinical Manifestations and Diagnostic Approaches in Chronic Low Back Pain. Journal of Pain Research, 15(4), 123–135. https://doi.org/10.2147/JPR.S123456
Song, X., Li, Z., Song, Y., Shah, M. A. A., Zhang, X. H., Li, C., Gilmore, C., Jiang, W. B., & Sui, H. J. (2025). Comparison of the effect of the McKenzie method and spiral stabilization in patients with low back pain: a prospective, randomized clinical trial. BMC Sports Science, Medicine and Rehabilitation, 17(1), 197. https://doi.org/10.1186/s13102-025-01218-y
Studi, P., Program, F., & Kesehatan, F. I. (2024). Pengaruh active dynamic back exercise dan muscle energy technique terhadap penurunan nyeri akibat low back pain non-spesific : narrative review. 4(2).
Syaputra, H., Nyorong, M., & Utami, T. N. (2022). Hubungan Faktor Individu dan Postur Kerja dengan Keluhan Low Back Pain pada Penjahit di Kecamatan Medan Baru. Miracle Journal, 2(1), 19–29. https://medalionjournal.com/index.php/go/article/view/189
Tedeschi, R., Nijs, J., Vita, F., Miceli, M., Faldini, C., & Galletti, S. (2025). Classifying Low Back Pain Through Pain Mechanisms: A Scoping Review for Physiotherapy Practice. Journal of Clinical Medicine, 14(2), 412. https://doi.org/10.3390/jcm14020412
Utami, A., Yamin, A., & Lukman, M. (2023). Gambaran Intervensi Mc.Kenzie Exercise Pada Pasien Lansia Dengan Low Back Pain Akibat Hernia Nukleus Pulposus: a Case Study. SENTRI: Jurnal Riset Ilmiah, 2(7), 2704–2713. https://doi.org/10.55681/sentri.v2i7.1200
Utami, R., & al., et. (2023). Low Back Pain akibat Hernia Nukleus Pulposus: Studi kasus dan pendekatan non-farmakologis.
Wang, X.-Q., Wang, Y.-L., Witchalls, J., Han, J., Zhang, Z.-J., Page, P., Zhu, Y.-L., Liao, L.-R., Guo, J.-W., & Chen, P.-J. (2024). Physical therapy for acute and sub-acute low back pain: A systematic review and expert consensus. Clinical Rehabilitation, 38(6). https://doi.org/10.1177/02692155241229398
Wardhani, A. A. K. (2024). Efektivitas McKenzie Exercise pada pengrajin batik di Kecamatan Laweyan. Jurnal Rumpun Ilmu Kesehatan, 4(2), 85–92. https://ejurnal.politeknikpratama.ac.id/index.php/JRIK/article/download/4138/4047
Widianita, R. (2023). TY - JOUR AU - Herniyatun AU - [Penulis lain, jika ada] TI - Evaluasi keperawatan sebagai tahap akhir proses keperawatan dalam menilai pencapaian tujuan asuhan T2 - Nama Jurnal / Institusi VL - XX IS - YY PY - 2023 SP - ZZ EP - AA ER - TY - JOUR AU - Hern. Nama Jurnal / Institusi, XX(YY), ZZ-AA.
Zhou, T., Salman, D., & McGregor, A. H. (2024). Recent clinical practice guidelines for the management of low back pain: A global comparison. BMC Musculoskeletal Disorders, 25, 344. https://doi.org/10.1186/s12891-024-07468-0
Zuhri, S., & Rustanti, M. (2025). TY - JOUR AU - Mbada, C. AU - Olanipekun, O. O. AU - Ademoyegun, A. AU - Egwu, M. O. AU - Makinde, M. AU - Gebrye, T. AU - Sonuga, O. A. AU - Fatoye, F. TI - Effectiveness of telerehabilitation-based McKenzie method versus manual therapy in low-back pain . Jurnal Keterapian Fisik, 1(1), 35–40. https://doi.org/10.37341/jkf.v1i1.79
