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A. Siswanto
2011
Back Pain
• Back pain is a major health problems.
•An estimated 80% of the population will
experience low back pain at some time during
their lifetime.
•Impairment of the back and spine are the
third leading cause of disability of people in
their employment years.
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S
P
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Ruptured Disc
Never lift heavy
loads alone
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• Strain berlaku untuk kesatuan otot dan tendon
(muscle tendo unit), sedangkan sprain berlaku
untuk cidera yang mengenai ligamen.
• Keduanya jelas merupakan akibat dari rudapaksa
pada jaringan lunak sitem muskuloskeletal.
• Strain didefinisikan sebagai : kerusakan yang
terjadi pada satuan otot tendon karena
penggunaan yang berlebihan (overuse) atau
karena peregangan otot yang berlebihan
(overstretch).
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• Istirahat di tempat tidur selama tiga minggu
akan menurunkan daya tahan kardiovaskuler
sebanyak 17-27%.
• Efek latihan aerobik selama 8 minggu setelah
istirahat tersebut akan meningkatkan daya
tahan kardiovaskuler sebesar 62% dari nilai
setelah istirahat selama 3 minggu tersebut
dan bila dibandingkan dengan keadaan
sebelum istirahat selama 3 minggu tersebut,
maka terjadi peningkatan nilai sebesar 18%.
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• Daya tahan otot berkaitan dengan kapasitas otot
melakukan kerja aerobik secara terus menerus.
Pada keadaan demikian, intensitas kontraksi otot
tidak tinggi sehingga tidak mengganggu
pemasukan oksigen dan pembuangan CO2.
• Daya tahan otot tergantung dari jumlah “slow
twitch fiber”, kadar myoglobin, sumber energi
yang tersedia dan aktifitas enzim citrate synthase.
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• Kekuatan otot menggambarkan kontraksi
maksimal yang dihasilkan oleh otot atau
sekelompok otot.
• Faktor fisiologik yang mempengaruhi
kekuatan kontraksi otot antara lain
adalah usia, jenis kelamin, dan suhu otot.
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• Mereka yang secara fisik aktif cenderung
memiliki fungsi otot and sendi yang lebih
baik, karena memiliki otot yang lebih
kuat dan lebih lentur.
• Hampir 80% dari semua kasus nyeri
pinggang yang ditemukan sering
disebabkan karena kurangnya latihan
fisik yang teratur.
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• Don’t lift by bending over. Lift an object by
bending your hips and knees and then
squatting to pick up the object. Keep your
back straight and hold the object close to
your body. Avoid twisting your body while
lifting.
• Push rather than pull when you must
move heavy objects.
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• If you must sit at your desk or at the
wheel of a car or truck for long hours,
break up the time with stops for stretch.
• Wear flat shoes or shoes with low heels (1
inch or lower).
• Exercise regularly. An inactive lifestyle
contributes to lower back pain.
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• Sit in chairs with straight back or with
low-back support.
• Keep your knees a little higher than your
hips.
• Adjust the seat or use a low stool to prop
your feet on.
• Turn by moving your whole body rather
than by twisting at your at your waist.
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BACK PAIN
Back pain is the second leading
cause of work absenteeism (after
upper respiratory tract complaints)
and results in more lost
productivity than any other
medical condition.
Low back pain is ubiquitous
problems.
Between 70% and 80% of world’s
population experience low back 29
BACK PAIN
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THE MUSCLES OF THE BACK
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RISK FACTORS ASSOCIATED WITH
MANUAL MATERIAL HANDLING INJURIES
1. Personal factors
- Age Medical history
- Gender Years of
- Anthropometry employment
(body weight Smoking
and height)
- Physical fitness Psychosocial factors
and training Anatomical
- Lumbar abnormality
mobility Marital status
- Strength
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RISK FACTORS ASSOCIATED WITH
MANUAL MATERIAL HANDLING INJURIES
2. Environmental factors
- Humidity
- Lighting
- Noise
- Vibration
- Air temperature
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RISK FACTORS ASSOCIATED WITH
MANUAL MATERIAL HANDLING INJURIES
Standing 100%
Lying down 24%
Sitting upright 140%
Sitting with back slightly 190%
stooping
(Grandjean E., 1988)
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LOW BACK PAIN
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DEGENERATION OF THE DISCS
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DEGENERATION OF THE DISCS
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LOADING OF THE
DISC BETWEEN THE L3 AND L4
Posture/activity N
Standing upright 860
Walking slowly 920
Bending trunk sideways 20 o
1140
Rotating trunk about 45o 1140
Bending trunk forward 30o 1470
Bending trunk forward 30o, supporting 2400
weight of 20 kg
Standing upright holding 20 kg (10 kg in 1220
each hand)
Lifting 20 kg with back straight and knees 2100
bent 52
INTRA-ABDOMINAL PRESSURE
• Work organization
• Working environment
• Skill and experience of
employees
• Personal characteristics of
employees
• Clothing of employees
• Special needs of employees,
either
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MECHANICAL DISORDERS
OF THE LUMBOSACRAL SPINE
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MECHANICAL DISORDERS
OF THE LUMBOSACRAL SPINE
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PREVALENCE AND PATHOGENESIS
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PREVALENCE OF LOW BACK PAIN
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PREVALENCE OF LOW BACK PAIN
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PREVALENCE OF BACKT PAIN AND SELECTED
DEMOGRAPHIC CHARACTERISTICS (RATE PER 100
PERSONS)
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GENERAL RISK FACTORS
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OCCUPATIONAL RISK FACTORS
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OCCUPATIONAL RISK FACTORS
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LOW BACK PAIN
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KEKUATAN OTOT
(MUSCLE STRENGTH)
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