Effectiveness Manual Therapy & Kinesio Tape, Versus Dry Needling & Exercise Stabilization, on Patient Low Back Pain Due to Hernia Nucleus Pulposus

Herniated nucleus pulposus (HNP) is a situation where the annulus fibrosus along the nucleus pulposus is protruding into the spinal canal. HNP patients often complain of back pain radiating to the lower limbs, especially when bending activity. Rehabilitation programs do help reduce pain. The aim of this research knew which treatment was more effective among manual therapy & Kinesio tape compared to dry needling and exercise stabilization in reducing pain for HNP patients. This study used a double-blind experimental design with an alpha value of 5%. The study was conducted at the Clinic “Rumah Fisio.” The sample was 18 patients with medical diagnoses HNP who undergoing physiotherapy from January to Mei 2018. They are taking with randomization techniques. The pain was measured using the Visual Analogue Scale (VAS). The results of the t-test analysis showed that dry needling & exercise stabilization (mean=4.56, SD=1.130) was more effective than manual therapy & Kinesio tape [mean = 2.78, SD = 0.972; t(16) = -3.578, p = 0.003] in reducing pain for HNP patients. The results of One-Way ANOVA showed that there was no significant difference in pain reduction produced by manual therapy & Kinesio tape frequency of treatment [F(2, 6)=1.857, p=0.236]. In contrast, there were significant differences in pain reduction produced by Core stability frequency treatment [F(1, 6)=12.333, p=0.007].