Effectiveness of manipulative therapy and heat therapy on pain reduction, increased range of motion and motion function in cases of low back pain

Low back pain cases often occur in society and tend to be chronic so they require safe and effective treatment. The conduct of this study was shown to determine the effectiveness of manipulative therapy and heat therapy in reducing pain, increasing range of motion and function of motion in cases of low back pain. This type of research is pre-experimental with one group pretest and pottest design. The sample in this study were chronic low back pain patients who came to Pak Eko "Mafaza" massage therapy workshop who were selected through inclusion and exclusion criteria, the sample was obtained by calculating the Slovin formula. Subjects received manipulative therapy in the form of massage and stretching for 20 minutes, followed by hot compresses for 20 to 30 minutes. The instruments used were visual analogue scale to measure pain scale, modified schober test to measure range of motion and modified schober test to measure motion function. The analysis technique in this study uses quantitative descriptive analysis and hypothesis testing using paired sample t-test is shown to test normally distributed data, while Wilcoxon signed rank is shown to test data that is not normally distributed with a significance level of 5%. The results showed that Manipulative therapy and heat therapy can reduce the pain scale p = 0.00 ( p < 0.05), increase the range of motion (ROM) p = 0.00 ( p < 0.05), and significantly improve movement function p = 0.00 ( p < 0.05), which means there is a significant effectiveness of manipulative therapy and heat therapy on pain reduction, increased range of motion (ROM), and motion function in patients with Low Back Pain (LBP).