Wahyuddin, Wahyuddin
Faculty Of Physiotherapy, Esa Unggul University, 11510, Jakarta, Indonesia

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DYNAMIC NEUROMUSCULAR STABILIZATION LEBIH MENINGKATKAN FLEKSIBILITAS LUMBAL DARIPADA STATIC STRETCHING PADA PENGRAJIN BATIK DI GIRILOYO Gian Lisuari Adityasiwi; I Made Krisna Dinata; Wahyuddin Wahyuddin; Ketut Tirtayasa; Anak Agung Sagung Sawitri; Gde Indraguna Pinatih
Sport and Fitness Journal Vol 9 No 1 (2021): Volume 9, No. 1, Januari 2021
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/spj.2021.v09.i01.p11

Abstract

Latar belakang: Fleksibilitas lumbal sangat penting karena dapat membuat gerakan sehari-hari lebih mudah serta dapat melindungi seseorang terhindar dari cedera. Tujuan penelitian ini untuk membuktikan bahwa Dynamic Neuromuscular Stabilization (DNS) lebih meningkatkan fleksibilitas lumbal daripada static stretching pada pengrajin batik di Giriloyo. Metode penelitian: desain penelitian ini menggunakan randomized pre and post test design. Jumlah subjek penelitian ini 30 orang yang dibagi menjadi 2 kelompok. Kelompok I diberikan DNS dan Kelompok II diberikan static stretching. Masing-masing kelompok diberikan pelatihan 2 kali seminggu selama 4 minggu. Alat ukur yang digunakan modified-modified Schoober test (MMST). Variabel yang dikontrol pada penelitian ini adalah usia, lama bekerja, dan IMT. Hasil: Berdasarkan hasil paired sample t-test pada Kelompok I dan Kelompok II nilai p<0,05, yang menyatakan bahwa baik DNS maupun static stretching sama-sama berpengaruh signifikan dalam meningkatkan fleksibilitas lumbal pada pengrajin batik di Giriloyo. Uji perbandingan antara Kelompok I dan Kelompok II menggunakan independent sample t-test didapatkan hasil nilai p<0,05, artinya ada perbedaan pengaruh yang signifikan antara DNS dan static stretching. Simpulan: pemberian DNS lebih meningkatkan fleksibilitas lumbal daripada static stretching pada pengrajin batik di Giriloyo. Kata kunci : DNS, static stretching, fleksibilitas lumbal.
PENAMBAHAN LATIHAN CORE STABILITY PADA PROGRAM PELATIHAN ATLET DAYUNG UNTUK PENINGKATAN KECEPATAN MENDAYUNG Dyno Aryo Christanto; N. Adiputra; S. Indra Lesmana; Dw P. Sutjana; Made Muliarta; Wahyuddin -
Sport and Fitness Journal Volume 5, No.3, 2017
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (464.52 KB) | DOI: 10.24843/spj.2017.v05.i03.p06

Abstract

Introduction: Generally, core stability exercise as a training program is needed in almost kind of sport including paddle, analysis of movement in any kind of paddle sport such as kayak, canoe, or even rowing have been showed that the activity of core stability muscles are really needed. Purpose: purpose of this research is to know the effectivity of core stability exercise replenishment to increase sculling speed in paddle training program. Methods: This research is experimental with treatment by subject design project, involving 15 paddle athletes which divided into two groups and consists of II periods which are, Period I and Period II. In the 1st period, the athletes were given extra core stability exercise along with their normal paddling routine mean while in the 2nd period, the athletes only doing their normal paddling routine. Each period do the trial in 6 weeks, so this reseach took 12 weeks. In 1st period, the subjects were given extra core stability training 3 times a week along with their normal paddling routine where as subjects in period II only do their normal paddling routine. Results: The used of parametric paired t test is to know the difference of sculling speed before and after the trials were given. To period I pre test value is 3.80 ± 0.26 meters/second while the post test value is 4.06 ± 0.41 meters/second and the value 0.001 (p<0.05)mean while the 2nd period use Wilcoxon signed rank test to know the difference of sculling speed between before and after the trial were given resulting pre test value 3.80 ± 0.22 meters/second and post test value 3.91 ± 0.27 meters/second while the p value is 0.004 (p<0.05). After 12 weeks of sculling speed test between both period using Wilcoxon signed rank test and resulting obvions with period I value 0.26 ± 0.20 meters/second and period II value is 0.11 ± 0.12 meters/second along with p value 0.001 (p<0.05). Conclusion: Therefore, based on the result of my research test, we can concluded that the addition of core stability exercise in paddle training program is more effective to increase sculling speed.
EFEKTIVITAS FELDENKRAIS EXERCISE LEBIH BAIK DARIPADA CORE STABILITY EXERCISE TERHADAP PENINGKATAN KEMAMPUAN FUNGSIONAL PADA PASIEN NYERI PUNGGUNG BAWAH NON SPESIFIK KRONIS Maulida Rohmah Fauziah; Luh Putu Ratna Sundari; Wahyuddin Wahyuddin; Ketut Tirtayasa; Ni Nyoman Ayu Dewi; Ni Made Swasti Wulanyani
Sport and Fitness Journal Vol 8 No 3 (2020): Volume 8, No. 3, September 2020
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/spj.2020.v08.i03.p07

Abstract

Latar Belakang: Keluhan nyeri punggung bawah non spesifik kronis menyebabkan keterbatasan dalam beraktivitas sehari-hari. Latihan yang paling banyak digunakan untuk mengatasinya adalah core stability exercise, namun hasilnya tidak konsisten dan terbatas. Tujuan penelitian ini yaitu untuk membuktikan bahwa Feldenkrais exercise lebih efektif dalam meningkatkan kemampuan fungsional pada pasien NPB non spesifik kronis. Materi dan Metode: Penelitian ini mengikutsertakan 20 pasien NPB non spesifik kronis di Klinik Halmahera Medika Bandung yang memenuhi kriteria inklusi. Penelitian ini merupakan penelitian eksperimental dengan rancangan pre and post test control group design. Subjek dibagi ke dalam 2 kelompok, masing-masing 10 orang secara acak. Kelompok I mendapat perlakuan Feldenkrais exercise sedangkan kelompok II mendapat perlakuan core stability exercise selama 8 minggu. Kemampuan fungsional diukur menggunakan Modified Oswestry Disability Index sebelum intervensi dan setelah intervensi selama 8 minggu. Hasil: Hasil perbandingan persentase ODI sebelum dan setelah dalam masing-masing kelompok menunjukkan perubahan yang signifikan (p= 0,005; p=0,005). Sedangkan hasil perbandingan selisih perubahan ODI antara ke dua kelompok menunjukkan terdapat perbedaan yang signifikan dengan Kelompok I lebih banyak meningkatkan kemampuan fungsional daripada Kelompok II (p= 0,009). Kategori disabilitas di Kelompok I juga lebih rendah daripada kategori disabilitas di kelompok CSE. Kesimpulan: Feldenkrais exercise lebih efektif daripada CSE dalam meningkatkan kemampuan fungsional. Kata kunci: Nyeri Punggung Bawah, Feldenkrais, Core Stability Exercise, Awareness Through Movement, Oswestry Disability Index.
PERBANDINGAN EFEK MUSCLE ENERGY TEHNIQUE DENGAN INTEGRATED NEUROMUSKULER INHIBITION TECHNIQUE TERHADAP NECK DISABILITY KONDISI MYOFASCIAL PAIN SYDROME UPPER TRAPEZIUS Sulfandi Sulfandi; I Made Muliarta; Wahyuddin Wahyuddin; Alex Pangkahilla; Susy Purnawati; Tjokorda Gde Bagus Mahadewa
Sport and Fitness Journal Vol 8 No 1 (2020): Volume 8, No. 1, Januari 2020
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (692.057 KB) | DOI: 10.24843/spj.2020.v08.i01.p03

Abstract

Pendahuluan: Myofascial Pain Sydrome merupakan suatu keadaan yang dapat menimbulkan nyeri lokal dan nyeri menjalar yang dikarakteristikkan dengan adanya ketidaknormalan pada motoris (taut band yang keras di dalam otot) dan ketidaknormalan pada sensoris (nyeri tekan dan nyeri menjalar). Tujuan: Untuk membuktikan dan mengkaji efektifitas kedua efek terapi Muscle Energy Tehnique dan Integrated Neuromuscular Inhibition Technique dalam mengatasi masalah disabilitas leher pada kasus myofascial pain sydrome upper trapezius. Metode: Penelitian ini adalah penelitian eksperimental pretest and posttest comparison group design. Sebanyak 18 orang subjek penelitian, berusia 20-55 tahun, mengalami disabilitas leher, dan tidak pernah mengalami spondylolisthesis, cedera, fraktur dan hernia nucleus pulposus pada area leher, direkrut untuk mengikuti penelitian ini. Subjek penelitian dibagi menjadi 2 Kelompok. Kelompok I diberikan program Muscle Energy Tehnique dan Kelompok II diberikan program Integrated Neuromuscular Inhibition Technique dengan durasi latihan yang sama, yaitu 30 menit per hari selama 4 minggu. Alat ukur yang digunakan untuk mengevaluasi perubahan nyeri mekanik leher adalah Neck Disability Index. Analisis statistik menggunakan uji Paired Sampel T test untuk membandingkan hasil prestest dan posttest tiap Kelompok, dan uji Independent T Test untuk membandingkan perubahan nyeri antara kedua Kelompok. Hasil: Ditemukan penurunan disabilitas leher yang signifikan (p=<0,05) baik pada Kelompok I maupun Kelompok II, yaitu dari rerata (45,33±4,690 menjadi 13,78±3,930 vs. 43,78±3,232 menjadi 12,89±2,667). Hasil perbandingan penurunan disablitas leher menunjukkan bahwa tidak ada perbedaan yang signifikan (p=0,360) antara Kelompok I dan Kelompok II. Simpulan: Program Muscle Energy Tehnique dan Integrated Neuromuscular Inhibition Technique efektif dalam mengatasi disabilitas leher pada kondisi Myofascial Pain Sydrome Upper Trapezius dengan efektivitas yang sama baiknya antara kedua teknik tersebut.
KOMBINASI ULTRASOUND DAN DRY NEEDLING LEBIH MENURUNKAN DISABILITAS LEHER DARI PADA KOMBINASI ULTRASOUND DAN HOLD RELAX PADA MYOFASCIAL PAIN SYNDROM OTOT UPPER TRAPEZIUS Iman Santoso; Bagus Komang Satriyasa; Muthiah Munawaroh; I Nengah Sandi; Made Muliarta; Wahyuddin -
Sport and Fitness Journal Volume 6, No.2, Mei 2018
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (327.768 KB) | DOI: 10.24843/spj.2018.v06.i02.p02

Abstract

Introduction : Upper trapezius myofascial pain syndrom (MPS) is characterized by presence of trigger points in upper trapezius muscle. MPS can cause disability and also has negative economic effect. Purpose : The reserach’s goal is to improve that combination of ultrasound and dry needling was better than combination of ultrasound and hold relax to decrease neck disability index. Methods : This research used experimental methods to study with pre-test and post-test control group design. Number of samples of the experimental group was 17 subjects given three times treatment of combination of ultrasound and dry needling, while in the control group were 17 subjects given three time treatment of combination of ultrasound and hold relax. NDI was used as out come measure. Shaphiro-wilk test was used to test the normality and levene’s test was used to test the homogenity. wilcoxon signed ranked test was used for hipothesis I, t-test related was used for hipothesis II and t-test independent wa used for hipothesis III. Results : The research showed that: (1) There was significant decrease of NDI in the experimental group . values of mean for pre test were 42,04 + 7,33 % and post test were 10,18 + 3,78 %. with p value = 0.000 (p <0.05) (2) there was significant decrease of NDI in the control group. values of mean for pre test were 45,29 + 6,03 % and post test were 22,24 + 5,42 %, with p value = 0.000 (p <0.05) (3) There were significant differences between experimental group and control group comparing with the differences of post test values between the group. The mean of post test values in experimental group showed 10,18 + 3,78 % meanwhile 22,24 + 5,42% in control group, with p value = 0.000 (p <0.05). Conclution : It was concluded that combination of ultrasound and dry needling and combination of ultrasound and hold relax can decrease the neck disability index. Combination of ultrasound and dry needling was better than combination of ultrasound and hold relax to decrease neck disability index in subject with upper trapezius myofascial pain syndrom.
TRUNK BALANCE EXERCISE LEBIH BAIK DARI PADA STRENGTHENING BACK EXERCISE DALAM MENINGKATKAN KESEIMBANGAN KINERJA OTOT ERECTOR SPINE PADA PEMAIN FUTSAL PEMULA Yusuf Nasirudin; Dewa Putu Gde Purwa Samatra; Wahyuddin -; Susy Purnawati; Ni Made Linawati; Sugijanto -
Sport and Fitness Journal Volume 5, No.3, 2017
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (490.713 KB) | DOI: 10.24843/spj.2017.v05.i03.p16

Abstract

In the game of futsal, work of postural muscle balance needed to maintain the stability of the body for receiving the pass and put the ball into the other team's goal at the time of attack, changing the direction of movement quickly when returning to their respective positions and avoid of back disorder. This research is a form of experimental research that will test the effectiveness of the provision of trunk balance exercise is better than the strengthening of back exercises to improve muscle work balance of erector spine on futsal beginner players, in this study sample will be divided into two groups, the first group will be given trunk balance exercise to improve balance of erectorspine muscles work in futsal begginer players, the second group will be given back strengthening exercise to improve balance of erectorspine muscles work in futsal begginer players.This study was conducted for 6 weeks and the intervention performed 18 times during the study period. Samples measured by surface electromyography to measure work of right and left erector muscle by calculating the proportion of the work on the muscle, the measurement is performed at before the intervention and then intervention in accordance with the grouping which has been divided and then after completion of the intervention, the samples will be re-measured to obtain the value of the intervention.The results of the first group who has been given of trunk balance exercise shows the average value of the before treatment (83.82 ± 2.94) % and the mean value of the after treatment (96.74 ± 2.39) %, and in the second group who has been given strengthening back exercise shows the mean value of the before treatment (88.29 ± 1.89) % and the mean value after treatment (95.91 ± 1.75) %, with the probability value of both groups is 0.000 (p <0.05), and can be expressed there is a significant difference between both groups. In the fourth hypothesis test conducted comparative results of both groups, using independent samples t-test using mean value of the first and second groups, in the first group (12.92 ± 2.94) %, and the second group (7.61 ± 2.12) %, with a probability value 0.000 (p<0.05) and can be expressed in statistical analysis is no significant difference between both treatments were carried out and that means, giving trunk balance exercise is better than back strengthening exercise to improve balance of erector spine muscles work on futsal beginner players.
LATIHAN PROPRIOSEPTIF DAN THERABAND EXERCISE LEBIH MENINGKATKAN STABILITAS DARIPADA LATIHAN PROPRIOSEPTIF DAN ANTERO POSTERIOR GLIDE PADA PEMAIN BASKET YANG MENGALAMI ANKLE SPRAIN KRONIS Futi Nurul Destya; I Made Krisna Dinata; Wahyuddin Wahyuddin; I Made Ady Wirawan; I Dewa Ayu Inten Dwi Primayanti; Nyoman Mangku Karmaya
Sport and Fitness Journal Vol 8 No 2 (2020): Volume 8, No. 2, Mei 2020
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (373.958 KB) | DOI: 10.24843/spj.2020.v08.i02.p02

Abstract

Pendahuluan: Gangguan stabilitas adalah masalah yang sering terjadi pada pasien yang terkena ankle sprain kronis. Ketidakstabilan pada ankle sprain kronik merupakan hasil dari saraf (proprioseptif, refleks, waktu reaksi otot), otot (strenght, power, dan endurance) dan mechanical mechanism (ligament laxity). Tujuan Penelitian: untuk membuktikan bahwa latihan proprioseptif dan theraband exercise lebih meningkatkan stabilitas dibanding latihan proprioseptif dan antero posterior glide pada pemain basket yang mengalami ankle sprain kronis. Metode: Penelitian ini merupakan penelitian eksperimental dengan rancangan pre dan post test control group design. Jumlah sampel penelitian 16 orang dan terbagi ke dalam dua kelompok. Kelompok I mendapat perlakuan latihan proprioseptif dan theraband exercise sedangkan Kelompok II mendapat perlakuan latihan proprioseptif dan antero posterior glide. Stabilitas diukur menggunakan Balance Error Scoring System. Hasil: Independent t-test menghasilkan p= 0,000 (p<0,05). Hasil ini menunjukkan terdapat perbedaan yang bermakna antara nilai selisih sebelum dan setelah intervensi BESS pada ke dua kelompok. Simpulan: latihan proprioseptif dan theraband exercise lebih meningkatkan stabilitas dibanding latihan proprioseptif dan antero posterior glide pada pemain basket yang mengalami ankle sprain kronis
DYNAMIC NEUROMUSCULAR STABILIZATION LEBIH MENINGKATKAN KESEIMBANGAN DINAMIS DARIPADA PERCEPTUAL MOTOR PROGRAM PADA ANAK DOWN SYNDROME USIA 7-15 TAHUN DI YAYASAN PRADNYAGAMA DENPASAR Merinda Ulfa; Ketut Tirtayasa; Wahyuddin -; Susy Purnawati; Luh Putu Ratna Sundari; Muhammad Irfan
Sport and Fitness Journal Volume 7, No.2, Mei 2019
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (310.369 KB) | DOI: 10.24843/spj.2019.v07.i02.p05

Abstract

Background: Disorder of dynamic balance is often found in children with Down syndrome which causes difficulty in maintaining posture against impending disorders. If this is left it will certainly cause problems of further motor development. Purpose: To prove the physiotherapy intervention that can improve dynamic balance among children with down syndrome 7-15 years. Methods: The research is true experimental with pre-test and post-test group design. This study used 24 subjects in 2 groups, group 1 (n=11) given dynamic neuromuscular stabilization on while group 2 (n=11) given perceptual motor program. Divided randomly into 2 groups that is group 1 dynamic neuromuscular stabilization and group 2 perceptual motor program. The exercise is held 3 times a week in 6 weeks. Measurements of this dynamic balance are using sixteen balance tests. Result: The paired sample t-test statistical test in group 1 showed a significant difference with value (p <0.001) on mean before intervention 48.5±5.428 and after intervention 72.75±4.413. The paired sample t-test statistical test in group 2 showed a significant difference with value (p <0.001) on mean before intervention 48.5±5.3 and after intervention 69.42±4.379. Different test between group 1 and 2 using independent sample t-test showed a significant difference with value (p<0.001). Conclusion: The conclusions are dynamic neuromuscular stabilization is better than perceptual motor program in improving dynamic balance among children with down syndrome 7-15 years at Pradnyagama Foundation Denpasar.
PENAMBAHAN INTEGRATED NEUROMUSCULAR INHIBITION TECHNIQUE LEBIH MENURUNKAN DISABILITAS LEHER DARIPADA CONTRACT RELAX STRETCHING PADA INTERVENSI ULTRASOUND DALAM KASUS SINDROM MYOFASCIAL OTOT UPPER TRAPEZIUS Putu Ayu Sita Saraswati; I Putu Gede Adiatmika; Syahmirza Indra Lesmana; I Wayan Weta; I Made Jawi; Wahyuddin -
Sport and Fitness Journal Volume 6, No.1, Januari 2018
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (467.571 KB) | DOI: 10.24843/spj.2018.v06.i01.p09

Abstract

Sindrom myofascial pada otot upper trapezius merupakan nyeri otot yang ditandai oleh satu atau beberapa myofascial trigger point pada otot upper trapezius. Posisi kerja statis dalam jangka waktu lama memicu timbulnya masalah tersebutdan mengakibatkan nyeri dan keterbatasan gerak pada leher sehingga akan menimbulkan disabilitas leher. Penanganan fisioterapi berupa integrated neuromuscular inhibition technique (INIT) dan contract relax stretching yang dikombinasikan dengan modalitas ultrasound berdampak pada penurunan disabilitas leher. Tujuan: mengetahui metode yang lebih efektif dalam menurunkan disabilitas leher pada sindrom myofascial otot upper trapezius.Metode: Jenis penelitian eksperimental dengan rancangan randomizedpre test and post test group design. Sampel sebanyak 24 orang dibagi menjadi dua kelompok masing-masing 12 orang secara random. Kelompok perlakuan 1 dengan kombinasi INIT dengan ultrasound, sedangkan perlakuan 2 dengan contract relax stretching dengan ultrasound. Data diperoleh dengan mengukur disabilitas leher menggunakan Neck Disability Index(NDI), lingkup gerak sendi leher (LGS) dengan goniometerpada saat sebelum dan setelah perlakuan. Hasil:Diperoleh penurunan NDI22,50±2,43%(p<0,001) dan peningkatan LGS 5,083±1,0840 (p<0,001) pada Kelompok 1.Kelompok 2 juga terdapat penurunan NDI 17,33±3,05%(p<0,001) dan peningkatan LGS3,333±0,7780 (p<0,001). Hal ini berarti bahwa dalam setiap kelompok terjadi penurunan disabilitas leher secara bermakna. Hasil uji antar kelompok menunjukkan terdapat perbedaan yang bermakna pada penurunan NDI (p<0,001) dan peningkatan LGS (p<0,001). Simpulan: penambahan INIT lebih menurunkan disabilitas leher daripada contract relax stretching pada intervensi ultrasound dalam kasus sindrom myofascial otot upper trapeziusKata kunci : myofascial, trapezius, INIT, ultrasound, stretching, disabilitas leher
COMBINATION OF ISOTONIC LEBIH BAIK DARIPADA RHYTHMIC STABILIZATION DALAM MENURUNKAN DISABILITAS PENGRAJIN GENTENG PADA KONDISI NYERI PUNGGUNG BAWAH MIOGENIK DI DESA DARMASABA Dewa Agung Gina Andrini; N. Adiputra; Wahyuddin -; Susy Purnawati; Ni Made Linawati; Sugijanto -
Sport and Fitness Journal Volume 5, No.3, 2017
Publisher : Program Studi Magister Fisiologi Keolahragaan, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (477.318 KB) | DOI: 10.24843/spj.2017.v05.i03.p08

Abstract

Background: Myogenic low back pain is pain around of the lower back muscle or a disorder caused by abnormalities in the musculoskeletal system without neurological disorders.Combination of isotonic and rhythmic stabilization is PNF exercises that commonly used in the treatment of myogenic low back pain. Purpose : The purpose of this study prove that the combination of isotonic better than rhythmic stabilization to decrease disability in craftsman tile with myogenic low back pain in Darmasaba village. Methods: This study uses an experimental design with pre-test and post-test control group design. The experiment was conducted in Darmasaba village and subjects were 20 patients.Decreased disability was measured with the Modified Oswestry Disability Index (MODI) before and after training. Results: Statistical test results obtained, a decrease in MODI scores in the first treatment group showed that mean difference obtained 38.20±3.048 and for the second group obtained 31.80±4.050 with p=0.001.Conclusion: From these results it can be concluded that the combination of isotonic is better than rhythmic stabilization for decreased disability of tile craftsman with myogenic low back pain in Darmasaba village. Suggestion: For the next researcher can do follow up research to see long-term result of combination of isotonic and rhythmic stabilization for tile craftsman.