MANAGEMENT FISIOTERAPI PADA KASUS OSTEOARTHRITIS KNEE BILATERAL DI RSUD PANDANARANG BOYOLALI

Novita Sri Wulandari; Taufiq Eko Susilo; Nur Widya Pradana

Authors

Novita Sri Wulandari Fakultas Ilmu Kesehatan, Program Studi Profesi Fisioterapi, Universitas Muhammadiyah Surakarta, Kota Surakarta, Indonesia
Taufiq Eko Susilo Fakultas Ilmu Kesehatan, Program Studi Profesi Fisioterapi, Universitas Muhammadiyah Surakarta, Kota Surakarta, Indonesia
Nur Widya Pradana RSUD Pandanarang, Boyolali, Jawa Tengah

Keywords:

Osteoarthritis, Infrared, TENS, Strengthening Exercise, Stretching Exercise

Abstract

Introduction: Osteoarthritis (OA) is the most common joint disorder and usually affects the hip, knee, hand and foot joints. Infrared (IR) is a physiotherapy modality that is often used to treat low back pain. Infrared (IR) radiation can increase blood flow and relax tissue so that it can reduce pain and maximize functional activity. TENS is the generic name for afferent nerve fiber stimulation methods designed to control pain. Strengthening exercise is a strengthening exercise performed on muscles or muscle groups that have decreased muscle strength. Stretching exercise is a physiotherapy action, where patients can do it themselves at home, which is an exercise therapy to prevent neck pain complaints from getting worse. Objective: To determine the physiotherapy management in cases of bilateral knee osteoarthritis. Method: Patients were given infrared, Tens, strengthening, stretching for 4 weeks 3x meetings with doses 3 times in 2 weeks each session 10-15 minutes. Results: evaluation was carried out using Range Of Motion (ROM), Manual Muscle Testing, Numeric Rating Scale. Conclusion: After being given intervention in the form of IR, TENS, strengthening and stretching 3 times in 2 weeks, quite significant changes were obtained.

References

Chen et all. (2013). Effects of Near-infrared Radiation on Chronic Neck Pain. Journal of Experimental and Clinical Medicine Therapeutic, vol. 5, no. 4,pp. 131-135, 2013.

Hayes, Karen W, & Kathy, Hall. 2015. Agen Modalitas edisi 6. Jakarta: EGC

Haryatno, P., & Kuntono, H. P., 2016; Pengaruh Pemberian Tens Dan Myofascial Release Terhadap Penurunan Nyeri Leher Mekanik.Interest : Jurnal Ilmu Kesehatan, 5(2), 182–188. https://doi.org/10.37341/interest.v5i2.52. 10

Kementerian Kesehatan Republik Indonesia. (2022) Mengenal TENS, terapi listrik untuk atasi berbagai jenis nyeri. Diakses dari: https://Hellosehat.Com/Kebugaran/Olahraga-Lainnya/Terapi-Tens-Adalah/

Kesehatan, F. I. (2021). Study Narrative Review Pengaruh Strengthening Exercise Program Strengthening Exercise Program.

Kim, E., Lim, C., Lee, E., Lee, S., & Kim, K. (2018). Comparing the effects of individualized , standard , sham and no acupuncture in the treatment of knee osteoarthritis : a multicenter randomized controlled trial, Complementary Therapies in Medicine. 2(4) 1–7.

Kuntono, H.P., 2011; Nyeri Secara Umum dan Osteoarthritis Lutut dari Aspek Fisioterapi; Perpustakaan Nasional RI, Surakarta.

Mora JC, Przkora R, Cruz-Almeida Y (2018) Knee osteoarthritis: pathophysiology and current treatment modalities. J Pain Res 11:2189–2196

Nuraeni, N., Kurniawati, A., & Gundara, G. (2020). Kapasitas Tens Dalam Mengontrol Dan Menurunkan Nyeri Kala I Persalinan (Pilot Project). Jurnal Kebidanan Dan KeperawatanAisyiyah, 16(1), 27-33.

Purba, T. S. P., Moeliono, M. A., & Sastradimadja, S. B. (2017). Effect of Quadriceps Muscle Strengthening Exercise on Quadriceps and Hamstring Muscle Strength Ratio in Patients with Osteoarthritis Grade 2 and 3. International Journal of Integrated Health Sciences, 5(2), 64–69.https://doi.org/10.15850/ijihs.v5n2.1041

Pristianto, A., Wijianto, & Rahman, F. (2018). Terapi Latihan. Muhammadiyah University press

Rahmiati. (2017). Efektivitas Stretching terhadap Penurunan Nyeri sendi lutut Pada Lansia di UPTD Rumoh Seujahtera Geunaseh Sayang Banda Aceh. Jurnal Ilmu Keperawatan ISSN: 2338-6371.

Saputri D.Oktaviana. 2016. Pengaruh Core Exercise Stability Terhadap Peningkatan Aktivitas Fungsional pada Penjahit dengan Keluhan Nyeri Punggung Bawah (NPB) Miogenik Di Desa Tambong, Kabupaten Klaten. Surakarta : Fakultas Kedokteran Ilmu Kesehatan (Eprint.ums. ac.id diunggah 14 Februari 2019).

Sari & Pamungkas. (2011). Pengaruh latihan gerak kaki (stretching) terhadap penurunan nyeri sendi ekstremitas bawah pada Lansia di Posyandu Lansia Sejahtera GBI Setia bakti Kediri.

Soebijanto, Dkk. 2009. Prototype Bangku Ergonomis untuk Memperbaiki Posisi Duduk Siswa SMAN di Kabupaten Gresik. Surabaya : Fakultas Kesehatan Masyarakat (e.Journal. unair.ac.id diunggah 14 Februari 2019

Suwantini, N. W. P. 2015. “Auto Stretching Lebih Menurunkan Intensitas Nyeri Otot Upper Trapezius Daripada Neck Cailliet Exercise Pada Penjahit Payung Bali Di Desa Mengwi Kecamatan Mengwi Kabupaten Badung”. Skripsi. Fakultas Kedokteran. Fisioterapi. Universitas Udayana Bali

Wijaya, S. (2018). Osteoartritis Lutut. 45(6), 424–429.