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Khairun Nisa
Universitas Lampung
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Journal : Holistik Jurnal Kesehatan

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Pengaruh regimen kombinasi transcutaneous electrical nerve stimulation (TENS) dan infra red radiation (IRR) dengan exercise therapy terhadap nyeri dan fungsional lutut pada petani penderita osteoartritis Kurniawan, Ryanda Masri; Berawi, Khairun Nisa; Suharmanto, Suharmanto; Pramesona, , Bayu Anggileo; Saftarina, Fitria
Holistik Jurnal Kesehatan Vol. 19 No. 7 (2025): Volume 19 Nomor 7
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i7.1344

Abstract

Background: Osteoarthritis (OA) in farmers can cause significant functional impairment, which can be addressed with Transcutaneous Electrical Nerve Stimulation (TENS), Infrared Radiation (IRIR), and exercise therapy.Purpose: To analyze the effect of a combination of transcutaneous electrical nerve stimulation (TENS) and infrared radiation (IRIR) with exercise therapy on knee pain and function in farmers with osteoarthritis.Method: This was an experimental study with a two-group pre-test and post-test design. The study was conducted at the Karang Pucung Community Health Center, South Lampung, from May to June 2025. The study population consisted of 68 farmers with osteoarthritis, representing the total sample. Thirty-four farmers with OA received 25 minutes of exercise therapy, and 34 farmers with OA received a combination of TENS and IRIR for 30 minutes. Pain measurements before and after the intervention were conducted using the Visual Analogue Scale (VAS) and the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Analysis used the Wilcoxon test and the Mann-Whitney test.Results: The average age of farmers in the Exercise Therapy group was 45-50 years, while in the TENS & IRR group, it was 45-50 years. In the TENS & IRR with Exercise Therapy group, there were more women with a history of osteoarthritis. In the TENS & IRR group, lesions were more common on the right side, while in the Exercise Therapy group, farmers with osteoarthritis were more common on the left side. There were differences in average knee pain and functional scores before and after administration of analgesics, a combination of Transcutaneous Electrical Nerve Stimulation (TENS) and Infrared Radiation (IRR) with Exercise Therapy given to farmers with osteoarthritis. Conclusion: There was a difference in average pain scores before and after administration of exercise therapy in the Combined Transcutaneous Electrical Nerve Stimulation (TENS) and Infrared Radiation (IRR) group. However, there was a significant difference in the exercise group compared to the TENS & IRR group.Suggestion: Collaboration with relevant parties is recommended to organize educational programs and OA management for farmers using analgesics and exercise therapy. Keywords: Exercise Therapy; Farmers; Functional Knee; Infrared Radiation (IRR); Osteoarthritis Patients; Pain; Transcutaneous Electrical Nerve Stimulation (TENS).  Pendahuluan: Osteoartritis (OA) pada petani dapat menyebabkan gangguan fungsional yang signifikan, hal ini dapat diatasi dengan menggunakan Transcutaneous Electrical Nerve Stimulation (TENS), Infra Red Radiation (IRR) dan exercise therapy. Tujuan: Untuk menganalisis pengaruh regimen kombinasi transcutaneous electrical nerve stimulation (TENS) dan infra red radiation (IRR) dengan exercise therapy terhadap nyeri dan fungsional lutut pada petani penderita osteoartritis. Metode: Jenis penelitian ini eksperimental menggunakan pre and post test two group design. Penelitian ini dilakukan di wilayah kerja Puskesmas Karang Pucung Lampung Selatan pada bulan Mei-Juni 2025. Populasi penelitian adalah petani penderita osteoatrritis sebanyak 68 petani OA dengan total sampling. 34 petani OA diberikan exercise therapy selama 25 menit dan 34 petani OA diberikan kombinasi TENS dan IRR selama 30 menit. Pengukuran sebelum dan setelah intervensi menggunakan skala nyeri menggunakan Visual Analogue Scale (VAS) dan Western Ontario and Mcmaster Universities Osteoarthritis Index (WOMAC). Analisis menggunakan Wilcoxon test dan Mann Whitney test. Hasil: Mayoritas petani pada kelompok Exercise Therapy berusia rata – rata 45-50 tahun, sedangkan untuk kelompok TENS & IRR berusia 45-50 tahun. Pada kelompok TENS & IRR dengan Exercise Therapy, lebih banyak berjenis kelamin perempuan yang memeiliki riwayat penyakit osteoarthritis. Pada kelompok TENS & IRR lebih banyak pada lesi kanan, sedangkan pada kelompok Exercise Therapy petani mereka yang menderita osteoarthritis lebih banyak terkena pada lesi kiri. Ada tingkat rerata skor nyeri dan fungsional lutut sebelum dan sesudah diberikan Analgesik, Kombinasi Transcutaneous Electrical Nerve Stimulation (TENS) dan Infra Red Radiation (IRR) dengan Exercise Therapy pada petani penderita Osteoarthritis. Simpulan: Terdapat perbedaan skor rata-rata nyeri sebelum dan sesudah diberikan pada kelompok Kombinasi Transcutaneous Electrical Nerve Stimulation (TENS) dan Infra Red Radiation (IRR) dengan Exercise Therapy. Namun, pada kelompok Exercise terlihat selisih yang signifikan dari pada kelompok TENS & IRR. Saran: Agar menjalin kerjasama dengan pihak terkait untuk menyelenggarakan program edukasi dan penanganan OA pada petani menggunakan tindakan analgesik dan exercise therapy.   Kata Kunci: Exercise Therapy; Fungsional Lutut; Infra Red Radiation (IRR);  Nyeri; Penderita Osteoartritis; Petani; Transcutaneous Electrical Nerve Stimulation (TENS).
Co-Authors Adisti, Fransiska Admi Syarif Afifah, Syafira Hasna Agung, Leni Yulinda Kesuma Agus Wantoro Agustyas Tjiptaningrum Ahmad Arkan Ichsan Ahmad Arkan Ichsan Akuba, Nanda Nurrohim Al Ghifari, Ghaza Ahmad Alicia Rahma, Cinta Alinta Ayuningtyas Alinta Amir, Anzela Anggraeni Janar Wulan anggraini janar wulan Angraini, Dwi Indria Anisa Adelia Annisa Adietya Pratama Annisa Fath Annisa Putri Perdani Apri Lyanda Arsistya Ayu Marella Asep Sukohar Assidiq, Hans Pratama Astiti, Feni Ayu Dinda Fatimah Azizah, Nailul Azizza, Zahra Qori Bayu Anggileo Pramesona Candra Kurniawan Chicy WIdya Morfi Christy, Angelica Philia CNA Qolbi Daulay, Suryani Agustina Dea Okta Pabiola Dewi Nur Fiana Dewi Nur Fiana Dewi Nur Fiana Dian Isti Anggraini Dian Isti Angraini Dian Syafitri Dian Syafitri Dian Syafitri Diana Mayasari Dilangga, Pad Dinda Annisa Fitria Diva Iole Humaira Dwita Oktaria Dyah Wulan Sumekar Rengganis Wardani Eca Cania Efrida Warganegara Ekki Pirmansyah Emantis Rosa Ester Krisdayanti Ety Apriliana Exsa Hadibrata Farhati, Soraya Fauzi Ahmad Muda Fauziyyah Nuur Al Azizah Fitria Putridewi Abidin Fitria Saftarina Frigandra Syahputri Ghaitsa Lulua Giska Tri Putri Gozali, Achmad Haikal Nirfandi Hanif, Fauziah Happy, Terza Aflika Helmi Ismunandar Hendri Busman Heni Sulistiani Herdato, M. Junus Didiek Ilham Nugroho Ilham Nugroho Intanri Kurniati Irawati, Nur Ayu Virginia Iswandi Darwis Karima, Nisa Khalisah Nurjihany Salsabila Kurnia Muludi Kurniawan, Ryanda Masri Kurniawaty, Evi Kusumajati, Pusparini Latief, Adhi Nugroho Leni Ervina, Leni Lesilolo, Caroline Virgine Putri Liana Sidharti M Masykur Berawi M. Irfan zaki Rici Maharani, Atifah Fadilah Marcellia, Selvi Marzon, Mafalda Messah, Anse Diana Valentiene Muhammad Aditya, Muhammad Muhammad Aditya, Muhammad Aditya Muhammad Farid Adityo Muhammad Maulana Muhammad Ricky Ramadhian Muhammad Rifki Pratama Muhartono Muhartono Murfi, Syahrani Alya Neema Putri Prameswari Nelly Yuana Nisa Karima Nur Anggraini Nurhaliza, Suci Nurul Islamy Oktafany, Oktafany Oktavia Ningtias, Nabila Padmadisastra, Jauzaa Faishal Ahmad Perdami, Roro Rukmi Windi Pertiwi, Nabila Rahma Prambudi Rukmono Pramesona, , Bayu Anggileo Prayogi, Norbertus Marcell Puspaningrum, Dewi Ayu Putri Giani Purnamasari Qanita Arindia, Naifa Hana Rahma, Cinta Alicia Rahmah, Azizah Nur Ramadhan, Yasmine Aulia Ramadhana Komala Rani Himayani Rasmi Zakiah Oktarlina Ratna Dewi Puspita Sari Ratu Nirmala Wahyunindita Redi Bintang Pratama Reni Zuraida Rianto, Muhamad Arif Risti Graharti Riyan Wahyudo Roro Rukmi Windi Perdani, Roro Rukmi RR. Ella Evrita Hestiandari Safira, Ditya Ananda Salma Khairunnisa Samsul Bakri Sembiring, Rinawati Septiani, Linda Setiawan, Gigih Shiddiq, Haikal Shinta Nareswari, Shinta Siregar, Maulana Irfan Hazairin Smith Imanuel Saputra Soemarwoto, Retno Ariza S. Sri Ratna Sulistiyanti Suharmanto Suharmanto Suharmanto Suryadi Islami Susianti Susianti Susianti Susianti, Susianti Sutyarso Sutyarso Syahfira, Reisyah Syarel, Radin Ghefira Naura Ta Larasati TA Larasati Tasya Khariena Akbar Theodora Agverianti Verizka, Talitha Warsito Warsito Warsono Warsono Wibowo, Gatra Hadimuti Winda Trijayanthi Utama, Winda Trijayanthi Wiwi Febriani Wuryaningsih Dwi Sayekti Yoga, M. Agung Prasetya Adnyana Yolanda, Jennifer Ester Yulita Yulita Zahra, Tsurayya Fathma Zefanya, Ezekial