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Totok Budi Santoso
Universitas Muhammadiyah Surakarta
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Journal : Jurnal Profesional Fisioterapi

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PROGRAM FISIOTERAPI PADA KASUS POST ARTHROPLASTY TOTAL KNEE REPLACEMENT SINISTRA ET CAUSA OSTEOARTHRITIS KNEE: CASE REPORT Vitamara, Yohanna; Santoso, Totok Budi; Larasati, Prihantoro
JURNAL PROFESIONAL FISIOTERAPI Vol. 2 No. 2 (2023): July
Publisher : Universitas Muhammadiyah Metro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24127/fisioterapi.v2i2.3808

Abstract

ABSTRAK Pendahuluan: Total Knee Replacement (TKR) adalah prosedur pembedahan yang ditujukan untuk mengembalikan fungsi dan penyembuhan nyeri pada pasien Osteoartritis lutut (OA lutut). Semakin meningkatnya prevalensi OA lutut dengan tingkat keparahan yang tinggi, maka meningkat pula prevalensi TKR. Meskipun TKR efektif untuk mengurangi rasa nyeri dan meningkatkan fungsi fisik pada pasien OA lutut, pasien yang menjalani operasi TKR sangat memungkinkan masih mengalami gangguan fungsional yang cukup besar pasca operasi. Fisioterapi pada pasien post op TKR secara umum dilakukan dengan tujuan optimalisasi pasca hasil operasi, termasuk kekuatan otot, fungsi fisik, dan pengurangan rasa nyeri, hingga dapat kembali lagi ke aktivitas normal sehari-hari. Tujuan: Untuk mengetahui efektivitas dan pengaruh pemberian intervensi fisioterapi dengan modalitas Transcutaneous Electrical Nerve Stimulation (TENS) dan Closed Kinetic Chain (CKC) exercise pada pasien dengan kondisi post operasi artoplasti Total Knee Replacement (TKR). Metode: Single-subject research yang dilakukan kepada seorang wanita berusia 54 tahun dengan kondisi post op Total Knee Replacement sinistra. Subjek diberikan intervensi TENS dan Closed Kinetic Chain Exercise (CKC) sebanyak 3 kali pertemuan selama 3 minggu. Hasil: Evaluasi dilakukan dengan menggunakan instrumen pengukuran Numeric Pain Rating Scale (NPRS), Range of Motion (ROM), Manual Muscle Testing (MMT), dan WOMAC indeks. Simpulan: Terdapat perubahan kondisi pasien ke arah baik yaitu penurunan rasa nyeri, peningkatan ROM, MMT, dan kemampuan aktivitas fungsional. Kata Kunci: total knee replacement, osteoartritis lutut, nyeri, TENS, closed kinetic chain exercise ABSTRACT Introduction: Total Knee Replacement (TKR) is a surgical procedure aimed at restoring function and healing pain in patients with Osteoarthritis knee (OA of the knee). With the increasing prevalence of knee OA with a high level of severity, the prevalence of TKR also increases. Although TKR is effective in reducing pain and improving physical function in patients with knee OA, it is very likely that patients who undergo TKR surgery still experience significant functional impairment after surgery. Physiotherapy in TKR post-op patients is generally carried out to optimize postoperative results, including muscle strength, physical function, and pain reduction so that they can return to normal daily activities. Objective: To determine the effectiveness and effect of providing physiotherapy interventions with Transcutaneous Electrical Nerve Stimulation (TENS) and Closed Kinetic Chain (CKC) exercise modalities in patients with postoperative Total Knee Replacement (TKR) arthroplasty conditions. Methods: Single-subject research was conducted on a 54-year-old woman with post-op Total Knee Replacement left. Subjects were given TENS intervention and Closed Kinetic Chain Exercise (CKC) 3 meetings for 3 weeks. Results: The evaluation was carried out using the Numeric Pain Rating Scale (NPRS), Range of Motion (ROM), Manual Muscle Testing (MMT), and the WOMAC index. Conclusion: There is a change in the patient's condition in a good direction, namely a decrease in pain, an increase in ROM, MMT, and ability to function. Keyword: total knee replacement, osteoarthritis knee, pain, TENS, closed kinetic chain exercise
Co-Authors Abdurrasyid Abdurrasyid Adlina, Adlina Adnan Faris Naufal Afifatuzzahra, Sabina Afita Aulia Isnaen Nur Riansyah Alfida, Nur Anas Pradana Andika Yulian Marros Anggraini, Nadya Aquariza, Eliska Elok Aquariza, Eliska Elok Ardiyanto, Irfan Arianti, Bella Arieputra, Achmad Briliansyah Arif Pristianto Arzhuma Arza Lazuardy Asmarasikha, Aldila Lutfi Atik Hidayati Aulia Ayu Kusuma Wardani Aulia Rahmi Aulia Rahmi, Aulia Ayu Sulistiani Dianingtyas Az-Zahra, Fadhilah Chandra Arum Pramitha Cikiesa Ilham Faiz Desvita Savitri Kusuma Wardhani Dewangga, Mahendra Wahyu Dianingtyas, Ayu Sulistiani DWI YULIANTI Edy Waspada Elif Nur Efendi Elif Nur Efendi Ervianta, Widya Faaiza, Firya Zalfaazza Fahrizal, Dani Faisal Isra Maulana Farid Rahman Fazira, Elfa Risma Firdaus, Muhammad Yusuf Fitriani, Dessy Gemilang Gemilang Hakny Kusuma Maulana Arkan Hakny Maulana Hakny Maulana Hamidah, Nilam Nur Handayani, Dwi Putri Puspita Hanifah Dwi Nurma Hendra, Zulnanda Hilda Bramila Ratimaya Ilmi, Dhiki Fadhilah Irfan, Naufal Kamilia Malihah Nur Salsabila Khairullah, Fakhri Khairunnisa, Fatimah As-Syifa Kingkinnarti Kingkinnarti Kingkinnarti Kingkinnarti Kingkinnarti, Kingkinnarti Kingkinnarti, Kingkinnarti Komalasari, Dwi Rosella KS, Putri Sakinah Larasati, Prihantoro lestari, sulis Marcelia, Riza Maulana, Jais Rizki Meir, Ruth Golda Melur Belinda Muhammad fauzan Muhammad Iqbal Ramadan Muhammad, Imam Fadli Musrifah, Indriyani Musyafa, Zafaf Nadeputri, Anindya Evan Salma Majiid Naim, Karimatun Niken Hertiana Wulandari Novita Sri Wulandari Nur Alfida Nurma, Hanifah Dwi Nurwahidah, Kamila Perdana, Suryo Saputra Pradana, Nur Widya Pradana, Nurwidya Prayitno, P Prihantoro Larasati Putra, Bima Lesmana Putri Sakinah KS Putri, Adelia Kurnia Putri, Leony Dewinta Putri, Thesa Arsita Putri, Yuanita Aisyah Ramadhani, Nanda Ayu Ramadhani, Raden Shafira Saniyyah Ramona, Dela Romadhona, Anggri Salma Muazzaroh Salsabila, Kamilia Malihah Nur Silaen, Nevada Bulandari Sugijanto - Syamsul Ari Wicaksono Tasya Ghea Amanda Taufik Anwar Taufik Eko Susilo Tiara Fairuz Firdausi Tri Asih Wulandari Vina Rosida Viola Widyanita Mahardhika Vira Silviana Ali Vitamara, Yohanna Vivian Jennie Diva Carissa Wahyu Rizki Fajar Rabbani Wahyu Tri Sudaryanto wahyuni wahyuni Wardani, Aulia Ayu Kusuma Waspada , Edy Widi Rumpaka Wati Widya Ervianta Widya Rustikarini Wijayanti, Wahyu Kusuma Wina Rohmadhani Wiyono Putra, Yosa Endrika Wulan, Ayundya Putri Antoko Wulandari, Tri Asih Yanuar, Reza Arshad Yngvie Salma Kirani Yulia Dewi Yulia Vionita Yuliza , Rosi Marcelia Zahra Mahendra Umar Zahra, Salma