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Pengaruh Latihan Open Kinetic Chain Terhadap Kesembuhan Pasien Dengan Osteoarthritis di RSUD Dr. Harjono Ponorogo Kevin Abi Agustian; Dwi Rosella K.S; Kingkinnarti Kingkinnarti
jurnal ABDIMAS Indonesia Vol. 2 No. 1 (2024): Maret : Jurnal ABDIMAS Indonesia
Publisher : STIKes Ibnu Sina Ajibarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59841/jurai.v2i1.997

Abstract

Background: Osteoathritis is a degenerative disease that is usually experienced by individuals due to the aging process. Osteoarthritis can limit and affect a person's activities. There is evidence that muscle dysfunction is involved in the pathogenesis of knee OA. The lower leg muscles are the natural support of the knee joint and improper alignment of the knee can originate proximally, and that poor force production due to muscle weakness can be a factor that ultimately causes stress on the knee. Muscles play a major role in joint structure and function, as demonstrated by the disuse of the quadriceps femoris muscle that accompanies knee joint pain. Quadriceps muscle weakness has been noted by the American Academy of Orthopedic Surgeons as a risk factor for structural damage to the knee joint. Muscle weakness affects the anteroposterior stability of the knee joint. and makes patients feel unstable, causing decreased self-confidence and decreased performance and independence in daily activities, causing disability and dysfunction in osteoarthritis knee patients. The main symptom that arises from Osteoarthritis is pain. Pain is the main problem in sufferers of knee osteoarthritis, and is generally related to activity and will recover when resting. Objective: This study aims to determine the effectiveness of the Open Kinetic Chain Exercise intervention on the recovery of patients with osteoarthritis. Method: This research uses a case report study with the aim of knowing the treatment of individuals before and after being given the intervention. Results: Providing TENS intervention and open kinetic chain exercises 4x, results in reduced pain intensity, increased joint range of motion and increased functional ability. Conclusion: Providing intervention in the form of TENS and Open Kinetic Chain Exercise has proven to be effective in reducing pain, increasing LGS and increasing functional activity in conditions of Osteoarthritis Knee.
Management Fisioterapi untuk Penanganan Stifness Knee Et Causa Fraktur Tibia 1/3 Distal : Case Report Tasya Ghea Amanda; Totok Budi Santoso; Kingkinnarti Kingkinnarti
OBAT: Jurnal Riset Ilmu Farmasi dan Kesehatan Vol. 3 No. 4 (2025): July: OBAT: Jurnal Riset Ilmu Farmasi dan Kesehatan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/obat.v3i4.1521

Abstract

Knee stiffness is one of the most common complications experienced by patients with tibial fractures. It can weaken and limit accessory joint movement, inhibit muscle activation, impair gait pattern, and reduce the overall physiological range of motion. Surgical procedures may also affect functional capacity and decrease quality of life due to limitations in the patient's activities of daily living (ADL).This case report aims to explore the management and effectiveness of physiotherapy interventions in a case of knee stiffness. A single-subject research design was used to observe a patient, Mr. JP, aged 53 years, who complained of stiffness, pain, and muscle weakness in the left knee (genu sinistra) following trauma. The study was conducted in February 2025. Physiotherapy sessions were carried out every three days, for a total of four sessions. Interventions included Infrared therapy, Transcutaneous Electrical Nerve Stimulation (TENS), and exercise therapy in the form of passive forced exercises, hold-relax techniques, and active resisted exercises.Progress was observed from session T1 to T4, assessed through various parameters: pain levels measured by the Numerical Rating Scale (NRS), muscle strength evaluated using Manual Muscle Testing (MMT), range of motion (ROM) assessed with a goniometer, and functional ability measured using the International Knee Documentation Committee (IKDC) questionnaire. The physiotherapy intervention using Infrared, TENS, and therapeutic exercises (passive forced, hold-relax, and active resisted) showed improvements in reducing pain, increasing muscle strength, enhancing joint ROM, and improving ADL performance in a patient with post-tibial fracture knee stiffness.