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All Journal Indonesian Journal of Medicine Academic Physiotherapy Conference Proceeding
Zhulfahmi, Moch. Rizki
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Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health

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THE EFFECT OF TASK SPECIFIC TRAINING BASED ON COCONTRACTION WITH EXTERNAL CLUE FOR FUNCTIONAL ABILITY ON OSTEOARTHRITIS KNEE: SINGLE CASE REPORT Zhulfahmi, Moch. Rizki; Perdana, Suryo Saputra; Prasetijo, Dedy Herman
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

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Introduction: Osteoarthritis Knee is a symptom that often comes in elderly people, a chronic progressive condition that causes movement disorders and interferes with activities. The intervention is task specific training. Task specific training is an effective rehabilitation program for balance, walking speed and reducing pain in OA. External Clue is the therapist providing information about the performance of motor skills so that the patient can get feedback from the patient himself. Case Presentation: Mrs. S is 68 years old. The patient has a height of 155 cm and a weight of 70 kg. Mrs. S works as a housewife. The patient had this complaint several years ago. There is no history of illness in the family. Supporting data in the form of X-ray with the interpretation of knee osteoarthritis grade 2. The patient also suffered from mild deformity of the foot towards varus, the presence of crepitus, but the patient did not have local oedema, no pes anserinus bursitis and no joint tendeness. Management and Outcome: The patient underwent treatment consisting of Task Specific Training based on Co-Contraction with External Clue. The patient is instructed to contract the muscles while walking. Coactivation occurs when the flexor muscles are active during the moment of extension. (External Clue) is the therapist providing additional information about the performance of motor skills so that the patient can get feedback from the patient himself. The osteoarthritis instrument used is WOMAC (Western Ontario and McMaster Universities) pain T1: 8 to T7: 3, stiffness T1:2 to T7: 2, physical function T1: 24 to T7: 7. Discussion: The subjects of this study have typical symptoms of osteoarthritis of the knee, so there is no need for additional examinations to diagnose knee osteoarthritis in these subjects. This is supported by international guidelines which state that individuals with signs such as individuals aged >45 years, pain when doing activities, and morning stiffness <30 minutes can be directly diagnosed with knee osteoarthritis. Task specific has the concept of muscle cocontraction where (simultaneous coordinated activity of agonist and antagonist muscles) is considered as the main mechanism for joint stabilization, load distribution, and control of movement during gait. Muscle co-contraction for activities of daily living (ADL) can be combined with different muscles. It is therefore important to understand muscle co-activation strategies across different ADLs and across different muscle combinations. Conclusion: Obtained an increase in functional ability in patients with knee osteoarthritis.
Effectiveness of Specific Training on Physical Functional Improvement and Walking Speed in Patients with Knee Osteoarthritis Perdana, Suryo Saputra; Anggraeni, Nadya; Norazmi, Ihsan; Septiani, Icha; Zhulfahmi, Moch. Rizki; Kasumbung, Muhammad Tasa
Indonesian Journal of Medicine Vol. 7 No. 1 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Osteoarthritis (OA) is a musculoskeletal disorder which is a progressive change in joints that is slow and intermittent, usually in the field there are exercises to strengthen muscles which are only supported by the agonist muscles while the antagonistic muscles also participate and even more dominant, the most approved intervention to be able to activate both muscles is a special task. The purpose of this study is to study whether there are functional requirements for specific tasks to improve the functioning and running of osteoarthritis patients.Subjects and Method: This study method uses the type of experimental research with a single case research method using A-B-A research design. The study was conducted in January 2020 located at the University of Muhammadiyah Surakarta. A patient with knee OA was selected using consecutive sampling. Functional ability and walking speed were tested by West Ontario and McMaster Osteoarthritis Index (WOMAC).Results: Specific training improved physical function and speed walking in patients with knee osteoarthritis. There was no effect of specific training on pain and stiffness.Conclusion: Task specific training improves functional ability and walking performance in aptient with knee osteoarthritis.Keywords: Osteoarthritis, task specific training, visual surface electromyograph, augmented feedback, functional ability.Correspondence: Suryo Saputra Perdana. Faculty of Health Sciences, Universitas Muhammadiyah Surakarta, Jl. Ahmad Yani, Tromol Pos 1, Pabelan Kartasura, Sukoharjo 57169, Central Java, Indonesia. Phone: +6281298563988. Email: suryo.saputra@ums.ac.id.Indonesian Journal of Medicine (2022), 07(01): 89-101https://doi.org/10.26911/theijmed.2022.07.01.10 
Co-Authors Anggraeni, Nadya Kasumbung, Muhammad Tasa Norazmi, Ihsan Perdana, Suryo Saputra Prasetijo, Dedy Herman Septiani, Icha