PENGARUH LATIHAN PENGUATAN OTOT KONSENTRIK DAN EKSENTRIK TERHADAP NYERI DAN KEMAMPUAN FUNGSIONAL PADA OSTEOARTHRITIS LUTUT

Friskiani Yulis Esra, Joudy Gessal

Abstract


Background: Osteoarthritis (OA) is a degenerative joint disease that can involve all joint tissues. OA is the most common type of arthritis and it is a major cause of chronic musculoskeletal pain, especially in elderly individuals. Muscle strength is strongly suspected to play a role in the pathogenesis of the knee. Research shows muscle imbalance and muscle weakness around the knee joint with decreased functional ability and pain and the risk of falling.

Objective: Analyzing the effect of concentric and eccentric muscle strengthening exercises on pain and functional ability in knee osteoarthritis. Knowing the decrease in pain after being given concentric and eccentric muscle strengthening exercises in knee osteoarthritis

Methods: This research is an experimental study with a pretest-posttest group design. The research was conducted at the Medical Rehabilitation Installation of Prof. RSUP. Dr. R. D. Kandou Manado.. The study was conducted in February 2021 – April 2021. The research subjects were new knee OA patients who met the inclusion criteria. The method of selecting subjects was by consecutive sampling, ie all subjects who came and met the inclusion criteria were included in the study until the required number of subjects was met.

Results: The results of the Wilcoxon Signed Ranks test in Table 10 show that there is a very significant difference between the median values before and after concentric and eccentric muscle strengthening exercises on functional ability (Z = -4.137 with p value < 0.001). If at the beginning (before given the exercise) the median value of functional ability = 9.50 then after exercise the median value of functional ability = 17.00. So there was a very significant increase in post-exercise functional ability. Graphically the increase in functional ability before and after exercise can be seen

Conclusion: Concentric and eccentric muscle strengthening exercises can reduce pain in patients with knee osteoarthritis and improve functional abilities in patients with knee osteoarthritis.

Keywords: osteoarthritis, pain, exercise, degenerative


Full Text:

XML

References


Hussain SM, Neilly DW. Baliga, S. Knee Osteoarthritis : A Review of Management Options. Scottish Medical Journal. 2016; 61(1): 7-16.

Delisa, J. Osteoartritis. In : Delisa’s Physical Medicine & Rehabilitation Principles and Practice, 5th edition. Philadelphia : Lippincott williams & wilkins, 2010; 781-801 p.

Cucurullo SJ. Osteoarthritis. In : Physical Medicine and Rehabilitation Board Review, 3rd edition. New Jersey : Demos medical, 2015; 113-14 p.

Kemenkes RI. Riset kesehatan dasar - Riskesdas 2013. Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan RI Tahun 2013; 120-24 p.

Ayling S, Gessal J. Gambaran Faktor Risiko Penderita Osteoartritis Lutut di Instalasi Rehabilitasi Medik RSUP Prof. Dr. R. D. Kandou Manado Periode Januari –Juni 2017. Manado : Universitas Samratulangi; 2017.

Data Kunjungan Pasien di Instalasi Rehabilitasi Medik Prof. Dr. R.D. Kandou Manado Periode Tahun 2016-2019.

Hafez AR, Al-Johani AH, Zakaria AR, Al-Ahaideb A, Buragadda S, Melam GR, et al. Treatment of Knee Osteoarthritis in Relation to Hamstring and Quadriceps Strength. Journal of Physical Therapy Science. 2013 Nov;25(11):1401-5.

Brandt KD, Dieppe P, Radien E. Etiopathogenesis of Osteoarthritis. The Medical Clinics of North America. 2009 Jan;93(1):1-24,xv.

Slemenda C, Brandt K, Heilman DK. Quadriceps Weakness and Osteoarthritis of the Knee. Ann Intern Med. 2007;127:97-104.

Petterson S, Barrance P, Buchanan T, Binder-Macleod S, Snyder-Mackler L. Mechanism Underlying Quadriceps Weakness in Knee Osteoarthritis. Med Sci Sports Exerc 2008;40:4222-7.

Pietrosimone B, Hertel J, Ingersoll C, Hart J, Saliba S. Voluntary Quadriceps Activation Deficits in Patients with Tibiofemoral Osteoarthritis: a meta-analysis. PMR.2011;3:153-62.

Yusuf MA, Hossain MS. Updated Management of Osteoarthritis : A Review Article. Journal of Science Foundation. 2015; 11 : 49-53.

Kurniawan L. Osteoartritis Genu. Dalam : Panduan Layanan Klinis Rehab Medik. Jakarta : Perdosri. 2012.

Kevin R. Vincent, MD, PhD, and Heather K. Vincent, PhD, FACSM. Concentric and Eccentric Resistance Training Comparison on Physical Function and Functional Pain Outcomes in Knee Osteoarthritis. Am J Phys Med Rehabil 2020;99:932–940.

Valizadeh A, Azmoon H, Meamarbarshi. The Effect of Sequence Order in Combined Trainings on Maximal Strength and Aerobic Capacity. World applied Science J 2010;10(7):797-802.

Hunter G, McCharty, Bamman M. Effects of Resistance Training on Older Adults. Sports Medicine 2004;34(5):329-48.

Aslan O, Batur BE, Meray J. The Importance of Functional Hamstring/Quadriceps Ratios in Knee Osteoarthritis. Journal of Sport Rehabilitation 2019 Oct 7;1-5.

Gur HC¸ Cakfın N, Akova B, Okay E, Kucukoglu S. Concentric versus combined concentriceccentric isokinetic training: effects on functional capacity and symptoms in patients with osteoarthrosis of the knee. Arch Phys Med Rehabil 2002;83:308-16.

Min JS, Bo RK, Sang RK et al. Effects of Early Combined Eccentric-Concentric Versus Concentric Resistance Training Following Total Knee Arthroplasty. Ann Rehabil Med 2017;41(5):816-827.

Katsura, Y., Takeda, N., Hara, T., Takahashi, S., & Nosaka, K. Comparison between eccentric and concentric resistance exercise training without equipment for changes in muscle strength and functional fitness of older adults. European Journal of Applied Physiology. 2019:119(7), 1581–1590.

LaStayo, P., Marcus, R., Dibble, L., Wong, B., & Pepper, G. Eccentric versus traditional resistance exercise for older adult fallers in the community: a randomized trial within a multi-component fall reduction program. BMC Geriatrics. 2017:17(1).

Hansen PA, Henrie AM, Deimel GW, Willick SE. Musculoskeletal disorder of the lower limb. In : Cifu DX. Braddom’s Physical Medicine and Rehabilitation. 5th ed. Elsevier Saunders;2016

Brandt DK, Doherty M, Lohmander SL. Osteoarthritis, Second edition. Oxford : Oxford Medical Publications. 2013; 1-21 p.

Ashkavand Z, Malekinejad H, Vishwanath BS. The Pathophysiology of Osteoarthritis. Journal of Pharm Research. 2013 : 132 – 8.

Allen KD, Golightly YM. Epidemiology of Osteoarthtritis : state of evidence. Wolters Kluwer Health, Inc. 2015 : 1 – 8.

Yin AX, Wilkins AN, Philips EM. Osteoarthritis. In Frontera WR, Silver JK, Rizzo TD, editors. Essential Physical Medicine and Rehabilitation Musculoskeletal Disorder, Pain and Rehabilitation. 3rd ed. Elsevier Saunders;2015.

Rekomendasi IRA untuk diagnosis dan penatalaksaan Osteoartritis. 2014 : 1 – 42.

Thomas H, Jeroen G, Corina N, Magdalena MG, Victor V. Aging and Osteoarthritis : An Inevitable Encounter. J of Aging Research. 2012 : 1 -7.

Ziad MH, Jihad MA. The Clinical of Knee Osteoarthritis. In Jordan : A Hospital Based study. Inter J of med Science. 2003;10(6);790 – 5.

Angela A. Determinants of Physical Performance in people with knee osteoarthritis (MSc Thesis).McMaster University Hamilton, Ontario;2012

Cubukcu D, Sarsan A, Alkan H. Relationship between pain, function and Radiographic findings in Osteoarthritis of the knee : A cross sectional study. Arthritis;2012:1-5.

Santoso B. Pain in Management of Pain is Probably One of the Commonest and yet Most Difficult Aspect of Medical Practice. Surabaya : Perdosri. 2009; 10-67 p.

Caliet R. Knee Pain and Disability 3th Edition. Philadelphia. 2002; 1-59 p.

Billy W, Sarabon N, Lofler S, et al. Relationship Between Strength Parameters and Functional Performance Test in Patients with Severe Knee Osteoarthritis. Journal Physical Medicine and Rehabilitation. PMR 11(2019).834-842

Gür H, Çakın N, Akova B, Okay E, Küçükoğlu S. Concentric Versus Combined Concentric-Eccentric Isokinetic Training: Effects on Functional Capacity and Symptoms in Patients with Osteoarthrosis of the Knee. Archives of Physical Medicine and Rehabilitation. 2002. 83(3), 308–316.

Topp R, Woolley S, Hornyak J III, Khuder S, Kahaleh B. The effect of dynamic versus isometric resistance training on pain and functioning among adults with osteoarthritis of the knee. Arch Phys Med Rehabil 2002;83:1187-95.

Bo RK, Sang RK, et al. Effects of Early Combined Eccentric-Concentric Versus Concentric Resistance Training Following Total Knee Arthroplasty. Ann Rehabil Med 2017;41(5):816-827.

Olagbegi, O. M., Adegoke, B. O., & Odole, A. C. Effectiveness of three modes of kinetic-chain exercises on quadriceps muscle strength and thigh girth among individuals with knee osteoarthritis. Archives of Physiotherapy, 2017:7(1).

Fitzgerald, K., & Susko, A. The pain-relieving qualities of exercise in knee osteoarthritis. Open Access Rheumatology: Research and Reviews. 2013:5 81–91.

Vincent, K. R., & Vincent, H. K. Resistance Exercise for Knee Osteoarthritis. PM&R, 2012: (5), S45–S52.

Dobson F, Hinman RS, Roos EM, Abbott JH, Stratford P et al. OARSI Recommended Performance-based Tests to Assess Physical Function in People Diagnosed with Hip or Knee Osteoarthritis. Osteoarthritis and Cartilage. 2013; 21(8), 1042–1052.

Gill, S., Natalie, M., McBurney, H. Reliability of performance-based measures in people awaiting joint replacement surgery of the hip or knee. Clinical Rehabilitation 2011;26(10) 945–951.

Ferreira, V., Machado, L., Vilaça, A., Leite, F. X., & Roriz, P. Biomechanics performance in 30-s chair stand test in patients with medial knee osteoarthritis. International Journal of Human Factors and Ergonomics. 2019; 6(4), 319.


Refbacks

  • There are currently no refbacks.


www.Counters-free.net