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