Kombinasi Plyometric Training Dengan Mobilization With Movement Lebih Baik Dibanding Kombinasi Plyometric Training Dengan Strain Counter Strain Dalam Meningkatkan Keseimbangan Dan Range Of Motion Ankle Joint Pada Kasus Chronic Ankle Instability Di Klinik Barito Farma
Arfian Hamzah(1*), Enny Fauziah(2), Mar’atus Sa’diah(3)(1)
(2) Politeknik Unggulan Kalimantan
(3) Politeknik Unggulan Kalimantan
(*) Corresponding Author
Abstract
Pendahuluan; Chronic Ankle Instability (CAI) merupakan suatu kondisi dimana terjadi ketidakstabilan pergelangan kaki lateral serta gejala sisa seperti nyeri dan keterbatasan luas gerak sendi setelah cedera berulang pada ligament pergelangan kaki lateral. Tujuan; Untuk membandingkan kombinasi plyometric training dengan Mobilization with Movement (MWM) dan kombinasi plyometric training dengan Strain Counter Strain (SCS) terhadap peningkatan keseimbangan, Range of Motion (ROM), dan fungsional ankle pada kasus CAI. Metode; Penelitian ini merupakan studi eksperimental dengan rancangan penelitian pre-test and post-test group design. Sampel berjumlah 22 orang yang terdiri dari 11 orang di setiap kelompok. Kelompok 1 diberikan plyometric training dan MWM dan kelompok 2 diberikan plyometric training dan SCS. Latihan diberikan 3x seminggu selama 6 minggu. Teknik pengambilan sampel dengan random sampling. Keseimbangan diukur dengan Star Excursion Balance Test (SEBT), ROM diukur dengan Dorsiflexion Range of Motion (DFROM), fungsional ankle diukur dengan Foot and Ankle Ability Measure (FAAM). Hasil; Uji Paired sample t-test pada kedua kelompok didapatkan hasil signifikan untuk SEBT, DFROM, FAAM (p=0,001). Hasil sama pada uji Independent sample t-test nilai SEBT dan DFROM (p=0,001), namun nilai FAAM (p lebih dari 0,05). Simpulan; Kombinasi plyometric training dengan MWM dan kombinasi plyometric training dengan SCS sama-sama meningkatkan keseimbangan, ROM, dan fungsional ankle. Namun, untuk meningkatkan keseimbangan dan ROM kombinasi plyometric training dengan MWM lebih baik.
Kata kunci; Mobilization with movement, Strain counter strain, Star excursion balance test, Dorsiflexion range of motion, Chronic ankle instability
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Fong DT, Hong Y, Chan LK. A systematic review on ankle injury and ankle sprain in sports. Sports Med. 2007; 37(1): 73-94.
Waterman BR, Owens BD, Davey S, Belmonnt PJ. The epidemiology of ankle sprains in the United States. J Bone Joint Surg Am. 2010;92:2279-84.
Gribble PA, Bleakley CM, Caulfi eld BM. Evidence review for the 2016 International Ankle Consortium consensus statement on the prevalence, impact and long-term consequences of lateral ankle sprains. Br J Sports Med. 2016; 50(24): 1496-1505.
Hiller CE, Kilbreath SL, Refshauge KM. Chronic ankle instability: evolution of the model. J Athl Train. 2011;46:133–41.
Hertel J. Functional anatomy, pathomechanics, and pathophysiology of lateral ankle instability. J Athl Train. 2002;37:364–75.
Hubbard TJ, Hertel J. Mechanical contributions to chronic lateral ankle instability. Sports Med. 2006;36:263–77.
McKeon PO, Hertel J. Systematic review of postural control and lateral ankle instability: part 1. Can deficits be detected with instrumented testing? J Athl Train. 2008;43:293–304.
Terada M1, Pietrosimone BG, Gribble PA. Therapeutic interventions for increasing ankle dorsiflexion after ankle sprain: a systematic review. J Athl Train. 2013;48:696–709.
Holmes A, Delahunt E. Treatment of common deficits associated with chronic ankle instability. Sports Med. 2009;39:207-24.
Klykken LW, Pietrosimone BG, Kim Km, Ingersoll CD. Motor-neuron pool excitability of lower leg muscle after acute lateral ankle sprain. J Athl Train. 2011;46:263-9.
Hoch MC, Staton GS, Medina McKeon JM. Dorsiflexion and dynamic postural control deficits are present in those with chronic ankle instability. J Sci Med Sport. 2012;15:574–9.
Johanson M, Baer J, Hovermale H, Phouthavong P. Subtalar joint position during gastrocnemius stretching and ankle dorsiflexion range of motion. J Athl Train. 2008;43:172–8.
Diaz DC, Rafael LV, Maria CP, Fidel HC, Antonio MA. Effects of joint mobilization on chronic ankle instability: a randomized controlled trial. Disabil Rehabil J. 2014;1:1-10.
Hertel J. Sensorimotor deficits with ankle sprains and chronic ankle instability. Clin Sports Med. 2008;27:353–70.
van Rijn RM, van Os AG, Bernsen RMD. What is the clinical course of acute ankle sprains? A systematic literature review. Am J Med. 2008;121:324–31.
Gribble PA, Hertel J, Denegar CR, Buckley WE. The effect of fatigue and chronic ankle instability on dynamic postural control. J Athl Train. 2004;39:321–9.
Carter C, Micheli L. Training the child athlete: physical fitness, health and injury. Br J Sports Med. 2011;45:880–885.
Wong CK. Strain counterstrain: current concepts and clinical evidence. Man Ther. 2012;17:2–8.
Colliins CK, Michael M, Joshua AC. The effectiveness of strain counterstrain in the ankle treatment of patients with chronic ankle instability: A randomized clinical trial. Journal of Manual and Manipulative Therapy. 2014;119-128;22-3
Vicenzino B, Prangley I, Martin D. The initial effect of two Mulligan mobilizations with movement treatment techniques on ankle dorsiflexion. Australian Conference of Science and Medicine in Sport. Sports Medicine Australia; 2001
Hoch MC, Anreatta RD, Mullineaux DR. Two week joint mobilization intervention improves self-reported function, range of motion, and dynamic balance in those with chronic ankle instability. J Orthop. 2010;30:1798-804.
Toumi H, Best TM, Martin A, F’Guyer S, Poumarat G. Effects of eccentric phase velocity of plyometric training on the vertical jump. J Sports Med. 2004;25(5):391–398.
Komi PV, Hoboken NJ. Strength and Power (Stretch-shortening cycle. Blackwell Science. 2003:184–202.
McGuine TA, Keene JS. The effect of a balance training program on the risk of ankle sprains in high school athletes. J Sports Med. 2006;34(7):1103–1111.
Kubo K, Morimoto M, Komuro T. Effects of plyometric and weight training on muscle-tendon complex and jump performance. Med Sci Sports Exerc. 2007;39(10):1801–1810.
Martin RL, Irrgang JJ, Burdett RG, Conti SF, Van Swearingen JM. Evidence of validity for the foot and ankle ability measure (FAAM). Foot Ankle Int. 2005;26:968–83.
Mattacola CG, Dwyer MK. Rehabilitation of the ankle after acute sprain or chronic instability. J Athl Train. 2002;37:413–29.
Howell JN, Cabell KS, Chila AG, Eland DC. Stretch reflex and Hoffmann reflex responses to osteopathic manipulative treatment in subjects with Achilles tendinitis. J Am Osteopath Assoc. 2006;106:537–45.
Wikstrom EA, Bishop MD, Inamdar AD, Hass CJ. Gait termination control strategies are altered in chronic ankle instability subjects. Med Sci Sports Exerc. 2010;42:197–205
Denegar CR, Hertel J, Fonseca J. The effect of lateral ankle sprain on dorsiflexion range of motion, posterior talar glide, and joint laxity. J Orthop Sports Phys Ther. 2002;32:166–73.
Pellow JE, Brantingham JW. The efficacy of adjusting the ankle in the treatment of subacute and chronic grade I and grade II ankle inversion sprains. J Manip Physiol Ther. 2001;24:17–24.
Hsieh CY, Vicenzino B, Yang CH. Mulligan’s mobilization with movement for the thumb: a single case report using magnetic resonance imaging to evaluate the positional fault hypothesis. Man Ther. 2002;7:44–9.
Abbott JH, Robertson MC, Chapple C. Manual therapy, exercise therapy, or both, in addition to usual care, for osteoarthritis of the hip or knee: a randomized controlled trial. Man Ther. 2013;21:525–34.
Reid A, Birmingham TB, Alcock G. Efficacy of mobilization with movement for patients with limited dorsiflexion after ankle sprain: a crossover trial. Physio Can. 2007;59:166–72.
Collins N, Teys P, Vicenzino B. The initial effects of a Mulligan’s mobilization with movement technique on dorsiflexion and pain in subacute ankle sprain. Man Ther 2004;9:77–82.
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