Physiotherapy Management In Bilateral Knee Osteoarthritis By Providing Manual Therapy And Exercise Therapy: Case Report

Fenisa Nurul Hidayah(1*), Adnan Faris Naufal(2), Anas Pradana(3)

(1) Muhammadiyah University of Surakarta
(2) 
(3) 
(*) Corresponding Author

Abstract

Osteoarthritis of the knee is a degenerative disease that occurs in the joints and is progressive in nature which is characterized by damage to the cartilage structure which causes pathological changes in the joints. Symptoms that often arise are stiffness in the morning and there is also a "cracking" sound or also called a crepitus sound when making movements on the knee. Knee pain has an impact on various aspects of quality of life because it affects a decrease in functional activities such as squatting, standing, walking long distances, and going up and down stairs. The prevalence of Knee Osteoarthritis affects approximately 25% of adults and is currently increasing by 65% over the last 20 years. In this study the researchers conducted an intervention in the form of manual therapy for Mulligan Mobilization With Movement (MWM) and patella mobilization as well as exercise therapy in the form of stretching lower extremities, contract relax, quadriceps sets, active exercise and bridging exercise. The aim of the intervention was to reduce pain and increase functional activity in patients with Knee Osteoarthritis. The results of this study found a decrease in the level of pain intensity and a decrease in the disability score experienced by the patient. Kata kunci: Osteoarthritis Knee, Terapi Latihan Osteoarthritis, Manual Terapi, Muligan Mobilization With Movement, Mobilisasi Patella, Index WOMAC.

Full Text:

PDF

References

Alkhawajah, H. A., & Alshami, A. M. (2019). The effect of mobilization with movement on pain and function in patients with knee osteoarthritis: A randomized double-blind controlled trial. BMC Musculoskeletal Disorders, 20(1), 1–9. https://doi.org/10.1186/s12891-019-2841-4

Aprilianti, C. (2021). Suplementasi Kalsium dengan Dark Chocolate dan Susu terhadap Dismenore Pada Remaja Putri. Jurnal Ilmu Kesehatan Masyarakat, 10(03), 149–155. https://doi.org/10.33221/jikm.v10i03.853

Bisa, M. (2019). Intervensi Mulligan Mobilization With Movementlebih Baik Darisemisquat Exercisedalam Meningkatkan Fungsional Sendi Lutut Pada Kasus Chondromalacia Patella. Jurnal Dinamika Pendidikan, 11(3), 270. https://doi.org/10.33541/jdp.v11i3.895

Bunt, C. W., & Carolina, S. (2018). Knee Pain in Adults and Adolescents : The Initial Evaluation. 98(9).

Kesehatan, R. I., Merdekawati, D., Melany, H., & Korespondensi, E. (2018). Accreditation of Health Organization Analog ( VAS ), Skala Nyeri Numerik. 7(2).

Lai, Z., Lee, S., Chen, Y., & Wang, L. (2021). Journal of Exercise Science & Fitness Comparison of whole-body vibration training and quadriceps strength training on physical function and neuromuscular function of individuals with knee osteoarthritis : A randomised clinical trial. Journal of Exercise Science & Fitness, 19(3), 150–157. https://doi.org/10.1016/j.jesf.2021.01.003

Lonica, T., Oktaria, S., & Makmur, T. (2021). OSTEOARTHTRITIS GENU RELATIONSHIP BETWEEN QUALITY OF PAIN WITH FUNCTIONAL ACTIVITY OF PATIENTS WITH KNEE OSTEOARTHRITIS…. 9(2), 56–64.

Manitu, I., Widani, N. L., & Aima, H. (2020). Efektifitas Bridging Exercise Terhadap Kekuatan Otot Dan Keseimbangan Tubuh Pada Pasien Stroke (Di Rsud Poso Provinsi Sulawesi Tengah). Jurnal Kesehatan, 7(2), 61–71. https://doi.org/10.35913/jk.v7i2.160

Manuaba, I. A. R. W., Fisioterapi, P. S., Kesehatan, F. I., & Internasional, U. B. (2021). HUBUNGAN Q-ANGLE DENGAN KESEIMBANGAN DINAMIS PADA. 5.

Mazloum, V., Rabiei, P., Rahnama, N., & Sabzehparvar, E. (2018). The comparison of the effectiveness of conventional therapeutic exercises and Pilates on pain and function in patients with knee osteoarthritis. Complementary Therapies in Clinical Practice, 31, 343–348. https://doi.org/10.1016/j.ctcp.2017.10.008

Osteoarthritis, K. (2020). HHS Public Access. 51(10), 1977–1986. https://doi.org/10.1249/MSS.0000000000002010.Eccentric

Pratama, A. D. (2021). Jurnal Ilmiah Fisioterapi ( JIF ) Volume 4 Nomor 02 Agustus 2021 Efektivitas Quadriceps Setting Exercise ( QSE ) Dalam Meningkatkan Kemampuan Fungsional Pada Pasien Osteoartritis Lutut Genu Bilateral Jurnal Ilmiah Fisioterapi ( JIF ) Volume 4 Nomor 02 Agustus 2021. 4, 1–8.

Putri, A. K., Hamidah, N. A., Rahmawati, R. A., & Mrihartini, S. P. (2021). Efektifitas Terapi Latihan (Free Active Movement Dan Resisted Active Movement) Dalam Menambah Lingkup Gerak Sendi Pada Pasien Osteoarthritis Genu Dextra. Physiotherapy Health Science (PhysioHS), 3(2), 67–69. https://doi.org/10.22219/physiohs.v3i2.18936

Ramadhani, S., Wahyuni, W., & Wijianto, W. (2021). The Effect Of Stretching Lower Extremity And Core Stability On The Dynamic Balance Of Ums Basketball Player : A Case Study. Academic Physiotherapy Conference, 785–791.

Sengul, A., Yavuzer, M. G., Keles, O., Tunali, A. N., & Tuncer, D. (2022). Isometric Quadriceps Exercises for Patients with Knee Osteoarthritis: A Randomized Controlled Trial Comparing Knee Joint Position Flexion versus Extension. Rehabilitation Research and Practice, 2022. https://doi.org/10.1155/2022/2690871

Vincent, T. L., Wann, A., & Drive, R. (n.d.). No Title. https://doi.org/10.1113/JP275451

Wing, R., Sit, S., Kwok, K., Chan, W., Chi, V., Chung, H., & Reeves, K. D. (2018). Clinic-Based Patellar Mobilization Therapy for Knee Osteoarthritis: A Randomized Clinical Trial.

DOI: 10.23917/fisiomu.v4i3.21965

Article Metrics

Abstract view(s): 403 time(s)
PDF: 300 time(s)

Refbacks

  • There are currently no refbacks.