Penatalaksanaan Fisioterapi pada Osteoarthritis Genu Dextra dengan Modalitas Transcutaneous  Electrical Nerve Stimulation (TENS),  Ultrasound dan Terapi Latihan

Dwito Auliandra; Maya Triyanita

doi:10.55606/jurrike.v4i3.7046

Authors

Dwito Auliandra Universitas Widya Husada Semarang
Maya Triyanita Universitas Widya Husada Semarang

DOI:

https://doi.org/10.55606/jurrike.v4i3.7046

Keywords:

Exercise Therapy, Knee Physiotherapy, Osteoarthritis Treatment, TENS, Ultrasound

Abstract

Osteoarthritis of the knee is a degenerative condition of the knee joint characterized by the thinning of cartilage, leading to friction between the femur and tibia. This condition results in pain, limited joint mobility, and reduced strength of the quadriceps and hamstring muscles. Physiotherapy plays a crucial role in reducing these symptoms through modality-based approaches and structured exercise therapy. This study is a case study involving a single patient with right knee osteoarthritis. Data were collected through direct observation and evaluation of therapeutic outcomes. Interventions were conducted over four sessions using Transcutaneous Electrical Nerve Stimulation (TENS) to reduce pain, Ultrasound to enhance blood circulation and reduce inflammation, and exercise therapy focusing on improving muscle strength and joint range of motion. After four therapy sessions, there was a reduction in pain intensity, improved strength of the quadriceps and hamstrings, and increased joint range of motion. These results demonstrate that the combination of TENS, ultrasound, and exercise therapy is effective in improving function and quality of life for patients with right knee osteoarthritis. This study emphasizes the importance of a multimodal physiotherapy approach in managing chronic musculoskeletal disorders.

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References

Bisconti, A., Longo, C., Venturelli, M., Corattela, G., Limonta, E., Doria, C., Ramphicini, S., & Esposito, F. (2020). Evidence for improved systemic and local vascular function after long-term passive static stretching training of the musculoskeletal system. The Journal of Physiology, 598(17). https://doi.org/10.1113/JP279866

Canzone, A., Roggio, F., Patti, A., Giustino, V., Mannucci, C., Di Mauro, D., Musumeci, G., Bianco, A., & Trimarchi, F. (2024). Classification of physical activity programs based on the Kellgren & Lawrence scale for knee osteoarthritis: A systematic review. Musculoskeletal Care, 22(4), 1–13. https://doi.org/10.1002/msc.70019

Dong, R., Wu, Y., Xu, S., Zhang, L., Ying, J., Jin, H., Wang, P., Xiao, L., & Tong, P. (2018). Is aquatic exercise more effective than land-based exercise for knee osteoarthritis? Medicine (United States), 97(52). https://doi.org/10.1097/MD.0000000000013823

Hamood, R., Tirosh, M., Fallach, N., Chodick, G., Eisenberg, E., & Lubovsky, O. (2021). Prevalence and incidence of osteoarthritis: A population‐based retrospective cohort study. Journal of Clinical Medicine, 10(18). https://doi.org/10.3390/jcm10184282

Huang, L., Guo, B., Feixiang, X., & Zhao, J. (2017). Effects of quadriceps functional exercise with isometric contraction in the treatment of knee osteoarthritis. International Journal of Rheumatic Diseases, 21(5), 952–959. https://doi.org/10.1111/1756-185X.13082

Ikhlasinufus. (2022). Penatalaksanaan fisioterapi pada kasus osteoarthritis genu dextra di Rumah Sakit Krakatau Medika. Journal of Applied Health Research and Development, 4(1), 59–65.

Imran, M., Patolonggi, I., & Aras, D. (2021). Perbedaan hold relax dan contract relax pada penderita osteoarthritis knee joint. Jurnal Kesehatan Masyarakat Khatulistiwa, 9(2), 169–182. https://doi.org/10.29406/jkmk.v9i2.3007

Ismaningsih, S. F., & I. S. Ft, I. S. (2018). Penatalaksanaan fisioterapi pada kasus osteoarthritis genu bilateral dengan intervensi neuromuskuler taping dan strengthening exercise untuk meningkatkan kapasitas fungsional. Jurnal Ilmiah Fisioterapi (JIF), 1(2), 38–46.

Kacaribu, I. A., & Ismanda, S. N. (2021). Penatalaksaan fisioterapi pada sprain ankle sinistra dengan modalitas ultrasound dan terapi latihan. Jurnal Kesehatan Tambusai, 2(4), 89–96. https://doi.org/10.31004/jkt.v2i4.2726

Knipe, H. (2014). Kellgren and Lawrence system for classification of osteoarthritis. Radiopaedia. https://radiopaedia.org/articles/kellgren-and-lawrence-system-for-classification-of-osteoarthritis

Koesoemadhipura, D. O., & Wijayanti, A. P. (2021). Penatalaksanaan fisioterapi pada kasus tennis elbow dextra dengan modalitas ultrasound dan hold relax di RSAU Dr. M. Salamun Bandung. Jurnal Kesehatan Tambusai, 2(4), 152–158. https://doi.org/10.31004/jkt.v2i4.2879

Milenia, S., & Rahman, I. (2021). Penatalaksanaan fisioterapi pada kasus osteoarthritis genu bilateral menggunakan modalitas TENS, SWD dengan terapi latihan. Jurnal Stikes Sitihajar, 3, 125–131.

Oktafianti, E., Sundari, L. P. R., Ali Imron, M., Tirtayasa, K., Griadhi, I. P. A., & Adiputra, L. M. I. S. H. (2020). Terapi ultrasound dengan latihan hold relax dan passive stretching sama efektifnya dalam meningkatkan fleksibilitas otot hamstring pada pasien osteoarthritis genu di RSUP Sanglah Denpasar Bali. Sport and Fitness Journal, 8(3), 133. https://doi.org/10.24843/spj.2020.v08.i03.p05

Putra, A., Nurmalasari, Y., & Anita, T. (2018). Gambaran klinis osteoarthritis primer pada usia 40-60 pada laki-laki dan perempuan di RSUD Dr. H. Abdul Moeloek Provinsi Lampung tahun 2018. Jurnal Ilmu Kedokteran dan Kesehatan, 5, 188–194.

Rahmah Laksmi Ambardini, B. S. N. (2016). Tingkat pengetahuan atlet tentang cedera ankle dan terapi latihan di Persatuan Sepakbola Telaga Utama. Medikora, 15(1), 23–38. https://doi.org/10.21831/medikora.v15i1.10070

Raposo, F., Ramos, M., & Cruz, A. (2021). Effects of exercise on knee osteoarthritis: A systematic review. Musculoskeletal Care. https://doi.org/10.1002/msc.1538

Rizqi, A. S. (2018). Transcutaneous electrical nerve stimulation (TENS) affecting pain threshold. Link, 14(2), 79. https://doi.org/10.31983/link.v14i2.3775

Santoso, I., Sari, I. D. K., Noviana, M., & Pahlawi, R. (2018). Penatalaksanaan fisioterapi pada post op rekonstruksi anterior cruciate ligament sinistra grade III akibat ruptur di RSPAD Gatot Soebroto. Jurnal Vokasi Indonesia, 6(1). https://doi.org/10.7454/jvi.v6i1.117

Soemarjono, A. (2015). Terapi ultrasound. Flex-Free Clinic. https://flexfreeclinic.com/layanan/detail/26

Swastini, N. P., Ismunandar, H., Wintoko, R., Hadibrata, E., & Djausal, A. N. (2022). Faktor risiko osteoarthritis. Medical Profession Journal of Lampung, 12(1), 49–54. https://doi.org/10.53089/medula.v12i1.329

Wailoo, A., Hernandez Alava, M., & Escobar Martinez, A. (2014). Modelling the relationship between the WOMAC osteoarthritis index and EQ-5D. Health and Quality of Life Outcomes, 12(1), 2–7. https://doi.org/10.1186/1477-7525-12-37

Wei, Z., Ouyang, H., Dass, C., & Xu, J. (2016). Current research on pharmacologic and regenerative therapies for osteoarthritis. Bone Research. https://doi.org/10.1038/boneres.2015.40

Yudiansyah, L., & Prafitri, L. D. (2021). Gambaran peningkatan aktivitas fungsional pada penderita osteoarthritis lutut sebelum dan setelah latihan hold relax: Literature review. Prosiding Seminar Nasional Kesehatan, 1, 1674–1679. https://doi.org/10.48144/prosiding.v1i.914