Efektivitas Pemberian Proprioceptive Neuromuscular Facilitation Stretching (PNF) Terhadap Pasien Osteoarthritis Lutut dengan Deformitas Genu Valgus
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ABSTRACT
Osteoarthritis is a degenerative joint disorder that can cause sensations of pain, stiffness, decreased body balance, and deformity that can interfere with daily activities. Apart from pharmacological therapy, Proprioceptive Neuromuscular Facilitation (PNF) stretching is a non-pharmacological therapy in the form of exercises that can help stimulate proprioception and activate muscles, so as to overcome complaints felt by osteoarthritis sufferers. This research was conducted using a combination of 3 PNF stretching techniques, namely hold relax, contract relax, and contract relax-agonist contraction, which aims to determine the effectiveness of the PNF stretching technique in osteoarthritis sufferers with genu valgus deformity. This case study was conducted on an osteoarthritis patient with genu valgus deformity. After 4 weeks of therapy, the results showed a decrease in pain after 24 hours of therapy and an increase in pain sensation after 2 days post-therapy. In addition, the results of balance, muscle strength, and anxiety about falling showed significant results. In conclusion, PNF stretching is an effective non-pharmacological therapy for reducing pain, increasing range of motion, and improving mobility.
Keywords: PNF Stretching, Osteoarthritis, Genu Valgus Deformity
ABSTRAK
Osteoarthritis adalah gangguan sendi degenerative yang dapat menimbulkan sensai nyeri, kekakuan, penurunan keseimbangan tubuh, dan deformitas sehingga akan mengganggu aktivitas sehari-hari. Selain terapi farmakologis, Proprioceptive Neuromuscular Facilitation (PNF) stretching merupakan salah satu terapi non-farmakologis berupa latihan yang dapat membantu merangsang proprioseptif serta mengaktivasi otot, sehingga mampu mengatasi keluhan yang dirasakan oleh penderita osteoarthritis. Penelitian ini dilakukan menggunakan penggabungan dari 3 teknik PNF stretching yaitu hold relax, contract relax, dan contract relax-agonist contraction yang bertujuan untuk mengetahui keefektivitasan teknik PNF stretching pada penderita osteoarthritis dengan deformitas genu valgus. Pada studi kasus ini dilakukan pada seorang pasien osteoarthritis dengan deformitas genu valgus. Setelah dilakukan terapi selama 4 minggu, hasil menunjukkan adanya penurunan nyeri setelah 24 jam diberikan terapi dan sensasi nyeri meningkat setelah 2 hari pasca terapi. Selain itu, pada hasil keseimbangan, kekuatan otot, dan kecemasan akan jatuh menunjukkan hasil yang signifikan. Sebagai kesimpulan, PNF stretching merupakan terapi non-farmakologis yang efektif untuk mengurangi nyeri, meningkatkan rentang gerak, dan memperbaiki mobilitas.
Kata Kunci: PNF Stretching, Osteoarthritis, Deformitas Genu Valgus
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Afzali, T., Fangel, M. V., Vestergaard, A. S., Rathleff, M. S., Ehlers, L. H., & Jensen, M. B. J. P. O. (2018). Cost-effectiveness of treatments for non-osteoarthritic knee pain conditions: A systematic review. 13(12), e0209240.
Ahmad, I. W., Rahmawati, L. D., & Wardhana, T. H. J. A. (2018). Demographic profile, clinical and analysis of osteoarthritis patients in Surabaya. 40(49), 7.
Arcanjo, F. L., Martins, J. V. P., Moté, P., Leporace, G., de Oliveira, D. A., de Sousa, C. S., . . . Gomes-Neto, M. J. C. T. i. C. P. (2022). Proprioceptive neuromuscular facilitation training reduces pain and disability in individuals with chronic low back pain: A systematic review and meta-analysis. 46, 101505.
Ariawan, I. Y., Kuswardhani, R. T., Astika, I., & Aryana, I. J. J. P. D. (2011). Hubungan antara activities specific balance confidence scale dengan umur dan falls pada lansia di poliklinik geriatric RSUP Sanglah Denpasar. 12(1), 34-37.
Ariyanti, R., Sigit, N., & Anisyah, L. J. S. J. P. M. B. (2021). Edukasi Kesehatan Terkait Upaya Swamedikasi Penyakit Osteoarthritis Pada Lansia. 4(3), 552-556.
Ben, M., Harvey, L. J. S. j. o. m., & sports, s. i. (2010). Regular stretch does not increase muscle extensibility: a randomized controlled trial. 20(1), 136-144.
Cattaneo, D., Jonsdottir, J., Repetti, S. J. D., & rehabilitation. (2007). Reliability of four scales on balance disorders in persons with multiple sclerosis. 29(24), 1920-1925.
Decintan, W. N., Pristianto, A., & Santosa, T. B. (2021). Efek Electro Therapy Trabert current and Pulse burst Knee Osteoarthritis pain grade II. Paper presented at the Academic Physiotherapy Conference Proceeding.
Egwu, O. R., Ayanniyi, O. O., Adegoke, B. D. O., Olagbegi, O. M., Ogwumike, O. O., & Odole, A. C. J. H. M. (2018). Effect of self-management education versus quadriceps strengthening exercises on pain and function in patients with knee osteoarthritis. 19(3), 64-74.
Fitri, S. N., & Sari, D. R. K. J. P. J. (2023). PENGARUH PEMBERIAN PNF TERHADAP PENURUNAN NYERI PADA PASIEN OSTEOARTHRITIS GENU: A CASE SERIES. 3(2), 62-66.
Gao, B., Li, L., Shen, P., Zhou, Z., Xu, P., Sun, W., . . . Song, Q. J. P. o. (2023). Effects of proprioceptive neuromuscular facilitation stretching in relieving pain and balancing knee loading during stepping over obstacles among older adults with knee osteoarthritis: A randomized controlled trial. 18(2), e0280941.
Gunning, E., Uszynski, M. K. J. A. o. p. m., & rehabilitation. (2019). Effectiveness of the proprioceptive neuromuscular facilitation method on gait parameters in patients with stroke: a systematic review. 100(5), 980-986.
Gurudut, P., Patel, R., Mukkannavar, P., Vira, P. J. I. J. o. P. T., & Research. (2019). Effect of retro-walking on treadmill on hamstring flexibility, gait, kinesiophobia, and psychometry in individuals with chronic knee osteoarthritis. 1(2), 93-99.
Hafez, A. (2018). Knee Osteoarthritis: A Review of Literature.
Health, N. I. f., & Excellence, C. (2014). Osteoarthritis: care and management in adults: National Institute for Health and Clinical Excellence (NICE).
Hunter, D. J., McDougall, J. J., & Keefe, F. J. (2008). The symptoms of osteoarthritis and the genesis of pain. Rheum Dis Clin North Am, 34(3), 623-643. doi:10.1016/j.rdc.2008.05.004
Imran, M., Patollongi, I. J., & Aras, D. J. J. K. K. (2021). PERBEDAAN HOLD RELAX DAN CONTRACT RELAX PADA PENDERITA OSTEOARTHRITIS KNEE JOINT. 8(4), 169-182.
Jacobs, C. A., Mace, R. A., Greenberg, J., Popok, P. J., Reichman, M., Lattermann, C., . . . Vranceanu, A.-M. J. C. C. T. C. (2021). Development of a mind body program for obese knee osteoarthritis patients with comorbid depression. 21, 100720.
Khasanah, A. N., Rahman, F., & Pradana, A. J. J. K. d. F. (2022). Program Fisioterapi Pada Kasus Osteoarthritis Knee Dextra: Case Report. 145-150.
Mahajan, A., & Patni, R. J. J. o. M.-l. H. (2018). Menopause and osteoarthritis: any association? , 9(4), 171.
Matongka, Y. H., Astrid, M., & Hastono, S. P. J. M. P. P. K. I. (2021). Pengaruh Latihan Range of Motion Aktif Terhadap Nyeri Dan Rentang Gerak Sendi Lutut Pada Lansia Dengan Osteoarthritis Di Puskesmas Doda Sulawesi Tengah. 4(1), 30-41.
Mora, J. C., Przkora, R., & Cruz-Almeida, Y. J. J. o. p. r. (2018). Knee osteoarthritis: pathophysiology and current treatment modalities. 2189-2196.
Musumeci, G., Aiello, F. C., Szychlinska, M. A., Di Rosa, M., Castrogiovanni, P., & Mobasheri, A. J. I. j. o. m. s. (2015). Osteoarthritis in the XXIst century: risk factors and behaviours that influence disease onset and progression. 16(3), 6093-6112.
Nathani, S., Tank, K. D. J. I. J. o. P. H. R., & Development. (2020). Effect of PNF stretching on proprioception and physical function in individual with knee osteoarthritis: An experimental study. 11(7), 712-717.
Primorac, D., Molnar, V., Rod, E., Jeleč, Ž., Čukelj, F., Matišić, V., . . . Borić, I. J. G. (2020). Knee osteoarthritis: a review of pathogenesis and state-of-the-art non-operative therapeutic considerations. 11(8), 854.
Sheikh, S., Fishe, J., Norse, A., Henson, M., James, D., Sher, W., . . . Hendry, P. J. C. (2021). Comparing Pain Intensity Using the Numeric Rating Scale and Defense and Veterans Pain Rating Scale in Patients Revisiting the Emergency Department. 13(8).
Sibarani, J. J., Kuntara, A., Rasyid, R. P. J. J. o. M., & Health. (2021). Korelasi antara Usia dan Derajat Osteoartritis Sendi Lutut Berdasarkan Sistem Klasifikasi Kellgren-Lawrence di RSUP Dr. Hasan Sadikin Bandung Tahun 2019-2020. 3(1), 16-25.
Song, Q., Shen, P., Mao, M., Sun, W., Zhang, C., Li, L. J. S. j. o. m., & sports, s. i. (2020). Proprioceptive neuromuscular facilitation improves pain and descending mechanics among elderly with knee osteoarthritis. 30(9), 1655-1663.
Thong, I. S., Jensen, M. P., Miró, J., & Tan, G. J. S. j. o. p. (2018). The validity of pain intensity measures: what do the NRS, VAS, VRS, and FPS-R measure? , 18(1), 99-107.
Tika, P., & Aryana, W. J. E.-J. M. (2018). Hubungan Antara Tingkat Nyeri Berdasarkan Numerical Rating Scale dengan Intensitas Osteoartritis Secara Radiologi Menurut Kallgren-Lawrence Grading System Pada Penderita Osteoartritis Lutut di Rumah Sakit Sanglah. 7(6), 1-8.
Utomo, D. N., Mahyudin, F., Yanuar, A., Widhiyanto, L., & Hernugrahanto, K. D. J. I. j. o. s. c. r. (2018). Correction of severe valgus deformity of knee osteoarthritis with non-constrained total knee arthroplasty implant: A case report. 53, 218-222.
Wallmann, H. W., Evans, N. S., Day, C., Neelly, K. R. J. H. H. C. M., & Practice. (2013). Interrater reliability of the five-times-sit-to-stand test. 25(1), 13-17.
Whitney, S. L., Marchetti, G. F., Schade, A., & Wrisley, D. M. J. J. o. V. r. (2004). The sensitivity and specificity of the Timed" Up & Go" and the Dynamic Gait Index for self-reported falls in persons with vestibular disorders. 14(5), 397-409.
DOI: https://doi.org/10.33024/mahesa.v4i8.14880
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