ABSTRACT

 

Postoperative fracture patients are prone to immobilization problems due to the appearance of pain so they feel afraid to move their limbs. Activity exercises that can be done for patients with postoperative lower extremity fractures are Range of Motion (ROM). The purpose of this review is to identify the effect of ROM intervention to increase Activity Daily Living (ADL) in lower extremity post-op patients. This research uses narrative review method. Literature search from the EBSCOhost, Garuda, and Google Scholar databases with the keywords ROM OR Range of Motion OR Range Of Movement” AND “Post-operative fracture OR Post-op Fractures” AND “Lower limb OR leg OR knee OR foot OR tibia OR femur” AND “Activity daily living OR Activity daily care OR ADL''. Articles were selected using the PRISMA 2020 guidelines. The results obtained were 5 articles that discussed ROM interventions to improve ADL. There are interventions in the form of active ROM and passive ROM. The conclusion that from the five articles analyzed, it was found that ROM intervention can be given to postoperative lower extremity fracture patients because it can improve ADL by reducing muscle and joint stiffness and preventing muscle atrophy in patients.

 

Keyword: Activity Daily Living, Lower Limb, Range Of Motion.

 

 

ABSTRAK

 

Pasien post operasi fraktur rentan mengalami masalah imobilisasi akibat munculnya rasa nyeri sehingga mereka merasa takut untuk menggerakan anggota tubuhnya. Latihan aktivitas yang dapat dilakukan kepada pasien fraktur post operasi ekstremitas bawah adalah Range of Motion (ROM). Tujuan dari studi literatur ini adalah untuk mengidentifikasi pengaruh intervensi ROM untuk meningkatkan Activity Daily Living (ADL) pada pasien post-op ekstremitas bawah. Penelitian ini menggunakan metode narrative review. Pencarian literatur dari database EBSCOhost, Garuda, dan Google Scholar dengan kata kunci ROM OR Range of Motion OR Range Of Movement” AND  “Post-operative fracture OR Post-op Fractures” AND “Lower limb OR leg OR knee OR foot OR tibia OR femur” AND “Activity daily living OR Activity daily care OR ADL’’. Artikel diseleksi menggunakan pedoman PRISMA 2020. Hasil didapatkan 5 artikel yang membahas intervensi ROM untuk meningkatkan ADL. Terdapat intervensi berupa ROM aktif dan ROM pasif. Dapat disimpulkan bahwa dari kelima artikel yang dianalisis didapatkan bahwa intervensi ROM dapat diberikan pada pasien fraktur post operasi ekstremitas bawah karena dapat meningkatkan ADL dengan mengurangi kekakuan otot dan sendi serta mencegah atropi otot pada pasien.

 

Kata Kunci:Aktivitas Harian, Ekstremitas Bawah, Range of Motion. 

Activity daily living, Lower limb, Range of Motion

Agustina, D., Wibowo, T. H., Yudono, D. T., Studi, P., Program Sarjana, K., Kesehatan, F., & Harapan Bangsa, U. (2021). Pengaruh Range Of Motion (Rom) Terhadap Kekuatan Otot Pada Pasien Post Operasi Open Reduction Internal Fixation (Orif) Di Rsud Ajibarang. Journal Artikel, 6(Rom), Potter-Perry.

Anita, F. (2021). Pengaruh Latihan Range Of Motion Terhadap Rentang Gerak Sendi Ekstremitas Atas Pada Pasiepasca Stroke Di Makassar. Journal Of Islamic Nursing, 3(1), 97–99.

Arunachalam, D., Hale, D. S., & Heit, M. (2019). 08: Impact Of Postoperative Activity Instructions On Disease-Specific Symptom Bother And Impact On Activities Of Daily Living Following Pelvic Reconstructive Surgery. American Journal Of Obstetrics And Gynecology, 220(3), S692–S693. Https://Doi.Org/10.1016/J.Ajog.2019.01.018

Babalola, O., Salawu, O., Ahmed, B., Ibraheem, G., Olawepo, A., & Agaja, S. (2018). Epidemiology Of Traumatic Fractures In A Tertiary Health Center In Nigeria. Journal Of Orthopedics, Traumatology And Rehabilitation, 10(2), 87. Https://Doi.Org/10.4103/Jotr.Jotr_35_16

Brunner, & Suddart. (2016). Buku Ajar Keperewatan Medikal Bedah. Buku Kedokteran: Egc.

Chen, W., Lv, H., Liu, S., Liu, B., Zhu, Y., Chen, X., Yang, G., Liu, L., Zhang, T., Wang, H., Yin, B., Guo, J., Zhang, X., Li, Y., Smith, D., Hu, P., Sun, J., & Zhang, Y. (2017). National Incidence Of Traumatic Fractures In China: A Retrospective Survey Of 512 187 Individuals. The Lancet. Global Health, 5(8), E807E817.Https://Doi.Org/10.1016/S2214-109x(17)30222-X

Dewi, R. L., Hakam, M., & Murtaqib. (2022). Gambaran Activity Of Daily Living Pada Pasien Post Operasi (Description Of Daily Living Activity In Post-Operative Patients). Pasien Post Operasi ..... E-Journal Pustaka Kesehatan, 10(3), 157–161.

Einhorn, T. A., & Gerstenfeld, L. C. (2015). Fracture Healing: Mechanisms And Interventions. Nature Reviews. Rheumatology, 11(1), 45–54. Https://Doi.Org/10.1038/Nrrheum.2014.164

Eldawati. (2011). Pengaruh Latihan Kekuatan Otor Pre Operasi Terhadap Kemampuan Ambulasi Dini Pasien Pasca Operasi Fraktur Ekstremitas Bawah Di Rsup Fatmawati Jakarta. Universitas Indonesia.

Igiany, P. D. (2018). Faktor Yang Mempengaruhi Pasien Post Op Fraktur Untuk Melakukan Range Of Motion (Rom). Jurnal Manajemen Informasi Dan Administrasi Kesehaan, 01(02), 18.

Jansen, H., Jordan, M., Frey, S., Hölscher-Doht, S., Meffert, R., & Heintel, T. (2018). Active Controlled Motion In Early Rehabilitation Improves Outcome After Ankle Fractures: A Randomized Controlled Trial. Clinical Rehabilitation, 32(3), 312–318. Https://Doi.Org/10.1177/0269215517724192

Johns Hopkins Medicine. (2023). Fractures. Health And Condition.Https://Www.Hopkinsmedicine.Org/Health/Conditions-And-Diseases/Fractures

Johnson, D. O., Moruf, B. Y., Popoola, S. O., Obafemi, W. K., Waheed, B. O., Kehinde, S. O., & Oduwole, O. A. (2020). Awareness And Use Of Surgical Checklist Among Theatre Users At Ekiti State University Teaching Hospital, Ado‑Ekiti, Nigeria. Nigerian Journal Of Surgery, 23(2), 134–137. Https://Doi.Org/10.4103/Njs.Njs

Keehan, R., Rees, D., Kendrick, E., Bradshaw, C., Flavell, E., & Deglurkar, M. (2014). Enhanced Recovery For Fractured Neck Of Femur: A Report Of 3 Cases. Geriatric Orthopaedic Surgery & Rehabilitation, 5(2), 37–42. Https://Doi.Org/10.1177/2151458513520167

Kementrian Kesehatan Republik Indonesia. (2018). Riskesdas 2018: Hasil Utama.

Kumar, A., & Metgud, S. (2013). 3 Weeks Continuous Passive Motion Vs Joint Mobilization And Their Combination In Knee Stiffnes - A Comperative Study. Indian Journal Of Physiotherapy & Occupational Therapy-An International Journal, 1(7), 1–5. Https://Www.IScholar.In/Index.Php/Ijpot/Article/View/41893

Lestari, Y. E. D. (2017). Pengaruh Rom Exercise Dini Pada Pasien Post Operasi Fraktur Ekstremitas Bawah (Fraktur Femur Dan Fraktur Cruris) Terhadap Lama Hari Rawat Di Ruang Bedah Rsud Gambiran Kota Kediri. Jurnal Ilmu Kesehatan, 3(1), 34. Https://Doi.Org/10.32831/Jik.V3i1.43

Mahartha, G. R. A., Maliawan, S., & Kawiyana, K. S. (2017). Manajemen Fraktur Pada Trauma Muskuloskeletal. E-Jurnal Medika Udayana, 2(3), 548560.Https://Ojs.Unud.Ac.Id/Index.Php/Eum/Article/Download/4939/3729

Murtaqib. (2013). Perbedaan Latihan Range Of Motion (Rom) Pasif Dan Aktif Selama 1 - 2 Minggu Terhadap Peningkatan Rentang Gerak Sendi Pada Penderita Stroke Di Kecamatan Tanggul Kabupaten Jember. Jurnal Keperawatan Soedirman, 8(2), 120126.Http://Www.Jks.Fikes.Unsoed.Ac.Id/Index.Php/Jks/Article/View/97

Omoke, N. I., & Ekumankama, F. O. (2020). Incidence And Pattern Of Extremity Fractures Seen In Accident And Emergency Department Of A Nigerian Teaching Hospital. Nigerian Journal Of Surgery : Official Publication Of The Nigerian Surgical Research Society, 26(1), 28–34. Https://Doi.Org/10.4103/Njs.Njs_42_19

Permana, O., & Nurchayati, S. (2015). Pengaruh Range Of Motion (Rom) Terhadap Intensitas Nyeri Pada Pasien Post Operasi Fraktur Ekstremitas Bawah. Jom, 2(2).

Purwanti, R., & Purwaningsih, W. (2013). Pengaruh Latihan Range Of Motion (Rom) Aktif Terhadap Kekuatan Otot Pada Pasien Post Operasi Fraktur Humerus Di Rsud Dr. Moewardi. Gster, 10(2), 50–57.

Rahmasari, I., Gopalan, Y., Agustin, T., Francisca, W., & Maharani, M. (2021). Range Of Motion (Rom) Early Affecting The Ability Of Activities Daily Living (Adl) Patients Post Operation Femur Fracture. International Conference Of Health, Science And Technology 2021, 116–119.

Rino, & Fajri, J. Al. (2021). Pengaruh Range Of Motion Aktif Terhadap Pemulihan Kekuatan Otot Dan Sendi Pasien Post Op Fraktur Ekstremitas Di Wilayah Kerja Puskemas Muara Kumpeh. Jurnal Akademika Baiturrahim Jambi, 10(2), 324. Https://Doi.Org/10.36565/Jab.V10i2.343

Risnah, R., Hr, R., Azhar, M. U., & Irwan, M. (2019). Terapi Non Farmakologi Dalam Penanganan Diagnosis Nyeri Pada Fraktur :Systematic Review. Journal Of Islamic Nursing, 4(2), 77. Https://Doi.Org/10.24252/Join.V4i2.10708

Syahrim, E. P., Wahdaniyah, Ulfah Azhar, M., & Risnah, R. (2019). Efektifitas Latihan Rom Terhadap Peningkatan Kekuatan Otot Pada Pasien Stroke: Study Systematic Review. Media Publikasi Promosi Kesehatan Indonesia (Mppki), 2(3), 186–191. Https://Doi.Org/10.56338/Mppki.V2i3.805

Syokumawena, Mediarti, D., & Janianti, N. (2018). Implementasi Keperawatan Pasien Post Operasi Fraktur Ekstremitas Bawah Dengan Masalah Gangguan Mobilitas Fisik. Jurnal Keperawatan Merdeka (Jkm), 2(2), 52–59.

Taufik, Sitio, R., Elvin, S. D., & Reubiyana, Z. (2022). Pemberian Rom Aktif Terhadap Tingkat Kemampuan Adl Dasar Pasien Post Orif Fraktur Ekstremitas Bawah. Journal Keperawatan, 1(1), 1–10.

Wang, F., Zhang, Q. B., Zhou, Y., Chen, S., Huang, P. P., Liu, Y., & Xu, Y. H. (2019). The Mechanisms And Treatments Of Muscular Pathological Changes In Immobilization-Induced Joint Contracture: A Literature Review. Chinese Journal Of Traumatology - English Edition, 22(2), 93–98. Https://Doi.Org/10.1016/J.Cjtee.2019.02.001

Whitehead, P. J. (2013). Whitehead , Phillip J . ( 2013 ) What Are The Characteristics Of Patients With A Stroke Who Are Believed To Need A Pre- Discharge Home Visit By Occupational Therapists ? Mphil Thesis , University Of Nottingham