PENATALAKSANAAN FISIOTERAPI DENGAN TERAPI LATIHAN (ISOMETRIC EXERCISE) PADA KONDISI MENISCUSS TEARS: CASE REPORT
DOI:
https://doi.org/10.30787/phyjou.v4i1.1394Keywords:
meniscuss tear, exercise therapyAbstract
Latar Belakang: Meniscuss Tears adalah salah satu cedera terkait olahraga yang sering kali memerlukan pembedahan dikarenakan adanya nyeri dan disfungsi lutut. Penanganan lebih lanjut perlu dilakukan, karena beberapa penelitian menyebutkan bahwa individu dengan kasus Meniscuss Tears dapat mengalami resiko terjadinya cedera berulang. Tujuan dari penelitian ini untuk mengetahui efek pemberian terapi latihan dengan isometric exercise pada pasien dengan cedera meniscuss tears. Metode penelitian ini menggunakan case report dengan Single subject research yang dilakukan kepada seorang atlet sekaligus mahasiswa berusia 21 tahun dengan riwayat cedera meniscuss tears. Penelitian ini dilakukan di bulan Oktober 2023 selama 1 bulan. Dimana subjek diberikan intervensi fisioterapi berupa modalitas elektrotherapy (TENS, Cryotherapy) dan terapi latihan (isometric exercise) selama 2 minggu. Terapi dilakukan selama 4 kali dan dilakukan follow up pengukuran kemampuan fungsional dengan The Tegner Lysholm Scale. Adapun Hasil dari efek terapi latihan dengan isometric exercise dalam kurun waktu selama 2 minggu didapatkan penurunan tingkat nyeri, peningkatan lingkup gerak sendi, peningkatan kekuatan otot knee, serta peningkatan kemampuan aktifitas fungsional secara optimal. Kesimpulan dari penelitian ini didapatkan bahwa terdapat penurunan nyeri, peningkatan kekuatan otot tungkai, endurance, koordinasi, serta kemampuan fungsional secara optimal.References
DAFTAR PUSTAKA
Bhan, K. (2020) ‘Meniscal Tears: Current Understanding, Diagnosis, and Management’, Cureus, 12(6), pp. 6–13. doi:10.7759/cureus.8590.
Chambers, H.G. and Chambers, R.C. (2019) ‘The Natural History of Meniscus Tears’, Journal of Pediatric Orthopaedics, 39(6), pp. S53–S55. doi:10.1097/BPO.0000000000001386.
Dedham, A.D. (2022) ‘Rehabilitation After Knee Meniscus Repair’, 3535.
Fransen, M. et al. (2015) ‘Exercise for osteoarthritis of the knee: A Cochrane systematic review’, British Journal of Sports Medicine, 49(24), pp. 1554–1557. doi:10.1136/bjsports-2015-095424.
Fried, J.W. et al. (2021) ‘Return-to-Play and Rehabilitation Protocols Following Isolated Meniscal Repair—A Systematic Review’, Arthroscopy, Sports Medicine, and Rehabilitation, 3(1), pp. e241–e247. doi:10.1016/j.asmr.2020.07.023.
Hayashi, M., Koga, S. and Kitagawa, T. (2023) ‘Effectiveness of Rehabilitation for Knee Osteoarthritis Associated With Isolated Meniscus Injury: A Scoping Review’, Cureus, 15(2), pp. 1–19. doi:10.7759/cureus.34544.
Huang, W. et al. (2022) ‘A combined anterior cruciate ligament/Meniscal injury alters the patellofemoral joint kinematics of anterior cruciate ligament-deficient knees during a single-leg lunge exercise: A cross-sectional study’, Frontiers in Bioengineering and Biotechnology, 10(November), pp. 1–10. doi:10.3389/fbioe.2022.1016859.
Jarraya, M. et al. (2017) ‘Meniscus morphology: Does tear type matter? A narrative review with focus on relevance for osteoarthritis research’, Seminars in Arthritis and Rheumatism, 46(5), pp. 552–561. doi:10.1016/j.semarthrit.2016.11.005
Jjw, R. (2017) ‘Cochrane Database of Systematic Reviews Surgical versus conservative interventions for treating meniscal tears of the knee in adults (Protocol)’, (9), pp. 2–4. doi:10.1002/14651858.CD011411.pub2.www.cochranelibrary.com.
Kangeswari, P., Murali, K. and Arulappan, J. (2021) ‘Effectiveness of Isometric Exercise and Counseling on Level of Pain Among Patients With Knee Osteoarthritis’, SAGE Open Nursing, 7. doi:10.1177/2377960821993515.
Kaptchuk, T.J. and Miller, F.G. (2015) ‘Placebo Effects in Medicine’, New England Journal of Medicine, 373(1), pp. 8–9. doi:10.1056/nejmp1504023.
Karia, M. et al. (2019) ‘Current concepts in the techniques, indications and outcomes of meniscal repairs’, European Journal of Orthopaedic Surgery and Traumatology, 29(3), pp. 509–520. doi:10.1007/s00590-018-2317-5.
Kise, N.J. et al. (2016) ‘Exercise therapy versus arthroscopic partial meniscectomy for degenerative meniscal tear in middle aged patients: Randomised controlled trial with two year follow-up’, The BMJ, 354. doi:10.1136/bmj.i3740.
Kopf, S. et al. (2020) ‘Management of traumatic meniscus tears: the 2019 ESSKA meniscus consensus’, Knee Surgery, Sports Traumatology, Arthroscopy, 28(4), pp. 1177–1194. doi:10.1007/s00167-020-05847-3.
Kurzweil, P.R., Cannon, W.D. and Dehaven, K.E. (2018) ‘Meniscus Repair and Replacement’, Sports Medicine and Arthroscopy Review, 26(4), pp. 160–164. doi:10.1097/JSA.0000000000000224
Luvsannyam, E. et al. (2022) ‘Meniscus Tear: Pathology, Incidence, and Management’, Cureus, 14(5). doi:10.7759/cureus.25121.
Maffulli, N., Tarantino, D. and Aicale, R. (2021) ‘Meniscal Tears’, Evidence-Based Orthopedics: Second Edition, pp. 787–791. doi:10.1002/9781119413936.ch134.
Massachusetts General Brigham Sports Medicine (2021) ‘Rehabilitation Protocol for Arthroscopic Meniscal Repair’.
Mordecai, S.C. et al. (2014) ‘Treatment of meniscal tears: An evidence based approach’, World Journal of Orthopedics, 5(3), pp. 233–241. doi:10.5312/wjo.v5.i3.233.
Niu, E.L. et al. (2023) ‘Reliability of MRI Interpretation of Discoid Lateral Meniscus: A Multicenter Study’, Orthopaedic Journal of Sports Medicine, 11(5), pp. 1–10. doi:10.1177/23259671231174475.
Noorduyn, J.C.A. et al. (2022) ‘Effect of Physical Therapy vs Arthroscopic Partial Meniscectomy in People with Degenerative Meniscal Tears: Five-Year Follow-up of the ESCAPE Randomized Clinical Trial’, JAMA Network Open, 5(7), p. E2220394. doi:10.1001/jamanetworkopen.2022.20394.
Safran-Norton, C.E. et al. (2019) ‘A consensus-based process identifying physical therapy and exercise treatments for patients with degenerative meniscal tears and knee OA: The TeMPO physical therapy interventions and home exercise program’, BMC Musculoskeletal Disorders, 20(1), pp. 1–11. doi:10.1186/s12891-019-2872-x.
Sebastianelli, W.J., Hanna, T. and Smith, N.P. (2022) ‘Treatment, Return to Play, and Performance Following Meniscus Surgery’, Current Reviews in Musculoskeletal Medicine, 15(3), pp. 157–169. doi:10.1007/s12178-022-09754-7.
Sheikh, A.M. and Vissing, J. (2019) ‘Exercise therapy for muscle and lower motor neuron diseases’, Acta Myologica, 38(4), pp. 215–232.
Sihvonen, R. et al. (2018) ‘Arthroscopic partial meniscectomy versus placebo surgery for a degenerative meniscus
tear: A 2-year follow-up of the randomised controlled trial’, Annals of the Rheumatic Diseases, 77(2), pp. 188–195. doi:10.1136/annrheumdis-2017-211172.
Sihvonen, R. et al. (2020) ‘Arthroscopic partial meniscectomy for a degenerative meniscus tear: A 5 year follow-up of the placebo-surgery controlled FIDELITY (Finnish Degenerative Meniscus Lesion Study) trial’, British Journal of Sports Medicine, pp. 1332–1339. doi:10.1136/bjsports-2020-102813.
Skou, S.T. et al. (2017) ‘Study protocol for a randomised controlled trial of meniscal surgery compared with exercise and patient education for treatment of meniscal tears in young adults’, BMJ Open, 7(8), pp. 1–10. doi:10.1136/bmjopen-2017-017436.
Stensrud, S., Risberg, M.A. and Roos, E.M. (2015) ‘Effect of exercise therapy compared with arthroscopic surgery on knee muscle strength and functional performance in middle-aged patients with degenerative meniscus tears’, American Journal of Physical Medicine and Rehabilitation, 94(6), pp. 460–473. doi:10.1097/PHM.0000000000000209.
Thorlund, J.B. et al. (2019) ‘Meniscal Tears: Current Understanding, Diagnosis, and Management’, Cureus, 14(5), pp. 1–10. doi:10.7759/cureus.8590.
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