Effect of Closed Kinetic Chain Exercise to Reduce Pain and Increase Functional Ability in Patient with Osteoarthritis Genu
DOI:
https://doi.org/10.26911/thejmch.2024.09.01.12Abstract
Background: Osteoarthritis genu is a degenerative disease with symptoms of chronic inflammation of the joint cartilage which causes pain, limited movement and function. Closed kinetic chain exercise is an active movement that involves many joints and muscle groups simultaneously. This study aims to analyze the effect of closed kinetic chain exercise on reducing pain and increasing functional ability in osteoarthritis genu.
Subjects and Method: Quasi experimental research with a research approach in the form of pretest and posttest with control group design. This study was conducted at RST dr. Soedjono Magelang in May-June 2023. A total of 20 osteoarthritis genu patients were divided into two groups: (1) The intervention group was given closed kinetic chain exercise and (2) The control group was given conventional physiotherapy. Pain level was measured using the Visual Analog Scale (VAS). Functional ability was measured by the Western Ontario and McMaster Osteoarthritis Index (WOMAC). Mean differences between the closed kinetic chain exercise group and the conventional physiotherapy group were analyzed using the independent t-test.
Results: Providing closed kinetic chain exercise is effective in reducing the level of silent pain (Effect Size = 1.20; p= 0.014), movement pain (Effect Size= 0.99; p= 0.004), movement pain (Effect Size= 1.37; p= 0.023), and increasing functional ability in osteoarthritis genu patients (Effect Size = 0.10; p= 0.023).
Conclusion: Providing closed kinetic chain exercise can reduce pain and increase functional ability in osteoarthritis genu.
Keywords:
Closed Kinetic Chain Exercise, Painful, Functional Capabilities, Osteoarthritis GenuReferences
Astuti ABS, Halimah N, Wardoyo P, Pradita A (2021). Pengaruh open kinetic chain exercise terhadap peningkatan kemampuan fungsional pada kondisi osteoarthritis knee di RSUD Gambiran Kota Kediri (The effect of open kinetic chain exercise on increasing functional ability in osteoarthritis knee conditions at Gambiran Regional Hospital, Kediri City). Jurnal Penelitian Kesehatan Suara Forikes. 12: 164–167.
Djawas FA, Isna WR (2020). Closed kinetic chain exercise efektif dalam meningkatkan kemampuan fungsional pada osteoartritis lutut. Jurnal Ilmiah Fisioterapi. 3(2): 1–7. doi: https://doi.org/10.36341/jif.v3i2.1379
Herman A, Thalib S, Sunarti S (2021). Efektifitas closed kinetic chain exercise terhadap peningkatan kekuatan fungsional pada penderita osteoarthritis knee. Jurnal Ilmiah Kesehatan Sandi Husada. 10(2): 671–675. doi: https://doi.org/10.35816/jiskh.v10i2.671
Jamaludin U, Widodo A (2021). Pengaruh pemberian terapi mobilisasi belt terhadap penurunan nyeri pada Osteoarthritis (OA) knee kronis di RSU ‘Aisyiyah Ponorogo (The effect of providing belt mobilization therapy on reducing pain in chronic knee osteoarthritis (OA) at RSU 'Aisyiyah Ponorogo). FISIO MU. 2(1): 23–29. doi: https://doi.org/10.23917/fisiomu.v2i1.12927
Khairuruizal, Irianto, Ramba Y (2019). Perbandingan pengaruh kombinasi latihan hold relax dan open kinetic chain dengan latihan hold relax dan close kinetic chain terhadap peninigkatan kemampuan fungsional pasien osteoartritis knee (Comparison of the effect of a combination of hold relax and open kinetic chain exercises with hold relax and close kinetic chain exercises on increasing the functional ability of osteoarthritis knee patients). Nusantara Medical Science Journal. 4(2): 55–63. doi: https://doi.org/10.20956/nmsj.v4i2.6564 Abstract
Kisner C, Colby LA (2012). Therapeutic exercise: foundations and techniques (Sixth Edit). F. A. Davis Company.
Mutiwara E, Najirman, Afriwardi (2016). Hubungan indeks massa tubuh dengan derajat kerusakan sendi pada pasien osteoartritis lutut di RSUP Dr. M. Djamil Padang (The relationship between body mass index and the degree of joint damage in knee osteoarthritis patients at RSUP Dr. M. Djamil Padang). Jurnal Kesehatan Andalas. 5(2): 376–380. doi: https://doi.org/https://doi.org/10.25077/jka.v5i2.525
Nikmah BK, Fariz A, Kusuma WT, Sartoyo (2023). Pengaruh latihan isometric quadriceps terhadap penurunan nyeri lutut pada pasien osteoarthritis knee bilateral di RS Wava Husada Kepanjen (The effect of isometric quadriceps training on reducing knee pain in bilateral knee osteoarthritis patients at Wava Husada Kepanjen Hospital). Jurnal Keperawatan Muhammadiyah. 8(1): 73–78. doi: https://doi.org/https://doi.org/10.30651/jkm.v8i1.16075
Pratama AD (2019). Intervensi fisioterapi pada kasus osteoarthritis genu Di RSPAD Gatot Soebroto (Physiotherapy intervention in cases of osteoarthritis genu at RSPAD Gatot Soebroto). Jurnal Sosial Humaniora Terapan. 1(2): 21–34. doi: https://scholarhub.ui.ac.id/jsht/vol1/iss2/5/
Pratiwi A, Muhlisin A, Rahayu UB (2021). Terapi psikososial pada osteoartritis di komunitas (Psychosocial therapy for osteoarthritis in the community). Aksiologiya: Jurnal Pengabdian Kepada Masyarakat. 5(3): 367–380. doi: https://doi.org/10.30651/aks.v5i3.3637
Purnama NMD, Andayani N, Wahyuni N, Sugiritama IW (2018). Intervensi ultrasound dan closed kinematic chain exercise lebih efektif daripada intervensi ultrasound dan open kinematic chain exercise dalam menurunkan nyeri pada pasien osteoarthritis lutut dengan skor nyeri 8-20 di daerah Bandung (Ultrasound intervention and closed kinematic chain exercise are more effective than ultrasound intervention and open kinematic chain exercise in reducing pain in knee osteoarthritis patients with a pain score of 8-20 in the Bandung area). Majalah Ilmiah Fisioterapi Indonesia. 5(1): 5–8. doi: https://doi.org/https://doi.org/10.24843/MIFI.2017.v05.i01.p02
Putri RAASH, Ilmiawan MI, Darmawan (2022). Faktor-faktor yang berhubungan dengan kejadian osteoarthritis lutut pada petani di Desa Bhakti Mulya Kecamatan Bengkayang (Factors associated with the incidence of knee osteoarthritis in farmers in Bhakti Mulya Village, Bengkayang District). Jurnal Kedokteran Dan Kesehatan. 18(1): 1–15. doi: https://doi.org/https://doi.org/10.24853/jkk.18.1.1-15
Rohmadhani W, Santoso TB, Sugijanto (2022). Efektifitas pemberian manual terapi dan terapi latihan untuk meningkatkan kemampuan fungsional pada penderita osteoarthritis knee (The effectiveness of providing manual therapy and exercise therapy to improve functional abilities in sufferers of knee osteoarthritis). Jurnal Kesahatan Dan Fisioterapi. 2(3): 85–91.
Rumajar HE, Gessal J, Damopolii CA (2020). Pengaruh terapi high intensity laser terhadap nyeri dan kemampuan fungsional pada osteoarthritis lutut (The effect of high intensity laser therapy on pain and functional ability in knee osteoarthritis). Jurnal Medik Dan Rehabilitasi. 2(1): 1–6.
Suriani S, Lesmana SI (2013). Latihan theraband lebih baik menurunkan nyeri daripada latihan quadricep bench pada osteoarthritis genu (Theraband exercises are better at reducing pain than quadricep bench exercises in genu osteoarthritis). Jurnal Fisioterapi. 13(1): 46–54.
Susanti N, Wahyuningrum P (2021). Penyuluhan dan penanganan fisioterapi pada osteoarthritis bilateral menggunakan intervensi isometric exercise di komunitas keluarga Desa Pasekaran Batang (Counseling and physiotherapy treatment for bilateral osteoarthritis using isometric exercise intervention in the family community of Pasekaran Batang Village). Jurnal ABDIMAS. 2(2). 12–21. doi: https://doi.org/10.31941/abdms.v2i2.1503
Susilawati I, Tirtayasa K, Lesmana SI (2015). Latihan closed kinetic chain lebih baik daripada open kinetic chain untuk meningkatkan kemampuan fungsional pada osteoarthritis lutut setelah pemberian micro wave diathermy (MWD) dan transcutaneus electrical nerve stimulation (TENS) (Closed kinetic chain training is better than open kinetic chain for improving functional ability in knee osteoarthritis after administration of micro wave diathermy (MWD) and transcutaneous electrical nerve stimulation (TENS). Sport and Fitness Journal. 3(1): 26–34.
Widodo A, Jamilah N, Salam ME, Oktavia N, Falah N, Afrelia K, Gunawan A (2022). Peran fisioterapi komunitas dalam penanganan osteoarthritis genu di Paguyuban ibu-ibu perumahan Graha Aisyiyah Bojonegoro (The role of community physiotherapy in treating genu osteoarthritis in the Graha Aisyiyah Bojonegoro residential mothers' association). Jurnal Pengabdian Kepada Masyarakat Wahana Usada. 4(2): 73–81. doi: https://doi.org/10.47859/wuj.v4i2.278
Wuryaningsih R, Fariz A, Prisusanti RD, Endaryanto AH (2022). Intervensi latihan close kinetic chain efektif menurunkan nyeri lutut pada osteorthritis genu di RS Gambiran Kediri (Close kinetic chain training intervention is effective in reducing knee pain in osteoarthritis genu at Gambiran Kediri Hospital). Jurnal Penelitian Kesehatan Suara Forikes. 13(1): 132–135. doi: https://doi.org/http://dx.doi.org/10.33846/sf13124
Zaki A (2013). Buku saku ostearthritis lutut (Knee osteoarthritis pocket book) (Edisi Pert). Celtics Press.