scholarly journals EFEKTIVITAS TERAPI MASASE TERHADAP NYERI GERAK DAN FUNGSI GERAK SENDI ANKLE PASCA CEDERA ANKLE

MEDIKORA ◽  
2019 ◽  
Vol 18 (2) ◽  
pp. 92-99
Author(s):  
Setiawan Jodi ◽  
B.M. Wara Kushartanti

Salah satu ancaman cedera yang kerap kali membayangi seseorang dengan aktivitas fisik yang tinggi adalah cedera sendi ankle, cedera  sendi ankle umumya merupakan gangguan pada bagian ligamen sendi yang diakibatkan oleh tarikan berlebih. Penelitian ini bertujuan untuk mengetahui efektivitas terapi masase terhadap nyeri gerak dan fungsi gerak sendi ankle pasca cedera ankle. Terapi masase yang digunakan dalam penelitian adalah soft tissue release dan deep tissue massage yang dilengkapi dengan reposisi gerak. Penelitian ini merupakan penelitian pre-experimental design dengan metode one-group pre-test – post-test design. Populasi sample penelitian ini adalah pasien Lab/Klinik Terapi Latihan FIK UNY yang selama tiga bulan (Februari – April 2019) diperkirakan sejumlah 100 orang. Teknik sampling data menggunakan insidental sampling dengan rumus Slovin (nilai kritis 20%) sehingga diperoleh subjek sebanyak 20 orang. Instrumen yang digunakan berupa catatan medis hasil dari anamnesa dan pemeriksaan yang dibuat dengan memodifikasi Lower Extremity Functional Scale (Binkley et al, 1999) yang telah di uji validitas menggunakan Pearson correlation dan reliabilitas dengan Cronbach’s Alpha. Nyeri gerak dan fungsi gerak sebelum dan sesudah perlakukan dianalisis dengan menggunakan uji beda dua kelompok berpasangan non- parametrik Wilcoxon Signed Ranks Test. Data pre dan post ini digunakan dalam uji efektivitas. Hasil penelitian menunjukan bahwa terapi masase yang meliputi pelemasan otot dengan soft tissue release dan deep tissue massage dan ditambah dengan reposisi gerak dapat mengurangi nyeri gerak dan meningkatkan fungsi gerak dari sendi ankle pasca cedera ankle (p < 0,05), dengan efektivitas penurunan nyeri gerak sebesar 70,31% dan peningkatan fungsi gerak sebesar 20,62%. Dapat disimpulkan bahwa perlakuan massage tersebut efektif dalam memperbaiki nyeri gerak dan fungsi ankle paska cedera. EFFECTIVENESS OF MASSAGE THERAPY ON MOTION PAIN AND FUNCTION OF ANKLE JOINTS AFTER ANKLE INJURYAbstractOne of the threat of injury that often overshadows someone with high physical activity is ankle joint injury, ankle joint injury is generally a disruption in the ligament of the joint caused by excessive traction. This study aims to determine the effectiveness of massage therapy for motion pain and ankle joint function after ankle injury. Massage therapy used in this research is soft tissue release and deep tissue massage which is equipped with motion repositioning. This research is a pre-experimental design research with one-group pre-test - post-test design method. The population of this study sample is the patients of the Lab / Clinical Training Clinic of FIK UNY which for an estimated three months (February - April 2019) amounted to 100 people. Data sampling technique used incidental sampling with the Slovin formula (critical value of 20%) to obtain as many as 20 subjects. The instrument used in the form of medical records from the history and examination made by modifying the Lower Extremity Functional Scale (Binkley et al, 1999) that has been tested for validity using Pearson correlation and reliability with Cronbach's Alpha. Motion pain and motion function before and after treatment were analyzed using a two-group non-parametric paired Wilcoxon Signed Ranks Test. This pre and post data is used in the effectiveness test. The results showed that massage therapy which includes muscle relaxation with soft tissue release and deep tissue massage and coupled with motion repositioning can reduce motion pain and improve motion function of the ankle joint after ankle injury (p <0.05), with the effectiveness of decreasing motion pain by 70.31% and an increase in motion function by 20.62%. It can be concluded that the massage treatment is effective in improving postoperative pain and ankle function.

2018 ◽  
Vol 7 (4) ◽  
pp. 42-49 ◽  
Author(s):  
Korkmaz YİĞİTER ◽  
Hakan TOSUN

The aim of this study is to investigate the effects of participation in a 1-week summer camp on thehopelessness and self-esteem of the university students attending Sport Sciences Faculty. Participants were 36university students assigned to experiment group using a random procedure. Coopersmith Self-esteem and Beck Hopelessness Scales were completed at the beginning and end of the summer camp by designed the university. The obtained data were analysed in the SPSS 18.0 program and the significance level was taken as 0.05. The descriptive statistics, independent simple t test, paired simple t test and Pearson correlation were used for analyse the data in the study. According to the results of the research, no significant difference was observed in the comparison of the hopelessness and self-esteem levels between pre and post-test. In addition, there was a significant difference in the hopelessness level of male and female students but any significant difference was not observed in terms of self-esteem. There was a significant relationship between hopelessness and self-esteem pre and post-test. These result shows that a 1-week summer camp cannot change the hopelessness or self-esteem level. However, as the self-esteem rises, the rate of despair decreases whereas as the despair rises, the selfesteem decreases.


2016 ◽  
Vol 24 (8) ◽  
pp. 2525-2531 ◽  
Author(s):  
Friedrich Boettner ◽  
Lisa Renner ◽  
Danik Arana Narbarte ◽  
Claus Egidy ◽  
Martin Faschingbauer

2013 ◽  
Vol 19 (3) ◽  
pp. 269-278 ◽  
Author(s):  
Christopher P. Ames ◽  
Justin S. Smith ◽  
Justin K. Scheer ◽  
Christopher I. Shaffrey ◽  
Virginie Lafage ◽  
...  

Object Cervical spine osteotomies are powerful techniques to correct rigid cervical spine deformity. Many variations exist, however, and there is no current standardized system with which to describe and classify cervical osteotomies. This complicates the ability to compare outcomes across procedures and studies. The authors' objective was to establish a universal nomenclature for cervical spine osteotomies to provide a common language among spine surgeons. Methods A proposed nomenclature with 7 anatomical grades of increasing extent of bone/soft tissue resection and destabilization was designed. The highest grade of resection is termed the major osteotomy, and an approach modifier is used to denote the surgical approach(es), including anterior (A), posterior (P), anterior-posterior (AP), posterior-anterior (PA), anterior-posterior-anterior (APA), and posterior-anterior-posterior (PAP). For cases in which multiple grades of osteotomies were performed, the highest grade is termed the major osteotomy, and lower-grade osteotomies are termed minor osteotomies. The nomenclature was evaluated by 11 reviewers through 25 different radiographic clinical cases. The review was performed twice, separated by a minimum 1-week interval. Reliability was assessed using Fleiss kappa coefficients. Results The average intrarater reliability was classified as “almost perfect agreement” for the major osteotomy (0.89 [range 0.60–1.00]) and approach modifier (0.99 [0.95–1.00]); it was classified as “moderate agreement” for the minor osteotomy (0.73 [range 0.41–1.00]). The average interrater reliability for the 2 readings was the following: major osteotomy, 0.87 (“almost perfect agreement”); approach modifier, 0.99 (“almost perfect agreement”); and minor osteotomy, 0.55 (“moderate agreement”). Analysis of only major osteotomy plus approach modifier yielded a classification that was “almost perfect” with an average intrarater reliability of 0.90 (0.63–1.00) and an interrater reliability of 0.88 and 0.86 for the two reviews. Conclusions The proposed cervical spine osteotomy nomenclature provides the surgeon with a simple, standard description of the various cervical osteotomies. The reliability analysis demonstrated that this system is consistent and directly applicable. Future work will evaluate the relationship between this system and health-related quality of life metrics.


2006 ◽  
Vol 5 (4) ◽  
pp. 250-256 ◽  
Author(s):  
Hans-J??rg Trnka ◽  
Stefan Gerhard Hofstaetter

Author(s):  
Mohammadreza Minator Sajjadi ◽  
Mohammad Ali Okhovatpour ◽  
Yaser Safaei ◽  
Behrooz Faramarzi ◽  
Reza Zandi

AbstractThe aim of this study was to assess the predictive value of the femoral intermechanical-anatomical angle (IMA), mechanical lateral distal femoral angle (mLDFA), medial proximal tibia angle (MPTA), femorotibial or varus angle (VA), and joint line convergence angle (CA) in predicting the stage of the medial collateral ligament (MCL) during total knee arthroplasty (TKA) of varus knee. We evaluated 229 patients with osteoarthritic varus knee who underwent primary TKA, prospectively. They were categorized in three groups based on the extent of medial soft tissue release that performed during TKA Group 1, osteophytes removal and release of the deep MCL and posteromedial capsule (stage 1); Group 2, the release of the semimembranosus (stage 2); and Group 3, release of the superficial MCL (stage 3) and/or the pes anserinus (stage 4). We evaluated the preoperative standing coronal hip-knee-ankle alignment view to assessing the possible correlations between the knee angles and extent of soft tissue release. A significant difference was observed between the three groups in terms of preoperative VA, CA, and MPTA by using the Kruskal–Wallis test. The extent of medial release increased with increasing VA and CA as well as decreasing MPTA in preoperative long-leg standing radiographs. Finally, a patient with a preoperative VA larger than 19, CA larger than 6, or MPTA smaller than 81 would need a stage 3 or 4 of MCL release. The overall results showed that the VA and MPTA could be useful in predicting the extent of medial soft tissue release during TKA of varus knee.


2017 ◽  
Vol 11 (1) ◽  
pp. 1165-1172
Author(s):  
Philippe Van Overschelde ◽  
Vera Pinskerova ◽  
Peter P. Koch ◽  
Christophe Fornasieri ◽  
Sandro Fucentese

Background: To date, there is still no consensus on what soft tissues must be preserved and what structures can be safely released during total knee arthroplasty (TKA) with a medially stabilized implant. Objective: The aim of this study was to analyze the effect of a progressive selective release of the medial and lateral soft tissues in a knee implanted with a medially stabilized prosthesis. Method: Six cadaveric fresh-frozen full leg specimens were tested. In each case, kinematic pattern and mediolateral laxity were measured in three stages: firstly, prior to implantation; secondly, after the implantation of the trial components, but before any soft tissue release; and thirdly, progressively as soft tissue was released with the trial implant in place. The incremental impact of each selective release on knee balance was then analyzed. Results: In all cases sagittal stability was not affected by the progressive release of the lateral soft tissue envelope. It was possible to perform progressive lateral release provided the anterior one-third of the iliotibial band (ITB) remained intact. Progressive medial release could be performed on the medial side provided the anterior fibers of the superficial medial collateral ligament (sMCL) remained intact. Conclusion: The medially conforming implant remains stable provided the anterior fibers of sMCL and the anterior fibers of the ITB remain intact. The implant’s sagittal stability is mainly dependent on its medial ball-in-socket design.


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