scholarly journals Efek Prehabilitation Exercise dengan Resistance Band terhadap Kekuatan Otot Kuadrisep Femoris pada Pasien Total Knee Replacement

2020 ◽  
Vol 7 (1) ◽  
pp. 46-52
Author(s):  
Ervi Ervi ◽  
Tanti Ajoe Kesoema ◽  
Robin Novriansyah
Keyword(s):  
Muscle Strength ◽  
Total Knee Replacement ◽  
Knee Replacement ◽  
Quadriceps Femoris ◽  
Control Group ◽  
Quadriceps Femoris Muscle ◽  
Resistance Bands ◽  
Total Knee ◽  
Quadriceps Femoris Muscle Strength ◽  
Femoris Muscle

Pendahuluan: Prehabilitation exercise dengan resistance band merupakan latihan   penguatan otot yang aman, mudah dilakukan dan dapat dijadikan sebagai home programme pada pasien osteoartritis (OA) yang akan menjalani total knee replacement (TKR). Namun demikian, latihan ini belum lazim dilakukan di Indonesia. Penelitian ini bertujuan untuk mengetahui pengaruh intervensi prehabilitation exercise dengan resistance band terhadap kekuatan otot kuadrisep femoris pada pasien yang menjalani TKR. Metode: Penelitian randomized controlled trial dengan pre and post test. Sebanyak 16 subjek yang memenuhi kriteria dibagi secara acak ke dalam kelompok perlakuan (n=8) dan kontrol (n=8). Kelompok perlakuan mendapatkan prehabilitation exercise dengan resistance band 3x seminggu selama 4 minggu sebelum TKR, sedangkan kelompok kontrol mendapatkan terapi konvensional berupa ergocycle dan TENS (Transcutaneus Electrical Nerve Stimulation) 2x seminggu selama 4 minggu sebelum TKR. Pengukuran kekuatan otot kuadrisep femoris dilakukan 3x yaitu pada 4 minggu dan 1 minggu sebelum TKR, serta 8 minggu setelah TKR menggunakan push-pull dinamometer. Hasil: Kelompok perlakuan menunjukkan peningkatan kekuatan otot kuadrisep femoris yang signifikan pada 4 minggu ke 1 minggu sebelum TKR sebesar 3,00+1,28 (p=0,001). Peningkatan kekuatan otot pada kelompok intervensi juga terlihat pada 4 minggu sebelum ke 8 minggu setelah TKR sebesar 2,38+1,22 (p<0,001). Sebaliknya, kelompok kontrol mengalami penurunan kekuatan otot sebesar -0,88+0,79 (p=0,001) dan -0,88+1,28 (p=0,001) masing-masing pada periode 4 minggu ke 1 minggu sebelum TKR dan 4 minggu sebelum ke 8 minggu setelah TKR. Kesimpulan: Terdapat pengaruh prehabilitaion exercise dengan resistance bands terhadap peningkatan kekuatan otot kuadrisep femoris pada subjek yang menjalani operasai TKR. Prehabilitation exercise dapat digunakan sebagai alternatif latihan yang aman, mudah dilakukan serta dapat dijadikan sebagai home programme pada pasien yang akan menjalani operasi TKR. Kata kunci: Prehabilitation exercise, kekuatan kuadrisep femoris, total knee replacement.   Background: Prehabilitation exercises using resistance band is a safe and easy muscle strengthening exercise and can be used as a home programme in OA patients undergoing TKR. This exercise, however, is not commonly used in Indonesia. The this study aims to investigate the effect of prehabilitation exercise using resistance band on quadriceps femoris muscle strength in patients undergoing TKR. Methods: This study is a randomized controlled trial with pre and post-test. A total of 16 subjects who meet criteria were randomly allocated into intervention (n = 8) and control (n = 8) groups. The first group received prehabilitation exercise with resistance bands 3 times a week for 4 weeks before TKR, while the control group received conventional therapies involving ergocycle and TENS (Transcutaneous Electrical Nerve Stimulation) 2 times a week for 4 weeks before TKR. Quadriceps femoris muscle strength was measured three times at 4 weeks and 1 week before TKR, and 8 weeks after TKR using a push-pull dynamometer. Results: The intervention group shows a significant increase in quadriceps femoris muscle strength at 4 weeks to 1 week before TKR (3.00+1.28, p = 0.001). The increased quadriceps femoris muscle strength in the intervention group was also seen at 4 weeks before to 8 weeks after TKR (2,38+1,22, p<0,001). Conversely, the control group experienced a decreased quadriceps femoris muscle strength of -0.88+0.79 (p=0.001) and -0.88+1.28 (p=0.001) respectively in the period of 4 weeks to 1 week before TKR and 4 weeks before to 8 weeks after TKR. Conclusion: There is an effect of prehabilitation exercise with resistance bands on increased quadriceps femoris muscle strength in subjects undergoing TKR. Prehabilitation exercise is safe, easy and can be used as an alternative for home programme. Keywords: Prehabilitation exercise, quadriceps femoris muscle strength, total knee replacement.

scholarly journals Persistence of Altered Movement Patterns During a Sit-to-Stand Task 1 Year Following Unilateral Total Knee Arthroplasty

2008 ◽  
Vol 88 (5) ◽  
pp. 567-579 ◽  
Author(s):  
Sara J Farquhar ◽  
Darcy S Reisman ◽  
Lynn Snyder-Mackler
Keyword(s):  
Total Knee Arthroplasty ◽  
Muscle Strength ◽  
Functional Performance ◽  
Quadriceps Femoris ◽  
Quadriceps Femoris Muscle ◽  
Control Subjects ◽  
Sit To Stand ◽  
Total Knee ◽  
Quadriceps Femoris Muscle Strength ◽  
Femoris Muscle

Background and Purpose Following total knee arthroplasty (TKA), quadriceps femoris muscle strength (force-generating capacity) and functional test scores improve but continue to be lower than those in people without injury. Analysis of the sit-to-stand (STS) task demonstrated side-to-side differences in subjects with TKA, as well as differences between subjects with TKA and control subjects. It was hypothesized that, when using a self-selected starting position, subjects 1 year following TKA would show improvements in strength and movement patterns but would continue to show asymmetries of angles and moments at the hips and knees. Subjects and Methods Twenty-four subjects (12 subjects with unilateral TKA and 12 control subjects) were recruited; those with TKA were tested 3 months and 1 year following surgery. Motion analysis of an STS task was synchronized with 2 force platforms and electromyography. Outcome measures included joint angles and moments, electromyography, vertical ground reaction forces, muscle strength, and functional performance tests. Results Subjects with TKA showed improvements in symmetry of motion, strength, and functional performance from 3 months to 1 year following TKA. Compared with control subjects, subjects with TKA relied on increased hip flexion and a larger hip extensor moment to perform the STS task. Discussion and Conclusion The increased hip extensor moment demonstrated that subjects adopted a strategy to avoid the use of the quadriceps femoris muscle, yet this strategy persisted as quadriceps femoris muscle strength improved. This pattern may be a learned movement pattern that may not resolve without retraining.

The Isolated Effect of Adductor Canal Block on Quadriceps Femoris Muscle Strength After Total Knee Arthroplasty

2016 ◽  
Vol 122 (2) ◽  
pp. 553-558 ◽  
Author(s):  
Johan Kløvgaard Sørensen ◽  
Pia Jæger ◽  
Jørgen Berg Dahl ◽  
Bo Gottschau ◽  
Snorre Læssøe Stephensen ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Muscle Strength ◽  
Knee Arthroplasty ◽  
Quadriceps Femoris ◽  
Adductor Canal Block ◽  
Quadriceps Femoris Muscle ◽  
Adductor Canal ◽  
Total Knee ◽  
Quadriceps Femoris Muscle Strength ◽  
Femoris Muscle

scholarly journals The Effects Of Prehabilitation Exercise Using Resistance Bands On Functional Performance In Total Knee Replacement

2020 ◽  
Vol 1 (1) ◽  
pp. 8-18
Author(s):  
Rahmatika Rahmatika ◽  
Robin Novriansyah ◽  
Lanny Indriastuti
Keyword(s):  
Treatment Group ◽  
Total Knee Replacement ◽  
Knee Replacement ◽  
Functional Performance ◽  
Womac Score ◽  
Control Group ◽  
Rehabilitation Programs ◽  
Significant Difference ◽  
Resistance Bands ◽  
Total Knee

Background:Despite the high succesful rate of Total Knee Replacement (TKR), there are still patients with permanent dysfunction and a longer period of rehabilitation that interfere with functional performance. Strengthening exercise before TKR namely prehabilitation exercise using resistance bands is expected to optimize patient’s condition before surgery that will increase functional performance after TKR and accelerate rehabilitation programs.Methods:16 eligible patients were allocated into the treatment group (n=8) and the control group (n=8). The treatment group received 4 weeks of prehabilitation exercise with a frequency of 2 times and one time as a home program. The control group only received conventional therapy. The TUG and WOMAC scores were measured 3 times; at baseline, after 4 weeks of prehabilitation exercise and at 8 weeks of rehabilitation after TKR.Results:Before intervention, there were no significant differences between groups for the TUG score (p=0.674) and WOMAC (p=0.928). After 4 weeks of intervention, there was significant difference in the TUG score (p=0.003) and WOMAC (p=0.002), whereas at 8 weeks after rehabilitation programs there was a significant difference in the TUG score (p=0.009) while for the WOMAC score there was no significant difference (p=0.125).Conclusion:Prehabilitation exercise using resistance band improved functional performances in patients undergone TKR. 

Sign in / Sign up

Export Citation Format

Share Document