Efektivitas Penggunaan Intervensi Fisioterapi Terapi Latihan dan Infrared Pada Kasus Dislokasi Sendi Bahu

Kegiatan dasar berupa gerak merupakan suatu kebutuhan dan tuntutan manusia terutama dalam era globalisasi seperti sekarang. Anggota gerak atas memiliki keterlibatan yang sangat tinggi dalam semua aktivitas yang dilakukan oleh manusia. Seluruh aktivitas yang dilakukan sehari-hari banyak bergantung terutama pada fungsi anggota gerak atas. Tangan dan lengan merupakan pemeran utama, sehingga apabila terjadi gangguan tertentu, hal tersebut akan mengganggu mobilitas dan kegiatan manusia. Sendi bahu merupakan salah satu sendi besar yang paling umum terjadi dislokasi, hal tersebut dapat terjadi karena rentang gerak sendi yang luas, dangkalnya fossa glenoid, dan ligament laxity pada beberapa orang. Dislokasi sendi bahu merupakan suatu kondisi dimana terjadi pergeseran caput humerus dari sendi glenohumeral, sehingga hal tersebut dapat menyebabkan kerusakan pada saraf serta dapat terjadi berulang. Jurnal ini bertujuan untuk menjelaskan efektivitas pemberian intervensi terapi latihan dan terapi infrared pada kasus dislokasi sendi bahu dan menambah pengetahuan pembaca mengenai kasus dislokasi sendi bahu. Metode penelitian yang digunakan yaitu deskriptif kualitatif dengan pengambilan materi berbasis literature review. Hasil penelitian menunjukkan bahwa pemberian terapi latihan dan terapi infrared efektif untuk menurunkan nyeri, meningkatkan kekuatan otot, meningkatkan lingkup gerak sendi (LGS), serta meningkatkan kemampuan fungsional pasien yang menderita kasus dislokasi sendi. Basic activities are in the form of a necessity and human need, especially in the era of globalization as it is now. Upper limbs have a very high involvement in all activities carried out by humans. Everything that is done daily, especially activities on the function of the upper limbs. Hands and arms are the main actors, so that if certain disturbances occur, it will interfere with mobility and human activities. The shoulder joint is one of the most commonly dislocated large joints, this can occur due to the wide range of motion of the joint, the shallowness of the glenoid fossa, and ligament laxity in some people. Dislocation of the shoulder joint is a condition in which the humeral head shifts from the glenohumeral joint, so that it can cause nerve damage and can occur repeatedly. This journal aims to explain the effectiveness of providing exercise therapy and infrared therapy in shoulder dislocation cases and the reader's knowledge about shoulder dislocation cases. The research method used is descriptive qualitative by taking material based on a literature review. The results showed that providing exercise therapy and infrared therapy to reduce pain, increase muscle strength, increase range of motion, and improve the ability of patients suffering from joint dislocation cases.

The Oxford Domed Lateral Unicompartmental Knee Replacement implant: Increasing wall height reduces the risk of bearing dislocation

Due to lateral ligament laxity, bearing dislocation occurs in 1%–6% of Oxford Domed Lateral replacements. Most dislocations are medial but they do rarely occur anteriorly or posteriorly. The aim was to decrease the risk of dislocation. For a bearing to dislocate the femoral component has to be distracted from the tibial component. A robotic-path-planning-algorithm was used with a computer model of the implant in different configurations to determine the Vertical Distraction needed for Dislocation (VDD). With current components, VDD anteriorly/posteriorly was 5.5 to 6.5 mm and medially was 3.5 to 5.75 mm. A thicker bearing increased VDD medially and decreased VDD anteriorly/posteriorly (0.1 mm/1 mm thickness increase). VDD medially increased with the bearing closer to the tibial wall (0.5 mm/1 mm closer), or by increasing the tibial wall height (1 mm/1 mm height increase). VDD anteriorly/posteriorly was not influenced by bearing position or wall height. To prevent collision between the femoral and tibial components an increase in wall height must be accompanied by a similar increase in minimum bearing thickness. Increasing the wall height and minimum bearing thickness by 2 mm and ensuring the bearing is 4 mm or less from the wall increased the minimum VDD medially to 5.5 mm. The lower VDD medially than anteriorly/posteriorly explains why medial dislocation is more common. If the wall height is increased by 2 mm, the minimum bearing thickness is 5 mm and the surgeon ensured the bearing is 4 mm or less from the wall, the medial dislocation rate should be similar to the anterior/posterior dislocation rate, which should be acceptable.

LATIHAN PROPRIOSEPTIF DAN THERABAND EXERCISE LEBIH MENINGKATKAN STABILITAS DARIPADA LATIHAN PROPRIOSEPTIF DAN ANTERO POSTERIOR GLIDE PADA PEMAIN BASKET YANG MENGALAMI ANKLE SPRAIN KRONIS

Pendahuluan: Gangguan stabilitas adalah masalah yang sering terjadi pada pasien yang terkena ankle sprain kronis. Ketidakstabilan pada ankle sprain kronik merupakan hasil dari saraf (proprioseptif, refleks, waktu reaksi otot), otot (strenght, power, dan endurance) dan mechanical mechanism (ligament laxity). Tujuan Penelitian: untuk membuktikan bahwa latihan proprioseptif dan theraband exercise lebih meningkatkan stabilitas dibanding latihan proprioseptif dan antero posterior glide pada pemain basket yang mengalami ankle sprain kronis. Metode: Penelitian ini merupakan penelitian eksperimental dengan rancangan pre dan post test control group design. Jumlah sampel penelitian 16 orang dan terbagi ke dalam dua kelompok. Kelompok I mendapat perlakuan latihan proprioseptif dan theraband exercise sedangkan Kelompok II mendapat perlakuan latihan proprioseptif dan antero posterior glide. Stabilitas diukur menggunakan Balance Error Scoring System. Hasil: Independent t-test menghasilkan p= 0,000 (p<0,05). Hasil ini menunjukkan terdapat perbedaan yang bermakna antara nilai selisih sebelum dan setelah intervensi BESS pada ke dua kelompok. Simpulan: latihan proprioseptif dan theraband exercise lebih meningkatkan stabilitas dibanding latihan proprioseptif dan antero posterior glide pada pemain basket yang mengalami ankle sprain kronis

Ligament Laxity in Nonerosive Immune-Mediated Polyarthritis in Dogs: Five Cases (2009–2017)

ABSTRACT Ligament laxity is a known complication of erosive immune-mediated polyarthritis (IMPA) in dogs. The purpose of this study was to describe the occurrence and clinical features of carpal or tarsal ligament laxity in cases of nonerosive IMPA in dogs for the first time. Five client-owned dogs with a diagnosis of nonerosive IMPA and carpal or tarsal ligament laxity in which the influence of corticosteroids was excluded were identified. Medical records were reviewed, and data including signalment, investigative findings, and treatment regimen (e.g., surgical management) was extracted. Primary care practices were contacted to obtain follow-up, and the data was descriptively analyzed. The affected joints were either carpi and tarsi (n = 3) or carpi only (n = 2). In three cases, surgical arthrodesis was performed. Three dogs were euthanized (1 mo, 12 mo, and 5 yr) as a result of the severity of clinical signs and poor control. In the four dogs surviving &gt;6 mo, multiple episodes of relapse were recorded, and multimodal immunosuppression was needed. The prognosis for the dogs described was poor, with none achieving control of the disease without ongoing immunosuppressive therapy. Damage to soft-tissue periarticular structures may be related to prolonged clinical disease or a more severe presentation. Jaccoud’s arthropathy in humans with systemic lupus erythematosus may represent a homologous presentation.