Manajemen fisioterapi stiff knee ec post arthrotomy dan debridement gonitis dextra: a case report

Penulis

  • Farrah Rizky Mutiara Universitas Muhammadiyah Surakarta, Indonesia https://orcid.org/0009-0005-4280-8109
  • Tiara Fatmarizka Universitas Muhammadiyah Surakarta, Indonesia
  • Prihantoro Larasati Unit Rehabilitasi Medik Rumah Sakit Prof. Dr. Soeharso, Indonesia

DOI:

https://doi.org/10.31101/jitu.3047

Kata Kunci:

debridement, Gonitis, KOS-ADL, stiff knee, tuberkulosis

Abstrak

Tuberkulosis dapat menyerang bagian tubuh manapun, salah satunya yaitu tuberculosis bone atau infeksi bakteri tuberkulosis yang menyerang bagian tulang dan sendi terutama pada sendi lutut yang biasa di sebut gonitis. penyebaran dapat terjadi dengan 2 cara yaitu dengan penyebaran hematogen (melalui dalam darah) dapat melalui sinovial atau subkondral (femur distal, tibia proksimal, atau patella), bisa juga dengan penyebaran secara tidak langsung yang disebabkan karena rusaknya area tulang bagian epifisis (pada orang dewasa) atau metafisis (pada anak-anak) yang menyebabkan erosi pada ruang sendi dan menjadi radang sendi. Studi kasus ini bertujuan untuk melaporkan kasus klinis tuberkulosis lutut (gonitis) untuk mendukung penegakkan diagnosis tuberkulosis sendi secara tepat. Metode studi kasus ini berupa analitik eksperimental. Sampel penelitian dengan seorang penderita Gonitis dengan Stiff Knee di Unit Rehabilitasi Medik Rumah Sakit Prof.Dr. Soeharso Surakarta. Pengukuran menggunakan metline sebagai alat ukur antropometri, Goniometer sebagai alat ukur lingkup gerak sendi dan KOS-ADL sebagai alat ukur kemampuan fungsional pasien. Program fisioterapi dilakukan dengan TENS, Cryotherapy dan Terapi Latihan berupa Strengthening. Hasil program menunjukkan modalitas fisioterapi yang diberikan terprogram efektif memperbaiki kelemahan otot, inflamasi dan nyeri pada pasien serta dapat mengurangi gangguan fungsional pasien.

Biografi Penulis

Farrah Rizky Mutiara, Universitas Muhammadiyah Surakarta

faculty of health of science

Referensi

Alghadir, A. H., Anwer, S., Iqbal, A., & Iqbal, Z. A. (2018). Test-retest reliability, validity, and minimum detectable change of visual analog, numerical rating, and verbal rating scales to measure osteoarthritic knee pain. Journal of Pain Research, 11, 851–856. https://doi.org/10.2147/JPR.S158847

Ataeian, M., Shafizadegan, Z., Rahnemai-Azar, A. A., Irrgang, J. J., & Rezaeian, Z. S. (2020). Development of the persian version of knee outcome survey activities for daily living scale. Iranian Journal of Medical Sciences, 45(6), 434–443. https://doi.org/10.30476/ijms.2019.72487

Charisma, A. N., & Koesoemoprodjo, W. (2021). Diagnosis and Outcome of Tuberculosis of Knee Joint (Gonitis Tuberculosis) with Pulmonary Tuberculosis after Completing Anti-Tuberculosis Therapy: A Case Report. Jurnal Respirasi, 7(1), 19. https://doi.org/10.20473/jr.v7-i.1.2021.19-26

Choi, S. J. (2021). Adhesive Capsulitis of the Shoulder. Journal of the Korean Society of Radiology, 82(6), 1355–1365. https://doi.org/10.3348/jksr.2021.0131

Collins, N. J., Misra, D., Felson, D. T., Crossley, K. M., & Roos, E. M. (2011). Measures of knee function: International Knee Documentation Committee (IKDC) Subjective Knee Evaluation Form, Knee Injury and Osteoarthritis Outcome Score (KOOS), Knee Injury and Osteoarthritis Outcome Score Physical Function Short Form (KOOS-PS), Knee Ou. Arthritis Care and Research, 63(SUPPL. 11). https://doi.org/10.1002/acr.20632

Hamijoyo, L. (2010). Tuberculous Arthritis: an Overview. Indonesian Journal of Rheumatology, 2(3), 231026. https://journalrheumatology.or.id/index.php/ijr/article/view/77/75

Iannotti, F., Prati, P., Fidanza, A., Iorio, R., Ferretti, A., Prieto, D. P., Kort, N., Violante, B., Pipino, G., Panni, A. S., Hirschmann, M., Mugnaini, M., & Indelli, P. F. (2020). Prevention of Periprosthetic Joint Infection (PJI): A Clinical Practice Protocol in High-Risk Patients. Tropical Medicine and Infectious Disease, 5(4). https://doi.org/10.3390/tropicalmed5040186

Johan, M. P., Purnama, I. P., Nurdin, I., Asy’arie, A. P., Wawolumaja, A. F. I., & Sakuda, T. (2021). Tuberculosis of the knee masquerading as pigmented villonodular synovitis: Report of two cases. International Journal of Surgery Case Reports, 88(September), 106534. https://doi.org/10.1016/j.ijscr.2021.106534

Kapreli, E., Panelli, G., Strimpakos, N., Billis, E., Zacharopoulos, A., & Athanasopoulos, S. (2011). Cross-cultural adaptation of the Greek version of the Knee Outcome Survey - Activities of Daily Living Scale (KOS-ADLS). Knee, 18(6), 424–427. https://doi.org/10.1016/j.knee.2010.09.001

Kemenkes RI. (2021). Dengan melakukan latihan fisik dapat meningkatkan kekuatan dan daya tahan otot. Kementeria Kesehatan Indonesia, 1–2. https://p2ptm.kemkes.go.id/infographic-p2ptm/hipertensi-penyakit-jantung-dan-pembuluh-darah/page/10/dengan-melakukan-latihan-fisik-dapat-meningkatkan-kekuatan-dan-daya-tahan-otot#:~:text=Kekuatan otot adalah tenaga yang,pada saat menahan beban maksimal.

Mahasih, T., Jaenudin, Kusioyono, Adijianto, Sandi, Sukmawan, Andhini, & Rahayu, Y. (2021). Penatalaksanaan Fisioterapi pada Kasus Post Orif Fracture Femur Condylus Lateral Sinistra dengan Modalitas Infra Red Radiation (IRR) dan Terapi Latihan di Klinik Rajawali Cirebon Tahun 2021. 4, 1177–1198.

Menteri Kesehatan Republik Indonesia. (2019). Keputusan Menteri Kesehatan Republik Indonesia Nomor HK.01.07/Menkes/755/2019 Tentang Pedoman Nasional Pelayanan Kedokteran Tata Laksana Tuberkulosis. Rerieved from https://promkes.kemkes.go.id/?p=7439

Nakanishi, N., Takashima, T., & Oto, J. (2020). Muscle atrophy in critically ill patients: A review of its cause, evaluation, and prevention. Journal of Medical Investigation, 67(1.2), 1–10. https://doi.org/10.2152/jmi.67.1

Smith, C. M. (2015). Debridement for surgical wounds. Critical Care Nurse, 35(4), 75–76. https://doi.org/10.4037/ccn2015658

Suzuki, K. (2019). Chronic inflammation as an immunological abnormality and effectiveness of exercise. Biomolecules, 9(6), 3–7. https://doi.org/10.3390/biom9060223

Suzuki, Y., Iijima, H., Tashiro, Y., Kajiwara, Y., Zeidan, H., Shimoura, K., Nishida, Y., Bito, T., Nakai, K., Tatsumi, M., Yoshimi, S., Tsuboyama, T., & Aoyama, T. (2019). Home exercise therapy to improve muscle strength and joint flexibility effectively treats pre-radiographic knee OA in community-dwelling elderly: a randomized controlled trial. Clinical Rheumatology, 38(1), 133–141. https://doi.org/10.1007/s10067-018-4263-3

Tsokanos, A., Livieratou, E., Billis, E., Tsekoura, M., Tatsios, P., Tsepis, E., & Fousekis, K. (2021). The efficacy of manual therapy in patients with knee osteoarthritis: A systematic review. Medicina (Lithuania), 57(7), 1–12. https://doi.org/10.3390/medicina57070696

Varela, M. L., Mogildea, M., Moreno, I., & Lopes, A. (2018). Acute Inflammation and Metabolism. Inflammation, 41(4), 1115–1127. https://doi.org/10.1007/s10753-018-0739-1

World Health Organization. (2022). Global tuberculosis report 2022. Licence: cc bY-Nc-sa 3.0 iGo.

Yin, L., Li, N., Jia, W., Wang, N., Liang, M., Yang, X., & Du, G. (2021). Skeletal muscle atrophy: From mechanisms to treatments. Pharmacological Research, 172(June). https://doi.org/10.1016/j.phrs.2021.105807

Zeng, C. Y., Zhang, Z. R., Tang, Z. M., & Hua, F. Z. (2021). Benefits and Mechanisms of Exercise Training for Knee Osteoarthritis. Frontiers in Physiology, 12(December). https://doi.org/10.3389/fphys.2021.794062

Unduhan

Diterbitkan

2023-04-10

Cara Mengutip

Mutiara, F. R., Fatmarizka, T., & Larasati, P. (2023). Manajemen fisioterapi stiff knee ec post arthrotomy dan debridement gonitis dextra: a case report. Journal Physical Therapy UNISA, 3(1). https://doi.org/10.31101/jitu.3047

Terbitan

Vol 3 No 1 (2023): April

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Hak Cipta (c) 2023 Farrah Rizky Mutiara, Tiara Fatmarizka, Prihantoro Larasati

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