The Effect of Closed Kinetic Chain Exercise on Pain Scale and Range of Joint Movement in Elderly with Osteoarthritis in Work Area Puskesmas Simpang IV Sipin

Abstract

The cause of osteoarthritis is not clear, but there are risk factors that can increase osteoarthritis, one of which is age, which is a substantial factor in the occurrence of osteoarthritis. Pain in osteoarthritis interferes with the sufferer's activities and can also interfere with productivity. In addition, frequent joint pain will cause stiffness, which can cause limitations in joint motion. This study aims to determine the effect of closed kinetic chain exercise on the pain scale and joint range of motion in the elderly with osteoarthritis in the Simpang IV Sipin Health Centre, Jambi. This type of research is quantitative using the Quasy Experiment research design. The sampling technique used was total sampling, with a complete sample of 46 respondents. The measuring tools used are an observation sheet and a goniometer. The results of this study indicated that 26 elderly (56.5%) experienced moderate pain, and 20 elderly (43.5%) experienced severe pain. Respondents have a median degree of joint coverage of 72.50, a standard deviation of 37.968, the lowest degree of typical coverage is 200, and the highest is 115o. The Wilcoxon CKCE test results for the pain scale obtained Pvalue = 0.014; for joint range of motion, the Wilcoxon test results obtained Pvalue = 0.000. So it can be concluded from the Wilcoxon test results that closed kinetic exercise affects the pain scale and range of motion of the joints in the elderly with osteoarthritis in the Simpang IV Sipin Health Center work area.