Effect of Closed Kinetic Chain Exercise to Reduce Pain and Increase Functional Ability in Patient with Osteoarthritis Genu

Journal of Maternal and Child Health Pub Date : 2024-01-16 DOI:10.26911/thejmch.2024.09.01.12

Siti Fadhilah, Agus Widodo

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Abstract

Background: Osteoarthritis genu is a degenerative disease with symptoms of chronic inflammation of the joint cartilage which causes pain, limited movement and function. Closed kinetic chain exercise is an active movement that involves many joints and muscle groups simultaneously. This study aims to analyze the effect of closed kinetic chain exercise on reducing pain and increasing functional ability in osteoarthritis genu. Subjects and Method: Quasi experimental research with a research approach in the form of pretest and posttest with control group design. This study was conducted at RST dr. Soedjono Magelang in May-June 2023. A total of 20 osteoarthritis genu patients were divided into two groups: (1) The intervention group was given closed kinetic chain exercise and (2) The control group was given conventional physiotherapy. Pain level was measured using the Visual Analog Scale (VAS). Functional ability was measured by the Western Ontario and McMaster Osteoarthritis Index (WOMAC). Mean differences between the closed kinetic chain exercise group and the conventional physiotherapy group were analyzed using the independent t-test. Results: Providing closed kinetic chain exercise is effective in reducing the level of silent pain (Effect Size = 1.20; p= 0.014), movement pain (Effect Size= 0.99; p= 0.004), movement pain (Effect Size= 1.37; p= 0.023), and increasing functional ability in osteoarthritis genu patients (Effect Size = 0.10; p= 0.023). Conclusion: Providing closed kinetic chain exercise can reduce pain and increase functional ability in osteoarthritis genu. Keywords: Closed Kinetic Chain Exercise; Painful; Functional Capabilities; Osteoarthritis Genu Correspondence: Siti Fadhilah, Bachelor of Physiotherapy, Universitas Muhammadiyah Surakarta, Indonesia. Perumahan Koperasi Putri Tujuh Blok D17 RT 026 Bagan Besar Dumai Riau. Email: j120221270@student.ums.ac.id. Mobile: 081267705503

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闭合运动链对减轻骨关节炎患者疼痛和提高其功能能力的影响

背景：真性骨关节炎是一种退行性疾病，其症状是关节软骨的慢性炎症，会导致疼痛、活动受限和功能障碍。闭合动能链运动是一种同时涉及多个关节和肌肉群的主动运动。本研究旨在分析封闭动链运动对减轻骨关节炎属患者疼痛和提高其功能能力的效果。研究对象和方法：准实验研究，采用对照组设计的前测和后测的研究方法。本研究于 2023 年 5 月至 6 月在 RST Dr. Soedjono Magelang 进行。共有20名膝骨关节炎患者被分为两组：(1) 干预组接受封闭式运动链锻炼；(2) 对照组接受常规物理治疗。疼痛程度采用视觉模拟量表（VAS）进行测量。功能能力通过西安大略和麦克马斯特骨关节炎指数（WOMAC）进行测量。闭合运动链锻炼组与传统物理治疗组之间的平均差异采用独立 t 检验进行分析。结果显示提供封闭式运动链锻炼能有效降低骨关节炎属患者的无声疼痛水平（效应大小=1.20；p= 0.014）、运动疼痛水平（效应大小=0.99；p= 0.004）、运动疼痛水平（效应大小=1.37；p= 0.023），并提高其功能能力（效应大小=0.10；p= 0.023）。结论闭合运动链锻炼可减轻骨关节炎属患者的疼痛并提高其功能能力。关键词闭合运动链锻炼；疼痛；功能能力；骨关节炎玄关通讯作者：Siti Fadhilah，硕士：Siti Fadhilah，印度尼西亚苏腊卡尔塔穆罕默德大学物理治疗学士。Perumahan Koperasi Putri Tujuh Blok D17 RT 026 Bagan Besar Dumai Riau.电子邮件: j120221270@student.ums.ac.id.手机：081267705503

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Journal of Maternal and Child Health

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