PERBEDAAN PENGARUH LATIHAN PENGUATAN MODERATE INTENSITY DENGAN LATIHAN PENGUATAN KONVENSIONAL TERHADAP GAIT SPEED DAN PERFORMA FUNGSIONAL PASCA HIP HEMIARTHROPLASTY
Kata Kunci:
Moderate Intensity Strengthening Exercise, Conventional Strengthening Exercise, Gait Speed and Functional Performance After Hip HemiarthroplastyAbstrak
Hip hemiarthroplasty is an orthopedic procedure that involves replacing the femoral head with a prosthesis while preserving the acetabulum and acetabular cartilage. The goals of post-hip hemiarthroplasty rehabilitation are to restore maximum range of motion (ROM), minimize pain, increase muscle strength, initiate ambulation, and facilitate functional independence. The research method used was a randomized control trial. The subjects were post-hip hemiarthroplasty patients at the Medical Rehabilitation Installation of Prof. Dr. R.D. Kandou Manado Hospital who met the inclusion criteria. The method of selecting subjects was by consecutive sampling. The results of this study were: In this study, it can be concluded: Moderate intensity strengthening exercises are superior to conventional strengthening exercises in increasing gait speed in post-hip hemiarthroplasty patients as measured by 4MWT. Moderate intensity strengthening exercises are superior to conventional strengthening exercises in improving functional performance in post-hip hemiarthroplasty patients as assessed by FJS-12. Moderate intensity strengthening exercises are safe for post-hip hemiarthroplasty patients.
Referensi
1. Lewis DP, Wæver D, Thorninger R, Donnelly WJ. Hemiarthroplasty vs Total Hip Arthroplasty for the Management of Displaced Neck of Femur Fractures: A Systematic Review and Meta-Analysis. The Journal of Arthroplasty. 2019 Aug;34(8):1837-1843.e2.
2. Yi PH, Hansen EN. Hip Hemiarthroplasty. In: Case Competencies in Orthopaedic Surgery [Internet]. Elsevier; 2017 [cited 2024 Oct 10]. p. 375–83. Available from: https://linkinghub.elsevier.com/retrieve/pii/B9780323390385000408
3. Springer BD, Levine BR, Golladay GJ. Highlights of the 2020 American Joint Replacement Registry Annual Report. Arthroplast Today. 2021 Jun;9:141–2.
4. American Academy of Orthopaedic Surgeons. Total Hip Arthroplasty Patients Under 65 Have Low Revision Rates at Eight Years. 2023 Mar 7; Available from: https://aaos-annualmeeting-presskit.org/2023/research-news/total-hip- arthroplasty-patients-under-65-have-low-revision-rates-at-eight-years/
5. Shichman I, Roof M, Askew N, Nherera L, Rozell JC, Seyler TM, et al. Projections and Epidemiology of Primary Hip and Knee Arthroplasty in Medicare Patients to 2040-2060. JBJS Open Access [Internet]. 2023 [cited 2024 Jan 4];8(1). Available from: https://journals.lww.com/10.2106/JBJS.OA.22.00112
6. Arthursson AJ, Furnes O, Espehaug B, Havelin LI, Söreide JA. Prosthesis survival after total hip arthroplasty—does surgical approach matter? Analysis of 19,304 Charnley and 6,002 Exeter primary total hip arthroplasties reported to the Norwegian Arthroplasty Register. Acta Orthopaedica. 2007 Jan;78(6):719–29.
7. Frontera WR, Silver JK, Rizzo TD, editors. Essentials of physical medicine and rehabilitation: musculoskeletal disorders, pain, and rehabilitation. Fourth edition. Philadelphia, PA: Elsevier; 2019. 997 p.
8. Winther SB, Foss OA, Husby OS, Wik TS, Klaksvik J, Husby VS. A randomized controlled trial on maximal strength training in 60 patients undergoing total hip arthroplasty: Implementing maximal strength training into clinical practice. Acta Orthopaedica. 2018 May 4;89(3):295–301.
9. Winther SB, Foss OA, Klaksvik J, Husby VS. Increased Muscle Strength Limits Postural Sway During Daily Living Activities in Total Hip Arthroplasty Patients. Am J Phys Med Rehabil. 2020 Jul;99(7):608–12.
10. Husby VS, Helgerud J, Bjørgen S, Husby OS, Benum P, Hoff J. Early Maximal Strength Training Is an Efficient Treatment for Patients Operated With Total Hip Arthroplasty. Archives of Physical Medicine and Rehabilitation. 2009 Oct;90(10):1658–67.