Rehabilitasi Pasca Total Knee Arthroplasty
DOI:
https://doi.org/10.55175/cdk.v46i9.456Keywords:
Lutut, Osteoarthritis, total knee arthroplasty, range of motion, rehabilitasiAbstract
Total Knee Arthroplasty (TKA) merupakan pilihan terapi terbaik untuk pasien osteoartritis lutut stadium akhir. Keberhasilan TKA juga ditentukan oleh rehabilitasi adekuat untuk mengembalikan fungsi sendi setelah operasi. Rehabilitasi setelah TKA berfokus pada pemulihan range of motion (ROM) sendi, mengembalikan kekuatan otot lutut dan panggul, mengembangkan fungsi kemandirian dan kemampuan berpartisipasi dalam kegiatan rekreasi. Tujuan tersebut dapat dicapai melalui kombinasi modalitas rehabilitasi meliputi exercise therapy, latihan keseimbangan, aquatic therapy, terapi es atau kompresi, continuous passive motion (CPM), transcutaneous electrical nerve stimulation (TENS), neuromuscular electrical stimulation (NMES), dan instrument-assisted soft-tissue therapy.
Total knee arthroplasty (TKA) is an excellent option for end-stage knee osteoarthritis. Its success also depend on the adequacy of rehabilitation to restore functional ability following surgery. Rehabilitation after TKA focuses on recovery of knee range of motion (ROM), restoration of knee and hip muscle strength, development of functional independence, and the ability to participate in recreational activities. It can be achieved by combination of modalities such as exercise therapy, balance training, aquatic therapy, cold therapy and compression, continuous passive motion (CPM), transcutaneous electrical nerve stimulation (TENS), neuromuscular electrical stimulation (NEMS), and instrument-assisted soft-tissue therapy.
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References
Bistolfi A, Federico AM, Carnino I, Gaido C, Rold ID, Magistroni E, et al. Rehabilitation and Physical Therapy before and after Total Knee Arthroplasty: A Literature Review and Unanswered Questions. Internat J Physical Med & Rehabilitat. 2016;4(5):1-7
Indonesia PR. Rekomendasi IRA untuk Diagnosis dan Penatalaksanaan Osteoartritis. 2014:1-32.
Jaydev B Mistry M, Randa DK. Elmallah M, et al. Rehabilitative Guidelines after Total Knee Arthroplasty: A Review. J Knee Surg. 2016;29:201-7
Pozzi F, Snyder-Mackler L, Zeni J. Physical Exercise After Knee Arthroplasty: A Systematic Review of Controlled Trials. Eur J Phys Rehabil Med. 2013;49(6):877-92
Zhu Y, Feng Y, Peng L. Effect of Transcutaneous Electrical Nerve Stimulation For Pain Control After Total Knee Arthroplasty: A Systematic Review and Meta-analysis. J Rehabilitati Med. 2017;49:700-4
Henderson KG, Wallis JA, Snowdon DA. Active Physiotherapy Interventions Following Total Knee Arthrolasty in The Hospital and Inpatient Rehabilitation setting: a Systematic Review and Meta-analysis. Physiotherapy. 2018;104:25-35.
Bade M, Struessel T, Dayton M, Foran J, Kim R, Miner T, et al. Early High-Intensity Versus Low-Intensity Rehabilitation after Total Knee Arthroplasty: A Randomized Controlled Trial. Arthritis Care & Res. 2016:1-35.
Bade MJ, Stevens-lapsley JE. Early High-Intensity Rehabilitation Following Total Knee Arthroplasty Improves Outcomes. J Orthopaedic & Sports Physical Ther. 2011;41:932-40.
Artz N, Elvers KT, Lowe CM, Sackley C, Jepson P, Beswick AD. Effectiveness of Physiotherapy Exercise Following Total Knee Replacement : Systematic Review and Meta-analysis. BMC Musculoskeletal Disord 2015;16(15):1-21.
Valtonen A, Poyhonen T, Sipila S, Heinonen A. Maintanance of Aquatic Training-Induced Benefits on Mobility and Lower-Extrimity Muscles among Persons with Unilateral Knee Replacement. Arch Phys Med Rehabil. 2011;92:1944-50.
Maniar NR, Baviskar VJ, Singh T, Rathi SS. To Use or Not To Use Continous Passive Motion Post Total Knee Arthroplasty. J Arthroplasty. 2012;27:1-9.
Khan A, Shah1 SKA, Noor SS, Najjad MKR. Is Continuous Passive Motion Beneficial for Early Post Operative Period in TKA Patients? Biomed J Sci & Tech Res. 2018;2(1):1-5.
Bech M, Moorhen J, Cho M, Lavergne MR, Stothers K, Hoens AM. Device or Ice: The Effect of Consistent Cooling Using a Device Compared with Intermittent Cooling Using an Ice Bag after Total Knee Arthroplasty. Physiother Canada 2015;67:48-55.
Thacoor DL, Sandiford B. Cryotherapy Following Total Knee Arthroplasty: What Is The Evidence? J Rheumatol Arthritic Dis 2018:1-4.
Yue C, Zhang X, Zhu Y, Jia Y, Huichao, Wang, et al. Systematic review of three electrical stimulation techniques for rehabilitation after total knee arthroplasty. J Arthroplasty. 2018;1-28.
Jennifer E. Stevens-Lapsley, Balter JE, Wolfe P, Donald G. Eckhoff, Kohrt WM. Early Neuromuscular Electrical Stimulation to Improve Quadriceps Muscle Strength After Total Knee Arthroplasty: A Randomized Controlled Trial. J Am Physical Therapy Assoc. 2012;92:210-26.
Bistolfi A, Zanovello J, Ferracini1 R, Fabrizio Allisiardi, Lioce E, Magistroni E, et al. Evaluation of the effectiveness of neuromuscular electrical stimulation after total knee arthroplasty: a meta-analysis Am J Physical Med Rehabilitat 2017:1-33.
Bade MJ, Stevens-Lapsley JE. Restoration of Physical Function in Patients Following Total Knee Arthroplasty: an Update Rehabilitation Practices. Rehabilitat Med in Rheumatic Dis. 2012;2:208-14.
Bade MJ, Kohrt WM, StevenS-LapSLey Je. Outcomes Before and After Total Knee Arthroplasty Compared to Healthy Adults. J Orthopaed Sports Physical Ther 2010;40(9):559-67.
Christensen JC, Paxton RJ, Baym C, Forster JE, Dayton MR, Hogan CA, et al. Benefits of Direct Patient Discharge to Outpatient Physical Therapy After Total Knee Arthroplasty. Disability and Rehabilitation. 2019;7:1-7.
Snell DL, Hipango J, Sinnott KA, Dunn JA, Rothwell A, Hsieh CJ, et al. Rehabilitation After Total Joint Replacement: a scoping study. Disability and Rehabilitation 2017:1-15.
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