PENGARUH TRANSCUTANEUS ELECTRICAL NERVE STIMULATION, LASER DAN TERAPI LATIHAN PADA PASCA OPERASI TOTAL KNEE REPLACEMENT
TRANSCUTANEUS ELECTRICAL NERVE STIMULATION, LASER AND EXERCISE THERAPY EFFECT iN POST OPERATION OF TOTAL KNEE REPLACEMENT
Abstract
LATAR BELAKANG : Total Knee Replacement (TKR) adalah prosedur operasi pengganti sendi lutut yang tidak normal dengan material buatan. Dalam pembedahan penggantian total
sendi lutut, bagian ujung tulang akan diganti dengan bahan logam dan plastic (polyethylene). Laporan tindakan sebanyak 70 pasien berusia 50 - 85 tahun yang menjalani total knee
replacement pada periode Januari 2011 - Januari 2012 yang dilakukan oleh dokter bedah di Rumah Sakit Universitas Aalborg, Denmark (Buletin Orthopedi, 2013). Penelitian ini dilakukan di RSUD Bendan kota Pekalongan dengan menggunakan sampel sebanyak 8 partisipan menggunakan metode quasi eksperimen dengan pretest dan posttest. Penelitian ini dilakukan pada bulan Desember 2017. Terapi yang digunakan antara lain : TENS, LASER dan Terapi Latihan.
Tujuan : untuk mengetahui pengaruh Transcutaneus Electrical Nerve Stimulation, Laser, dan Terapi Latihan pada penderita Total Knee Replacement sinistra.
Hasil : Berdasarkan hasil pengujian didapat nilai sig. (2-tailed) untuk nilai VAS yang tampak pada sebesar 0,001, hal ini menunjukkan bahwa terjadi penurunan derajat nyeri yang signifikan. Hasil uji hipotesis untuk lingkup gerak sendi mendapatkan nilai sig (2-tailed). Hal ini berarti terjadi peningkatan lingkup gerak sendi yang signifikan. Sedangkan hasil uji hipotesis untuk skor Jette dengan nilai sig (2tailed) test sebesar 0,000 yang berarti terjadi peningkatan yang signifikan untuk kemampuan aktivitas fungsional pasien.
Kesimpulan : Modalitas TENS, LASER dan Terapi latihan pada pasien post total knee replacement dapat mengurangi nyeri, meningkatkan lingkup gerak sendi dan meningkatkan aktifitas fungsional lutut partisipan secara signifikan.
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