Hubungan Cedera Lutut Dengan Mekanisme Kompensasi dan Kejadian Patellofemoral Pain Syndrome di Sisi Kontralateral

Imtihani, Zulfah and , Arif Pristianto, SST.FT., M.Fis. (2017) Hubungan Cedera Lutut Dengan Mekanisme Kompensasi dan Kejadian Patellofemoral Pain Syndrome di Sisi Kontralateral. Skripsi thesis, Universitas Muhammadiyah Surakarta.

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Abstract

Latar Belakang: Cedera lutut adalah cedera yang paling banyak terjadi pada saat melakukan aktivitas olahraga. Pasca cedera lutut, tubuhakanmelakukanmekanismekompensasiuntukmelindungilutut yang cedera dengan cara memindahkan pembebanan lebih banyak ke tungkai yang tidak mengalami cedera atau tungkai kontralateral. Mekanisme kompensasi sisi kontralateral menyebabkan penambahan sudut adduksi hip dan mempengaruhi besar Q-angle sisi kontralateral. Patellofemoral Pain Syndrome (PFPS) adalah gangguaan yang sering muncul pada sisi kontralateral pasca terjadi cedera lutut satu sisi dan banyak dihubungkan dengan penambahan Q-angle. Patellofemoral Pain Syndrome dipercaya terjadi karena perubahan biomekanik pada ekstremitas bawah. Tujuan Penelitian: Untuk mengetahui adakah hubungan antara cedera lutut dengan mekanisme kompensasi dan kejadian Patellofemoral Pain Syndrome di sisi kontralateral. Metode Penelitian: Penelitian ini menggunakan observasional dengan metode Cross Sectional dan Point Time Aprroach. Dari 38 pasien dengan cedera lutut satu sisi, dilakukan anamnesa dan pemeriksaan khusus untuk menentukan diagnosa PFPS di sisi kontralateral. Teknik pengambilan sampel dengan cara consecutive sampling, dengan kriteria inklusi dan eksklusi. Selanjutnya dilakukan wawancara untuk mengetahui lama pasca cedera lutut satu sisi, aktifitas yang dilakukan dan pemeriksaan Q-angle. Uji normalitas data dengan kolmogorov-smirnov test. Uji hubungan dengan uji hubungan sperman’s rho. HasilPenelitian: banyaknya sampel pada penelitian ini berjumlah 23 responden. Nilai p pada uji kolmogorov-smirnov adalah 0.028 yang berarti nilai p<0.05, sehingga data berdistribusi tidak normal. Hasil nilai p uji hubungan spearman’s rho adalah 0.002 untuk uji hubungan lama cedera lutut satu sisi dan Q-angle, dan nilai p 0.000 untuk uji hubungan Q-angle dan PFPS sisi kontralateral, yang menunjukan adanya hubungan antar variabel. Kesimpulan : ada hubungan antara cedera lutut dengan mekanisme kompensasi dan kejadian Patellofemoral Pain Syndrome di sisi kontralateral. Kata Kunci: Cedera lutut, mekanisme kompensasi, Q-angle, Patellofemoral Pain Syndrome (PFPS), sisi kontralateral. ABSTRACT S1 OF PHYSIOTHERAPYDEPARTMENT FACULTY OF HEALTH SCIENCE MUHAMMADIYAH SURAKARTA UNIVERSITY THESIS, FEBRUARY 2017 ZULFAH IMTIHANI/ J120151076 “RELATIONSHIP BETWEEN KNEE INJURY WITH COMPENSATION MECHANISM AND PATELLOFEMORAL PAIN SYNDROME IN CONTRALATERAL SIDE” (Consultant: Arif Pristianto, SST.FT., M.Fis ) Background: Knee injury is the most common injury in sport activities. After knee injury, our body will make compensation mechanism to protect the injured knee by shifting the body weight into the uninjured leg or contralateral side. Compensation mechanism on contralateral side increase hip adduction torque and affect Q-angle degree on contralateral knee. Patellofemoral Pain Syndrome(PFPS) is the most common secondary impairment on contralateral side after unilateral knee injury and to be correlated with increasing Q-angle. Patellofemoral Pain Syndrome occur due to biomechanics alteration in lower extremity. Research Aim: This research aim to know if there is relationship between knee injury with compensation mechanism and Patellofemoral Pain Syndrome in contralateral side. Methode: This research applies observasional with cross sectional method and point time approach. Thirty eight patient with unilateral knee injury has been assessed to make the diagnose of PFPS in contralateral side. Way of sampling applies method consecutive sampling, with inklusi and eksklusi criterion. The time after unilateral knee injury, activity and Q-angle have been measured. Normality test using kolmogorov-smirnov test and correlation test using spearman’s rho test. Result:Number of samples at this research is 23 samples. P-value of kolmogorov-smirnov test is 0.028. That means data obtained by abnormal distribution. P-value of spearman’s rho correlation test is 0.002 for correlation between of the time after knee injury and Q-angle, and p-value 0.000 for correlation between Q-angle and PFPS on contralateral side. It means that there is relationship between variables. Conclusion:There is relationship between knee injury and compensation mechanism and Patellofemoral Pain Syndrome in contralateral side. Key Word: Knee injury, Compensation mechanism, Q-angle, Patellofemoral Pain Syndrome (PFPS), Contralateral side.

Item Type: Karya ilmiah (Skripsi)
Uncontrolled Keywords: Knee injury, Compensation mechanism, Q-angle, Patellofemoral Pain Syndrome (PFPS), Contralateral side.
Subjects: R Medicine > RM Therapeutics. Pharmacology
Divisions: Fakultas Ilmu Kesehatan > Fisioterapi
Depositing User: ZULFAH IMTIHANI
Date Deposited: 13 Apr 2017 07:59
Last Modified: 11 Dec 2017 06:34
URI: http://eprints.ums.ac.id/id/eprint/51313

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