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PENERAPAN ELEKTROTERAPI PADA KASUS KNEE DYSFUNCTION Oleh: Sugijanto Disampaikan pada: Kuliah MK Elektrofisika dan sumberfisis II CLINICAL CASE OF KNEE DYSFUNCTION Quadriceps m. strain dan Hamstring m. strain atau rupture. • Krn cedera olah raga • Tes isometric nyeri/lemah/timbul celah • Intervensi: – Stadium acute: PRICE – Stadium lanjut: US/ Diathermy, Transverse friction, manual stretching dan contract relax stretching. Anterior/posterior cruciat lig sprain/rupture • Oleh anterior/posterior knee injury (bumper injury/jatuh berlutut) • Test anterior/posterior shearing nyeri atau hypermobile • Intervensi: – Disamping treatment standar diberikan sbb: – Passive stabilization dgn knee cage atau knee support. – Active stabilization exc. Collateral medial/lateral knee sprain/rupture • Injury valgus/varus • Valgus/varus test lutut nyeri/hypermobile. • Intervensi: – Stadium acute: PRICE – Stadium lanjut: US, Transverse friction, – Passive stabilization dgn knee cage / knee support – Active stabilization exc. Iliotibial band friction syndrome Genu varus pd pelari Tendinitis iliotibial band setinggi condylus lateralis femur. Gerak pasif nyeri dan snapping pd condylus lateralis femur Palpasi pada condylus lateralis femur nyeri Intervensi: US dan transverse friction Lateral wedge shoes MENISCUS LESION Abd homolat-Rot kontralatkompresi + Ext (flex) Nyeri & mengunci Non capsular pat + krepitasi meniskus Meniscus test + (tes tumit) Meniscus rupture Penguncian extensi (fleksi) Manipulasi meniscus (kontra tes) Stabilisasi pasif Strengthening - cycling Elastic knee support HYDROPS •Patologi intra articular •Permukaan sendi, meniscus, lig.meniscotibiale, capsule •Injury, Rheumathid arthritis, Osteoarthrosis, Meniscus lesion, Ballotement test Fluctuation test. Intervensi tergantung penyebab. US dan elastic bandaging Osteoarthrosis Lutut Degenerasi Modalitas fisis Over weight Over used Fragmentasi & erosi rawan sendi Injury Nyeri & kaku lutut Joint mobiliz Antalgic gait Hipertrofi subchodr. & osteofit Muscle mobiliz Rom: Flx < Ext Firm end feel Corpus libera Kontraktur Joint blockade JPM: Nyeri akhir ROM / Firm end feel Joint blockade Manipul corpus libera Weight control Chondromalacia patellae Degenerasi Cidera trtm odd facet Erosi Penebalan tl subchondral Osteofit Iritasi jar Micro injury Genu valgus Nyeri patella Nyeri posisi 300 flex Compression test + Ballotement ± Lemah m.vastus medialis Medial wedge shoes Friction Strength m.vastus medialis Modalities Pes anserinus syndrome Genu valgus Lig. Collateral medial laxity Osteoarthrosis Muscle spasm Nyeri medial lutut Strocking-effleurage Tendomyosis Antalgic gait Transverse friction Tendinitis Tender & spasm palpated Medial wedge shoes Modalilities Knee instability Lig Laxity Muscle dysbalance Lig. Collateral medial Lig. Collateral lateral Meniscus Varus test Valgus test Lig. Cruciatum anterior Anterior shearing test Lig.Cruciatum posterior Posterior shearing test Passive & active stabilization Unicompartmental, umumnya medial Unconstrain arthroplasty Unconstrain hinge arthroplasty ARTHROPLASTY Cemented Non cemented Early mobilization Must stable mobilization Ukur ROM sebelum operasi Isometric exercise Mulai sejak 24 jam pertama post op Range secara bertahap Kelemahan quadriceps Mobilisasi pasif patella Dlm 7-14 hr post op flexion 70 - 900 Max 1100 flx Continous Passive Movement Hr 3 jalan dgn back splint