PENGARUH PEMBERIAN BLOOD FLOW RESTRICTION TRAINING TERHADAP PENINGKATAN KEKUATAN OTOT QUADRICEPS  PADA PENDERITA OSTEOARTRITIS LUTUT

Bramasta Adikurnia Wedhasmara; M. Mudatsir Syatibi; Jasmine Kartiko Pertiwi

Authors

Bramasta Adikurnia Wedhasmara Mahasiswa Sarjana Terapan Fisioterapi Poltekkes Kemenkes Surakarta
M. Mudatsir Syatibi Dosen Jurusan Fisioterapi Poltekkes Kemenkes Surakarta
Jasmine Kartiko Pertiwi Dosen Jurusan Fisioterapi Poltekkes Kemenkes Surakarta

Keywords:

Blood Flow Restriction Training, Low Load Resistance Training, Osteoartritis Lutut, Penyakit Sendi, Quadriceps, Latihan Penguatan

Abstract

Latihan penguatan sangat penting bagi penderita osteoartritis lutut untuk mengembalikan kekuatan otot quadriceps. Perlu latihan dengan beban berat untuk meningkatkan kekuatan otot. Namun penderita osteoartritis lutut sering mengeluhkan nyeri saat menjalani latihan dengan beban berat. Maka itu perlu metode latihan alternatif untuk meningkatkan kekuatan otot quadriceps pada penderita osteoartritis lutut. Tujuan: Untuk mengetahui pengaruh pemberian blood flow restriction training dan low load resistance training dalam meningkatkan kekutan otot quadriceps pada penderita osteoartritis lutut. Metode: Penelitian ini menggunakan metode two groups pre & post test. Kelompok I mendapat intervensi berupa blood flow restriction training dan low load resistance training, sedangkan kelompok II mendapatkan intervensi berupa low load resistance training saja 3x/minggu selama 4 minggu. Pengukuran kekuatan otot quadriceps dilakukan dengan memprediksi nilai 1-RM menggunakan rumus epley. Hasil: Dari 20 subjek penelitian, 18 subjek dapat mengikuti program penelitian hingga akhir. Kelompok I berjumlah 9 orang dan kelompok II berjumlah 9 orang. Kesimpulan: Pemberian blood flow restriction training dan low load resistance training sama-sama meningkatkan kekuatan otot quadriceps, namun penambahan blood flow restriction training dalam low load resistance training tidak memiliki pengaruh signifikan terhadap peningkatan kekuatan otot quadriceps

Downloads

Download data is not yet available.

References

Cognetti, D. J., Sheean, A. J., & Owens, J. G. (2022). Blood Flow Restriction Therapy and Its Use for Rehabilitation and Return to Sport: Physiology, Application, and Guidelines for Implementation. Arthroscopy, Sports Medicine, and Rehabilitation, 4(1), e71–e76. https://doi.org/10.1016/j.asmr.2021.09.025

Ferraz, R. B., Gualano, B., Rodrigues, R., Kurimori, C. O., Fuller, R., Lima, F. R., De Sá-Pinto, A. L., & Roschel, H. (2018). Benefits of resistance training with blood flow restriction in knee osteoarthritis. Medicine and Science in Sports and Exercise, 50(5), 897–905.

Ferlito, J. V., Pecce, S. A. P., Oselame, L., & De Marchi, T. (2020). The blood flow restriction training effect in knee osteoarthritis people: a systematic review and meta-analysis. In Clinical Rehabilitation (Vol. 34, Issue 11, pp. 1378–1390). SAGE Publications Ltd. https://doi.org/10.1177/0269215520943650

Grantham, B., Korakakis, V., & O’Sullivan, K. (2021). Does blood flow restriction training enhance clinical outcomes in knee osteoarthritis: A systematic review and meta-analysis. In Physical Therapy in Sport (Vol. 49, pp. 37–49). Churchill Livingstone. https://doi.org/10.1016/j.ptsp.2021.01.014

Jardim, R. A. C., de Sousa, T. S., dos Santos, W. N. N., Matos, A. P., & Iosimuta, N. C. R. (2022). Blood flow restriction with different load levels in patients with knee osteoarthritis: protocol of a randomized controlled trial. Trials, 23(1). https://doi.org/10.1186/s13063-022-05998-3

Katz, Jeffrey N., Arant, Kaetlyn R., Loeser, Richard F. (2022). Diagnosis and treatment of hip and knee osteoarthritis: a review. Journal of the American Medical Association, 325(6): 568–578, doi:10.1001/jama.2020.22171

Kementrian Kesehatan Republik Indonesia/Kemenkes RI. (2018). Laporan_Nasional_RKD2018_FINAL.pdf. In Badan Penelitian dan Pengembangan Kesehatan (p. 674). http://labdata.litbang.kemkes.go.id/images/download/laporan/RKD/2018/Laporan_Nasional_RKD2018_FINAL.pdf

Lloret, T. (2022). Blood Flow Restriction Training.

McNair, P. J., Colvin, M., & Reid, D. (2011). Predicting maximal strength of quadriceps from submaximal performance in individuals with knee joint osteoarthritis. Arthritis Care and Research, 63(2), 216–222. https://doi.org/10.1002/acr.20368

Merchán, E. C. R., Cardero, P. G. (2020). Comprehensive treatment of knee osteoarthritis. Springer, Switzerland

Nugraha, A. (2017). Prinsip Latihan Osteoartritis. 44(2), 149–153.

Patterson, S. D., Hughes, L., Warmington, S., Burr, J., Scott, B. R., Owens, J., Abe, T., Nielsen, J. L., Libardi, C. A., Laurentino, G., Neto, G. R., Brandner, C., Martin-Hernandez, J., & Loenneke, J. (2019). Blood flow restriction exercise position stand: Considerations of methodology, application, and safety. In Frontiers in Physiology (Vol. 10, Issue MAY). Frontiers Media S.A. https://doi.org/10.3389/fphys.2019.00533

Primorac, D., Molnar, V., Rod, E., Jeleč, Ž., Čukelj, F., Matišić, V., Vrdoljak, T., Hudetz, D., Hajsok, H., & Borić, I. (2020). Knee osteoarthritis: A review of pathogenesis and state-of-the-art non-operative therapeutic considerations. Genes, 11(8), 1–35. https://doi.org/10.3390/genes11080854

Scott, B. R., Loenneke, J. P., Slattery, K. M., & Dascombe, B. J. (2015). Exercise with Blood Flow Restriction: An Updated Evidence-Based Approach for Enhanced Muscular Development. Sports Medicine, 45(3), 313–325. https://doi.org/10.1007/s40279-014-0288-1

Segal, N., Davis, M. D., & Mikesky, A. E. (2015). Efficacy of Blood Flow- Restricted Low-Load Resistance Training For Quadriceps Strengthening in Men at Risk of Symptomatic Knee Osteoarthritis. Geriatric Orthopaedic Surgery & Rehabilitation, 6(3), 160–167.

Weakley, J., Schoenfeld, B. J., Ljungberg, J., Halson, S. L., & Phillips, S. M. (2023). Physiological Responses and Adaptations to Lower Load Resistance Training : Implications for Health and Performance. Sports Medicine - Open. https://doi.org/10.1186/s40798-023-00578-4

Wood, T. M., Maddalozzo, G. F., & Harter, R. A. (2002). Accuracy of seven equations for predicting 1-RM performance of apparently healthy, sedentary older adults. Measurement in Physical Education and Exercise Science, 6(2), 67–94. https://doi.org/10.1207/S15327841MPEE0602_1