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Abstrak :
ABSTRAK
Osteoarthritis OA lutut dapat menimbulkan penurunan terhadap kemampuan fungsi fisik yang melibatkan pergerakan sendi lutut saat beraktivitas. Penelitian ini bertujuan menganalisis faktor-faktor yang mempengaruhi kemampuan fungsi fisik pasien yang mengalami OA lutut. Desain penelitian ini adalah deskriptif analitik melalui pendektan cross sectional dengan 96 sampel. Analisis bivariat menunjukan faktor jenis kelamin p=0,029 dan nyeri lutut p=0,011 berhubungan secara bermakna dengan kemampuan fungsi fisik pasien OA lutut, sementara faktor usia p=0,198 , dukungan keluarga p=0,648 , lama penyakit p=0,616 , motivasi p=0,074 , indeks masa tubuh p=0,833 , pengetahuan p=0,642 , dan penyakit komorbiditas p=0,604 tidak berhubungan dengan kemampuan fungsi fisik pasien OA lutut. Analisis multivariat menunjukan bahwa nyeri lutut merupakan faktor yang paling berpengaruh dominan mempengaruhi kemampuan fungsi fisik pasien OA lutut p=0,035; ?=0,217 . Rekomendasi penelitian selanjutnya adalah dengan mengetahui karakteristik responden yang lebih heterogen terhadap kemampuan fungsi fisik.Kata kunci: Kemampuan fungsi fisik, aktivitas, osteoarthritis, nyeri lutut, sendi lutut

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ABSTRACT
Osteoarthritis OA of the knee can cause a decrease in the ability of physical function that involves movement of the knee joint during the activity. The purpose of this study was to analyze the factors that affect the physical function ability of patients with knee OA. This is a cross sectional study with 96 samples. Bivariate analysis showed gender factor p 0,029 and knee pain p 0,011 correlated significantly with ability of physical function of knee OA patients, while age factor P 0.616 , motivation p 0.074 , body mass index p 0.833 , knowledge p 0.642 , and disease comorbidity p 0.604 was not related to the physical function ability of knee OA patients. Multivariate analysis showed that knee pain was the most influential factor dominant affect the ability of physical function of knee OA patients p 0,035 0,217 . The furthher research recommendation is to know the characteristics of respondents who are more heterogeneous to the ability of physical function Keyword Ability of physical function, activity, osteoarthritis, knee pain, knee joint

Abstrak :
ABSTRAK
Latar Belakang. Peternak sapi perah terpajan faktor risiko besar untuk mengalami nyeri lutut. Posisi kerja berjongkok memberikan tekanan pada lutut dapat menyebabkan cedera dan penyakit degeneratif sendi lutut. Tujuan penelitian untuk mengetahui prevalensi dan faktor yang berhubungan dengan nyeri lutut pada peternak sapi perah di Jawa BaratMetode. Penelitian potong lintang dilakukan pada 117 orang di Unit Pelaksana Teknis Daerah UPTD Balai Pengembangan Ternak Sapi Perah dan Hijauan Makanan Ternak BPT-SP HPT Cikole, Lembang pada Mei-Juni 2017 dengan jumlah sampel total populasi. Dilakukan wawancara, pengisian kuesioner KOOS Knee Injury and Osteoarthritis Outcome Score dan observasi posisi kerja. Analisis data dilakukan dengan program statistik SPSS Statistics 20.0Hasil. Sebanyak 88 subjek mengalami nyeri lutut dengan keluhan terbanyak nyeri lutut ringan 84 . Didapatkan hubungan nyeri lutut dengan posisi berjongkok ORc=7.36 . Faktor risiko determinan adalah masa kerja 6-10 tahun dengan ORA sebesar 7.35 95 CI 1.25-42.95, p=0.027 dan masa kerja >10 tahun dengan ORA sebesar 26,09 95 CI 1.24-547.59, p=0.036 .Simpulan. Prevalensi nyeri lutut pada peternak sapi perah sebesar 88 . Terdapat hubungan nyeri lutut dengan posisi kerja berjongkok. Faktor risiko determinan berhubungan nyeri lutut adalah masa kerja lebih dari 5 tahun. Saran. Memperbaiki kondisi kerja pemerah sapi untuk mengurangi paparan terhadap faktor-faktor risiko selama masa kerja.

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ABSTRACT
Background. Dairy farmers have been identified having high risk for knee pain. Squatting position when milking cows create awkward knee posture and high compression on knee joint that could lead to knee injury and degenerative diseases on knee joint. This study aims to identify the prevalence of knee pain among dairy farmers and the association of squatting position and other factors with knee pain among Dairy Farmers in West JavaMethod. A cross sectional study on 117 respondents was conducted at Unit Pelaksana Teknis Daerah UPTD Balai Pengembangan Ternak Sapi Perah dan Hijauan Makanan Ternak BPT SP HPT Cikole, Lembang from May through June 2017 with total population sampling. Instruments used were standardized inteview form and KOOS Knee Injury and Osteoarthritis Outcome Score questionnaire. Working position was observed. SPSS Statistics 20.0 program was used to analyze the data.Result. In this study, 88 dairy farmers had knee pain, mostly with mild knee pain. Association was found between knee pain and squatting ORc 7.36 . Determinants for knee pain are working period 6 10 years with ORA 7.35 95 CI 1.25 42.95, p 0.027 and working period 10 tahun with ORA 26,09 95 CI 1.24 547.59, p 0.036 .Conclusion. Prevalence of knee pain among dairy farmers was 88 . The study suggest that knee pain among dairy farmers had association with squatting position. Working period 5 years was identified as determinant factor.Recommendation. Improve dairy farmers working condition to reduce exposure of risk factors during working period.

Abstrak :
Latar belakang: Anterior knee pain (AKP) merupakan penyebab utama terjadinya permasalahan yang persisten paska dilakukannya TKR. Saat ini di Indonesia belum terdapat data mengenai luaran ini untuk mengevaluasi paska dilakukannya operasi TKR, oleh karenanya kami merasa perlu untuk dilakukannya penelitian ini. Metode: Penelitian ini merupakan penelitian kohort retrospektif. Subjek adalah pasien yang menjalani operasi TKR di RS Cipto Mangunkusomo sejak Januari 2011 sampai Januari 2019. Pada penelitian ini, didapatkan total 69 lutut dimana 39 lutut dilakukan tindakan non-resurfacing sementara 30 lutut dilakukan resurfacing. Pasien dengan revisi TKR, riwayat infeksi sendi lutut atau tumor, implant loosening, riwayat operasi pada sendi lutut sebelumnya di eksklusi dari penelitian ini. Hasil: Pada kelompok non-resurfacing terdapat 32 lutut perempuan (82,1%) dan 7 lutut laki-laki (17,9%), sementara kelompok resurfacing terdapat 22 lutut perempuan (73,3%) dan 8 lutut laki-laki (26,7%). Baik pada kelompok nonresurfacing dan resurfacing, terdapat peningkatan skor paska operatif joint motion (p<0,001) dan expectation (p=0,046) dengan pengukuran KSS, namun nilai satisfaction dibandingkan preoperative dan paska operatif pada kedua kelompok menunjukan perbedaan yang tidak bermakna (p=0,314) dibandingkan dengan sebelum dilakukannya operasi. Pada penilaian dengan kuesioner Kujala, ditemukan perbedaan bermakna skor total (47 [42-58] vs 55 [45-63]; p < 0,001), limp (3 [3-5] vs 5 [2-5]; p < 0,001), support (3 [3-5] vs 5 [3-5]; p < 0,001), walking (2 [2-3] vs 2 [2-5]; p < 0,035), running (0 [0-6] vs 3 [0-8]; p < 0,001), jumping (0 [0-0] vs 3 [0- 8]; p = 0,010), dan flexion deficiency (3 [0-3] vs 3 [0-5]; p = 0,021). Kesimpulan: Kami menemukan bahwa TKR non-resurfasing berhubungan dengan kejadian AKP. Namun tidak terdapat perbedaan skala nyeri diantara kelompok resurfacing dan non-resurfacing patella. Selain itu, terdapat perbedaan signifikan skor Kujala dan KSS pada kedua kelompok. ......Background: Anterior knee pain (AKP) is a main problem that commonly occurs after total knee replacement (TKR). In Indonesia, there are no data regarding this outcome. Methods: This study aims to evaluate AKP after TKR. This was a retrospective study. Subjects were patients who underwent TKR from January 2011 to January 2019. Results: There were 69 knees in this study, in which 39 subjects were nonresurfaced. Those with revision TKR, history of infected knee joint or tumor, implant loosening, history of infected knee joint, were excluded from this study. In the non-resurfaced group, there were 32 (82.1%) women’s knees and 7 (17.9%) men’s knees. Whereas, in the resurfaced group, there were 22 (73.3%) women’s knees, and 8 (26.7%) men’s knees. In both the non-resurfaced and resurfacing groups, there was an increase in joint motion scores (p<0.001) and expectation (p=0.046) by measuring KSS but satisfaction scores compared to preoperative and postoperative in both groups showed no significant differences (p=0.314) compared to before surgery. In the assessment using the Kujala questionnaire, differences in total score (47 [42-58] vs 55 [45-63]; p <0.001), limping (3 [3-5] vs 5 [2-5]; p <0.001 ), support (3 [3-5] vs 5 [3-5]; p <0.001), walking (2 [2-3] vs 2 [2-5]; p <0.035), running (0 [0- ] 6] vs 3 [0-8]; p <0.001), jump (0 [0-0] vs 3 [0- 8]; p = 0.010), and flexion deficiency (3 [0-3] vs 3 [ 0 -5]; p = 0.021). Conclusion: We found that non-resurfacing patellar TKR was associated with AKP. But there was no difference in pain scale between the resurfacing and nonresurfacing patella groups Moreover, there were significant differences of both Kujala Score and Knee Society Score in both groups.