Studi kasus penatalaksanaan fisioterapi pasien post repair tendon achilles pada pemain badminton
DOI: https://doi.org/10.56922/quilt.v6i3.2583
Achilles Tendon Rupture Badminton Program Rehabilitasi Tendon Achilles
Abstract
Background: The demand for sports has increased in recent years, including badminton, a sport enjoyed by all ages. The high intensity of this sport is often not matched by adequate physical ability, resulting in the potential for injury. One common injury is Achilles tendon rupture (ATR). Surgery is one of the most frequently chosen treatments given the significantly better postoperative outcomes compared to non-operative options. Of course, surgery is not a stand-alone procedure; controlled and targeted rehabilitation is necessary. Providing exercise and physiotherapy modalities can help reduce post-operative complaints such as pain, range of motion (ROM), muscle weakness, atrophy and decreased cardiovascular endurance.
Purpose: Further research is needed, particularly in the case studies or clinical studies, to evaluate the effectiveness of comprehensive physiotherapy management in patients who have undergone achilles tendon repair. This findings can provide a basis for designing better, more applicable, and evidence-based rehabilitation protocols.
Methods: This study used a case report design with a pre and post evaluation approach. The subject or sample was a 35 year old male badminton player (non-professional athlete) diagnosed with Achilles Tendon Rupture (ATR) and underwent post-repair surgery.
Results: After a 5-month rehabilitation program, there was a significant decrease in pain (NRS) and swelling (anthropometry), as well as an increase in ROM, muscle strength, muscle mass, and cardiovascular endurance.
Conclusion: Physical rehabilitation program for patients with post-repair Achilles Tendon Rupture (ATR) is individually designed and phased and has been shown to have positive effects in reducing pain, edema, ROM, muscle strength, muscle mass, and cardiovascular endurance. A rehabilitation approach that combines pain management, joint function restoration, muscle strengthening, and cardiovascular endurance can enable full functional recovery and support patient readiness to return to sport.
Keywords: Badminton; Tendon Achilles; Tendon Achilles Rupture; Rehabilitation Program.
Pendahuluan: Salah satu cedera yang kerap terjadi pada seorang atlet yakni achilles tendon rupture (ATR). Tindakan operatif adalah salah satu tindakan paling banyak dipilih mengingat hasil pasca operatif jauh lebih baik daripada pilihan non-operatif. Tentunya tindakan operatif tidak serta merta berdiri sendiri, perlu adanya rehabilitasi secara terkontrol dan terarah. Pemberian latihan dan modalitas fisioterapi dapat membantu menurunkan keluhan pasca operasi seperti nyeri, penurunan ROM, Kelemahan otot, penurunan daya tahan jantung hingga penurunan massa otot.
Tujuan: Untuk mengevaluasi seberapa efektif pengelolaan fisioterapi secara menyeluruh pada pasien yang sudah menjalani perbaikan tendon achilles.
Metode: Penelitian ini menggunakan rancangan studi kasus (case report) dengan melakukan pendekatan pre dan post evaluation. Subjek atau sampel adalah seorang pemain badminton (atlet non professional) laki-laki berusia 35 tahun telah terdiagnosa dengan kondisi Achilles Tendon Rupture (ATR) dan telah dilakukan tindakan operatif post- repair.
Hasil: Pasca pemberian program rehabilitasi selama 5 bulan terdapat penurunan signifikan pada nilai nyeri (NRS) dan bengkak (antropometri), peningkatan ROM, Kekuatan otot, Massa otot dan daya tahan kardiovaskular.
Simpulan: Program rehabilitasi fisik untuk pasien dengan kondisi post-repair ruptur tendon Achilles (ATR) dirancang secara individual secara bertahap dan telah terbukti memberikan efek positif dalam mengurangi rasa sakit, edema, ROM, muscle strength, muscle mass, dan daya tahan kardiovaskular.
Kata Kunci: Achilles Tendon Rupture; Badminton; Program Rehabilitasi; Tendon Achilles.
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