Perbandingan Efektifitas Retrowalking Exercise dan Quadricep

Strengthening Exercise Terhadap Peningkatan Activiti of Daily

living Pada Lansia yang Terkena Osteoartrithis knee di

Puskesmas Kendal Kerep Kota Malang

SKRIPSI

Untuk Memenuhi Persyaratan Mencapai Derajat Srajana Fisioterapi (S.Ft) Pada Program Studi Fisioterapi Fakultas Ilmu Kesehatan Universitas Muhamadiyah

Malang

Oleh :

Risqi Dwi Rachmawati

201310490311002

PROGRAM STUDI FISIOTERAPI

FAKULTAS ILMU KESEHATAN

UNIVERSITAS MUHAMADIYAH MALANG

2017

KATA PENGANTAR

Puji syukur kepada Allah SWT , berkat Rahmat Hidayah, dan Karunia-Nya

kepada kita semua sehingga kami dapat menyelesaikan skripsi dengan judul

“PERBANDINGAN EFEKTIFITAS RETROWALKING DAN QUADRICEP

STRENGTHENING TERHADAP LANSIA YANG TERKENA

OSTEOARTRHITIS KNEE di PUSKESMAS KENDAL KEREP ”. Laporan

proposal skripsi ini disusun sebagai salah satu syarat untuk mengerjakan skripsi

pada program Strata-1 di Jurusan Fisioterapi, Fakultas Ilmu Kesehatan,

Universitas Muhamadiyah , Malang.

Penulis menyadari dalam penyusunan proposal skripsi ini tidak akan selesai

tanpa bantuan dari berbagai pihak. Karena itu pada kesempatan ini kami ingin

mengucapkan terima kasih kepada:

1. Bapak Yoyok Bekti Prasetyo,S.kep, Mkep., Sp.Kom selaku Dekan

Fakultas Ilmu Kesehatan Universitas Muhammdiyah Malang.

2. Ibu Atika Yulianti S.St.FT., M.Fis selaku Ketua Jurusan Fisioterapi,

Fakultas Ilmu Kesehatan, Universitas Muhammadiyah ,Malang.

3. Bapak Rakhmad Rosadi, MPT selaku Dosen Pembimbing atas bimbingan,

saran, dan motivasi yang diberikan.

4. Ibu Sri Sunaringsih Ika W, MPH atas bimbingan, saran, dan motivasi yang

diberikan.

5. Segenap Dosen Jurusan Fisioterapi, Fakultas Ilmu Kesehatan, Universitas

Muhammadiyah ,Malang yang telah memberikan dukungan untuk

mengerjakan skripsi ini.

6. Kedua orang tua keluarga tercinta yang telah memeberikan kesabaran

dalam dukungan moril , materil dan doa yang tidak terhenti hingga saat

ini.

7. Teman- teman Fisioterapi 2013 kelas A yang meberikan bantuan, motivasi

dan doa yang tak terhingga.

8. Grup OTW LULUS yang dengan sabar dan selalu meberikan masukan

dari awal hingga akhir tidak pernah lelah meberikan semangat satu sama

lain.

9. Universitas Muhammadiyah Malang, khususnya teman-teman

seperjuangan kami di , atas semua dukungan, semangat, serta

kerjasamanya.

Kami menyadari proposal skripsi ini tidak luput dari berbagai kekurangan. Penulis

mengharapkan saran dan kritik demi kesempurnaan dan perbaikannya sehingga

akhirnya laporan proposal skripsi ini dapat memberikan manfaat bagi bidang

pendidikan dan penerapan dilapangan serta bisa dikembangkan lagi lebih lanjut.

Amiin.

Malang, 10 juli 2017

Penulis

DAFTAR ISI

HALAMAN JUDUL ........................................................................................ i

LEMBAR PERSETUJUAN ............................................................................ iii

LEMBAR LEMBAR PERNYATAAN KEASLIAN ...................................... iv

KATA PENGANTAR ..................................................................................... v

ABSTRCT ........................................................................................................ vii

DAFTAR ISI ................................................................................................... ix

DAFTAR BAGAN ......................................................................................... xi

DAFTAR TABEL ............................................................................................ xii

DAFTAR GAMBAR ....................................................................................... xiii

DAFTAR LAMPIRAN ................................................................................... xiv

BAB I PENDAHULUAN ............................................................................... 1

A. Latar Belakang .................................................................................. 1

B. Rumusan Masalah .............................................................................. 8

C. Tujuan Penelitian .............................................................................. 8

D. Manfaat Penelitian ............................................................................ 9

E. Keaslian Penelitian ............................................................................. 9

BBA II TINJAUAN PUSTAKA.................................................................... 12

A. Osteathritis (OA) .............................................................................. 12

B. Lansia ................................................................................................. 23

C. Nyeri Osteathritis (OA) ..................................................................... 27

D. Activities Of Daily Living (ADL) ....................................................... 30

E. Retro walking excercise ..................................................................... 31

F. Quadricep strengthening ................................................................... 35

BAB III KERANGKA KONSEP DAN HIPOTESIS ..................................... 38

A. Kerangka Konsep ............................................................................... 38

B. Hipotesis Penelitian .......................................................................... 39

BAB I V METODE PENELITIAN ................................................................. 40

A. Desain Penelitian ............................................................................. 40

B. Kerangka Kerja Penelitian ................................................................. 41

C. Populasi, Sampel dan Sampling ......................................................... 43

D. Variabel Penelitian ............................................................................. 44

E. Definisi Oprasional ............................................................................ 45

F. Tempat Penelitian .............................................................................. 46

G. Waktu Penelitian ............................................................................... 46

H. Intrumen Penelitian ............................................................................ 46

I. ProsedurPengumpulan Data ............................................................... 48

BAB V HASIL PENELITIAN DAN ANALISIS DATA ............................... 56

A. Karakteristik Responden .................................................................... 56

B. Identifikasi Hasil Peningkatan ADL sebelum dan sesudah di

lakukan Retrowalking dan Quadricep strengthening exercise

pada Lansia yang terkene Osteoartritis Knee .................................... 58

C. Identifikasi hasil pengukuran peningkatan ADL sebelum dan

sesudah di lakukan retrowalking pada lansia dengan

osteoatrithis knee ............................................................................... 60

D. Efektifitas Perbandidingan Quadricep Strengthening Exercise

dan Retrowalking exercise terhadap peningkatan ADL pada

lansia yang terkena osteoartritis knee di Puskesmas Kendal

Kerep Kota Malang ............................................................................ 62

BAB VI HASIL PENELITIAN DAN ANALISIS DATA .............................. 64

A. Interpretasi dan Diskusi Hasil Penelitian ........................................... 64

B. Keterbatasan Peneliti ......................................................................... 71

C. Implikasi Untuk Fisioterapi ............................................................... 71

BAB VII PENUTUP ........................................................................................ 74

A. Kesimpulan ........................................................................................ 74

B. Saran .................................................................................................. 75

Daftar Pustaka .................................................................................................. 77

Lampiran .......................................................................................................... 82

DAFTAR BAGAN

Bagan 3.1 Kerangka Konsep ............................................................................ 41

Bagan 4.1 kerangka Penelitian ......................................................................... 45

DAFTAR TABEL

Tabel 4.1 Kelompok 1 dan 2 rancangan pre-posttes ...........................................44

Tabel 5.1 Karekteristik Responden Berdasarkan Usia , jenis kelamin, dan

pekerjaan Pasien Osteoartritis Knee di Posyandu RW. 09 dan RW. 11

Kendal Kerep Bulan April – Juni 2017 ..............................................58

Tabel 5.2 Indentifikasi Peningkatan ADL sebelum dan sesudah di lakukan

interfensi Quadricep Strengthening di Puskesmas Kendal Kerep Bulan

April – Juni 2017 ................................................................................59

Tabel 5.3 Hasil uji normalita (one-sampel Kolmogorof- Smirnov Test )

di Puskesmas Kendal Kerep Bulan April-Juni 2017 ..........................60

Tabel 5.4 Indentifikasi Peningkatan ADL sebelum dan sesudah di lakukan

interfensi Retrowalking di Puskesmas Kendal Kerep Bulan April –Juni

2017 ....................................................................................................61

Tabel 5.5 Hasil uji normalita (one-sampel Kolmogorof- Smirnov Test ) di

Puskesmas Kendal Kerep Bulan April – Juni 2017 ............................62

Tabel 5.6 Hsil penghitungan rata-rata jumlah nilai ADL pada sampel retrowalking

exercise sebelum dan sesudah di lakukan interfensi Puskesmas Kendal

Kerep Bulan April- Juni 2017 ............................................................62

Tabel 5.7 hasi uji T independen di Puskesmas Kendal Kerep bulan April – Juni

2017 ....................................................................................................63

DAFTAR GAMBAR

Gambar 2.1 Anatomi lutut ............................................................................... 15

Gambar 2.2 Ligament Extra Capsular ............................................................. 16

Gambar 2.3 ligament Extra Capsular ............................................................... 17

Gambar 2.3 Bantalan Lutut .............................................................................. 17

Gambar 2.5 gerakan Retrowalking ................................................................. 35

Gambar 2.6 Isotonik Quadricep Exercise ........................................................ 39

DAFTAR LAMPIRAN

Lampiran 1 Lembar perdetujuan mennjadi respoonden penelitian

Lampiran 2 Lembar persetujuan menjadi responden (Inform Consent)

Lampiran 3 SOP Efektivitas Quadriceps Strengthening Exercise

Terhadap Peningkatan ADL Pada Lansia Dengan

Osteoarhtritis Knee di Posyandu Kendal Kerep Malang

Lapiran 4 SOP Efektivitas Retrowalking Terhadap Peningkatan ADL

Pada Lansia Dengan Osteoarhtritis Knee di Puskesmas

Kendal Kere Kota Malang Jawa Timur

Lampiran 5 Lembar Wawancara

Lampiran 6 Tabulasi Karakteristik dan Hasil Rata- Rata Skala KOOS

Lampiran 7 HASIL SPSS

Lampiran 8 Surat ijin studi pendahuluan dan penelitian

Lampiran 9 Surat keterangan melekukan penelitian

Lampiran 10 Lembar koonsultasi

Lampiran 11 Dookumentasi

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