Abstract
Penelitian ini bertujuan untuk mengetahui kemampuan fungsional lutut dan kesiapan psikologis pasien yang melakukan rehabilitasi pasca cedera ACL dengan penanganan secara operatif atau non-operatif. Jenis penelitian ini adalah cross-sectional survey design dengan menggunakan 30 subjek terdiri atas, 17 subjek dengan penanganan operatif, dan 13 subjek dengan penanganan non-operatif. Teknik pengumpulan data menggunakan kuesioner yang telah diterjemahkan ke bahasa Indonesia melalui proses terjemahan, adaptasi, atau skala yang digunakan untuk penelitian lintas budaya. Penilaian kemampuan fungsional lutut menggunakan kuesioner IKDC 2000, dan penilaian kesiapan psikologis menggunakan kuesioner ACL-RSI. Uji t dua sampel independen digunakan untuk mengetahui perbedaan rata-rata skor IKDC 2000 dan ACL-RSI antara pasien dengan penanganan operatif dan non-operatif. Hasil penelitian menunjukkan bahwa, tidak ditemukaan perbedaan yang signifikan antara skor IKDC 2000 (Sig. 0,110 > 0,05) dan ACL-RSI (Sig. 0,713 > 0,05) pada pasien dengan rata-rata 23,06 bulan dengan penanganan operatif, dan 23,46 bulan dengan penanganan non-operatif. Pasien dengan penanganan operatif dan non-operatif yang memiliki tingkat aktivitas fisik yang sama seperti sebelum cedera, memiliki skor IKDC 2000 dan ACL-RSI yang lebih besar dibandingkan dengan pasien yang memiliki aktivitas fisik yang lebih rendah daripada sebelum cedera.
References
Acevedo, R. J., Rivera-Vega, A., Miranda, G., & Micheo, W. (2014). Anterior cruciate ligament injury: identification of risk factors and prevention strategies. Current Sports Medicine Reports, 13(3), 186–191. https://doi.org/10.1249/JSR.0000000000000053
Adams, D., Logerstedt, D. S., Hunter-Giordano, A., Axe, M. J., & Snyder-Mackler, L. (2012). Current concepts for anterior cruciate ligament reconstruction: a criterion-based rehabilitation progression. The Journal of Orthopaedic and Sports Physical Therapy, 42(7), 601–614. https://doi.org/10.2519/jospt.2012.3871
Anggunadi, A. (2015). Penilaian aktivitas fisik dan kemampuan fungsional pasien pasca operasi rekontruksi ligamentum crusiatum anterior akibat cedera olahraga serta faktor-fator yang mempengaruhinya. Tugas Akhir. Jakarta: FK UI.
Ardern, C. L., Taylor, N. F., Feller, J. A., & Webster, K. E. (2014). Fifty-five per cent return to competitive sport following anterior cruciate ligament reconstruction surgery: an updated systematic review and meta-analysis including aspects of physical functioning and contextual factors. British Journal of Sports Medicine, 48(21), 1543–1552. http://dx.doi.org/10.1136/bjsports-2013-093398
Ardern, C. L., Österberg, A., Tagesson, S., Gauffin, H., Webster, K. E., & Kvist, J. (2014). The impact of psychological readiness to return to sport and recreational activities after anterior cruciate ligament reconstruction. British Journal of Sports Medicine, 48(22), 1613–1619. https://doi.org/10.1136/bjsports-2014-093842
Ardern, C. L., Webster, K. E., Taylor, N. F., & Feller, J. A. (2011). Return to sport following anterior cruciate ligament reconstruction surgery: a systematic review and meta-analysis of the state of play. British Journal of Sports Medicine, 45(7), 596–606. https://doi.org/10.1136/bjsm.2010.076364
Bogunovic, L., & Matava, M. J. (2013). Operative and nonoperative treatment options for ACL tears in the adult patient: a conceptual review. The Physician and Sportsmedicine, 41(4), 33–40. https://doi.org/10.3810/psm.2013.11.2034
Chan, D., Lee, A., Hagger, M. S., Mok, K. M., & Yung, P. S. (2017). Social psychological aspects of ACL injury prevention and rehabilitation: An integrated model for behavioral adherence. Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology, 10, 17–20. https://doi.org/10.1016/j.asmart.2017.10.001
Cheecharern, S. (2018). Return to sport and knee functional scores after anterior cruciate ligament reconstruction: 2 to 10 years' follow up. Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology, 12, 22–29. https://doi.org/10.1016/j.asmart.2018.01.003
Diwakar, M. (2018). Manangement of ACL tear in paediatric age group: a review of literature. Journal of Arthroscopy and Joint Surgery, 30 (30), 1-6. https://doi.org/10.1016/j.jajs.2018.01.005
Eime, R. M., Harvey, J. T., Charity, M. J., & Nelson, R. (2018). Demographic characteristics and type/frequency of physical activity participation in a large sample of 21,603 Australian people. BMC Public Health, 18(1), 692. https://doi.org/10.1186/s12889-018-5608-1
Grindem, H., Eitzen, I., Engebretsen, L., Snyder-Mackler, L., & Risberg, M. A. (2014). Nonsurgical or surgical treatment of acl injuries: knee function, sports participation, and knee reinjury: the delaware-oslo acl cohort study. The Journal of Bone and Joint Surgery. American volume, 96(15), 1233–1241. https://doi.org/10.2106/JBJS.M.01054
Hefti, F., Müller, W., Jakob, R. P., & Stäubli, H. U. (1993). Evaluation of knee ligament injuries with the IKDC form. Knee Surgery, Sports Traumatology, Arthroscopy: Official journal of the ESSKA, 1(3-4), 226–234. https://doi.org/10.1007/BF01560215
Irrgang, J. J., Anderson, A. F., Boland, A. L., Harner, C. D., Kurosaka, M., Neyret, P., Richmond, J. C., & Shelborne, K. D. (2001). Development and validation of the international knee documentation committee subjective knee form. The American Journal of Sports Medicine, 29(5), 600–613. https://doi.org/10.1177/03635465010290051301
Irrgang, J. J., Anderson, A. F., Boland, A. L., Harner, C. D., Neyret, P., Richmond, J. C., Shelbourne, K. D., & International Knee Documentation Committee (2006). Responsiveness of the International Knee Documentation Committee Subjective Knee Form. The American journal of sports medicine, 34(10), 1567–1573. https://doi.org/10.1177/0363546506288855
Johnsen, M. B., Guddal, M. H., Småstuen, M. C., Moksnes, H., Engebretsen, L., Storheim, K., & Zwart, J. A. (2016). Sport participation and the risk of anterior cruciate ligament reconstruction in adolescents: a population-based prospective cohort study (The Young-HUNT Study). The American Journal of Sports Medicine, 44(11), 2917–2924. https://doi.org/10.1177/0363546516643807
Kvist, J. (2004). Rehabilitation following anterior cruciate ligament injury: current recommendations for sports participation. Sports Medicine, 34(4), 269–280. https://doi.org/10.2165/00007256-200434040-00006
Krause, M., Freudenthaler, F., Frosch, K. H., Achtnich, A., Petersen, W., & Akoto, R. (2018). Operative versus conservative treatment of anterior cruciate ligament rupture. Deutsches Arzteblatt international, 115(51-52), 855–862. https://doi.org/10.3238/arztebl.2018.0855
Moksnes, H., & Risberg, M. A. (2009). Performance-based functional evaluation of non-operative and operative treatment after anterior cruciate ligament injury. Scandinavian Journal of Medicine & Science in Sports, 19(3), 345–355. https://doi.org/10.1111/j.1600-0838.2008.00816.x
Montalvo, A. M., Schneider, D. K., Webster, K. E., Yut, L., Galloway, M. T., Heidt, R. S., Jr, Kaeding, C. C., Kremcheck, T. E., Magnussen, R. A., Parikh, S. N., Stanfield, D. T., Wall, E. J., & Myer, G. D. (2019). Anterior cruciate ligament injury risk in sport: A systematic review and meta-analysis of injury incidence by sex and sport classification. Journal of Athletic Training, 54(5), 472–482. https://doi.org/10.4085/1062-6050-407-16
Sadeqi, M., Klouche, S., Bohu, Y., Herman, S., Lefevre, N., & Gerometta, A. (2018). Progression of the psychological ACL-RSI score and return to sport after anterior cruciate ligament reconstruction: A prospective 2-year follow-up study from the French Prospective Anterior Cruciate Ligament Reconstruction Cohort Study (FAST). Orthopaedic Journal of Sports Medicine, 6(12), 2325967118812819. https://doi.org/10.1177/2325967118812819
Sanders, T. L., Maradit Kremers, H., Bryan, A. J., Larson, D. R., Dahm, D. L., Levy, B. A., Stuart, M. J., & Krych, A. J. (2016). Incidence of anterior cruciate ligament tears and reconstruction: A 21-year population-based study. The American Journal of Sports Medicine, 44(6), 1502–1507. https://doi.org/10.1177/0363546516629944
Sousa, V. D., & Rojjanasrirat, W. (2010). Translation, adaptation and validation of instruments or scales for use in cross-cultural health care research: a clear and user-friendly guideline. Journal of Evaluation in Clinical Practice, 17(2), 268–274. https://doi.org/10.1111/j.1365-2753.2010.01434.x
Streich, N. A., Zimmermann, D., Bode, G., & Schmitt, H. (2010). Reconstructive versus non-reconstructive treatment of anterior cruciate ligament insufficiency. A retrospective matched-pair long-term follow-up. International Orthopaedics, 35(4), 607–613. https://doi.org/10.1007/s00264-010-1174-6
Tjoumakaris, F. P., Donegan, D. J., & Sekiya, J. K. (2011). Partial tears of the anterior cruciate ligament: diagnosis and treatment. The American Journal of Orthopedics, 40(2), 92–97.
Tracey, J. (2003). The emotional response to the injury and rehabilitation process. Journal of Applied Sport Psychology, 15(4), 279–293. http://dx.doi.org/10.1080/714044197
van Yperen, D. T., Reijman, M., van Es, E. M., Bierma-Zeinstra, S., & Meuffels, D. E. (2018). Twenty-year follow-up study comparing operative versus nonoperative treatment of anterior cruciate ligament ruptures in high-level athletes. The American journal of sports medicine, 46(5), 1129–1136. https://doi.org/10.1177/0363546517751683
Webster, K. E., Nagelli, C. V., Hewett, T. E., & Feller, J. A. (2018). Factors Associated with Psychological Readiness to Return to Sport After Anterior Cruciate Ligament Reconstruction Surgery. The American Journal of Sports Medicine, 46(7), 1545–1550. https://doi.org/10.1177/0363546518773757
Webster, K. E., Feller, J. A., & Lambros, C. (2008). Development and preliminary validation of a scale to measure the psychological impact of returning to sport following anterior cruciate ligament reconstruction surgery. Physical therapy in sport: official journal of the Association of Chartered Physiotherapists in Sports Medicine, 9(1), 9–15. https://doi.org/10.1016/j.ptsp.2007.09.003
Zbrojkiewicz, D., Vertullo, C., & Grayson, J. E. (2018). Increasing rates of anterior cruciate ligament reconstruction in young Australians, 2000-2015. The Medical Journal of Australia, 208(8), 354–358.
Zein, M. I. (2013). Cedera Anterior Cruciate Ligament (ACL) pada atlet berusia muda. FIK UNY. MEDIKORA, 11(2), 111-121.
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution 4.0 International License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.