Edukasi Kesehatan Berbasis Fisioterapi Komunitas dalam Meningkatkan Pengetahuan Lansia tentang Pencegahan Nyeri Osteoarthritis Genu

Adhen Nur Muhammad Dhilif; Bayu Prastowo; Nadya Setyarini Farizka

doi:10.59837/jpmba.v4i8.5250

Authors

Adhen Nur Muhammad Dhilif Universitas Muhammadiyah Malang, Indonesia
Bayu Prastowo Universitas Muhammadiyah Malang, Indonesia
Nadya Setyarini Farizka UPT Puskesmas Lawang, Indonesia

DOI:

https://doi.org/10.59837/jpmba.v4i8.5250

Keywords:

fisioterapi komunitas, lansia, latihan terapeutik, osteoarthritis genu, promotif

Abstract

Nyeri lutut pada penderita osteoarthritis genu merupakan manifestasi klinis utama yang timbul akibat proses degeneratif progresif pada sendi lutut. Kondisi ini tidak hanya menyebabkan nyeri dan kekakuan sendi, tetapi juga menurunkan kekuatan otot, keseimbangan, mobilitas, serta kemampuan melakukan aktivitas sehari-hari. Tanpa penatalaksanaan yang tepat, osteoarthritis genu dapat meningkatkan risiko disabilitas, ketergantungan, dan penurunan kualitas hidup pada lansia. Rendahnya pengetahuan mengenai faktor risiko, pencegahan, serta penatalaksanaan nonfarmakologis menyebabkan banyak lansia belum menerapkan latihan mandiri sebagai bagian dari upaya mengurangi nyeri dan mempertahankan fungsi sendi. Pengabdian kepada masyarakat ini bertujuan untuk meningkatkan pengetahuan lansia mengenai osteoarthritis genu. Pengabdian ini dilaksanakan pada 34 anggota Program Pengelolaan Penyakit Kronis (PROLANIS) di UPT Puskesmas Lawang, Kabupaten Malang. Metode pelaksanaan menggunakan pendekatan edukasi yang disertai dengan demonstrasi. Evaluasi dilakukan melalui post-test dan pre-test untuk menilai perubahan tingkat pengetahuan. Hasil pengabdian menunjukkan adanya peningkatan pengetahuan partisipan pada seluruh indikator, disertai meningkatnya kemampuan partisipan dalam mempraktikkan latihan secara mandiri. Edukasi berbasis fisioterapi komunitas ini efektif dalam meningkatkan pengetahuan dan keterampilan lansia mengenai penatalaksanaan nonfarmakologis osteoarthritis genu, sehingga berpotensi mendukung pengurangan nyeri, mempertahankan fungsi sendi, dan meningkatkan kualitas hidup lansia.

Downloads

Download data is not yet available.

References

Ahmad, M. A., Yusof, A., Hamid, M. S. A., Amin, F. H. Z., Kamsan, S. S., Daud, D. M. A., & Singh, D. K. A. (2023). Effects of self-management program as adjunctive to usual rehabilitation exercise on pain and functional outcomes in knee osteoarthritis: A randomized controlled trial. Journal of Research in Health Sciences, 23(1), e00569. https://doi.org/10.34172/jrhs.2023.104

Allen, K. D., Thoma, L. M., & Golightly, Y. M. (2022). Epidemiology of osteoarthritis. Osteoarthritis and Cartilage, 30(2), 184–195. https://doi.org/10.1016/j.joca.2021.04.020

Butarbutar, J. C. P., Basuki, P., Sungono, V., Riantho, A., & Fidiasrianto, K. (2024). Burden of osteoarthritis in Indonesia: A Global Burden of Disease (GBD) study 2019. Narra J, 4(2), e884. https://doi.org/10.52225/narra.v4i2.884

Canzone, A., Roggio, F., Patti, A., Giustino, V., Mannucci, C., Di Mauro, D., Musumeci, G., Bianco, A., & Trimarchi, F. (2024). Classification of physical activity programs based on the Kellgren & Lawrence scale for knee osteoarthritis: A systematic review. Musculoskeletal Care, 22(4), e70019. https://doi.org/10.1002/msc.70019

Cui, X., Xie, F., Cui, J., Tian, Y., Bai, X., Guo, L., Liu, J., & Yao, F. (2025). Association between physical activity and knee osteoarthritis: A comprehensive systematic review and meta-analysis. Journal of Global Health, 15, 04173. https://doi.org/10.7189/jogh.15.04173

Fransen, M., McConnell, S., Harmer, A. R., Van der Esch, M., Simic, M., & Bennell, K. L. (2015). Exercise for osteoarthritis of the knee: A Cochrane systematic review. British Journal of Sports Medicine, 49(24), 1554–1557. https://doi.org/10.1136/bjsports-2015-095424

Goff, A. J., De Oliveira Silva, D., Merolli, M., Bell, E. C., Crossley, K. M., & Barton, C. J. (2021). Patient education improves pain and function in people with knee osteoarthritis with better effects when combined with exercise therapy: A systematic review. Journal of Physiotherapy, 67(3), 177–189. https://doi.org/10.1016/j.jphys.2021.06.011

Hamada, K., Tamura, H., Hirohama, K., Mitsutake, T., Imura, T., Tanaka, S., & Tanaka, R. (2022). The effectiveness of group education in people over 50 years old with knee pain: A systematic review and meta-analysis of randomized control trials. Musculoskeletal Science and Practice, 62, 102627. https://doi.org/10.1016/j.msksp.2022.102627

Hegde, D. D., Hadya Ananda, K., & Vavachan, N. (2025). Effectiveness of quadriceps strength training in adults with knee osteoarthritis: A systematized review. Musculoskeletal Care, 23(2), e70134. https://doi.org/10.1002/msc.70134

Kamsan, S. S., Singh, D. K. A., Tan, M. P., & Kumar, S. (2021). Systematic review on the contents and parameters of self-management education programs in older adults with knee osteoarthritis. Australasian Journal on Ageing, 40(1), e1–e12. https://doi.org/10.1111/ajag.12844

Kurniari, P. K., Hidayat, R., Parlindungan, F., Pratama, M. Z., Wibowo, S. A. K., Sarmidi, S., Wahono, C. S., Suryana, B. P. P., Rahman, A. P., Partan, R. U., Reagan, M., Darma, S., Marpaung, B., Ginting, A. R., Siregar, R. A., Kambayana, G., Tejawati, D. A. K., Sindhughosa, D. A., … Pradnyani, P. E. (2025). Prevalence, risk factors, and quality of life of knee osteoarthritis in urban community in Indonesia: A COPCORD study. International Journal of Rheumatic Diseases, 28(1), e70014. https://doi.org/10.1111/1756-185X.70014

Lawford, B. J., Hinman, R. S., Spiers, L., Kimp, A. J., Dell’Isola, A., Harmer, A. R., Van der Esch, M., Hall, M., & Bennell, K. L. (2025). Does higher compliance with American College of Sports Medicine exercise prescription guidelines influence exercise outcomes in knee osteoarthritis? A systematic review with meta-analysis. Arthritis Care & Research, 77(4), 460–474. https://doi.org/10.1002/acr.25451

Long, H., Liu, Q., Yin, H., Wang, K., Diao, N., Zhang, Y., Lin, J., & Guo, A. (2022). Prevalence trends of site-specific osteoarthritis from 1990 to 2019: Findings from the Global Burden of Disease Study 2019. Arthritis & Rheumatology, 74(7), 1172–1183. https://doi.org/10.1002/art.42089

Luan, L., El-Ansary, D., Adams, R., Wu, S., & Han, J. (2022). Knee osteoarthritis pain and stretching exercises: A systematic review and meta-analysis. Physiotherapy, 114, 16–29. https://doi.org/10.1016/j.physio.2021.10.001

Mo, L., Jiang, B., Mei, T., & Zhou, D. (2023). Exercise therapy for knee osteoarthritis: A systematic review and network meta-analysis. Orthopaedic Journal of Sports Medicine, 11(5), 23259671231172773. https://doi.org/10.1177/23259671231172773

Runge, N., Aina, A., & May, S. (2022). The benefits of adding manual therapy to exercise therapy for improving pain and function in patients with knee or hip osteoarthritis: A systematic review with meta-analysis. Journal of Orthopaedic & Sports Physical Therapy, 52(10), 675–A13. https://doi.org/10.2519/jospt.2022.11062

Sharma, A., Sharma, N., & Chahal, A. (2024). Home care program and exercise prescription for improving quality of life in geriatric population with knee osteoarthritis: A systematic review and meta-analysis. Journal of Bodywork and Movement Therapies, 40, 1645–1656. https://doi.org/10.1016/j.jbmt.2024.09.003

Simick Behera, N., Duong, V., Eyles, J., Cui, H., Gould, D., Barton, C., Belton, J., Hunter, D., & Bunzli, S. (2024). How does osteoarthritis education influence knowledge, beliefs, and behavior in people with knee and hip osteoarthritis? A systematic review. Arthritis Care & Research, 76(11), 1511–1531. https://doi.org/10.1002/acr.25391

Uritani, D., Koda, H., & Sugita, S. (2021). Effects of self-management education programmes on self-efficacy for osteoarthritis of the knee: A systematic review of randomised controlled trials. BMC Musculoskeletal Disorders, 22(1), 515.

https://doi.org/10.1186/s12891-021-04399-y

Zhu, G.-C., Chen, K.-M., & Belcastro, F. (2024). Comparing different stretching exercises on pain, stiffness, and physical function disability in older adults with knee osteoarthritis. Archives of Physical Medicine and Rehabilitation, 105(5), 953–962. https://doi.org/10.1016/j.apmr.2023.07.001