Closed Kinetic Chain Exercise Affects Reduction in Knee Joint Pain Levels in Elderly with Osteoarthritis

Abstract

Background: Osteoarthritis of the knee is a chronic joint disease characterized by abnormalities in the cartilage (cartilage) which will result in the bones rubbing against each other, the presence of joint cartilage abrasion, and the formation of osteophytes on the joint surface which causes symptoms in the form of stiffness, pain, and restriction. movement of the knee joint. Closed kinetic chain exercise therapy generally provides benefits in reducing complaints which are thought to be able to improve the patient's functional ability to perform activities optimally.

Objective: This study aims to determine the effect of Closed Kinetic Chain exercise on reducing knee joint pain levels in the elderly with Osteoarthritis at the Tresna Werdha Budi Mulia 3 Social Home, South Jakarta.

Methods: This study used a quasi-experimental design with a one-group pretest-posttest without a control design. The population of this study is the elderly affected by Osteoarthritis. Sampling using total sampling with a sample of 24 people. The research instrument used an NRS sheet.

Results: The results of statistical tests using the paired t-test obtained a p-value = 0.000 (α 0.05), so there is an effect of close kinetic chain exercise on reducing knee joint pain levels in the elderly with Osteoarthritis at Tresna Werdha Budi Mulia Social Institution 3 South Jakarta.

Conclusion: Before the intervention, the average respondent suffered from a moderate knee joint pain scale of 4.9308. After being given the intervention, the average respondent suffered from a mild knee joint pain scale of 3.8475. The average difference in the degrees of knee joint pain before and after being given closed kinetic chain action was 1.08333. There is a significant effect of giving closed kinetic chain action to decrease the scale of knee joint pain with osteoarthritis.