 Dr.

Desy Kurniawati Tandiyo, SpKFR

OSTEOARTHRITIS (OA)
The American College of
Rheumatology Criteria for the
Classification of Osteoarthritisof
the Hand, Hip & Knee
 Hand

Hand pain, aching, or stiffness, and at least

three of the following :
 Hard tissue enlargement of 2 or more of
10 selected joints
 Hard tissue enlargement of 2 or more DIP
joints
 Fewer than 3 swollen MCP joints
 Deformity of at least 1 of 10 selected
joints
 Hip

Hip pain and at least two of the following :

 ESR < 29 mm/hr
 Radiographic femoral or acetabular
osteophytes
 Radiographic joint space narrowing
 Knee
Knee pain plus at least five of the following :
 Age > 50 yr
 Stiffness < 30 min
 Crepitus
 Bony tenderness
 Bony enlargement
 No palpable warmth
 ESR < 40 mm/hr
 Rheunmatoid factor < 1:40
 Synovial fluid signs of osteoarthritis (clear, viscous, or
white blood cell count < 2000/mm3
 Knee

Knee pain plus at least one of the following :

 Age> 50 yr
 Stiffness < 30 min
 Crepitus plus osteophytes
 Knee

Knee pain plus at least three of the

following :
 Age > 50 yr
 Crepitus
 Bony tenderness
 Bony enlargement
 No palpable warmth
 Grade of OA
0 = No radiographic findings of OA

1 = Minute osteophytes of doubtful clinical significance

2 = Definite osteophytes with unimpaired joint space

3 = Definite osteophytes with moderate joint space

narrowing

4 = Definite osteophytes with severe joint space narrowing,

and subchondral sclerosis
1. Mengurangi nyeri
2. Menjaga / mempertahankan
mobilitas
3. Memperbaiki kualitas hidup
4. Mencegah efek samping obat
 PENATALAKSANAAN
11

 MEDIKAMENTOSA
 TERAPI REHABILITASI MEDIK
 BEDAH
REHABILITASI MEDIK PADA
OA
 Terapi modalitas :
 Terapi panas
 Terapi dingin
 TENS
 Terapi Laser
 Hidroterapi
 Exercise
 Ortesa
 Home program/home exercise
prog
TERAPI DINGIN
1. Kompres es pd bagian yg nyeri selama 15 – 20 menit
2. Massage ice tube selama 5 menit.
3. Indikasi : fase akut dengan tanda inflamasi (calor, dolor, tumor,
rubor).
4. Kontra indikasi : allergi dingin
5. Mekanisme bekerjanya → vasokonstriksi dan mengurangi
inflamasi.
TERAPI PANAS

2 Macam terapi panas

1. Terapi panas superfisial (kompres
hangat,Hot pack & infra red)
2. Terapi panas dalam (SWD, MWD & USD)

Kontra indikasi : fase akut

 Mekanisme kerja :
panas → vasodilatasi, sehingga
mengurangi inflamasi, kekakuan
Transcutaneous electrical nerve stimulation (TENS)
Mekanisme kerja : bloking gate control → nyeri ↓↓

Low Level Laser Therapy

Mekanisme kerja: Mengurangi nyeri.

1.Meningkatkan / mempertahankan luas gerak
sendi
2.Meningkatkan / memulihkan kekuatan otot –
otot sendi
3.Meningkatkan / memulihkan stabilitas sendi
lutut
4.Endurance Aerobik
Latihan ROM

Pada Lutut Pada Ankle

Latihan strengthening

QUADRICEPS ISOMETRIC EXERCISE Strengthening m.

Quadriceps dengan
Quadriceps bench
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