HUBUNGAN PENUNDAAN ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION DENGAN KONDISI KINESIOPHOBIA DAN PERUBAHAN PSIKOLOGIS
DOI:
https://doi.org/10.31004/prepotif.v9i1.43726Keywords:
anterior cruciate ligament reconstruction, kinesiophobia, level psikologi, penundaan operasiAbstract
Anterior cruciate ligament reconstruction (ACLR) merupakan tindakan penggantian ligamen ACL menggunakan jaringan tendon yang dilakukan dengan tujuan untuk mengembalikan fungsi lutut agar dapat kembali beraktivitas seperti sebelumnya, mencegah terjadinya cedera yang semakin parah, dan meningkatkan kualitas hidup untuk waktu yang lama. Tujuan dilakukannya penelitian ini adalah untuk mengetahui apakah penundaan ACLR memiliki hubungan signifikan dengan perubahan psikologis dan kinesiophobia yang dilihat melalui kuesioner Tampa Scale for Kinesiophobia 17 (TSK-17), dan Anterior Cruciate Ligament Return to Sport After Injury (ACL-RSI). Desain penelitian yang digunakan yaitu kohort prospektif, dengan total 32 sampel yang merupakan anggota Komunitas ACL Indonesia dengan menggunakan teknik purposive sampling. Adapun instrumen penelitian yang digunakan untuk mengukur kinesiophobia dan psikologis yaitu TSK-17, dan ACL-RSI. Hasil analisis bivariat dengan menggunakan uji Spearman’s rho menunjukkan bahwa terdapat hubungan signifikan secara statistik antara penundaan ACLR terhadap psikologis dengan nilai yang diperoleh yaitu p=0.040 (p<0.05) dan nilai r=-0.365 yang bernilai negatif. Selain itu, penundaan ACLR juga ditemukan berhubungan signifikan terhadap kondisi kinesiophobia sebelum operasi dengan nilai p=0.040 (<0.05) dan nilai r=0.365 yang memiliki hubungan positif. Terdapat hubungan yang signifikan antara penundaan ACLR dengan kondisi psikologis pada skala ACL-RSI. Selain itu, ditemukan pula hubungan signifikan antara penundaan ACLR dengan kondisi kinesiophobia pada skala TSK-17 sebelum ACLRReferences
Adhitya, I. P.G. S., Wibawa, A., Aryana, I. G. N. W., & Tegner, Y. (2023). Reliability, validity, and responsiveness of the Indonesian version of the Lysholm knee score and Tegner activity scale in patients with anterior cruciate ligament reconstruction. Journal of Bodywork and Movement Therapies, 34, 53–59.
De Vroey, H., Claeys, K., Shariatmadar, K., Weygers, I., Vereecke, E., Van Damme, G., Hallez, H., & Staes, F. (2020). High levels of kinesiophobia at discharge from the hospital may negatively affect the short‐term functional outcome of patients who have undergone knee replacement surgery. Journal of Clinical Medicine, 9(3). doi: 10.3390/jcm9030738
Gusma, K. C. (n.d.). Unnes Journal of Sport Sciences Survei Penyebab Terjadinya Cedera Anterior Cruciate Ligament (Acl) Pada Komunitas Acl Indonesia Cabang Jateng Diy A Survey Of Causes Of Anterior Cruciate Ligament (Acl) Injury In Indonesia’s Acl Community, Diy Central Branch. Retrieved from https://journal.unnes.ac.id/sju/index.php/ujss/index
Jensen, H. A., Nielsen, T. G., & Lind, M. (2024). Delaying anterior cruciate ligament reconstruction for more than 3 or 6 months results in lower risk of revision surgery. Journal of Orthopaedics and Traumatology, 25(1). doi: 10.1186/s10195-024-00759-1
Kamila Zavitri, L., & Purnaning, D. (n.d.). Tinjauan Pustaka Literature Review Rehabilitasi Pasca Operasi Cedera Anterior Cruciate Ligament (ACL). Jurnal Kedokteran Unram, 2022(3), 1100–1106.
Kaplan, Y., & Witvrouw, E. (2019). When Is It Safe to Return to Sport After ACL Reconstruction? Reviewing the Criteria. In Sports Health (Vol. 11, Issue 4, pp. 301–305). SAGE Publications Inc. doi: 10.1177/1941738119846502
Kresna I. P. D., Hernugrahanto K. D., Wardhani Rr. I. L., Utomo D. N. (2022). Comparison of Functional Outcome After Early and Delayed Anterior Cruciate Ligament Reconstruction: A Systematic Review. Qanun Medika. 6(2).
Kroska, E.B. (2016). A meta-analysis of fear-avoidance and pain intensity: The paradox of chronic pain. Scandinavian Journal of Pain, 13(1), pp.43–58. doi:https://doi.org/10.1016/j.sjpain.2016.06.011.
Larose, G., Leiter, J., Peeler, J., McRae, S., Stranges, G., Rollins, M., Davidson, M., & MacDonald, P. (2022). Quality of life during the wait for ruptured anterior cruciate ligament reconstruction: a randomized controlled trial. Canadian Journal of Surgery, 65(2), E269–E274. doi: 10.1503/cjs.007820
Manandhar, R. R., Chandrashekhar, K., Kumaraswamy, V., Sahanand, S., & Rajan, D. (2018). Functional outcome of an early anterior cruciate ligament reconstruction in comparison to delayed: Are we waiting in vain? Journal of Clinical Orthopaedics and Trauma, 9(2), 163–166. doi: 10.1016/j.jcot.2017.03.001
Monk, A. P., Davies, L. J., Hopewell, S., Harris, K., Beard, D. J., & Price, A. J. (2016). Surgical versus conservative interventions for treating anterior cruciate ligament injuries. In Cochrane Database of Systematic Reviews (Vol. 2016, Issue 4). John Wiley and Sons Ltd. doi: 10.1002/14651858.CD011166.pub2
Nwachukwu, B. U., Adjei, J., Rauck, R. C., Chahla, J., Okoroha, K. R., Verma, N. N., Allen, A. A., & Williams, R. J. (2019). How Much Do Psychological Factors Affect Lack of Return to Play After Anterior Cruciate Ligament Reconstruction? A Systematic Review. In Orthopaedic Journal of Sports Medicine (Vol. 7, Issue 5). SAGE Publications Ltd. doi: 10.1177/2325967119845313
Patra, S.K., Nikhil Unnava, Patro, B. P., & Mohanty, S. (2023). Timing of anterior cruciate ligament reconstruction and its effect on associated chondral damage and meniscal injury: a prospective observational study. International Journal of Research in Orthopaedics, 9(4), 770-775.
Pratama, A. D. (2019). Intervensi Fisioterapi Pada Kasus Osteoartritis Genu Di Rspad Gatot Soebroto. In Jurnal Sosial Humaniora Terapan (Vol. 1, Issue 2).
Prodromidis, A.D., Drosatou, C., Mourikis, A., Sutton, P.M. and Charalambous, C.P., (2021). Relationship Between Timing of Anterior Cruciate Ligament Reconstruction and Chondral Injuries: A Systematic Review and Meta-analysis. The American Journal of Sports Medicine, p.036354652110361. doi:https://doi.org/10.1177/03635465211036141.
Prodromidis, A. D., Drosatou, C., Thivaios, G. C., Zreik, N., & Charalambous, C. P. (2021). Timing of Anterior Cruciate Ligament Reconstruction and Relationship With Meniscal Tears: A Systematic Review and Meta-analysis. American Journal of Sports Medicine, 49(9), 2551–2562. doi: 10.1177/0363546520964486
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). doi: 10.1177/2325967118812819
Sell, T. C., Zerega, R., King, V., Reiter, C. R., Wrona, H., Bullock, G. S., Mills, N., Räisänen, A., Ledbetter, L., Collins, G. S., Kvist, J., Filbay, S. R., & Losciale, J. M. (2024). Anterior Cruciate Ligament Return to Sport after Injury Scale (ACL-RSI) Scores over Time After Anterior Cruciate Ligament Reconstruction: A Systematic Review with Meta-analysis. In Sports Medicine - Open (Vol. 10, Issue 1). Springer Science and Business Media Deutschland GmbH. doi: 10.1186/s40798-024-00712-w
Theunissen, W. W. E. S., van der Steen, M. C., Liu, W. Y., & Janssen, R. P. A. (2020). Timing of anterior cruciate ligament reconstruction and preoperative pain are important predictors for postoperative kinesiophobia. Knee Surgery, Sports Traumatology, Arthroscopy, 28(8), 2502–2510. doi: 10.1007/s00167-019-05838-z
Webster, K. E., Feller, J. A., Leigh, W. B., & Richmond, A. K. (2014). Younger patients are at increased risk for graft rupture and contralateral injury after anterior cruciate ligament reconstruction. American Journal of Sports Medicine, 42(3), 641–647. doi: 10.1177/0363546513517540
Yuliana, E., & Kushartanti, D. W. (2020). Fungsional lutut dan kesiapan psikologis pasca cedera ACL penanganan operatif dan non-operatif Knee functional and psychological readiness of post ACL injury in operative and non-operative treatment. Jurnal Penelitian Pembelajaran, 6(3), 561–574. doi: 10.29407/js_unpgri.v6i3.14626
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Ni Nyoman Rinda Pravidayanti, Anak Agung Gede Eka Septian Utama, Anak Agung Gede Angga Puspa Negara, Ida Kurniawati
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work’s authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal’s published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
