Pengaruh Eccentric Exercise terhadap Peningkatan Kemampuan Fungsional pada Kondisi Achilles Tendinopathy: Tinjauan Kritis

Asri Lutfika Hidayati; Farid Rahman

doi:10.22146/jkesvo.83855

Pengaruh Eccentric Exercise terhadap Peningkatan Kemampuan Fungsional pada Kondisi Achilles Tendinopathy: Tinjauan Kritis

https://doi.org/10.22146/jkesvo.83855

Asri Lutfika Hidayati⁽¹⁾, Farid Rahman^(2*)

(1) Departemen Fisioterapi, Universitas Muhammadiyah Surakarta, Indonesia
(2) Departemen Fisioterapi, Universitas Muhammadiyah Surakarta, Indonesia
(*) Corresponding Author

Abstract

Latar Belakang: Achilles tendinopathy (AT) merupakan cidera yang sering terjadi dengan prevalensi kejadian pada atlet diperkirakan sebesar 6,2-9,5% dan pada non atlet sebesar 11,83 tiap 100 pasien per hari. Salah satu latihan yang dapat dilakukan setelah mengalami achilles tendinopathy adalah eccentric exercise atau disebut juga the alfredson protocol.

Tujuan: Penelitian ini bertujuan untuk mengetahui pengaruh eccentric exercise terhadap peningkatan kemampuan fungsional pada kondisi achilles tendinopathy

Metode: Metode ini menggunakan desain critical review dengan mengidentifikasi berdasarkan kata kunci, kemudian melakukan review artikel dengan syarat inklusi artikel menggunakan metode Randomized Controlled Trial (RCT) dan dianalisis menggunakan PICO. Terdapat sepuluh artikel yang didapatkan dari basis pencarian data primer seperti pada Biomedic Database (PubMed), Physiotherapy Evidence Database (PEDro), Science Direct, NCBI, Jane Biosemantics, dan Portal Garuda (Garba Rujukan Digital). Appraisal dilakukan dengan merujuk pada hasil PEDro scale. Review ini menggunakan artikel dengan periode waktu dari 2012‒2022.

Hasil: Hasil dari tinjauan sepuluh artikel didapatkan bahwa pada kondisi AT terdapat peningkatan kemampuan fungsional berdasarkan Victorian Institute of Sport Assessment Achilles Tendinopathy Questionnaire (VISA-A) setelah diberikan eccentric exercise.

Kesimpulan: Eccentric exercise memiliki pengaruh terhadap peningkatan kemampuan fungsional pada kondisi achilles tendinopathy

Keywords

achilles tendinopathy; eccentric exercise; kemampuan fungsional

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References

Benli, M.D. et al. (2022) ‘A comparison between the efficacy of eccentric exercise and extracorporeal shock wave therapy on tendon thickness, vascularity, and elasticity in Achilles tendinopathy: A randomized controlled trial’, Turkish Journal of Physical Medicine and Rehabilitation, 68(3), pp. 372–380. Available at: https://doi.org/10.5606/tftrd.2022.8113.

Beyer, R. et al. (2015) ‘Heavy slow resistance versus eccentric training as treatment for achilles tendinopathy: A randomized controlled trial’, American Journal of Sports Medicine, 43(7), pp. 1704–1711. Available at: https://doi.org/10.1177/0363546515584760.

Gatz, M. et al. (2020) ‘Eccentric and Isometric Exercises in Achilles Tendinopathy Evaluated by the VISA-A Score and Shear Wave Elastography’, Sports Health, 12(4), pp. 373–381. Available at: https://doi.org/10.1177/1941738119893996.

Gianggara, C. and Manske, R. (2018) Clinical Ortophaedic Rehabilitation. 4th edn. United States: Elsevier.

Habets, B. et al. (2021) ‘No Difference in Clinical Effects When Comparing Alfredson Eccentric and Silbernagel Combined Concentric-Eccentric Loading in Achilles Tendinopathy: A Randomized Controlled Trial’, Orthopaedic Journal of Sports Medicine, 9(10). Available at: https://doi.org/10.1177/23259671211031254.

Harris-Love, M.O., Gollie, J.M. and Keogh, J.W.L. (2021) ‘Eccentric exercise: Adaptations and applications for health and performance’, Journal of Functional Morphology and Kinesiology, 6(4). Available at: https://doi.org/10.3390/jfmk6040096.

Hody, S. et al. (2019) ‘Eccentric muscle contractions: Risks and benefits’, Frontiers in Physiology, 10(MAY), pp. 1–18. Available at: https://doi.org/10.3389/fphys.2019.00536.

Horstmann, T. et al. (2013) ‘Whole-body vibration versus eccentric training or a wait-and-see approach for chronic achilles tendinopathy: A randomized clinical trial’, Journal of Orthopaedic and Sports Physical Therapy, 43(11), pp. 794–803. Available at: https://doi.org/10.2519/jospt.2013.4762.

Jayaseelan, D.J., Mischke, J.J. and Strazzulla, R.L. (2019) ‘Eccentric exercise for Achilles tendinopathy: A narrative review and clinical decision-making considerations’, Journal of Functional Morphology and Kinesiology, 4(2). Available at: https://doi.org/10.3390/jfmk4020034.

Lee, J., Kim, T. and Lim, K. (2018) ‘Effects of eccentric control exercise for wrist extensor and shoulder stabilization exercise on the pain and functions of tennis elbow’, Journal of Physical Therapy Science, 30(4), pp. 590–594.

Lesmana, S.I. (2020) Fisioterapi dan Cedera Olahraga. Jakarta Timur: Rayyana Komunikasindo.

Maliaras, P. (2022) ‘Physiotherapy management of Achilles tendinopathy’, Journal of Physiotherapy, 68(4), p. Pages 221-237.

McCormack, J.R. et al. (2016) ‘Eccentric Exercise Versus Eccentric Exercise and Soft Tissue Treatment (Astym) in the Management of Insertional Achilles Tendinopathy: A Randomized Controlled Trial’, Sports Health, 8(3), pp. 230–237. Available at: https://doi.org/10.1177/1941738116631498.

Medina Pabón MA, N.U. (2023) ‘Achilles Tendinopathy’, In: StatPearls Treasure Island (FL): StatPearls [Preprint].

Murphy, M., Rio, E., et al. (2018) ‘Evaluating the Progress of Mid-Portion Achilles Tendinopathy During Rehabilitation: a Review of Outcome Measures for Self- Reported Pain and Function’, International Journal of Sports Physical Therapy, 13(2), pp. 283–292. Available at: https://doi.org/10.26603/ijspt20180283.

Murphy, M., Travers, M., et al. (2018) ‘Rate of Improvement of Pain and Function in Mid-Portion Achilles Tendinopathy with Loading Protocols: A Systematic Review and Longitudinal Meta-Analysis’, Sports Medicine, 48(8), pp. 1875–1891. Available at: https://doi.org/10.1007/s40279-018-0932-2.

Murphy, M.C. et al. (2019) ‘Efficacy of heavy eccentric calf training for treating mid-portion Achilles tendinopathy: A systematic review and meta-analysis’, British Journal of Sports Medicine, 53(17), pp. 1070–1077. Available at: https://doi.org/10.1136/bjsports-2018-099934.

Myers, T.W. (2009) Anatomy Trains: Myofascial Meridians for Manual and Movement Therapist. Second Edi. Toronto: Elsevier.

Prudêncio, D.A. et al. (2023) ‘Eccentric exercise is more effective than other exercises in the treatment of mid-portion Achilles tendinopathy: systematic review and meta-analysis’, BMC Sports Science, Medicine and Rehabilitation, 15(1), pp. 1–12. Available at: https://doi.org/10.1186/s13102-023-00618-2.

Rabusin, C.L. et al. (2021) ‘Efficacy of heel lifts versus calf muscle eccentric exercise for mid-portion Achilles tendinopathy (HEALTHY): A randomised trial’, British Journal of Sports Medicine, 55(9), pp. 486–492. Available at: https://doi.org/10.1136/bjsports-2019-101776.

Stasinopoulos, D. and Manias, P. (2013) ‘Comparing two eccentric exercise programmes for the management of Achilles tendinopathy. A pilot trial’, Journal of Bodywork and Movement Therapies, 17(3), pp. 309–315. Available at: https://doi.org/10.1016/j.jbmt.2012.11.003.

Stevens, M. and Tan, C.W. (2014) ‘Effectiveness of the alfredson protocol compared with a lower repetition-volume protocol for midportion achilles tendinopathy: A randomized controlled trial’, Journal of Orthopaedic and Sports Physical Therapy, 44(2), pp. 59–67. Available at: https://doi.org/10.2519/jospt.2014.4720.

Tarantino, D., Aicale, R. and Maffulli, N. (2021) ‘Achilles Tendinopathy’, Evidence-Based Orthopedics: Second Edition, 17(2), pp. 849–852. Available at: https://doi.org/10.1002/9781119413936.ch145.

Triansyah, A. and Haetami, M. (2020) ‘Efektivitas stretching, passive activity dan VO2max dalam mencegah terjadinya delayed onset muscle soreness’, Jurnal Keolahragaan, 8(1), pp. 88–97. Available at: https://doi.org/10.21831/jk.v8i1.29487.

Tumilty, S. et al. (2012) ‘Clinical effectiveness of low-level laser therapy as an adjunct to eccentric exercise for the treatment of Achilles’ tendinopathy: A randomized controlled trial’, Archives of Physical Medicine and Rehabilitation, 93(5), pp. 733–739. Available at: https://doi.org/10.1016/j.apmr.2011.08.049.

Tumilty, S., Mani, R. and Baxter, G.D. (2016) ‘Photobiomodulation and eccentric exercise for Achilles tendinopathy: a randomized controlled trial’, Lasers in Medical Science, 31(1), pp. 127–135. Available at: https://doi.org/10.1007/s10103-015-1840-4.

Uchechukwu Martha, C. et al. (2022) ‘Prevalence and Risk Factors of Achilles Tendinopathy among University Soccer Players’, International Journal of Sports and Exercise Medicine, 8(3), pp. 1–7. Available at: https://doi.org/10.23937/2469-5718/1510223.

Van Der Vlist, A.C. et al. (2021) ‘Which treatment is most effective for patients with Achilles tendinopathy? A living systematic review with network meta-analysis of 29 randomised controlled trials’, British Journal of Sports Medicine, 55(5), pp. 249–255. Available at: https://doi.org/10.1136/bjsports-2019-101872.

Wang, Y. et al. (2022) ‘Prevalence of Achilles tendinopathy in physical exercise: A systematic review and meta-analysis’, Sports Medicine and Health Science, 4(3), pp. 152–159. Available at: https://doi.org/10.1016/j.smhs.2022.03.003.

Winnicki, K. et al. (2020) ‘Functional anatomy, histology and biomechanics of the human Achilles tendon — A comprehensive review’, Annals of Anatomy, 229. Available at: https://doi.org/10.1016/j.aanat.2020.151461.

DOI: https://doi.org/10.22146/jkesvo.83855