10. Gabriella M van Dijk, Cindy Veenhof, Francous Shchellevis, Harry Hulsmans, Jan PJ Bakker, Henk Arwert, et al. Comorbidity, limitations in

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1. Panjaitan, R. Pharmaceutical care untuk pasien penyakit artritis rematik. Jakarta: Direktorat Bina Farmasi Komunitas dan Klinik, Ditjen Bina Kefarmasian dan Alat Kesehatan, Departemen Kesehatan; 2006. 2. Andriyasa, K, Tjokorda Raka Putra. Korelasi antara derajat beratnya osteoartritis lutut dan cartilage oligomeric matrix protein serum. J Peny Dalam. 2012: 13(1):10. 3. M.A., Sabara-Saga. Diet intensif dan aktifitas fisik untuk wanita lansia penderita osteoartritis dengan obesitas. Medula. 2013: 2(1):115. 4. Nursyarifah, R.S. Hubungan antara obesitas dengan kejadian osteoartritis lutut

di

RSUP

dr.

Kariadi

Semarang.

Semarang:

Universitas

Muhammadiyah Semarang; 2012. 5. Koentjoro, Sara Listyani, J. Adji Suroso, Bantar Suntoko. Hubungan antara indeks massa tubuh (IMT) dengan derajat osteoartritis lutut menurut Kellgren-Lawrence.

Semarang:

Fakultas

Kedokteran

Universitas

Diponegoro; 2010. 6. Altman, R.D. Criteria for the classification of osteoarthritis of the knee and hip. Scand J Rheumatology. 1987; (Suppl.65):31-39. 7. Soeroso J, Isbagio H, Kalim H, Broto R, Pramudiyo R. Osteoartritis. In: Sudoyo AW, Setiyohadi B, Alwi I, Simadibrata M, Setiati S, editors. Buku ajar ilmu penyakit dalam. 4th ed. Jakarta: Pusat Penerbitan Ilmu Penyakit Dalam Fakultas Kedokteran Universitas Indonesia; 2006. p. 1195-1201. 8. Firestein Gary S, Ralph C.Budd, Edward D. Harris, Iain B.McInnes, Shaun Ruddy, John S.Sergent. Kelley’s textbook of rheumatology 8th edition volume II. Canada: Saunders Elsevier; 2009. 9. Moskowitz, Roland W., David S. Howell, Roy D. Altman, Joseph A. Buckwalter, Victor M. Goldberg. Osteoarthritis 3rd edition diagnosis and medical / surgical management. Philadelphia: W.B. Saunders Company; 2001.

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10. Gabriella M van Dijk, Cindy Veenhof, Francous Shchellevis, Harry Hulsmans, Jan PJ Bakker, Henk Arwert, et al. Comorbidity, limitations in activities and pain in patients with osteoarthritis of the hip or knee. BMC Musculoskeletal Disorders. 2008;9:95. 11. Palmer, Keith T. Occupational activities and osteoarthritis of the knee. British Medical Bulletin. 2012; 102:147-170. 12. Kulcu, Duygu Geler, Burcu Yanik, Hakan Atalar, Gulcin Gulsen. Associated factors with pain and disability in patients with knee osteoarthritis. Turkish Journal of Rheumatology. 2010; 25(2):077-081. (Abstrak) 13. Kalim, Handono, Sri Andarini,

Faradiana Rasyidi. Hubungan indeks

massa tubuh (IMT) dengan derajat nyeri pada penderita osteoartritis lutut. Malang: Fakultas Kedokteran Universitas Brawijaya; 2012. 14. Reijman, M., H A P Pols, A P Bergink, J M W Hazes, J N Belo, A M Lievense et al. Body mass index associated with onset and progression of osteoarthritis of the knee but not of the hip: The Rotterdam Study. Ann Rheum Dis. 2007; 66:158-162. 15. Koesoemawati, Herni, Huriawati Hartanto, Ivo Novita Salim, Lyana Setiawan, Valleria, Wanny Suparman. Kamus kedokteran Dorland edisi 29. Jakarta: EGC; 2000. 16. Marsland, Daniel, Sabrina Kapoor. Crash course rheumatology and orthopaedics 2nd edition. Philadelphia: Elsevier; 2008. 17. Price, Sylvia A, Lorraine M. Wilson. Patofisiologi konsep klinis prosesproses penyakit edisi 6. Jakarta: EGC; 2003. 18. Sadhana, Udadi. Patologi anatomi 2. Semarang: Badan Penerbit Universitas Diponegoro Semarang; 2011. 19. Adnan HM. Diagnosis arthritis rheumatoid dan perbandingannya arthritisarthritis lain. Kongres Nasional I, Ikatan Reumatologi Indonesia, Semarang, 1983 : 43-57.

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20. Fauci, Anthony S., Dennis L. Kasper, Dan L. Longo, Eugene Braunwald, Stephen L. Hauser, J. Larry Jameson et al. Harrison’s principles of general medicine 17th edition. 2008. p. 2159-2161. 21. Maharani, Eka Pratiwi. Faktor-faktor risiko osteoartritis lutut. Semarang: Universitas Diponegoro Semarang; 2007. 22. Soejoto, Soetedjo, Sultana MH Faradz, RB Bambang W, Neni Susilaningsih, Ratna D Purnawati et al. Lecture notes histologi I. Semarang: Bagian Histologi Fakultas Kedokteran Universitas Diponegoro Semarang; 2011. 23. JF, Woessner, Gunja-Smith Z. Role of metalloproteinases in human osteoarthritis. J Rheumatol Suppl. 1991; 27:99-101. 24. Patellofemoral joint osteoarthritis: an important subgroup of knee osteoarthritis. Rheumatology. 2007; 46(7):1057-1062.(Abstrak) 25. Wahyuningsih, Nur Aini Sri. Hubungan obesitas dengan osteoartritis lutut pada lansia di Kelurahan Puncangsawit Kecamatan Jebres Surakarta. Surakarta: Fakultas Kedokteran Universitas Sebelas Maret Surakarta; 2009. 26. Ambardini, Rachmah Laksmi. Peran Latihan Fisik dalam Manajemen Terpadu Osteoartritis. Yogyakarta: Universitas Negeri Yogyakarta. 27. Waddell D.D. Integrating viscosupplementation into a comprehensive osteoarthritis treatment program. Medscape Multispecialty; 2014. 28. Cooper C et al. in: Brandt KD, Doherty M, Lohmander LS, eds, Osteoarthritis. Oxford, NY. Oxford University Press; 1998, page 237-249 29. Marc

C.

Hochberg

et

al.

Recommendations

for

the

use

of

nonpharmacologic and pharmacologic in osteoarthritis of the hand, hip, and knee. Arthritis Care & Research. 2012; 64(4):465-474. 30. Syarif, Amir, Ari Estuningtyas, Arini Setiawati, H. Armen Muchtar, Azalla Arif, Bahroelim Bahry et al. Farmakologi dan terapi edisi 5. Jakarta: Departemen Farmakologi dan Terapeutik Fakultas Kedokteran Universitas Indonesia; 2007.

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31. Dieppe, Paul A., Lohmander L. Stefan. Pathogenesis and management of pain in osteoarthritis. The Lancet. 2005; 365 : 965 – 973. 32. Lequesne MG. The algofunctional indices for hip and knee osteoarthritis. J Rheumatol. 1997; 24(4):779-81. 33. Basaran, S., Rengin Guzel, Gulsah Seydaoglu, Fusun Guler-Uysal. Validity, reliability, and comparison of the WOMAC osteoarthritis index and Lequesne algofunctional index in Turkish patients with hip or knee osteoarthritis. Clin Rheumatol. 2010; 29:749-756. 34. Murphy L, Bolen J, Helmick CG, Brady TJ. Comorbidities are very common among people with arthritis. Poster 43. 20th National Conference on Chronic Disease Prevention and Control, CDC. Feb 2009. 35. Sabah J-M AL Rubiae, Ali AL-Qazaz. The frequency of comorbidities associated with knee osteoarthritis in men and women in Babylon and their impact on pain. Medical Journla of Babylon. 2014; 8:4. 36. Leite, Alice Abath, Aline Jurema Gesteira Costa et al. co morbidities in patients with osteoarthritis: frequency and impact on pain and physical function. Rev Bras Reumatol 2011;51(2):113-123. 37. Schmitt, Laura C et al. Instability, laxity, and physical function in patients with medial knee osteoarthritis. Phys Ther. Dec 2008; 88(12): 1508-1516. 38. Kim KW, Han JW, Cho HJ, Chang CB, Park JH, Lee JJ et al. Association between comorbid depression and osteoarthritis symptom severity in patients with knee osteoarthritis. J Bone Joint Surg AM. 2011 Mar 16;93(6):556-63. (Abstrak) 39. Mansournia MA et al. Effect of physical activity on functional performance and knee pain in patients with osteoarthritis : analysis with marginal structural models. Epidemiology. 2012 Jul;23(4):631-40. 40. Bosomworth, N.J. Exercise and knee osteoarthritis: benefit or hazard? CFP (Canadian Family Physician). 2009 Sept:55(9):871-878.(Full text) 41. Niu J, Zhang YQ, Torner J, Nevitt M, Lewis CE, Aliabadi P, et al. Is obesity a risk factor for progressive radiographic knee osteoarthritis. Arthritis Rheum. 2009 Mar 15;61(3):329-35.(Abstrak)

68

42. Graverand MPHL, Brandt K, Mazzuca SA, Raunig D, Vignon E. Progressive increase in body mass index is not associated with a progressive increase in joint space narrowing in obese women with osteoarthritis of the knee. Annals of the Rheumatic Diseases 2009;68:1734-1738.(Abstrak) 43. N. Belo J, Berger MY, Reijman M, Koes BW, Bierma-Zeinstra SM. Prognostic factors of progression of osteoarthritis of the knee: a systematic review of observational studies. Arthritis Rheum. 2007 Feb 15;57(1):13-26.(Abstrak) 44. Manninen, P., H. Riihimäki, M. Heliövaara, O. Suomalainen. Physical exercise and risk of severe knee osteoarthritis requiring arthroplasty. Oxford Journals. Rheumatology (2001) 40 (4): 432-437.

69

Lampiran 1. Ethical Clearance

70

Lampiran 2. Ijin penelitian

71

72

Lampiran 3. Sampel Informed consent

JUDUL PENELITIAN

: Hubungan antara Faktor Risiko Osteoartritis Lutut dengan

Nyeri, Disabilitas, dan Berat Ringannya

Osteoartritis INSTANSI PELAKSANA

: Fakultas Kedokteran Universitas Diponegoro Semarang

PENELITI

: Maya Yanuarty (CP : 085642993128)

Persetujuan Setelah Penjelasan (INFORMED CONSENT) Bapak/Ibu Yth : Peneliti tersebut di atas adalah Mahasiswa Fakultas Kedokteran Universitas Diponegoro yang bermaksud ingin melibatkan Bapak/Ibu untuk menjadi responden dalam penelitian ini dengan tujuan mengetahui hubungan antara faktor risiko osteoartritis lutut dengan nyeri, disabilitas, dan berat ringannya osteoartritis. Osteoartritis sendiri merupakan peradangan pada sendi yang menyebabkan timbulnya rasa nyeri dan kaku pada sendi yang terkena. Penelitian ini bermanfaat dalam bidang akademik yaitu sebagai sumbangan ilmu pengetahuan. Keuntungan yang dapat diperoleh dari penelitian ini adalah Bapak/Ibu dapat mengetahui faktor risiko osteoartritis lutut yang Bapak/Ibu miliki yang berkaitan dengan nyeri dan kaku sendi, apabila Bapak/Ibu menghubungi peneliti dalam waktu minimal 3 bulan setelah penelitian. Penelitian ini juga dapat bermanfaat dalam bidang pelayanan kesehatan, yaitu sebagai pertimbangan penerapan terapi dan edukasi lebih lanjut pada pasien osteoartritis lutut selanjutnya. Peneliti akan melakukan wawancara, pengukuran tinggi dan berat badan kepada Bapak/Ibu, dan mengumpulkan data yang ada di rekam medis tentang berat ringannya osteoartritis lutut. Peneliti menjamin kerahasiaan identitas dan informasi yang diberikan. Informasi tersebut hanya digunakan untuk kepentingan penelitian serta pengembangan ilmu kedokteran. Apabila dalam perjalanan nantinya, Bapak/Ibu menghendaki mengundurkan diri, maka peneliti menghormati keinginan tersebut. Pada akhir wawancara, peneliti akan memberikan sebuah souvenir / bingkisan sebagai ungkapan terima kasih atas kerjasama Bapak/Ibu.

73

74

Lampiran 4. Spreadsheet data No Nama Usia Sex BB

TB

IMT

Kriteria IMT

Komorbid

1

K

59

P

73

1.52

31.6

Obesitas derajat 2

0

2

P

55

P

48.5

1.455

22.9

Normal

<3

3

W

61

P

54

1.45

25.7

Obesitas derajat 1

>3

4

S

66

P

74

1.45

35.2

Obesitas derajat 2

>3

5

M

58

L

58

1.59

22.9

Normal

>3

6

M

69

P

66

1.53

28.2

Obesitas derajat 1

<3

7

MD

68

L

79

1.7

27.3

Obesitas derajat 1

>3

8

P

57

P

54.5

1.51

23.9

Overweight

>3

9

S

51

L

116

1.63

43.7

Obesitas derajat 2

<3

10

EY

54

P

62

1.55

25.8

Obesitas derajat 1

>3

11

Z

58

P

43

1.55

17.9

Underweight

0

12

W

67

L

57

1.7

19.7

Normal

<3

13

PN

61

P

58

1.54

24.5

Overweight

<3

14

SS

65

P

71.5

1.495

32

Obesitas derajat 2

<3

15

JH

57

P

61

1.55

25.4

Obesitas derajat 1

>3

16

S

74

P

66

1.515

28.8

Normal

<3

17

SH

74

L

66

1.6

25.8

Obesitas derajat 1

<3

18

SW

52

P

87

1.69

30.5

Obesitas derajat 2

<3

19

I

62

P

51.5

1.47

23.8

Overweight

<3

20

ES

56

P

65

1.38

34.1

Obesitas derajat 2

<3

21

S

58

P

57

1.485

25.8

Obesitas derajat 1

>3

22

S

60

P

76.5

1.62

29.1

Obesitas derajat 1

<3

23

NM

52

P

76

1.43

37.2

Obesitas derajat 2

>3

24

S

66

L

60

1.67

21.5

Normal

<3

25

SR

60

P

54

1.485

24.5

Overweight

0

26

S

66

P

52

1.455

24.6

Overweight

>3

27

EI

57

P

67

1.54

28.3

Obesitas derajat 1

<3

28

S

73

P

34

1.435

16.5

Underweight

>3

29

SM

51

P

58

1.51

25.4

Obesitas derajat 1

<3

30

MA

65

P

68

1.5

30.2

Obesitas derajat 2

<3

31

M

52

P

76

1.56

31.2

Obesitas derajat 2

>3

32

S

68

P

72

1.59

28.5

Obesitas derajat 1

>3

33

TNS

58

P

70

1.52

30.3

Obesitas derajat 2

>3

75

No

Aktivitas Fisik

Riwayat Fisioterapi

Nyeri

Disabilitas

Kriteria skor WOMAC

Grade OA

1 2

No weight bearing

ya

Sedang

Sedang

Sedang

Grade 2

No weight bearing

ya

Berat

Berat

Berat

Grade 1

3

No weight bearing

tidak

Sedang

Sedang

Sedang

Grade 4

4 5

No weight bearing

ya

Sedang

Sedang

Sedang

Grade 3

No weight bearing

ya

Sedang

Sedang

Sedang

Grade 1

6

No weight bearing

ya

Ringan

Ringan

Ringan

Grade 4

7 8

No weight bearing

ya

Ringan

Sedang

Sedang

Grade 3

Weight bearing

tidak

Sedang

Sedang

Sedang

Grade 3

9

No weight bearing

ya

Sedang

Berat

Sedang

Grade 4

10 11

No weight bearing

ya

Sedang

Sedang

Sedang

Grade 4

No weight bearing

ya

Ringan

Ringan

Ringan

Grade 1

12

No weight bearing

ya

Ringan

Ringan

Ringan

Grade 2

13

No weight bearing

ya

Sedang

Ringan

Ringan

Grade 3

14

No weight bearing

ya

Sedang

Berat

Sedang

Grade 4

15

No weight bearing

ya

Berat

Sedang

Sedang

Grade 1

16 17

No weight bearing

ya

Ringan

Ringan

Ringan

Grade 2

No weight bearing

ya

Ringan

Ringan

Ringan

Grade 3

18

Weight bearing

tidak

Ringan

Ringan

Ringan

Grade 3

19 20

No weight bearing

ya

Ringan

Ringan

Ringan

Grade 2

No weight bearing

ya

Sedang

Ringan

Ringan

Grade 2

21

No weight bearing

ya

Ringan

Sedang

Ringan

Grade 2

22 23

No weight bearing

ya

Ringan

Ringan

Ringan

Grade 2

No weight bearing

ya

Ringan

Sedang

Sedang

Grade 1

24

No weight bearing

ya

Ringan

Ringan

Ringan

Grade 3

25 26

No weight bearing

ya

Ringan

Ringan

Ringan

Grade 2

No weight bearing

ya

Sedang

Sedang

Sedang

Grade 3

27

No weight bearing

ya

Ringan

Ringan

Ringan

Grade 3

28

No weight bearing

tidak

Berat

Sedang

Sedang

Grade 3

29

Weight bearing

tidak

Sedang

Ringan

Ringan

Grade 2

30

No weight bearing

ya

Ringan

Ringan

Ringan

Grade 2

31 32

Weight bearing

tidak

Sedang

Sedang

Sedang

Grade 1

No weight bearing

ya

Ringan

Ringan

Ringan

Grade 1

33

No weight bearing

ya

Ringan

Sedang

Sedang

Grade 1

76

No

Nama

Usia

Sex

BB

TB

IMT

Kriteria IMT

Komorbid

34

AEL

54

P

74

1.51

32.5

Obesitas derajat 2

>3

35

S

76

L

42

1.59

16.6

Underweight

>3

36

AR

51

P

81.5

1.48

37.2

Obesitas derajat 2

<3

37

S

74

L

71

1.65

26.1

Obesitas derajat 1

>3

38

R

55

P

89

1.54

37.5

Obesitas derajat 2

<3

39

KM

64

L

72

1.635

26.9

Obesitas derajat 1

>3

40

MYS

56

P

74

1.58

29.6

Obesitas derajat 1

>3

41

SD

57

P

57.5

1.57

23.3

Overweight

>3

42

W

68

P

49

1.44

23.6

Overweight

<3

43

A

68

L

68

1.62

25.9

Overweight

>3

44

S

53

L

65.5

1.66

23.8

Overweight

0

45

R

69

P

53

1.46

24.9

Overweight

<3

46

R

51

P

81

1.495

36.2

Obesitas derajat 2

<3

47

R

72

L

80

1.72

27

Obesitas derajat 1

<3

48

IS

64

P

68

1.5

30.2

Obesitas derajat 2

0

49

TMK

51

P

77

1.44

37.1

Obesitas derajat 2

<3

50

M

64

P

63

1.515

27.4

Obesitas derajat 1

<3

51

S

53

L

69

1.53

29.5

Obesitas derajat 1

<3

52

N

51

P

71

1.48

32.4

Obesitas derajat 2

<3

53

SBW

60

P

71

1.62

27.1

Obesitas derajat 1

<3

54

R

55

P

84

1.56

34.5

Obesitas derajat 2

>3

55

R

51

P

60

1.535

25.5

Obesitas derajat 1

<3

56

SM

59

P

62

1.51

27.2

Obesitas derajat 1

<3

57

M

55

P

90

1.49

40.5

Obesitas derajat 2

<3

58

K

66

P

59

1.47

27.3

Obesitas derajat 1

<3

59

S

64

L

96

1.68

34

Obesitas derajat 2

>3

60

I

67

P

63

1.52

27.3

Obesitas derajat 1

<3

61

RO

56

P

55

1.56

22.6

Normal

<3

62

MK

74

L

48

1.61

18.5

Normal

0

63

M

64

P

54.5

1.48

24.9

Overweight

<3

64

SN

70

P

84.5

1.46

39.6

Obesitas derajat 2

<3

65

MSH

60

P

46

1.53

19.7

Normal

<3

77

No

Aktivitas Fisik

Riwayat Fisioterapi

Nyeri

Disabilitas

Kriteria skor WOMAC

Grade OA

34

No weight bearing

ya

Berat

Sedang

Sedang

Grade 2

35

No weight bearing

ya

Ringan Sedang

Ringan

Grade 2

36

No weight bearing

ya

Sedang Berat

Sedang

Grade 4

37 38

No weight bearing No weight bearing

ya ya

Ringan Sedang Berat Sedang

Sedang Sedang

Grade 2 Grade 4

39

No weight bearing

ya

Ringan Ringan

Ringan

Grade 2

40

No weight bearing

ya

Ringan Ringan

Ringan

Grade 2

41 42

Weight bearing No weight bearing

tidak ya

Ringan Ringan Sedang Berat

Ringan Berat

Grade 2 Grade 1

43

No weight bearing

ya

Sedang Ringan

Ringan

Grade 3

44

No weight bearing

ya

Sedang Ringan

Ringan

Grade 1

45 46


tidak ya

Ringan Ringan Sedang Sedang

Ringan Sedang

Grade 1 Grade 3

47

No weight bearing

ya

Sedang Berat

Sedang

Grade 3

48

Weight bearing

tidak

Sedang Sedang

Sedang

Grade 4

49 50


ya tidak

Sedang Sedang Ringan Sedang

Sedang Ringan

Grade 4 Grade 3

51

No weight bearing

ya

Sedang Sedang

Sedang

Grade 4

52

No weight bearing

ya

Ringan Ringan

Ringan

Grade 1

53 54


ya ya

Ringan Ringan Sedang Sedang

Ringan Sedang

Grade 1 Grade 1

55

Weight bearing

tidak

Ringan Ringan

Ringan

Grade 1

56

Weight bearing

tidak

Sedang Sedang

Sedang

Grade 2

57 58

Weight bearing No weight bearing

tidak ya

Sedang Sedang Ringan Ringan

Sedang Ringan

Grade 4 Grade 2

59

No weight bearing

ya

Berat

Berat

Grade 4

60 61


ya ya

Ringan Ringan Ringan Ringan

Ringan Ringan

Grade 4 Grade 3

62

No weight bearing

ya

Sedang Berat

Berat

Grade 3

63

No weight bearing

ya

Ringan Sedang

Ringan

Grade 2

64 65


tidak ya

Sedang Ringan Ringan Ringan

Ringan Ringan

Grade 4 Grade 1

Berat

78

Lampiran 5. Output analisis data Frequencies Jenis Kelamin

Valid

pria wanita Total

Frequency 15 50 65

Percent 23.1 76.9 100.0

Valid Percent 23.1 76.9 100.0

Cumulative Percent 23.1 100.0

Usia

Valid

Frequency 7 3 2 2 4 3 4 4 2 4 2 1 5 2 4 2 4 2 1 1 1 4 1 65

51 52 53 54 55 56 57 58 59 60 61 62 64 65 66 67 68 69 70 72 73 74 76 Total

Percent 10.8 4.6 3.1 3.1 6.2 4.6 6.2 6.2 3.1 6.2 3.1 1.5 7.7 3.1 6.2 3.1 6.2 3.1 1.5 1.5 1.5 6.2 1.5 100.0

Valid Percent 10.8 4.6 3.1 3.1 6.2 4.6 6.2 6.2 3.1 6.2 3.1 1.5 7.7 3.1 6.2 3.1 6.2 3.1 1.5 1.5 1.5 6.2 1.5 100.0

Cumulative Percent 10.8 15.4 18.5 21.5 27.7 32.3 38.5 44.6 47.7 53.8 56.9 58.5 66.2 69.2 75.4 78.5 84.6 87.7 89.2 90.8 92.3 98.5 100.0

Statistics Usia N

Valid Missing

Mode Minimum Maximum

65 0 51 51 76

Tests of Normality a Kolmogorov-Smirnov Shapiro-Wilk Statistic Df Sig. Statistic df Usia .105 65 .071 .945 65 a. Lilliefors Significance Correction

Sig. .006

79

Riwayat Fisioterapi

Valid

ya

Frequency 51

Percent 78.5

Valid Percent 78.5


tidak

14

21.5

21.5

Total

65

100.0

100.0

Kriteria IMT

Valid

Frequency 3 8 11 22 21 65

Underweight Normal Overweight Obesitas derajat 1 Obesitas derajat 2 Total

Percent 4.6 12.3 16.9 33.8 32.3 100.0

Cumulative Percent 4.6 16.9 33.8 67.7 100.0

Valid Percent 4.6 12.3 16.9 33.8 32.3 100.0

Penyakit Komorbid

Valid

Tidak ada Memiliki 1-3 penyakit komorbid Memiliki > 3 penyakit komorbid Total

Frequency 6 36

Percent 9.2 55.4

Valid Percent 9.2 55.4


23

35.4

35.4

100.0

65

100.0

100.0

Aktivitas Fisik

Valid

Weight bearing No weight bearing Total

Frequency 9

Percent 13.8

Valid Percent 86.2

Cumulative Percent 86.2

56

86.2

13.8

100.0

65

100.0

100.0

Nyeri Cumulative Frequency Valid

Percent

Valid Percent

Percent

Ringan

32

49.2

49.2

49.2

Sedang

27

41.5

41.5

90.8

Berat

6

9.2

9.2

100.0

Total

65

100.0

100.0

80

Disabilitas

Valid

Ringan Sedang Berat Total

Frequency 30 27 8 65

Percent 46.2 41.5 12.3 100.0

Valid Percent 46.2 41.5 12.3 100.0

Cumulative Percent 46.2 87.7 100.0

Grade OA Lutut

Valid

Grade 4 Grade 3 Grade 2 Grade 1 Total

Frequency 14 16 19 16 65

Percent 21.5 24.6 29.2 24.6 100.0

Valid Percent 21.5 24.6 29.2 24.6 100.0

Cumulative Percent 21.5 46.2 75.4 100.0

Kriteria IMT * Nyeri Kriteria IMT * Nyeri Crosstabulation Nyeri Ringan Sedang Kriteria IMT Underweight Count 2 0 Expected Count 1.5 1.2 % within Nyeri 6.3% .0% % of Total 3.1% .0% Normal Count 5 2 Expected Count 3.9 3.3 % within Nyeri 15.6% 7.4% % of Total 7.7% 3.1% Overweight Count 5 6 Expected Count 5.4 4.6 % within Nyeri 15.6% 22.2% % of Total 7.7% 9.2% Obesitas derajat 1 Count 15 6 Expected Count 10.8 9.1 % within Nyeri 46.9% 22.2% % of Total 23.1% 9.2% Obesitas derajat 2 Count 5 13 Expected Count 10.3 8.7 % within Nyeri 15.6% 48.1% % of Total 7.7% 20.0% Total Count 32 27 Expected Count 32.0 27.0 % within Nyeri 100.0% 100.0% % of Total 49.2% 41.5%

Berat

Total

1 .3 16.7% 1.5% 1 .7 16.7% 1.5% 0 1.0 .0% .0% 1 2.0 16.7% 1.5% 3 1.9 50.0% 4.6% 6 6.0 100.0% 9.2%

3 3.0 4.6% 4.6% 8 8.0 12.3% 12.3% 11 11.0 16.9% 16.9% 22 22.0 33.8% 33.8% 21 21.0 32.3% 32.3% 65 65.0 100.0% 100.0%

81

Chi-Square Tests Value a 14.361 16.247 1.695

Pearson Chi-Square Likelihood Ratio Linear-by-Linear Association N of Valid Cases

df

Asymp. Sig. (2sided) 8 .073 8 .039 1 .193

65

a. 10 cells (66.7%) have expected count less than 5. The minimum expected count is .28. Kriteria IMT * Nyeri Crosstabulation Ringan Kriteria IMT

Underweight / Normal

Count Expected Count % within Nyeri % of Total Count Expected Count % within Nyeri % of Total Count Expected Count % within Nyeri % of Total Count Expected Count % within Nyeri % of Total Count Expected Count % within Nyeri % of Total

Overweight

Obesitas derajat 1

Obesitas derajat 2

Total

7 5.4 21.9% 10.8% 5 5.4 15.6% 7.7% 15 10.8 46.9% 23.1% 5 10.3 15.6% 7.7% 32 32.0 100.0% 49.2%

Nyeri Sedang / Berat 4 5.6 12.1% 6.2% 6 5.6 18.2% 9.2% 7 11.2 21.2% 10.8% 16 10.7 48.5% 24.6% 33 33.0 100.0% 50.8%

Chi-Square Tests Asymp. Sig. (2Value

df

sided)

a

3

.023

Likelihood Ratio

9.941

3

.019

Linear-by-Linear

3.496

1

.062

Pearson Chi-Square

9.567

Association N of Valid Cases

65

a. 0 cells (.0%) have expected count less than 5. The minimum expected count is 5.42.

Total 11 11.0 16.9% 16.9% 11 11.0 16.9% 16.9% 22 22.0 33.8% 33.8% 21 21.0 32.3% 32.3% 65 65.0 100.0% 100.0%

82

Penyakit Komorbid * Nyeri

Penyakit Komorbid

Total

Penyakit Komorbid * Nyeri Crosstabulation Nyeri Ringan Sedang Tidak ada Count 2 4 Expected 3.0 2.5 Count % within 6.3% 14.8% Nyeri % of Total 3.1% 6.2% Memiliki 1-3 penyakit Count 20 14 komorbid Expected 17.7 15.0 Count % within 62.5% 51.9% Nyeri % of Total 30.8% 21.5% Memiliki > 3 penyakit Count 10 9 komorbid Expected 11.3 9.6 Count % within 31.3% 33.3% Nyeri % of Total 15.4% 13.8% Count 32 27 Expected 32.0 27.0 Count % within 100.0% 100.0% Nyeri % of Total 49.2% 41.5%

Berat

Total

0 .6

6 6.0

.0%

9.2%

.0% 2 3.3

9.2% 36 36.0

33.3%

55.4%

3.1% 4 2.1

55.4% 23 23.0

66.7%

35.4%

6.2% 6 6.0

35.4% 65 65.0

100.0%

100.0%

9.2%

100.0%

Nyeri Sedang / Ringan Berat 12 17 14.3 14.7

Total 29 29.0

Chi-Square Tests


Value a 4.500 4.690 .740

df

Asymp. Sig. (2sided) 4 .343 4 .321 1 .390

65

a. 5 cells (55.6%) have expected count less than 5. The minimum expected count is .55. Penyakit Komorbid * Nyeri Crosstabulation

Penyakit Komorbid

Tidak ada / Memiliki 1-3 Count penyakit komorbid Expected Count % within Nyeri % of Total Memiliki > 3 penyakit Count komorbid Expected Count % within Nyeri % of Total

37.5% 18.5% 20 17.7

51.5% 26.2% 16 18.3

44.6% 44.6% 36 36.0

62.5% 30.8%

48.5% 24.6%

55.4% 55.4%

83

Total

Count Expected Count % within Nyeri % of Total

Value a 1.291

Pearson Chi-Square Continuity Correction

b

Likelihood Ratio

32 32.0

33 33.0

65 65.0

100.0% 49.2%

100.0% 50.8%

100.0% 100.0%

Chi-Square Tests Asymp. Sig. Df (2-sided) 1 .256

.787

1

.375

1.296

1

.255

1.272

1

.259

Exact Sig. (2sided)

Exact Sig. (1sided)

.321

.188

Fisher's Exact Test Linear-by-Linear Association N of Valid Cases

65

a. 0 cells (.0%) have expected count less than 5. The minimum expected count is 14.28. b. Computed only for a 2x2 table

Aktivitas Fisik * Nyeri

Aktivitas Fisik

Aktivitas Fisik * Nyeri Crosstabulation Nyeri Ringan Sedang Count 3 6 Expected Count 4.4 3.7 % within Nyeri 9.4% 22.2% % of Total 4.6% 9.2% Count 29 21 Expected Count 27.6 23.3 % within Nyeri 90.6% 77.8% % of Total 44.6% 32.3% Count 32 27 Expected Count 32.0 27.0 % within Nyeri 100.0% 100.0% % of Total 49.2% 41.5%

Weight bearing

No Weight bearing Total

Chi-Square Tests


Value a 3.089 3.765 .108

df

Asymp. Sig. (2sided) 2 .213 2 .152 1 .743

65

a. 3 cells (50.0%) have expected count less than 5. The minimum expected count is .83. Frequencies Aktivitas Fisik Nyeri dimension1

Weight bearing No weight bearing Total

N 9 56 65

Berat

Total

0 .8 .0% .0% 6 5.2 100.0% 9.2% 6 6.0 100.0% 9.2%

9 9.0 13.8% 13.8% 56 56.0 86.2% 86.2% 65 65.0 100.0% 100.0%

84

Test Statistics

a

Nyeri Absolute .185 Positive .185 Negative -.107 Kolmogorov-Smirnov Z .514 Asymp. Sig. (2-tailed) .954 a. Grouping Variable: Aktivitas Fisik Most Extreme Differences

Riwayat Fisioterapi * Nyeri Riwayat Fisioterapi * Nyeri Crosstabulation Nyeri Ringan Sedang ya Count 27 19 Expected Count 25.1 21.2 % within Nyeri 84.4% 70.4% % of Total 41.5% 29.2% tidak Count 5 8 Expected Count 6.9 5.8 % within Nyeri 15.6% 29.6% % of Total 7.7% 12.3% Count 32 27 Expected Count 32.0 27.0 % within Nyeri 100.0% 100.0% % of Total 49.2% 41.5%

Riwayat Fisioterapi

Total

Chi-Square Tests


Value a 1.792 1.771 .540 65

df 2 2 1

Asymp. Sig. (2sided) .408 .413 .462

a. 2 cells (33.3%) have expected count less than 5. The minimum expected count is 1.29. Frequencies Riwayat Fisioterapi Nyeri dimension1

N

ya tidak Total

51 14 65 a

Test Statistics Most Extreme Differences

Absolute Positive Negative

Kolmogorov-Smirnov Z Asymp. Sig. (2-tailed) a. Grouping Variable: Riwayat Fisioterapi

Nyeri .172 .172 -.027 .571 .900

Berat

Total

5 4.7 83.3% 7.7% 1 1.3 16.7% 1.5% 6 6.0 100.0% 9.2%

51 51.0 78.5% 78.5% 14 14.0 21.5% 21.5% 65 65.0 100.0% 100.0%

85

Kriteria IMT * Disabilitas Kriteria IMT * Disabilitas Crosstabulation Disabilitas Ringan Sedang Underweight Count 1 2 Expected Count 1.4 1.2 % within Disabilitas 3.3% 7.4% % of Total 1.5% 3.1% Normal Count 5 1 Expected Count 3.7 3.3 % within Disabilitas 16.7% 3.7% % of Total 7.7% 1.5% Overweight Count 7 3 Expected Count 5.1 4.6 % within Disabilitas 23.3% 11.1% % of Total 10.8% 4.6% Obesitas derajat 1 Count 12 9 Expected Count 10.2 9.1 % within Disabilitas 40.0% 33.3% % of Total 18.5% 13.8% Obesitas derajat 2 Count 5 12 Expected Count 9.7 8.7 % within Disabilitas 16.7% 44.4% % of Total 7.7% 18.5% Count 30 27 Expected Count 30.0 27.0 % within Disabilitas 100.0% 100.0% % of Total 46.2% 41.5%

Berat

Total

0 .4 .0% .0% 2 1.0 25.0% 3.1% 1 1.4 12.5% 1.5% 1 2.7 12.5% 1.5% 4 2.6 50.0% 6.2% 8 8.0 100.0% 12.3%

3 3.0 4.6% 4.6% 8 8.0 12.3% 12.3% 11 11.0 16.9% 16.9% 22 22.0 33.8% 33.8% 21 21.0 32.3% 32.3% 65 65.0 100.0% 100.0%

Kriteria IMT * Disabilitas Crosstabulation Disabilitas Sedang / Ringan Berat Kriteria IMT Underweight / Normal Count 6 5 Expected Count 5.1 5.9 % within Disabilitas 20.0% 14.3% % of Total 9.2% 7.7% Overweight Count 7 4 Expected Count 5.1 5.9 % within Disabilitas 23.3% 11.4% % of Total 10.8% 6.2%

Total 11 11.0 16.9% 16.9% 11 11.0 16.9% 16.9%

Kriteria IMT

Total

Chi-Square Tests


Value a 11.119 12.344 1.905

df

Asymp. Sig. (2sided) 8 .195 8 .136 1 .167

65

a. 10 cells (66.7%) have expected count less than 5. The minimum expected count is .37.

86

Obesitas derajat 1

Obesitas derajat 2

Total

Count Expected Count % within Disabilitas % of Total Count Expected Count % within Disabilitas % of Total Count Expected Count % within Disabilitas % of Total

12 10.2 40.0% 18.5% 5 9.7 16.7% 7.7% 30 30.0 100.0% 46.2%

10 11.8 28.6% 15.4% 16 11.3 45.7% 24.6% 35 35.0 100.0% 53.8%

22 22.0 33.8% 33.8% 21 21.0 32.3% 32.3% 65 65.0 100.0% 100.0%

Chi-Square Tests


Value a 6.507 6.776 3.844

df

Asymp. Sig. (2sided) 3 .089 3 .079 1 .050

65


Penyakit Komorbid * Disabilitas

Penyakit Komorbid

Total

Penyakit Komorbid * Disabilitas Crosstabulation Disabilitas Ringan Sedang Tidak ada Count 3 2 Expected Count 2.8 2.5 % within 10.0% 7.4% Disabilitas % of Total 4.6% 3.1% Memiliki 1-3 penyakit Count 22 8 komorbid Expected Count 16.6 15.0 % within 73.3% 29.6% Disabilitas % of Total 33.8% 12.3% Memiliki > 3 penyakit Count 5 17 komorbid Expected Count 10.6 9.6 % within 16.7% 63.0% Disabilitas % of Total 7.7% 26.2% Count 30 27 Expected Count 30.0 27.0 % within 100.0% 100.0% Disabilitas % of Total 46.2% 41.5%

Berat

Total

1 .7 12.5%

6 6.0 9.2%

1.5% 6 4.4 75.0%

9.2% 36 36.0 55.4%

9.2% 1 2.8 12.5%

55.4% 23 23.0 35.4%

1.5% 35.4% 8 65 8.0 65.0 100.0% 100.0% 12.3% 100.0%

87

Chi-Square Tests Value a 15.702 16.171 1.202


df

Asymp. Sig. (2sided) 4 .003 4 .003 1 .273

65

a. 5 cells (55.6%) have expected count less than 5. The minimum expected count is .74. Penyakit Komorbid * Disabilitas Crosstabulation Disabilitas Sedang / Ringan Berat Tidak ada / Memiliki 1- Count 12 17 3 penyakit komorbid Expected Count 13.4 15.6 % within 40.0% 48.6% Disabilitas % of Total 18.5% 26.2% Memiliki > 3 penyakit Count 18 18 komorbid Expected Count 16.6 19.4 % within 60.0% 51.4% Disabilitas % of Total 27.7% 27.7% Count 30 35 Expected Count 30.0 35.0 % within 100.0% 100.0% Disabilitas % of Total 46.2% 53.8%

Penyakit Komorbid

Total

Value a .480

Pearson Chi-Square Continuity Correction Likelihood Ratio

b

Chi-Square Tests Asymp. Sig. df (2-sided) 1 .488

.196

1

.658

.481

1

.488

.473

1

.492

44.6% 36 36.0 55.4% 55.4% 65 65.0 100.0% 100.0%

Exact Sig. (2sided)

Exact Sig. (1sided)

.618

.329


Total 29 29.0 44.6%

65


Aktivitas Fisik * Disabilitas

Aktivitas Fisik

Aktivitas Fisik * Disabilitas Crosstabulation Disabilitas Ringan Sedang Weight Count 4 5 bearing Expected Count 4.2 3.7 % within Disabilitas 13.3% 18.5% % of Total 6.2% 7.7%

Berat 0 1.1 .0% .0%

Total 9 9.0 13.8% 13.8%

88

No weight bearing Total

Count Expected Count % within Disabilitas % of Total Count Expected Count % within Disabilitas % of Total

26 25.8 86.7% 40.0% 30 30.0 100.0% 46.2%

22 23.3 81.5% 33.8% 27 27.0 100.0% 41.5%

8 6.9 100.0% 12.3% 8 8.0 100.0% 12.3%

56 56.0 86.2% 86.2% 65 65.0 100.0% 100.0%

Berat

Total 51 51.0 78.5% 78.5% 14 14.0 21.5% 21.5% 65 65.0 100.0% 100.0%

Chi-Square Tests Value a 1.786 2.846 .246


df

Asymp. Sig. (2sided) 2 .409 2 .241 1 .620

65

a. 3 cells (50.0%) have expected count less than 5. The minimum expected count is 1.11. Frequencies Aktivitas Fisik Disabilitas dimension1

N Weight bearing 9 No weight bearing 56 Total 65 a



Kolmogorov-Smirnov Z Asymp. Sig. (2-tailed) a. Grouping Variable: Aktivitas Fisik

Disabilitas .143 .020 -.143 .398 .997

Riwayat Fisioterapi * Disabilitas

Riwayat Fisioterapi

Total

Riwayat Fisioterapi * Disabilitas Crosstabulation Disabilitas Ringan Sedang ya Count 24 19 Expected Count 23.5 21.2 % within Disabilitas 80.0% 70.4% % of Total 36.9% 29.2% tidak Count 6 8 Expected Count 6.5 5.8 % within Disabilitas 20.0% 29.6% % of Total 9.2% 12.3% Count 30 27 Expected Count 30.0 27.0 % within Disabilitas 100.0% 100.0% % of Total 46.2% 41.5%

8 6.3 100.0% 12.3% 0 1.7 .0% .0% 8 8.0 100.0% 12.3%

89

Chi-Square Tests


Value a 3.284 4.891 .303 65

df 2 2 1

Asymp. Sig. (2sided) .194 .087 .582

a. 1 cells (16.7%) have expected count less than 5. The minimum expected count is 1.72.

Kriteria IMT * Nyeri dan Disabilitas Kriteria IMT * Kriteria Skor WOMAC Crosstabulation Kriteria Skor WOMAC Ringan Sedang Kriteria IMT

Underweight

Count

2

1

0

3

1.2

.2

3.0

% within Kriteria Skor WOMAC

5.9%

3.7%

.0%

4.6%

% of Total

3.1%

1.5%

.0%

4.6%

Count Expected Count % within Kriteria Skor WOMAC % of Total

Overweight

Count

Obesitas derajat 2

1

2

8

3.3

.5

8.0

14.7%

3.7%

50.0%

12.3%

7.7%

1.5%

3.1%

12.3%

8

2

1

11

4.6

.7

11.0


23.5%

7.4%

25.0%

16.9%

% of Total

12.3%

3.1%

1.5%

16.9%

Count

14

8

0

22

11.5

9.1

1.4

22.0


41.2%

29.6%

.0%

33.8%

% of Total

21.5%

12.3%

.0%

33.8%

5

15

1

21

Expected Count

Count Expected Count % within Kriteria Skor WOMAC

Total

5 4.2

5.8

Expected Count

Obesitas derajat 1

Total

1.6

Expected Count

Normal

Berat

% of Total Count Expected Count % within Kriteria Skor WOMAC % of Total

11.0

8.7

1.3

21.0

14.7%

55.6%

25.0%

32.3%

7.7% 34

23.1% 27

1.5% 4

32.3% 65

34.0

27.0

4.0

65.0

100.0% 100.0% 100.0% 100.0% 52.3%

41.5%

6.2% 100.0%

90

Chi-Square Tests


Value a 19.106 19.504 1.975 65

Df 8 8 1

Asymp. Sig. (2sided) .014 .012 .160

a. 10 cells (66.7%) have expected count less than 5. The minimum expected count is .18. Kriteria IMT * Kriteria Skor WOMAC Crosstabulation Kriteria Skor WOMAC Ringan Sedang/Berat Kriteria IMT

Underweight / Normal

Count

7

Expected Count

Overweight

5.8

5.2

11.0

12.9%

16.9%

% of Total

10.8%

6.2%

16.9%

8

3

11

5.8

5.2

11.0


23.5%

9.7%

16.9%

% of Total

12.3%

4.6%

16.9%

Count

14

8

22

11.5

10.5

22.0


41.2%

25.8%

33.8%

% of Total

21.5%

12.3%

33.8%

Expected Count

Count Expected Count % within Kriteria Skor WOMAC % of Total Count

Total

Expected Count

5

16

21

11.0

10.0

21.0

14.7%

51.6%

32.3%

7.7% 34

24.6% 31

32.3% 65

31.0

65.0

34.0

% within Kriteria Skor WOMAC % of Total

100.0%

100.0% 100.0%

52.3%

47.7% 100.0%

Chi-Square Tests


11

20.6%

Expected Count

Obesitas derajat 2

Total

% within Kriteria Skor WOMAC Count

Obesitas derajat 1

4

Value a 10.373 10.765 6.151 65

Df 3 3 1

Asymp. Sig. (2sided) .016 .013 .013


91

Penyakit Komorbid * Nyeri dan Disabilitas

Penyakit Komorbid

Total

Penyakit Komorbid * Kriteria Skor WOMAC Crosstabulation Kriteria Skor WOMAC Ringan Sedang Berat Total Tidak ada Count 3 2 1 6 Expected Count 3.1 2.5 .4 6.0 % within Kriteria 8.8% 7.4% 25.0% 9.2% Skor WOMAC % of Total 4.6% 3.1% 1.5% 9.2% Memiliki 1-3 Count 24 10 2 36 penyakit komorbid Expected Count 18.8 15.0 2.2 36.0 % within Kriteria 70.6% 37.0% 50.0% 55.4% Skor WOMAC % of Total 36.9% 15.4% 3.1% 55.4% Memiliki > 3 Count 7 15 1 23 penyakit komorbid Expected Count 12.0 9.6 1.4 23.0 % within Kriteria 20.6% 55.6% 25.0% 35.4% Skor WOMAC % of Total 10.8% 23.1% 1.5% 35.4% Count 34 27 4 65 Expected Count 34.0 27.0 4.0 65.0 % within Kriteria 100.0% 100.0% 100.0% 100.0% Skor WOMAC % of Total 52.3% 41.5% 6.2% 100.0% Chi-Square Tests


Value a 9.592 9.284 1.596

df

Asymp. Sig. (2sided) 4 .048 4 .054 1 .206

65


92

Penyakit Komorbid

Total

Penyakit Komorbid * Kriteria Skor WOMAC Crosstabulation Kriteria Skor WOMAC Sedang / Ringan Berat Total Tidak ada / Memiliki Count 14 15 29 1-3 penyakit komorbid Expected Count 15.2 13.8 29.0 % within Kriteria Skor 41.2% 48.4% 44.6% WOMAC % of Total 21.5% 23.1% 44.6% Memiliki > 3 penyakit Count 20 16 36 komorbid Expected Count 18.8 17.2 36.0 % within Kriteria Skor 58.8% 51.6% 55.4% WOMAC % of Total 30.8% 24.6% 55.4% Count 34 31 65 Expected Count 34.0 31.0 65.0 % within Kriteria Skor 100.0% 100.0% 100.0% WOMAC % of Total 52.3% 47.7% 100.0%

Value a .341

Pearson Chi-Square Continuity Correction Likelihood Ratio

b

Chi-Square Tests Asymp. Sig. df (2-sided) 1 .559

.112

1

.738

.341

1

.559

.336

1

.562


Exact Sig. (2sided)

Exact Sig. (1sided)

.622

.369

65


93

Aktivitas Fisik * Nyeri dan Disabilitas Aktivitas Fisik * Kriteria Skor WOMAC Crosstabulation Kriteria Skor WOMAC Ringan Sedang Berat Aktivitas Fisik Weight Count 4 5 0 bearing Expected Count 4.7 3.7 .6 % within Kriteria Skor 11.8% 18.5% .0% WOMAC % of Total 6.2% 7.7% .0% No Count 30 22 4 weight Expected Count 29.3 23.3 3.4 bearing % within Kriteria Skor 88.2% 81.5% 100.0% WOMAC % of Total 46.2% 33.8% 6.2% Total Count 34 27 4 Expected Count 34.0 27.0 4.0 % within Kriteria Skor 100.0% 100.0% 100.0% WOMAC % of Total 52.3% 41.5% 6.2% Chi-Square Tests Value a 1.260 1.776 .008


df

Asymp. Sig. (2sided) 2 .532 2 .412 1 .928

65

a. 4 cells (66.7%) have expected count less than 5. The minimum expected count is .55. Frequencies Aktivitas Fisik Kriteria Skor WOMAC dimension1

N Weight bearing 9 No Weight bearing 56 Total 65 a

Test Statistics

Most Extreme Differences



Kriteria Skor WOMAC .091 .091 -.071 .254 1.000

Total 9 9.0 13.8% 13.8% 56 56.0 86.2% 86.2% 65 65.0 100.0% 100.0%

94

Riwayat Fisioterapi * Nyeri dan Disabilitas Riwayat Fisioterapi * Kriteria Skor WOMAC Crosstabulation Kriteria Skor WOMAC Ringan Sedang Berat Total Riwayat Fisioterapi ya Count 27 20 4 51 Expected Count 26.7 21.2 3.1 51.0 % within Kriteria Skor WOMAC 79.4% 74.1% 100.0% 78.5% % of Total 41.5% 30.8% 6.2% 78.5% tidak Count 7 7 0 14 Expected Count 7.3 5.8 .9 14.0 % within Kriteria Skor WOMAC 20.6% 25.9% .0% 21.5% % of Total 10.8% 10.8% .0% 21.5% Total Count 34 27 4 65 Expected Count 34.0 27.0 4.0 65.0 % within Kriteria Skor WOMAC 100.0% 100.0% 100.0% 100.0% % of Total 52.3% 41.5% 6.2% 100.0% Chi-Square Tests


Value 1.424a 2.253

2 2

Asymp. Sig. (2-sided) .491 .324

1

.791

df

.070 65


Frequencies Fisioterapi Kriteria Skor WOMAC dimension1

N

ya tidak Total

51 14 65 a

Test Statistics

Most Extreme Differences


Kolmogorov-Smirnov Z Asymp. Sig. (2-tailed) a. Grouping Variable: Fisioterapi

Kriteria Skor WOMAC .078 .029 -.078 .260 1.000

95

Kriteria IMT * Grade OA Lutut

Kriteria IMT

Total

Kriteria IMT * Grade OA Lutut Crosstabulation Grade OA Lutut Grade Grade Grade Grade 4 3 2 1 Total Underweight Count 0 1 1 1 3 Expected Count .6 .7 .9 .7 3.0 % within Grade OA .0% 6.3% 5.3% 6.3% 4.6% Lutut % of Total .0% 1.5% 1.5% 1.5% 4.6% Normal Count 0 3 2 3 8 Expected Count 1.7 2.0 2.3 2.0 8.0 % within Grade OA .0% 18.8% 10.5% 18.8% 12.3% Lutut % of Total .0% 4.6% 3.1% 4.6% 12.3% Overweight Count 0 4 4 3 11 Expected Count 2.4 2.7 3.2 2.7 11.0 % within Grade OA .0% 25.0% 21.1% 18.8% 16.9% Lutut % of Total .0% 6.2% 6.2% 4.6% 16.9% Obesitas Count 5 5 8 4 22 derajat 1 Expected Count 4.7 5.4 6.4 5.4 22.0 % within Grade OA 35.7% 31.3% 42.1% 25.0% 33.8% Lutut % of Total 7.7% 7.7% 12.3% 6.2% 33.8% Obesitas Count 9 3 4 5 21 derajat 2 Expected Count 4.5 5.2 6.1 5.2 21.0 % within Grade OA 64.3% 18.8% 21.1% 31.3% 32.3% Lutut % of Total 13.8% 4.6% 6.2% 7.7% 32.3% Count 14 16 19 16 65 Expected Count 14.0 16.0 19.0 16.0 65.0 % within Grade OA 100.0% 100.0% 100.0% 100.0% 100.0% Lutut % of Total 21.5% 24.6% 29.2% 24.6% 100.0%

Chi-Square Tests Asymp. Sig. (2Value Pearson Chi-Square Likelihood Ratio Linear-by-Linear Association N of Valid Cases

df

sided)

a

12

.314

17.555

12

.130

4.434

1

.035

13.800

65


96

Kriteria IMT

Total

Kriteria IMT * Grade OA Crosstabulation Grade OA Grade Grade Grade 3/4 2 1 Total Underweight / Normal / Count 8 7 7 22 Overweight Expected Count 10.2 6.4 5.4 22.0 % within Grade 26.7% 36.8% 43.8% 33.8% OA % of Total 12.3% 10.8% 10.8% 33.8% Obesitas derajat 1 Count 10 8 4 22 Expected Count 10.2 6.4 5.4 22.0 % within Grade 33.3% 42.1% 25.0% 33.8% OA % of Total 15.4% 12.3% 6.2% 33.8% Obesitas derajat 2 Count 12 4 5 21 Expected Count 9.7 6.1 5.2 21.0 % within Grade 40.0% 21.1% 31.3% 32.3% OA % of Total 18.5% 6.2% 7.7% 32.3% Count 30 19 16 65 Expected Count 30.0 19.0 16.0 65.0 % within Grade 100.0% 100.0% 100.0% 100.0% OA % of Total 46.2% 29.2% 24.6% 100.0%

Chi-Square Tests Asymp. Sig. (2Value

df

sided)

a

4

.553

Likelihood Ratio

3.097

4

.542

Linear-by-Linear Association

1.463

1

.227

Pearson Chi-Square

N of Valid Cases

3.026

65


97

Penyakit Komorbid * Grade OA Lutut

Penyakit Komorbid

Total

Penyakit Komorbid * Grade OA Crosstabulation Grade OA Grade Grade Grade Grade 4 3 2 1 Total Tidak ada Count 1 1 2 2 6 Expected 1.3 1.5 1.8 1.5 6.0 Count % within 7.1% 6.3% 10.5% 12.5% 9.2% Grade OA % of Total 1.5% 1.5% 3.1% 3.1% 9.2% Memiliki 1-3 Count 10 9 10 7 36 penyakit komorbid Expected 7.8 8.9 10.5 8.9 36.0 Count % within 71.4% 56.3% 52.6% 43.8% 55.4% Grade OA % of Total 15.4% 13.8% 15.4% 10.8% 55.4% Memiliki > 3 Count 3 6 7 7 23 penyakit komorbid Expected 5.0 5.7 6.7 5.7 23.0 Count % within 21.4% 37.5% 36.8% 43.8% 35.4% Grade OA % of Total 4.6% 9.2% 10.8% 10.8% 35.4% Count 14 16 19 16 65 Expected 14.0 16.0 19.0 16.0 65.0 Count % within 100.0% 100.0% 100.0% 100.0% 100.0% Grade OA % of Total 21.5% 24.6% 29.2% 24.6% 100.0%

Chi-Square Tests


Value a 2.629 2.715 .379

df

Asymp. Sig. (2sided) 6 .854 6 .844 1 .538

65


Penyakit Komorbid

Penyakit Komorbid * Grade OA Crosstabulation Grade OA Grade Grade Grade 4 3 2 Tidak ada / Count 10 5 5 Memiliki 1-3 Expected 6.2 7.1 8.5 penyakit komorbid Count % within 71.4% 31.3% 26.3% Grade OA % of Total 15.4% 7.7% 7.7%

Grade 1 9 7.1

Total 29 29.0

56.3%

44.6%

13.8%

44.6%

98

Memiliki > 3 penyakit komorbid

Total

Count Expected Count % within Grade OA % of Total Count Expected Count % within Grade OA % of Total

4 7.8

11 8.9

14 10.5

7 8.9

36 36.0

28.6%

68.8%

73.7%

43.8%

55.4%

6.2% 14 14.0

16.9% 16 16.0

21.5% 19 19.0

10.8% 16 16.0

55.4% 65 65.0

100.0% 100.0% 100.0% 100.0% 100.0% 21.5%

24.6%

29.2%

24.6% 100.0%

Chi-Square Tests


Value a 8.681 8.897 .646 65

df 3 3 1

Asymp. Sig. (2sided) .034 .031 .422


Aktivitas Fisik * Grade OA Lutut

Aktivitas Fisik

Weight bearing

No weight bearing

Total

Aktivitas Fisik * Grade OA Crosstabulation Grade OA Grade 4 Grade 3 Grade 2 Count 2 2 3 Expected Count 1.9 2.2 2.6 % within Grade 14.3% 12.5% 15.8% OA % of Total 3.1% 3.1% 4.6% Count 12 14 16 Expected Count 12.1 13.8 16.4 % within Grade 85.7% 87.5% 84.2% OA % of Total 18.5% 21.5% 24.6% Count 14 16 19 Expected Count 14.0 16.0 19.0 % within Grade 100.0% 100.0% 100.0% OA % of Total 21.5% 24.6% 29.2% Chi-Square Tests


Value a .111 .110 .002

df

Asymp. Sig. (2sided) 3 .990 3 .991 1 .968

65


Grade 1 2 2.2 12.5%

Total 9 9.0 13.8%

3.1% 14 13.8 87.5%

13.8% 56 56.0 86.2%

21.5% 16 16.0 100.0%

86.2% 65 65.0 100.0%

24.6%

100.0%

99

Frequencies Aktivitas Fisik Grade OA dimension1

N Weight bearing 9 No weight bearing 56 Total 65 a


Grade OA .028 .020 -.028 .077 1.000



Riwayat Fisioterapi * Grade OA Lutut Riwayat Fisioterapi * Grade OA Crosstabulation Grade OA Grade 4 Grade 3 Grade 2 Grade 1 Total Riwayat Fisioterapi ya Count 10 12 16 13 51 Expected Count 11.0 12.6 14.9 12.6 51.0 % within Grade OA 71.4% 75.0% 84.2% 81.3% 78.5% % of Total 15.4% 18.5% 24.6% 20.0% 78.5% tidak Count 4 4 3 3 14 Expected Count 3.0 3.4 4.1 3.4 14.0 % within Grade OA 28.6% 25.0% 15.8% 18.8% 21.5% % of Total 6.2% 6.2% 4.6% 4.6% 21.5% Total Count 14 16 19 16 65 Expected Count 14.0 16.0 19.0 16.0 65.0 % within Grade OA 100.0% 100.0% 100.0% 100.0% 100.0% % of Total 21.5% 24.6% 29.2% 24.6% 100.0%

Chi-Square Tests


Value a .968 .968 .676 65

df 3 3 1

Asymp. Sig. (2sided) .809 .809 .411

a. 4 cells (50.0%) have expected count less than 5. The minimum expected count is 3.02. Frequencies Fisioterapi Grade OA Lutut dimension1

ya tidak Total

N 51 14 65

100

a



Kolmogorov-Smirnov Z Asymp. Sig. (2-tailed) a. Grouping Variable: Fisioterapi

Grade OA Lutut .140 .000 -.140 .464 .982

101

Lampiran 6. Kuesioner penelitian KUESIONER PENELITIAN HUBUNGAN ANTARA FAKTOR RISIKO OSTEOARTRITIS LUTUT DENGAN NYERI, DISABILITAS, DAN BERAT RINGANNYA OSTEOARTRITIS Tanggal diisi : …. / …. / …. DATA UMUM DATA IDENTITAS PASIEN

KODE

1 No. ID Pasien : ……………………………………………. 2 Nama Pasien : ……………………………………………. 3 Alamat : ………………………………………………….. RT …. RW …. Desa/Kel …………………………………. Kec. ………………….... Kota …………………………… 4 Jenis Kelamin : 1. Pria

2. Wanita

5 Usia : ……………………………………………….. tahun 6 Tinggi Badan : ……………………………………... cm Berat Badan : ……………………………………… kg 7 Status pernikahan : 1. Menikah

2. Belum menikah

3. Duda / Janda

8 Nomer telepon yang dapat dihubungi : …………………..

102

Kuesioner WOMAC untuk pengukuran nyeri dan disabilitas pasien OA lutut 1. Apakah Anda merasa nyeri Tidak pada saat berjalan?

2. Apakah Anda merasa nyeri Tidak pada saat naik tangga?

3. Apakah Anda merasa nyeri Tidak pada malam hari?

4. Apakah Anda merasa nyeri Tidak pada saat beristirahat?

5. Apakah Anda merasa nyeri Tidak pada sendi-sendi?

6. Apakah

Anda

kekakuan sendi

merasakan Tidak pada

pagi

hari? 7. Apakah kekakuan

Anda

merasakan Tidak

sendi

pada

sore/malam hari? 8. Apakah

Anda

merasakan Tidak

Ya, . . . - Sedikit

- Sangat

- Sedang

- Amat sangat

Ya, . . . - Sedikit

- Sangat

- Sedang

- Amat sangat

Ya, . . . - Sedikit

- Sangat

- Sedang

- Amat sangat

Ya, . . . - Sedikit

- Sangat

- Sedang

- Amat sangat

Ya, . . . - Sedikit

- Sangat

- Sedang

- Amat sangat

Ya, . . . - Sedikit

- Sangat

- Sedang

- Amat sangat

Ya, . . . - Sedikit

- Sangat

- Sedang

- Amat sangat

Ya, . . .

keterbatasan fungsi fisik saat

- Sedikit

- Sangat

menuruni tangga?

- Sedang

- Amat sangat

9. Apakah

Anda

merasakan Tidak

Ya, . . .


- Sedikit

- Sangat

menaiki tangga?

- Sedang

- Amat sangat

10. Apakah

Anda

merasakan Tidak

keterbatasan fungsi fisik pada

Ya, . . . - Sedikit

- Sangat

103

saat berdiri dari duduk? 11. Apakah

Anda

merasakan Tidak

- Sedang

- Amat sangat

Ya, . . .


- Sedikit

- Sangat

berdiri?

- Sedang

- Amat sangat

12. Apakah

Anda

merasakan Tidak

Ya, . . .


- Sedikit

- Sangat

saat membungkuk ke lantai?

- Sedang

- Amat sangat

13. Apakah

Anda

merasakan Tidak

Ya, . . .


- Sedikit

- Sangat

berjalan di permukaan datar?

- Sedang

- Amat sangat

14. Apakah

Anda

merasakan Tidak

Ya, . . .


- Sedikit

- Sangat

saat masuk / keluar dari

- Sedang

- Amat sangat

mobil? 15. Apakah

Anda

merasakan Tidak

Ya, . . .


- Sedikit

- Sangat

berbelanja?

- Sedang

- Amat sangat

16. Apakah

Anda

merasakan Tidak

Ya, . . .


- Sedikit

- Sangat

memakai kaos kaki?

- Sedang

- Amat sangat

17. Apakah

Anda

merasakan Tidak

Ya, . . .


- Sedikit

- Sangat

berbaring di tempat tidur?

- Sedang

- Amat sangat

18. Apakah

Anda

merasakan Tidak

Ya, . . .


- Sedikit

- Sangat

melepas kaos kaki?

- Sedang

- Amat sangat

19. Apakah

Anda

merasakan Tidak

Ya, . . .


- Sedikit

- Sangat

saat

- Sedang

- Amat sangat

tidur?

bangun

dari

tempat

104

20. Apakah

Anda

merasakan Tidak

Ya, . . .


- Sedikit

- Sangat

mandi?

- Sedang

- Amat sangat

21. Apakah

Anda

merasakan Tidak

Ya, . . .


- Sedikit

- Sangat

duduk?

- Sedang

- Amat sangat

22. Apakah

Anda

merasakan Tidak

Ya, . . .


- Sedikit

- Sangat

ke toilet?

- Sedang

- Amat sangat

23. Apakah

Anda

merasakan Tidak

Ya, . . .


- Sedikit

- Sangat

saat

- Sedang

- Amat sangat

melakukan

pekerjaan

rumah tangga yang berat? 24. Apakah

Anda

merasakan Tidak

Ya, . . .


- Sedikit

- Sangat

saat

- Sedang

- Amat sangat

melakukan

pekerjaan

rumah tangga yang ringan? Keterangan : Apabila jawaban “ya”, maka sebagai berikut. - Sedikit apabila dengan menggunakan VAS didapatkan skor lebih dari 0 hingga kurang dari 3. - Sedang apabila dengan menggunakan VAS didapatkan skor 3 hingga kurang dari 7. - Sangat apabila dengan menggunakan VAS didapatkan skor 7 hingga kurang dari 9. - Amat sangat apabila dengan menggunakan VAS didapatkan skor 9 hingga 10.

105

Lampiran 7. Dokumentasi penelitian

106

Lampiran 8. Biodata mahasiswa

Identitas Nama NIM Tempat/tanggal lahir Jenis kelamin Alamat Nomor Telepon Nomor HP e-mail

: Maya Yanuarty : 22010110110125 : Pekalongan, 20 Januari 1993 : Perempuan : Jl. Kemakmuran no.1J, Pekalongan :: 085642993128 : [email protected]

Riwayat Pendidikan Formal 1. SD : SD Pius Pekalongan 2. SMP : SMP Pius Pekalongan 3. SMA : SMA 1 Pekalongan 4. FK UNDIP

Lulus tahun : 2004 Lulus tahun : 2007 Lulus tahun : 2010 Masuk tahun : 2010

Keanggotaan Organisasi 1. OSIS SMA 1 Pekalongan 2. HIMA KU UNDIP 3. PSM FK UNDIP 3. PRMK FK UNDIP 4. OMK Banyumanik

Tahun 2008 s/d 2010 Tahun 2010 s/d 2011 Tahun 2011 s/d 2013 Tahun 2011 s/d 2013 Tahun 2013 s/d sekarang

Pengalaman penelitian Pengalaman publikasi tulisan ilmiah Pengalaman presentasi karya ilmiah Pengalaman mengikuti lomba karya ilmiah -

10. Gabriella M van Dijk, Cindy Veenhof, Francous Shchellevis, Harry Hulsmans, Jan PJ Bakker, Henk Arwert, et al. Comorbidity, limitations in

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