Pengaruh Jenis Sendi Lutut Kaki Prostetik Dan Postur Tubuh Statis Terhadap Aktivitas Otot Dan Rating of Percieved Discomfort (RPD) Pada Pengguna Kaki Prostetik

Alifta Agdiana Dewati; Khoirul Muslim

doi:10.61221/jriem.v2i2.32

Authors

Alifta Agdiana Dewati Institut Teknologi Bandung
Khoirul Muslim Department of Industrial Engineering, Bandung Institute of Technology

DOI:

https://doi.org/10.61221/jriem.v2i2.32

Abstract

Differences in prosthetic leg design and mechanism affect lower limb muscle activity. Unbalanced muscle activity has the potential to reduce the function of physical mobility and change the balance point which has an impact on reducing performance, causing a decrease in the productivity of people with amputation disabilities. This study aims to determine the effect of awkward body posture and type of prosthetic foot on muscle activity in prosthetic foot users. This study used a within subject design with a total of six participants. Independent variables include body posture and type of prosthetic foot. Electromyography signal measurements on the biceps femoris (BF), gactrosnemius (GC), rectus femoris (RF), erector spinae (ES) muscles were performed to evaluate the level of muscle activity. Electromyography signals were processed with a 10-450Hz band-pass filter. ANOVA Repeated Measure obtained the results of awkward posture affecting muscle activity, especially in GC, BF, and ES muscles in the normal leg. In conclusion, the type of prosthetic leg does not affect muscle activity, but body posture has a significant effect on muscle activity although not in all muscles. This study can be used as advice to transfemoral amputation patients to use prosthetic feet that can reduce the risk of WMSDs so as to improve daily performance like normal individuals.

References

Badan Pusat Statistik. (2022). Penyandang disabilitas Indonesia tiap Provinsi. Bandung. BPS

Criswell, E. (2011). Cram’s Introduction to Surface Electromyography. Jones & Bartlett Learning. https://books.google.co.id/books?id=RgfX5jXrmzMC

Ding, X., Guan, Z., Liu, N., Bi, M., Ji, F., Wang, H., & Yan, T. (2023). Prevalence and risk factors of work-related musculoskeletal disorders among emerging manufacturing workers in Beijing, China. Frontiers in Medicine, 10, 1289046.

Gani, Meiky. (2023): Perancangan Perbaikan Sendi Lutut Prostesis Yayasan Kreativitas Difabel Mandiri, Tugas Akhir, Institut Teknologi Bandung.

Israwanda, D., Urbayatun, S., & Hayati, E. N. (2019). Pelatihan kebersyukuran untuk meningkatkan kualitas hidup pada wanita disabilitas fisik. JIP (Jurnal Intervensi Psikologi), 11(1), 9-24.

Julie Levine. (2019). All About the C6-C7 Spinal Motion Segment. Spine-Health. Diakses pada 25 Juli 24. https://www.spine-health.com/conditions/spine-anatomy/all-about-c6-c7-spinal-motion-segment

Kumar Vimal, A., Kant Godiyal, A., Singh, U., Bhasin, S., & Joshi, D. (2019). Transfemoral amputee’s limit of stability and sway analysis during weight shifting 152 exercise with a vibrotactile feedback system. Somatosensory & Motor Research, 36(1), 31-41.

Kurnianto, R., Mulyono. (2017). Gambaran Postur Kerja Dan Resiko Terjadinya Muskuloskeletal Pada Pekerja Bagian Welding Di Area Workshop Bay 4.2 Pt. Alstom Power Energy Systems Indonesia.

Liang, W., Qian, Z., Chen, W., Song, H., Cao, Y., Wei, G., & Ren, L. (2022). Mechanisms and component design of prosthetic knees: A review from a biomechanical function perspective. Frontiers in Bioengineering and Biotechnology, 10, 950110.

Nafi'ah, S. (2022). Upaya Penyelesaian Masalah Gangguan Mobilitas Fisik pada Pasien Stroke Melalui Tindakan Teknik Latihan Penguatan Sendi. Jurnal Ilmiah Keperawatan dan Kesehatan Alkautsar (JIKKA), 1(1).

Open Data Jabar (2021). Jumlah Penduduk Penyandang Disabilitas Berdasarkan Kategori Disabilitas di Jawa Barat. Diakses dari https://opendata.jabarprov.go.id/id/dataset/jumlah-penduduk-penyandang-disabilitas-berdasarkan-kategori-disabilitas-di-jawa-barat pada tanggal 9 Mei 2023.

Ortega Bedoya, Y., Mejía Londoño, V., Rendón Vélez, E., Valencia Legarda, F., & Plata-Contreras, J. A. (2023). Mobility and postural limitations perceived by transtibial amputees undertaking agricultural activities: a qualitative study. Annals of Medicine, 55(2), 2258915.

Rutkowska-Kucharska, A., Kowal, M., & Winiarski, S. (2018). Relationship between asymmetry of gait and muscle torque in patients after unilateral transfemoral amputation. Applied bionics and biomechanics, 2018(1), 5190816.

Sari, R. (2018). Hubungan Tingkat Pengetahuan Gizi, Aktifitas Fisik Dan Body Image Dengan Panjang Lila Pada Remaja Putri Di Ma Nu Mranggen Demak (Doctoral dissertation, Universitas Muhammadiyah Semarang).

Zhang, Y. dkk., (2021). Design and Experimental Research of Knee Joint Prosthesis Based on Gait Acquisition Technology. Biomimetics, 6(28).