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Jurusan Ortotik Prostetik, Poltekkes Kemenkes Jakarta I
Jl. Wijaya Kusuma No. 48 Cilandak Jakarta Selatan, Indonesia
email:
jpost@poltekkesjakarta1.ac.id
JPOST Journal of Prosthetics Orthotics Science Technology
Volume 1, Number 2 Year 2022
ISSN (online): 2962-8016
DOI: 10.36082/jpost.v1i2.869
2D-MOTION ANALYSIS: KNEE JOINT ANGULATION OF TRANSTIBIAL AMPUTEE
PATIENT WHO USE SACH FOOT AT CLINIC LABORATORY OF PROSTHETICS
AND ORTHOTICS DEPARTMENT IN POLYTECHNIC OF
HEALTH MINISTRY OF HEALTH JAKARTA 1
Kinanti Restiana Putri
1
, Olle Hjelmström
2
, Tri Riana Lestari
3
, Atikah Adyas
4
1
Orthopaedia Indonesia
2
Exceed Worldwide, Sweden
3
Prosthetics and Orthotics Department, Polytechnic of Health Sciences Jakarta I, Indonesia
4
Public Health Department, Mitra Indonesia University, Lampung
Article History
Received date: 12-11-2022
Revised date: 15-11-2022
Accepted date: 17-11-2022
Abstract
Keywords:
Transtibial, SACH Foot,
knee joint angulation
The neutral foot position of the prosthetic SACH foot has a higher hindfoot area
compared to the forefoot area with 1cm heel height. When the patient wears the
shoes, foot and shank alignment is at 90 degrees. Thus, when the patient does not
use the shoe, the prosthesis will tilt backward especially when the foot is mid-stance
and will force the pressure of the knee toward the extension of the knee joint which
can cause damage to the knee joint structure. Therefore, knee joints will be
measured at the time of the patient's use and not wearing shoes during mid-stance.
Objective: To find out if there are significant differences in knee joint degree during
mid-stance when using and not using shoes with 1cm heel height. Methods
Quantitative comparative by observation of 2-dimensional motion in transtibial
amputation patients using shoes and not using shoes with cross-sectional study
design. Result : The degree of knee joints generated during mid-stance by patients
with transtibial amputation when using shoes was 10.8
o
of flexion (p = 0.004) while
at the time of not using the resulting knee boots was 4.5
o
of flexion (p = 0,000),
normal degree of knee joint during mid- stance is 10
o
-20
o
of flexion. The results of
paired t-test showed that there were significant differences in knee joint degree
from standard degree, but when using the shoe showed a result of 0.8
o
larger than
the lowest normal range while when not using shoes the resulting degree of 6.3
o
is
smaller than lowest normal range.
This is an open access article
under the CC-BY-SA license.
Copyright © 2022 by Author.
Published by Politeknik Kesehatan
Kemenkes Jakarta I
Author Correspondence:
Kinanti Restiana Putri
Orthopaedia Indonesia
Email: kinantirp@gmail.com