LITERATUR REVIEW: DIABETES MELLITUS TIPE 2 DAN OSTEOARTHRITIS IMPLIKASI UNTUK MANAJEMEN FISIOTERAPI
A Literature Review: Type 2 Diabetes Mellitus and Osteoarthritis Implications for management of Physiotherapy
DOI:
https://doi.org/10.33023/jikep.v9i1.1396Keywords:
Diabetes melitus tipe 2, Osteoarthritis, Fisioterapi, Aktivitas FisikAbstract
Pendahuluan : Diabetes melitus merupakan masalah kesehatan masyarakat yang mengancam kesehatan dan kualitas hidup secara global. Diabetes melitus memiliki hubungan dengan patofisiologi Osteoarthritis dan terkadang muncul bersamaan secara tidak sengaja karena prevalensinya yang tinggi dan risiko yang sama. Tujuan: Literatur ini bertujuan untuk mengeksplorasi hubungan antara diabetes melitus tipe 2 (T2DM), Osteoarthritis (OA) dan aktivitas fisik seperti apa yang dapat diberikan oleh fisioterapi. Metode: Penelitian ini adalah literatur review dengan metode PICO menganalisis artikel dari PubMed dan Google Scholar dengan menggunakan kata kunci Diabetes Mellitus, T2DM, Osteoarthritis, Fisioterapi, dan Aktivitas Fisik. Hasil: Review dari 20 artikel menyebutkan bahwa diabetes, kartilago/kondrosit tulang, resistensi insulin, dan T2DM merupakan konsekuensi dari obesitas visceral, yang bersumber dari tingginya sitokin pro-inflamasi, menyebabkan inflamasi metabolik kronis yang dapat menyebabkan kerusakan struktural sendi. Kesimpulan: Efek yang mungkin dari diabetes menyebabkan berbagai perubahan pada struktur tulang, hal ini kemungkinan besar akan meningkatkan risiko OA. Peran Fisioterapis dalam penatalaksanaan osteoarthritis disertai T2DM adalah memberikan pengarahan tentang aktivitas fisik yang aman untuk mencapai kapasitas fisik dan fungsional yang optimal
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