Pengaruh latihan range of motion (rom) aktif terhadap penurunan tingkat nyeri pada lansia dengan osteoarthritis knee

Checha Novena Leandro Putra
DOI: 10.56922/quilt.v6i10.29 Published: 2026-10-10 pp. 2257-2262
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Background: Knee osteoarthritis (OA) is one of the leading causes of pain and reduced quality of life among the elderly. Non-pharmacological therapies, such as active Range of Motion (ROM) exercises, can improve joint flexibility and reduce pain.

Purpose: To determine the effect of active ROM exercises on reducing pain scores in elderly patients with knee osteoarthritis at Puskesmas Tajinan Malang.

Method: This study used a quasi-experimental design with a one-group pretest-posttest approach. A total of 30 elderly respondents with knee osteoarthritis were selected using accidental sampling. The intervention consisted of active ROM exercises performed twice daily for five days. Pain levels were measured using the Numeric Rating Scale (NRS). Data were analyzed using the Wilcoxon signed-rank test and Spearman correlation test.

Results: The findings showed a significant reduction in pain scores after the active ROM intervention, with p = 0.000 (p < 0.05). Before the intervention, 73.3% of respondents experienced moderate pain and 13.3% severe pain, whereas after the intervention, 90% reported mild pain and none reported severe pain. The Spearman test showed a strong negative correlation (r = -0.730), indicating that more frequent ROM exercises were associated with lower pain scores.

Conclusion: Active ROM exercises are effective in reducing pain scores among elderly patients with knee osteoarthritis and can be recommended as a non-pharmacological intervention in primary healthcare settings.

 

Keywords: Active ROM; Elderly; Knee Osteoarthritis; Pain; Range Of Motion Exercises.

Pengaruh latihan range of motion (rom) aktif terhadap penurunan tingkat nyeri pada lansia dengan osteoarthritis knee. (2026). Journal of Qualitative Health Research & Case Studies Reports, 6(10), 2257-2262. https://doi.org/10.56922/quilt.v6i10.29
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  1. Badan Pusat Statistik. (2021). Statistik penduduk lanjut usia 2021. Diakses dari: https://www.bps.go.id/publication
  2. Butarbutar, J. C., Basuki, P., Sungono, V., Riantho, A., & Fidiasrianto, K. (2024). Burden of osteoarthritis in Indonesia: A Global Burden of Disease (GBD) study 2019. Narra J, 4(2), e884. https://doi.org/10.52225/narra.v4i2.884
  3. Creswell, J. W. (2014). Research design: Qualitative, quantitative, and mixed methods approaches (4th ed.). SAGE Publications. https://us.sagepub.com/en-us/nam/research-design/book237357
  4. Djawas, F. A., & Isna, W. R. (2020). Closed kinetic chain exercise efektif dalam meningkatkan kemampuan fungsional pada osteoartritis lutut. Jurnal Ilmiah Fisioterapi, 3(2), 1–7. https://doi.org/10.36341/jif.v3i2.1379
  5. Fitriana, A. E., & Latief, K. (2018). Pengaruh terapi ROM (Range of Motion) terhadap intensitas nyeri rematik pada lansia di Panti Sosial Tresna Werdha Budi Mulia 2 Cengkareng Jakarta Barat tahun 2017. Jurnal Kesehatan STIKes IMC Bintaro, 2(1), 88.
  6. Godean, O. D. W. P. (2018). Pengaruh Range of Motion untuk menurunkan nyeri sendi pada lansia. Jurnal Care, 6(1).
  7. Hasibi, W. (2015). Prevalensi dan distribusi osteoartritis lutut berdasarkan karakteristik sosio-demografi dan faktor risiko di wilayah kerja Puskesmas Susut I, Kecamatan Susut, Kabupaten Bangli pada tahun 2014. Intisari Sains Medis, 4(1), 32–41.
  8. Karlina, N., Fadila, E., & Khairiyah, F. N. (2023). Literature review: Efektivitas range of motion (ROM) aktif terhadap peningkatan kekuatan otot pada penderita stroke. Jurnal Mahasiswa Ilmu Kesehatan, 1(3), 81–88.
  9. LeMone, P., Burke, K. M., & Bauldoff, G. (2016). Buku ajar keperawatan medikal bedah (Ed. ke-5, Vol. 4). Buku Kedokteran EGC.
  10. Luhung, N., et al. (2023). Buku ajar latihan Range of Motion (ROM). CV Penari Pena.
  11. Matongka, Y. H., Astrid, M., & Hastono, S. P. (2021). Pengaruh latihan Range of Motion aktif terhadap nyeri dan rentang gerak sendi lutut pada lansia dengan osteoarthritis di Puskesmas Doda Sulawesi Tengah. Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 4(1), 30–41.
  12. Setyawati, N. F., et al. (2023). Metodologi riset kesehatan. CV Eureka Media Aksara.
  13. Nugroho, H. W. (2012). Keperawatan gerontik & geriatrik (Ed. ke-3). Buku Kedokteran EGC.
  14. Nurtanti, S., & Ningrum, W. (2018). Efektivitas Range of Motion (ROM) aktif terhadap peningkatan kekuatan otot pada penderita stroke. Jurnal Keperawatan GSH, 7(1), 14–18.
  15. Permana, I., & Muliawati, S. (2023). Hubungan rasionalitas penggunaan obat antiinflamasi nonsteroid (OAINS) dengan derajat osteoarthritis pada pasien usia lanjut rawat jalan di salah satu rumah sakit umum Kota Cimahi. Jurnal Sabdariffarma: Jurnal Ilmiah Farmasi, 11(2), 42–55.
  16. Pratiwi, J. R., Setiyono, E., & Siswandi, I. (2021). Pengaruh latihan Range of Motion terhadap penurunan intensitas nyeri pada lansia dengan osteoartritis. Indonesian Journal of Nursing Sciences and Practice, 4(1), 49–56. https://doi.org/10.24853/ijnsp.v4i1.49-56
  17. Potter, P. A., & Perry, A. G. (2009). Fundamentals of nursing (7th ed.). Mosby Elsevier.
  18. Sahrudi, S., Maria, R., & Herawati, T. (2019). Nyeri lutut berpengaruh terhadap kemampuan fungsi fisik pasien dengan osteoarthritis lutut. Jurnal Ilmu dan Teknologi Kesehatan, 7(1). https://doi.org/10.32668/jitek.v7i1.215
  19. Sharma, L. (2021). Osteoarthritis of the knee. The New England Journal of Medicine, 384(1), 51–59. https://doi.org/10.1056/NEJMcp1903768
  20. Sinaga, T. C., Olivia, N., & Khairani, A. I. (2024). Implementasi latihan sendi gerak (ROM) dan lutut pada pasien osteoarthritis yang mengalami gangguan mobilitas fisik di UPT Pelayanan Sosial Lanjut Usia Binjai. SENTRI: Jurnal Riset Ilmiah, 3(7), 3625–3639. https://doi.org/10.55681/sentri.v3i7.3152
  21. Suratun, H., Heryati, E., Manurung, S., & Raenah, E. (2008). Klien gangguan sistem muskuloskeletal: Seri asuhan keperawatan. Buku Kedokteran EGC.
  22. Thahira, Y. M., Latief, J., Kuswardhana, H., Sam, A. D. P., & Amba, E. G. (2024). Insiden osteoartritis genu tahun 2018–2022. Fakumi Medical Journal: Jurnal Mahasiswa Kedokteran, 4(3), 231–238. https://doi.org/10.33096/fmj.v4i3.431
  23. Wardoyo, E., Sugiarto, S., & Hardono, H. (2024). Pengaruh latihan Range of Motion (ROM) aktif terhadap penurunan intensitas nyeri pada lansia dengan osteoartritis di wilayah Puskesmas Kaliasin Lampung Selatan: The effect of active range of motion (ROM) training on reducing pain intensity in elderly with osteoarthritis in the Kaliasin Public Health Center of South Lampung. Jurnal Keperawatan Bunda Delima, 6(2)

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