A Manajemen Fisioterapi pada Suspek Gout Arthritis : Laporan Kasus
Physiotherapy Management in Suspected Gout Arthritis : A Case Report
Abstract
One of the most common musculoskeletal problems is joint arthritis. Arthritis is usually associated with diseases of the elderly. However, arthritis can also affect the younger population. One of the joint arthritis is gout arthritis. Gouty arthritis is an inflammatory condition of the joints caused by deposits of monosodium urate (MSU) crystals in the joints. MSU is the end product of purine metabolism in the body. This condition can cause pain and stiffness in the joints, swelling, limited range of motion (ROM), and impaired Activity Daily Living (ADL) and if not given proper treatment can cause joint deformity. This case report contains physiotherapy management of a case of suspected gouty arthritis in a 26 year old woman with the main complaint of pain, stiffness and swelling in the left ankle. After receiving physiotherapy intervention, there were positive results in the form of reduced pain and swelling, as well as increased ROM. This report also contains the patient's clinical presentation as well as literature supporting physiotherapy management of gout arthritis.
References
Anderson TB, Duong H. Weight Bearing. [Updated 2023 May 1]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK551573/
Fields, T.R. (2016) ‘Gout: Risk Factors, Diagnosis and Treatment’, Hospital for Special Surgery, pp. 1–40. Available at: https://www.hss.edu/conditions_gout-risk-factors-diagnosis-treatment.asp.
Habibzadeh, N. (2018) ‘Physiology of Distinct Modes of Muscular Contraction’, International Physiology Journal, 1(3), pp. 1–8. Available at: https://doi.org/10.14302/issn.2578-8590.ipj-18-2441.
Huddleston, E.M. and Gaffo, A.L. (2022) ‘Emerging strategies for treating gout’, Current Opinion in Pharmacology, 65, p. 102241.
Ito, S. et al. (2020) ‘Prevalence of gout and asymptomatic hyperuricemia in the pediatric population: a cross-sectional study of a Japanese health insurance database’, BMC pediatrics, 20(1), pp. 1–8.
Kamono, A. and Ogihara, N. (2018) ‘Weight-shift ability significantly correlates with walking velocity in post-acute stroke patients’, Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine, 232(4), pp. 361–370. Available at: https://doi.org/10.1177/0954411918757814.
Kangeswari, P., Murali, K. and Arulappan, J. (2021) ‘Effectiveness of Isometric Exercise and Counseling on Level of Pain Among Patients With Knee Osteoarthritis’, SAGE Open Nursing, 7. Available at: https://doi.org/10.1177/2377960821993515.
Methios, G.S., Moe, R.H. and Kitas, G.D. (2020) ‘Exercise and inflammation’, Best practice & research clinical rheumatology, 1(July), pp. 1–23. Available at: https://doi.org/https://doi.org/10.1016/j.berh.2020.101504.
Parry, S.M. and Puthucheary, Z.A. (2015) ‘The impact of extended bed rest on the musculoskeletal system in the critical care environment’, Extreme Physiology and Medicine, 4(1), pp. 1–8. Available at: https://doi.org/10.1186/s13728-015-0036-7.
Shah, S. and Shinde, S. (2021) ‘Impact of physical activity on gouty arthritis: A systematic review’, D Y Patil Journal of Health Sciences, 9(4), p. 140. Available at: https://doi.org/10.4103/dypj.dypj_65_21.
Singh, J.A. and Gaffo, A. (2020) ‘Gout epidemiology and comorbidities’, in Seminars in arthritis and rheumatism. Elsevier, pp. S11–S16.
Sur, M. et al. (2023) ‘Effect of diet and physiotherapy for reducing gout associated symptoms’, (April). Available at: www.foodresearchjournal.com.
Vance, C.G.T. et al. (2022) ‘Using TENS for Pain Control: Update on the State of the Evidence’, Medicina (Lithuania), 58(10), pp. 1–27. Available at: https://doi.org/10.3390/medicina58101332.
Zhang, M. et al. (2022) ‘Anti-inflammatory activity of curcumin-loaded tetrahedral framework nucleic acids on acute gouty arthritis’, Bioactive materials, 8, pp. 368–380.
The use of the article will be governed by the Creative Commons Attribution license as currently displayed on Creative Commons Attribution 4.0 International License.
Author’s Warranties
The author warrants that the article is original, written by stated author(s), has not been published before, contains no unlawful statements, does not infringe the rights of others, is subject to copyright that is vested exclusively in the author and free of any third party rights, and that any necessary written permissions to quote from other sources have been obtained by the author(s).
User Rights
JFR's spirit is to disseminate articles published are as free as possible. Under the Creative Commons license, JFR permits users to copy, distribute, display, and perform the work. Users will also need to attribute authors and JFR on distributing works in the journal.
Rights of Authors
Authors retain all their rights to the published works, such as (but not limited to) the following rights;
- Copyright and other proprietary rights relating to the article, such as patent rights,
- The right to use the substance of the article in own future works, including lectures and books,
- The right to reproduce the article for own purposes,
- The right to self-archive the article
Co-Authorship
If the article was jointly prepared by other authors, any authors submitting the manuscript warrants that he/she has been authorized by all co-authors to be agreed on this copyright and license notice (agreement) on their behalf, and agrees to inform his/her co-authors of the terms of this policy. JFR will not be held liable for anything that may arise due to the author(s) internal dispute. JFR will only communicate with the corresponding author.
Miscellaneous
JFR will publish the article (or have it published) in the journal if the article’s editorial process is successfully completed. JFR's editors may modify the article to a style of punctuation, spelling, capitalization, referencing and usage that deems appropriate. The author acknowledges that the article may be published so that it will be publicly accessible and such access will be free of charge for the readers as mentioned in point 3.
