Tesis

Hubungan Derajat Tendinopati Achilles berdasarkan Temuan Strain Elastography dengan Faktor-faktor Terkait pada Pelari Rekreasional = Relation between Grade of Achilles Tendinopathy Based on Strain Elastography Findings with Related Factors on Recreational Runner.

Latar belakang dan tujuan: Tendinopati Achilles merupakan kejadian yang paling sering berhubungan dengan aktivitas lari dan bersifat multifaktorial. Meskipun demikian prevalensi tendinopati Achilles pada populasi orang Indonesia beserta faktor-faktor yang berpengaruh masih belum diketahui pasti. Strain elastography dapat digunakan sebagai modalitas untuk mendeteksi lebih awal terjadinya tendinopati Achilles dibandingkan ultrasonografi konvensional. Faktor-faktor intrinsik dan ekstrinsik tendinopati Achilles pada pelari rekreasional perlu diketahui untuk menentukan pendekatan intervensi agar dapat mengurangi risiko kejadian tendinopati Achilles. Metode: Studi potong lintang dilakukan di Departemen Radiologi Rumah Sakit Cipto Mangunkusomo Jakarta dengan memakai data primer pemeriksaan strain elastography tendon Achilles dan kuesioner faktor risiko tendinopati Achilles. Hasil: Dari 95 subyek penelitian dengan rentang usia 20-40 tahun didapatkan tendinopati Achilles pada strain elastography berjumlah 85 (89,5%). Terdapat hubungan bermakna antara faktor intrinsik jenis kelamin (p=0,016) dan faktor ekstrinsik training errors (p=0,001) dengan kejadian tendinopati Achilles. Pada kedua teknik strain elastography dan USG konvensional didapatkan nilai Kappa sebesar 0,07. Simpulan: Faktor intrinsik jenis kelamin dan faktor ekstrinsik training errors berkontribusi terhadap derajat beratnya tendinopati Achilles sementara faktor lainnya tidak memiliki hubungan.
Kata kunci: tendinopati Achilles, faktor risiko, ultrasonografi konvensional, strain elastography


Background and purpose: Achilles tendinopathy is the most common occurrence associated with running activities with multifactorial causes. However, the prevalence of Achilles tendinopathy in Indonesian population and risk factors remains uncertain. Strain elastography can be used as a modality for early detection of Achilles tendinopathy compared with conventional ultrasound. Factors associated with Achilles tendinopathy in a recreational runner need to be known to determine an approach in order to reduce the risk of Achilles tendinopathy. Methods: A cross-sectional study was performed in a group of recreational runner at the Department of Radiology, Cipto Mangunkusumo Hospital in Jakarta using strain elastography of Achilles tendon and the Achilles tendinopathy risk factor questionnaire. Results: We have recruited 95 recreational runners with age range of 20-40 years, in which 85 (89,5%) of the subjects were Achilles tendinopaty according to the strain elastography finding. There was a significant correlation between intrinsic factor of gender (p=0.016) and extrinsic factor of training errors (p=0.001) with incidence of Achilles tendinopathy. In both, conventional ultrasound and strain elastography showed Kappa value of 0.07. Conclusions: Intrinsic factor of gender and extrinsic factor of training errors being contributing factor to the severity of Achilles tendinopathy while other factors had no relation.
Key words: Achilles tendinopathy, risk factor, conventional ultrasound, strain elastography