Biomekanik Dan Kinesiogi Angkle

8/17/2019 Biomekanik Dan Kinesiogi Angkle

1/23


2/23

Penganta$Ankle and Foot% Distal ekt$emitas &a'a(

% Be$)*ngsi se&agai% Sta&ili+ato$

% Pengge$ak


3/23

Osteologi T*lang ,em&ent*k kaki adala( s&& -% Os tal*s ,aling atas

% Os .al.ane*s/ ,aling &elakang

% Os na0i.*la$is/ medial

% Os .*&oide*s/ late$al

% Ossa .*nei)o$me late$al middle medial/

% Ossa metata$salia 2 &*a( dan

% Ossa ,alangea 13 &*a(4


4/23

Anatom5 ankle 6oint


5/23

Osteokinematika Te$di$i atas% Distal TibioFibular joint /

% Ankle joint / Talo7$*$al 6oint/

% SubTalar 8 Talo .al.aneal 6oint,

% Inter Tarsal joint /

% Tarso Metatarsal joint /

% Metatarso Phalangeal joint /

% Proximal- dan Distal- Interphalangeal joints4


6/23

Anatomi U,,e$ Ankle

Joint


7/23

S*& BagianFore foot-% ossa metata$salia dan ossa ,(alangea4

Mid foot -%

os na0i.*la$is/ os .*&oid dan ossa .*nei)o$me Rear foot-

% os tal*s dan .al.ane*s49S*&tala$ 6oint/ Talo .al.aneal 6oint:


8/23

F*ngsi *tama ankle and

)ootMem&ent*k dasa$ penyangga

Be$)*ngsi se&agai peredam ke6*t

Be$)*ngsi se&agai penyesuai mo&ilitas

Mem&ent*k pengungkit kak*


9/23

DISTAL

TIBIOFFIBULAR JOIT St$*kt*$ sendi% Jenis Sindesmosis 6oint dg4 sat* ke&e&asan ge$ak ke.il/

mem&*ka dan men*t*, ga$,*4

% Di,e$k*at ante$io$ dan ,oste$io$ ti&io;&*la$ ligament dan

inte$osse*m mem&$ane8lig4

A$t($okinemati. dan osteokinemati.% Ge$ak gese$ 9t$anslation < slide: dalam &idang sagital sangat

ke.il dan ge$ak ang*lasi dalam &idang )$ontal s&g mem&*kadan men*t*, ga$,*


10/23

A!L" JOIT #TALO $RURAL JOIT%

Struktur sendi

Me$*,akan (inge 6oint 9engsel: 5g di&ent*k ole(% .$*$is 9ti&ia = ;&*la: dan os tal*s4

% Di,e$k*at ole( -

% ligamenta ti&io ;&*la$ lig sisi s*,e$io$> ,oste$io$/ in)e$io$/ ante$io$/

% Ti&iotala$ lig ,oste$io$/ in)e$io$ dan ante$io$ Talo;&*la$ lig4

A$t($okinemati. dan osteokinemati.% Ge$akan (an5a Planta$ ?e@ion dengan ROM - 3" 2"" (a$d end )eel

% Do$sal ?e@ion4ROM - !" "" elasti. end )eel4

% T$a.tion te$(ada, tal*s selal* kea$a( distal4

T$anslation% Ge$ak do$sal ?e@ion kea$a( ,oste$io$ dan ,lenta$ ?e@ion kea$a(

ante$io$4


11/23

SUB TALAR JOIT#TALO $AL$A"AL JOIT%

Struktur sendi% Me$*,akan sendi 6enis ,lan 6oint 9l*n.*$:

% Di&ent*k ole( Tal*s dan 7al.ane*s &ones4

% Di,e$k*at ole( ligamenta Talo.al.aneal lig4

A$t($okinemati. dan osteokinemati. -

Ge$akan 5ang te$6adi% A&d*.tion 90alg*s:

% add*.tion 90a$*s:

% end )eel Ked*an5a (a$d end )eel4


12/23

IT"R TARSAL JOIT

TaloCalcaneo navicular joint % Memiliki .ek*ngan ,e$m*kaan sendi 5ang kom,leks/ te$mas*k 6enis sendi ,lan 6oint4

% Di,e$k*at ole( lig

% Planta$ 7al.aneona0i.*la$ ligCalcaneocuboid joint

% Me$*,akan ,lan 6oint 9*n.*$:> Be$sama alona0i.*la$ismem&ent*k t$an0e$se ta$sal 9mid ta$sal: 6oint 4

% Di,e$k*at% lig S,$ing lig

% Do$sal talo na0i.*la$ lig

% Bi)*$.at*m lig

% 7al.aneo .*&oid lig

% Planta$ .al.aneo.*&oid lig4


13/23

IT"R TARSAL JOIT Cuneo navicular joints% Ca0i.*la$ &e$sendi dg .*nei)o$me I/ II/ III > &e$&ent*k konka)4

% 7*nei)o$ms &ag4 ,lanta$ &e$*k*$an le&i( ke.il/ &e$sama .*&oid mem&ent*kt$an0e$se a$.4

% Ge$ak *tama ,lanta$do$sal ?e@ion4 Saat ,lanta$ ?e@ion te$6adi ge$ak l*n.*$

.*nei)o$m ke,lanta$4

Cuboideocuneonavicular joints% 7*nei)o$m III.*&oid s&g sendi *tama/ &e$*,a ,lan 6oint4

% Ge$ak te$,enting - In0e$sion dan e0e$sion4

% Saat in0e$sion .*&oid t$anslation ke ,lanta$ medial te$(ada, .*nei)o$me III

Intercuneiforms joints

% Be$sama na0i.*la$ mem&ent*k t$an0e$se a$./ saat ,$onations*,ination ata*e0e$sionin0e$sion te$6adi ,eng*$angan,enam&a(an a$.4

A$t($okinematikan5a &e$*,a Ge$ak t$anslasion anta$ os ta$sal sat*te$(ada, lainn5a4


14/23

TARSO M"TATARSAL

JOIT #TMT% 7*nei)o$ms IIIIII &e$sendi dg metata$sal IIIIII/

7*&oid &e$sendi dg metata$sal I4

Metata$sal II ke ,$o@imal se(ingga &e$sendi 6*ga dengan .*nei)o$me Idan III/ se(ingga sendi ini ,aling sta&il dan ge$akann5a sangat ke.il4

Ge$akan TMT 6oint -% ,lanta$ dan do$sal ?e@ion4

% ,lanta$ ?e@ion te$6adi ,eningkatan a$.*s

MT I gerak ro&& s&ide ke p&antar&atera&

MT IIII $oll slide ke 0ent$omedial

A$t($okinematikn5a &e$*,a

T$aksi Ge$ak MT ke distal4


15/23

M"TATARSO '(ALA)"AL JOIT #MT'%

Distal metata$sal% Be$&ent*k .on0e@ dan &asis ,(alangeal &e$&ent*k .on.a0e

% Mem&ent*k sendi o0oid(inge

% Ge$ak- ?e@ion e@tension dan a&d*.tion add*.tion4

MPP < E@tension 11"

7PP < F*ll E@tension

Ge$ak t$anslation sea$a( ge$ak ang*la$

T$a.tion selal* kea$a( distal sea$a( s*m&* longit*dinal,(alang4


16/23

'RO*IMAL AD DISTALIT"R'(ALA)"AL JOIT #'I' + DI'%

ead o) 97a,*t: ,$o@imal ,(alang &e$&ent*k .on0e@ dan&asis distal ,(alangeal &e$&ent*k .on.a0e mem&ent*ksendi (inge4

Ge$ak ?e@ion e@tensionMPP < Fle@ion 1""

7PP < F*ll E@tension

Ge$ak t$anslation sea$a( ge$ak ang*la$

T$a.tion selal* kea$a( distal sea$a( a@is longit*dinal,(alang


17/23

AALISIS )"RA! A!L" AD FOOT

PASSIE PACTAR FEIOC% Posisi te$lentang-

% Pegangan ,ada os tal*s dan os .al.ane*s/ ge$ak do$ongan os .al.ane*s

kea$a( ,lanta$ ?e@ion4% ROM - 43"2" "

% Elasti. (a$de$ end )eel4

PASSIE DORSA FEIOC% Posisi te$lentang -

% Pegangan ,ada os tal*s dan os .al.ane*s/ ge$ak do$ongan os .al.ane*s

kea$a( do$sal ?e@ion4 Ata* ;ksasi ,ada .$*$is/ tal*s dita$ik ke distal&e$samaan mendo$ong tela,ak kaki kea$a( do$sal ?e@ion4

% ROM -12!" "

% a$d end )eel


18/23


PASSIE ABDU7TIOC 9AGUS: TAO 7A7ACEA JOICT% Posisi te$lentang/ ;ksasi ,ada os tal*s4

% 7al.ane*s dido$ong kea$a( late$al

% ROM -2 "

% Elasti. (a$de$ end )eel

PASSIE ADDU7TIOC 9ARUS: TAO 7A7ACEA JOICT% Posisi te$lentang/ ;ksasi ,ada os tal*s-

% 7al.ane*s dido$ong kea$a( medial4

% ROM -2"



19/23


PASSIE MID TARSA JOICT PROCATIOC% Posisdi te$lentang/ ;ksasi ,ada os tal*s4 Ge$akan os ta$salia

kea$a( ,$onasi4

% ROM -2 "


PASSIE SUPICATIOC4% Posisi te$lentang / ;ksasi ,ada os tal*s4 Ge$akan os ta$salia

kea$a( s*,inasi4

% ROM -2 "



20/23


PASSIE TMT JOICT FEIOC% Posisi te$lentang / ;ksasi ,ada ossa ta$salia4 Ge$akan ossa

metata$salia kea$a( ?e@ion


PASSIE TMT JOICT ETECSIOC% Posisi te$lentang / ;ksasi ,ada ossa ta$salia4 Ge$akan ossa

metata$salia kea$a( e@tensi



21/23

AALISIS )"RA! A!L" ADFOOT

PASSIE MTP JOICT FEIOC% Posisi te$lentang/ ;ksasi ,ada ossa metata$salia4 Ge$akan

ossa ,(alangea kea$a( ?e@ion

% Elasti. end )eel

PASSIE MTP JOICT ETECSIOC% Posisi te$lentang / ;ksasi ,ada ossa metata$salia4 Ge$akan

ossa ,(alangea kea$a( e@tension

% Elasti. end )eel


22/23


PASSIE ETECSIOC PIP DAC DIP I 4% Posisi te$lentang / ;ksasi ossa ,(alangea ,$o@imal4 Ge$akan

ossa ,(alangea distal kea$a( e@tension

% Elasti. end )eel

PASSIE FEIOC PIP DAC DIP I % Posisi te$lentang/ ;ksasi ossa ,(alangea ,$o@imal4 Ge$akan

ossa ,(alangea distal kea$a( ?e@ion

% Elasti. end )eel


23/23

Sekian Te$ima Kasi(

Biomekanik Dan Kinesiogi Angkle

Documents

Transcript of Biomekanik Dan Kinesiogi Angkle