Abstract
Background: Chronic hip, knee, and ankle injuries are very common issues in the whole world. Musculoskeletal disorder hampers the development in several sectors including training and athletes' performance. Social, industrial, economic, and education declines are often caused by poor muscular-articular problems. This research aims to reveal the effectiveness of combine massage and physiotherapeutic exercises in: (1) the treatment of chronic hips, knee and ankle injuries; (2) improving and increasing the low limb strength and flexibility; (3) reducing the chronic pain of degenerative diseases; (4) improving the physical and mental wellbeing of human body; (5) increasing motor or sensory function; (6) increasing athlete's performance. This research is quasi-experimental with: quantitative approach. The sample of this study was 15 patients with chronic hips, knee and ankle injuries, taken by purposive sampling technique. The data were collected using measurement and treatment with combine massage and physiotherapeutic exercise. Data were analyzed using the descriptive statistics, independent sample t-test, paired sample t-test, and correlation among items using SPSS Amos.23. The result showed that there is a significant difference between pre-test-posttest strength measurement with P value (0.003<0.05). A significant difference between pre and posttest of all kinds of movement flexibilities is with the P value < 0.05. There is a strong correlation between combine massage and physiotherapeutic to the chronic knee, knee, and ankle with r>0.5. In conclusion, massage and physiotherapeutic exercise were found to be a vital part to improve human body health and it can be used by everybody.
Highlights
Chronic hips, knee, and ankle instability are very common issues in the whole world
Knee, and ankle instability are very common issues in the whole world. This common problem takes origin from many sources: first daily activities such as sports for athletes and coaches, second degenerative disease, and it is noted that the aging is the one of factors which causes the chronic hips, knee, and ankle instability
The unbalance between input and output has a high average in causing the later problem [1], in time-honored work or expert associated with posture and long-time taken at some point of working are several reasons of persistent hips, knee, and ankle instability [2]
Summary
Knee, and ankle instability are very common issues in the whole world. With sampling 1449 workers participated in the study, 64% had been youthful workers (45 years old, M 50.3), The outcomes of the find out about confirmed that even though in the each groups, i.e., younger and growing older workers, the occurrence and depth of ache in decrease lower back muscle mass two have been a full-size component which decreased work ability intensity, in growing older workers only the occurrence of pain in the lower again generated greater risk elements for reduced work potential (WAI < 37) [10] Musculoskeletal issues (MSDs) are a significant and increasing occupational health issues in the workplace worldwide. An early sports chronic injury can hinder physical activity for the rest of life and can affect attitudes toward sport and physical activity It can make severe the physical condition and psychological, so the wellbeing of human body will considerably decrease. The control of intrinsic and extrinsic factors associated with work and generative injuries have to be suggested because the chronic injury rate and the demands of the daily activities (sports, work... etc.,) are high, a rehabilitation program should include massage, exercises therapy that will train the participant as a whole and reduce the pain of further injury, increase flexibility and strength
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