PENATALAKSANAAN FISIOTERAPI PADA KASUS CARPAL TUNNEL SYNDROME DI KLINIK FISIOTERAPI SURABAYA: CASE REPORT
DOI:
https://doi.org/10.53625/jirk.v3i1.5862Keywords:
Carpal Tunnel Syndrome, Ultrasound, Transcutaneus Elecktrical Nerve Stimulation, Nerve Gliding ExerciseAbstract
Background: Carpal Tunnel Syndrome is a neuropathic pressure on the median nerve in the carpal tunnel at the wrist, precisely under the flexor retinaculum. Sensory and motor disturbances occur in the palm, phalanges I, II, III and medial phalange IV. Objective: To know the implementation of physiotherapy to reduce pain, tingling and numbness in cases of Left Carpal Tunnel Syndrome with Ultrasound, TENS and Nerve Gliding Exercise modalities. Methods: The study used the Case Report method conducted at the Surabaya Physiotherapy Clinic in a 55-year-old female patient diagnosed with Carpal Tunnel Syndrome Sinistra physiotherapy with complaints of pain in the left wrist that radiated to the 3rd and 4th fingers. The patient was given intervention in the form of Ultrasound, TENS, and Nerve Gliding Exercise which is carried out 1 week 2 times. Results: Physiotherapy modalities in the form of Ultrasound, TENS, and Nerve Gliding Exercise are able to reduce pain, numbness and numbness, increase joint scope and can restore functional activity. Conclusion: Based on this study using Case Reports, it shows that physiotherapy management using the Ultrasound, TENS, and Nerve Gliding Exercise methods in cases of Carpal Tunnel Syndrome Sinistra as a whole resulted in an increase.
References
Abdul Qudus & Shopia Ma’rifa Arofy. 2021. Pengaruh Terapi Ultrasound Terhadap Nyeri Pada Pasien Carpal Tunnel Syndrome Di Rsud Kesehatan Kerja Rancaekek 261(1): 53–57. Politeknik Piksi Ganesha
Andayani, Ni Luh Nopi, Ari Wibawa, and Made Hendra Satria Nugraha. 2020. Effective Ultrasound and Neural Mobilization Combinations in Reducing Hand Disabilities in Carpal Tunnel Syndrome Patients. Jurnal Keperawatan Indonesia 23(2): 93–101.
Ballestero-pérez, R., Plaza-manzano, G., Urraca-gesto, A. 2016. Effectiveness of nerve gliding exercises on carpal tunnel syndrome: a systematic review. J manipulative Physiol Ther, 1-9. https://doi.org/10.1016/j.jmpt.2016.10.004
Chung, KC., Claphman, PJ., dan Ono, S. 2010. Optimal Management Of Carpal Tunnel syndrome. International Journal of General Medicine. Vol 3. Page 255–261.
Ibrahim, l, Khan, W. S, Goddard, N, & Smith, P. 2012. Carpal Tunnel Syndrome: A Review the Recent Literature. Open Orthop J, 6: 69-76.
Preston, David C, Barbara E. 2013. Electromyography and Neuromuscular Disroder. Clinical-Electrophysiologic 3rd edition. Esiveier Inc. China
Putri, Pertiwi Permata. 2019. Nerve And Tendon Gliding Exercise Sebagai IntervensiNonmedikamentosa Pada Carpal Tunnel Syndrome. Essence of Scientific Medical Journal (2019), Volume 17, Number 2:34-39 P-ISSN.1979-0147, E- ISSN. 2655- 6472
Saerang, Daniel. Mieke, kembuan. Winifred, Karema. 2015. Insiden Carpal Tunnel Syndrome Berdasarkan Anamnesis Pada Karyawan Bankdi Kota Bitung Sulawesi Utara. Jurnal e-Clinic, Vol 3, nomor 1.
Sim, S. E., Gunasagaran, J., Goh, K. J., & Ahmad, T. S. (2018). Short-term clinical outcome of orthosis alone vs combination of orthosis, nerve, and tendon gliding exercises and ultrasound therapy for treatment of carpal tunnel syndrome. Journal of Hand Therapy, 3–7. https://doi.org/10.1016/j.jht.2018.01.004
Tana, L., Halim, F. X. S., Delima., Ryadina, W. (2004). Carpal tunnel syndrome pada pekerja garmen di Jakarta. Bul Peneliti Kesehatan. 32(2):73-82.
Wiesler, Ethan R et al. 2020. “Ultrasound and Carpal Tunnel Syndrome.” Journal of Hand Surgery 31(5): 726–32
