PENGARUH PEMBERIAN TENDON GLIDING EXERCISE PADA KASUS CARPAL TUNNEL SYNDROME (CTS) : CASE REPORTS
DOI:
https://doi.org/10.30787/phyjou.v2i2.846Keywords:
CTS, Tendon Gliding ExerciseAbstract
Efek kumulatif dari pekerjaan menjadi indikator kesehatan di kemudian hari pada proses penuaan, pada usia tua memiliki kecenderungan secara signifikan untuk mempengaruhi beberapa karakteristik dari saraf perifer. Nyeri dan paresthesia pada carpal tunnel muncul sebagai akibat dari iskemia saraf dikarenakan padatnya struktur pada carpal tunnel yang berisi jalan untuk 8 digital flexor tendon (2 masing masing untuk 4 jari medial), tendon flexor policic longus untuk ibu jari, selubung synovial, median nerve ditambah dengan keadaan yang dapat dapat meningkatkan volume struktur di dalamnya akan menyebabkan kompresi pada nerve medianus. Penatalaksaan fisoterapi yang diberikan ialah tendon gliding exercise, setelah dilakukan latihan selama tiga kali didapatkan hasil bahwa nyeri diam pada T0:2 menjadi T3:1, nyeri tekan T0:4 menjadi T3:2 dan nyeri gerak T0:7 menjadi T3:4. Derajad paresthesia pada saat diam T0 hingga T3:1, paresthesia saat ditekan T0:3 menjadi T3:2, paresthesia saat bergerak T0:4 menjadi T3:2. Pemberian Tendon Gliding Exercise pada Carpal Tunnel Syndrome (CTS) dapat menurunkan nyeri dan paresthesia.ÂReferences
Abdolrazaghi, H. A., Khansari, M., Mirshahi, M., & Ahmadi Pishkuhi, M. (2021). Effectiveness of Tendon and Nerve Gliding Exercises in the Treatment of Patients With Mild Idiopathic Carpal Tunnel Syndrome: A Randomized Controlled Trial. Hand. https://doi.org/10.1177/15589447211006857
Alessia Genova, Oliva Dix, Asam Saefan, Mala Thakur, A. H. (2020). Carpal tunnel syndrome: a review of the literature. Dental Hygiene, 62(7), 316–320. https://doi.org/10.7759/cureus.7333
Bartkowiak, Z., Eliks, M., Zgorzalewicz-Stachowiak, M., & Romanowski, L. (2019). The effects of nerve and tendon gliding exercises combined with low-level laser or ultrasound therapy in carpal tunnel syndrome. Indian Journal of Orthopaedics, 53(2), 347–352. https://doi.org/10.4103/ortho.IJOrtho_45_17
Duffy, R. D., Prieto, C. G., Kim, H. J., Raque-Bogdan, T. L., & Duffy, N. O. (2021). Decent work and physical health: A multi-wave investigation. Journal of Vocational Behavior, 127(September 2020), 103544. https://doi.org/10.1016/j.jvb.2021.103544
Feng, B., Chen, K., Zhu, X., Ip, W. Y., Andersen, L. L., Page, P., & Wang, Y. (2021). Prevalence and risk factors of self-reported wrist and hand symptoms and clinically confirmed carpal tunnel syndrome among office workers in China: a cross-sectional study. BMC Public Health, 21(1). https://doi.org/10.1186/s12889-020-10137-1
Harris-Adamson, C., Eisen, E. A., Kapellusch, J., Garg, A., Hegmann, K. T., Thiese, M. S., Dale, A. M., Evanoff, B., Burt, S., Bao, S., Silverstein, B., Merlino, L., Gerr, F., & Rempel, D. (2015). Biomechanical risk factors for carpal tunnel syndrome: A pooled study of 2474 workers. Occupational and Environmental Medicine, 72(1), 33–41. https://doi.org/10.1136/oemed-2014-102378
Horng, Y. S., Hsieh, S. F., Tu, Y. K., Lin, M. C., Horng, Y. S., & Wang, J. Der. (2011). The comparative effectiveness of tendon and nerve gliding exercises in patients with carpal tunnel syndrome: A randomized trial. American Journal of Physical Medicine and Rehabilitation, 90(6), 435–442. https://doi.org/10.1097/PHM.0b013e318214eaaf
International Labour Office. Programme on Safety and Health at Work and the Environment. (2013). The prevention of occupational diseases : World Day for safety and health at work, 28 April 2013. ILO.
Ko, Y. S., Yang, H.-J., Park, S. B., Son, Y.-J., Kim, K. M., Lee, S. H., & Chung, Y. S. (2018). Carpal Tunnel Syndrome in Elderly Patients. The Nerve, 4(2), 27–31. https://doi.org/10.21129/nerve.2018.4.2.27
Lewis, K. J., Coppieters, M. W., Ross, L., Hughes, I., Vicenzino, B., & Schmid, A. B. (2020). Group education, night splinting and home exercises reduce conversion to surgery for carpal tunnel syndrome: a multicentre randomised trial. Journal of Physiotherapy, 66(2), 97–104. https://doi.org/10.1016/j.jphys.2020.03.007
Liu, C. T., Liu, D. H., Chen, C. J., Wang, Y. W., Wu, P. S., & Horng, Y. S. (2021). Effects of wrist extension on median nerve and flexor tendon excursions in patients with carpal tunnel syndrome: a case control study. BMC Musculoskeletal Disorders, 22(1). https://doi.org/10.1186/s12891-021-04349-8
Newington, L., Harris, E. C., & Walker-Bone, K. (2015). Carpal tunnel syndrome and work. In Best Practice and Research: Clinical Rheumatology (Vol. 29, Issue 3, pp. 440–453). Bailliere Tindall Ltd. https://doi.org/10.1016/j.berh.2015.04.026
Padua, L., Coraci, D., Erra, C., Pazzaglia, C., Paolasso, I., Loreti, C., Caliandro, P., & Hobson-Webb, L. D. (2016). Carpal tunnel syndrome: clinical features, diagnosis, and management. In The Lancet Neurology (Vol. 15, Issue 12, pp. 1273–1284). Lancet Publishing Group. https://doi.org/10.1016/S1474-4422(16)30231-9
Rafique, R. M., Khan, F. F., & Singh, S. K. (2020). comparative study of tendon and nerve gliding exercises versus kinesiotaping for carpel tunnel syndrome. International Journal of Physiotherapy and Research, 8(1), 3366–3371. https://doi.org/10.16965/ijpr.2019.204
Roghani, R. S., Hashemi, S. E., Holisaz, M. T., Gohari, F., Delbari, A., & Lokk, J. (2018). The diagnostic accuracy of median nerve ultrasonography in elderly patients with carpal tunnel syndrome: Sensitivity and specificity assessment. Clinical Interventions in Aging, 13, 1953–1962. https://doi.org/10.2147/CIA.S177307
Santoni, G., Angleman, S., Welmer, A. K., Mangialasche, F., Marengoni, A., & Fratiglioni, L. (2015). Age-related variation in health status after age 60. PLoS ONE, 10(3), 1–10. https://doi.org/10.1371/journal.pone.0120077
Sekarsari, D., Pratiwi, A. D., Farzan, A., Kesehatan, F., Universitas, M., & Oleo, H. (n.d.). hubungan lama kerja, gerakan repetitif dan postur janggal pada tangan dengan keluhan carpal tunnel syndrome (cts) pada pekerja pemecah batu di kecamatan moramo utara kabupaten konawe selatan tahun 2016.
Staudinger, U. M., Finkelstein, R., Calvo, E., & Sivaramakrishnan, K. (2016). A global view on the effects of work on health in later life. Gerontologist, 56, S281–S292. https://doi.org/10.1093/geront/gnw032
Wade, R. G., Wormald, J. C. R., & Figus, A. (2018). Absorbable versus non-absorbable sutures for skin closure after carpal tunnel decompression surgery. Cochrane Database of Systematic Reviews, 2018(2). https://doi.org/10.1002/14651858.CD011757.pub2
Zanjani, S., Tol, A., Mohebbi, B., Sadeghi, R., Jalyani, K. N., & Moradi, A. (2015). Determinants of healthy lifestyle and its related factors among elderly people. Journal of Education and Health Promotion, 4(1), 103. https://doi.org/10.4103/2277-9531.171817
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