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All Journal TRILOGI: Jurnal Ilmu Teknologi, Kesehatan, dan Humaniora
Rima Yunitasari
Universitas Widya Dharma
Humanities Computer Science & IT Engineering Public Health Other

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Penatalaksanaan Fisioterapi pada Kasus Carpal Tunnel Syndrome (CTS) di Rumah Sakit Tk. II dr. Soedjono Magelang Ii Masdayu Winakar; Rima Yunitasari; Zuyina Luklukaningsih
TRILOGI: Jurnal Ilmu Teknologi, Kesehatan, dan Humaniora Vol 7, No 2 (2026)
Publisher : Universitas Nurul Jadid

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33650/trilogi.v7i2.15709

Abstract

Background: Carpal Tunnel Syndrome (CTS) is a peripheral nerve disorder in the wrist caused by compression of the median nerve, which frequently affects adults and workers globally. The prevalence of CTS worldwide reaches around 5% in adults, with higher risk among women, and in Indonesia certain worker groups show relatively high risk, reaching 15%. Purpose: This study aims to describe physiotherapy management and clinical outcomes using Transcutaneous Electrical Nerve Stimulation (TENS), Ultrasound, and exercise therapy in CTS cases at dr. Soedjono Class II Hospital, Magelang. Methods: This case involved a 41‑year‑old female patient with bilateral CTS who received six physiotherapy sessions. The evaluation instruments included Visual Analogue Scale (VAS) for pain, goniometer for joint range of motion, Manual Muscle Test (MMT) for muscle strength, and Wrist Hand Disability Index (WHDI) for functional ability. Results: After six intervention sessions, changes in the form of decreased pain in all categories, resting pain T0=2 to T6=0, pressure pain T0=5 to T6=2, and motion pain T0=5–6 to T6=2. Joint range of motion increased in both wrists, the right wrist improved from T0=40°–0°–60° to T6=70°–0°–85° (sagittal) and T0=25°–0°–20° to T6=40°–0°–30° (frontal). The left wrist improved from T0=30°–0°–50° to T6=65°–0°–80° (sagittal) and T0=25°–0°–20° to T6=40°–0°–30° (frontal).  Muscle strength increased from T0=3 to T6=5 in almost all movements, except left dorsiflexion T6=4, and the WHDI score decreased frome 32 to 13, indicating reduced disability.
Penatalaksanaan Fisioterapi dengan IR, TENS, dan Latihan Pasca-ORIF Fraktur Tibia Distal di RS Soedjono Magelang Dwi Septiyaningsih; Rima Yunitasari; Zuyina Luklukaningsih
TRILOGI: Jurnal Ilmu Teknologi, Kesehatan, dan Humaniora Vol 7, No 2 (2026)
Publisher : Universitas Nurul Jadid

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33650/trilogi.v7i2.15708

Abstract

Background: ORIF is a surgical procedure involving internal fixation performed in fractures that cannot be healed manually or when a cast is unable to maintain the correct position of the bone fragments. After an ORIF procedure, patients will experience pain, swelling, limited mobility, and joint stiffness, so physiotherapy plays a crucial role in supporting the recovery process. Data show that of 111 fracture cases, 86 (77.5%) were treated with ORIF. Purpose of the Study: The purpose of this study was to determine and describe the physiotherapy management and clinical outcomes in cases of Post Orif Tibia 1/3 Distal with Infrared (IR), Transcutaneous Electrical Nerve Stimulation (TENS) and Exercise Therapy modalities at Dr. Soedjono Class II Hospital Magelang. Methods: This case study involved a 50-year-old male patient with a Post Orif Tibia 1/3 Distal case condition which was performed from December 2025 to January 2026 and. Results: The results of the study after 6 interventions showed a decrease in pressure pain from a scale of 4 to 2 and pain when moving from a scale of 6 to 2. Increased muscle strength in dorsiflexion movements from 4 to 5, plantar flexion movements from 4 to 5, and inversion movements from 4 to 5. Increased range of motion in the left ankle area in the sagittal plane from T0=12°-0°-20° to T6=20°-0°-35°, in the frontal plane T0=10°-0°-15° to T6=20°-0°-35° As well as an increase in functional activity T0=51,9% (moderate difficulty) to T6=80,7% (severe difficulties).
Co-Authors Dwi Septiyaningsih Ii Masdayu Winakar Zuyina Luklukaningsih