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Setianto, Catur
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Efektifitas Neuromuscular Taping (NMT) sebagai Terapi Non-Farmakologi pada Penderita Carpal Tunnel Syndrome di RS Saiful Anwar, Malang: Sebuah Laporan Kasus Setianto, Catur; Rahmy, Septy; Sudjatmoko, Azhar
Jurnal Klinik dan Riset Kesehatan Vol 1 No 1 (2021): Edisi Oktober
Publisher : RSUD Dr. Saiful Anwar Province of East Java

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1123.482 KB) | DOI: 10.11594/jk-risk.01.1.8

Abstract

Pendahuluan: Carpal Tunnel Syndrome (CTS) adalah lesi saraf tepi yang sering ditemui karena mekanisme non-trauma. Metode terapi CTS bermacam-macam yang tujuannya untuk mengurangi keluhan dan meningkatkan produktivitas pasien. Salah satu metode non-farmakologi yang bisa digunakan adalah dengan Neuromuscular Tapping (NMT). Tujuan dari laporan kasus ini adalah untuk mengetahui efektivitas penggunaan NMT sebagai terapi non-farmakologi pada pasien CTS yang sebelumnya telah mendapatkan terapi farmakologis, diukur dengan skala NRS (Numeric Pain Rating Scale) pada pasien. Ilustrasi Kasus: Wanita, 52 tahun, datang dengan keluhan kesemutan pada pergelangan tangan kanan dan kiri sejak 4 bulan dengan riwayat bekerja di pabrik rokok selama 10 tahun. Dari pemeriksaan fisik didapatkan nyeri pada pergelangan tangan kanan dan kiri dengan NRS 6-7, hipestesi pada jari 1, 2, 3, dan ½ jari 4 volar manus bilateral, pasien sudah mengkonsumsi obat anti nyeri dan nyeri membaik ketika mengkonsumsi obat namun akan kambuh kembali ketika tidak meminum obat. Pasien didiagnosa dengan Carpal Tunnel Syndrome bilateral (Rosenbaum level 2/ gejala persisten), pasien mendapat terapi farmakologis dengan pemberian NSAID (Nonsteroidal Anti-Inflammatory Drug) dan dilakukan injeksi kortikosteroid namun belum menunjukkan perbaikan nyeri yang kemudian pasien dilakukan NMT sebagai terapi non-farmakologi. Pembahasan: Hasil tindak lanjut pasien setelah menjalani terapi NMT, didapatkan perbaikan dari keluhan pasien yang terlihat dari perbaikan skor NRS pasien.
Profil Program Fisioterapi pada Pasien Stroke Berdasarkan NIHSS di Rawat Inap RSUD Dr. Saiful Anwar Malang pada Januari-Maret 2023 Izzati, Fatma; Setianto, Catur
Jurnal Klinik dan Riset Kesehatan Vol 4 No 2 (2025): Edisi Februari
Publisher : RSUD Dr. Saiful Anwar Province of East Java

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/jk-risk.04.2.3

Abstract

Pendahuluan: Stroke merupakan salah satu penyebab disabilitas tertinggi di dunia. Indonesia sudah memiliki pedoman rehabilitasi stroke, tetapi implementasi pedoman tersebut di rumah sakit di Indonesia jarang diteliti. Tujuan: Penelitian ini bertujuan mengetahui profil program fisioterapi pada pasien stroke pasca fase akut yang dirawat inap di RSUD Dr. Saiful Anwar Malang pada Januari-Maret 2023 berdasarkan National Institutes of Health Stroke Scale (NIHSS). Metode: Studi menggunakan metode deskriptif-kuantitatif. Data diambil dari rekam medis elektronik RSUD Dr. Saiful Anwar Malang pada Januari-Maret 2023. Hasil: Didapatkan 129 pasien stroke yang memenuhi kriteria inklusi, terdiri dari 56,6 % pria dan 43,4% wanita, dengan rentang usia terbanyak 51-60 tahun (34,88%). Tingkat keparahan stroke terbanyak adalah stroke berat (NIHSS 21-42) sebanyak 34,88%, kemudian stroke sedang (NIHSS 5-15) 31,01%, stroke sedang-berat (NIHSS 16-20) 19,38%, dan stroke ringan (NIHSS 1-4) 14,73%. Hampir semua pasien dalam semua tingkat keparahan mendapatkan program proper positioning, mobilisasi bertahap, dan terapi fisik dada (persentase terkecil 73,68% pada stroke ringan). Selain tiga intervensi tersebut, pada stroke ringan, intervensi rehabilitasi yang diberikan paling banyak adalah AAROM exercise (57,89%), pada stroke sedang adalah AROM exercise (62,5%), pada stroke sedang-berat adalah PROM exercise (72%), pada stroke berat adalah PROM exercise. Kesimpulan: Semua pasien stroke pada semua tingkat keparahan mendapatkan proper positioning, mobilisasi bertahap, dan rehabilitasi fisik dada, tetapi program fisioterapi motorik, sensorik, kognitif, dan lain-lain pada pasien berbeda tergantung tingkat keparahan.
Efektifitas Neuromuscular Taping (NMT) sebagai Terapi Non-Farmakologi pada Penderita Carpal Tunnel Syndrome di RS Saiful Anwar, Malang: Sebuah Laporan Kasus Setianto, Catur; Rahmy, Septy; Sudjatmoko, Azhar
Jurnal Klinik dan Riset Kesehatan Vol 1 No 1 (2021): Edisi Oktober
Publisher : RSUD Dr. Saiful Anwar Province of East Java

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/jk-risk.01.1.8

Abstract

Introduction: Carpal Tunnel Syndrome (CTS) is a peripheral nerve lesion that is often encountered due to non-traumatic mechanisms. There are various methods of CTS therapy to reduce complaints and increase patient productivity. One of the non-pharmacological methods that can be used is Neuromuscular Tapping (NMT). The purpose of this case report is to determine the effectiveness of using NMT as a non-pharmacological therapy in CTS patients who have previously received pharmacological therapy, measured by the NRS (Numeric Pain Rating Scale) in patients. Case Illustration: A 52-year-old woman came with complaints of tingling in the right and left wrists for four months with a history of working in cigarette factory for ten years. Physical examination revealed pain in the right and left wrists with NRS 6-7, hypesthesia in fingers 1, 2, 3, and ½ 4 of volar manus bilaterally; the patient has taken antiinflammatory drugs, and the pain improves when taking the drug but will relapse when not taking medication. The patient was diagnosed with Carpal Tunnel Syndrome bilateral (Rosenbaum level 2/ persistent symptoms); the patient received pharmacological therapy by administering NSAIDs (Nonsteroidal Anti-Inflammatory Drugs) and corticosteroid injections but did not show any improvement in pain, then the patient underwent NMT as non-pharmacology therapy. Discussion: In the results of the patient's follow-up after undergoing NMT therapy, there was an improvement in the patient's complaints, as seen from the improvement in the patient's NRS score.
Profil Program Fisioterapi pada Pasien Stroke Berdasarkan NIHSS di Rawat Inap RSUD Dr. Saiful Anwar Malang pada Januari-Maret 2023 Izzati, Fatma; Setianto, Catur
Jurnal Klinik dan Riset Kesehatan Vol 4 No 2 (2025): Edisi Februari
Publisher : RSUD Dr. Saiful Anwar Province of East Java

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/jk-risk.04.2.3

Abstract

Introduction: Stroke is one of the highest causes of disability in the world. Indonesia already has guidelines for stroke rehabilitation, but the implementation of these guidelines in hospitals in Indonesia is rarely studied. Purpose: This study aims to determine the profile of the physiotherapy program in post-acute phase stroke patients who are hospitalized at Dr. Saiful Anwar General Hospital Malang in January-March 2023 based on the National Institutes of Health Stroke Scale (NIHSS). Methods: The study was conducted using a descriptive-quantitative method. Data taken from the electronic medical records of Dr. Saiful Anwar Malang in January-March 2023. Results: There were 129 stroke patients who met the inclusion criteria consisting of 56.6% men and 43.4% women, with the most age range being 51-60 years (34.88%). The highest stroke severity was severe stroke (NIHSS 21-42) as much as 34.88%, then moderate stroke (NIHSS 5-15) as much as 31.01%, moderate-severe stroke (NIHSS 16-20) 19.38%, and mild stroke (NIHSS 1-4) 14.73%. Almost all patients in all levels of severity received proper positioning, gradual mobilization, and chest physical therapy (the smallest percentage was 73.68% in mild stroke). Apart from these three interventions, for mild stroke, the most rehabilitation intervention given was AAROM exercise (57.89%), for moderate stroke was AROM exercise (62.5%), for moderate-severe stroke was PROM exercise (72%) , in severe stroke is PROM exercise. Conclusion: All stroke patients at all severity levels receive proper positioning, gradual mobilization, and chest physical rehabilitation, but motor, sensory, cognitive, and other physioteherapy programs for patients differ depending on the severity.
Co-Authors Izzati, Fatma Rahmy, Septy Sudjatmoko, Azhar