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All Journal SURABAYA PHYSICAL MEDICINE AND REHABILITATION JOURNAL
Noor, Syeda Tazkia
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Chemical Engineering, Chemistry & Bioengineering Health Professions Medicine & Pharmacology

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When a Massage Gone Wrong: Unveiling a Case of Post-Massage Brachial Plexopathy Anggi Gilang, Yudiansyah; Noor, Syeda Tazkia; Lestari, Dwi Indriani; Pringga, Gutama Arya
Surabaya Physical Medicine and Rehabilitation Journal Vol. 7 No. 1 (2025): SPMRJ, FEBRUARY 2025
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v7i1.56484

Abstract

The brachial plexopathy associated with massage therapy is rarely reported. This case report describes an uncommon case of brachial plexopathy that developed after a session of massage therapy and revealed past published reports of peripheral nerve injury following massage therapy. A 54-year-old Javanese woman developed sudden unilateral paralysis of her left shoulder girdle after a session of massage therapy. The massage session was stopped due to pain. She could not move her left shoulder immediately after 5 minutes of massage. There was hypoesthesia from shoulder to forearm, and there was decreased MMT of the left deltoid muscle. She regularly participated in a twice-weekly rehabilitation program targeting the left shoulder. It included NMES, laser therapy, PROM, strengthening exercises, and a home exercise program. A diagnosis of acute brachial plexopathy was suspected due to her recent history and the results of several examinations. She had a gradual recovery of strength, resolution of limitations of ROM, and sensory function in her shoulder. Rehabilitation programs have a major role in helping the patient do her functional activities. This case report presents as a reminder to massage therapists or physical therapists that massage therapy of the neck and shoulder should be carefully performed to avoid any injury. Further studies will help improve the safety procedures and effectiveness of massage therapy in the future.
Prolotherapy as a Novel Adjunct in Post-Stroke Pain Management: A Pilot Study at RSUD Dr. Saiful Anwar Malang Lestari, Dwi Indriani; Rahmad; Pringga, Gutama Arya; Pambayun, Sheilla Elfira San; Musthafa, Ferdian; Puspitasari, Yuan Laura; Ichsan; Noor, Syeda Tazkia; Zulfikar, Dilloniar Bahny; Ariani, Maydah
Surabaya Physical Medicine and Rehabilitation Journal Vol. 7 No. 2 (2025): SPMRJ, AUGUST 2025
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v7i2.65514

Abstract

Background: Post-stroke pain (PSP) and musculoskeletal complications significantly hinder recovery and quality of life in stroke survivors. Prolotherapy, a regenerative injection therapy, has shown promise in managing musculoskeletal disorders but remains underexplored for PSP. Aim(s): This study evaluates the effectiveness of prolotherapy in reducing pain, improving range of motion (ROM), and enhancing functional outcomes in PSP patients. Material and methods: This pilot study employed a pre-experimental design with pretest and posttest measurements. Conducted at RSUD Dr. Saiful Anwar Malang, the study included three stroke patients experiencing chronic musculoskeletal pain. Prolotherapy injections containing hypertonic dextrose were administered at regular intervals. Primary outcomes included pain (Numerical Rating Scale), ROM, and spasticity (Modified Ashworth Scale). Secondary outcomes were assessed using the Barthel Index, Short Form-36, and Fugl-Meyer Assessment. Statistical analyses were descriptive, with paired t-tests applied to outcome changes. Result: Significant improvements in pain levels (mean NRS reduction from 5.67±1.5 to 3.0±2.0) and ROM, particularly in shoulder flexion and wrist extension, were observed. Spasticity showed minor improvements in some muscle groups. Functional outcomes, including Barthel Index and SF-36 scores, demonstrated positive trends, with two participants improving from severe dependency to moderate independence. Conclusions: Prolotherapy shows promise as an adjunctive intervention for PSP, offering potential benefits in pain reduction and functional recovery. As the first study of its kind at RSUD Dr. Saiful Anwar Malang, it lays the groundwork for future large-scale research to validate these findings and refine clinical applications. Keywords: Stroke, Prolotherapy, Pain, Rehabilitation, post-stroke pain, functional performance
Co-Authors Anggi Gilang, Yudiansyah Ariani, Maydah Ichsan Lestari, Dwi Indriani Musthafa, Ferdian Pambayun, Sheilla Elfira San Pringga, Gutama Arya Puspitasari, Yuan Laura Rahmad Zulfikar, Dilloniar Bahny