Journal of International Public Health
Vol 4 No 3 (2026): June

Physiotherapy Management in Dupuytren's Contracture and Post-Burn Injury with TENS, Ultrasound, Scar Massage, and Exercise Modalities: A Case Study

Ribka Vlorentyna Wilger (Universitas Muhammadiyah Surakarta)
Arin Supriyadi (Universitas Muhammadiyah Surakarta)
Nilam Nur Hamidah (RSUP Prof. I. G. N. G. Ngoerah Bali)



Article Info

Publish Date
30 Jun 2026

Abstract

Intoduction: Dupuytren’s Contracture et causa post burn injury is a condition characterized by fibrosis and contracture of the palmar fascia following burn trauma which causes pain, limited joint range of motion, decreased muscle strength, impaired skin integrity, and reduced functional activity. Objective: to determine the effectiveness of physiotherapy management using Transcutaneous Electrical Nerve Stimulation (TENS), ultrasound, scar massage, and exercise in patients with Dupuytren’s Contracture et causa post burn injury. Methods: the research method used a case study conducted on one 56 year old male patient diagnosed with Dupuytren’s Contracture et causa post burn injury. The measurement tools used included the Numeric Rating Scale (NRS) for pain assessment, goniometer for measuring joint range of motion, Manual Muscle Testing (MMT) for muscle strength, Vancouver Scar Scale (VSS) for scar evaluation, SWEAT for skin integrity assessment, and Wrist and Hand Disability Index (WHDI) for evaluating functional ability. Results and Discussion: after three sessions of physiotherapy intervention, the patient showed decreased pain intensity, increased joint range of motion, improved skin sensitivity, and slight improvement in functional activity, although muscle strength and scar characteristics showed no significant changes. Conclusion: physiotherapy interventions consisting of TENS, ultrasound, scar massage, and exercise were effective in reducing pain and improving functional ability in cases of Dupuytren’s Contracture et causa post burn injury

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Journal Info

Abbrev

jiph

Publisher

Subject

Public Health

Description

Journal of International Public Health [E-ISSN 2985-4156 | DOI https://doi.org/10.37676/jiph] published by the Dehasen University Bengkulu Public Health Masters Study Program. JIPH publishes articles based on research or equivalent to the results of research in the field of public health or other ...