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INDONESIA
Indonesian Journal of Health Science
Published by PT WIM Solusi Prima
ISSN : -     EISSN : 28091167     DOI : https://doi.org/10.54957/ijhs
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary
Indonesian Journal of Health Science is a place for disseminating research results in the field of health, including, but not limited to topics of public health, environmental health, occupational health, pharmacy, nutrition, epidemiology, medical laboratories, physiotherapy, or other general health.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 332 Documents
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Physiotherapy management in carpal tunnel syndrome cases using conservative therapy at UNS Hospital in 2025 Samudra, Mochamad Bagoes Nata; Wahyuni, Wahyuni; Rochmah, Yunita Nur
Indonesian Journal of Health Science Vol 6 No 1 (2026)
Publisher : PT WIM Solusi Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54957/ijhs.v6i1.2066

Abstract

Background: Carpal Tunnel Syndrome (CTS) is a median nerve compression neuropathy within the carpal tunnel characterized by pain, paresthesia, sensory disturbances, muscle weakness, and decreased hand function. This condition is commonly found in individuals with repetitive gripping activities and may significantly affect daily functional activities and quality of life. Conservative physiotherapy management is recommended as a first-line intervention for mild to moderate CTS before surgical treatment. Objective: This case report aims to evaluate the effectiveness of conservative physiotherapy management in a patient with Carpal Tunnel Syndrome at Universitas Sebelas Maret Hospital (RS UNS) in 2025. Methods: This study employed a case report design involving a 61-year-old male patient diagnosed with CTS. Physiotherapy assessment included pain evaluation using the Visual Analog Scale (VAS), range of motion measurement using a goniometer, muscle strength assessment with Manual Muscle Testing (MMT), Tinel test, and functional ability evaluation using the Wrist Hand Disability Index (WHDI). Physiotherapy diagnosis was established based on the International Classification of Functioning, Disability, and Health (ICF) framework. Conservative physiotherapy interventions consisted of infrared therapy, Transcutaneous Electrical Nerve Stimulation (TENS), ultrasound, massage, stretching exercises, and strengthening exercises. Data were analyzed descriptively. Results: Initial assessment revealed moderate pain, limited palmar flexion range of motion, decreased wrist muscle strength, sensory disturbances, and functional disability with a WHDI score of 30%, categorized as moderate disability. Following conservative physiotherapy intervention, the patient demonstrated clinical improvements including pain reduction, increased comfort during wrist movement, and enhanced hand functional ability. Conclusion: Multimodal conservative physiotherapy management was effective in reducing pain, improving wrist function, and enhancing activity and participation in a patient with Carpal Tunnel Syndrome. This approach represents a safe and evidence-based option for the initial management of CTS.
Nursing care for patients with spinal cord tumors in the Raudhah 5 room of DR. Zainoel Abidin General Hospital Banda Aceh Liana, Dinda Putri Septya; Kasih, Laras Cyntia
Indonesian Journal of Health Science Vol 6 No 1 (2026)
Publisher : PT WIM Solusi Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54957/ijhs.v6i1.2097

Abstract

Spinal medulla tumors tend to metastasize to the spine, so it is common for patients with these tumors to experience neurological problems such as paraplegia and muscle weakness. This final scientific paper aims to provide holistic nursing care using a nursing process approach for patients with spinal medulla tumors in Room Raudhah 5 at Dr. Zainoel Abidin General Hospital, Banda Aceh. The nursing process is divided into preoperative and postoperative stages. During the assessment phase, it was noted that the patient complained of lower back pain, inability to walk, and had not had a bowel movement for three days (preoperative), and later reported pain at the postoperative site with a pain scale of 7 on the NRS, along with a postoperative laminectomy wound, limited movement, and elevated leukocyte levels (postoperative). Nursing diagnoses included acute pain, disturbance of physical mobility, skin integrity issues, constipation, and risk of infection. Interventions involved deep breathing relaxation techniques, pain distraction through Quran recitation, finger hold technique, passive ROM exercises, a high-fiber diet, abdominal massage, and sterile wound care. In the evaluation stage, after four days of preoperative care and one day postoperative, it was found that issues such as acute pain, mobility disturbances, constipation, and skin integrity problems had been resolved. It is hoped that nurses can educate and train patients and families to independently perform interventions like pain management and passive ROM exercises at home, ensuring continuous care and supporting optimal recovery.

Page 34 of 34 | Total Record : 332

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