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: One of the most common forms of entrapment neuropathy is Carpal Tunnel Syndrome (CTS). There are various treatment options for CTS. However, there are no clear and structured guidelines. This review classified the existing treatments and developed an algorithm to help physicians to choose the best option for their patients. Treatment options were...
Citations
... penerapan tendon gliding exercise termasuk metode konservatif yang dirancang untuk membantu meregangkan tendon dan saraf di pergelangan tangan. Teknik ini bertujuan untuk mengurangi adhesi atau perlekatan yang tidak diinginkan di dalam jaringan, serta mengurangi rasa sakit (Nazarieh et al., 2020). Sqeeze & open dalam hal ini bertujuan untuk meningkatkan keseimbangan antara otot-otot tangan dan meningkatkan kekuatan, keseimbangan dan aliran darah ke tangan dan pergelangan tangan (Unver and Akyolcu, 2018). ...
Individu yang rutin bekerja di depan komputer dan menghabiskan berjam-jam dengan penggunaan mouse yang tidak tepat berisiko mengembangkan Gangguan Muskuloskeletal (MSDs). MSDs adalah kelompok kondisi kesehatan yang mempengaruhi otot, tendon, dan saraf. Carpal Tunnel Syndrome (CTS) adalah contoh gangguan MSDs yang sering terjadi, khususnya di antara pekerja kantoran. CTS disebabkan oleh kompresi saraf median yang melintasi terowongan karpal di pergelangan tangan, yang bisa menyebabkan rasa sakit, kesemutan, dan kelemahan di tangan. Tujuan dari penyuluhan ini adalah untuk meningkatkan kesadaran dan pemahaman pekerja mengenai carpal tunnel syndrome dan latihan fisioterapi yang dapat dilakukan sendiri untuk mengatasinya. Metode penyuluhan meliputi edukasi tentang definisi, prevalensi, faktor risiko, gejala, serta manajemen fisioterapi melalui latihan yang dapat dilakukan mandiri, dengan menggunakan leaflet sebagai media promosi. Hasil dari penyuluhan edukasi fisioterapi yang dilaksanakan pada 29 Oktober 2024 di kantor kecamatan Sukun menunjukkan adanya peningkatan pengetahuan pekerja tentang carpal tunnel syndrome dan latihan fisioterapi yang dapat dilakukan secara mandiri.
... Tendon gliding exercises are the most common hand rehabilitation exercises from which flexion and extension of fingers are done [8]- [10]. Through these repetitive exercises, the fingers are strengthened. ...
Models of different actuators for hand rehabilitation gloves have been sought by many developers. Hand rehabilitation exercises require flexion and extension of the fingers. However, existing actuators for this application do not conform to these requirements. In this paper, a bi-directional wedge-type segmented soft pneumatic bending actuator is proposed that could accomplish flexion and extension with positive and negative (vacuum) pressure, respectively. The model is simulated in finite element software and is characterized according to the varying pressure at each joint to its equivalent force depicted by each of the links of the finger. The results show that the model was able to bend in flexion -90 ○ at a pressure of 220 kPa and in extension at +15 ○ at -60 kPa pressure. An artificial neural network was set up with 2484 data sets as an inverse kinematic solution in deriving a pressure-to-bending angle function. An R of 0.99997 was obtained for both the training, validation, and test. The force and torque generated at the tip of each joint in an axial direction of the actuator have been evaluated to measure the actuator model's bending ability. This model can be used as an assistive device that can do hand rehabilitation exercises requiring flexion and extension such as tendon gliding exercises.
... Carpal Tunnel Syndrome (CTS) adalah kondisi yang menimbulkan mati rasa kesemutan, nyeri, atau lemah di tangan dan pergelangan tangan. Sindrom ini terjadi ketika saraf di dalam pergelangan tangan terhimpit atau tertekan (Kisner & Colby, 2017;Nazarieh et al., 2020). Manajemen terapi fisik untuk mencegah terjadinya CTS dengan Terapis fisik harus memberikan saran tentang modifikasi aktivitas dan tempat kerja (modifikasi ergonomis). ...
... Untuk mengisolasi regangan hanya pada fleksor pergelangan tangan, biarkan jari fleksi di ujung meja (Kisner & Colby, 2014) Tahu n 2022 (4) fist; (5) hook. (Nazarieh et al., 2020) Latihan tendon gliding harus dikombinasikan dengan mobilisasi sendi yang berdekatan untuk meningkatkan dekompresi saraf. Catatan yang perlu diperhatikan adalah bahwa latihan yang disarankan harus dilakukan dengan cara yang tidak menimbulkan gejala atau meningkatkan ketegangan pada saraf 11). ...
... Seseorang dapat mengurangi gejala CTS dengan mengubah posisi ergonomis yang salah serta menggunakan alat korektif yang ergonomis. Untuk menangani CTS, pemosisian atau peralatan yang ergonomis dimaksudkan untuk memposisikan pergelangan tangan pada posisi netral dan untuk mencegah posisi pergelangan tangan dalam keadaan fleksi atau ekstensi dalam waktu lama di mana saluran saraf median berada pada kapasitas paling besar (Kisner & Colby, 2017;Nazarieh et al., 2020). Salah satu alat yang bisa digunakan adalah wrist support CTS yang bisa digunakan saat berisitirahat dari aktivitas pad malam hari (Nazarieh et al., 2020). ...
ABSTRAK Kegiatan ini mendukung salah satu bidang fokus utama Pengabdian kepada Masyarakat yaitu bidang Kesehatan. Mitra kegiatan ini adalah Desa Gisikcemandi, Sidoarjo. Mitra merupakan kelompok masyarakat perempuan usia produktif di desa Gisikcemandi merupakan salah satu penopang keluarga, seharusnya menjadi SDM yang unggul dalam perannya. Adanya keluhan pada mitra mengenai Kesehatan secara fisik, psikologis dan lingkungan. 1) meningkatkan perilaku hidup bersih dan sehat di rumah tangga sehingga pada mitra tercapai standar kesehatan yang baik 2) meningkatkan kesehatan secara mental (mental helatness) bagi perempuan di Desa Gisikcemandi Sidoarjo, 3) meningkatkan kesehatan secara fisik bagi para perempuan di desa Gisikcemandi Sidoarjo yang berusia produktif. Menggunakan Participatory Rural Apraissal (PRA) sehingga tim pelaksana pengabdian kepada masyarakat dapat bertindak sebagai fasilitator dan langsung dapat memfasilitasi warga dalam mengenal dan memanfaatkan metode partisipatoris untuk menyusun CAP (Community Action Plan). Didapatkan peningkatan pengetahuan PHBS 34,29% pada tingkat pengetahuan baik dan peningkatan 45% perubahan PHBS di rumah tangga setelah diamati dari 10 jenis PHBS di rumah tangga oleh mitra PKM. Adanya peningkatan strategi koping 31,43% menjadi lebih adaptif yaitu Problem-focused coping pada mitra PKM. Adanya peningkatan pengetahuan 51,43% pada tingkat pengetahuan baik dan peningkatan perubahan perilaku mitra PKM dalam pencegahan CTS 31,4%. Adanya peningkatan 31,43% kualitas hidup dari baik menjadi sangat baik pada mitra PKM. Bahwa edukasi kesehatan mampu memperbaiki pengetahuan seseorang serta dapat mewujudkan perilaku mitra PKM menjadi lebih sehat sebab perilaku berdasarkan pengetahuan akan lebih langgeng dari pada tanpa pengetahuan. Kata Kunci: Pemberdayaan Perempuan, Gisikcemandi, Kualitas Hidup Sehat, Kesehatan Mental ABSTRACT This activity supports one of the main focus areas of community service, namely the health sector. The partner of this activity is the village of Gisikcemandi, Sidoarjo. The partners are a community group of women of productive age from Gisikcemandi village who are one of the breadwinners of the family, they must be excellent human resources in their roles. Complaints to partners regarding physical, psychological, and environmental health. 1) improve healthy living behaviors so that a clean and healthy environment can be created so that partners achieve good health standards 2) improve mental health of women in Gisikcemandi village, Sidoarjo, 3) improve the physical health of women of the productive age village of Gisikcemandi, Sidoarjo. Use Participatory Rural Appraisal (PRA) so that the Community Services Implementation Team can act as a facilitator and directly support residents to recognize and use participatory methods to develop a CAP (community action). There was a 34.29% increase in PHBS knowledge at a good level of knowledge and a 45% increase in PHBS changes in the household after being observed for 10 types of PHBS in the household. cleaning by PKM partners. There was a 31.43% increase in coping strategies to become more adaptive, namely problem-focused coping with PKM partners. There is an increase in knowledge of 51.43% at the level of good knowledge and an increase in behavioral changes among PKM partners in the prevention of CTS of 31.4%. There was a 31.43% increase in quality of life, from good to very good, for PKM partners. Health education can increase knowledge and change the behavior of PKM partners to become healthier and better because behavior based on knowledge will last longer than behaviour without knowledge. Keywords: Women Empowerment, Gisikcemandi, Healthy Quality of Life, Mental Healthness
... 17 However, despite the high prevalence of bilateral CTS, there are literature controversies on the use of postoperative therapies and their benefits, as well as a lack of common ground on the protocols to be established in postoperative rehabilitation. 18 Instrument myofascial mobilization (IASTM) and stretching are one of the methods used for rehabilitative physiotherapy, 19,20 however, their combined use has never been employed in the postoperative period of idiopathic bilateral CTS, as well as the practice of performing these therapies bilaterally on the entire upper limb, shoulder, cervical and thoracic region, on the anterior, lateral and posterior sides is unprecedent. ...
Objective:
To evaluate the efficacy of combined association instrument myofascial mobilization (IASTM) and stretching in patients with idiopathic bilateral carpal tunnel syndrome (CTS) operated on one hand and to analyze the response of the operated (OH) and non-operated (NH) hand according to the sequence of therapies. Research on these parameters has not yet been found in the literature.
Methods:
Randomized controlled crossover study with 43 participants using the objective and subjective outcome variables. Patients were randomly assigned to two groups: starting with stretching followed by IASTM and starting with IASTM followed by stretching. Then patients underwent surgery on the hand with more severe involvement and physical therapy rehabilitation was started 30 days after for a period of 4 weeks. After the 1-week interval the participants who started with stretching were referred to IASTM and vice versa, following the same previous patterns. The outpatient reassessments took place at 3 to 6 months. Crossover ANOVA and effect sizes were used as analysis methods.
Results:
Time was the most significant outcome for all variables both during therapies and at 6-month follow-up. Regarding response to the combined therapies between OH and NH, there were differences for both OH and NH, with the greatest impact on NH for the palmar grip and VAS variables. The treatment sequences were significant for pain on the NH and mental SF-12, suggesting that starting with IASTM followed by stretching had a superior outcome for these outcomes.
Conclusion:
The combination of IASTM with stretching, used in the postoperative period of bilateral idiopathic CTS, proved to be supplementary, with significant results and large effect sizes for most of the outcomes assessed, both during the time of application of the therapies and in the 6-month follow-up for both hands, and may constitute a viable therapeutic alternative for this population.
... This study used the NGE method by Nazarieh et al. [34]. Procedures for conducting an NGE (position 1: wrist in neutral and fingers and thumb in flexion; position 2: wrist in neutral and fingers and thumb extended; position 3: thumb in neutral and wrist and fingers extended; position 4: wrist, fingers, and thumb extended: position 5, the same as position 4 with the forearm in supination (palm up); and position 6: same as position 5 with the other hand gently stretching the thumb) were observed ( Figure 1). ...
... Nerve gliding exercise has six movements depending on the position of the wrist joint and fingers[34]. ...
This study aims to investigate the effects of nerve gliding exercise following carpal tunnel release surgery (NGE-CTRS) and the probing factors affecting the effect of NGE-CTRS on hand function. A total of 86 patients after CTRS participated. Grip strength (grip-s), pinch strength (pinch-s), Semmes-Weinstein monofilament test (SWMT), two-point discrimination (2PD), numbness, pain, and Phalen test (Phalen) were measured and compared between pre- and post-NGE-CTRS. The results showed that the combination of surgery and NGE significantly improved the postoperative grip-s, pinch-s, SWMT, 2PD, numbness, and Phalen; however, no improvement was observed in pain. Background factors that influenced the improved grip-s and pinch-s included gender and preoperative sensory nerve conduction velocity (SCV). Additionally, numbness and Phalen were not affected by age, gender, fault side, bilateral, trigger finger, dialysis, thenar eminence atrophy, motor nerve conduction velocity, SCV, the start of treatment, and occupational therapy intervention. In conclusion, the combination of surgical procedures and NGE showed a high improvement. SCV and time-to-start treatment of intervention for carpal tunnel syndrome may be useful in predicting the function after the intervention.
... Terapi latihan direkomendasikan untuk CTS derajat ringan dan sedang atau menunggu operasi. Latihan menurunkan tekanan intrakarpal dan inflamasi, juga memperbaiki arus balik vena dengan cara menurunkan edema dan adesi (20). Latihan yang paling sering dilakukan untuk CTS adalah median nerve glide mobilization dan tendon glide (Gambar 1 dan 2) (21). ...
... Mempertahankan posisi netral pergelangan tangan memperbaiki sirkulasi darah sehingga menurunkan edema (17). Latihan yang dianjurkan satu sampai lima kali per hari dengan 5 -10 repetisi (20). ...
... Efek non termal meliputi kavitasi, massage yang dapat memicu efek anti-inflamasi dan rangsangan jaringan (22). Beberapa penelitian terapi ultrasound menunjukkan efek positif pada CTS (23), terutama ditambah ortesa pergelangan tangan (22), namun menurut Cochrane review kualitas terapi ultrasound dibandingkan placebo jelek pada jangka pendek dan jangka panjang (20). Latihan neural mobilization saraf medianus lebih efektif dibandingkan terapi ultrasound (24). ...
Carpal tunnel syndrome (CTS), the most common entrapment neuropathy in the upper extrimity, is a clinical syndrome characterized by a tingling sensation, numbness, pain, or weakness in the hand and wrist radiating up to the arm. This condition is a major cause of absenteeism, reduced productivity, and financial loss among various neuropathy due to median nerve compression. This paper, medical rehabilitation of CTS is viewed. Medical rehabilitation of CTS aimed to reduce pain, reduce clamping of the carpal tunnel, sensory and motor reeducation so that hand function improves and can perform activities of daily living. Treatment options can be given includes exercise therapy, ultrasound diathermy, low level laser therapy (LLLT), and shock wave therapy (SWT).
Background: Carpal tunnel syndrome has a great impact on the pregnant woman's daily life. Several non-pharmacological techniques have been used to alleviate these symptoms. Aim: The present study aimed to examine the effect of nursing instructional program on neurophysiologic parameters of carpal tunnel syndrome among pregnant women. Methods: A quasi-experimental research design was adopted. A convenient sample of 100 pregnant women with carpal tunnel syndrome was enrolled. This study was carried out at the obstetric and gynecological outpatient clinic of Kafrelsheikh general hospital, Kafrelsheikh governorate, Egypt. Three tools were used to collect data: A structured interviewing Questionnaire, Numeric Pain Rating Scale, and Boston Carpal Tunnel Syndrome Questionnaire. Results: The mean wrist pain scores at baseline assessment didn't show a significant difference between the control and intervention groups (p>0.05). However, post-intervention, the difference in mean wrist pain scores between the two groups was highly statistically significant (p<0.001). When comparing the symptom severity scale and functional status scale between the two groups, the differences weren't statistically significant at baseline assessment (p>0.05). Post-intervention, the difference in symptom severity scale was highly statistically significant (p<0.001) between both groups while the functional status scale did not show a significant difference (p>0.05). Conclusion: The nursing instructional program was successful in improving the neurophysiologic parameters of carpal tunnel syndrome among pregnant women. Recommendation: Applying such nursing instructional program should be enforced to decrease suffering among pregnant women with carpal tunnel syndrome.
