Penatalaksanaan Fisioterapi Pada Kondisi Carpal Tunnel Syndrome Bilateral Dengan Modalitas Ultra Sound , Transcutaneus Electrical Nerve Stimulation dan Upper Limb Tension Test di Rsud dr.Moewardi Surakarta

Abstract

Carpal Tunnel Syndrome is the most common case of mononeurophaty, produced by neurophaty entrapment in the median nerve in the carpal tunnel, in the form of anatomical space formed by the carpal bones and tranversal ligaments of the wrist. Swelling by the flexor tendon in the carpal tunnel also results in narrowing of the confinent space and the median nerve.After 6 weeks of treatment, the result was a decrease of pain in the tenderness of T1: 2 to T6: 1, motion pain from T1: 6 to T6: 3 on the dextra wrist. And decreased pain in tenderness from T1: 1 to T6: 0 in the left wrist. Increased muscle strength of the flexor palmar from T1: 3 to T6: 4 on the dextra wrist. from T1: 4 to T6: 5 on the left wrist. In the dorsal flexor of the dextra wrist of T1: 3 to T6: 4. On the dorsal flexor of the left wrist of T1: 4 becomes T6: 5. On the flexor and MCP dextra extensors from T1: 3 to T6: 4. In the MCP flexor and extensor sinusra from T1: 4 to T6: 5. Increased functional activity ability with decreasing wrist and hand disability index values of T1: 20 and T6: 9.And theresult after the therapy for 6 times obtained results in the reduction of pain in both wrists, increased muscle strength and increased functional activity. So, the conclusion is Ultra Sound, Transcutaneous Electrical Nerve Stimulation, and Upper Limb Tension Test can reduce pain, increase muscle strength, and increase functional activity