Penatalaksanaan Fisioterapi Pada Kasus Brachial Plexus Injury Dextra Dengan Modalitas Electrical Stimulation Dan Terapi Latihan Di RS Orthopedi Prof. Dr. R. Soeharso Surakarta
Background: The brachial plexus is a group of nerves that come from the spinal cord in the neck and travel down the arm, these nerves control the muscles of the shoulder of the shoulder, elbow, wrist, and hand, as wll as provide feeling in the arm. While, brachial plexus injury is the hard traumatic of upper extremity and neck which are caused by there traction or compression on brachial plexus.
Objectives: To know what management of phisycal therapy used electrical stimulation and teraputic exercise on the case brachial plexus injury can maintaining motor sensory ability, prevent atropy muscle and maintaining the ability of daily functional activities.
Results: After 6 week therapy, the result of flexor shoulder strength T1-T4: 1, T5-T6: 2, extensor shoulder T1-T4: 1, T5-T6: 2, abduktor shoulder T1: 1, T2: 2, tetap T3: 2, T4: 3, tetap T5: 3, tetap T6: 3, adduktor shoulder T1: 1, T2: 2, tetap T3: 2, T4-T6: 3, flexor elbow T1-T6: 4, extensor elbow T1-T6: 4, pronator elbow T1-T6: 3, supinator elbow T1-T6: 3, flexor wrist T1-T6: 4, extensor wrist T1-T6: 4, ulnar deviator T1-T6: 4, radial deviator T1-T6: 4, flexor finger T1-T6: 5. ROM shoulder rating T1-T4: S: 0o-0o-0o, T5-T6: S: 5o-0o-5o, T1-T3: F: 20o-0o-30o, T4-T6: F: 40o-0o-90o, ROM elbow T1-T6: S: 0o-145o, F: 80o-0o-90o, ROM wrist T1-T6: S: 50o-0o-60o, F: 20o-0o-30o, ROM MCP I T1-T6: S: 0o-60o, ROM MCP II-V T1-T6: S: 0o-90o, ROM DIP II-V T1-T6: S: 0o-45o, ROM PIP I T1-T6: S: 0o-65o, ROM PIP II-V T1-T6: S: 0o-100o. Assessment of muscle volume T1-T6 no increase in muscle volume.
Conclusion: Electrical stimulation can maintain the physiological properties of upper limb muscle, and teraputic exercise can maintain the motor’s sensory ability of upper limb muscles, may prevent increased muscle atrophy and maintain the ability of daily functional activity
