Penatalaksanaan Fisioterapi Kasus Carpal Tunnel Syndrome Pada Pekerja Kantoran

ABSTRAK Tujuan: Fokus pada case report  ini adalah penatalaksanaan fisioterapi pada kasus carpal tunnel syndrome pada pekerja kantoran. Metode: Pre dan post test. Pasien dengan nama Tn. JR laki-laki berusia 34 tahun seorang pekerja kantoran. Tanggal 27 januari pasien datang ke klinik Fisioterapi Esa Unggul dengan mengeluh sakit dan kesemutan pada pergelangan tangan. Diberikan intervensi oleh fisioterapi berupa penggunaan orthosis, modalitas TENS, US, Teknik manual terapi, dan terapi latihan. Hasil: Pada nilai VAS nyeri gerak, tekan, dan diam nilai masing-masing sebelum intervensi : 7-8-3, setelah intervensi : 2-3-0. ROM radial-ulnar deviasi and dorsi-palmar fleksi sebelum intervensi S=600-00-500 dan T=300-00-200, setelah intervensi S=650-00-700 dan T=450-00-400. Kekuatan otot dinilai dengan MMT : dorsi fleksi , palmar fleksi, , radial deviasi, ulnar deviasi sebelum intervensi : 4-4-3-4, sesudah intervensi : 5-5-4-5. Kesimpulan: Pemakaian orthosis, modalitas TENS, US, Teknik manual terapi, neuromobiliasi, dan terapi latihan efektif dalam menurunkan nyeri, kekuatan otot, meningkatkan ROM, dan meningkatkan aktivitas fungsional pada kasus carpal tunnel syndrome.ABSTRACT Objective: The focus of this case report is the management of physiotherapy in the case of carpal tunnel syndrome in office workers. Method: Pre and post test. Patient by the name of Mr. JR 34-year-old man is an office worker. On January 27, the patient came to the Esa Unggul Physiotherapy clinic complaining of pain and tingling in the wrist. Interventions given by physiotherapy include the use of orthosis, TENS modalities, US, manual therapy techniques, and exercise therapy. Results: On the VAS value of motion pain, press, and be quiet the value of each before the intervention: 7-8-3, after the intervention: 2-3-0. Radial-ulnar ROM deviation and dorsi-palmar flexion before intervention S = 600-00-500 and T = 300-00-200, after intervention S = 650-00-700 and T = 450-00-400. Muscle strength was assessed by MMT: ulnar deviation, radial deviation, palmar flexion, dorsi flexion before intervention: 4-4-3-4, after intervention: 5-5-4-5. Conclusion: Use of orthosis, TENS modality, US, manual therapy techniques, neuromobiliation, and exercise therapy are effective in reducing pain, muscle strength, increasing ROM and increasing functional activity in cases of carpal tunnel syndrome