Skip to main content Skip to main navigation menu Skip to site footer
Jurnal Keperawatan Indonesia
Articles
VIEWS: 422
10.7454/jki.v23i2.988
Submitted: 2023-02-13
Published: 2020-07-31

Effective Ultrasound and Neural Mobilization Combinations in Reducing Hand Disabilities in Carpal Tunnel Syndrome Patients

Physiotherapy Department, Faculty of Medicine, Udayana University, Denpasar 80232
Physiotherapy Department, Faculty of Medicine, Udayana University, Denpasar 80232
Physiotherapy Department, Faculty of Medicine, Udayana University, Denpasar 80232
carpal tunnel syndrome hand disability neural mobilization passive stretching ultrasound

Abstract

Excessive activity in the hands and wrists over a prolonged period of time can cause repetitive strain injury, which leads to the occurrence of carpal tunnel syndrome. The purpose of this study is to determine the differences in the effectiveness of ultrasound and neural mobilization interventions with ultrasound and passive stretching in reducing hand disabilities in patients with carpal tunnel syndrome. It is an experimental study, using the pre- and post-test control group design. The sampling technique employed was simple random sampling, with a study sample comprising 30 people. The difference test with an independent t-test showed a significant difference between the control group and the treatment group (p= 0.000), with a decrease hand disability percentage of 7% in the control group and 15% in the treatment group. Based on the results, it can be concluded that the combination of ultrasound and neural mobilization is more effective in reducing hand disability than a combination of ultrasound and passive stretching in patients with carpal tunnel syndrome.

 

Abstrak

Kombinasi Ultrasound dan Neural Mobilization Efektif dalam Menurunkan Disabilitas Tangan pada Penderita Carpal Tunnel Syndrome. Aktivitas yang berulang pada pergelangan tangan apabila berlangsung lama dapat menimbulkan repetitive strain injury yang berujung terhadap terjadinya carpal tunnel syndrome. Tujuan dari penelitian ini adalah untuk mengetahui perbedaan efektivitas intervensi ultrasound dan neural mobilization dengan ultrasound dan passive stretching dalam menurunkan disabilitas tangan pada pasien carpal tunnel syndrome. Penelitian ini merupakan penelitian eksperimental dengan menggunakan rancangan penelitian pre-test and post-test control group design. Teknik pengambilan sampel dalam penelitian ini dengan cara simple random sampling. Sampel penelitian pada penelitian ini berjumlah 30 orang. Uji beda selisih dengan independent t-test menunjukkan adanya perbedaan yang bermakna antara kelompok kontrol dan kelompok perlakuan (p= 0,000) dengan persentase penurunan disabilitas tangan sebesar 7% pada kelompok kontrol dan 15% pada kelompok perlakuan. Berdasarkan hasil penelitian dapat disimpulkan bahwa kombinasi ultrasound dan neural mobilization lebih efektif dalam menurunkan disabilitas tangan daripada kombinasi ultrasound dan passive stretching pada pasien carpal tunnel syndrome.

Kata Kunci: carpal tunnel syndrome, disabilitas tangan, neural mobilization, passive stretching, ultrasound

References

  1. Asal, M.S., Elgendy, M.H., Ali, O.I., & Labib, A.A. (2018). Contralateral versus ipsilateral neural mobilization of median nerve in patients with unilateral carpal tunnel syndrome. Journal of Advanced Pharmacy Education & Research, 8 (1), 17–22. https://japer.in/storage/article/file/AC305Article.pdf.
  2. Awan, W.A., Babur, M.N., Ansari, M., & Liaqat, M. (2014). Effectiveness of stretching of the flexor retinaculum with ultrasonic therapy in the management of carpal tunnel Syndrome. Pakistan Journal of Neurological Sciences (PJNS), 9 (4), 5–8.
  3. Beneciuk, J.M., Bishop, M.D., & George, S.Z. (2009). Effects of upper extremity neural mobilization on thermal pain sensitivity: A sham-controlled study in asymptomatic participants. Journal of Orthopaedic and Sports Physical Therapy, 39 (6), 428–438. https://doi.org/10.2519/jospt.2009.2954.
  4. Bertolini, G.R.F., Silva, T.S., Trindade, D.L., Ciena, A.P., & Carvalho, A.R. (2009). Neural mobilization and static stretching in an experimental sciatica model: an experimental study. Brazilian Journal of Physical Therapy, 13 (6), 493–498. https://doi.org/10.1590/s1413-35552009005000062.
  5. Cleland, J., Childs, J., Palmer, J., & Eberhart, S. (2006). Slump stretching in the management of non-radicular low back pain: A pilot clinical trial. Manual Therapy, 11 (4), 279–286. https://doi.org/10.1016/j.math.2005.07.002.
  6. Daryono, D., Wibawa, A., & Tianing, N. (2014). Intervensi ultrasound dan free carpal tunnel exercise lebih efektif dibanding ultrasound dan gliding exercise terhadap penurunan nyeri pada kasus carpal tunnel syndrome [The intervention of ultrasound and free carpal tunnel exercise is more effective than ultrasound and gliding exercise to decrease pain in the case of carpal tunnel syndrome]. Majalah Ilmiah Fisioterapi Indonesia, 2 (1), 1–10. https://ojs.unud.ac.id/index.php/mifi/article/view/8429.
  7. Dewi, L.E., & Khotimah, S. (2017). Pengaruh penambahan ultrasound pada latihan neural stretching terhadap peningkatan kemampuan fungsional wrist pada Carpal Tunnel Syndrome [The influence of ultrasound addition on neural stretching exercise towards the increase of wrist functional ability in carpal tunnel syndrome]. (Undergraduate Thesis, Universitas Aisyiyah Yogyakarta). Yogyakarta: Universitas Aisyiyah Yogyakarta. http://digilib.unisayog ya.ac.id/2868/
  8. ELDesoky, M.T.M., & Abutaleb, E.E.M. (2016). Efficacy of neural mobilization on low back pain with S1 radiculopathy. International Journal of Physiotherapy, 3 (3), 362–370. https://doi.org/10.15621/ijphy/2016/v3i3/100847.
  9. Hafez, A.R., Alenazi, A.M., Kachanathu, S.J., Alroumi, A.M., & Mohamed, E.S. (2014). The Effect of longitudinal stretching of muscles and nerve versus deep transverse friction massage in the management of patients with Carpal Tunnel Syndrome. Open Journal of Therapy and Rehabilitation, 2 (4), 199–206. https://doi.org/10.4236/ojtr.2014.24025.
  10. Kisner, C., & Colby, L.A. (2012). Therapeutic exercise foundations and techniques (6th Ed.). Philadelphia: FA Davis Company.
  11. Lim, Y.H., Chee, D.Y., Girdler, S., & Lee, H.C. (2017). Median nerve mobilization techniques in the treatment of carpal tunnel syndrome: A systematic review. Journal of Hand Therapy, 30 (4), 397–406. https://doi.org/10.1016/j.jht.2017.06.019.
  12. Michlovits, S., Bellew, J., & Nolan, T. (2012). Modalities for therapeutic intervention (5th Ed.). Philadelphia: FA Davis Company.
  13. Prentice, W.E. (2009). Therapeutic modalities for sports medicine and athletic training (6th Ed.). New York: McGraw-Hill Companies.
  14. Rambe, A.S. (2004). Sindrom terowongan karpal [Carpal Tunnel Syndrome]. Medan: Fakultas Kedokteran Universitas Sumatera Utara. Retrieved from http://repository.usu.ac.id/ bitstream/handle/123456789/3459/penysaraf-aldi2.pdf?sequence=1
  15. Setiyaningrum, I. (2015). Intervensi ultrasound dan neural mobilization lebih baik dibandingkan dengan laser dan neural mobilization untuk menurunkan disabilitas pada kasus Carpal Tunnel Syndrome [Ultrasound intervention and neural mobilization better used with laser and neural mobilization disabilities to reduce the case carpal tunnel syndrome]. (Undergraduate Theses, Faculty of Physiotherapy). Jakarta: Universitas Esa Unggul. https://digilib.esaunggul.ac.id/inter vensi-ultrasound-dan-neural-mobilization-lebih-baik-dibandingkan-dengan-laser-dan-neural-mobilization-untuk-menurunkan-disabilitas-pada-kasus-carpal-tunnel-syndrome-di-rumah-sakit-santo-borromeus-bandung-592 6.html.
  16. Shacklock, M.O. (2005). Clinical neurodynamics: A new system of musculoskeletal treatment. Edinburgh, UK: Elsevier Health Sciences.

How to Cite

Andayani, N. L. N., Wibawa, A., & Nugraha, M. H. S. (2020). Effective Ultrasound and Neural Mobilization Combinations in Reducing Hand Disabilities in Carpal Tunnel Syndrome Patients. Jurnal Keperawatan Indonesia, 23(2), 93–101. https://doi.org/10.7454/jki.v23i2.988