UI - Tesis Membership :: Kembali

UI - Tesis Membership :: Kembali

Pengaruh tendon and nerve gliding exercise terhadap keluhan subjektif dan objektif penderita sindrom terowongan karpal = The effect of tendon and nerve gliding exercise on the patient s subjective and objective complaints who suffers carpal tunnel syndrome / Irene Roma Hasudungan

Hasudungan, Irene Roma; Widjajalaksmi Kusumaningsih, examiner; Angela Bibiana MTY De Kort, supervisor; Manfaluthy Hakim, supervisor; Retno Asti Werdhani, supervisor ([Publisher not identified] , 2013)

 Abstrak

ABSTRAK
Tujuan : Penelitian ini bertujuan untuk mengkaji tendon and nerve gliding
exercise (TNGE) yang dikombinasikan dengan penggunaan bidai pergelangan
metacarpophalangeal (MCP) netral dalam penatalaksaan konservatif pada
penderita Sindrom terowongan karpal (STK).
Metode : Disain penelitian ini dilakukan secara consecutive sampling pada 33
orang dengan 42 tangan yang telah didiagnosa dengan sindrom terowongan karpal
derajat I sampai dengan IV yang ditentukan dengan pemeriksaan EMG ( kriteria
Bland ). Total subjek penelitian yang menyelesaikan penelitian sebanyak 20 orang
dengan 29 tangan. seluruh subjek mendapat latihan TNGE yang dikombinasikan
dengan penggunaan bidai MCP netral. TNGE bertujuan untuk melatih tendon dan
saraf, dimana pada latihan tendon terdapat lima gerakan dan pada latihan saraf
terdapat 6 gerakan, masing – masing gerakan dilakukan secara berurutan.
Penelitian berlangsung selama enam minggu dimana setiap minggu dilakukan
penilaian subjektif dan pada akhir minggu keenam ditambahkan penilaian objektif
dengan EMG. Seluruh rangkaian gerakan pada masing – masing tujuan latihan
diulang setiap sepuluh kali. Latihan dilakukan tiga kali sehari dan setiap gerakan
ditahan selama 5 detik. Keluhan pasien dinilai dengan penilaian Subjektif dengan
Functional Status Scale (FSS) dan Symptom Severity Scale (SSS) dan penilaian
Objektif dengan pemeriksaan EMG menilai KHS sensorik, Distal latensi motorik
dan sensorik.
Hasil : 29 tangan dianalisa dalam penelitian ini. Penilaian subjektif FSS dan SSS
membandingkan antara minggu pertama dengan minggu selanjutnya. FSS1 16,14
± 4,61 FSS2 13,0 (9 – 18), p < 0,001, SSS1 26,0 (17 – 48) SSS2 23,14 ± 6,26,
p < 0, 004, FSS1 16,14 ± 4,61 FSS3 12 ± 3,14, p < 0, 001, SSS1 26,0 (17 – 48)
SSS3 19,0 (13 – 33), p < 0, 001, FSS1 16,14 ± 4,61 FSS4 10,0 (8 – 17), p < 0, 001,
SSS1 26,0 (17 – 48) SSS4 17,0 (13 – 31), p < 0, 001, FSS1 16,14 ± 4,61 FSS5
10,0 (7 – 16), p < 0,001, SSS1 26,0 (17 – 48) SSS5 15,0 (11 – 26), p < 0, 001,
FSS1 16,14 ± 4,61 FSS6 9,0 (7 – 16), p < 0,001, SSS1 26,0 (17 – 48) SSS6 14,0
(11 – 26). p < 0,001. Hasil penilaian objektif KHS sensori pre – post intervensi
50,0 (26,4 – 67,9) - 50,0(25,6 – 67,50), p = 0,717, Distal latensi motorik pre –
post intervensi 4,8 ± 1,16 - 4,8 ± 1,16, p = 1,000, Distal latensi sensorik pre – post
intervensi 2,8 (1,7-4,7) - 2,8 (2-5), p = 0,457.

ABSTRACT
Purpose : This research is aimed to assess the tendon and nerve gliding exercise
(TNGE) which is combined with the use of wrist splints neutral
metacarpophalangeal (MCP) in the conservative procedures for patients with
Carpal Tunnel Syndrome (CTS).
Methods : This research was designed and conducted using consecutive sampling
on 33 people in which 42 hands have been diagnosed with 1st to 4th degree Carpal
Tunnel Syndromes, determined using EMG scan (Bland criteria). The number of
research subjects totals up to 20 people and 29 number of hands. All of the
subjects received a TNGE exercise combined with the use of neutral MCP wrist
splint. The TNGE exercise is done to train the tendon and the nerves, where in the
tendon exercise there are five movements and in the nerves exercise there are 6
movements, each movement being done consecutively.The entire set of movement
in each exercise was repeated ten times. The exercise is done three times a day
and each movement is held steady in position for five seconds. The patient’s
complain was assessed by the Subjective Assessment using Functional Status
Scale (FSS) and Symptom Severity Scale (SSS) and the Objective Assessment
using EMG scan to evaluate the NCV sensory, distal motor latency and distal
sensory latency levels.
Results : 29 hands were analyzed in this research. The FSS dan SSS subjective
assessment compared between the first week and the following weeks. FSS1 16,14
± 4,61 FSS2 13,0 (9 – 18), p < 0,001, SSS1 26,0 (17 – 4 ) SSS2 23,14 ± 6,26,
p < 0, 004, FSS1 16,14 ± 4,61 FSS3 12 ± 3,14, p < 0, 001, SSS1 26,0 (17 – 48)
SSS3 19,0 (13 – 33 ), p < 0, 001, FSS1 16,14 ± 4,61 FSS4 10,0 (8 – 17), p < 0, 001,
SSS1 26,0 (17 – 48) SSS4 17,0 (13 – 3 ), p < 0, 001, FSS1 16,14 ± 4,61 FSS5 10,0
(7 – 16), p < 0,001, SSS1 26,0 (17 – 48) SSS5 15,0 (11 – 26), p < 0, 001, FSS1
16,14 ± 4,61 FSS6 9,0 (7 – 16), p < 0,001, SSS1 26,0 (17 – 48) SSS6 14,0
(11 – 26), p < 0, 001. The NCV sensory pre – post intervention objective
assessment reveals: 50,0 (26,4 – 67,9) - 50,0(25,6 – 67,50), p = 0,717, Distal
motor latency pre – post intervention at 4,8 ± 1,16 - 4,8 ± 1,16, p = 1,000, Distal
sensory latency pre – post intervention at 2,8 (1,7-4,7) - 2,8 (2-5), p = 0,457.

 File Digital: 1

Shelf
 T-Pdf Irene Roma Hasudungan.pdf :: Unduh

LOGIN required

 Metadata

Jenis Koleksi : UI - Tesis Membership
No. Panggil : T-Pdf
Entri utama-Nama orang :
Entri tambahan-Nama orang :
Entri tambahan-Nama badan :
Program Studi :
Subjek :
Penerbitan : [Place of publication not identified]: [Publisher not identified], 2013
Bahasa : ind
Sumber Pengatalogan : LibUI ind rda
Tipe Konten : text
Tipe Media : computer
Tipe Carrier : online resource
Deskripsi Fisik : xviii, 97 pages : illustrator ; 28 cm + appendix
Naskah Ringkas :
Lembaga Pemilik : Universitas Indonesia
Lokasi : Perpustakaan UI, Lantai 3
  • Ketersediaan
  • Ulasan
  • Sampul
No. Panggil No. Barkod Ketersediaan
T-Pdf TERSEDIA
Ulasan:
Tidak ada ulasan pada koleksi ini: 20350286
Cover