Pemberian Nerve dan Tendon Gliding Exercise efektif terhadap penurunan keluhan pada Pasien Carpal Tunnel Syndrome (CTS): A critical review

Authors

  • Nasrullah Nasrullah Universitas Muhammadiyah Surakarta, Indonesia
  • Arif Pristianto Universitas Muhammadiyah Surakarta, Indonesia
  • Muhammad Dimas Zam Zami Universitas Muhammadiyah Surakarta, Indonesia
  • Dwi Yuningsih Universitas 'Aisyiyah Yogyakarta, Indonesia

DOI:

https://doi.org/10.31101/jitu.3097

Keywords:

Carpal Tunnel Syndrome, exercise, nerve dan tendon gliding

Abstract

Latar Belakang: Tangan jika digunakan secara berlebihan dan berlangsung lama dapat mengakibatkan terjadinya keluhan. Salah satu kondisi yang bisa terjadi adalah CARPAL TUNNEL SYNDROME  (CTS). CTS merupakan kumpulan indikasi serta ciri penyakit yang diakibatkan oleh terjepitnya saraf median di terowongan karpal pada pergelangan tangan. CTS ini ditandai dengan indikasi mati rasa, nyeri, serta kelemahan pada tangan akibat penekanan pada saraf medianus. Salah satu modalitas yang bisa diberikan pada pasien dengan CTS adalah nerve dan tendon gliding exercise. Tujuan: Untuk mengetahui tingkat efektivitas penggunaan nerve dan tendon gliding exercise dalam menurunkan keluhan bagi pasien CTS. Metode: Melakukan critical review pada delapan artikel Randomized Controlled Trial (RCT) terpilih, dengan ketentuan artikel Quartile 1 sampai 3. Hasil: Nerve dan tendon gliding exercise cocok digunakan pada kondisi CTS ringan, sedang dan pasca operasi. Kesimpulan: Berdasarkan hasil studi critical review terhadap delapan artikel terpilih, pemberian nerve dan tendon gliding exercise efektif dalam menurunkan keluhan seperti nyeri, meningkatkan kekuatan otot dan meningkatkan aktivitas fungsional pada pasien CTS.

Author Biography

Arif Pristianto, Universitas Muhammadiyah Surakarta

Universitas Muhammadiyah Surakarta

References

AAOS. (2018). Introduction 1 Therapeutic Exercise Program for Carpal Tunnel Syndrome Purpose of Program. American Academy of Orthopaedic Surgeons, 1–4. https://www.google.com/url?sa=i&rct=j&q=&esrc=s&source=web&cd=&ved=0CAIQw7AJahcKEwiYx4zKz9L_AhUAAAAAHQAAAAAQAg&url=https%3A%2F%2Forthoinfo.aaos.org%2Fglobalassets%2Fpdfs%2F2022-therapeutic-exercise-program-for-carpal-tunnel.pdf&psig=AOvVaw1_-N4GM236dnuUW72Ln2cy&ust=1687377008273443&opi=89978449

Abdolrazaghi, H. A., Khansari, M., Mirshahi, M., & Ahmadi Pishkuhi, M. (2021). Effectiveness of Tendon and Nerve Gliding Exercises in the Treatment of Patients With Mild Idiopathic Carpal Tunnel Syndrome: A Randomized Controlled Trial. Journal of Hand Surgery, 155894472110068. https://doi.org/10.1177/15589447211006857

Aripin, T. N., Rasjad, A. S., Nurimaba, N., Djojosugito, M. A., & Irasanti, S. N. (2019). Hubungan Durasi Mengetik Komputer dan Posisi Mengetik Komputer dengan Gejala Carpal Tunnel Syndrome (CTS) pada Karyawan Universitas Islam Bandung. Jurnal Integrasi Kesehatan & Sains, 1(2), 97–101. https://doi.org/10.29313/jiks.v1i2.4352

Atya, A. M., & Mansour, W. T. (2011). Laser versus Nerve and Tendon Gliding Exercise in Treating Carpal Tunnel Syndrome. Life Science Journal, 8(2), 5–14. https://www.researchgate.net/publication/230794289_Laser_versus_Nerve_and_Tendon_Gliding_Exercise_in_Treating_Carpal_Tunnel_Syndrome

Badawy, W. M. (2017). Comparative Effectiveness of Low Level Laser Therapy and Nerve Gliding Exercises on Patients with Carpal Tunnel Syndrome : a Randomized Clinical Trial. Chemtech, 10(2), 462–467. https://doi.org/https://doi.org/https://www.researchgate.net/publication/330440965_Comparative_Effectiveness_of_Low_Level_Laser_Therapy_and_Nerve_Gliding_Exercises_on_Patients_with_Carpal_Tunnel_Syndrome_a_Randomized_Clinical_Trial

Ballestero-Pérez, R., Plaza-Manzano, G., Urraca-Gesto, A., Romo-Romo, F., Atín-Arratibel, M. de los Ã., Pecos-Martín, D., Gallego-Izquierdo, T., & Romero-Franco, N. (2017). Effectiveness of Nerve Gliding Exercises on Carpal Tunnel Syndrome: A Systematic Review. Journal of Manipulative and Physiological Therapeutics, 40(1), 50–59. https://doi.org/10.1016/j.jmpt.2016.10.004

Chandrasekaran, S., Gui, C., Walsh, J. P., Lodhia, P., Suarez-ahedo, C., & Domb, B. G. (2013). Correlation Between Changes in Visual Analog Scale and Patient-Reported Outcome Scores and Patient Satisfaction After Hip Arthroscopic Surgery. 1–6. https://doi.org/10.1177/2325967117724772

Darmawijaya, I. P., Yani, L. P. P. N., & Permadi, A. W. (2020). Pemberian Active Stretching Pergelangan Tangan Mengurangi Keluhan Carpal Tunnel Syndrome Pada Pekerja Pandai Besi Di Desa Sidan Kabupaten Gianyar. Jurnal Kesehatan Terpadu, 3(2), 71. https://doi.org/10.36002/jkt.v3i2.978

Duncan, S. F. M., & Kakinoki, R. (2017). Carpal Tunnel Syndrome and Related Median Neuropathies. In Carpal Tunnel Syndrome and Related Median Neuropathies. https://doi.org/10.1007/978-3-319-57010-5

Farahdhiya, F. A., Jayanti, S., & Ekawati. (2020). Hubungan Durasi, Frekuensi, Gerakan Repetitif dan Postur Pergelangan Tangan dengan Carpal Tunnel Syndrome pada Violinis Chamberstring Orkestra. Jurnal Kesehatan Masyarakat, 8(5), 657–664. https://ejournal3.undip.ac.id/index.php/jkm/article/view/27947

Hirata, J., Suzuki, T., Yamamoto, T., Miyazaki, Y., Ogasahara, Y., Hashizume, H., & Inoue, K. (2016). Effects of tendon and nerve gliding exercises and instructions in activities of daily living following endoscopic carpal tunnel release. Asian Journal of Occupational Therapy, 11(1), 35–41. https://doi.org/10.11596/asiajot.11.35

Horng, Y.-S., Hsieh, S.-F., Tu, Y.-K., Lin, M.-C., Horng, Y.-S., & Wang, J.-D. (2011). The Comparative Effectiveness of Tendon and Nerve Gliding Exercises in Patients with Carpal Tunnel Syndrome. American Journal of Physical Medicine & Rehabilitation, 90(6), 435–442. https://doi.org/10.1097/PHM.0b013e318214eaaf

Incebiyik, S., Boyaci, A., & Tutoglu, A. (2015). Short-term effectiveness of short-wave diathermy treatment on pain, clinical symptoms, and hand function in patients with mild or moderate idiopathic carpal tunnel syndrome. Journal of Back and Musculoskeletal Rehabilitation, 28(2), 221–228. https://doi.org/10.3233/BMR-140507

Kamel, D. M., Hamed, N. S., Abdel Raoof, N. A., & Tantawy, S. A. (2017). Pulsed magnetic field versus ultrasound in the treatment of postnatal carpal tunnel syndrome: A randomized controlled trial in the women of an Egyptian population. Journal of Advanced Research, 8(1), 45–53. https://doi.org/10.1016/j.jare.2016.11.001

Kim, J. K., Koh, Y. Do, Kim, J. O., & Choi, S. W. (2016). Changes in clinical symptoms, functions, and the median nerve cross-sectional area at the carpal tunnel inlet after open carpal tunnel release. CiOS Clinics in Orthopedic Surgery, 8(3), 298–302. https://doi.org/10.4055/cios.2016.8.3.298

Permata, A., & Ismaningsih, I. (2020). Aplikasi Neuromuscular Taping Pada Kondisi Carpal Tunnel Syndrom Untuk Mengurangi Nyeri. Jurnal Ilmiah Fisioterapi, 3(1), 12–17. https://doi.org/10.36341/jif.v3i1.1226

Pristianto, A., Primadasa, G. F., & Murtafiah. (2021). Critical Review : Dampak Kondisi Pandemi Covid-19 Terhadap Kualitas Hidup Stroke Survivor. 2(2), 15–22. https://journal.aptifi.org/index.php/ijopre/article/view/42

Putri, P. (2019). Nerve and Tendon Gliding Exercise As Nonmedical Intervention for Carpal Tunnel Syndrome. Essence of Scientific Medical Journal, 17(2), 34–39. https://ojs.unud.ac.id/index.php/essential/article/view/53789

Rafique, R. M., Khan, F. F., & Singh, S. K. (2020). Comparative Study Of Tendon And Nerve Gliding Exercises Versus Kinesiotaping For Carpel Tunnel Syndrome. International Journal of Physiotherapy and Research, 8(1), 3366–3371. https://doi.org/10.16965/ijpr.2019.204

Sartore, K. (2021). Carpal Tunnel Syndrome. Physiopedia. https://www.physiopedia.com/Carpal_Tunnel_Syndrome?utm_source=physiopedia&utm_medium=search&utm_campaign=ongoing_internal

Savage, N. J., & Albano, J. (2020). Marrying Tendon and Nerve Gliding Exercises with Hydrodissection Following Injection for Carpal Tunnel Syndrome - A New Treatment Approach? Journal of Orthopaedic Case Reports, 10(9), 38–46. https://doi.org/10.13107/jocr.2020.v10.i09.1896

Sawan, S. A., Sayed Mahmoud, H. M., & Hussien, M. M. (2013). Effect of different physical therapy modalities on post-operative recovery following transverse carpal ligament release: A randomized controlled trial. Physiotherapy Practice and Research, 34(2), 75–82. https://doi.org/10.3233/PPR-130024

Sekarsari, D., pratiwi, A., & Farzan, A. (2017). Hubungan Lama Kerja, Gerakan Repetitif Dan Postur Janggal Pada Tangan Dengan Keluhan Carpal Tunnel Syndrome (CTS) Pada Pekerja Pemecah Batu di Kecamatan Moramo Utara Kabupaten Konawe Selatan Tahun 2016. Jurnal Ilmiah Mahasiswa Kesehatan Masyarakat Unsyiah, 2(6), 184961. https://doi.org/10.37887/jimkesmas

Selviyati, V., Camelia, A., & Sunarsih, E. (2016). Determinant Analysis of Carpal Tunnel Syndrome (Cts) in the Farmers Tapper Rubber Trees At Karang Manik Village South Sumatera. Jurnal Ilmu Kesehatan Masyarakat, 7(3), 198–208. https://doi.org/10.26553/jikm.2016.7.3.198-208

Sim, S. E., Gunasagaran, J., Goh, K.-J., & Ahmad, T. S. (2019). Short-term clinical outcome of orthosis alone vs combination of orthosis, nerve, and tendon gliding exercises and ultrasound therapy for treatment of carpal tunnel syndrome. Journal of Hand Therapy, 32(4), 411–416. https://doi.org/10.1016/j.jht.2018.01.004

Supianti, Y. I., & Rahman, F. (2021). Penatalaksanaan Extracorporeal Shock Wave Therapy Dan Pemasangan Kinesio Tape Serta Nerve Gliding Exercise Pada Kasus Carpal Tunnel Syndrome Sinistra di RSJD RM. dr. Soedjarwadi. FISIO MU: Physiotherapy Evidences, 2(2), 65-75. 10.23917/fisiomu.v2i2.10535

Tamaru, Y., Yanagawa, A., & Matsugi, A. (2021). Sensory Nerve Conduction Velocity Predicts Improvement of Hand Function with Nerve Gliding Exercise Following Carpal Tunnel Release Surgery. Journal of Clinical Medicine, 10(18). https://doi.org/10.3390/jcm10184121

Vaidya, S. M., & Nariya, D. (2020). Effect of Neural Mobilisation Versus Nerve and Tendon Gliding Exercises in Carpal Tunnel Syndrome: A Randomised Clinical Trial. Journal Of Clinical And Diagnostic Research, 14(October 2014), 4–7. https://doi.org/10.7860/JCDR/2020/43320.13779

Wu, Y. T., Ho, T. Y., Chou, Y. C., Ke, M. J., Li, T. Y., Tsai, C. K., & Chen, L. C. (2017). Six-month Efficacy of Perineural Dextrose for Carpal Tunnel Syndrome: A Prospective, Randomized, Double-Blind, Controlled Trial. Mayo Clinic Proceedings, 92(8), 1179–1189. https://doi.org/10.1016/j.mayocp.2017.05.025

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Published

2023-11-23

How to Cite

Nasrullah, N., Pristianto, A., Zam Zami, M. D., & Yuningsih, D. (2023). Pemberian Nerve dan Tendon Gliding Exercise efektif terhadap penurunan keluhan pada Pasien Carpal Tunnel Syndrome (CTS): A critical review. Journal Physical Therapy UNISA, 3(2), 58–68. https://doi.org/10.31101/jitu.3097

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Vol. 3 No. 2 (2023): November

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Copyright (c) 2023 Nasrullah Nasrullah, Arif Pristianto, Muhammad Dimas Zam Zami, Dwi Yuningsih

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