Program Fisioterapi Untuk Mengatasi Keluhan Pada Cervical Root Syndrome: Studi Kasus
DOI:
https://doi.org/10.22219/physiohs.v4i1.21864Keywords:
Cervical Root Syndrome, Transcutaneous Electrical Nerve Stimulation, Ultrasound, Neck Calliet Exercise, Stretching, Cervical TractionAbstract
Cervical Root Syndrome (CRS) adalah suatu kondisi yang disebabkan oleh iritasi atau kompresi radikulopati serviks yang disebabkan oleh tonjolan diskus invertebralis dengan hilangnya sensorik atau motorik. Penelitian ini untuk mengetahui manfaat dari pemberian Transcutaneous Electrical Nerve Stimulation (TENS), Ultra Sound (US), Neck Calliet Exercise, Stretching, dan Cervical Traction pada kasus CRS. Pengukuran yang dipakai yaitu pengukuran nyeri menggunakan Numerical Rating Scale (NRS), pengukuran Lingkup Gerak Sendi (LGS) menggunakan meterline, dan pengukuran spasme otot dengan palpasi. Pengukuran kemampuan fungsional menggunakan Neck Disability Index (NDI). Penelitian dilakukan secara langsung kepada seorang pasien dengan kondisi CRS dengan pemberian terapi sebanyak enam kali pertemuan dengan pemberian intervensi fisioterapi. Setelah dilakukan intervensi tersebut didapatkan hasil bahwa terjadi penurunan nyeri pada nyeri gerak dan tekan. Terjadi peningkatan LGS pada bidang gerak leher fleksi, lateral fleksi dekstra dan sinistra, rotasi neck dekstra. Terjadi penurunan nilai spasme pada m. upper trapezius dekstra. Penurunan keluhan menyebabkan perbaikan pada kemampuan fungsional (NDI) dimana tingkatan intensitas nyeri, perawatan diri, aktivitas mengangkat, bekerja, dan tidur. Pemberian intervensi pada kasus CRS terdapat penurunan nyeri gerak dan nyeri tekan, peningkatan LGS, penurunan spasme otot m. upper trapezius, dan peningkatan kemampuan fungsional NDI.
Downloads
References
Alfawaz, S., Lohman, E., Alameri, M., Daher, N., & Jaber, H. (2020). Effect of Adding Stretching to Standardized Procedures on Cervical Range of Motion, Pain, and Disability in Patients with non-Specific Mechanical Neck Pain: A Randomized Clinical Trial. Journal of Bodywork & Movement Therapies, 24(3), 50–58. https://doi.org/10.1016/j.jbmt.2020.02.020
Ase, C., & Garg, P. (2019). Home Care Neck Traction for a Patient With Neck Pain and Cervical Radiculopathy Symptoms : A Case Report. Journal of Chiropractic Medicine, 18(2), 127–130. https://doi.org/10.1016/j.jcm.2018.11.006
Bakken, G., Bakken, A. G., Eklund, A., Hallman, D. M., & Axén, I. (2021). The effect of Spinal Manipulative Therapy and Home Stretching Exercises on Heart Rate Variability in Patients with Persistent or Recurrent Neck Pain: a Randomized Controlled Trial. Chiropractic & Manual Therapies, 29(48), 1–13. https://doi.org/10.1186/s12998-021-00406-0
Borrella-Andrés, S., Marqués-García, I., Lucha-López, M. O., Fanlo-Mazas, P., Hernández-Secorún, M., Pérez-Bellmunt, A., Tricás-Moreno, J. M., & Hidalgo-García, C. (2021). Manual Therapy as a Management of Cervical Radiculopathy: A Systematic Review. BioMed Research International, 2021. https://doi.org/10.1155/2021/9936981
Büyükturan, B., Şaş, S., Kararti, C., & Büyükturan, O. (2021). The effects of Combined Sternocleidomastoid Muscle Stretching and Massage on Pain, Disability, Endurance, Kinesiophobia, and Range of Motion in Individuals with Chronic Neck Pain: A Randomized, Single-blind Study. Musculoskeletal Science and Practice, 55. 10.1016/j.msksp.2021.102417
Dailey, D. L., Vance, C. G. T., Rakel, B. A., Zimmerman, M. B., Embree, J., Merriwether, E. N., Geasland, K. M., Chimenti, R., Williams, J. M., Golchha, M., Crofford, L. J., & Sluka, K. A. (2020). Transcutaneous Electrical Nerve Stimulation Reduces Movement-Evoked Pain and Fatigue: A Randomized, Controlled Trial. In Arthritis and Rheumatology (Vol. 72, Issue 5). https://doi.org/10.1002/art.41170
Ding, X., Wu, J., Shen, Q., Xu, J., & Mo, W. (2021). Clinical Control Study of Traditional Chinese Medicine Hot Compress Combined with Traction in the Treatment of Cervical Spondylotic Radiculopathy. Medicine, 100(4), 1-6. 10.1097/MD.0000000000023880
Gede, I. N. (2018). Penatalaksanaan Fisioterapi Pada Penderita Cervical Root Syndrome Akibat Spondylosis di Rumah Sakit Adam Malik Medan Tahun 2018. 2-TRIK: TUNAS-TUNAS RISET KESEHATAN, 8(2018), 57–58. http://dx.doi.org/10.33846/2trik8hkn11
Jehaman, I., Mendrofa, M. P., Berampu, S., & Bintang, S. S. (2020). Pengaruh Pemberian Neck Calliet Exercise Terhadap Di Unit Pelaksana Teknis Daerah Puskesmas Hiliduho Tahun 2020. Jurnal Keperawatan Dan Fisioterapi (JKF), 3(1), 42-49. https://doi.org/10.35451/jkf.v3i1.508
Kementerian Kesehatan Republik Indonesia. (2015). Standar Pelayanan Fisioterapi Nomor 65 Tahun 2015.
Liang, L., Cui, X., Feng, M., Zhou, S., Yin, X., He, F., Sun, K., Yin, H., Xie, R., Zhang, D., Zhou, Y., Wu, Y., Tan, G., Wang, Z., Wang, X., Zhang, J., Zhu, L., Yu, J., & Wei, X. (2019). The Effectiveness of Exercise on Cervical Radiculopathy: A Protocol for Systematic Review and Meta-analysis. Medicine, 98(35), 6–8. https://doi.org/10.1097/MD.0000000000016975
Lizis, P., Kobza, W., & Manko, G. (2020). Cryotherapy With Mobilization Versus Cryotherapy With Mobilization Reinforced with Home Stretching Exercises in Treatment of Chronic Neck Pain : A Randomized Trial. Journal of Manipulative and Physiological Therapeutics, 43(3), 197–205. https://doi.org/10.1016/j.jmpt.2018.11.030
Nugraha, Y. K. A. (2019). Penatalaksanaan Fisioterapi Pada Kasus Cervical Root Syndrome Di RST. Dr. Soedjono Magelang. Diploma thesis, Universitas Muhammadiyah Surakarta.
Ojoawo, A. O., & Olabode, A. D. (2018). Comparative Efctiveness of Transverse Oscillatory Pressure and Cervical Traction in the Management of Cervical Radiculopathy : A Randomized Controlled Study. Hong Kong Physiotherapy Journal, 38(2), 149-160. https://doi.org/10.1142/S1013702518500130
Paley, C. A., Wittkopf, P. G., Jones, G., & Johnson, M. I. (2021). Does TENS Reduce the Intensity of Acute and Chronic Pain? A Comprehensive Appraisal of the Characteristics and Outcomes of 169 Reviews and 49 Meta-analyses. Medicina, 57(10), 1060-1180. https://doi.org/10.3390/medicina57101060
Physiopedia. (2022). Numeric Pain Rating Scale. Physiopedia. https://www.physio-pedia.com/Numeric_Pain_Rating_Scale
Prasetyo, E. B. (2015). Penatalaksanaan Fisioterapi Pada Kondisi Low Back Pain Akibat Kompresi Vertebra Lumbal II-V. Pena Jurnal Ilmu Pengetahuan dan Teknologi, 19(1), 1–11. http://dx.doi.org/10.31941/jurnalpena.v19i1.11
Price, J., Rushton, A., Tyros, I., Tyros, V., & Heneghan, N. R. (2020). Effectiveness and Optimal Dosage of Exercise Training for Chronic non-Specific Neck Pain: A Systematic Review With a Narrative Synthesis. PLoS ONE, 15(6), 1-32. https://doi.org/10.1371/journal.pone.0234511
Pristianto, A., Wijianto, & Rahman, F. (2018). Terapi Latihan Dasar. Muhammadiyah University Press: Surakarta.
Rodríguez-Sanz, J., Malo-Urriés, M., Lucha-López, M. O., López-De-Celis, C., Pérez-Bellmunt, A., Corral-De-Toro, J., & Hidalgo-García, C. (2021). Comparison of an Exercise Program with and Without Manual Therapy for Patients with Chronic Neck Pain and Upper Cervical Rotation Restriction. Randomized Controlled Trial. PeerJ, 9, 1-28. 10.7717/peerj.12546
Rolleau, T., Abeille, S., Pastor, L., Planche, L., Allary, P., Chapeleau, C., Moreau, C., Cormier, G., & Caulier, M. (2021). Effect of an Intensive Cervical Traction Protocol on Mid-term Disability and Pain in Patients with Cervical Radiculopathy : an Exploratory, Prospective, Observational Pilot Study. PLoS ONE, 16(8), 1–13. https://doi.org/10.1371/journal.pone.0255998
Yilmaz, M., Tarakci, D., & Tarakci, E. (2020). Comparison of high-intensity laser therapy and combination of ultrasound treatment and transcutaneous nerve stimulation on cervical pain associated with cervical disc herniation: A randomized trial. Complementary Therapies in Medicine, 49. 10.1016/j.ctim.2019.102295
Young, I. A., Dunning, J., Butts, R., Mourad, F., & Cleland, J. A. (2019). Reliability, Construct Validity, and Responsiveness of the Neck Disability Index and Numeric Pain Rating Scale in Patients with Mechanical Neck Pain without Upper Extremity Symptoms. Physiotherapy Theory and Practice, 35(12), 1328–1335. 10.1080/09593985.2018.1471763
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Asmin Vetiani, Wijianto Wijianto, Arif Pristianto
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish with Physiotherapy Health Science (PhysioHS) agree to the following terms:
- For all articles published in Physiotherapy Health Science (PhysioHS), copyright is retained by the authors. Authors give permission to the publisher to announce the work with conditions. When the manuscript is accepted for publication, the authors agree to automatic transfer of the publishing right to the publisher.
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution-ShareAlike 4.0 International License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.