Manajemen Fisioterapi pada Deep Vein Thrombosis (DVT) untuk Mengurangi Nyeri dan Meningkatkan Kekuatan Otot: Studi Kasus

Authors

  • Yusfica Adelia Savitri Universitas Muhammadiyah Malang
  • Nikmatur Rosidah Universitas Muhammadiyah Malang

DOI:

https://doi.org/10.22219/physiohs.v4i2.22694

Keywords:

compression, deep vein thrombosis, icing, rest, stretching

Abstract

Deep vein thrombosis merupakan bekuan darah yang terbentuk pada vena bagian dalam di bawah kulit. Gejala paling umum terjadi di lokasi bekuan darah, diantaranya adalah pembengkakan, kulit terasa hangat dan kemerahan serta nyeri. Penelitian ini menggunakan design single case yang dilakukan sebanyak 4 kali pertemuan dalam 2 minggu, pada Februari 2022, di Rumah Sakit Umum Daerah dr. H. Moh. Anwar, Sumenep, Madura. Penelitian ini bertujuan untuk mengetahui efektifitas manajemen fisioterapi menggunakan metode RICE (Rest, Icing, Compression, Elevation) yang dikombinasikan dengan latihan stretching untuk menangani responden dengan deep vein thrombosis (DVT). Hasil menunjukkan, pada tingkat nyeri diam bernilai 2 menjadi 1, nyeri tekan bernilai 5 menjadi 3, dan nyeri gerak bernilai 3 menjadi 2 Pada kekuatan otot gastrocnemius dan otot soleus dengan nilai 3 menjadi 4. Terjadi penurunan bengkak di atas tuberositas tibia dextra senilai 42 cm menjadi 40,5 cm berkurang sebanyak 1,5 cm, di bawah tuberositas tibia dextra senilai 34 cm menjadi 33 cm berkurang sebanyak 1 cm. Pada pengukuran lingkup gerak sendi (LGS) dari S: 0o -0o-80o meningkat menjadi 0o-0o-100o. Hasil laporan pemberian (Rest, Icing, Compression, Elevation) yang dikombinasikan dengan latihan stretching menunjukkan penurunan nyeri dan peningkatan kekuatan otot meskipun tidak signifikan.

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References

Algafly, A. A., & George, K. P. (2007). The effect of cryotherapy on nerve conduction velocity, pain threshold and pain tolerance. British Journal of Sports Medicine, 41(6), 365–369. https://doi.org/10.1136/bjsm.2006.031237

Beck, S., Meer, J., & Taylor, T. (2016). Deep vein thrombosis. Emergency Medicine, 48(1), 29–31. https://doi.org/10.12788/emed.2016.0005

Bekerom, M. P. J., Struijs, P. A. A., Blankevoort, L., Welling, L., Van Welling, C. N., & Kerkhoffs, G. M. M. J. (2012). What is the evidence for rest, ice, compression, and elevation therapy in the treatment of ankle sprains in adults? Journal of Athletic Training, 47(4), 435–443. https://doi.org/10.4085/1062-6050-47.4.14

Ciolek, J. J. (1985). Cryotherapy. Review of physiological effects and clinical application. Cleveland Clinic Quarterly, 52(2), 193–201. https://doi.org/10.3949/ccjm.52.2.193

Ernst, E., & Fialka, V. (1994). Ice freezes pain? A review of the clinical effectiveness of analgesic cold therapy. Journal of Pain and Symptom Management, 9(1), 56–59. https://doi.org/10.1016/0885-3924(94)90150-3

Freire, B., Geremia, J., Baroni, B. M., & Vaz, M. A. (2016). Effects of cryotherapy methods on circulatory, metabolic, inflammatory and neural properties: a systematic review. Fisioterapia em Movimento, 29(2), 389–398. https://doi.org/10.1590/0103-5150.029.002.ao18

Harvey, L., Herbert, R., & Crosbie, J. (2002). Does stretching induce lasting increases in joint ROM? A systematic review. Physiotherapy research international : the journal for researchers and clinicians in physical therapy, 7(1), 1–13. https://doi.org/10.1002/pri.236

Hotta, K., Behnke, B. J., Arjmandi, B., Ghosh, P., Chen, B., Brooks, R., … Muller-Delp, J. M. (2018). Daily muscle stretching enhances blood flow, endothelial function, capillarity, vascular volume and connectivity in aged skeletal muscle. Journal of Physiology, 596(10), 1903–1917. https://doi.org/10.1113/JP275459

Kahn, S. R. (1983). The clinical diagnosis of deep venous thrombosis in ambulant patients. Netherlands Journal of Medicine, 26(7), 209–212.

Kesieme, & Kesieme. (2011). Deep vein thrombosis: a clinical review. Journal of Blood Medicine, (April), 59. https://doi.org/10.2147/jbm.s19009

Krabbe, B. (2015). Deep Vein Thrombosis. PanVascular Medicine, Second Edition, 313(20), 4455–4481. https://doi.org/10.1007/978-3-642-37078-6_175

Kruger, P. C., Eikelboom, J. W., Douketis, J. D., & Hankey, G. J. (2019). Deep Vein Thrombosis: update on diagnosis and management. Medical Journal Australia, 11, 2–3. https://doi.org/10.5694/mja2.50201

Kushner, A., West, W. P., & Pillarisetty, L. S. (2020). Virchow Triad Definition / Introduction. StatPearls Publishing LLC, 2–4.

Malanga, G. A., Yan, N., & Stark, J. (2015). Mechanisms and efficacy of heat and cold therapies for musculoskeletal injury. Postgraduate Medicine, 127(1), 57–65. https://doi.org/10.1080/00325481.2015.992719

Mazzolai, L., Aboyans, V., Ageno, W., Agnelli, G., Alatri, A., Bauersachs, R., … Brodmann, M. (2018). Diagnosis and Management of Acute Deep Vein Thrombosis: A Joint Consensus Document From the European Society of Cardiology Working Groups of Aorta and Peripheral Vascular Diseases and Pulmonary Circulation and Right Ventricular Function. European Heart Journal, 39(47), 4208–4218. https://doi.org/10.1093/eurheartj/ehx003

Quinn, M. (2017). Deep Venous Thrombosis. Orthopaedic Physical Therapy Secrets: Third Edition, 49–53. https://doi.org/10.1016/B978-0-323-28683-1.00007-2

Ross, S., & Bn, R. N. (1995). Heparin and Haematoma: Does Ice Make a Difference. Journal of Advanced Nursing, 434–439.

Rubini, E. C., Costa, A. L. L., & Gomes, P. S. C. (2007). The effects of stretching on strength performance. Sports Medicine, 37(3), 213–224. https://doi.org/10.2165/00007256-200737030-00003

Wang, Z. R., & Ni, G. X. (2021). Is it Time to put Traditional Cold Therapy in Rehabilitation of Soft-tissue Injuries out to Pasture? World Journal of Clinical Cases, 9(17), 4116–4122. https://doi.org/10.12998/wjcc.v9.i17.4116

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Published

2022-12-03

How to Cite

Adelia Savitri, Y., & Rosidah, N. (2022). Manajemen Fisioterapi pada Deep Vein Thrombosis (DVT) untuk Mengurangi Nyeri dan Meningkatkan Kekuatan Otot: Studi Kasus. Physiotherapy Health Science (PhysioHS), 4(2), 96–104. https://doi.org/10.22219/physiohs.v4i2.22694