the Physical Therapy Intervention in congenital muscular torticollis dextra: A case study In PKU Muhammadiyah Yogyakarta Hospital
Penatalaksanaan Fisioterapi Congenital Muscular Torticolis Dextra:studi kasus di RS PKU Muhammadiyah Yogyakarta
DOI:
https://doi.org/10.22219/physiohs.v5i1.25885Keywords:
terapi manual, Active Passive Exercise, congenital muscular torticollis, active resisted exerciseAbstract
Congenital Muscular Torticollis (CMT) banyak menyebabkan kondisi deformitas bagi penderitanya dan terlihat jelas dampaknya sebab dapat mengubah estetika seseorang yang akan mempengaruhi keseluruhan dari kehidupannya. Penelitian ini bersifat deskriptif analitik dengan rancangan studi kasus dan dilakukan observasi langsung di poli tumbuh kembang RS PKU Muhammadiyah Yogyakarta serta interview langsung dengan orang tua anak. Instrumen evaluasi yang digunakan adalah skala nyeri dengan wongbaker face pain scale, stiffness,hipertrofi dan keterbatasan lingkup gerak sendi (LGS) leher menggunakan arthrodial protactor dan muscle function test (MFS) serta assesment untuk kondisi plagiochepaly dengan severity assesment for plagiochepaly. Pemberian terapi dilaksanakan sebanyak 6 kali dalam satu bulan, setiap 1 kali treatment berdurasi 60 menit dengan intervensi fisioterapi terapi latihan aktif dan aktif assisted dengan positioning dan eye tracking, manual terapi, mobilisasi dan passive stretching. Evaluasi akhir menunjukkan adanya penambahan LGS sekitar 1 hingga 2 derajat dari sekitar 600 menjadi 620 pada gerak lateral fleksi neck, menurun nya hipertrofi pada m.sternocleidomastoideus dextra, berkurangnya stiffness, dan penurunan tingkat nyeri dari skala 8 menjadi skala 7. Pemberian intervensi fisioterapi dengan terapi latihan aktif dan aktif assisted dengan positioning dan eye tracking, manual terapi, mobilisasi dan passive stretching memberikan hasil nyata terhadap peningkatan lingkup gerak sendi leher, berkurangnya stiffness m.scaleni, m.upper trapezius, m.rhomboid dan menurun nya hipertrofi pada m.sternocleidomastoideus dextra.
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References
Ellwood, J., Draper-rodi, J., & Carnes, D. (2020). The effectiveness and safety of conservative interventions for positional plagiocephaly and congenital muscular torticollis : a synthesis of systematic reviews and guidance. 1–11.
Jung, B. K. (2020). Diagnosis and treatment of positional plagiocephaly. 21(2), 80–86.
Kaplan, S. L., Coulter, C., & Sargent, B. (2018). Physical Therapy Management of Congenital Muscular Torticollis : A 2018 Evidence-Based Clinical Practice Guideline From the APTA Academy of Pediatric. https://doi.org/10.1097/PEP.0000000000000544
Keklicek, H., & Uygur, F. (2018). A randomized controlled study on the efficiency of soft tissue mobilization in babies with congenital muscular torticollis. 31, 315–321. https://doi.org/10.3233/BMR-169746
Nilesh, K., & Mukherji, S. (2013). Congenital muscular torticollis. 3(2), 3–5. https://doi.org/10.4103/2231-0746.119222
Song, S., Hwang, W., & Lee, S. (2021). Effect of physical therapy intervention on thickness and ratio of the sternocleidomastoid muscle and head rotation angle in infants with congenital muscular torticollis. 33(July).
Xiao, Y., Chi, Z., Yuan, F., Zhu, D., Ouyang, X., Xu, W., Li, J., Luo, Z., Chen, R., & Jiao, L. (2020). Effectiveness and safety of massage in the treatment of the congenital muscular torticollis. 0(July), 1–6.
GonzáLez-Iglesias, J., Fernández-de-las-Peñas, C., Cleland, J., Huijbregts, P., & Gutiérrez-Vega, M. D. R. (2009). Short-Term Effects of Cervical Kinesio Taping on Pain and Cervical Range of Motion in Patients With Acute Whiplash Injury: A Randomized Clinical Trial. Journal of Orthopaedic & Sports Physical Therapy, 39(7),515–521. doi:10.2519/jospt.2009.3072 10.2519/jospt.2009.3072
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