Penatalaksanaan Fisioterapi dengan Transcutaneous Electrical Nerve Stimulation, Infrared, dan Terapi Latihan Pada Post ORIF Fraktur Tibia 1/3 Proksimal dextra
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Abstract
Fraktur tibia sepertiga proksimal merupakan cedera muskuloskeletal yang dapat menyebabkan nyeri, keterbatasan lingkup gerak sendi, penurunan kekuatan otot, dan gangguan fungsi ekstremitas bawah. Rehabilitasi fisioterapi pasca-open reduction and internal fixation (ORIF) diperlukan untuk mendukung pemulihan fungsi gerak pasien. Penelitian ini bertujuan untuk mengevaluasi perubahan nyeri, lingkup gerak sendi, kekuatan otot, dan kemampuan fungsional setelah pemberian Transcutaneous Electrical Nerve Stimulation (TENS), Infrared (IR), dan terapi latihan pada pasien pasca-ORIF fraktur tibia sepertiga proksimal kanan. Penelitian menggunakan pendekatan studi kasus pada seorang pasien perempuan (Ny. R) yang menjalani tiga sesi fisioterapi. Evaluasi dilakukan menggunakan Visual Analog Scale (VAS) untuk nyeri, pengukuran lingkup gerak sendi lutut, Manual Muscle Testing (MMT) untuk kekuatan otot, dan Lower Extremity Functional Scale (LEFS) untuk kemampuan fungsional. Setelah tiga sesi intervensi, skor nyeri gerak dan nyeri tekan menurun dari 7 menjadi 5, sedangkan nyeri diam menurun dari 2 menjadi 0. Lingkup gerak fleksi lutut aktif meningkat dari 45° menjadi 55° dan fleksi pasif dari 50° menjadi 60°. Nilai MMT otot fleksor dan ekstensor lutut meningkat dari 3 menjadi 4. Namun, skor LEFS tetap sebesar 27%, yang menunjukkan belum adanya perubahan terukur pada kemampuan fungsional. Temuan ini memperlihatkan adanya perbaikan nyeri, lingkup gerak sendi, dan kekuatan otot setelah intervensi fisioterapi, meskipun kemampuan fungsional belum mengalami perubahan. Evaluasi lanjutan diperlukan untuk menilai keberlanjutan perbaikan dan perkembangan fungsi ekstremitas bawah.
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