Perbandingan Efek Akut Antara Pemberian Tindakan Manual Terapi Dan Tens Dengan Manual Terapi Saja Pada Pasien Thoracic Outlet Compression Syndrome (TOCS)

Putri, Tiara Paramitha Sugiri Syah and ., Totok Budi Santoso, S.Fis., Ftr., M.Kes (2023) Perbandingan Efek Akut Antara Pemberian Tindakan Manual Terapi Dan Tens Dengan Manual Terapi Saja Pada Pasien Thoracic Outlet Compression Syndrome (TOCS). Skripsi thesis, Universitas Muhammadiyah Surakarta.

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Background: Thoracic Outlet Compression Syndrome (TOCS) is a general term used for a group of disorders that result in neurovascular compression that exits the thoracic outlet and enters the upper extremities. TOCS occurs in 3 rooms or outlets. The diagnosis of TOCS is still rare in physiotherapy services in various hospitals, but based on the reality in the field, TOCS complaints are quite common. TOCS occurs in 3 rooms or outlets. The first outlet is the scaleni triangle, the second outlet is the costoclavicular, and the third outlet is the costo pectoralis. Common symptoms experienced by TOCS patients include pain, weakness, tingling, or stiffness in the neck, shoulders, arms or hands, or in all three of these locations. These symptoms can cause limited range of motion and interfere with daily activities. Physiotherapy management guidelines for TOCS cases are still rare, so research is needed to determine appropriate management guidelines. Intervention manual therapy and electrical simulation can have a direct effect on cases of TOS, both short term (acute) and long term (chronic). Objective: to compare the acute effects of manual therapy and TENS with manual therapy alone for pain, range of motion, and functional activity in patients with Thoracic Outlet Compression Syndrome. Methods: quasy Experimental research type with a case series study approach with a Pre Test and Post Test Group Design research design with control group. Respondents were divided into 2, namely the treatment group was given manual therapy intervention and TENS, and the control group was given manual therapy only. The research instruments used were the Numeric Rating Scale (NRS) to measure pain, the goniometer to measure the range of motion of the joints, and the Disability of the Arm, Shoulder, and Hand (DASH) to measure functional activity. Data analysis technique using descriptive analytic. Manual therapeutic interventions provided consist of pectoralis minor muscle massage (deep friction method, 15-30 seconds, 2-4 times, 1 set), acromioclavicular and sternoclavicular mobilization (10-15 times), pectoralis muscle stretching (20-30 seconds). , glenohumeral mobilization (10-15 times), and thoracic manipulation (T1-T2 and T4-T5, thrust method, 1 time). Whereas the Transcutaneous Electrical Nerve Stimulation (TENS) intervention given was conventional TENS, 200µS duration and 100Hz frequency, for 15 minutes, given after manual therapy, with the origin and insertion method. Results: there was a 6-level difference in reducing pain intensity in the manual therapy and TENS group compared to the manual therapy alone group, there was no significant difference in the decrease in LGS (by 5⁰) and functional activity (only 5.1) in both groups. Conclusion: administration of manual therapy and TENS is better in reducing pain intensity compared to manual therapy alone, but there is no significant difference between the manual therapy and TENS groups with manual therapy alone in reducing joint range of motion and functional activity.

Item Type: Thesis (Skripsi)
Uncontrolled Keywords: Functional Activity, Manual Therapy, Pain, , Range Of Motion, Thoracic Outlet Compression Syndrome
Subjects: R Medicine > RH Physiotherapy
Divisions: Fakultas Ilmu Kesehatan > Fisioterapi
Date Deposited: 16 Feb 2023 04:43
Last Modified: 16 Feb 2023 04:44

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