Penatalaksanaan Fisioterapi Kondisi Frozen Shoulder E.C Tendinitis Muscle Rotator Cuff Dengan Modalitas Short Wave Diathermy, Active Resisted Exercise Dan Codman Pendular Exercise

Harunnurrasyid Harunnurrasyid

Abstract


Background: Frozen shoulder is a pain in shoulders which conduces limitedness of shoulder joint motion. Tendinitis in M.Rotator Cuff, is an inflammation occured in muscle tendons fused in Rotator Cuff. Physiotherapy problematics of Frozen Shoulder are the existence of pain, the limitedness of joint motion, the decline of muscle strength, and the interference of functional activity. Physiotherapy examination includes examining pain with Verbal Descriptive  Scale (VDS), examination of Limited Range Of Motion with Goneometer, examination of muscle strength with Manual Muscle Testing (MMT), and inspection of daily functional activities with the Shoulder Pain And Disability Index (SPADI) index. In this case, the chosen technology to resolve these problems are by using the modality of Short Wave Diathermy (SWD), Active Resisted Exercise and Codman Pendular Exercise. Objective: To know the effect of Physiotherapy Management Frozen Shoulder e.c Tendinitis Muscle Rotator Cuff conditions with Short Wave Diathermy (SWD), Active Resisted Exercise and Codman Pendular Exercise. Methods: This research was done in RSUD Kraton Pekalongan with analytic descriptive research design. Research subject in this Scientific Writing was a patient with Frozen Shoulder condition e.c. Tendinitis M.Rotator Cuff who was given physiotherapy interventions with the modality of Short Wave Diathermy (SWD), Active Resisted Exercise and Codman Pendular Exercise. Method of data collection and data analysis of this research were by using Autoanamnesis method. Research instruments consisted of the examination of pain, joint motion, muscle strength, and potentiality of functional activity. Result: After four times in therapy, the researcher got four result. They are there was a decline of force pain in T3 = 3 and motion pain in T2 = 2, there was an enhancement of joint motion in T3 and T4 in flexion movement, abduction, exorotation and endorotation of the left shoulder to active and passive movement, there was an enhancement of muscle strength in T3 = Muscle group exorotator and endorotator, and there was an enhancement of functional activity in T3. Conclution: a physiotherapy intervention with device modality and therapeutic exercise modality of can help reduce the problems arising on the conditions of Frozen Shoulder.


Keywords


Frozen Shoulder e.c Tendinitis M.Rotator Cuff, Short Wave Diathermy (SWD), Active Resisted Exercise and Codman Pendular Exercise, Autoanamnesis Method, Indeks SPADI (Shoulder Pain And Disability Index)

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References


Arofah, N. I. 2010. Dasar-dasar Fisioterapi pada Cedera Olahraga. Yogyakarta Cutchbush,K.2014. [Diakses tanggal 19 Desember 2021]. Didapat dari:http://kennethcutbush.

Gispen JG. 2001. A Tex Book Of Rheumatology 14 Edition. William & Wilking. Philadelphia. Hal 159.

Irma, Ade N., Yulianda. 2010. “Pengaruh Penambahan SWD Aplikasi Modifikasi Kontraplanar pada Intervensi Ultrasound dan Traksi Osilasi Shoulder Peningkatan Jumlah Range Of Motion (ROM) Shoulder Bidang Frontal dan Bidang Transversal Penderita Frozen Shoulder”. Jakarta. Fisioterapi, Rumah Sakit Permata Hijau.

Kisner, Carolyn, MS, PT. 2002. Therapeutic Exercise Foundation and Technic. Philadelphia : F.A. Davis Company.

Kuntono, H. P., 2004. Aspek Fisioterapi Syndroma Nyeri bahu dalam Kupas Tuntas Frozen Shoulder, Surabaya.

Low John, Ari Reed, Electrotherapy Explained Principles and Practice, 2000.

Marcel, S. 2015. Power Point Bahan Ajar Fisioterapi. Surakarta.

Mardiman, dkk, 1994. Dokumentasi Persiapan Praktek Profesional Fisioterapi (DP3FT). Pusat Pendidikan Tenaga Kesehatana DEPKES RI Th. 1994. Surakarta.

Notoatmojo S 2010. Metodologi Penelitian Kesehatan. Jakarta. Rineka Cipta..

Purnomo, 2012. Fisioterapi Frozen Shoulder dan Pemeriksaan Spesifik. Jakarta.

Roach et al, 1991. Development of shoulder pain and disability index. [Diakses tanggal 19 desember 2021]. Didapat dari :http://www.artikel.indonesiare habequibment.com.

Salim, J.S. 2014. Penambahan Teknik Manual Therapy Pada Latihan Pendular Codman Lebih Meningkatkan Lingkup Gerak Sendi Pada Sendi Glenohumeral Penderita Frozen Shoulder. Fisioterapi Poltekkes Dr Rusdi, Medan.

Sidarta, Priguna. Dr. 1984. Sakit Neuromuskuloskeletal, PT. Dian Rakyat, Jakarta. Hal 93.

Smeltzer, Suzanne C. 2001. Keperawatan Medikal Bedah Brunner dan Suddart. Edisi 8, Vol 2. Jakarta : Buku kedokteran.

Sujatno, Ig, 1998 “Sumber Fisis”, Akademi Fisioterapi Surakarta, Diakses Pada Tanggal 18 Desember 2021.

Warta, I Nyoman. 2010. “Penambahan Codman Pendular Exercise Pada Pemberian Terapi Micro Wave Diathermy, Transcutaneous Electrical Nerve Stimulation Dan Stretching Dapat Meningkatkan Lingkup Gerak Sendi Abduksi Pada Kasus Frozen Shoulder“. Program Studi S1 Fisioterapi Fakultas Kedokteran Universitas Udayana. Bagian Fisioterapi RSUD Badung, Bali.




DOI: http://dx.doi.org/10.58258/rehat.v1i2.3165

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