Penatalaksanaan Fisioterapi Pada Kasus Carpal Tunnel Syndrome Bilateral Dengan Modalitas Ultrasound Dan Nerve Gliding Exercise Di Rsud Cililin Kabupaten Bandung Barat

Authors

  • Ika Rahman Politeknik Piksi Ganesha
  • Putri Apriliana Riskianti Politeknik Piksi Ganesha
  • Abdul Qudus Politeknik Piksi Ganesha

DOI:

https://doi.org/10.38035/dhps.v4i1.3710

Keywords:

Carpal Tunnel Syndrome, Ultrasound, Nerve Gliding Exercise, VAS, WHDI

Abstract

Bilateral Carpal Tunnel Syndrome is a condition caused by compression of the median nerve within the carpal tunnel, resulting in pain, tingling, muscle weakness, and limitations in hand function that may interfere with daily activities. This study aimed to determine the effectiveness of physiotherapy interventions using ultrasound and nerve gliding exercise in reducing pain, improving range of motion (ROM), and enhancing hand functional ability. This study used a descriptive method with a case study approach involving one patient with bilateral Carpal Tunnel Syndrome at RSUD Cililin. Evaluation was performed using the Visual Analog Scale (VAS), goniometer, and Wrist Hand Disability Index (WHDI). After six therapy sessions, pain decreased in both hands, wrist flexion improved from 45° to 50°, and WHDI scores decreased from 32% to 24% in the right hand and from 32% to 28% in the left hand. These findings indicate that the combination of ultrasound and nerve gliding exercise may help reduce pain, improve ROM, and enhance hand functional ability in bilateral Carpal Tunnel Syndrome cases.

References

Abdolrazaghi, M., Daneshmandi, H., & Shadmehr, A. (2021). Nerve gliding exercise effectiveness in carpal tunnel syndrome. Physiotherapy Theory and Practice, 37(10), 1121–1129.

Aras, M. D., Gokkaya, N. K. O., & Comert, D. (2020). Reliability of Visual Analog Scale in musculoskeletal pain assessment. Journal of Back and Musculoskeletal Rehabilitation, 33(3), 447–453.

Ballestero-Pérez, R., Plaza-Manzano, G., Urraca-Gesto, A., Romo-Romo, F., & Atín-Arratibel, M. Á. (2017). Effectiveness of nerve gliding exercises on carpal tunnel syndrome: A systematic review. Journal of Manipulative and Physiological Therapeutics, 40(1), 50–59.

Beeson, P. (2023). Carpal tunnel syndrome. In StatPearls. StatPearls Publishing.

Benson, A. C., et al. (2025). Noninvasive management of carpal tunnel syndrome and current physical therapy practice. Journal of Hand Therapy.

Braddom, R. L. (2021). Physical medicine and rehabilitation (6th ed.). Elsevier.

Çağlar, S., et al. (2024). Evaluation of splint and exercise interventions for carpal tunnel syndrome. Healthcare.

Chen, P. C., Li, Y. T., & Wang, L. Y. (2022). Therapeutic ultrasound in carpal tunnel syndrome management: A systematic review. Journal of Clinical Medicine, 11(8), 2214.

Dacombe, P. J., Amirfeyz, R., & Davis, T. (2020). Patient-reported outcome measures for hand and wrist disorders. Journal of Hand Surgery (European Volume), 45(2), 123–130.

DeLisa, J. A. (2020). DeLisa's physical medicine and rehabilitation: Principles and practice (6th ed.). Wolters Kluwer.

Dzuhdi, M. I., et al. (2026). Efektivitas terapi ultrasound pada penanganan carpal tunnel syndrome: Literature review. Jurnal Inovasi Nusantara.

Faidah, U. (2014). Evaluasi fungsional wrist and hand disability pada gangguan ekstremitas atas. EGC.

Kementerian Kesehatan Republik Indonesia. (2023). Profil kesehatan Indonesia 2023. Kementerian Kesehatan Republik Indonesia.

Kim, S. D. (2015). Efficacy of tendon and nerve gliding exercises for carpal tunnel syndrome: A systematic review of randomized controlled trials. Journal of Physical Therapy Science, 27(8), 2645–2648.

Kisner, C., Colby, L. A., & Borstad, J. (2022). Therapeutic exercise: Foundations and techniques (8th ed.). F. A. Davis.

MacDermid, J. C., Wessel, J., & Humphreys, D. (2021). Functional outcome measures for wrist and hand rehabilitation. Hand Clinics, 37(1), 95–106.

Magee, D. J. (2021). Orthopedic physical assessment (7th ed.). Elsevier.

Nazarian, M., et al. (2024). Comparison of effects of ultrasound therapy and nerve-gliding exercises on patients with carpal tunnel syndrome. Journal of Pain Research.

Noer, M., Hidayat, R., & Kusuma, A. (2021). Efektivitas ultrasound pada penurunan nyeri carpal tunnel syndrome. Jurnal Fisioterapi dan Rehabilitasi, 5(2), 88–95.

O'Sullivan, S. B., Schmitz, T. J., & Fulk, G. D. (2019). Physical rehabilitation (7th ed.). F. A. Davis.

Padua, L., Coraci, D., Erra, C., Pazzaglia, C., Paolasso, I., Loreti, C., et al. (2021). Carpal tunnel syndrome: Clinical features, diagnosis, and management. The Lancet Neurology, 20(7), 563–574.

Sakinah, N., & Ismanda, R. (2021). Validitas penggunaan Visual Analog Scale pada evaluasi nyeri muskuloskeletal. Jurnal Fisioterapi Indonesia, 11(2), 75–78.

Utami, N. P., Rahmawati, D., & Lestari, S. (2024). Penggunaan goniometer dalam evaluasi lingkup gerak sendi pada praktik fisioterapi. Jurnal Kesehatan Rehabilitasi, 8(1), 12–18.

World Health Organization. (2023). Constitution of the World Health Organization. World Health Organization.

Wulandari, R., et al. (2024). Giving nerve and tendon gliding exercises to reduce pain in patients with carpal tunnel syndrome. Physical Therapy Journal of Indonesia.

Zaheer, F., Khan, M., & Ali, S. (2023). Effect of nerve gliding exercises on median nerve mobility in carpal tunnel syndrome. Healthcare, 11(9), 1452.

Published

2026-08-14

How to Cite

Rahman, I., Apriliana Riskianti, P., & Qudus, A. (2026). Penatalaksanaan Fisioterapi Pada Kasus Carpal Tunnel Syndrome Bilateral Dengan Modalitas Ultrasound Dan Nerve Gliding Exercise Di Rsud Cililin Kabupaten Bandung Barat. Dinasti Health and Pharmacy Science, 4(1), 70–79. https://doi.org/10.38035/dhps.v4i1.3710