PENGARUH ACTIVE STRETCHING DAN HAND EXERCISE TERHADAP PENURUNAN KELUHAN CARPAL TUNNEL SYNDROME (CTS) PADA PEMETIK TEH PTPN VIII MALABAR
Abstract
Angka Penyakit Akibat Kerja (PAK) dari tahun ke tahun terus meningkat, salah satu PAK yang sering terjadi yaitu Carpal Tunnel Syndrome (CTS). Pekerja pemetik teh berisiko tinggi mengalami keluhan CTS akibat gerakan berulang pada bagian pergelangan tangan. Pengendalian CTS diketahui dapat dilakukan praktik konservatif untuk menurunkan keluhan subjektif diantaranya dengan active stretching dan hand exercise. Tujuan penelitian ini untuk mengetahui perbedaan pengaruh intervensi active stretching dan hand exercise terhadap penurunan keluhan CTS. Jenis penelitian ekperimen dengan desain penelitian quasi eksperiment, rancang bangun penelitian two group design pre and post test. Populasi dalam penelitian yaitu seluruh pekerja pemetik teh PTPN VIII Malabar unit Kertamanah berjumlah 87 orang. Besar sampel dalam penelitian ini sebanyak 18 pekerja untuk kelompok A (intervensi active stretching) dan 18 pekerja untuk kelompok B (intervensi hand exercise), teknik sampling yang digunakan adalah purposive sampling. Pengukuran keluhan subjektif CTS menggunakan Boston Carpal Tunnel Syndrome (BCTQ). Analisi data menggunakan uji non-parametrik wilcoxon dan mann-whitney. Hasil penelitian menunjukan pada kelompok intervensi dengan active stretching, p-value 0,002 (p>0,05), dan hand exercise p-value 0,000 (p>0,05), artinya terdapat perbedaan signifikan keluhan CTS sebelum dan sesudah diberikan intervensi. Uji efektivitas menunjukkan nilai p-value 0,001 (p>0,05), artinya terdapat perbedaan yang signifikan penurunan keluhan CTS pada masing-masing kelompok intervensi, dengan intervensi hand exercise lebih efektif. Kesimpulan penelitian ini yaitu terdapat perbedaan yang signifikan pada skor rata-rata keluhan CTS sebelum dan sesudah diberikan masing-masing perlakuan, dengan hand exercise diketahui lebih efektif untuk menurunkan keluhan CTS.
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References
Aripin, T.N. et al. (2019) “Hubungan Durasi Mengetik Komputer dan Posisi Mengetik Komputer dengan Gejala Carpal Tunnel Syndrome (CTS) pada Karyawan Universitas Islam Bandung The Relationship of Computer Typing Duration and Computer Typing Position with Symptom of CTS,” Jurnal Integrasi Kesehatan & Sains (JIKS), 1(20), pp. 97–101. Available at: https://doi.org/10.29313/jiks.v1i2.4352.
Baker, N.A. et al. (2018) “What Types of Treatment Are Provided for Patients With Carpal Tunnel Syndrome? A Retrospective Analysis of Commercial Insurance,” National Library of Medicine, 10(8), pp. 826–83. Available at: https://doi.org/10.1016/j.pmrj.2018.02.004.
Basuki, R., Jenie, N. and Fikri, Z. (2015) “Faktor Prediktor Carpal Tunnel Syndrome (CTS) pada Pengerajin Alat Tenun Bukan Mesin (ATBM),” Jurnal Kedokteran Muhammadiyah, 4(1), pp. 1–7. Available at: https://doi.org/https://jurnal.unimus.ac.id/index.php/kedokteran/article/view/2580/2430.
Bianchi, E., Silva, N.C. da and Fonseca, M. de C.R. (2018) “Evidence on Physiotherapeutic Treatment for Carpal Tunnel Syndrome,” Journal of Yoga and Physiotherapy, 4(2), pp. 0032–0034. Available at: https://doi.org/10.19080/JYP.2018.04.555635.
Dimitrios, S. and Stasinopoulos, L. (2017) “Treatment of Carpal Tunnel Syndrome in pregnancy with Polarized Polychromatic Non-coherent Light (Bioptron Light): A Preliminary, Prospective, Open Clinical Trial,” Laser Therapy, 26(4), pp. 289–295. Available at: https://doi.org/10.5978/islsm.17-OR-18.
HSE (2020) Work Related Musculoskeletal Disorders Statistic (WRMSDs) in Great Britain, Health and Safety Executive.
Irmayani, I. et al. (2021) “Faktor-Faktor Yang Berhubungan Dengan Keluhan Carpal Tunnel Syndrome (CTS) Pada Supir Angkot Di Lubuk Pakam,” Jurnal Keperawatan Dan Fisioterapi (Jkf), 4(1), pp. 95–99. Available at: https://doi.org/10.35451/jkf.v4i1.872.
Jackson, R. et al. (2018) “Rates of Carpal Tunnel Syndrome in a State Workers’ Compensation Information System, by Industry and Occupation-California, 2007–2014,” Morbidity and Mortality Weekly Report, 67(39), pp. 1094–1097. Available at: https://doi.org/10.15585/mmwr.mm6739a4.
Kementerian Ketenagakerjaan (2022) Profil Keselamatan dan Kesehatan Kerja Nasional Tahun 2022. Jakarta: Kementerian Ketenagakerjaan Republik Indonesia.
Landman, D.M., Maree, J.H. and Peterson, C. (2020) “The Effect of the Powerball Gyroscope as a Treatment Device for Nonspecific Wrist Pain,” Journal of Manipulative and Physiological Therapeutics, 43(5), pp. 483–489. Available at: https://doi.org/https://doi.org/10.1016/j.jmpt.2019.11.002.
Lubis, A.A., Andriane, Y. and Dewi, M.K. (2019) “Karakteristik Pasien CTS (Carpal Tunnel Syndrome) di Rumah Sakit Al-Islam Bandung,” Prosiding Pendidikan Dokter, 2(2), pp. 574–580.
Maneesha, P., Sharma, S. and Shiv, V.K. (2021) “Comparative Effect of C-Trac Machine and Conventional Exercises In Case Of Carpal Tunnel Syndrome,” International Journal of All Research Education and Scientific Methods (IJARESM), 9(1), pp. 672–678. Available at: https://doi.org/http://www.ijaresm.com/uploaded_files/document_file/Pothumanchi_Maneesha4zMY.pdf.
Martins, R.S. and Siqueira, M.G. (2017) “Conservative therapeutic management of carpal tunnel syndrome,” Arq Neuropsiquiatr, 75(11), pp. 819–824. Available at: https://doi.org/https://doi.org/10.1590/0004-282X20170152.
Octaviana, F. et al. (2022) “Uji Validitas dan Reliabilitas Kuesioner Sindrom Terowongan Karpal BostonVersi Bahasa Indonesia,” eJournal Kedokteran Indonesia (eJKI), 10(1), pp. 18–25. Available at: https://doi.org/https://doi.org/10.23886/ejki.10.132.18-25.
Pande, L., Novita, P. and Permadi, A.W. (2019) “Pemberian Active Stretching Pergelangan Tangan Mengurangi Keluhan Carpal Tunnel Syndrome Pada Pekerja Pandai Besi di Desa Kabupaten Gianyar,” Jurnal Kesehatan Terpadu, 3(2), pp. 71–75. Available at: https://doi.org/https://doi.org/10.36002/jkt.v3i2.978.
Putri, P.P. (2019) “Nerve and Tendon Gliding Exercise As Nonmedical Intervention for Carpal Tunnel Syndrome,” Essence of Scientific Medical Journal, 17(2), pp. 34–39. Available at: https://doi.org/https://ojs.unud.ac.id/index.php/essential/article/view/53789/33846.
Rehan, S. et al. (2019) “Carpal Tunnel Syndrome and Its Prevalence in Pregnant Females of Faisalabad Pakistan,” Pakistan Journal of Medical and Biological Sciences, 2(1), pp. 9–19.
Repilda, N., Entianopa and Kurniawati, E. (2022) “Faktor-Faktor yang Berhubungan pengan Keluhan Carpal Tunnel Syndrome (CTS) pada Pekerja di Kantor Jambi Ekspress,” Indonesian Journal of Health Community, 3(2), pp. 39–46. Available at: https://doi.org/https://doi.org/10.31331/ijheco.v3i2.2299.
Rezagita, B., Prita, A.H. and Elis, H. (2021) “Pengaruh Latihan Tangan Terhadap Tingkat Nyeri Pada Karyawan Home Industry Yang Mengalami Carpal Tunnel Syndrome (CTS),” Indonesian Journal of Nursing Research (INJR), 4(2), pp. 91–98. Available at: https://doi.org/https://doi.org/10.35473/ijnr.v4i2.1195.
Sujadi, D. (2022) “Carpal Tunnel Syndrome (CTS) pada Pekerja Sektor Informal,” Jurnal Penelitian Perawat Profesional, 4(2), pp. 597–504. Available at: https://doi.org/https://doi.org/10.37287/jppp.v4i2.937.
Unver, S. and Akyolcu, N. (2018) “The effect of hand exercise on reducing the symptoms in hemodialysis patients with carpal tunnel syndrome,” Asian Journal of Neurosurgery, 13(1), p. 31. Available at: https://doi.org/10.4103/ajns.ajns_343_16.
Utami, R.F., Munawarah, S. and Khairunissa, H. (2021) “Hubungan Gerakan Repetitif Terhadap Kejadian Carpal Tunnel Syndrome (CTS) Pada Pemetik Daun Teh Di Pt. Mitra Kerinci Kabupaten Solok Selatan Tahun 2021,” Jurnal Fisioterapi dan Rehabilitasi, 6(1), pp. 42–47. Available at: https://doi.org/https://doi.org/10.33660/jfrwhs.v6i1.159.
Wulandari, E., Widjasena, B. and Kurniawan, B. (2020) “Hubungan Lama Kerja, Gerakan Berulang dan Postur Janggal terhadap Kejadian Carpal tunnel syndrome (CTS) pada Pekerja Tahu Bakso,” jurnal Kesehatan Masyarakat, 8(6), pp. 826–831.
Yuliani, M., Nopriyanty, R. and Kartikawati, S.L. (2021) “Intervensi Hand Exercise dengan Pengunaan Bola Tangan dalam Mengurangi Carpal Tunnel Syndrome Pada Ibu Hamil,” Jurnal Ilmiah STikes Kendal, 11, pp. 807–812. Available at: https://doi.org//10.32583/pskm.v11i4.163.
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