Pengaruh Tendon Nerve Gliding Exercise Terhadap Keluhan Carpal Tunnel Syndrome Pada Pemetik Teh di Kebun Teh Wonosari Kabupaten Malang

Yasinda Thasia Audina; Moch. Yunus; Anita Sulistyorini; Marji Marji

Authors

Yasinda Thasia Audina Universitas Negeri Malang
Moch. Yunus Universitas Negeri Malang
Anita Sulistyorini Universitas Negeri Malang
Marji Marji Universitas Negeri Malang

Keywords:

CTS, tendon nerve gliding exercise, occupational disease, penyakit akibat kerja

Abstract

Abstract: Carpal Tunnel Syndrome (CTS) is peripheral nerve damage in the carpal tunnel of the wrist. Factors that cause CTS are occupational factors (occupational) and non-occupational factors (individuals), the most influential on occupational factors are repetitive movements and non-occupational factors are female sex. Of the two most influential factors, both are characteristics of the work of tea pickers. Occupational diseases that are most often complained of by tea pickers in the tea garden, namely CTS. The prevention that can be done is tendon nerve gliding exercise to reduce pressure on the median nerve so that nerve compression does not occur. This study aims to determine the effect of the application of tendon nerve gliding exercise on CTS complaints in tea pickers at the Kebun Teh Wonosari. This research is a quasi-experimental type of research with a non-equivalent control group approach, namely by involving the experimental group and the control group and given a pretest and post-test on both. Data analysis was carried out by the Mann Whitney test using SPSS 25 software and the results obtained were that there was an effect of applying tendon nerve gliding exercise on complaints of CTS symptoms in tea pickers at Kebun Teh Wonosari (p=0.008) and there was no effect of tendon nerve gliding exercise on functional abilities of the hands on tea pickers at the Kebun Teh Wonosari (p=0.694).

Abstrak: Carpal Tunnel Syndrome (CTS) merupakan kerusakan saraf tepi pada terowongan karpal pergelangan tangan. Faktor yang menyebabkan CTS yaitu faktor okupasi (pekerjaan) dan faktor non-okupasi (individu), yang paling berpengaruh pada faktor okupasi adalah gerakan berulang dan faktor non-okupasi yaitu jenis kelamin wanita. Dari kedua faktor yang paling berpengaruh tersebut, keduanya merupakan karakteristik dari pekerjaan pemetik teh. Penyakit akibat kerja yang paling sering dikeluhkan pada pemetik teh di kebun teh yaitu CTS. Adapun pencegahan yang dapat dilakukan yaitu tendon nerve gliding exercise untuk mengurangi tekanan pada saraf medianus sehingga tidak sampai terjadi kompresi saraf. Penelitian ini bertujuan untuk mengetahui pengaruh penerapan tendon nerve gliding exercise terhadap keluhan CTS pada pemetik teh di Kebun Teh Wonosari. Penelitian ini berjenis quasi eksperimen dengan pendekatan non-equivalent control group yaitu dengan melibatkan kelompok eksperimen dan kelompok kontrol serta diberikan pretest dan post-test pada keduanya. Analisis data dilakukan dengan uji Mann Whitney menggunakan software SPSS 25 dan didapatkan hasil terdapat pengaruh penerapan tendon nerve gliding exercise terhadap keluhan gejala CTS pada pemetik teh di Kebun teh Wonosari (p=0.008) dan tidak ada pengaruh dari tendon nerve gliding exercise terhadap kemampuan fungsional tangan pada pemetik teh di Kebun Teh Wonosari (p=0.694).

References

Agustin, C. P. M. (2012). Masa kerja, Sikap kerja dan Kejadian Sindrom Karpal pada Pembatik. Jurnal Kesehatan Masyarakat, 7(2), 170–176.

American College of Rheumatology. (2021). Carpal Tunnel Syndrome. https://www.rheumatology.org/I-Am-A/Patient-Caregiver/Diseases-Conditions/Carpal-Tunnel-Syndrome

American Occupational Therapy Association. (2021). About Occupational Therapy. Aota.Org. https://www.aota.org/about/for-the-media/about-occupational-therapy

Anggraini, C., & Astari, R. W. (2021). Efektivitas Wrist Stretching, Tendon and Nerve Gliding Exercise dalam Menurunkan Nyeri dan Meningkatkan Fungsional Wrist pada Kasus Carpal Tunnel Syndrome. Jurnal Health Sains, 2(11), 1434.

Asmoro, I. W., & Pristianto, A. (2022). Pengaruh Pemberian Tendon Gliding Exercise pada Kasus Carpal Tunnel Syndrome (CTS) : Case Reports. 2, 27–32.

Ayunita, D., & Imania, D. R. (2017). Pengaruh Penambahan Tendon and Nerve Gliding Exercise pada Ultrasound Terhadap Penurunan Nyeri Carpal Tunnel Syndrome. Jurnal Publikasi Fisioterapi, 1(3), 1–14. http://digilib.unisayogya.ac.id/2790/1/naskah publikasi.pdf

Bahrudin, M., Lystianto Putra Perdana, R., & Fitra Alief Sultana, H. (2015). Hubungan Masa Kerja Dengan Kejadian CTS Pada Pekerja Pemetik Daun Teh. Saintika Medika, 11(2), 114. https://doi.org/10.22219/sm.v11i2.4205

Garneta, Y., Yunus, M., Sulistyorini, A., & Hapsari, A. (2022). The Effect of Educational Interventions and Stretching Practices on Musculoskeletal System Complaints (Case Study on Rice Portes at the Warehouse Department of Bulog GBB Kebonagung). Atlantis Press International BV. https://doi.org/10.2991/978-94-6463-072-5

Genova, A., Dix, O., Saefan, A., Thakur, M., & Hassan, A. (2020). Carpal tunnel syndrome: a review of the literature. Cureus Journal of Medical Science. https://doi.org/10.7759/cureus.7333

Hadi, F. K. (2020). Aktivitas Olahraga Bersepeda Masyarakat Di Kabupaten Malang Pada Masa Pandemi Covid-19. Sport Science and Education Journal, 1(2), 28–36. https://doi.org/10.33365/ssej.v1i2.777

Iqbal, Z. A., & Alghadir, A. H. (2017). Cumulative trauma disorders: A review. Journal of Back and Musculoskeletal Rehabilitation, 30(4), 663–666. https://doi.org/10.3233/BMR-150266

Kementrian Pertanian. (2014). Perkembangan Pasar Teh Indonesia di Pasar Domestik dan Pasar Internasional. Balittri.Litbang.Pertanian.Go.Id. http://balittri.litbang.pertanian.go.id/index.php/berita/info-teknologi/207-perkembangan-pasar-teh-indonesia-di-pasar-domestik-dan-pasar-internasional

Kementrian Pertanian. (2020). Pemetikan Teh. Cyber Extension - Pusluhtan Kementan. http://cybex.pertanian.go.id/mobile/artikel/92989/Pemetikan-Teh/

Middleton, S. D., & Anakwe, R. E. (2014). Carpal tunnel syndrome. British Medical Journal. https://doi.org/10.1136/bmj.g6437

Nadhifah, J., Hartanti, R. I., & Indrayani, R. (2019). Keluhan Carpal Tunnel Syndrome pada Pekerja Sortasi Daun Tembakau (Studi di Gudang Restu I Koperasi Agrobisnis Tarutama Nusantara Jember). Jurnal Kesehatan, 6(1), 18–26. https://doi.org/10.25047/j-kes.v6i1.14

National Safety Council. (2013). Cumulative Trauma Disorder. Safetyandhealthmagazine.Com. https://www.safetyandhealthmagazine.com/articles/cumulative-trauma-disorder

Octaviana, F., Putra, Y., Safri, A. Y., Wiratman, W., Indrawati, L. A., & Hakim, M. (2022). Validity and Reliability Test of The Indonesian Version of Boston Carpal Tunnel Syndrome Questionnaire. 10(1). https://doi.org/10.23886/ejki.10.132.18

Osiak, K., Elnazir, P., Walocha, J. A., & Pasternak, A. (2022). Carpal tunnel syndrome: state-of-the-art review. Folia Morphol, 81(4), 851–862. https://doi.org/10.5603/FM.a2021.0121

Pratiwi, G. (2019). Pengaruh Penambahan Tendon Gliding pada Intervensi Nerve Gliding Exercise untuk Mengurangi Nyeri Carpal Tunnel Syndrome (CTS) pada Pekerja Batik Tulis.

Putra, D. K., Setyawan, A., & Zainal, A. U. (2021). Faktor Yang Berhubungan Dengan Gejala Carpal Tunnel Syndrome (CTS) Pada Pekerja Komputer Bagian Editing Di Pt.X Tahun 2021. Environmental Occupational Health and Safety Journal •, 2(1), 11–18. https://jurnal.umj.ac.id/index.php/EOHSJ%0D

Putri, P. (2019). Nerve and Tendon Gliding Exercise As Non Medical Intervention for Carpal Tunnel Syndrome. Essence of Scientific Medical Journal, 17(2), 34–39. https://ojs.unud.ac.id/index.php/essential/article/view/53789

Rafique, R. M., Khan, F. F., & Singh, S. K. (2020). Comparative Study of Tendon and Nerve Gliding Exercises Versus Kinesiotaping for Carpal Tunnel Syndrome. International Journal of Physiotherapy and Research, 8(1), 3366–3371. https://doi.org/10.16965/ijpr.2019.204

Ropper, A. H., Samuels, M. A., & Klein, J. P. (2014). Adams and victor’s-principle of neurology (10th ed.). Boston: Mc Graw Hill Education.

Savage, N. J., & Albano, J. (2020). Marrying Tendon and Nerve Gliding Exercises with Hydrodissection Following Injection for Carpal Tunnel Syndrome - A New Treatment Approach? Journal of Orthopaedic Case Reports, 10(9), 38–46. https://doi.org/10.13107/jocr.2020.v10.i09.1896

Scalise, V., Brindisino, F., Pellicciari, L., Minnucci, S., & Bonetti, F. (2021). Carpal tunnel syndrome: A national survey to monitor knowledge and operating methods. International Journal of Environmental Research and Public Health, 18(4), 1–27. https://doi.org/10.3390/ijerph18041995

Septiani, A., Achiraeniwati, E., Asad, N. R., & Rejeki, Y. S. (2022). Upaya Perbaikan Teknik Pengangkatan Beban Yang Ergonomis Bagi Pekerja Pemetik Daun Teh Di Perkebunan Teh Pangalengan. 10(1), 85–92.

Setyawan, H., & Sjarifah, I. (2015). Implementasi 5R Untuk Mencegah Penyakit Akibat Kerja Pada Gigi, Mulut dan Saluran Pernafasan di Industri Informal Sragen. Jurnal Kesehatan Gigi, 2(2), 84–91. https://doi.org/10.31983/jkg.v2i02.650

Sitompul, Y. R. B. (2019). Resiko Jenis Pekerjaan dengan Kejadian Carpal Tunnel Syndrome (CTS). Jurnal Ilmiah Widya, 5(3).

Sucipto, C. D. (2014). Keselamatan dan Kesehatan Kerja. Gosyen Publishing.

Utamy, R. T., Kurniawan, B., & Wahyuni, I. (2020). Literature Review : Faktor Risiko Kejadian Carpal Tunnel Syndrome (CTS) Pada Pekerja. Jurnal Kesehatan Masyarakat (e-Journal), 8(5), 601–608.

Vladeva E. P. (2020). The Boston Carpal Tunnel Questionnaire /Bctq/ − a Reliable Method for Diagnosis and Assessment of the Treatment of Carpal Tunnel Syndrome. International Academy Journal Web of Scholar, 2(2(44)), 58–63. https://doi.org/10.31435/rsglobal_wos/28022020/6920

Wipperman, J., & Goerl, K. (2016). Carpal tunnel syndrome: Diagnosis and management. American Family Physician, 94(12), 993–999. https://doi.org/10.21776/ub.jphv.2021.002.01.2

Yunika, M., & Olin, S. N. (2021). Pengaruh Pemberian Nerve Gliding Exercise Terhadap Peningkatan Kemampuan Fungsional pada Penderita Carpal Tunnel Syndrome (CTS): Narrative Review.