PENATALAKSANAAN FISIOTERAPI PADA GANGGUAN FUNGSIONAL SHOULDER AKIBAT FROZEN SHOULDER DI RS BHAYANGKARA KOTA MAKASSAR

Physiotherapy Management of Functional Shoulder Disorders Due To Frozen Shoulder At Bhayangkara Hospital Makassar City

Abstrak

Frozen shoulder adalah peradangan progresif yang memicu kontraktur pada kapsul sendi glenohumeral. Keadaan ini menyebabkan nyeri dan keterbatasan gerak aktif dan pasif dengan pola kapsular. Tujuan penelitian ini adalah untuk mengetahui penatalaksanaan fisioterapi pada gangguan fungsional shoulder joint akibat frozen shoulder. Jenis penelitian adalah studi kasus, dilaksanakan di RS. Bhayangkara Makassar dengan jumlah sampel sebanyak 2 orang. Pengumpulan data diperoleh melalui pengukuran nyeri menggunakan VAS dan pengukuran ROM menggunakan Goniometer. Intervensi yang diberikan US, anterior-posterior glide, dan codman pendulum exercise. Setelah delapan kali intervensi, kedua pasien menunjukkan penurunan nyeri yang bermakna serta peningkatan rentang gerak sendi. Pada gerakan rotasi eksternal, rotasi internal, maupun abduksi, terjadi penurunan intensitas nyeri yang disertai dengan peningkatan kemampuan gerak aktif. Kesimpulan penelitian ini adalah penatalaksanaan fisioterapi dengan Ultrasound, anterior-posterior glide, dan codman pendulum exercise, dapat menghasilkan penurunan nyeri gerak dan peningkatan ROM shoulder pada kondisi frozen shoulder.

Kata kunci : Anterior-Posterior Glide, Codman Pendulum Exercise, Frozen Shoulder, Nyeri, ROM Shoulder, Ultrasound

Frozen shoulder is a progressive inflammation that triggers contracture of the glenohumeral joint capsule. This situation causes pain and limitation of active and passive movements with a capsular pattern. The purpose of this study was to determine the physiotherapy management of functional disorders of the shoulder joint due to frozen shoulder. This type of research is a case study, conducted at Bhayangkara Makassar Hospital with a total sample of 2 people. Data collection was obtained through pain measurement using VAS and ROM measurement using Goniometer. Interventions provided US, anterior-posterior glide, and codman pendulum exercise. After eight interventions, both patients showed a significant decrease in pain and an increase in joint range of motion. In external rotation, internal rotation, and abduction movements, there was a decrease in pain intensity accompanied by an increase in active movement ability. The conclusion of this study is that physiotherapy treatment with ultrasound, anterior-posterior glide, and codman pendulum exercise, can result in decreased motion pain and increased ROM of the shoulder in a frozen shoulder condition.

Keywords : Anterior-Posterior Glide, Codman Pendulum Exercise, Frozen Shoulder, Pain, ROM Shoulder, Ultrasound