Scribd Logo
Загрузить

Добро пожаловать в Scribd!

  • Pain Dan Kaku Leher Akibat Capsular Pattern Kasus SAC

    Загружено:

    Afifah Nur
    67 просмотров10 страниц
    1) The document describes spondyloarthrosis cervicalis, a condition causing neck pain and stiffness due to degeneration of cervical discs and facet joints. 2) Key features include disc thinning and hardening, facet joint erosion and instability, capsular and muscle tightness, and osteophyte formation. This leads to referred pain, paresthesia, and nerve root irritation. 3) Physical therapy assessment focuses on mobility and neurological testing to determine the level and pattern of involvement. Treatment targets the impaired structures and aims to reduce pain and stiffness, improve posture and movement, and prevent disability through techniques like traction, mobilization, stretching, and exercise.

    Исходное описание:

    NECK PAIN

    Оригинальное название

    14. Pain Dan Kaku Leher Akibat Capsular Pattern Kasus SAC

    Авторское право

    © © All Rights Reserved

    Доступные форматы

    PPTX, PDF, TXT или читайте онлайн в Scribd

    Этот документ был вам полезен?

    Это неприемлемый материал?

    Пожаловаться на этот документ
    1) The document describes spondyloarthrosis cervicalis, a condition causing neck pain and stiffness due to degeneration of cervical discs and facet joints. 2) Key features include disc thinning and hardening, facet joint erosion and instability, capsular and muscle tightness, and osteophyte formation. This leads to referred pain, paresthesia, and nerve root irritation. 3) Physical therapy assessment focuses on mobility and neurological testing to determine the level and pattern of involvement. Treatment targets the impaired structures and aims to reduce pain and stiffness, improve posture and movement, and prevent disability through techniques like traction, mobilization, stretching, and exercise.

    Авторское право:

    © All Rights Reserved
    Скачайте в формате PPTX, PDF, TXT или читайте онлайн в Scribd
    Отметить как неприемлемый контент
    67 просмотров10 страниц

    Pain Dan Kaku Leher Akibat Capsular Pattern Kasus SAC

    Загружено:

    Afifah Nur
    1) The document describes spondyloarthrosis cervicalis, a condition causing neck pain and stiffness due to degeneration of cervical discs and facet joints. 2) Key features include disc thinning and hardening, facet joint erosion and instability, capsular and muscle tightness, and osteophyte formation. This leads to referred pain, paresthesia, and nerve root irritation. 3) Physical therapy assessment focuses on mobility and neurological testing to determine the level and pattern of involvement. Treatment targets the impaired structures and aims to reduce pain and stiffness, improve posture and movement, and prevent disability through techniques like traction, mobilization, stretching, and exercise.

    Авторское право:

    © All Rights Reserved
    Скачайте в формате PPTX, PDF, TXT или читайте онлайн в Scribd
    Отметить как неприемлемый контент
    из 10

    Pain dan kaku leher akibat Capsular

    pattern kasus Spondylo arthrosis


    cervicalis
    Spondyloarthrosis cervic
    • Diawali discosis (pipih, keras)
    • Terjadi arthrosis (hyaline cartilage
    tipis-keras dan erosi)
    • Mulai instabilitas → iritasi jar. Lunak
    → psudoradicular pain
    • Capsule-ligaments contracture
    • Muscle tight /contracted
    • Osteofit tepi facets dan corpus
    • Forament intervertebrale sempit
    • Iritasi radix → Parestesia

    Sugijanto, 2015
    NECK ARM PAIN -
    Spondyloarthrosis
    cervicalis
    Penipisan, pengerasan &
    erosi rawan sendi

    Mulai instabilitas  iritasi


    jar.  psudoradicular pain

    Capsule-lig. contracture &


    muscle tight /contracted
    Facets iritation
     osteofit tepi facets dan Capsular pattern
    corpus Muscle tightness-
    contracture
    Penyempitan foramen I.V. Neural irritation

    Iritasi radixRadicular pain


    Sugijanto, 2015
    Spondylo arthrosis cervicalis

    Functioning, disability and health Constextual factors

    Anatomic impairment
    Internal External
    Disc Facet & Nerves factors factors
    Capsels Muscle
    Uncinate

    Pipih & Chronic Autonom


    Erosi Nocisensoric
    rapuh inflamation system

    Sub chondral Weak- Sympathic


    Instability
    inflamation atrophy hyperactivity
    Inter fiber Spasm- Vascular
    adhesion tightness Activity
    contracture Micro circular Functional limitation
    Extension Participation
    Capsel constriction impairment
    pain restriction
    contracture
    Reading
    Muscle
    Stretched imbalance Work
    Capsular pain
    pattern Sport
    Driving

    Recreation
    Hypomobility Neck pain Postural
    deformity Sugijanto, 2015
    PEMERIKSAAN FISIOTERAPI YG
    DIBUTUHKAN
    Diutamakan pemilihan evidence untuk:
    • Tes cepat untuk menentukan artrosis
    – Extension pain
    • Pemeriksaan Facet:
    – PACVP
    – Spurling test
    – Traction in flexion
    • Pemeriksaan capsul sendi facet:
    – 3D flexion test
    – Gapping test
    • Pemeriksaan otot:
    – Contract relax stretch test
    – Palpasi

    Sugijanto, 2015
    Assessment
     Morning sickness dan Start pain
     Nyeri jenis ngilu/pegal cervical – interscapulae
    /lengan, disertai kaku leher
     Nyeri/paresthesia meningkat grk cervical
    ekstensi
     Gerak fleksi terasa tegang tetapi nyeri
    berkurang, gerak ekstensi nyeri cervical
    menyebar hingga intersccapular atau lengan
     Gerak ekstensi 3 dimensi cervical nyeri dan
    paresthesia pada leher hingga interscapular
    atau lengan
     Nyeri dan ROM terbatas dengan firm end feel,
    sering terasa crepitasi
     Keterbatasan gerak dalam capsular pattern

    Sugijanto, 2015
    Tes khusus dan data medik
    • Compression test posisi ekstensi
    nyeri menyebar
    • Joint play movement lateral
    gapping test atau 3 dimentional
    flexion terbatas firm end feel.
    • Tes dengan PACVP nyeri
    segmental
    • Neurodynamic test
    • ‘X’ ray dijumpai osteofit tepi
    corpus dan/atau facets
    Sugijanto, 2015
    INTERVENSI FISIOTERAPI YG
    DIBUTUHKAN
    MODALITAS DAN METODA
    • Anatomic Impairment target:
    – Disc degenerated: Extension exwercise
    – Facet joint surface: Flat back exercise
    – Capsels: 3 D flexion mobilization
    – Gapping manipulation
    – Muscles: Massage; Contract relax
    stretching
    • Functional Impairment target:
    – Postural correction
    – Proper body mechanic
    • Disability target

    Sugijanto, 2015
    Intervension
    • Cervical static traction in flat
    position.
    • Lateral gapping mobilization
    • Contract relax stretching
    tight muscles
    • Neural mobilization
    • Postural correction &
    ergonomic
    • Flexion exc

    Sugijanto, 2015
    ALAT UKUR/EVALUASI FISIOTERAPI YG
    DIBUTUHKAN
    • Pengukuran nyeri
    • Pengukuran fleksibilitas/ekstensibilitas otot
    • Pengukuran ROM,
    • Pengukuran movement disfunction
    • Pengukuran disabilitas

    Sugijanto, 2015

    Вам также может понравиться