Management Of Physiotherapy Programs In Skin Flap For Thumb : Case Report
DOI:
https://doi.org/10.55606/jufdikes.v6i1.1026Keywords:
Skin Flap, Physiotherapy, ExerciseAbstract
Skin flap is a skin graft procedure that will repair damaged skin by removing the soft tissue underneath. Objective: to determine Physiotherapy management in the form of giving electro therapy (ultrasound and Infrared) and exercise. Methods: The research method includes a "case report" case study conducted on 1 male patient with a diagnosis of Stiffness wrist digiti 1-5 manus dextra hand function disorders, ec. Amputation of fingers manus dextra post flap). The measuring instruments used are using the Numeric Rating Scale (NRS) for pain scale, Wrist Hand Disability Index (WHDI) to measure functional activity ability, Gonimeter to measure joint motion scope, Manual Muscle Testing (MMT) to measure muscle strength, mitline to measure odema segment circumference. Results: After 3 times of therapy, the patient's assessment results were obtained, namely a significant change in the level of joint scope of motion, muscle strength, skin integrity, motion pain in the wrist and fingers of the right hand, and functional ability. Conclusion: This case study shows that the administration of electrotepsy and exercises in the case of Skin Flap of the thumb of the hand, proved to be effective.
References
Adani, R., Mugnai, R., & Petrella, G. (2019). Reconstruction of Traumatic Dorsal Loss of the Thumb: Four Different Surgical Approaches. Hand (N Y), 14(2), 223-229. https://doi.org/10.1177/1558944717736396
Al-Qattan, M. M., Alammar, A. K., Alfaqeeh, F. A., Altamimi, L. A., Alfehaid, N. S., Mahabbat, N. A., & Pant, R. (2021). Pedicled Abdominal Flaps for Hand Reconstruction in Adults: Physiotherapy of the Attached Hand. Plast Reconstr Surg Glob Open, 9(3), e3474. https://doi.org/10.1097/gox.0000000000003474
Cakrawati, L. S., Nurmaningdyah, A. A., Purnawati, G., Ashari, H., & Pinasthika, K. S. (2021). Penanganan luka terbuka pada axilla kucing domestik metode skin flapping rotation flaps. VITEK: Bidang Kedokteran Hewan, 11(1), 1-5.
Hamelin, N. D., & Wong, A. K. (2015). Flaps and Skin Grafts. In R. L. Hamm (Ed.), Text and Atlas of Wound Diagnosis and Treatment. McGraw-Hill Education. accessphysiotherapy.mhmedical.com/content.aspx?aid=1118826143
Nurcipto, D., & Gandha, G. I. (2017). Pengendalian Dosis Inframerah pada Alat Terapi Menggunakan Pulse Width Modulation (PWM). Sist. Kendali-Tenaga-Elektronika-Telekomunikasi-Komputer, 6(2), 194-204.
Patel, S. Y., & Itani, K. (2018). Review of Eyelid Reconstruction Techniques after Mohs Surgery. Semin Plast Surg, 32(2), 95-102. https://doi.org/10.1055/s-0038-1642058
Tonkin, M. (2021). Thumb duplication/polydactyly. J Hand Surg Eur Vol, 46(4), 341-345. https://doi.org/10.1177/1753193421994778
Witt, M., & Altintas, M. A. (2021). [Reconstruction of defects on the hand]. Unfallchirurg, 124(10), 789-796. https://doi.org/10.1007/s00113-021-01077-5 (Defektrekonstruktionen an der Hand.)
