Penatalaksanaan Fisioterapi pada Kasus Brachial Plexus Injury di RSUP Dr. Sardjito Yogyakarta: Case Report

Authors

Ahmad Fatih Fauzi, Universitas Muhammadiyah SurakartaFollow

Abstract

Brachial Plexus Injury (BPI) is one of the most severe peripheral nerve injuries, frequently resulting from traffic accidents and causing significant functional impairment of the upper limb. Management of BPI requires a multidisciplinary approach, including physiotherapy interventions aimed at restoring muscle strength, preventing atrophy, and improving sensory and motor function. This article reports the physiotherapy management of a 23-year-old male with BPI following a traffic accident, who underwent surgical procedures and rehabilitation at Dr. Sardjito Hospital, Yogyakarta. The method used is a case report with literature review conducted via PubMed using relevant keywords. Physiotherapy interventions included Neuromuscular Electrical Stimulation (NMES) and forced passive exercise. Evaluation results indicated improvements in muscle strength and prevention of muscle atrophy after three therapy sessions, although active motion limitations and sensory disturbances persisted. In conclusion, the combination of NMES and forced passive exercise is effective in increasing muscle strength and preventing atrophy in BPI patients, thereby supporting gradual and periodic functional recovery.

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Bahasa Abstract

Brachial Plexus Injury (BPI) merupakan salah satu cedera saraf tepi yang paling serius, seringkali terjadi akibat kecelakaan lalu lintas dan menyebabkan gangguan fungsional yang berat pada ekstremitas atas. Penatalaksanaan BPI memerlukan pendekatan multidisiplin, termasuk intervensi fisioterapi yang bertujuan untuk memulihkan kekuatan otot, mencegah atrofi, serta meningkatkan fungsi sensoris dan motorik. Artikel ini melaporkan penatalaksanaan fisioterapi pada seorang pria usia 23 tahun dengan BPI akibat kecelakaan lalu lintas, yang menjalani tindakan bedah dan program rehabilitasi di RSUP Dr. Sardjito Yogyakarta. Metode yang digunakan adalah studi kasus dengan penelusuran literatur berbasis PubMed menggunakan kata kunci terkait. Intervensi fisioterapi yang diberikan berupa Neuromuscular Electrical Stimulation (NMES) dan forced passive exercise. Hasil evaluasi menunjukkan adanya peningkatan kekuatan otot dan pencegahan atrofi otot setelah tiga kali terapi, meskipun masih terdapat keterbatasan gerak aktif dan gangguan sensoris. Kesimpulannya, kombinasi NMES dan forced passive exercise efektif dalam meningkatkan kekuatan otot dan mencegah atrofi pada pasien BPI, sehingga dapat mendukung pemulihan fungsional secara bertahap dan berkala.

Recommended Citation

Fauzi, Ahmad Fatih (2025) "Penatalaksanaan Fisioterapi pada Kasus Brachial Plexus Injury di RSUP Dr. Sardjito Yogyakarta: Case Report," Jurnal Fisioterapi Terapan Indonesia: Vol. 4: Iss. 1, Article 2.
DOI: 10.7454/jfti.v4i1.1107
Available at: https://scholarhub.ui.ac.id/jfti/vol4/iss1/2