Pemberian Infra Red dan Terapi Latihan pada Kasus Pasca Dislokasi Shoulder Sinistra

Authors

  • Ifa gerhanawati Universitas Anwar medika
  • Ainul Ghurri Universitas Anwar medika
  • Danuditya Purna Atmaja Universitas Anwar medika
  • Hafizah Sururul Nur Rakhmawati Universitas Anwar medika
  • Fransisca Xaveria Hargiani Universitas Anwar medika

DOI:

https://doi.org/10.55606/klinik.v4i1.5126

Keywords:

Dislocation, Hold-relax, Infrared, Shoulder

Abstract

Shoulder dislocation is a fairly common musculoskeletal injury, particularly in individuals who engage in high-impact physical activity or sports involving extreme shoulder joint movements, such as athletes. This condition can cause significant pain, limited range of motion (ROM), decreased muscle function, and impact daily functional activities. Physiotherapy plays a crucial role in the rehabilitation process after a shoulder dislocation, with the primary focus being on reducing pain, restoring ROM, improving muscle function, and preventing recurrence. This study aimed to evaluate the effectiveness of a combination of infrared therapy and isometric hold-relax exercises in reducing pain and increasing ROM in patients with left shoulder dislocation. The study design used a case study approach with a single patient as the subject. The physiotherapy intervention consisted of six phased and scheduled sessions. Infrared therapy was administered to help relax muscle tissue, improve local blood circulation, and reduce pain intensity. Meanwhile, isometric hold-relax exercises were applied to increase muscle flexibility, expand ROM, and restore shoulder joint function. Evaluations were conducted before and after the intervention, measuring pain levels using a subjective pain scale and assessing range of motion (ROM) using a goniometer. The results showed a significant reduction in pain and a significant increase in joint mobility after undergoing the physiotherapy program. These findings indicate that the combination of infrared therapy and isometric hold-relax exercises can be an effective method in shoulder dislocation rehabilitation, supporting functional recovery and potentially reducing the risk of re-injury. This study also emphasizes the importance of a multimodal therapeutic approach in the management of musculoskeletal injuries for optimal outcomes.

References

Ackerman, I. N., Fotis, K., Pearson, L., Schoch, P., Broughton, N., Brennan-Olsen, S. L., Bucknill, A., Cross, E., Bunting-Frame, N., & Page, R. S. (2022). Impaired health-related quality of life, psychological distress, and productivity loss in younger people with persistent shoulder pain: A cross-sectional analysis. Disability and Rehabilitation, 44(15), 3785–3794. https://doi.org/10.1080/09638288.2021.1887376

Atmaja, D. P., & Ghurri, A. (2023). Penatalaksanaan fisioterapi pada kasus low back pain miogenik dengan metode infrared dan massage. STAMINA, 6(2), 45–50. https://doi.org/10.24036/JST.V6I2.1189

Belk, J. W., Wharton, B. R., Houck, D. A., Bravman, J. T., Kraeutler, M. J., Mayer, B., Noonan, T. J., Seidl, A. J., Frank, R. M., & McCarty, E. C. (2023). Shoulder stabilization versus immobilization for first-time anterior shoulder dislocation: A systematic review and meta-analysis of Level 1 randomized controlled trials. The American Journal of Sports Medicine, 51(6), 1634–1643. https://doi.org/10.1177/03635465211065403

Cho, H. Y., Heijnen, M. J. H., Craig, B. A., & Rietdyk, S. (2021). Falls in young adults: The effect of sex, physical activity, and prescription medicat ions. PLOS ONE, 16(4), e0250360. https://doi.org/10.1371/journal.pone.0250360

De Cristofaro, L., Brindisino, F., Venturin, D., Andriesse, A., Pellicciari, L., & Poser, A. (2025). Prognostic factors of nonsurgical intervention outcomes for patients with frozen shoulder: A retrospective study. Disability and Rehabilitation, 47(3), 719–726. https://doi.org/10.1080/09638288.2024.2360044

Fares, M. Y., Boufadel, P., Daher, M., Koa, J., Khanna, A., & Abboud, J. A. (2023). Anterior shoulder instability and open procedures: History, indications, and clinical outcomes. Clinics in Orthopedic Surgery, 15(4), 521–530. https://doi.org/10.4055/CIOS23018

Gottlieb, M., Patel, D., Marks, A., & Peksa, G. D. (2022). Ultrasound for the diagnosis of shoulder dislocation and reduction: A systematic review and meta-analysis. Academic Emergency Medicine, 29(8), 999–1007. https://doi.org/10.1111/acem.14454

Gusma, K. C. (2022). Survei penyebab terjadinya cedera anterior cruciate ligament (ACL) pada Komunitas ACL Indonesia cabang Jateng DIY. Unnes Journal of Sport Sciences, 6(2), 104–117. https://doi.org/10.15294/UJOSS.V6I2.54852

Hapsari, H. D., & Imania, D. R. (2016). Perbedaan pengaruh penambahan proprioseptif neuromuscular facilitation (PNF) stretching hold relax pada intervensi ultrasound terhadap nyeri plantar fasciitis di SMP N 1 Sambirejo Sragen. http://lib.unisayogya.ac.id

Kelly, M. J., Holton, A. E., Cassar-Gheiti, A. J., Hanna, S. A., Quinlan, J. F., & Molony, D. C. (2019). The aetiology of posterior glenohumeral dislocations and occurrence of associated injuries. Bone and Joint Journal, 101-B(1), 15–21. https://doi.org/10.1302/0301-620X.101B1.BJJ-2018-0984.R1

Lear, A., & Patel, N. (2016). Softball pitching and injury. Current Sports Medicine Reports, 15(5), 336–341. https://doi.org/10.1249/JSR.0000000000000293

Nakamura, M., Sato, S., Kiyono, R., Yahata, K., Yoshida, R., Fukaya, T., & Konrad, A. (2021). Comparison of the acute effects of hold-relax and static stretching among older adults. Biology, 10(2), 126. https://doi.org/10.3390/biology10020126

Pan, X., Yao, Y., Yan, H., Wang, J., Dai, L., Qu, X., Fang, Z., Feng, F., & Zhou, Y. (2021). Iatrogenic fracture during shoulder dislocation reduction: Characteristics, management and outcomes. European Journal of Medical Research, 26(1), 1–7. https://doi.org/10.1186/s40001-021-00545-3

]Provencher, M. T., Midtgaard, K. S., Owens, B. D., & Tokish, J. M. (2021). Diagnosis and management of traumatic anterior shoulder instability. Journal of the American Academy of Orthopaedic Surgeons, 29(2), e51–e61. https://doi.org/10.5435/JAAOS-D-20-00202

Purna Atmaja, D. (2023). Treatment of neck muscle pain and tension with TPG therapy. Jurnal EduHealth, 14(1), 320–324. https://ejournal.seaninstitute.or.id/index.php/healt/article/view/1545

Purna Atmaja, D., Ghurri, A., Andriana, L. M., Rosanti, D. P., Ningrum, S., & Kesehatan, F. I. (2024). Penyuluhan tata laksana penanganan pasien pasca cedera sebagai upaya pelayanan kesehatan pada siswa-siswi SMK di wilayah Kecamatan Krian. Jurnal Pengabdian Kepada Masyarakat, 3(4), 37–42. https://doi.org/10.55606/JPKM.V1I4.69

Romano, A. M., Edwards, T. B., Nastrucci, G., Casillo, P., Di Giunta, A., Zappia, M., Susanna, M., & Ascione, F. (2021). Arthroscopic reduction and subscapularis remplissage (ARR) of chronic posterior locked shoulder dislocation leads to optimized outcomes and low rate of complications. Knee Surgery, Sports Traumatology, Arthroscopy, 29(7), 2348–2355. https://doi.org/10.1007/s00167-020-06317-6

Shah, M., Shah, S., Sangole, C., Bansal, S., Naik, N., & Patel, T. (2023). Clinical diagnosis of the infantile shoulder subluxation in residual brachial plexus birth injury and its correlation with ultrasound diagnosis. Journal of Pediatric Orthopaedics, 43(2), 123–127. https://doi.org/10.1097/BPO.0000000000002311

Søgaard, K., & Sjøgaard, G. (2017). Physical activity as cause and cure of muscular pain: Evidence of underlying mechanisms. Exercise and Sport Sciences Reviews, 45(3), 136–145. https://doi.org/10.1249/JES.0000000000000112

Szyluk, K., Niemiec, P., Sieroń, D., Lukoszek, D., Gierek, M., Lorek, A., & Christe, A. (2022). Shoulder dislocation incidence and risk factors—Rural vs. urban populations of Poland. International Journal of Environmental Research and Public Health, 19(19), 11857. https://doi.org/10.3390/ijerph191911857

Yin, R. (2018). Case study research and applications (6th ed.). Sage.

Zhu, Q., Xiao, S., Hua, Z., Yang, D., Hu, M., Zhu, Y.-T., Zhong, H., & And, R. (2021). Near infrared (NIR) light therapy of eye diseases: A review. International Journal of Medical Sciences, 18(1), 109–119. https://doi.org/10.7150/ijms.52980

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Published

2025-01-31

How to Cite

Ifa gerhanawati, Ainul Ghurri, Danuditya Purna Atmaja, Hafizah Sururul Nur Rakhmawati, & Fransisca Xaveria Hargiani. (2025). Pemberian Infra Red dan Terapi Latihan pada Kasus Pasca Dislokasi Shoulder Sinistra . Jurnal Ilmiah Kedokteran Dan Kesehatan, 4(1), 246–255. https://doi.org/10.55606/klinik.v4i1.5126