PENGARUH PEMBERIAN SENSORIMOTOR PADA NEUROPATI DIABETIC TIPE 2 DI RSUD DR. SAIFUL ANWAR MALANG : CASE REPORT

Abstrak

Diabetic neruropathy merupakan komplikasi yang sering terjadi akibat diabetes melitus (DM) dengan konsekuensi yang parah saat penyakit ini berkembang dan mempengaruhi semua sistem tubuh manusia. Laporan kasus ini membahas manajemen fisioterapi pada pasien laki – laki usia 59 tahun dengan diagnosis diabetic polyneuropathy yang menjalani terapi di RSUD dr. Saiful Anwar Malang, Jawa Timur. Intervensi yang diberikan meliputi Transcutaneous Electrical Nerve Stimulation (TENS), sensorimotor exercise dan gait training selama 4 minggu. Evaluasi dilakukan menggunakan numeric rating scale, Manual Muscle Testing (MMT), Test keseimbangan statis (Romberg test dalam posisi membuka dan menutup mata, Tandem Test dalam posisi membuka dan menutup mata secara bergantian), Time up and go test (TUGT). Hasil menunjukkan adanya penurunan nyeri istirahat dan bergerak, peningkatan kekuatan otot, peningkatan kepekaan sensoris yang dapat mengalami peningkatan keseimbangan statis dan dinamis yang menandakan perbaikan aktivitas fungsional. Intervensi fisioterapi terbukti efektif dalam menangani diabetic neuropathy secara konservatif dan meningkatkan kualitas hidup pasien.

Diabetic neuropathy is a complication that frequently occurs as a result of diabetes mellitus (DM) with severe consequences as the disease progresses and affects all systems of the human body. This case report discusses the physiotherapy management for a 59-year-old male patient diagnosed with diabetic polyneuropathy who underwent therapy at RSUD dr. Saiful Anwar Malang, East Java. The interventions provided included Transcutaneous Electrical Nerve Stimulation (TENS), sensorimotor exercises, and gait training over a period of 4 weeks. Evaluation was performed using a numeric rating scale, Manual Muscle Testing (MMT), static balance tests (Romberg test in both eyes open and closed positions, Tandem Test alternating between both eyes open and closed), and the Time Up and Go Test (TUGT). The results show a decrease in resting and movement pain, an increase in muscle strength, an improvement in sensory sensitivity that can experience an increase in static and dynamic balance indicating an improvement in functional activity. Physiotherapy interventions have proven effective in conservatively addressing diabetic neuropathy and enhancing the quality of life for patients.