Penatalaksanaan Fisioterapi dengan IR, TENS, dan Latihan Pasca-ORIF Fraktur Tibia Distal di RS Soedjono Magelang

DOI: https://doi.org/10.33650/trilogi.v7i2.15708
Authors

(1) * Dwi Septiyaningsih   (Universitas Widya Dharma)  
        Indonesia
(2)  Rima Yunitasari   (Universitas Widya Dharma)  
        Indonesia
(3)  Zuyina Luklukaningsih   (Universitas Widya Dharma)  
        Indonesia
(*) Corresponding Author

Abstract


Background: ORIF is a surgical procedure involving internal fixation performed in fractures that cannot be healed manually or when a cast is unable to maintain the correct position of the bone fragments. After an ORIF procedure, patients will experience pain, swelling, limited mobility, and joint stiffness, so physiotherapy plays a crucial role in supporting the recovery process. Data show that of 111 fracture cases, 86 (77.5%) were treated with ORIF. Purpose of the Study: The purpose of this study was to determine and describe the physiotherapy management and clinical outcomes in cases of Post Orif Tibia 1/3 Distal with Infrared (IR), Transcutaneous Electrical Nerve Stimulation (TENS) and Exercise Therapy modalities at Dr. Soedjono Class II Hospital Magelang. Methods: This case study involved a 50-year-old male patient with a Post Orif Tibia 1/3 Distal case condition which was performed from December 2025 to January 2026 and. Results: The results of the study after 6 interventions showed a decrease in pressure pain from a scale of 4 to 2 and pain when moving from a scale of 6 to 2. Increased muscle strength in dorsiflexion movements from 4 to 5, plantar flexion movements from 4 to 5, and inversion movements from 4 to 5. Increased range of motion in the left ankle area in the sagittal plane from T0=12°-0°-20° to T6=20°-0°-35°, in the frontal plane T0=10°-0°-15° to T6=20°-0°-35° As well as an increase in functional activity T0=51,9% (moderate difficulty) to T6=80,7% (severe difficulties).

Keywords

Distal Tibia Fracture; Exercise Therapy; Infrared; Physiotherapy; Post-ORIF; TENS.







References


Referensi

Alif, A. (2024). Penerapan Evidence Based Nursing Dengan Intervensi Relaksasi Benson Untuk Menurunkan Nyeri Pada Pasien Trauma Fraktur Di Instalasi Gawat Darurat (Igd) Rsud Sleman (Doctoral Dissertation, Sekolah Tinggi Ilmu Kesehatan Wira Husada). https://repository.stikeswirahusada.ac.id/id/eprint/626

Azizi, F. S. H. (2022). Penatalaksanaan Fisioterapi Pada Post Op Hip Arthroplasty Ec Facture Collum Femur Sinistra Dengan Modalitas Infra Red, Transcutaneous Electrical Nerve Stimulation, Dan Terapi Latihan (Doctoral Dissertation, Universitas Widya Husada Semarang). http://eprints.uwhs.ac.id/id/eprint/1340

Bagga, I. K. B., & Deshmukh, M. (2024). Physical rehabilitation subsequent to fixation of Ilizarov ring fixator for the management of distal femur fracture: A case report. Cureus, 16(3), e56201. https://doi.org/10.7759/cureus.56201 10.7759/cureus.56201

Bujana, R. A. (2025). Penatalaksanaan Fisioterapi Post Orif Fraktur Humerus 1/3 Distal Sinistra Dengan Modalitas Infrared Dan Terapi Latihan (Doctoral Dissertation, Universitas Widya Husada Semarang). http://eprints.uwhs.ac.id/id/eprint/2777

Daulay, S. N. M., & Hapsari, A. R. H. (2022). Pengaruh Terapi Relaksasi Islami Terhadap Penurunan Tingkat Nyeri Pada Pasien Post Operasi Fraktur: Literature Review. Jurnal Indonesia Sehat, 1(02), 175-183. https://jurnal.samodrailmu.org/index.php/jurinse/article/view/47/34

Ditasari,.(2022) Pengaruh Rom Terhadap Peningkatan Kekuatan Otot Pada Ekstermitas Atas, Jurnal Rumpun Ilmu Kesehatan Vol 2 No.2 (Juli 2022) Issn :2827-8372 https://Repository.Stikespantiwaluya.Ac.Id/Id/Eprint/75 10.55606

Fajar, A. B., Hulwa, A. C., Taran, A. L., Wibowo, E. B. S., Prodyanatasari, A., & Rahmawati, W. (2026). Optimalisasi Tens, Es, Dan Terapi Latihan Pada Post Hip Arthroplasty Untuk Meningkatkan Kekuatan Otot Dan Lingkup Gerak Sendi. Jurnal Penelitian Ilmu Kesehatan (Jurnal Pikes), 7(1), 1-9. https://ojs.pikes.iik.ac.id/index.php/jpikes/article/view/87/42

Ferdiansyah, E. R., & Chilmi, M. Z. (2022). Anamnesis dan pemeriksaan fisik ortopedi II (ekstremitas atas dan bawah). Buku Ajar Blok Muskuloskeletal-Aspek Ortopedi, 31. ISBN-13: 9786230148446

Fitamania, J., Astuti, D., & Puspasari, F. D. (2022). Literature Review Efektifitas Latihan Range Ofmotion (Rom) Terhadap Gangguan Mobilitas Fisik Pada Pasien Post Operasi Fraktur Ekstremitas Bawah. Journal Of Nursing And Health, 7(2), 159-168. https://doi.org/10.52488/jnh.v7i2.12

Jannah, M., Agustina, L., & Fauziah, F. (2022). Pelaksanaan Ultrasound Dan Terapi Latihan Pada Kasus Trigger Finger. Jurnal Real Riset, 4(3), 366–373. https://doi.Org/10.47647/Jrr.V4i3.839.

Lenggogeni, D. P., & Safitri, K. H. (2025). Asuhan Keperawatan pada Pasien Fraktur Post Open Reduction and Internal Fixation (ORIF) dengan Penerapan Terapi Komplementer. Purbalingga. CV Eureka Media Aksara. ISBN:978-634-248-934-5

López-López, D., Pérez-Ríos, M., Ruano-Ravina, A., Losa-Iglesias, M. E., Becerro-de-Bengoa-Vallejo, R., Romero-Morales, C., ... & Navarro-Flores, E. (2021). Impact of quality of life related to foot problems: A case–control study. Scientific reports, 11(1), 14515. https://doi.Org/10.1038/S41598-021-93902 5.

M. Rino., & Fajri, J. Al. (2021). Pengaruh Range Of Motion Aktif Terhadap Pemulihan Kekuatan Otot Dan Sendi Pasien Post Op Fraktur Ekstremitas Di Wilayah Kerja Puskemas Muara Kumpeh. Jurnal Akademika Baiturrahim Jambi, 10(2), https://doi.org/10.36565/jab.v10i2.343

Muto'in, N. F., & Utami, A. (2022). Analisis tingkat kecelakaan lalu lintas menggunakan metode Accident Rate dan Equivalent Accident Number (EAN) di Kota Magelang. Jurnal Rekayasa Sipil (JRS-Unand), 18(1), 60–67. https://doi.org/10.25077/jrs.18.1.60-67.2022

Nagara, A. T., Kasimbara, R. P., Abdullah, A., & Fau, Y. D. (2022). Pengaruh Pemberian Isometric Exercise Dan Intervensi Tens Terhadap Peningkatan Aktivitas Fungsional Pada Pasien Osteoarthritis Lutut. Jurnal Keperawatan Muhammadiyah, 7(1). https://doi.org/10.30651/jkm.v7i1.11169

Nihaya Mufida, S., Dewi Yanti, A., & Wahyuningrum, T. (2025). Efektivitas Terapi Sinar Infrared Terhadap Penurunan Gejala Commond Cold Pada Balita Sakit Usia 1-5 Tahun Di TPMB I'in Suyanti, S. Tr. Keb, Bd Kota Mojokerto (Doctoral dissertation, Perpustakaan Universitas Bina Sehat PPNI). https://repositori.stikes-ppni.ac.id/handle/123456789/3528

Prahesti, Y. R., Perdana, S. S., & Yanuar, R. A. (2025, July). Manajemen Fisioterapi Pada Post Orif Fraktur Olecranon Sinistra: Studi Kasus. In Academic Physiotherapy Conference Proceeding (Pp. 524-529). https://proceedings.ums.ac.id/apc/article/view/6447/5763

Puspitasari, L. (2024). Penatalaksanaan Fisioterapi Pada Kasus Post Orif Metacarpal Iv Sinistra Di Rsud Bagas Waras Klaten (Doctoral Dissertation, Universitas Widya Dharma). http://repository.unwidha.com:880/id/eprint/4084

Sari, L. B., & Pasaribu, I. A. (2026). Pengaruh Pengaruh Pemberian Tens Terhadap Penurunan Nyeri Osteoarthritis Genu Pada Pasien Lansia Di Rs Airan Raya Lampung Selatan. Jurnal Kesehatan dan Fisioterapi (KeFis), 6(1), 19-23. https://ejournal.insightpower.org/index.php/KeFis/article/view/118/102

Silpiyani, S., & Novitasari, D. (2023). Deep Breathing Relaxation Therapy For The Implementation Of Acute-Pain In Post-Orif Of Patella Sinistra Fractures Patients. Genius Journal, 4(1), 257-264. https://doi.org/10.56359/gj.v4i1.248

Sipayung, A. P. M., Anniza, M., & Rakhman, A. (2025). Efektivitas Neurokinetic Exercise Terhadap Peningkatan Aktifitas Fungsional Pada Plantar Fasciitis: Narrative Review. Indonesian Journal Of Physiotherapy, 5(1). https://doi.org/10.52019/ijpt.v5i1.10500

Susanti, N., & Damayanti, R. T. (2023). Penatalaksanaan Fisioterapi Pada Post Op Oriffraktur 1/3 Radius Distal Sinistra Dengan Modalitas Infra Red (Ir) Dan Terapi Latihan. Jurnal Ilmiah Fisioterapi Muhammadiyah, 2(1), 27-27. https://doi.org/10.30651/jar.v3i1.17544

Syahputra, B. A., & Purnomo, D. (2026). Penatalaksanaan Fisioterapi Dengan Modalitas Infra Red Dan Terapi Latihan Pada Post Orif Fraktur Femur 1/3 Distal Dextra. Jurnal Fisioterapi Dan Ilmu Kesehatan Sisthana, 8(1), 82-90. https://doi.org/10.55606/jufdikes.v8i1.2024

Wulandari, P., & Fatmarizka, T. (2025). PHYSIOTHERAPY MANAGEMENT IN CASES OF POST OPEN REDUCTION INTERNAL FIXATION (ORIF) ON FRACTURE PATELLA SINISTRA IN RS UNS SURAKARTA WARD: CASE STUDY. JTH: Journal of Technology and Health, 3(1), 49-58. https://doi.org/10.61677/jth.v3i1.452


Dimensions, PlumX, and Google Scholar Metrics

10.33650/trilogi.v7i2.15708


Refbacks

  • There are currently no refbacks.


Copyright (c) 2026 Dwi Septiyaningsih, Rima Yunitasari, Zuyina Luklukaningsih

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Creative Commons License
 

TRILOGI: Jurnal Ilmu Teknologi, Kesehatan, dan Humaniora
Published by Lembaga Penerbitan, Penelitian dan Pengabdian kepada Masyarakat (LP3M) of Nurul Jadid University, Probolinggo, East Java, Indonesia.