Penyuluhan Pencegahan Carpal Tunnel Syndrome (CTS) pada Pekerja Migran Indonesia di Penang, Malaysia
DOI:
https://doi.org/10.30734/j-abdipamas.v10i2.5345Abstract
ABSTRACT
Indonesian migrant workers (PMIs) are at high risk of developing Carpal Tunnel Syndrome (CTS) due to repetitive work activities, non-ergonomic postures, and limited access to healthcare services. This community service program aimed to improve knowledge, early detection ability, and preventive skills related to CTS among PMIs in Penang, Malaysia. Methods included pre-test, health education, ergonomic training, hand stretching exercises (wrist stretching, tendon gliding, and nerve gliding exercises), early screening using Phalen and Tinel tests, and post-test. The results showed an increase in the average knowledge score from 2.74 to 4.03, with the proportion of participants in the high knowledge category rising from 5.13% to 82.05%. Early screening identified 9 participants (23.08%) with indications of early CTS symptoms. Additionally, 82.05% of participants were able to perform stretching exercises correctly. This community-based intervention effectively improved knowledge, early detection, and preventive skills simultaneously. The program has strong potential as a simple and applicable intervention model for other high-risk worker populations.
Keywords: Carpal Tunnel Syndrome; migrant orkers; health education; stretching exercises; early screening.
ABSTRAK
Pekerja Migran Indonesia (PMI) merupakan kelompok berisiko tinggi mengalami Carpal Tunnel Syndrome (CTS) akibat aktivitas kerja repetitif dan postur tidak ergonomis, serta keterbatasan akses layanan kesehatan. Kegiatan pengabdian kepada masyarakat ini bertujuan meningkatkan pengetahuan, kemampuan deteksi dini, dan keterampilan pencegahan CTS pada PMI di Penang, Malaysia. Metode yang digunakan meliputi pre-test, penyuluhan kesehatan, edukasi ergonomi, pelatihan peregangan tangan (wrist stretching, tendon gliding, dan nerve gliding exercise), skrining dini menggunakan Phalen test dan Tinel test, serta post-test. Hasil menunjukkan peningkatan nilai rata-rata pengetahuan dari 2,74 menjadi 4,03, dengan proporsi kategori pengetahuan tinggi meningkat dari 5,13% menjadi 82,05%. Pemeriksaan dini mengidentifikasi 9 peserta (23,08%) dengan indikasi gejala awal CTS. Sebanyak 82,05% peserta mampu melakukan latihan peregangan dengan kategori baik. Intervensi berbasis komunitas ini efektif meningkatkan aspek kognitif, deteksi dini, dan keterampilan preventif secara simultan. Program ini berpotensi menjadi model intervensi sederhana dan aplikatif yang dapat direplikasi pada kelompok pekerja berisiko tinggi lainnya.
Kata kunci: Carpal Tunnel Syndrome; pekerja migran; edukasi kesehatan; latihan peregangan; pemeriksaan dini.
References
Amalia, S., Setyaningsih, Y., & Suroto, S. (2023). Faktor Risiko Carpal Tunnel Syndrome Pada Pekerja. Syntax Literate ; Jurnal Ilmiah Indonesia, 8(4), 2427–2441. https://doi.org/10.36418/syntax-literate.v8i4.11631
Anggraini, C., & Windhy Astari, R. (2021). Efektivitas wrist stretching, tendon and nerve gliding exercise Dalam Menurunkan Nyeri Dan Meningkatkan fungsional wrist Pada kasus Carpal Tunnel Syndrome. Jurnal Health Sains, 2(11), 1434–1438. https://doi.org/10.46799/jhs.v2i11.330
Battista, E. B., Yedulla, N. R., Koolmees, D. S., Montgomery, Z. A., Ravi, K., & Day, C. S. (2020). Manufacturing workers have a higher incidence of Carpal Tunnel Syndrome. Journal of Occupational & Environmental Medicine, 63(3). https://doi.org/10.1097/jom.0000000000002122
Dabbagh, A., MacDermid, J. C., Yong, J., Packham, T. L., Grewal, R., & Boutsikari, E. C. (2023). Diagnostic test accuracy of provocative maneuvers for the diagnosis of Carpal Tunnel Syndrome: A systematic review and meta-analysis. Physical Therapy, 103(6). https://doi.org/10.1093/ptj/pzad029
Dabbagh, A., Ziebart, C., & MacDermid, J. C. (2021). Accuracy of diagnostic clinical tests and questionnaires in screening for Carpal Tunnel Syndrome among workers- A systematic review. Journal of Hand Therapy, 34(2), 179–193. https://doi.org/10.1016/j.jht.2021.04.003
Enh, A. M., Wahab, A., Azlan, A. A., Talib, K. A., Sakti, A. M., & Sultan, F. M. (2024). Life experiences and cultural adaptation among migrant workers in Malaysia. Comparative Migration Studies, 12(1). https://doi.org/10.1186/s40878-023-00360-1
Gebrye, T., Jeans, E., Yeowell, G., Mbada, C., & Fatoye, F. (2024). Global and regional prevalence of Carpal Tunnel Syndrome: A meta‐analysis based on a systematic review. Musculoskeletal Care, 22(4). https://doi.org/10.1002/msc.70024
Genova, A., Dix, O., Saefan, A., Thakur, M., & Hassan, A. (2020). Carpal Tunnel Syndrome: A review of literature. Cureus. https://doi.org/10.7759/cureus.7333
Gerger, H., Macri, E. M., Jackson, J. A., Elbers, R. G., van Rijn, R., Søgaard, K., Burdorf, A., Koes, B., & Chiarotto, A. (2024). Physical and psychosocial work-related exposures and the incidence of Carpal Tunnel Syndrome: A systematic review of prospective studies. Applied Ergonomics, 117, 104211. https://doi.org/10.1016/j.apergo.2023.104211
Hassan, A., Beumer, A., Kuijer, P. P., & van der Molen, H. F. (2022a). Work‐relatedness of Carpal Tunnel Syndrome: Systematic review including meta‐analysis and grade. Health Science Reports, 5(6). https://doi.org/10.1002/hsr2.888
Jing-Ning Teo, S., Mohamad Saleh, W. N., N. Subramaniam, R., Mohamad Hanapi, N. S., & HY Yap, Y. (2022). The prevalence and associated risk factors of Carpal Tunnel Syndrome among private dentists in Klang Valley, Malaysia: A cross-sectional study. Annals of Dentistry, 29, 52–59. https://doi.org/10.22452/adum.vol29.2
Kaczmarek, K., Pepliński, J., Kaczmarek, A., Andrzejuk, D., Andruszkiewicz, K., Wysocka, A., Witkowska, M., & Huber, J. (2025a). Correlations of tinel and Phalen signs with nerve conduction study test results in a randomly chosen population of patients with carpal tunnel syndrome. NeuroSci, 6(4), 94. https://doi.org/10.3390/neurosci6040094
Loganathan, T., Rui, D., Ng, C.-W., & Pocock, N. S. (2019). Breaking down the barriers: Understanding migrant workers’ access to healthcare in Malaysia. PLOS ONE, 14(7). https://doi.org/10.1371/journal.pone.0218669
Mohd Juzad, K., Bahri Mohd Tamrin, S., Ab Rahman, R., Yee Guan, N., & Atikah Che Hasan, N. (2022). Ergonomic risk factors for Carpal Tunnel Syndrome among designers. AHFE International. https://doi.org/10.54941/ahfe1002661
Mohd Suadi Nata, D. H., Azlan Hisham, N., & Mohamad Jamil, P. A. (2024). Initial assessment of musculoskeletal disorders and ergonomics risk factors among laboratory workers, Kuala Lumpur. WORK: A Journal of Prevention, Assessment & Rehabilitation. https://doi.org/10.1177/10519815241297470
Nurhanisah, M. H., Sulaiman, R., Athirah Diyana, M. Y., Kamarudin, K. M., & Che Me, R. (2024). Risk factors of musculoskeletal symptoms among industrial workers in Peninsular Malaysia. International Journal of Occupational Safety and Ergonomics, 1–10. https://doi.org/10.1080/10803548.2024.2373537
Ozdag, Y., Hu, Y., Hayes, D. S., Manzar, S., Akoon, A., Klena, J. C., & Grandizio, L. C. (2023). Sensitivity and specificity of examination maneuvers for Carpal Tunnel Syndrome: A meta-analysis. Cureus. https://doi.org/10.7759/cureus.42383
Prihanto, R. litza, Widjajati, N., & Aderilla, S. (2025). Workplace stretching exercises as an ergonomic intervention to reduce musculoskeletal disorders among construction workers. Journal of Global Research in Public Health, 10(2), 82–87. https://doi.org/10.30994/jgrph.v10i2.573
Qi, L. M. (2019, June 20). Prevalence of musculoskeletal disorders and associated risk factors among selected factory workers in Penang, Malaysia. https://www.researchgate.net/publication/339271979_Prevalence_of_Musculoskeletal_Disorders_and_Associated_Risk_Factors_among_Selected_Factory_Workers_in_Penang_Malaysia
Spitzer, D. L., Thambiah, S., Wong, Y. L., & Kaundan, M. K. (2023). Globalization and the health and well-being of migrant domestic workers in Malaysia. Globalization and Health, 19(1). https://doi.org/10.1186/s12992-023-00925-w
Tersa-Miralles, C., Bravo, C., Bellon, F., Pastells-Peiró, R., Rubinat Arnaldo, E., & Rubí-Carnacea, F. (2022). Effectiveness of workplace exercise interventions in the treatment of musculoskeletal disorders in office workers: A systematic review. BMJ Open, 12(1). https://doi.org/10.1136/bmjopen-2021-054288
Trillos-Chacón, M.-C., Castillo-M, J. A., Tolosa-Guzman, I., Sánchez Medina, A. F., & Ballesteros, S. M. (2021). Strategies for the prevention of Carpal Tunnel Syndrome in the workplace: A systematic review. Applied Ergonomics, 93, 103353. https://doi.org/10.1016/j.apergo.2020.103353
Trisha, V., Anggraini, W., Sulistyowati, I., Ariyani, A. P., & Rahmawati, D. Y. (2025, January 31). The role of ergonomic interventions to prevent the occurrence of Carpal Tunnel Syndrome in dentists: -. Majalah Biomorfologi (Biomorphology Journal) . https://e-journal.unair.ac.id/MBIO/article/view/64913
U.S. Department of Health and Human Services. (n.d.). Exercises and stretches. National Institutes of Health. https://ors.od.nih.gov/sr/dohs/HealthAndWellness/Ergonomics/Pages/exercises.aspx
Wulandari, R., & Ariyanto, A. (2024). Giving nerve and tendon gliding exercises to reduce pain in Carpal Tunnel Syndrome. Physical Therapy Journal of Indonesia, 5(1), 29–31. https://doi.org/10.51559/ptji.v5i1.173
Zhang, D., Chruscielski, C. M., Blazar, P., & Earp, B. E. (2020). Accuracy of provocative tests for Carpal Tunnel Syndrome. Journal of Hand Surgery Global Online, 2(3), 121–125. https://doi.org/10.1016/j.jhsg.2020.03.002
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