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Introduction: Carpal Tunnel Syndrome (CTS) is the most common neuropathy caused by compression and tension of the median nerve in the carpal tunnel of the wrist. The most common symptoms of CTS include pain and paresthesia (tingling) with or without numbness in the me dian nerve area of ​​the wrist. Method: The method used was a case study on a 72-year-old male patient diagnosed with bilateral CTS who experienced pain (NRS 7/10), tingling, numbness, and limitations in hand movement and functional activity. Physiotherapy interventions provided included Ultrasound therapy (US), Transcutaneous Electrical Nerve Stimulation (TENS), nerve mobilization, and structured exercise therapy in the form of stretching and median nerve gliding. Evaluation was carried out using the Numeric Rating Scale (NRS) for pain and the Boston Carpal Tunnel Questionnaire (BCTQ) for functional activity. Result: The results showed a significant reduction in pain, with motion pain decreasing from a scale of 7 to 3 and pressure pain from 5 to 1 after three therapy sessions. Furthermore, there was an increase in functional activity, as indicated by a decrease in BCTQ scores, namely the Symptom Severity Scale (SSS) from 4 to 2 and the Functional Status Scale (FSS) from 4 to 2. This indicates a gradual improvement from the moderate-severe category to approaching mild. Conclusion: A multimodal physiotherapy approach is effective in reducing pain, reducing paresthesias, and improving hand function in CTS patients. Combining various therapeutic modalities has been shown to be more optimal than single therapies because it can address various pathological aspects simultaneously. Therefore, comprehensive, evidence-based physiotherapy interventions are highly recommended in the conservative management of CTS.

Patients with Sectio Caesarea in some cases have worsened so they have to be rushed to the ICU to get intensive care. This case study aims to obtain an overview of the application of progressive mobilization to improve functional status and muscle strength in post-sectio patients with eclampsia in the ICU. This case study uses a descriptive design. The application of progressive mobilization performed on patients has been successfully implemented up to level 3. The results of this case study found that progressive mobilization can increase muscle strength from 0 to 56 and functional status from 0 to 65, and can reduce the risk of ICU-AW, speed up the length of release ventilator. Progressive mobilization is effective in increasing muscle strength, and functional status, and can improve the improvement of hemodynamic status and oxygenation status, and prevent the occurrence of ICU-AW. Progressive mobilization can be implemented immediately to shorten the length of stay in the ICU.