scholarly journals Non-Immersive Virtual Reality for Post-Stroke Upper Extremity Rehabilitation: A Small Cohort Randomized Trial

2020 ◽  
Vol 10 (9) ◽  
pp. 655
Author(s):  
Roxana Miclaus ◽  
Nadinne Roman ◽  
Silviu Caloian ◽  
Brindusa Mitoiu ◽  
Oana Suciu ◽  
...  
Keyword(s):  
Upper Extremity ◽  
Rank Test ◽  
Immersive Virtual Reality ◽  
Stroke Patients ◽  
Control Groups ◽  
Post Stroke ◽  
Signed Rank ◽  
Signed Rank Test ◽  
Upper Extremity Rehabilitation ◽  
Post Therapy

Immersive and non-immersive virtual reality (NIVR) technology can supplement and improve standard physiotherapy and neurorehabilitation in post-stroke patients. We aimed to use MIRA software to investigate the efficiency of specific NIVR therapy as a standalone intervention, versus standardized physiotherapy for upper extremity rehabilitation in patients post-stroke. Fifty-five inpatients were randomized to control groups (applying standard physiotherapy and dexterity exercises) and experimental groups (applying NIVR and dexterity exercises). The two groups were subdivided into subacute (<six months post-stroke) and chronic (>six months to four years post-stroke survival patients). The following standardized tests were applied at baseline and after two weeks post-therapy: Fugl–Meyer Assessment for Upper Extremity (FMUE), the Modified Rankin Scale (MRS), Functional Independence Measure (FIM), Active Range of Motion (AROM), Manual Muscle Testing (MMT), Modified Ashworth Scale (MAS), and Functional Reach Test (FRT). The Kruskal–Wallis test was used to determine if there were significant differences between the groups, followed with pairwise comparisons. The Wilcoxon Signed-Rank test was used to determine the significance of pre to post-therapy changes. The Wilcoxon Signed-Rank test showed significant differences in all four groups regarding MMT, FMUE, and FIM assessments pre- and post-therapy, while for AROM, only experimental groups registered significant differences. Independent Kruskal–Wallis results showed that the subacute experimental group outcomes were statistically significant regarding the assessments, especially in comparison with the control groups. The results suggest that NIVR rehabilitation is efficient to be administered to post-stroke patients, and the study design can be used for a further trial, in the perspective that NIVR therapy can be more efficient than standard physiotherapy within the first six months post-stroke.

scholarly journals Pengaruh mobilisasi dan rangsangan taktil secara bersamaan terhadap pemulihan motorik anggota gerak atas pada pasien stroke

2016 ◽  
Vol 8 (3) ◽  
Author(s):  
Susanto . ◽  
Leonard S. Angliadi
Keyword(s):  
Action Research ◽  
Upper Extremity ◽  
Tactile Stimulation ◽  
Medical Rehabilitation ◽  
Rank Test ◽  
Functional Evaluation ◽  
Stroke Patients ◽  
Signed Rank ◽  
Signed Rank Test ◽  
Males And Females

Abstract: Rehabilitation evaluation belongs to functional evaluation. Function of hand can be measured by action research arm test (ARA) and motricity index. This study was aimed to obtain the effects of mobilization and tactile stimulation on motoric recovery of upper extremity in stroke patients. This was an experimental study with a pretest-posttest design. This study was conducted at the Departement of Medical Rehabilitation Prof. Dr. R. D. Kandou Hospital Manado from May to July 2012. Subjects were stroke patients (males and females). Each patient was treated with mobilization and tactile stimulation at the same time. Effects of mobilization and tactile stimulation on motoric recovery of upper extremity were evaluated by using ARA test and motricity index. There were 18 stroke patients (males and females) with an average age of 53.9 years old in this study. The Wilcoxon signed rank test showed significant differences between the end result and the initial value of ARA test (P = 0.0001) as well as of the motricity index (P = 0.0001). Conclusion: There was increased motoric recovery of upper extremities in stroke patients after treatment with mobilization and tactile stimulation.Keywords: stroke, upper extremity, motoric recovery, rehabilitationAbstrak: Evaluasi rehabilitasi tergolong dalam evaluasi fungsi. Tingkat fungsi tangan dapat dinilai dengan menggunakan action research arm test (ARA) dan motricity index. Penelitian ini bertujuan untuk mengetahui pengaruh mobilisasi dan rangsangan taktil terhadap pemulihan motorik anggota gerak atas pada pasien stroke. Jenis penelitian ialah eksperimental dengan Pretest-Posttest design. Penelitian dilaksanakan di Instalasi/SMF Rehabilitasi Medik BLU RSUP Prof. Dr. R. D. Kandou Manado sejak bulan Mei hingga Juli 2012. Subyek penelitian ialah pasien stroke baik laki-laki maupun perempuan. Setiap pasien diberikan mobilisasi dan rangsangan taktil secara bersamaan. Pengaruh mobilisasi dan rangsangan taktil secara bersamaan terhadap pemulihan motorik anggota gerak atas dinilai dengan menggunakan tes ARA dan motricity index. Hasil penelitian mendapatkan 18 pasien stroke laki-laki dan perempuan dengan rerata usia 53,9 tahun. Hasil tes uji Wilcoxon signed ranks mendapatkan adanya perbedaan sangat bermakna dari hasil akhir dan awal baik tes ARA (P = 0,0001) maupun motricity index (P = 0,0001). Simpulan: Terdapat peningkatan pemulihan motorik ekstremitas atas pada pasien stroke setelah mendapat intervensi berupa mobilisasi dan rangsangan taktil secara bersamaan.Kata kunci: stroke, anggota gerak atas, pemulihan motorik, rehabilitasi

scholarly journals Paths to Work after Stroke in Australia

2014 ◽  
Vol 15 (2) ◽  
pp. 99-106 ◽  
Author(s):  
J. Killey ◽  
L. Gustafsson ◽  
M. Hoyle
Keyword(s):  
Job Satisfaction ◽  
Return To Work ◽  
Incidence Rates ◽  
Rank Test ◽  
Small Scale ◽  
Online Forums ◽  
Post Stroke ◽  
Work Related ◽  
Signed Rank ◽  
Signed Rank Test

Background and aims: Previous research has focused primarily on incidence rates and barriers/facilitators influencing return to work, without considering the formal paths accessed by people with stroke. The aim of this study was to identify the paths used by Australian people to return to work following stroke, including changes to work-related habits and routines, and job satisfaction.Methods: This descriptive, retrospective study recruited people through newsletters and online forums for people with stroke. The quantitative data were summarised descriptively and the Wilcoxon signed-rank test was used to compare pre- and post-stroke job satisfaction rates.Results: Participants (n= 21) were aged 48 years on average, female (67%) and university trained (71%). Ten (48%) participants did not access formal return-to-work services, yet participants commonly reported changes to work-related habits and routines. Participants were significantly less satisfied with their post-stroke job suitability (physically, cognitively and financially), stability and importance (p< .05).Conclusion: Participants in this small-scale study did not routinely access formal support services to return to work, while experiencing changes to work-related habits and satisfaction. Further research is required to document the return-to-work paths, including the experience from the perspective of the person with stroke.

scholarly journals The Prevention of Ulcers Decubitus with Mobilization and The Usage of Olive Oil on Stroke Patients

Elkawnie ◽  
2020 ◽  
Vol 6 (2) ◽  
pp. 189
Author(s):  
Siti Cahaya Meliza ◽  
Kiking Ritarwa ◽  
Nur Asnah Sitohang
Keyword(s):  
Fatty Acids ◽  
Vitamin E ◽  
Olive Oil ◽  
Rank Test ◽  
Control Group ◽  
Stroke Patients ◽  
Decubitus Ulcers ◽  
Signed Rank ◽  
Quasi Experimental ◽  
Signed Rank Test

Abstract: Decubitus ulcers are one of the problems experienced by bed rest patients, such as stroke patients, caused by immobilization. Prevention of decubitus ulcers can be done with mobilization and topical application of olive oil. Olive oil contains saturated fatty acids, unsaturated fatty acids, vitamin E, and phenols which are healthy for the skin. This research aims to identify the effects of mobilization and application of olive oil on the prevention of decubitus ulcers in stroke patients. A control group pretest-posttest quasi-experimental design was used in the research. Convenience (non-probability) sampling was also carried out, resulting in 64 research samples. Mobilization intervention of right-left oblique positions and application of olive oil on the area prone to decubitus ulcers were then executed for seven days. Data analysis using the Wilcoxon signed-rank test showed the effects of mobilization and application of olive oil on the preventions of decubitus ulcers in stroke patients with a value of P= <0,05. Abstrak: Ulkus dekubitus merupakan salah satu masalah yang dialami pasien tirah baring seperti pasien stroke, dengan faktor penyebabnya adalah immobilisasi, tindakan pencegahan ulkus dekubitus dapat dilkukan dengan mobilisasi dan pemberian bahan oles seperti minyak zaitun, minyak zaitun kandungannya terdiri dari asam lemak jenuh, asam lemak tak jenuh, vitamin E dan fenolik yang baik untuk kesehatan kulit. Penelitian ini bertujuan untuk mengidentifikasi pengaruh mobilisasi dan penggunaan minyak zaitun terhadap pencegahan ulkus dekubitus pada pasien stroke. Penelitian menggunakan desain Quasi-experimental dengan pretest- posttest with countrol gruopdesign.Convenience (Non-probability) dilakukan untuk pengambilan sampel, jumlah sampel penelitian 64. Intervensi mobilisasi miring kanan dan kiri kemudian bagian yang akan terjadi ulkus dekubitus diolesi minyak zaitun,intervensi dilakukan selama tujuh hari. Analisa data wilcoson signed -rank test menunjukan adanya pengaruh mobilisasi dan penggunaan minyak zaitun terhadap pencegahan ulkus dekubitus pada pasien stroke dangan nilai P= <0,05. Mobilisasi miring kanan dan kiri penggunaan minyak zaitun dapat mencegah ulkus dekubitus.

scholarly journals Pengaruh Millieu Therapy Metode Kreasi Seni Membuat Gelang terhadap Penurunan Kesepian (Loneliness) Lansia

2018 ◽  
Vol 1 (1) ◽  
Author(s):  
AH Yusuf ◽  
Iqlima Dwi Kurnia ◽  
Manis Aero Dwi Noerviana
Keyword(s):  
Sampling Technique ◽  
The Elderly ◽  
Self Esteem ◽  
Rank Test ◽  
Control Groups ◽  
Care For The Elderly ◽  
Signed Rank ◽  
The Family ◽  
Post Test ◽  
Signed Rank Test

Loneliness is a feelings of isolation where people felling lonely. All the elderly certainly desire to prosper in his old age but the fact isn’t all the elderly can reach it due to various reasons such as poverty, currently didn’t have offspring or family who can care for the elderly and the inability of the family in providing care to the elderly, so many elderly people become homeless. In This results used pre-experimental one-group pre-post test design. The population in this research is elderly with amount 76 people. Sample was 12 people taken by purposive sampling technique. Collected data conducted by using a questionnaire and analyzed used the Wilcoxon Signed Rank Test with significance α = 0.05. The results of research concluded that millieu therapy methods the creation of art made bracelet could be decreased loneliness of life of the elderly it can stimulate the cognitive, affective, psychomotor, sosio-emotional and self-esteem. Further research is expected to use control groups and researching other factors that influence loneliness the elderly. Researcher can use millieu therapy in supporting and helping the elderly yo live a best quality.

PENGARUH TIRAH BARING TERHADAP PENURUNAN RASA MUAL PADA KLIEN GASTRITIS DI PELAYANAN KESEHATAN

2019 ◽  
Vol 3 (1) ◽  
pp. 25
Author(s):  
Dewi Nurhanifah ◽  
Desy Noor Latifah Sari ◽  
Rahmawati Rahmawati
Keyword(s):  
Rank Test ◽  
Purposive Sampling ◽  
Signed Rank ◽  
Wilcoxon Signed Rank Test ◽  
Signed Rank Test

Salah satu masalah kesehatan yang sering dialami adalah penyakit gastritis. Gejala yang sering dikeluhkan oleh penderita gastritis adalah mual. Salah satu penatalaksanaan keperawatan yang dapat mengurangi rasa mual adalah tirah baring. Penelitian ini bertujuan untuk mengetahui pengaruh tirah baring terhadap penurunan rasa mual pada klien gastritis di Pelayanan Kesehatan. Metode penelitian menggunakan eksperimental dengan bentuk penelitian one group pretest-posttest design. Populasi dan sampel adalah klien yang mengalami mual di Wilayah Kerja Puskesmas  yang berjumlah 15 orang. Sampel diambil dengan teknik purposive sampling. Alat pengumpul data menggunakan observasi. Analisa data melalui uji Wilcoxon Signed Rank Test. Hasil penelitian menujukkan klien gastritis sebelum tirah baring mengalami mual ringan sebanyak 7 orang (46,7%), sesudah tirah baring mengalami tidak mual sebanyak 7 orang (46,7%). Ada pengaruh tirah baring terhadap penurunan rasa mual pada klien gastritis di Pelayanan Kesehatan (ρ value = 0,001).

Efektifitas Kompres Jahe Merah Hangat Dan Kompres Serai Terhadap Penurunan Intensitas Nyeri Arthritis Remathoid Pada Lanjut Usia Di Desa Mojoranu Kecamatan Dander Kabupaten Bojonegoro

2017 ◽  
Vol 5 (1) ◽  
Author(s):  
Ferawato Ferawati
Keyword(s):  
Pain Intensity ◽  
Therapy Group ◽  
The Elderly ◽  
Rank Test ◽  
Test Design ◽  
Signed Rank ◽  
Wilcoxon Signed Rank Test ◽  
Post Test ◽  
Signed Rank Test ◽  
Red Ginger

ABSTRAKReumatoid Artritis (RA) merupakan penyakit muscoloskelektal yang sering terjadi pada usia lanjut. Gangguan pada system muscoloskelektal yang ditandai dengan munculnya nyeri sendi dan kekakuan yang mengakibatkan penurunan kemampuan fisiologis atau kualitas hidup lansia. Dampak dari Reumatoid Artritis dapat menimbulkan beberapa keluhan dan dapat menyebabkan kelumpuhan. Untuk menganalisis efektifitas kompres jahe merah hangat dan kompres serai hangat terhadap penurunan intensitas nyeri artitris remauthoid pada lanjut usia.Metode Penelitian: Jenis penelitian adalah quasy experimental dengan two group pre – post test design. Subjek adalah sebagian lansia yang penderita Arthritis Remathoid di Desa Sumberagung Kecamatan Dander Kabupaten Bojonegoro. Subjek dibagi menjadi dua kelompok yaitu kelompok I (n=15) diberi perlakuan kompres jahe hangat dan II (n=15) diberi perlakuan kompres serai hangat. Analisis yang digunakan uji Mann Whitney U Test dan Wilcoxon Signed Ranks Test dengan ingkat kemaknaan α = 0,05.Hasil uji Wilcoxon Signed Rank Test, didapat keduanya mempunyai nilai kemaknaan yaitu ρ value = 0,000. Nilai ρ = 0,031 pada kelompok kompres serai hangat dan kelompok kompres jahe merah ρ value = 0,165. Hasil uji Mann Withney U Test pada Post perlakuan kedua terapi diperoleh selisih nilai nyeri pada kompres jahe ρ= 0,003 dan selisih nilai nyeri kompres serai ρ value = 0,001.Penggunaan kompres jahe merah lebih efektif dibandingkan dengan kompres serai terhadap penurunan intensitas nyeri arthritis remathoid. Kata Kunci: usia lanjut, Reumatoid Artritis (RA), jahe merah, serai, perbedaan efektifitas.    ABSTRACTReumatoid Artritis (RA) is a musculoskeletal which frequently occurs in the elderly. The disorders in the musculoskeletal system are noted by the occurrence of pain in the joints and stiffness which reduces the physiological abilities or life quality of the elderly. The disease causes many such complaints and  consequences of the disease rheumatoid arthritis may experience paralysis. The aims of this study is to analyze the effect of warm red ginger compress therapy and warm lemongrass compress therapy against of  Decreased pain intensity in  the elderly  with  artitris remauthoid. The study was Queasy experimental with two group pre – post test design. Subjects were some elderly people with Arthritis Remathoid in Sumberagung Village, Dander Sub District, Bojonegoro District. Subjects were divided into two groups: group I (n-15) with warm ginger compress therapy, and II (n=15) with warm lemongrass compress therapy. The analyses used in this study were the Mann Whitney U Test and Wilcoxon Signed Ranks Test with α of 0.05. Results of Wilcoxon Signed Rank Test obtained Both have meaning p value of  0.000. ρ value = 0,031 in a warm lemongrass compress therapy group and obtained of warm ginger compress therapy group ρ value = 0,165. The results of Mann Withney U Test on Post treatment second therapy, obtained difference of warm ginger compress therapy with ρ value= 0,003 and difference of warm lemongrass compress therapy with ρ value = 0,001.The use of warm ginger compresses therapy are more effective than a warm lemongrass compress therapy against decreased pain intensity in  the elderly  with  artitris remauthoid.  Keywords: elderly, artitris remauthoid, red ginger, lemongrass, differences in effectiveness

The Degree of Subjective Complaints of Students Practice in Mechanical Technology Laboratories

2018 ◽  
Vol 4 (1) ◽  
pp. 22
Author(s):  
I Ketut Widana
Keyword(s):  
Engineering Students ◽  
Standing Position ◽  
Statistical Test ◽  
Rank Test ◽  
Cross Sectional ◽  
Signed Rank ◽  
Before And After ◽  
Signed Rank Test ◽  
The Difference ◽  
Paired T Test

The working practice of the engineering students is part of the learning process that is irreducible and indispensable. The composition of  lecturing between theoretical and practical one is 40% to 60%. With this condition, the students spend more time at the laboratory. Generally, the students perform in the laboratory work by standing position. The design of research is observational cross-sectional. The method applied is observation, interview and measuring. The subjects of research are practicing students amounting to 21 students. Referring to the analysis of statistical test or Wilcoxon signed ranks test, the difference of effect of work position is significant, namely p < 0.05 towards musculoskeletal disorders (MSDs) before and after working. The quantity of the average complaint after working is score 44.62 ± 9.47. The result of Wilcoxon signed rank test shows that there is significant different effects of standing work position, namely p < 0.05 towards fatigue generally before and after working. The degree of the working pulse is on the average of 110.78  ± 17.80 bpm (beats per minutes) which can be categorized into the medium workload. Using paired t-test, the result is p < 0.05.

PENGARUH PEMBACAAN DZIKIR PADA IBU MELAHIRKAN TERHADAP TINGKAT NYERI INTRA NATAL DI RUMAH BERSALIN FAJAR YOGYAKARTA

2010 ◽  
Vol 1 (1) ◽  
Author(s):  
Sri Sumaryani ◽  
Indri Nurasa
Keyword(s):  
Home Delivery ◽  
Labor Pain ◽  
Rank Test ◽  
Control Group ◽  
Pain Level ◽  
Control Group Design ◽  
Signed Rank ◽  
Wilcoxon Signed Rank Test ◽  
Post Test ◽  
Signed Rank Test

PENGARUH PEMBACAAN DZIKIR PADA IBU MELAHIRKAN TERHADAP TINGKAT NYERI INTRA NATAL DI RUMAH BERSALIN FAJAR YOGYAKARTAEffect of Reading Dhikr Women On The Level Of Birth Pain Intra Christmas At Home Delivery Dawn YogyakartaSri Sumaryani1 & Indri Nurasa21, 2)Program Studi Ilmu Keperawatan Fakultas Kedokteran Universitas Muhammadiyah YogyakartaJl. Lingkar Barat Taman Tirto Kasihan Bantul Yogyakarta 55182*)e-mail: [email protected] atau yang biasa disebut dengan proses persalinan merupakan suatu proses membuka dan menipisnya serviks, dan janin turun ke dalam jalan lahir. Gejala awal persalinan akan menimbulkan nyeri yang sangat hebat karena adanya kontraksi uterus dan otot abdomen. Nyeri intra natal adalah suatu nyeri yang dirasakan saat terjadinya proses persalinan (melahirkan). Saat nyeri persalinan muncul, ada baiknya bagi ibu untuk membaca dzikir. Dzikir adalah mengingat Allah SWT dan menghadirkan apa yang tadinya ada di dalam benak untuk kemudian dilafadzkan atau disebut-sebut yang dapat dilakukan secara lisan dengan menggunakan lidah atau bisa juga diucapkan tanpa adanya keterlibatan lidah, yaitu melalui hati. Penelitian ini bertujuan untuk mengetahui pengaruh pembacaan dzikir pada ibu melahirkan terhadap tingkat nyeri intra natal. Teknik pengambilan sampel menggunakan purposive sampling. Desain penelitian pra eksperimen, dengan rancangan pre test-post test tanpa kelompok kontrol. Sampel penelitian berjumlah 30 responden. Pengumpulan data dilakukan dengan observasi langsung kepada responden untuk mengukur tingkat nyeri. Analisa data menggunakan uji statistik wilcoxon signed rank test dan regresi linier dengan menggunakan SPSS 14. Hasil penelitian menunjukkan bahwa hasil uji statistik untuk nilai pre test dan post test tingkat nyeri diperoleh nilai signifikansi 0,02 dengan p < 0,05.Kata kunci: pembacaan dzikir, melahirkan, nyeri intra natal, tingkat nyeriABSTRACTThe delivery or usually called labor process is a process open and thin the cervix, and descent of the fetus into the way of birth. The early symptom of delivery will be appearing very heavy because there are uterus contraction and abdomen muscle. In partum pain is a pain which feel when delivery process happening (labor). When labor pain appears, there is a good for the mother to read dzikir. Dzikir is remembering Allah SWT and make present what before in the mind and then pronounced or make cal can do spoken by tongue or pronounced without there are involving tongue, by heart. The purpose of this research is to know about the influence of reading dzikir to the delivery mother toward in partum level of pain. Technique sampling used purpose sampling. The research of design pre experiment, with pre test-post test without control group design. The sample in this research’s total is 30 respondents. The manner of data was did by direct observation to the respondents to measure pain level. Data analysis used statistic test wilcoxon signed rank test and regression linier in SPSS 14. The results of research showed that results of the statistic pretest and posttest of pain level show significance value 0,02 with p < 0,05.Keywords: reading dzikir, delivery, in partum pain, pain level

scholarly journals Evaluation of Intraocular Pressure and Other Biomechanical Parameters to Distinguish between Subclinical Keratoconus and Healthy Corneas

2021 ◽  
Vol 10 (9) ◽  
pp. 1905
Author(s):  
Cristina Peris-Martínez ◽  
María Amparo Díez-Ajenjo ◽  
María Carmen García-Domene ◽  
María Dolores Pinazo-Durán ◽  
María José Luque-Cobija ◽  
...  
Keyword(s):  
Function Theory ◽  
Rank Test ◽  
Maximum Deformation ◽  
Corrected Visual Acuity ◽  
Signed Rank ◽  
Signed Rank Test ◽  
Biomechanical Parameters ◽  
Spss Software ◽  
Biomechanical Measurements ◽  
Noncontact Tonometry

(1) Purpose: To assess the main corneal response differences between normal and subclinical keratoconus (SCKC) with a Corvis® ST device. (2) Material and Methods: We selected 183 eyes of normal patients, of a mean age of 33 ± 9 years and 16 eyes of patients with SCKC of a similar mean age. We measured best corrected visual acuity (BCVA) and corneal topography with a Pentacam HD device to select the SCKC group. Biomechanical measurements were performed using the Corvis® ST device. We carried out a non-parametric analysis of the data with SPSS software (Wilcoxon signed rank-test). (3) Results: We found statistically significant differences between the control and SCKC groups in some corneal biomechanical parameters: first and second applanation time (p = 0.05 and p = 0.02), maximum deformation amplitude (p = 0.016), highest concavity radius (p = 0.007), and second applanation length and corneal velocity ((p = 0.039 and p = 0.016). (4) Conclusions: Our results show that the use of normalised biomechanical parameters provided by noncontact tonometry, combined with a discriminant function theory, is a useful tool for detecting subclinical keratoconus.

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