scholarly journals Gambaran Peningkatan Kemampuan Motorik Ekstremitas Atas Setelah Pemberian Mirror Therapy Pada Pasien Pasca Stroke : Literature Review

2021 ◽  
Vol 1 ◽  
pp. 1536-1541
Author(s):  
Infa Dirah Pangestika Oktafiani ◽  
Wahyu Ersila
Keyword(s):  
Literature Review ◽  
Upper Extremity ◽  
Motor Skills ◽  
Functional Limitations ◽  
Upper Extremities ◽  
Google Scholar ◽  
Mirror Therapy ◽  
Stroke Patients ◽  
Post Stroke ◽  
Incidence And Mortality

AbstractStroke is a serious health problem with high incidence and mortality, and causes disability in patients. It causes complex problems, one of which is motor disorders, especially the upper extremities. Impaired motor function causes functional limitations and disabilities in stroke patients. Mirror Therapy is a new technique that is simple and able to improve upper extremity function with the concept of visual illusion. This study aimed to describe of the motoric improvement of the upper extremities after the implementation of Mirror Therapy in post-stroke patients. This study was a literature review by searching for articles from databases such as PubMed, Science Direct, and Google Scholar. The articles were chosen based on several inclusion and exclusion criteria as well as a feasibility test. The number of articles that was appropriate and reviewed was five. The results of review of the five articles showed that Mirror Therapy was proven to be able to improve the motoric skills of post-stroke patients with an average difference of 13.68 using the Fugl Meyer Assessment of Upper Extremity (FMA-UE) measuring instrument. The most common type of stroke was ischemic stroke (64.6%), and it was more common in males (72.3%) with an average age of 52.84 years. Mirror Therapy could improve the upper extremity motor skills in post-stroke patients. This study is expected to be the basis of action in performing physiotherapy management, especially in improving upper extremity motor skills in post-stroke patients with Mirror Therapy interventions.Keywords : Mirror skills; Motor Therapy; Post stroke AbstrakStroke merupakan masalah kesehatan yang penting dengan kejadian dan kematian tinggi dan menyebabkan kecacatan pada penderita. Permasalahan yang ditimbulkan kompleks, salah satunya gangguan motorik khususnya ekstremitas atas. Fungsi motorik yang terganggu menyebabkan keterbatasan fungsional dan disabilitas pada pasien stroke sehari-hari. Mirror therapy merupakan teknik baru yang sederhana dan mampu memperbaiki fungsi ekstremitas atas dengan konsep ilusi visual. Penelitian ini bertujuan untuk mengetahui gambaran peningkatan motorik ekstremitas atas setelah pemberian mirror therapy pada pasien pasca stroke. Penelitian menggunakan literature review dengan pencarian artikel melalui database seperti PubMed, Science Direct, dan Google Scholar. Artikel diambil berdasarkan kriteria inklusi dan eksklusi, serta dilakukan uji kelayakan. Jumlah artikel yang sesuai dan dilakukan review (n=5). Hasil literature review lima artikel menunjukkan bahwa pemberian mirror therapy terbukti dapat meningkatkan kemampuan motorik ekstremitas atas pasien pasca stroke dengan rata-rata selisih peningkatan sebesar 13,68 menggunakan alat ukur Fugl Meyer Assessment of Upper Extremity (FMA-UE). Jenis stroke terbanyak yaitu stroke iskemik 64,6% dan jenis kelamin laki-laki lebih banyak 72,3% dengan karakteristik rata-rata usia 52,84 tahun. Mirror Therapy dapat meningkatkan kemampuan motorik ekstremitas atas pasien pasca stroke. Diharapkan menjadi dasar tindakan dalam melakukan manajemen fisioterapi, mengenai masalah peningkatan kemampuan motorik ekstremitas atas pada pasien pasca stroke dengan intervensi mirror therapy.Kata kunci: Kemampuan motorik; Mirror therapy; Pasca stroke

Gambaran Keseimbangan Pada Pasien Post Stroke Setelah Pemberian Latihan Berbasis Virtual Reality: Literature Review

2021 ◽  
Vol 1 ◽  
pp. 1565-1571
Author(s):  
Isy Anisa ◽  
A Abdurrachman
Keyword(s):  
Virtual Reality ◽  
Literature Review ◽  
Functional Limitations ◽  
Stable Condition ◽  
Computer Hardware ◽  
Google Scholar ◽  
Stroke Patients ◽  
Balance Disorders ◽  
Post Stroke ◽  
Post Test

AbstractPost-stroke is a condition where the stroke patient has gone through an emergency so that he is in a stable condition. Post-stroke patients can experience various functional limitations, one of which is balance disorders. Patients experiencing this type of disorder can be given balance exercises based on virtual reality. Virtual reality will provide visual, proprioceptive, and auditory stimulation trough computer hardware and software to engage in artificial environments that appear and feel similar to real world objects and events. This study aimed to describe balance of post-stroke patients after being given virtual reality-based exercises. The method used in this study was a literature review analysis with the PICO method. Five articles were obtained to be reviewed from several data bases such as PubMed (n=2) and Google Scholar (n=3). The results of the analysis of the five articles showed that the average age of the respondents was > 60 years; 51.7% were female and 48.3% were male; and the average value of pre-test as well as post-test were 42.1 and 47.2 with an increase of 5.1. In conclusion, there was an increase in the balance of post-stroke patients after undergoing virtual reality-based exercises with significant results. . Therefore, researchers or practitioners are suggested to develop a Virtual Reality method on balance disorders in post-stroke patients in the form of treatment and subsequent research.Keywords: Balance; Post Stroke; Virtual Reality AbstrakPost stroke merupakan kondisi dimana pasien stroke telah melalui keadaan darurat sehingga pasien dalam keadaan stabil. Pasien post stroke dapat mengalami berbagai keterbatasan fungsional salah satunya gangguan keseimbangan yang dapat diberikan latihan keseimbangan berbasis Virtual Reality. Virtual Reality akan memberikan stimulasi visual, proprioseptif, dan pendengaran melalui perangkat keras dan perangkat lunak komputer untuk terlibat dalam lingkungan buatan yang muncul dan terasa mirip dengan objek dan peristiwa dunia nyata. Peneltian ini bertujuan untuk mengetahui gambaran keseimbangan pada pasien post stroke setelah pemberian latihan berbasis Virtual Reality. Metode yang digunakan dalam penelitian ini yaitu analisis literature review dengan metode PICO, didapatkan lima artikel untuk direview dari beberapa data base seperti PubMed (n=2) dan Google Scholar (n=3). Hasil analisis lima artikel didapatkan responden rata-rata usia > 60 tahun dan jenis kelamin perempuan 51,7% dan laki-laki 48,3%, nilai rata-rata pre test dan post test 42,1 dan 47,2 dengan peningkatan sebesar 5,1. Kesimpulannya didapatkan gambaran adanya peningkatan keseimbangan pasien post stroke setelah pemberian latihan berbasis Virtual Reality dengan hasil yang signifikan. Saran untuk peneliti atau praktisi bisa mengembangkan metode Virtual Reality pada gangguan keseimbangan pasien post stroke dalam bentuk treatmen dan penelitian berikutnya.Kata kunci: Keseimbangan; Post Stroke; Virtual Reality

scholarly journals Gambaran Activity Daily Living Pada Pasien Pasca Stroke Non Hemoragic Setelah Pemberian Propioceptive Neuromuscular Facilitation : Literature Review

2021 ◽  
Vol 1 ◽  
pp. 1959-1967
Author(s):  
Rizqika Indah Yuli Yanti ◽  
Nurul Aktifah
Keyword(s):  
Literature Review ◽  
Barthel Index ◽  
Daily Living ◽  
Google Scholar ◽  
Stroke Patients ◽  
Daily Living Activities ◽  
Post Stroke ◽  
Before And After ◽  
Physical Limitations ◽  
The Brain

AbstractStroke occurs when a blood vessel that carries oxygen and nutrients to the brain bursts or is blocked by a clot so that the brain does not get the blood it needs. Stroke affects physical limitations and disabilities in carrying out daily living activities. One of the rehabilitation interventions to increase daily living activities among them is propioceptive neuromuscular facilitation. Thisstudy aimed to describe the activity daily living in non-hemorrhagic post-stroke patients after propioceptive neuromuscular facilitation intervention. The selection of articles in the study usesthe PICO mnemonic. Searcharticles through the Indonesian Scientific Respirator Research, PubMed, GARUDA, and Google scholar with predetermined inclusion and exlusion criteria. The results show that propioceptive neuromuscular facilitation was proven in increase activity daily living in non-hemorrhagic post-stroke patients. The activity daily living was assessed using Barthel Index checklist. The average of Barthel Index before and after intervention were 42,493 and 75,372 respectively. The propioceptive neuromuscular facilitation has been shown to improve activity daily living in non-hemorrhagic post-stroke patients. Propioceptive neuromuscular facilitation can be a modality treatment to increase activity daily living in non-hemorrhagic post-stroke patients.Keywords: Activity Daily Living, Non-Hemorrhagic Post-Stroke, Propioceptive Neuromuscular Facilitation AbstrakStroke terjadi ketika pembuluh darah yang mengangkut oksigen dan nutrisi menuju otak pecah atau terblokir oleh bekuan sehingga otak tidak mendapat darah yang dibutuhkan. Kejadian stroke memunculkan gangguan keterbatasan fisik dan kecacatan dalam melakukan activity daily living. Peran fisioterapi pada penderita stroke yaitu tindakan rehabilitasi yang dapat meningkatkan ADL salah satuya adalah propioceptive neuromuscular facilitation. Penelitian ini bertujuan untuk mengetahui gambaran activity daily living pada pasien pasca stroke non hemoragic dengan pemberian propioceptive neuromuscular facilitation. Pemilihan artikel pada penelitian ini menggunakan mnemonic PICO. Penelusuran artikel melalui Neliti Respiratori Ilmiah Indonesia, PubMed, Garuda-Garba rujukan digital dan Google scholar dengan kriteria inklusi dan ekslusi yang telah ditentukan. Hasil literature review kelima artikel menunjukkan bahwa PNF terbukti meningkatkan ADL pada pasien pasca stroke non hemoragic dengan hasil rata-rata peningkatan sebesar 32.879 dengan menggunakan alat ukur indeks barthel sebelum intervensi 42.493 dan sesudah intervensi 75.372. Hasil literature review kelima artikel ini menunjukkan bahwa propioceptive neuromuscular facilitation terbukti dapat meningkatkan activity daily living pada pasien pasca stroke non hemoragic. Penetitian ini dapat digunakan sebagai dasar pengembangan praktisi fisioterapi pada masalah peningkatan activity daily living pada pasien pasca stroke non hemoragic dengan menggunakan latihan propioceptive neuromuscular facilitation.Kata Kunci: Activity Daily Living, Propioceptive Neuromuscular Facilitation, Pasca Stroke

scholarly journals Application Of Mirror Therapy On Upper Extremity Motor Recovery In Post-Stroke Patients

2021 ◽  
pp. 136-144
Author(s):  
Roh Hastuti Prasetyaningsih ◽  
Hendri Kurniawan
Keyword(s):  
Upper Extremity ◽  
Motor Recovery ◽  
The Body ◽  
P Value ◽  
Mirror Therapy ◽  
Research Subjects ◽  
Hand Rehabilitation ◽  
Stroke Patients ◽  
Post Stroke ◽  
Significant Difference

Background: Stroke is a health problem for both developed and developing countries, including Indonesia. Paralysis in stroke is mainly due to damage to the internal capsule. This damage requires neuroplasticity involving a number of parts of the brain to restore. One therapy that is beneficial for neuroplasticity is Mirror Therapy (MT). MT is a rehabilitation tool that aims to restore some of the pathological conditions in which the body representation is affected, including post-stroke motor impairment. Methods: This research is a quantitative pre-experimental design with the type one group pretest-postest. The research subjects were 15 post-stroke patients in residency of Semarang. Research data were collected in August-September 2020. Sample selection with  purposive sampling technique who conform inclusion criteria. The Fulg-Meyer Upper Extremity Assessment (FMA-UE) as an aoutcame measure that be avowed valid and reliabel. Data analysis using Paired Sample T-Test because of normally distributed. Results: Statistically the results represent a significant difference in the UE  motor ability of post-stroke patients between baseline and after mirror therapy intervention, with a mean difference (5,14) and p value =  0.000  (ρ < 0,05). Application  of MT effect on upper extremity motor recovery in post-stroke patients. Conclusions: MT program is an effective intervention for UE motor recovery and motor function improvement in post- stroke patients. MT program can be used as a standardized of hand rehabilitation intervention in hospital, clinics and homes.

scholarly journals JIGSAW PUZZLE IMPROVE FINE MOTOR ABILITIES OF UPPER EXTREMITIES IN POST-STROKE ISCHEMIC CLIENTS

Jurnal NERS ◽  
2017 ◽  
Vol 12 (1) ◽  
pp. 142
Author(s):  
Kusnanto Kusnanto ◽  
Eska Dwi Prajayanti ◽  
Harmayetty Harmayetty
Keyword(s):  
Ischemic Stroke ◽  
Muscle Strength ◽  
Upper Extremity ◽  
Motor Skills ◽  
Upper Extremities ◽  
Fine Motor ◽  
Joint Motion ◽  
Fine Motor Skills ◽  
Jigsaw Puzzle ◽  
Stroke Patients

Introduction: Ischemic stroke is a disease caused by focal cerebral ischemia, where is a decline in blood flow that needed for neuronal metabolism, leading to neurologic deficit include motor deficit such as fine motor skills impairment. Therapy of fine motor skills disorders is to improve motor function, prevent contractures and complications. These study aimed to identify the effect of playing Jigsaw Puzzle on muscle strength, extensive motion, and upper extremity fine motor skills in patients with ischemic stroke at Dr. Moewardi Hospital, Surakarta. Methods: Experimental Quasi pre-posttest one group control. The number of samples were 34 respondents selected using purposive sampling technique. The samples were divided into intervention and control groups. The intervention group was 17 respondents who were given standard treatment hospital and played Jigsaw Puzzle 2 times a day for six days. Control group is one respondent given by hospital standard therapy without given additional Jigsaw Puzzle game. Evaluation of these research is done on the first and seventh day for those groups. Result: The results showed that muscle strength, the range of joint motion and fine motor skills of upper extremities increased (p = 0.001) significantly after being given the Jigsaw Puzzle games. These means playing Jigsaw Puzzle increase muscle strength, the range of joint motion and upper extremity fine motor skill of ischemic stroke patients. Discussion and conclusion: Jigsaw puzzle game administration as additional rehabilitation therapy in upper extremity fine motor to minimize the occurrence of contractures and motor disorders in patients with ischemic stroke. Jigsaw puzzle game therapy capable of creating repetitive motion as a key of neurological rehabilitation in Ischemic Stroke. This study recommends using jigsaw puzzle game as one of intervention in the nursing care of Ischemic Stroke patients.

Method of virtual reality for early comprehensive rehabilitation of patients with acute stroke

2020 ◽  
pp. 39-45
Author(s):  
N. Nozdryukhina ◽  
E. Kabayeva ◽  
E. Kirilyuk ◽  
K. Tushova ◽  
A. Karimov
Keyword(s):  
Virtual Reality ◽  
Literature Review ◽  
Acute Stroke ◽  
Functional Outcome ◽  
Recovery Process ◽  
Stroke Patients ◽  
Post Stroke ◽  
Stroke Disability ◽  
Comprehensive Rehabilitation ◽  
High Level

Despite significant advances in the treatment and rehabilitation of stroke, level of post-stroke disability remains at a fairly high level. Recent innovative developments in the rehabilitation of these patients provide good results in terms of functional outcome. One of such developments is method of virtual reality (VR), which affects not only the speed and volume of regaining movement, as well as coordination, but also normalizes the psycho-emotional background, increasing the motivation of patients to improve the recovery process. This article provides a literature review of the use of the VR method in the rehabilitation of post-stroke patients, neurophysiological aspects of recovery of lost functions using this method are considered.

scholarly journals Effectiveness of self-administered mirror therapy on upper extremity impairments and function of acute stroke patients: study protocol

Trials ◽  
2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Venkadesan Rajendran ◽  
Deepa Jeevanantham ◽  
Céline Larivière ◽  
Ravinder-Jeet Singh ◽  
Lisa Zeman ◽  
...  
Keyword(s):  
Acute Stroke ◽  
Upper Extremity ◽  
Outcome Measure ◽  
Outcome Evaluation ◽  
Secondary Outcome ◽  
Mirror Therapy ◽  
Stroke Patients ◽  
Extremity Function ◽  
Upper Extremity Function ◽  
Experimental Group

Abstract Background Many therapeutic interventions are performed by physiotherapists to improve upper extremity function and/or activities of daily living (ADL) in stroke patients. Mirror therapy (MT) is a simple technique that can be self-administered by the patients with intact cognition following patient education by a skilled physiotherapist. However, the effectiveness of self-administered MT in post-stroke patients in upper extremity function remains unclear. Therefore, the objective of this study is to examine the effectiveness of MT in improving upper extremity function and recovery in acute stroke patients. Methods This study is a single-center, prospective, randomized, open-label, controlled trial with blinded outcome evaluation (PROBE design), in which a total of 36 eligible acute stroke patients will be randomly assigned to control (n=18) and experimental group (n=18). Participants in the control group will receive regular rehabilitation interventions whereas participants in the experimental group will receive MT education in addition to their regular interventions for 4 weeks. Study outcome The primary outcome measure will be upper extremity function that will be measured using the Fugl-Meyer Assessment scale and the Wolf Motor Function Test. The secondary outcome measure will be behaviors related to ADL as estimated using the Modified Barthel Index. Outcome measures will be assessed at baseline and at 4 weeks post-rehabilitation intervention/MT. Results A two-way repeated analysis of variance (ANOVA) with time and group effects will be used to analyze between-group differences. The level of significance will be set at P < 0.05. Conclusion The results of the study will provide critical information to include self-administered MT as an adjuvant to regular interventions and may facilitate recovery of the upper extremity function of stroke patients. Trial registration ClinicalTrials.gov NCT04542772. Registered on 9 September 2020. Protocol version: Final 1.0.

Robotic Table and Serious Games for Integrative Rehabilitation Early Post-Stroke: Two Case Reports (Preprint)

2021 ◽  
Author(s):  
Grigore Burdea ◽  
Nam H. Kim ◽  
Kevin Polistico ◽  
Ashwin Kadaru ◽  
Namrata Grampurohit ◽  
...  
Keyword(s):  
Upper Extremity ◽  
Serious Games ◽  
Case Reports ◽  
Upper Extremities ◽  
Pinch Strength ◽  
Robotic Rehabilitation ◽  
Standardized Measures ◽  
Post Stroke ◽  
Active Flexion ◽  
Rehabilitation System

BACKGROUND BrightArm Compact is a new rehabilitation system for upper extremities. It provides bimanual training with gradated gravity loading and mediates interactions with serious games. OBJECTIVE To design and test a robotic rehabilitation table-based virtual rehabilitation system for training upper extremities early post-stroke. METHODS A new robotic rehabilitation table, controllers and adaptive games were developed. Participants underwent 12 experimental sessions in addition to the standard of care. Standardized measures of upper extremity motor impairment and function, depression severity, and cognitive function were administered pre- and post-intervention. Non-standardized measures included game variables and subjective evaluations. RESULTS Two case study participants attained high total arm repetitions per session (504 and 957, respectively), and achieved high grasp and finger extension counts. Training intensity contributed to marked improvements in affected arm shoulder strength (225% and 100%, respectively), grasp strength (27% and 16% increase), 3-finger pinch strength (31% and 15% increase). Shoulder active flexion range increased 17% and 18%, respectively, and elbow active supination was larger by 75% and 58%, respectively. Improvements in motor function were at/above Minimal Clinically Important Difference for Fugl-Meyer Assessment (11 and 10 points), Chedoke Inventory (11 and 14 points) and Upper Extremity Functional Index (19 and 23 points). Cognitive/emotive outcomes were mixed. CONCLUSIONS The design of the robotic rehabilitation table was successfully tested on two participants early post-stroke. Results are encouraging. CLINICALTRIAL ClinicalTrials.gov NCT04252170

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