The Effect of Motor Relearning Program on Daily Living Activity and Dynamic Balance in Non-Hemorrhagic Post Stroke Hemiparese Patients at Grandmed Lubuk Pakam Hospital
DOI:
https://doi.org/10.35451/jkf.v6i1.1887Abstract
Stroke is a functional disorder of the brain that can occur suddenly or abruptly with focal or global neurological signs that can last 24 hours or more (if no surgery or death occurs) without any signs of non-vascular causes, which include signs of subarachnoid hemorrhage, intracerebral hemorrhage, ischemia or cerebral infarction. This can cause disturbances in vital brain functions such as coordination disorders, balance disorders, posture control disorders, sensation disorders and movement reflex disorders, thereby reducing the ability to carry out daily living activities and balance disorders. The motor relearning program method is a program for retraining specific motor controls by avoiding unnecessary or wrong movements that involve cognitive processes, the application of motor and psychological science, training, understanding of nervous anatomy and physiology and is not based on the theory of normal development (neuro development). The research aims to determine the effect of the motor relearning program on daily living activities and dynamic balance disorders in post-stroke patients. The method used in this research is a quasi experiment with one group pretest and post test design. The research sample consisted of 9 people. The samples will be observed and adjusted to the specified criteria so that they do not cause problems. Each respondent was measured 2 (two) times, namely before and after the intervention. Test the hypothesis using the Wilcoxon test. The research results obtained a value of p = 0.000 (p=<0.05), which means there is a significant influence of the motor relearning program intervention on daily living activities and dynamic balance disorders in post-stroke patients. The results of this research can be concluded that the motorbike relearning program can improve daily living activities and dynamic balance disorders in patients after non-hemorrhagic stroke. It is hoped that the results of this research can contribute to health services for the community in overcoming the problems of daily living activities and dynamic balance disorders in post-stroke patients.
Downloads
References
Adler, S. S., Beckers, D., & Buck, M. (2007). PNF in practice: an illustrated guide. Springer.
Bhalerao, G.V., Kulkarni, V., Kapoor, D. 2011. Comparison of Two Physiotherapy Approaches in Acute Stroke Rehabilitation: Motor Relearning Programme Versus Bobath Approach. Journal of Orthopaedics and Rehabilitation, (Online), Vol. 1, No. 1, (https://www.researchgate.net/publication/276266288, diakses pada tanggal 28 Januari 2018)
Braun, S. M. (2010). Motor learning in neurological rehabilitation: practising skills with movement imagery. Datawyse/Universitaire Pers Maastricht.
Chung, B.P.H. 2014. Effect of Different Combinations of Physiotherapy Treatment Approaches on Functional Outcomes in Stroke Patients: A Retrospective Analysis. Hong Kong Physiotherapy Journal, (Online), No. 32 , diakses pada tanggal 26 Januari 2018)
Cramer, S.C. 2018. Treatments to Promote Neural Repair after Stroke. Journal of Stroke, (Online), Vol. 20, No. 1, (http://j-stroke.org, diakses pada tanggal 11 Februari 2018).
Dae Yul Kim, Erin B. Quinlan, Robert Gramer, Steven C. Cramer; BDNF Val 66 Met Polymorphism Is Related to Motor System Function After Stroke, Physical Therapy, Volume 96, Issue 4, 1 April 2016, Pages 533–539, https://doi.org/10.2522/ptj.20150135.
Haqhqoo, H. A. Pazuki, E. S. Hosseini, A. S. Rassafiani, M. Depression, activities of daily and quality of life in patients with stroke. Journal of the Neurological Sciences
Irfan, M. 2010. Fisioterapi Bagi Insan Stroke. Yogyakarta: Graha Ilmu
Irfan, M., & Susanti, J. (2008). Pengaruh Penerapan Motor Relearning Programme ( MRP ) Terhadap Peningkatan Keseimbangan Berdiri. Jurnal Fisioterapi Indonusa, 8(2), 109–126
Irfan, M. (2019). Fisioterapi bagi insan stroke
Irawan, D.S. 2014. Metode Konvensional, Kinesiotaping, dan Motor Relearning Programme Berbeda Efektivitas dalam Meningkatkan Pola Jalan Pasien Post Stroke di Klinik Ontoseno Malang. Sport and Fitness Journal, 2(1): 72133
Junaidi, I. (2011). Stroke Waspadai Ancamannya.Yogyakarta:C.V ANDI OFFSET
Kannabiran, B., Cathrine, S., Nagarani, R., Senthil, R.K., Sahayarah, S.M. 2016. A Study on Efficacy of Bobath Technique and Motor Relearning Programme on Functional Activities in Hemiplegic Patients. International Journal of Neurorehabilitation, (Online), Vol 3, No. 6, (https://www.omisconline.org), diakses pada tanggal 28 Januari 2018)
Kannabiran, B., Cathrine, S., Nagarani, R., Senthil, R.K., Sahayarah, S.M. 2016. A Study on Efficacy of Bobath Technique and Motor Relearning Programme on Functional Activities in Hemiplegic Patients. International Journal of Neurorehabilitation,(Online), Vol 3, No. 6, (https://www.omisconline.org), diakses pada tanggal 28 Januari 2018).
Karunia, E. (2016). Hubungan antara dukungan keluarga dengan kemandirian activity of daily living pasca stroke. Jurnal Berkala, Epidemiologi.
Kementerian Kesehatan RI. (2018). Laporan Riskesdas 2018. Laporan Nasional RIskesdas 2018
Langi, L. N. 2014. Pengaruh Pemberian Motor Relearning Programme (MRP) terhadap Perubahan Tingkat Activity Daily Living (ADL) pada Pasien Hemipharese Post Stroke di RS Uum Haji Makassar tahun 2014. Skripsi. Makassar. Program Studi Fisioterapi Universitas Hasanuddin
Marlina, Nurachmah, E. 2013. Fungsi Kemandirian Pasien Stroke dengan Metode Latihan Gait. Jurnal Ners, Vol. 8, No. 1, (https://media.neliti.com/media/publications/115393-ID independence-functions-of-stroke-patient.pdf, diakses pada tanggal 12 Mei 2018).
Martini, S., & Wardhani I, O. 2015. Hubungan Antara Karakteristik Pasien Stroke dan Dukungan Keluarga dengan Kepatuhan Menjalani Rehabilitasi. Departemen Epidemiologi Fakultas Kesehatan Masyarakat UNAIR, Surabaya. Jurnal Berkala Epidemiologi, Vol. 3, No. 1 januari 2015: 24-34.
Oros, R.I., Popescu, C.A., Iova, S.O., Mihancea, P., Iova, C.A. 2016. Depression Activities of Daily Living and Quality of Life in Elderly Stroke Patients. Department of Doctoral school in Biosciences, Medicine domain. Faculty of Medicine and Pharmacy, Oradea University: Romania. (http://www. hvm.bioflux.com.ro/) Diakses pada tanggal 3 Februari 2018.
Palinggi, Y., & Anggraeni, L. P. (2020). Gambaran Pemenuhan Activity Daily Living (ADL) Pada Pasien Post Stroke Di Poliklinik Saraf Rsud Andi Makkasau
Kota Parepare.
Pratami, S.F, Diani N, Wahid A. 2016. Kemampuan Basic Activity Daily Living (ADL) dengan Keputusasaan pada Pasien Stroke di RSUD Ulin Banjarmasin. Jurnal Keperawatan dan Kesehatan.
Putri, D.A.C.T., Hamidah. Hubungan antara Kemandirian dalam Melakukan Aktivitas Sehari-hari dengan Kepuasan Hidup pada Lanjut Usia yang Mengalami Stroke. Jurnal Psikologi Industri dan Organisasi, Vol. 3, No. 3.
Setyaningratri Yeni, et al. (2020). Literature review?: gambaran pengaruh motor relearning programme (MRP) untuk peningkatan kemampuan motorik. 1–13
Tulak, Y. R. (2016). Pengaruh Penerapan Motor Relearning Programme (MRP) Terhadap Perubahan Pola Jalan Pasien post Stroke di Makassar.Skripsi. Makassar. Program Studi Fisioterapi Universitas Hasanuddin. Makassar
Usrin, Irawan. 2013. Pengaruh Hipertensi Terhadap Kejadian Stroke Iskemik dan Stroke Hemoragik di Ruang Neurologi di Rumah Sakit Stroke Nasional (RSSN) Bukittinggi Tahun 2011. USU. Medan.
Wirawan, R. P. (2009). Rehabilitasi stroke pada pelayanan kesehatan primer. Majalah Kedokteran Indonesia, 59(2), 61–71.
Yueniwati, Y. 2014. Deteksi Dini Stroke Iskemia dengan Pemeriksaan Ultrasonografi Vaskular dan Variasi Genetika. Malang: UB Pres
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Isidorus Jehaman, Khairunnisa Br Siagian, Siti Sarah Bintang, Raynald Ignasius Ginting, Rosita Ginting
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright in each article is the property of the Author.
