Pelatihan Rhythmic Auditory Stimulation (RAS) dan Visual Cue Training (VCT) Memperbaiki Kemampuan Berjalan Pasien Stroke
Jerry Maratis(1*), Ilham Fatria(2), Abdul Chalik Meidian(3), Abdurrasyid Abdurrasyid(4), La Ode Muhammad Gustrin Syah(5)(1)
(2) Universitas Esa Unggul
(3) Universitas Esa Unggul
(4) Universitas Esa Unggul
(5) Universitas Esa Unggul
(*) Corresponding Author
Abstract
Tujuan; Mempelajari pengaruh pelatihan rhythmic auditory stimulation (RAS) terhadap visual cue training (VCT) untuk memperbaiki kemampuan berjalan pasien stroke. Metode; Penelitian bersifat quasi experimental yang melibatkan 20 sampel dengan pembagian 10 sampel kontrol hanya VCT dan 10 sampel perlakuan RAS dan VCT, kemampuan berjalan diukur menggunakan dynamic gait index (DGI). Hasil; Pada kelompok kontrol di uji dengan paired sample test didapatkan nilai sebelum 14,80 kurang lebih 1,61 dan sesudah 15,10 kurang lebih 1,28, p=0,193 (p lebih besar 0,05) artinya tidak ditemui perubahan kemampuan berjalan pasien stroke. Pada kelompok perlakuan diuji dengan wilcoxon sign rank test didapatkan nilai sebelum 12,90 kurang lebih 2,42 dan sesudah 14,10 kurang lebih 1,66, p=0,016 (p kurang dari 0,05) artinya terdapat perubahan kemampuan berjalan pasien stroke. Pengaruh antara kedua kelompok diuji dengan mann whitney u test didapatkan nilai p=0,030 (p kurang dari 0,05) artinya ada perbedaan kemampuan berjalan. Kesimpulan; Pelatihan rhythmic auditory stimulation dan visual cue training berpengaruh signifikan terhadap perbaikan kemampuan berjalan pasien stroke.
Kata Kunci; visual cue training exercise, rhythmic auditory stimulation exercise, dynamic gait index, kemampuan berjalan, pasien stroke.
ABSTRACT
Objective; To study the effect of the rhythmic auditory stimulation (RAS) exercise (RAS) with visual cue training (VCT) for improving walking ability stroke patients. Method; This research was Quasi Experimental and the walking ability was measured with dynamic gait index (DGI). The sample consisted of 20 samples devided into 2 groups: 10 samples with VCTE (control group) and 10 samples with RAS and VCT (treatment groups). Results; For control group was tested with paired sample t-test obtained before exercise 14,80 1.61 and after 15,10 1.28, p = 0,193 (p 0.05) it’s mean there was no effect in the walking ability for stroke patients. Treatment group was tested with Wilcoxon sign rank test obtained before exercise 12,90 2.42 and after 14,10 1.66, p = 0,016 it’s mean there was an effect for improving in walking ability for stroke patients. To see the differences between two groups were tested with Mann Whitney u test obtained value p = 0,030 it’s mean there were a differences effect between treatment groups and the control group. Conclusion; Rhythmic auditory stimulation exercise with visual cue training had significantly effect to improve walking ability for stroke patients.
Keywords; visual cue training exercise, rhythmic auditory stimulation exercise, dynamic gait index, ability to walk, stroke patients.
Full Text:
PDF (Bahasa Indonesia)References
DAFTAR PUSTAKA
World Health Organization. The top 10 causes of death [Internet]. WHO. 2018. Available from: https://www.who.int/news-room/fact-sheets/detail/the-top-10-causes-of-death.
Kementerian Kesehatan K. Laporan Nasional RISKESDAS 2018. 2018.
Nisa Q, Maratis J. Hubungan Keseimbangan Postural Dengan Kemampuan Berjalan Pada Pasien Stroke Hemiparesis. 2019;19:83–9.
Irfan M. Fisioterapi Bagi Insan Stroke. Yogyakarta: Graha Ilmu; 2010.
Ryan S. Dynamic-Gait-Index [Internet]. 2020. Available from: https://www.sralab.org/rehabilitation-measures/dynamic-gait-index.
Maratis J, Angkasa D, Malabay, Amir TL. Peningkatan Status Kesehatan Dengan Senam Rhytmic Auditory Stimulation Dan Gizi Seimbang Lansia Di Desa Kohod. IKRAITH-ABDIMAS. 2019;2(1):26–32.
Maratis J, Suryadhi NT, Irfan M. Perbandingan Antara Visual Cue Training Dan Rhythmic Auditory Stimulation Dalam Meningkatkan Keseimbangan Berdiri Dan Fungsional Berjalan Pada Pasien Pascastroke. J Fisioter. 2015;15 No. 2:84–94.
Suh JH, Han SJ, Jeon SY, Kim HJ, Lee JE, Yoon TS, et al. Effect of rhythmic auditory stimulation on gait and balance in hemiplegic stroke patients. NeuroRehabilitation. 2014;193–9.
Thaut MH, Leins AK, Rice RR, Argstatter H, Kenyon GP, Mcintosh GC, et al. Rhythmic Auditory Stimulation Improves Gait More Than NDT/Bobath Training in Near-Ambulatory Patients Early Poststroke: A Single-Blind, Randomized Trial. 2007;455–9.
Roerdink M, Lamoth CJC, Kordelaar J Van, Elich P, Konijnenbelt M, Kwakkel G, et al. Treadmill Walking After Stroke. 2009;668–78.
Cha, Yuri. Kim, Young. Chung Y. Immediate Effects of Rhythmic Auditory Stimulation with Tempo Changes on Gait in Stroke Patients. 2014;(2):4–7.
Son G, Hyo Jeong Ryu. Effects of gait training with rhythmic auditory stimulation on gait ability in stroke patients. 2016;1403–6.
Kim SJ, Kwak E, Park ES. Differential effects of rhythmic auditory stimulation and neurodevelopmental treatment/Bobath on gait patterns in adults with cerebral palsy: A randomized controlled trial. Clin Rehabil. 2012;904–14.
Sejdic E, Fu Y, Pak A, Fairley JA, Chau T. The Effects of Rhythmic Sensory Cues on the Temporal Dynamics of Human The Effects of Rhythmic Sensory Cues on the Temporal Dynamics of Human Gait. 2012;(August).
Hollands KL, Pelton T, Wimperis A, Whitham D, Jowett S, Sackley C. Visual cue training to improve walking and turning after stroke : a study protocol for a multi-centre , single blind randomised pilot trial. Trials [Internet]. 2013;14(1):1–11. Available from: Trials.
Amatachaya S, Keawsutthi M, Amatachaya P, Manimmanakorn N. Effects of external cues on gait performance in independent ambulatory incomplete spinal cord injury patients. Spinal Cord [Internet]. 2009;47(9):668–73. Available from: http://dx.doi.org/10.1038/sc.2008.168.
Hollands KL, Pelton TA, Tyson SF, Hollands MA, Vliet PM Van. Gait & Posture Interventions for coordination of walking following stroke : Systematic review. Gait Posture [Internet]. 2012;35(3):349–59. Available from: http://dx.doi.org/10.1016/j.gaitpost.2011.10.355.
Bank PJM, Roerdink M, Peper CE. Comparing the efficacy of metronome beeps and stepping stones to adjust gait : steps to follow ! 2011;159–69.
Reynolds RF, Day BL. Visual guidance of the human foot during a step. JPhysiol. 2005;2:677–84.
Kalisch T, Kattenstroth J, Noth S, Tegenthoff M, Dinse HR. Rapid Assessment of Age-Related Differences in Standing Balance. Aging Res. 2011;2011.
Teasell R, Hussein N, Mcclure A, Meyer M. Leading opinion Stroke : More than a ‘ brain attack .’ Int J Stroke. 2014;9(February):188–90.
Sidaway B, Anderson J, Danielson G, Martin L, Smith G. Effects of Long-Term Gait Training Using Visual Cues in an Individual. 2006;86(2):186–94.
Sanchez, JG. Amenguel, JL., Rojo N. Plasticity in the sensorimotor cortex induced by Music-supported therapy in stroke patients : a TMS study. 2013;7(September):1–11.
Juan-Manuel B-L, Horno SM, Bermejo-bosch I, Moreno JC, Pons JL, Farina D, et al. Rehabilitation of gait after stroke: a review towards a top-down approach. JNeuroeng Rehabil. 2011;66(December):1–19.
Ford MP, Malone LA, Nyikos I, Yelisetty R, Mp AF, La M, et al. Gait Training With Progressive External Auditory Cueing in Persons With Parkinson ’ s Disease. YAPMR [Internet]. 2010;91(8):1255–61. Available from: http://dx.doi.org/10.1016/j.apmr.2010.04.012.
Maratis J. Pengaruh Senam Rhythmic Auditory Stimulation ( RAS ) Dengan Kemampuan Berjalan Lansia Di Desa Kohod Kabupaten Tangerang. J Fisioter. 2020;20:25–31.
Higuchi T. Visuomotor control of human adaptive locomotion : understanding the anticipatory nature. 2013;4(May):1–9.
Teasell RW, Foley NC, Bhogal SK, Speechley MR. An Evidence-Based Review of Stroke Rehabilitation. 2003;10(1):29–58.
Article Metrics
Abstract view(s): 862 time(s)PDF (Bahasa Indonesia): 650 time(s)
Refbacks
- There are currently no refbacks.
