APLIKASI LATIHAN RENTANG GERAK DENGAN BERBAGAI PENDEKATAN PADA PASIEN STROKE
Ni Kadek Diah Purnamayanti(1*), Nurma Yuni Pari Usemahu(2), Fatih Haris M(3), Marina Kristi Layun(4)(1) Sekolah Tinggi Ilmu Kesehatan Buleleng Bali
(2) Magister Keperawatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan Universitas Gadjah Mada, Yogyakarta, Indonesia
(3) Magister Keperawatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan Universitas Gadjah Mada, Yogyakarta, Indonesia
(4) Magister Keperawatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan Universitas Gadjah Mada, Yogyakarta, Indonesia
(*) Corresponding Author
Abstract
Stroke secara patofisiologis terjadi sebagai dampak iskemia atau hemoragi pada pembuluh darah otak yang berkontribusi pada angka mortalitas dan morbiditas yang tinggi. Angka morbiditas yang tinggi berimplikasi pada pembiayaan rehabilitasi yang mahal dan angka ketergantungan yang tinggi. Berdasarkan kesenjangan tersebut studi ini bertujuan untuk mengeksloprasi berbagai pendekatan untuk meningkatkan efektivitas program rehabilitasi stroke. Studi literatur ini dilakukan melalui telusur online di 3 data base yaitu Google Scholar, Scopus dan Sage Journal. Adapun kriteria inklusi dalam proses penelusuran antara lain publikasi dalam rentang 2013-2018 dan ditulis dalam Bahasa Inggris. Sedangkan literatur akan diekslusi apabila tidak dapat diakses full text, design penelitiannya bukan RCT, konten tidak relevan dengan outcome yang diinginkan, dan tidak memenuhi critical appraisal. Pencarian kata kunci yang digunakan adalahstroke patient AND post stroke care OR rehabilitation AND family based OR family care giver OR self exercise. Hasil studi terdapat 11 penelitian dengan desain RCT. Pendekatan berfokus pada latihan rentang gerak peningkatan kekuatan otot ekstremitas dapat dilakukan dengan memberdayakan pasien dan keluarga. Penggunaan alat bantu latihan dengan media virtual dapat membuat suasana latihan menyenangkan dan meningkatkan motivasi pasien.
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American Stroke Association. (2018). Heart disease and stroke statistics. A Report from the American Heart Association." Circulation 127.1 (2013): e6.
Brereton, L., & Nolan, M. (2000). “You do know he”s had a stroke, don’t you?’ Preparation for family care-giving - The neglected dimension. Journal of Clinical Nursing, 9(4), 498–506. https://doi.org/10.1046/j.1365-2702.2000.00396.x
Barzel, A., Ketels, G., Stark, A., Tetzlaff, B., Daubmann, A., Wegscheider, K., … Scherer, M. (2015). Home-based constraint-induced movement therapy for patients with upper limb dysfunction after stroke (HOMECIMT): A cluster-randomised, controlled trial. The Lancet Neurology, 14(9), 893–902. http://doi.org/10.1016/S1474-4422(15)00147-7
Cabral, N. L., Freire, A. T., Conforto, A. B., Dos Santos, N., Reis, F. I., Nagel, V., … Longo, A. L. (2017). Increase of Stroke Incidence in Young Adults in a Middle-Income Country: A 10-Year Population-Based Study. Stroke, 48(11), 2925–2930. https://doi.org/10.1161/STROKEAHA.117.018531
Chumbler, N. R., Li, X., Quigley, P., Morey, M. C., Rose, D., Griffiths, P., … Hoenig, H. (2015). A randomized controlled trial on Stroke telerehabilitation: The effects on falls self-efficacy and satisfaction with care. Journal of Telemedicine and Telecare, 21(3), 139–143. http://doi.org/10.1177/1357633X15571995
Elisabeth, B., Gjelsvik, B., Hofstad, H., Smedal, T., Eide, G. E., Næss, H., … Strand, L. I. (2014). Balance and walking after three different models of stroke rehabilitation : early supported discharge in a day unit or at home , and traditional treatment ( control ). http://doi.org/10.1136/bmjopen-2013-004358
Hebert, D., Lindsay, M. P., Mcintyre, A., Kirton, A., Rumney, P. G., Bagg, S., … Dilenge, M. (2016). Canadian stroke best practice recommendations : Stroke rehabilitation practice guidelines , update 2015, 11(4), 459–484. http://doi.org/10.1177/1747493016643553
Johnson, M., Rai, R., & Barathi, S. (2017). Affordable stroke therapy in high-, low-and middle-income countries: From Theradrive to Rehab CARES, a compact robot gym. Journal of, 4, 1–12. https://doi.org/10.1177/2055668317708732
Kaur, P., Kwatra, G., Kaur, R., & Pandian, J. D. (2014). Cost of stroke in low and middle income countries: A systematic review. International Journal of Stroke, 9(6), 678–682. https://doi.org/10.1111/ijs.12322
Kemenkes RI. (2017). Dan Pengendalian Stroke. Retrieved from http://p2ptm.kemkes.go.id/uploads/VHcrbkVobjRzUDN3UCs4eUJ0dVBndz09/2017/10/Kebijakan_dan_Strategi_Pencegahan_dan_Pengendalian_Stroke_di_Indonesia_dr_Lil
Kaur, D., Singh, A., Azlin, N., Nordin, M., Azah, N., Aziz, A., … Soh, L. C. (2013). Effects of substituting a portion of standard physiotherapy time with virtual reality games among community-dwelling stroke survivors.
Marquez-Chin, C., Bagher, S., Zivanovic, V., & Popovic, M. R. (2017). Functional electrical stimulation therapy for severe hemiplegia: Randomized control trial revisited. Canadian Journal of Occupational Therapy, 84(2), 87–97. http://doi.org/10.1177/0008417416668370 y_Sriwahyuni_Sulistyowati_MM1.pdf
Medscape. (2018). Cerebrovascular Accident: A Stroke of Misfortune. Retrieved March 21, 2018, from https://reference.medscape.com/slideshow/cerebrovascular-accident-6008993
Miranda, J. J., Moscoso, M. G., Yan, L. L., Diez-Canseco, F., Málaga, G., Garcia, H. H., & Ovbiagele, B. (2017). Addressing post-stroke care in rural areas with Peru as a case study. Placing emphasis on evidence-based pragmatism. Journal of the Neurological Sciences, 375, 309–315. https://doi.org/10.1016/j.jns.2017.02.027
Rajaratnam, B. S., Kaien, J. G., Jialin, K. L., Sweesin, K., Fenru, S. S., Enting, L., … Siaoting, S. T. (2013). Does the Inclusion of Virtual Reality Games within Conventional Rehabilitation Enhance Balance Retraining after a Recent Episode of Stroke ?, 2013.
Rasmussen, R. S., Østergaard, A., Kjær, P., Skerris, A., & Skou, C. (2016). Stroke rehabilitation at home before and after discharge reduced disability and improved quality of life : a randomised controlled trial. http://doi.org/10.1177/0269215515575165
Study, A. S. (2016). What Do Stroke Patients Look for in Game-Based Rehabilitation, 95(11), 1–10. http://doi.org/10.1097/MD.0000000000003032
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