Pengaruh Home Program Rehabilitation Setelah Pemberian Transcranial Magnetical Stimulation 1 Hz Terhadap Fungsi Motorik Upper Extremity Pasien Pasca Stroke Iskemik

sakinah sakinah(1*), Umi Budi Rahayu(2)

(1) Universitas Sebelas Maret
(2) Universitas Muhammadiyah Surakarta
(*) Corresponding Author

Abstract

ABSTRAK

Pendahuluan: Stroke merupakan salah satu penyakit yang banyak menyebabkan kematian dan kecacatan. Berbagai penelitian telah dilakukan sebagai upaya untuk menemukan solusi dari pencegahan dan penanganan stroke. Kami melakukan penelitian ini untuk mengetahui pengaruh dari penambahan Home Program Rehabilitaion (HPR) setelah diberikan Transcranial Magnetical Stimulation (TMS) 1 Hz terhadap fungsi motorik upper extremity pasien pasca stroke iskemik. Metode: Penelitian ini dilakukan dengan Randomized Controlled Trial (RCT) design double blind pada pasien pasca stroke iskemik yang sesuai dengan kriteria inklusi berjumlah 11 responden, 6 untuk perlakuan dan 5 untuk kelompok kontrol. Kelompok perlakuan diberi penambahan HPR 60 menit setelah pemberian TMS 1 Hz selama 20 menit di rumah sakit setiap hari sampai hari ke-7. Kelompok kontrol diberi intervensi TMS 1 Hz selama 20 menit seperti kebiasaan rutinnya. Pada hari ke-7 dilakukan evaluasi pada fungsi motorik pasien tersebut dengan ARAT. Data diolah dengan aplikasi SPSS. Hasil: Kriteria sampel berusia 47-70 tahun, usia > 60 tahun (64%), usia < 60 tahun (36%). Rata-rata saat pre test pada kelompok perlakuan (17.50), post test  (39.33). Pada kelompok kontrol rata-rata saat pre test (17.00) dan  post test (20.20). Pada uji normalitas data didapatkan (p> 0.05). Uji pengaruh fungsi motorik Upper Extremity (p<0.05). uji parametrik independent t test nilai p=0.006 (p<0.05). Simpulan: Terdapat pengaruh yang signifikan pada penambahan HPR setelah pemberian TMS 1 Hz dibandingkan dengan hanya pemberian TMS 1 Hz saja terhadap peningkatan fungsi motorik upper extremity pasien pasca stroke iskemik.

Keywords

ARAT, fungsi motorik Upper Extremity, home program rehabilitation, transcranial magnetical stimulation 1 Hz, stroke iskemik.

References

DAFTAR PUSTAKA

Bae, J. H., Kang, S. H., Seo, K. M., Kim, D. K., Shin, H. I., & Shin, H. E. (2015). Relationship between grip and pinch strength and activities of daily living in stroke patients. Annals of Rehabilitation Medicine, 39(5), 752–762. https://doi.org/10.5535/arm.2015.39.5.752

Bertolini, G. (2011). Canine ischaemic stroke: Current status and future directions. Veterinary Journal, 188(1), 9–10. https://doi.org/10.1016/j.tvjl.2010.08.002

Campbell, B. C. V., & Khatri, P. (2020). Stroke. The Lancet, 396(10244), 129–142. https://doi.org/10.1016/S0140-6736(20)31179-X

Carolee J. Winstein, P., Steven L. Wolf, P., Alexander W. Dromerick, M., Christianne J. Lane, P., Monica A. Nelsen, D., Rebecca Lewthwaite, P., & Steven Yong Cen, P. (2016). Effect of a Task-Oriented Rehabilitation Program on Upper Extremity Recovery Following Motor Stroke. Journal of the American Medical Association, 315(6), 571–581. https://doi.org/10.1001/jama.2016.0276.Effect

Di Pino, G., Pellegrino, G., Assenza, G., Capone, F., Ferreri, F., Formica, D., Ranieri, F., Tombini, M., Ziemann, U., Rothwell, J. C., & Di Lazzaro, V. (2014). Modulation of brain plasticity in stroke: A novel model for neurorehabilitation. Nature Reviews Neurology, 10(10), 597–608. https://doi.org/10.1038/nrneurol.2014.162

Fisicaro, F., Lanza, G., Grasso, A. A., Pennisi, G., Bella, R., Paulus, W., & Pennisi, M. (2019). Repetitive transcranial magnetic stimulation in stroke rehabilitation: review of the current evidence and pitfalls. In Therapeutic Advances in Neurological Disorders (Vol. 12). https://doi.org/10.1177/1756286419878317

Grattan, E. S., Velozo, C. A., Skidmore, E. R., Page, S. J., & Woodbury, M. L. (2019). Interpreting Action Research Arm Test Assessment Scores to Plan Treatment. OTJR Occupation, Participation and Health, 39(1), 64–73. https://doi.org/10.1177/1539449218757740

Kemenkes RI. (2018). Hasil Riset Kesehatan Dasar Tahun 2018. Kementrian Kesehatan RI, 53(9), 1689–1699.

Li, Z., Chen, Y., Song, X., Liu, X., Wang, F., & Li, H. (2021). Interpretation(No.2) of Stroke and Transient Ischaemic Attack in Over 16s: Diagnosis and Initial Management. Chinese General Practice, 24(7), 775–779. https://doi.org/10.12114/j.issn.1007-9572.2020.00.473

Meng, Z. Y., & Song, W. Q. (2017). Low frequency repetitive transcranial magnetic stimulation improves motor dysfunction after cerebral infarction. Neural Regeneration Research, 12(4). https://doi.org/10.4103/1673-5374.205100

Rahayu, U. B., Wibowo, S., & Setyopranoto, I. (2021). Neurorestoration: Programme management for post-ischemic stroke patients. International Journal of Healthcare Management, 14(2), 428–435. https://doi.org/10.1080/20479700.2019.1656870

Reis, J., Swayne, O. B., Vandermeeren, Y., Camus, M., Dimyan, M. A., Harris-Love, M., Perez, M. A., Ragert, P., Rothwell, J. C., & Cohen, L. G. (2008). Contribution of transcranial magnetic stimulation to the understanding of cortical mechanisms involved in motor control. Journal of Physiology, 586(2), 325–351. https://doi.org/10.1113/jphysiol.2007.144824

Sedova, P., Brown, R. D., Zvolsky, M., Belaskova, S., Volna, M., Baluchova, J., Bednarik, J., & Mikulik, R. (2021). Incidence of Stroke and Ischemic Stroke Subtypes: A Community-Based Study in Brno, Czech Republic. Cerebrovascular Diseases, 50(1), 54–61. https://doi.org/10.1159/000512180

Sharma, H., Vishnu, V. Y., Kumar, N., Sreenivas, V., Rajeswari, M. R., Bhatia, R., Sharma, R., & Srivastava, M. V. P. (2020). Efficacy of Low-Frequency Repetitive Transcranial Magnetic Stimulation in Ischemic Stroke: A Double-Blind Randomized Controlled Trial. Archives of Rehabilitation Research and Clinical Translation, 2(1), 100039. https://doi.org/10.1016/j.arrct.2020.100039

Thant, A. A., Wanpen, S., Nualnetr, N., Puntumetakul, R., Chatchawan, U., Hla, K. M., & Khin, M. T. (2019). Effects of task-oriented training on upper extremity functional performance in patients with sub-acute stroke: a randomized controlled trial. Journal of Physical Therapy Science, 31(1), 82–87. https://doi.org/10.1589/jpts.31.82

DOI: 10.23917/jk.v16i1.18078

Article Metrics

Abstract view(s): 141 time(s)
XML (Bahasa Indonesia): 233 time(s)

Refbacks

  • There are currently no refbacks.