PERBEDAAN PENGARUH PNF DAN A-AROM EXERCISE TERHADAP PENINGKATAN KEKUATAN OTOT PASIEN HEMIPARESIS POST STROKE ISKEMIK

Abstract

PERBEDAAN PENGARUH PNF DAN A-AROM EXERCISE TERHADAP PENINGKATAN

KEKUATAN OTOT PASIEN HEMIPARESIS POST STROKE ISKEMIK 

Different Effect Of PNF And A-AROM Exercise On  Increased Muscle Strength Of Ischemic Hemiparesis Post Stroke Patients

Kristian Tiwow¹, Sri Saadiyah¹; Muh Thahir¹; Rahmat Nugraha¹; Hasnia Ahmad¹*

¹Jurusan Fisioterapi Polteknik Kesehatan Makassar

*corresponding author

ABSTRACT

Background : Ischemic stroke is a clinical condition that occurs due to blockages in the blood vessels of the brain so that it damages certain tissues in the brain. Method : The experimental quasi study, designed by design of two group pre-tests – post tests, aimed to determine the difference in the effect of Proprioceptive Neuromuscular Facilitation (PNF) and Active-Assistive ROM Exercise on increased muscle strength in ischemic post stroke hemiparesis patients. Held at Inggit Medical Centre Clinic with a sample of 34 people in accordance with the criteria of inclusion, randomized into 2 groups, namely treatment group I given Proprioceptive Neuromuscular Facilitation (PNF) and treatment group II given Active-Assistive ROM Exercise. Results : The wilcoxon test analysis obtained p = 0.014 for UE and p = 0.008 for LE in treatment group I, and p = 0.014 for UE and p = 0.046 for LE in treatment group II, meaning that there was a meaningful influence of Proprioiveceptive Neuromuscular Facilitation (PNF) and Active-Assistive ROM Exercise on increased muscle strength. Then, based on the Mann-Whitney test obtained a value of p = 1,000 for UE and p = 0.279 for LE, which means that there was no significant difference between treatment group I and treatment group II. Conclusion : Proprioceptive Neuromuscular Facilitation (PNF) exercise is no more effective than Active-Assistive ROM Exercise in producing increased muscle strength in ischemic post stroke hemiparesis patients

Keywords : Proprioceptive Neuromuscular Facilitation (PNF), Active-Assistive ROM Exercise, Hemiparesis, Ischemic Stroke

ABSTRAK

Latar belakang : Stroke Iskemik merupakan kondisi klinis yang terjadi akibat adanya penyumbatan di pembuluh darah otak sehingga merusak jaringan dibagian tertentu pada otak. Metode : Penelitian quasi eksperimental dengan desain two group pre test – post test, bertujuan untuk mengetahui perbedaan pengaruh latihan Proprioceptive Neuromuscular Facilitation (PNF) dan Active-Assistive ROM Exercise terhadap peningkatan kekuatan otot pada pasien hemiparesis post stroke iskemik. Dilaksanakan di Klinik Inggit Medical Centre dengan sampel sebanyak 34 orang yang sesuai dengan kriteria inklusi, di randomisasi kedalam 2 kelompok yaitu kelompok perlakuan I yang diberikan Proprioceptive Neuromuscular Facilitation (PNF) dan kelompok perlakuan II yang diberikan Active-Assistive ROM Exercise. Hasil : Analisis uji wilcoxon test diperoleh p = 0,014 untuk AGA dan p = 0,008 untuk AGB pada kelompok perlakuan I, dan p = 0,014 untuk AGA dan p = 0,046 untuk AGB pada kelompok perlakuan II, yang berarti bahwa ada pengaruh yang bermakna Proprioceptive Neuromuscular Facilitation (PNF) dan Active-Assistive ROM Exercise terhadap peningkatan kekuatan otot. Kemudian, berdasarkan uji Mann-Whitney di peroleh nilai p = 1,000 untuk AGA dan p = 0,279 untuk AGB, yang berarti bahwa tidak ada perbedaan yang signifikan antara kelompok perlakuan I dan kelompok perlakuan II. Kesimpulan : Latihan Proprioceptive Neuromuscular Facilitation (PNF) tidak lebih efektif daripada Active-Assistive ROM Exercise dalam menghasilkan peningkatan kekuatan otot pada pasien hemiparesis post stroke iskemik.

Kata Kunci : Proprioceptive Neuromuscular Facilitation (PNF), Active-Assistive ROM Exercise, Hemiparesis, Stroke Iskemik.