PENGARUH MOTOR RELEARNING PROGRAMME TERHADAP KEMAMPUAN BERJALAN PASIEN HEMIPARESE POST STROKE DI RSUD SALEWANGANG MAROS
Abstract
Background: Stroke is a world health problem with an annual incidence of 0.2 – 2.5 per 1000 population. Hemiparese is a motor control disorder that appears after a stroke. These motor disturbances are associated with reduced walking speed with changes in walking time and distance traveled. Patients with hemiparesis tend to take short, uneven steps and spend a longer time standing on the side of the body that is not experiencing weakness.
Methods: This research is a type of pre-experimental research with a pre test-post test one group design, aiming to determine the effect of the Motor Relearning Program on the walking ability of hemiparese post stroke patients at Salewangang Maros Hospital, with a sample of 14 people who received motorbike treatment Relearning Program and using the Time Up and Go (TUG) Test.
Results: Based on the results of the Wilcoxon test analysis, namely p value = 0.000 at a distance of 2 meters (p <0.05), p value = 0.001 at a distance of 8 meters (p <0.05) and value of p = 0.001 at a distance of 10 meters (p <0.05), indicating that the administration of the Motor Relearning Program had an effect on increasing the ability to walk in hemipraese post stroke patients.
Conclusion: The administration of the Motor Relearning Program intervention has an effect on increasing the walking ability of hemipraese post stroke patients. Patients are advised to apply this exercise daily to improve their walking ability.
Keywords: Motor Relearning Program, Ability to walk, Stroke
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An, S.J., Kim, T.J., Yoon, B.W., 2017, Epidemiology, Risk Factors, and Clinical Features of Intercerebral Hemorrhage: An Update, Journal Stroke, Vol. 19(1) p.3-10.
Balaban, B., 2014, Gait Disturbances In Patients With Stroke, PM&R, Vol.6 p.635-642.
Bogousslavky, J., Caso, V., Agnelli, G., Paciaroni, M., 2015. Manifestations Of Stroke, Indian Journal Of Medical Research, p.849-850.
Emos, MC., S, Argawal., 2018, Neuroanatomy, Upper Motor Neuron Lesion, StatPearls.
Gazbare, P., Mahajan, T., Palekar, T., Rathi, M., Khandare, S., 2017, Comparison of Motor Relearning Programme With Proprioceptive Neuromuscular Facilitation on Upper Limb Function In Stroke Patients, International Journal of Scientific Research And Education: Vol 5 p.6408-6412.
Guzik, A., Mariusz, D., Grazegorz, P., Andrzej, K., Agnieszka, B.M., Marek. M., 2017, Relationship Between Walking Velocity And Distance And The Symmetry Of Temporospatial Parameters In Chronic Post-Stroke Subject, Acta of Bioengineering and Biomechanics: Vol. 19 No. 3.
Higgins, B., 2008, Stroke: National Clinical Guideline For Diagnosis And Initial Management Of Acute Stroke And Transient Ischemic Attack (TIA), London: Royal College of Physicians.
Hooper, 2000, Current Biology, Magazine, Vol. 10 No. 5.
Irawan, 2014, Metode Konvensional, Kinesiotaping, dan Motor Relearning Programme Berbeda Efeketifitas Dalam Meningkatkan Pola Jalan Pasien Post Stroke Di Klinik Ontoseno Malang, Jurnal Fisioterapi, Vol, 14 No. 1.
Irfan, M., Susanti. J, 2008, Pengaruh Penerapan Motor Relearning Programme (MRP) Terhadap Peningkatan Keseimbangan Berdiri Pada Pasien Stroke Hemiplegi, Jurnal Fisioterapi Indonusa : Vol. 8 No. 2.
Janice, J.E., Pei, F.T., 2007, Gait Training Strategies To Optimize Walking Ability In People With Stroke, A Sysnthesis of the evidence; Expert Rev Nerother, Vol. 7(10) p.1417-11436.
Knierim, J., 2013, Disorders of the Motor System, Texas: Mc Govern Medical School.
Notoatmodjo, S., 2010, Metodologi Penelitian Kesehatan, Jakarta: Rineka Cipta
Oliveira, C.B., Medeiros, I.R.T., Frota, N.A.F., Greters, M.E., Conforto, A.B., 2008, Balance control in hemiparetic stroke patients: Main tools for evaluation, Journal of Rehabilitation Research & Development: V.45 No. 8 p. 1215-1226.
Reed, K.L., 2014, Hemiplegia/Hemiparesis In Stroke and Brain Injury, Nervous System Disordes, http://www.proedinc.com/downloads/13826samplepgs.pdf , diakses tanggal 20 Februari 2019.
Richards, C. L., Francine, M., Catherine, D., 2004, Gait In Stroke Assessment and Rehabilitation, Clinics in Geriatric Medicine, Vol.15 No. 4.
Ringleb, P.A., Bousser, M.G., Ford, G., Bath, P., Brainin, M., Caso, V., Cervera., Chamorro, A.L., Cordonnier, C., Csiba, L., Davalos, A., Diener, H.C., Ferro, J., Hacke, W., Hennerici, M., Kaste, M., Langhorne, P., Less, K., Leys, D., Lodder, J., Markus, H.S., Mas, J.L., Mattle, H.P., Muir, K., Norrving, B., Obach, V., Paolucci, S., Ringelstein, E.B., Schellinger, P.D., Sivenius, J., Skvortsova, V., Sunnerhagen, K.S., Thomassen, L., Toni, D., Kummer, R., wahlgren, N.G., Walker, M.F., Wardlaw, J., 2011, Ischemic Stroke and Transient Ischemic Attack, Dalam: Gilhus, N.E and Brainin, M, Neurogical Management, European: Blackwell Pubsishing.
Shumway, C.A., Brauer., S., Wookkacott, M., 2000, Predicting the Probability for falls in Community Dwelling Older Adults using the Timed Up & Go Test, Physical Therapy, Vol. 80(9): 896903.
Singha, Ranjeet., 2017, Motor Relearning Program Versus Proprioceptive Neuromuscular Facilitation Technique For Improving Basic Mobility In Chronic Stroke Patients-A Comparative Study, International Journal of Physiotherapy and Research, Vol. 5(6): 2490-500.
Suhartini. B, 2010, Pemulihan Kontrol Motorik Penderita Stroke Dengan Motor Relearning Programme, Medikora Vol. VI: 37 – 43.
Wall, J.C., Bell, C., Campbell, S., Davis, J., 2000, The Timed Get-up-and-go Test Revisited: Measurement of the Component Task, Journal of Rehabilitation Research & Development: Vol.37 No.1 p. 109-114.
Weiss, T.C., 2017, Weiss, T.C., 2017, Hemiparesis-Types, Treatmenet, Facts and Information, Disable Word, https://www.disabled-world.com/, diakses 12 Februari 2019.
DOI: https://doi.org/10.32382/mf.v13i2.3181
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