Penerapan Terapi Cermin Untuk Meningkatkan Kekuatan Otot Pada Pasien Stroke Non Hemoragik

Putra Agina Widyaswara Suwaryo, Lita Levia, Barkah Waladani

Abstract


Stroke menyebabkan kelemahan anggota gerak karena adanya kerusakan pada pembuluh darah diotak. Kelemahan tersebut bisa berdampak pada aktifitas sehari-hari, bahkan mengalami komplikasi seperti kontraktur dan atropi otot jika tidak diberikan tindakan yang tepat. Terapi cermin merupakan salah satu alternatif tindakan mandiri untuk meningkatkan kekuatan otot pada kasus stroke yang mengalami kelemahan anggota gerak. Studi kasus ini dilakukan kepada 3 pasien dengan stroke yang memiliki kekuatan otot 2-4, lama menderita stroke minimal 1 tahun dan usia 20-60 tahun. Pasien diberikan tindakan terapi cermin selama 15 menit dengan jeda istirahat 5 menit setiap sesinya. Terapi dilakukan selama 7 hari dan diukur kekuatan ototnya. Hasil didapatkan semua pasien mengalami peningkatan kekuatan otot masing-masing awal dan akhir, pasien pertama dan ketiga dari 3 ke 4, dan pasien kedua dari 2 ke 3. Semua pasien memiliki Riwayat penyakit hipertensi. Tindakan terapi cermin bisa digunakan menjadi salah satu tindakan mandiri pasien dirumah untuk meningkatkan kekuatan otot

Keywords


hemiparese; kekuatan otot; stroke; terapi cermin

References


Andarwati, A., Widodo, A., & Setiyawati, W. (2013). Pengaruh Latihan ROM terhadap Peningkatan Kekuatan Otot Pasien Hemiparese RSUD dr Moewardi Surakarta.

Curran, V., Hollett, A., Casimiro, L. M., McCarthy, P., Banfield, V., Hall, P., Lackie, K., Oandasan, I., Simmons, B., & Wagner, S. (2011). Development and validation of the interprofessional collaborator assessment rubric (ICAR). Journal of Interprofessional Care, 25(5), 339–344. https://doi.org/10.3109/13561820.2011.589542

Kakuda, W., Abo, M., Shimizu, M., Sasanuma, J., Okamoto, T., Yokoi, A., Taguchi, K., Mitani, S., Harashima, H., Urushidani, N., Urashima, M., & Investigators, T. N. (2012). A multi-center study on low-frequency rTMS combined with intensive occupational therapy for upper limb hemiparesis in post-stroke patients. Journal of NeuroEngineering and Rehabilitation, 9(1), 4. https://doi.org/10.1186/1743-0003-9-4

Lee, M. M., Cho, H., & Song, C. H. (2012). The Mirror Therapy Program Enhances Upper-Limb Motor Recovery and Motor Function in Acute Stroke Patients. American Journal of Physical Medicine & Rehabilitation, 91(8). https://journals.lww.com/ajpmr/Fulltext/2012/08000/The_Mirror_Therapy_Program_Enhances_Upper_Limb.8.aspx

Michielsen, M. E., Selles, R. W., van der Geest, J. N., Eckhardt, M., Yavuzer, G., Stam, H. J., Smits, M., Ribbers, G. M., & Bussmann, J. B. J. (2010). Motor Recovery and Cortical Reorganization After Mirror Therapy in Chronic Stroke Patients: A Phase II Randomized Controlled Trial. Neurorehabilitation and Neural Repair, 25(3), 223–233. https://doi.org/10.1177/1545968310385127

Mirela Cristina, L., Matei, D., Ignat, B., & Popescu, C. D. (2015). Mirror therapy enhances upper extremity motor recovery in stroke patients. Acta Neurologica Belgica, 115(4), 597–603. https://doi.org/10.1007/s13760-015-0465-5

Okazaki, H., Beppu, H., Mizutani, K., Okamoto, S., & Sonoda, S. (2014). Changes in Serum Growth Factors in Stroke Rehabilitation Patients and Their Relation to Hemiparesis Improvement. Journal of Stroke and Cerebrovascular Diseases, 23(6), 1703–1708. https://doi.org/https://doi.org/10.1016/j.jstrokecerebrovasdis.2014.01.015

Pervane Vural, S., Nakipoglu Yuzer, G. F., Sezgin Ozcan, D., Demir Ozbudak, S., & Ozgirgin, N. (2016). Effects of Mirror Therapy in Stroke Patients With Complex Regional Pain Syndrome Type 1: A Randomized Controlled Study. Archives of Physical Medicine and Rehabilitation, 97(4), 575–581. https://doi.org/https://doi.org/10.1016/j.apmr.2015.12.008

Rahmadani, E., & Rustandi, H. (2019). Peningkatan Kekuatan Otot Pasien Stroke Non Hemoragik dengan Hemiparese melalui Latihan Range of Motion Pasif. Journal of Telenursing, 1(2), 354–363.

Rothgangel, A. S., Braun, S. M., Beurskens, A. J., Seitz, R. J., & Wade, D. T. (2011). The clinical aspects of mirror therapy in rehabilitation: a systematic review of the literature. International Journal of Rehabilitation Research, 34(1). https://journals.lww.com/intjrehabilres/Fulltext/2011/03000/The_clinical_aspects_of_mirror_therapy_in.1.aspx

Selles, R. W., Michielsen, M. E., Bussmann, J. B. J., Stam, H. J., Hurkmans, H. L., Heijnen, I., de Groot, D., & Ribbers, G. M. (2014). Effects of a Mirror-Induced Visual Illusion on a Reaching Task in Stroke Patients: Implications for Mirror Therapy Training. Neurorehabilitation and Neural Repair, 28(7), 652–659. https://doi.org/10.1177/1545968314521005

Stoykov, M. E., Lewis, G. N., & Corcos, D. M. (2009). Comparison of Bilateral and Unilateral Training for Upper Extremity Hemiparesis in Stroke. Neurorehabilitation and Neural Repair, 23(9), 945–953. https://doi.org/10.1177/1545968309338190

Thieme, H., Mehrholz, J., Pohl, M., Behrens, J., & Dohle, C. (2013). Mirror Therapy for Improving Motor Function After Stroke. Stroke, 44(1), e1–e2. https://doi.org/10.1161/STROKEAHA.112.673087

Wakhidah, N., Asyrofi, A., & Prasetya, H. (2019). Perbedaan Latihan Kekuatan Otot Pasien Pasca Stroke yang Memperoleh Berbagai Dukungan Keluarga. Jurnal Ilmiah Permas, 9(3), 249–258.

Wheaton, L. A., Villagra, F., Hanley, D. F., Macko, R. F., & Forrester, L. W. (2009). Reliability of TMS motor evoked potentials in quadriceps of subjects with chronic hemiparesis after stroke. Journal of the Neurological Sciences, 276(1), 115–117. https://doi.org/https://doi.org/10.1016/j.jns.2008.09.012

Wist, S., Clivaz, J., & Sattelmayer, M. (2016). Muscle strengthening for hemiparesis after stroke: A meta-analysis. Annals of Physical and Rehabilitation Medicine, 59(2), 114–124. https://doi.org/https://doi.org/10.1016/j.rehab.2016.02.001

Wu, C.-Y., Huang, P.-C., Chen, Y.-T., Lin, K.-C., & Yang, H.-W. (2013). Effects of Mirror Therapy on Motor and Sensory Recovery in Chronic Stroke: A Randomized Controlled Trial. Archives of Physical Medicine and Rehabilitation, 94(6), 1023–1030. https://doi.org/https://doi.org/10.1016/j.apmr.2013.02.007

Yavuzer, G., Selles, R., Sezer, N., Sütbeyaz, S., Bussmann, J. B., Köseoğlu, F., Atay, M. B., & Stam, H. J. (2008). Mirror Therapy Improves Hand Function in Subacute Stroke: A Randomized Controlled Trial. Archives of Physical Medicine and Rehabilitation, 89(3), 393–398. https://doi.org/https://doi.org/10.1016/j.apmr.2007.08.162

Yun, G. J., Chun, M. H., Park, J. Y., & Kim, B. R. (2011). The synergic effects of mirror therapy and neuromuscular electrical stimulation for hand function in stroke patients. Annals of Rehabilitation Medicine, 35(3), 316–321. https://doi.org/10.5535/arm.2011.35.3.316




DOI: https://doi.org/10.35334/borticalth.v4i2.2263

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