Irwan Budiono
Department of Public Health, Faculty of Medicine, Universitas Negeri Semarang, Indonesia

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Stroke in Indonesia: An epidemiological overview Gian Lisuari Adityasiwi; Irwan Budiono; Intan Zainafree; Widya Hary Cahyati
Physical Therapy Journal of Indonesia Vol. 6 No. 1 (2025): January-June 2025
Publisher : Universitas Udayana dan Diaspora Taipei Medical University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/ptji.v6i1.274

Abstract

Introduction: Stroke is a major cause of illness and death in Indonesia. Understanding its risk factors is essential for effective prevention. This study aimed to identify risk factors associated with stroke incidence in Indonesia. Methods: This study utilized a literature review approach and analyzed data from national health surveys from year of 2007, 2013, and 2018 and data from Indonesian health profile from year of 2023. The stroke risk factors and sociodemographic variables were examined descriptively to identify regional trends and urban-rural disparities. Additionally, bivariate analysis was conducted using Chi-square test to assess relationships between stroke incidence and various risk factors. Results: Stroke cases increased from 2007 to 2018 but decreased in 2023. In contrast, diabetes mellitus prevalence increased in 2023, suggesting no direct correlation with the observed decrease in stroke cases (p-value > 0.050). Conclusion: The findings underscore the necessity of targeted public health interventions to decrease stroke incidence in Indonesia through early detection, lifestyle modifications, and enhanced awareness at both individual and community levels. The outcomes of this review offered a basis for subsequent public health research and strategies focused on decreasing the incidence of stroke in Indonesia.
Effectiveness of rehabilitation programs in acute post-stroke: A systematic review Gian Lisuari Adityasiwi; Irwan Budiono; Intan Zainafree; Chatila Maharani
Physical Therapy Journal of Indonesia Vol. 6 No. 2 (2025): July-December 2025
Publisher : Universitas Udayana dan Diaspora Taipei Medical University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/ptji.v6i2.276

Abstract

Introduction: The effectiveness of rehabilitation programs during the acute phase of stroke remain unclear. This study aimed to identify and analyze the forms of exercise education available for post-stroke patients based on a review of existing literature. Methods: This review was conducted in accordance with the preferred reporting items for systematic reviews and meta-analyses guidelines (PRISMA). This study included research articles related to rehabilitation programs for post-acute stroke patients that were published between 2019 and 2024. Literature searches were performed using PubMed, ScienceDirect, and Google Scholar. Results: Among the 10 eligible studies, effective programs involved collaboration among medical teams, caregivers, and families. Hospital-based training with early mobilization was often combined with home-based programs supported by technologies such as telehealth for remote monitoring to enhance mobility. In addition, the iron level assessments and vitamin supplementation were important to support the rehabilitation process for patients with acute stroke. Conclusion: Acute-phase rehabilitation has proven effective in enhancing physical recovery and function in stroke patients. However, methodological variations highlight the need for further research to develop region-specific protocols based on sociodemographic factors.