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Sutopo, Haris
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Dentistry Medicine & Pharmacology Public Health Veterinary

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Journal : Jurnal Terapi Wicara dan Bahasa

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Hubungan Spastisitas dengan Kemampuan Motorik Ekstremitas Atas dan Kemandirian Activity of Daily Living (ADL) Pasien Pasca Stroke Iskemik Kurniawan, Hendri; Sutopo, Haris
Jurnal Terapi Wicara dan Bahasa Vol. 3 No. 2 (2025): Juni 2025
Publisher : Politeknik Kesehatan Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59686/jtwb.v3i2.190

Abstract

Background: Stroke causes changes in muscle tone, which are thought to affect limb function (motor skills) and the ability to perform daily activities or activities of daily living (ADL). However, the extent to which spasticity is related to motor skills and ADL independence requires further study. Objectives: The study aims to examine the correlation between spasticity and upper extremity motor skills and independence in performing ADL in ischemic stroke patients. Methods: The study used an observational quantitative method with a cross-sectional design. The study was conducted in the hospital's occupational therapy unit. The sampling technique used purposive sampling technique. The research variables were measured using the Ashworth scale, Fugl-Meyer assessment (FMA), and Barthel Index Modified. Analysis of research data using a correlational test using the SPSS version 20 program. Results: The research subjects were 34 people, with a percentage of each gender of 50%, and generally experienced a stroke <6 months. The majority of research subjects experienced spasticity at level 2 on the Ashworth scale (61.77% -70.59%), experienced moderate upper limb motor disorders (61.77%), and the level of ADL independence at the level from moderate dependence (41.18%) to severe (50%). The results of the correlation test of the level of spasticity with upper limb motor skills showed a correlation coefficient (r) = -0.407 - -0.424 with a p-value = 0.012 - 0.017, while the level of spasticity with the level of ADL independence showed a correlation coefficient (r) = -0.459 - -0.552 with a p-value = 0.002 - 0.006. Conclusion: The level of spasticity was significantly negatively correlated with the level of upper extremity motor ability and the level of ADL independence, with a correlation strength at a moderate level. Keywords : stroke, spasticity, motoric, ADL
Pengaruh Engagement terhadap Post Stroke Fatigue (PSF) dan Kemampuan Motorik Pasien Pasca Stroke Iskemik Kurniawan, Hendri; Sutopo, Haris
Jurnal Terapi Wicara dan Bahasa Vol. 2 No. 2 (2024): Juni 2024
Publisher : Politeknik Kesehatan Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59686/jtwb.v2i2.104

Abstract

Abstract Background: Rehabilitation efforts for post-stroke patients to restore motor skills often do not provide optimal results. This is allegedly related to the client's seriousness or involvement in undergoing therapy (neurorehabilitation). Post-stroke comorbid problems in the form of post-stroke fatigue (PSF) may also influence this. Objectives: The research aims to examine the effect of engagement on post stroke fatigue (PSF) and recovery of motor skills in ischemic stroke patients. Methods: Observational quantitative research with a cross sectional design. The study was conducted in a hospital occupational therapy unit. The sampling technique uses purposive sampling technique. The research instruments used include: engagement rating scale (ERS), fatigue severity scale (FSS) and Fulg-Meyer Assessment (FMA). Research data analysis uses descriptive analysis, correlative and regression tests using the SPSS version 20 program. Results: The majority of the research sample was male (67.5%), and onset < 24 months (75%).   Mean ERS score = 21.2 ± 0.38, mean FSS change score = 2.17 and mean Fugl-Meyer change score = 2.45. Correlative test of ERS with FSS (r=0.697; p=0.000) and ERS with Fugl-Meyer (r=0.462; p=0.003). The linear regression test shows that the determinant coefficients of 0.486 and 0.226 ERS on FSS and Fugl-Meyer are significant with the equations Y=19.179+0.929X and Y=19.755+0.590X. Conclusion: Engagement influences a decrease in fatigue by 48.6% and an increase in motor ability recovery by 22.6%. Keywords : stroke, engagement, fatigue, motor
Co-Authors Argyo Demartoto, Argyo Bhisma Murti Hendri Kurniawan, Hendri