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Journal : Jurnal Keperawatan dan Fisioterapi (JKF)

The Effect of Motor Relearning Program on Daily Living Activity and Dynamic Balance in Non-Hemorrhagic Post Stroke Hemiparese Patients at Grandmed Lubuk Pakam Hospital Jehaman, Isidorus; Br Siagian, Khairunnisa; Bintang, Siti Sarah; Ginting, Raynald Ignasius; Ginting, Rosita; Harefa, Karnirius
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 6 No. 1 (2023): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkf.v6i1.1887

Abstract

Stroke is a functional disorder of the brain that can occur suddenly or abruptly with focal or global neurological signs that can last 24 hours or more (if no surgery or death occurs) without any signs of non-vascular causes, which include signs of subarachnoid hemorrhage, intracerebral hemorrhage, ischemia or cerebral infarction. This can cause disturbances in vital brain functions such as coordination disorders, balance disorders, posture control disorders, sensation disorders and movement reflex disorders, thereby reducing the ability to carry out daily living activities and balance disorders. The motor relearning program method is a program for retraining specific motor controls by avoiding unnecessary or wrong movements that involve cognitive processes, the application of motor and psychological science, training, understanding of nervous anatomy and physiology and is not based on the theory of normal development (neuro development). The research aims to determine the effect of the motor relearning program on daily living activities and dynamic balance disorders in post-stroke patients. The method used in this research is a quasi experiment with one group pretest and post test design. The research sample consisted of 9 people. The samples will be observed and adjusted to the specified criteria so that they do not cause problems. Each respondent was measured 2 (two) times, namely before and after the intervention. Test the hypothesis using the Wilcoxon test. The research results obtained a value of p = 0.000 (p=<0.05), which means there is a significant influence of the motor relearning program intervention on daily living activities and dynamic balance disorders in post-stroke patients. The results of this research can be concluded that the motorbike relearning program can improve daily living activities and dynamic balance disorders in patients after non-hemorrhagic stroke. It is hoped that the results of this research can contribute to health services for the community in overcoming the problems of daily living activities and dynamic balance disorders in post-stroke patients.
The Effect of Trunk Stability Training on Increasing Segmental Values ​​of Trunk Control in Cerebral Palsy Patients Bintang, Siti Sarah; Elvida Rahmi; Helvi; Rizka Mutiara
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 8 No. 1 (2025): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/mxj5wj26

Abstract

Background: Cerebral palsy (CP) is the most common cause of physical disability in children. One of the most frequently cited definitions of CP is 'a group of permanent disorders in the development of movement and posture, which causes activity limitations, caused by non-progressive disorders that occur in the development of the fetal or infant brain'. Non-pharmacological approaches such as exercise therapy have been shown to be effective in overcoming the problems of children with cerebral palsy. One of the exercise interventions that has the potential to increase trunk stabilization is Treatment Trunk Stability Training. This technique works synergistically to target the trunk, improve gross motor function, trunk control, and balance, and will help better functional recovery in children with cerebral palsy. Objective: To determine the effect of Trunk Stability Training on Increasing Segmental Of Trunk Control Values ​​in Cerebral Palsy Patients. Methods: This study is a quantitative pre-experimental study with a one group pretest-posttest design. A total of 13 subjects diagnosed with cerebral palsy underwent a two-week intervention. Measurement of trunk stability or trunk control was performed using Segmental Of Trunk Control (SATCo). Data analysis used the Wilcoxon Signed-Rank test with a significance level of α = 0.05. Results: The results of the Shapiro-Wilk normality test showed that the data were not normally distributed (p <0.05). The results of the Wilcoxon test showed a p-value = 0.016 (<0.05), which means that there was a significant difference between the Segmental Of Trunk Control (SATCo) scores before and after the intervention. Conclusion: Trunk Stability Training treatment has been proven effective in strengthening or stabilizing the trunk/torso and improving trunk control in children with cerebral palsy.