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Journal : Neurona

EFEKTIVITAS TERAPI CERMIN TERHADAP PERBAIKAN MOTORIK LENGAN PASIEN STROKE ISKEMIK AKUT Machyono, Machyono; Tammasse, Jumraini; Kaelan, Cahyono; Muis, Abdul; Ganda, Idham Jaya
Majalah Kedokteran Neurosains Perhimpunan Dokter Spesialis Saraf Indonesia Vol 35 No 2 (2018)
Publisher : PERDOSNI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52386/neurona.v35i2.4

Abstract

EFFECTIVENESS OF MIRROR THERAPY ON RECOVERY OF ARM MOTOR FUNCTION IN PATIENTS WITH ACUTE ISCHEMIC STROKEABSTRACTIntroduction: Disability after stroke often happens and burden patients to perform their daily activity. Mirror therapy is an intervention focused on hand and leg movement of the affected side based of mirror neuron principal. This new technique using mirror is simple, affordable, and effective.Aim: To investigate the effectiveness of mirror therapy (MT) on recovery of arm motor function in patients with acute ischemic stroke.Methods: Randomized clinical trial with parallel design an patient with ischemic stroke admitted to Dr. Wahidin Sudirohusodo Hospital, Makassar, June to July 2017. Subjects were allocated into standard with mirror therapy group and standard therapy alone. Mirror therapy was done for 30 minutes everyday for 10 days. Action Research Arm Test (ARAT) at the first and the tenth day were compared using independent t test.Results: There were 32 subjects with 16 subjects in each group. Majority of subjects were men (59,4%), age 45-54 years (31,2%), had history of hypertension (81,2%), came at the third day of onset (28,1%), and a right side motor deficit (59,4%). Difference in ARAT score was higher in group receiving standard + mirror therapy than in group receiving standard therapy alone (15,56 vs 7,69).Discussion: Arm motor function recovery were significant on group receiving standard + mirror therapy compared to control after 10 days of intervention, especially grasping movement.Keywords: Action research arm test, ischemic stroke, mirror therapyABSTRAKPendahuluan: Kelumpuhan ekstremitas pascastroke merupakan masalah yang sering terjadi dan sangat mengganggu pasien dalam melakukan aktivitas sehari-hari. Terapi cermin merupakan terapi intervensi yang difokuskan pada gerakan tangan atau kaki yang paresis akibat stroke dengan prinsip mirror neuron. Teknik ini relatif baru, sederhana, murah, dan efektif dengan menggunakan bantuan cermin.Tujuan: Mengetahui efektivitas terapi cermin terhadap perbaikan motorik lengan pada pasien stroke iskemik akut.Metode: Uji klinis terandomisasi dengan desain paralel  terhadap pasien stroke iskemik akut yang dirawat di RSUP Dr. Wahidin Sudirohusodo, Makassar pada bulan Juni hingga Juli 2017. Subjek dibagi menjadi kelompok terapi yang mendapatkan tambahan terapi cermin dan kelompok kontrol yang hanya mendapatkan terapi standar. Terapi cermin dilakukan 30 menit setiap hari selama sepuluh hari. Dilakukan perbandingan skor action research arm test (ARAT) sebelum dan sesudah terapi dengan uji t tidak berpasangan.Hasil: Didapatkan 32 subjek yang masing-masing terdiri dari 16 subjek pada tiap kelompok. Mayoritas subjek adalah laki-laki (59,4%), usia 45-54 tahun (31,2%), memiliki riwayat hipertensi (81,2%), onset terbanyak pada hari ke-3 (28,1%), dan memiliki gangguan motorik pada sisi kanan (59,4%). Rerata selisih skor ARAT lebih tinggi pada kelompok terapi standar dan terapi cermin dibandingkan kelompok terapi standar saja (15,56 vs 7,69).Diskusi: Terdapat perbaikan fungsi motorik lengan yang signifikan antara kelompok dengan terapi cermin dan kelompok kontrol setelah 10 hari terapi cermin, terutama pada gerakan menggenggam (grasp).Kata kunci: Action research arm test, stroke iskemik, terapi cermin
Neuromuscular Taping Decompression Technique in Diabetic Painful Polyneuropathy: Impact on Pain Intensity Harun Muchsin, Achmad; Blow, David; Goysal, Yudy; Wuysang, Audry Devisanty; Tammasse, Jumraini; Bahar, Ashari; Zainuddin, Andi Alfian; Walenna, Nirwana Fitriani
Majalah Kedokteran Neurosains Perhimpunan Dokter Spesialis Saraf Indonesia Vol 41 No 3 (2025): Vol 41 No 3 (2024): Volume 41, No 3 - Juni 2025
Publisher : PERDOSNI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52386/neurona.v41i3.679

Abstract

Background: This study aimed to evaluate the effects of neuromuscular taping decompression technique (NMT) on modifying pain scale in diabetic patients with painful distal symmetrical polyneuropathy (DSPN) at Wahidin Sudirohusodo Hospital, Makassar, Indonesia. Using a pure experimental design with a pre-test and post-test control group method, 30 patients were included: 15 in the treatment group and 15 in the control group. The treatment group received decompression NMT on the dorsal and plantar aspects of the foot twice a week for four weeks, along with vitamin B complex supplementation. The control group received only vitamin B complex. Result: The Mann-Whitney test showed significant improvement (p <0.05) in the pain scale of the treatment group on day 28, with the Numeric Pain Rating Scale (NPRS) score being lower than that of the control group. Conclusion: This study demonstrated the significant pain-reducing effect of NMT in DSPN patients. The combination of vitamin B1, B6, and B12 supplementation with 8 NMT sessions over 28 days reduced pain to 0 on the NPRS scale. Treatment twice a week for 4 weeks, alongside vitamin B, led to near-zero pain, with pain-free results expected after 5 treatments over 17 days. NMT combined with vitamin B reduced pain approximately 2 times faster than vitamin B alone. Keywords: Diabetic Painful Distal Symmetrical Polyneuropathy, DSPN, Diabetic Neuropathic Pain, Neuromuscular Taping, NMT