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Study Literatur Use Of Active-Assistive Range Of Motion Cylindrical Grip And Spherical Grip Towards Increasing Upper Extremity Muscle Strength In Stroke Patients (Studi Literatur Penggunaan ROM Aktif-Asistif Cylindrical Grip dan Spherical Grip Terhadap Peningkatan Kekuatan Otot Ekstremitas Atas Pada Pasien Stroke) Gita Cahyani; Shobirun MN; Sajan Eko Chambari Purnomo
Journal of Applied Health Management and Technology Vol 4, No 1 (2022): January
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (244.533 KB) | DOI: 10.31983/jahmt.v4i1.8250

Abstract

ABSTRACTStroke is damage to brain tissue due to disruption of blood flow to the brain. One of the effects that occur in stroke patients is weakness on one side of the body, such as the upper extremity. Exercises to stimulate movement in the hands can be in the form of active-assistive ROM cylindrical grip and spherical grip. The purpose of this research is to identify research articles that describe the use of ROM cylindrical grip and spherical grip to increase upper extremity muscle strength in stroke patients. Design this research is a literature review study. Article searches were carried out comprehensively through a database of national and international indexed research journals with the inclusion and exclusion criteria. The types of research articles are quasi experiment, pre-experimental study, and retrospective study. The research articles obtained were 11 articles, analyzed and synthesized in a tabular format. The results of the literature review is active-assisted ROM cylindrical grip and spherical grip are used as limb movement exercises in the rehabilitation process for stroke patients, namely cylindrical grip ROM, spherical grip both using simple tools (tissue rolls, baseball) as well as technological innovations that have developed such as Robot-assisted Therapy, 3D immersive virtual reality, and Hand Extension Robot Orthosis (HERO) Grip Glove. The conclusion of this study is ROM cylindrical grip and spherical grip are used as post-stroke rehabilitation exercises that are useful for training muscle strength, especially when gripping, preventing joint stiffness, as well as in carrying out daily activities. ABSTRAKStroke adalah kerusakan jaringan otak akibat terganggunya alirah darah menuju otak. Salah satu dampak yang terjadi pada pasien stroke adalah kelemahan di salah satu sisi tubuh, seperti ekstremitas atas. Latihan untuk menstimulasi gerak pada tangan dapat berupa latihan ROM aktif-asistif cylindrical grip dan spherical grip. Penelitian ini bertujuan untuk mengidentifikasi artikel-artikel penelitian yang memaparkan penggunaan latihan ROM aktif-asistif cylindrical grip dan spherical grip terhadap peningkatan kekuatan otot ekstremitas atas pada pasin stroke.Jenis penelitian kajian literatur. Pencarian artikel dilakukan secara komprehensif melalui database jurnal penelitian terindeks nasional dan internasional yang memenuhi kriteria inklusi dan eklusi. Jenis artikel penelitian yang digunakan sebagai referensi adalah quasi experiment, pre-experimental study, dan retrospective study. Artikel penelitian yang didapatkan sebanyak 11 artikel, dianalisis dan disintesis dalam format tabel. Hasil kajian literatur menunjukkan ROM aktif-asistif cylindrical grip dan spherical grip dimanfaatkan sebagai latihan gerak ekstremitas dalam proses rehabilitasi pada pasien stroke yaitu ROM cylindrical grip, spherical grip baik yang menggunakan alat sederhana (tissue gulung, bola kasti) maupun inovasi teknologi yang sudah berkembang seperti Robot-assisted Therapy, 3D immersive virtual realility, dan Hand Extension Robot Orthosis (HERO) Grip Glove. Penggunaan ROM aktif-asistif cylindrical grip dan spherical grip sebagai latihan rehabilitasi pasca stroke dimana bermanfaat untuk melatih kekuatan otot, terutama ketika mengenggam, mencegah kekakuan sendi, serta dalam melakukan aktivitas sehari-hari.
Application Of The Ipswich Touch Test (IPTT) Method To Detect Diabetic Neuropathy (Penerapan Metode Ipswich Touch Test Untuk Mendeteksi Neuropati Diabetik) Gita Cahyani; Ta'adi Samsuri; Anna Jumatul
Journal of Applied Health Management and Technology Vol 4, No 2 (2022): April 2022
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jahmt.v4i2.8251

Abstract

ABSTRACTNeuropathy is the classic and most common complication of DM. One of the early detection of diabetic sensory neuropathy is the Ipswich Touch Test. This study aims to analyze, compile and examine the results of published research articles containing the application of the IpTT method in detecting diabetic neuropathy. Desain of this research is a literature review. Article searches were carried out comprehensively through national and international indexed research journals databases such as Pubmed, Elsevier Clinical Key, and Google Scholar. who met the inclusion and exclusion criteria. The research articles obtained were 6 articles, then all the articles obtained were synthesized and combined. The results of the analysis of six journals, there are five research journals with cross-sectional study and systematic review methods, stated that the IpTT examination is significant for detecting diabetic neuropathy, which is evidenced by having a sensitivity ranging from 51-83.3% and a specificity of 90-96, 6% which means it has higher accuracy than the monofilament test. Meanwhile, another journal that uses a cross-sectional study states that the results are not significant/there is no difference between the IpTT examination and the monofilament test, this is because the researchers did not characterize DM respondents in their research. In general, five of the six journals recommend that the IpTT examination can be a reliable method, does not require special costs or tools, and is easy to apply in primary health care and in inpatient care for early detection of diabetic neuropathy. 
Youtube-based stroke care education development and its effectiveness on the levels of compliance with physical rehabilitation in post-stroke patients Cahyani, Gita; Rumahorbo, Hotma; Sudirman, Sudirman
Media Keperawatan Indonesia Vol 6, No 3 (2023)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/mki.6.3.2023.234-243

Abstract

Stroke is damage to brain tissue due to disruption of blood flow to the brain. One impact in stroke patients is weakness on one side of the body or hemiparesis. The management of stroke includes physical rehabilitation. However, many post-stroke patients still do not comply with physical rehabilitation, so education is needed about the importance of complying with physical rehabilitation to accelerate recovery and restore movement function in post-stroke patients. The purpose of this study is to develop Stroke Care Education and analyze its effectiveness on adherence to physical rehabilitation in post-stroke patients. The design of this study used Research and Development (R&D) and a quasy experiment with a pretest-posttest control group design which was carried out for 21 days. The sampling technique used purposive sampling which consisted of 60 respondents who were divided into the intervention and control groups. The intervention group was given YouTube-based Stroke Care Education twice a day (20 minutes), while the control group was given a leaflet. The measurement method used a level of adherence questionnaire, namely the Morinsky Medication Adherence Scale (MMAS) with low, medium, and high measurement values. The data were analyzed using the Wilcoxon test and the Mann-Whitney test. The results of this study YouTube-based Stroke Care Education is suitable for use for post-stroke patients with a validity test result value of 87.5%. The statistical test results showed an increase in adherence to physical rehabilitation in the intervention group compared to the control group, from an average score of 4.40 to 7.57. Meanwhile, in the control group, it increased from 3.77 to 4.23 with a value of p = 0.000. In conclusion, YouTube-based Stroke Care Education is effective in increasing adherence to physical rehabilitation in post-stroke patients.
Strengthening School Community Preparedness through FAST Education, Health Literacy, and Stroke Emergency Response Simulation Siti Rohimah; Maryammah Maryammah; Acep Hidayatul Mustopa; Santo Imanuel Tonapa; Gita Cahyani Cahyani; Dani Usmar Usmar; Ade Azis; Sri Mulyani Rahman; Ningsih Nur Hidayati; Ira Zulfa Rahma; Kevin Satriady; Nurjanah Nurjanah; Bunga Mar’atun Nailla; Fadila Rahayu; Samrotul pitriyah
International Journal of Community Service (IJCS) Vol. 5 No. 2 (2026): July-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijcs.v5i2.2044

Abstract

Stroke outcomes are strongly influenced by how quickly people recognize warning signs and activate emergency care, yet school communities are rarely prepared to respond to a suspected stroke occurring among teachers, staff, families, or visitors. This community-service program strengthened school preparedness through an integrated package of FAST education, stroke-related health literacy, guided emergency simulation, and development of a School Emergency Response System. The program was implemented at SMA Negeri 1 Ciamis, West Java, Indonesia, with teachers, student members of the School Health Unit, supervising teachers, and UKS personnel. Evaluation used an unmatched pre-post design because anonymous respondent codes were not available. The evaluation included 68 pre-activity and 14 post-activity responses, which were analyzed using Mann-Whitney U tests, Holm correction, and rank-biserial effect sizes. Post-activity scores were higher for stroke knowledge and case recognition (79.0±13.3 vs. 92.3±11.1; adjusted p=.002), health literacy (58.8±19.7 vs. 73.1±13.0; adjusted p=.012), and emergency response readiness (61.5±15.6 vs. 67.9±9.7; adjusted p=.036). The largest practical gain concerned avoiding oral food, fluids, or medication for a person with suspected stroke, while uncertainty remained about whether symptoms could be observed for 30-60 minutes. The program suggests that schools can become meaningful community nodes for stroke recognition when concise messages, reflective discussion, simulation, and institutional response procedures are combined. Continued reinforcement, paired follow-up evaluation, and routine UKS simulation are recommended.