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EFEKTIVITAS PERMAINAN HALANG RINTANG DALAM MENINGKATKAN KEMAMPUAN MOTORIK KASAR GANGGUAN SPEKTRUM AUTISME Taftazani , Maulfi Afiffati; Kurniawan, Hendri
Medical Journal of Nusantara Vol. 3 No. 1 (2024): Medical Journal of Nusantara (MJN)
Publisher : Tahta Media Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55080/mjn.v3i1.719

Abstract

Autism spectrum disorder (ASD) is a neurodevelopmental disorder which is also characterized by gross motor delays which affect the development of functional abilities. Obstacle games provide sensory input that allows children to coordinate their body parts well. This study aims to determine the effectiveness of obstacle games on gross motor skills in ASD children aged 3-10 years. Method: Quantitative research using a pre-experiment one group pretest-posttest design. The research sample of 20 people was obtained using a purposive sampling technique. Motor ability variables were measured using the Test of Gross Motor Development-2 (TGMD-2) instrument. Data analysis used a paired t-test and n-gain score test with SPSS 25 software. Results: The majority of the research samples were male (85%), pre-school age (85%), and were at the average GARS category level (75%). Hypothesis testing showed a p-value = 0.000 (p<0.05) which means there is a significant difference in gross motor skills in children with ASD between before and after the obstacle course game. The N-Gain Score test obtained a value of 0.42, which means it is effective in the medium category. Conclusion: The obstacle course game is effective in improving the gross motor skills of children with autism spectrum disorders.
PENGARUH GRADED REPETITIVE ARM SUPPLEMENTARY PROGRAM (GRASP) TERHADAP KEMAMPUAN KONTROL MOTORIK EKSTREMITAS ATAS DAN KEMANDIRIAN FUNGSIONAL PASIEN PASCA STROKE Kurniawan, Hendri; Rita Untari
Medical Journal of Nusantara Vol. 3 No. 3 (2024): Medical Journal of Nusantara (MJN)
Publisher : Tahta Media Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55080/mjn.v3i3.1127

Abstract

Stroke causes sensorimotor dysfunction that affects motor control ability and functional independence. Post-stroke recovery is influenced by repetitive sensorimotor stimulation. Recovery of motor control ability and functional independence of post-stroke patients often do not provide optimal results. This is thought to be related to the continuity of exercise performed by the patient. The Graded Repetitive Arm Supplementary Program (GRASP) is an exercise program designed to be carried out independently by post-stroke patients at home. This study aims to determine the effect of GRASP on upper extremity motor control ability and functional independence of post-stroke patients.                Quantitative research using a quasi-experimental design with a control group pretest-posttest design. A sample of 50 people was obtained using a purposive sampling technique. The motor control was measured using the Fugl-Meyer Assessment Upper Extremity but functional independence was measured using Barthel index instruments. Data analysis used the t-test with SPSS 25 software.  The majority of the samples were male (86%) and experienced upper extremity motor control disorders with an average score of 40.32 (treatment) and 40.88 (control). The functional independence of the sample was in the moderate dependence category with an average score of 75.26 (treatment) and 76.04 (control). After the intervention, the average motor ability score became 43.37 (treatment) and 42.53 (control) which was accompanied by a change in the average functional independence score to 81.25 (treatment) and 79.43 (control) although it was still in the moderate dependence category. The paired t-test on motor ability and functional independence showed significance of 0.000 and 0.001 (treatment group) and 0.004 and 0.001 (control group). The unpaired t-test showed a significance of 0.002 (motor ability) and 0.015 (functional independen) GRASP is more significant in influencing the improvement of upper extremity motor control ability and functional independence of post-stroke patients.