Gian Lisuari Adityasiwi
Department Of Physical Therapy, STIKES Bethesda Yakkum, Yogyakarta

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Stroke in Indonesia: An epidemiological overview Adityasiwi, Gian Lisuari; Budiono, Irwan; Zainafree, Intan; Cahyati , Widya Hary
Physical Therapy Journal of Indonesia Vol. 6 No. 1 (2025): January-June 2025
Publisher : Universitas Udayana dan Diaspora Taipei Medical University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/ptji.v6i1.274

Abstract

Introduction: Stroke is a major cause of illness and death in Indonesia. Understanding its risk factors is essential for effective prevention. This study aimed to identify risk factors associated with stroke incidence in Indonesia. Methods: This study utilized a literature review approach and analyzed data from national health surveys from year of 2007, 2013, and 2018 and data from Indonesian health profile from year of 2023. The stroke risk factors and sociodemographic variables were examined descriptively to identify regional trends and urban-rural disparities. Additionally, bivariate analysis was conducted using Chi-square test to assess relationships between stroke incidence and various risk factors. Results: Stroke cases increased from 2007 to 2018 but decreased in 2023. In contrast, diabetes mellitus prevalence increased in 2023, suggesting no direct correlation with the observed decrease in stroke cases (p-value > 0.050). Conclusion: The findings underscore the necessity of targeted public health interventions to decrease stroke incidence in Indonesia through early detection, lifestyle modifications, and enhanced awareness at both individual and community levels. The outcomes of this review offered a basis for subsequent public health research and strategies focused on decreasing the incidence of stroke in Indonesia.
Effectiveness of rehabilitation programs in acute post-stroke: A systematic review Adityasiwi, Gian Lisuari; Budiono, Irwan; Zainafree, Intan; Maharani, Chatila
Physical Therapy Journal of Indonesia Vol. 6 No. 2 (2025): July-December 2025
Publisher : Universitas Udayana dan Diaspora Taipei Medical University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/ptji.v6i2.276

Abstract

Introduction: The effectiveness of rehabilitation programs during the acute phase of stroke remain unclear. This study aimed to identify and analyze the forms of exercise education available for post-stroke patients based on a review of existing literature. Methods: This review was conducted in accordance with the preferred reporting items for systematic reviews and meta-analyses guidelines (PRISMA). This study included research articles related to rehabilitation programs for post-acute stroke patients that were published between 2019 and 2024. Literature searches were performed using PubMed, ScienceDirect, and Google Scholar. Results: Among the 10 eligible studies, effective programs involved collaboration among medical teams, caregivers, and families. Hospital-based training with early mobilization was often combined with home-based programs supported by technologies such as telehealth for remote monitoring to enhance mobility. In addition, the iron level assessments and vitamin supplementation were important to support the rehabilitation process for patients with acute stroke. Conclusion: Acute-phase rehabilitation has proven effective in enhancing physical recovery and function in stroke patients. However, methodological variations highlight the need for further research to develop region-specific protocols based on sociodemographic factors.
OPTIMALISASI KUALITAS HIDUP PENYINTAS STROKE MELALUI PENDAMPINGAN REHABILITASI, EDUKASI, DAN AKTIVITAS REKREATIF BERBASIS KOMUNITAS DI TAMAN LANSIA PAKEM: Optimizing the Quality of Life of Stroke Survivors Through Community-Based Rehabilitation Support, Education, and Recreational Activities at Taman Lansia Pakem Adityasiwi, Gian Lisuari; Gusma, Ellysa Okky; Susanto, Nicholas Adi Perdana; Siswanto, Sukendri; Kuntono, Heru Purbo; Wijanarko, Fajar; Kristina, Hana; Khenda, Nathan Agwin
JAMAS : Jurnal Abdi Masyarakat Vol. 3 No. 3 (2025)
Publisher : Forind Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62085/jms.v3i3.204

Abstract

Program pengabdian kepada masyarakat ini bertujuan untuk meningkatkan kualitas hidup penyintas stroke melalui pendekatan rekreatif, edukatif, dan pendampingan rehabilitatif berbasis komunitas. Kegiatan dilaksanakan di Taman Lansia Pakem, Sleman, Yogyakarta, pada Mei 2025, dengan melibatkan 210 peserta dari komunitas penyintas stroke. Intervensi mencakup edukasi kesehatan pasca stroke, senam kelompok, pemeriksaan fisioterapi, konsultasi individual, serta pemberian home program yang dipersonalisasi. Dari total peserta, 69 orang mengikuti evaluasi fisioterapi, termasuk pemeriksaan fungsional menggunakan Indeks Barthel. Hasil evaluasi menunjukkan 65% peserta berada dalam kategori ketergantungan ringan, sementara 35% telah mencapai status mandiri dalam aktivitas sehari-hari. Distribusi usia menunjukkan mayoritas peserta berusia di atas 60 tahun. Pendekatan multidisiplin yang melibatkan fisioterapis, tenaga medis, serta dukungan komunitas terbukti mendukung peningkatan fungsi dan kesejahteraan peserta. Temuan ini menegaskan pentingnya integrasi layanan rehabilitasi dengan pendekatan sosial dan rekreatif di tingkat komunitas. Intervensi seperti ini tidak hanya mendorong pemulihan fungsional, tetapi juga memperkuat aspek psikososial penyintas stroke. Diperlukan dukungan kebijakan dan kolaborasi lintas sektor agar pendekatan serupa dapat direplikasi secara berkelanjutan di berbagai wilayah.