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All Journal Indonesian Journal of Health Science Innovative: Journal Of Social Science Research
Agus Wiyono
Rumah Sakit Hermina Jatinegara
Humanities Computer Science & IT Dentistry Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Veterinary Other

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Penatalaksanaan Fisioterapi pada Kasus Hemiataxia Et Causa Stroke Non Hemoragic dengan New Bobath Concept di Rumah Sakit Hermina Jatinegara Cicilia Febriani Hayuningrum; Giar Putri A’yuni Qolbi; Nesi Nesi; Agus Wiyono
Innovative: Journal Of Social Science Research Vol. 3 No. 6 (2023): Innovative: Journal Of Social Science Research
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/innovative.v3i6.5738

Abstract

Stroke non hemoragic merupakan suatu kasus yang terjadi secara mendadak disebabkan oleh penyumbatan pembuluh darah di otak. Berdasarkan presentasi klinis yang dialami oleh pasien, pasien mengalami stroke yang mengenai brainstem sehingga menyebabkan adanya gangguan ataxia. Ataxia adalah gangguan koordinasi tanpa adanya kelumpuhan motorik atau penurunan kesadaran, yang menghambat kemampuan individu untuk melakukan voluntary movement yang menyebabkan pasien dengan gangguan ataxia tidak dapat mengontrol arah, kekuatan dan kecepatan. Untuk mengetahui penatalaksanaan fisioterapi dengan new bobath concept pada kasus hemiataxia et causa stroke non hemoragic dalam memperbaiki postur tubuh, meningkatkan keseimbangan, mengurangi gangguan berjalan, dan meningkatkan kemampuan fungsional. Setelah dilakukan terapi selama 5 kali pertemuan didapatkan hasil adanya perubahan postur tubuh wide BOS yang berkurang, meningkatnya keseimbangan, berkurangnya gangguan berjalan, dan peningkatan kemampuan fungsional. Penatalaksanaan Fisioterapi dengan New Bobath Concept dapat memperbaiki postur tubuh, meningkatkan keseimbangan, mengurangi gangguan berjalan, dan meningkatkan kemampuan fungsional pada pasien hemiataxia et causa stroke non hemoragic..
Effectiveness of the new bobath concept in improving motor function in left hemiparesis after ischemic stroke of the right posterior basal ganglia Cicilia Febriani Hayuningrum; Dela Fariha Fuadi; Sandra Marvella Winasti; Agus Wiyono
Indonesian Journal of Health Science Vol 6 No 1 (2026)
Publisher : PT WIM Solusi Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54957/ijhs.v6i1.2052

Abstract

Stroke is classified into two main types based on its pathophysiology, namely ischemic stroke and hemorrhagic stroke. Ischemic stroke, also known as non-hemorrhagic stroke, occurs due to reduced blood and oxygen to the brain and often results in motor impairments such as hemiparesis, postural control deficits, abnormal gait patterns, and decreased selective movement ability. Damage to the basal ganglia plays a signicant role in movement coordination disorders following stroke. This study aimed to determina the effectiveness of physiotherapy management using the New Bobath Concept in improving postural control, gait patterns, and selective movement ability in a patient with left hemiparesis caused by ischemic stroke unvolving the right posterior basal ganglia. This study employed a case study design. Physiotherapy intervention was conducted using New Bobath Concept over six therapy session within a four-week period. Postural control was assessed using a postural grid, gait pattern changes were analyzed through gait pattern analysis, and selective movement ability was evaluated using the Modofied Motor Assessment Scale (MMAS). The results demostrated improvements in postural control and gait patterns, indicated by a reduction in circumduction during walking. Associative reaction movement began to decrease, although they were still briefly observed during the stance and swing phase. Selective upper extremity movement abiluty also improved, with MMAS scores increasing from 28 at the initial assessment (T1) to 42 at the final assessment (T6). These findings suggest that physiotherapy intervention using New Bobath Concept is effective in improving postural control, enhancing gait patterns, and increasing selective movement ability in patients with hemiparesis following ischemic stroke. The New Bobath Concept can be considered a relevant therapeutic approach in post-stroke rehabilitation to optimize functional recovery.
Co-Authors Cicilia Febriani Hayuningrum Cicilia Febriani Hayuningrum Dela Fariha Fuadi Giar Putri A’yuni Qolbi Nesi Nesi Sandra Marvella Winasti