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Utilization Community-Based Rehabilitation Methods to Improve Independence and Quality of Life for Patients with Disabilities in Nara Phirom Health Promoting Hospital, Thailand Komalasari, Dwi Rosella; Rahayu, Umi Budi; Perdana, Suryo Saputra; Chaiyawat, Pakaratee; Rosidah, Nikmatur
Warta LPM WARTA LPM, Vol. 27, No. 2, Juli 2024
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/warta.v27i2.4782

Abstract

The disability community activity, Nara Phirom Health Promoting Hospital in Banglen District, Nakhon Pathom, Thailand, collaborated with the Faculty of Physiotherapy, Mahidol University to support the disability community. Using the Community-based rehabilitation (CBR) method, the aim to enhance independence and quality of life. Evaluation includes IADL for independence and WHOQoL Bref-100 for quality of life. Education on health, immobilization, and exercise was provided to patients, families, and caregivers. Therapists teached physical exercises, to be repeated 2-3 times daily by caregivers and family. The 1-month program, supervised by therapists, includes standing and walking for patients with lower extremity strength of 3/5 (measured by manual muscle testing). Rehabilitation involves crafting items like wallets and bags, stamps, and flowers from bottles. Results, patients with low function status (very dependent on other people) decreased by 64.3%, moderate function increased by 116.7% and independence increased by 111.1%. There was a significant improvement in quality of life (WHOQoL) and all domains after CBR program.
Cross-cultural adaptation and psychometric evaluation of the Indonesian Wolf Motor Function Test for stroke rehabilitation Setiawan, Setiawan; Chaiyawat, Pakaratee; Tretriluxana, Jarugool; Riewpaiboon, Arthorn
Physical Therapy Journal of Indonesia Vol. 7 No. 1 (2026): Inpress January-June 2026
Publisher : Universitas Udayana dan Diaspora Taipei Medical University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/ptji.v7i1.361

Abstract

Background: Stroke is a leading cause of mortality and long-term disability worldwide, emphasizing the need for standardized motor assessment tools in rehabilitation. This study aimed to translate and culturally adapt the Wolf Motor Function Test (WMFT) into Indonesian and evaluate its psychometric properties in subacute stroke patients. Methods: A methodological design was employed, consisting of forward translation, back-translation, expert panel review, pretesting, and psychometric evaluation. A total of 25 subacute stroke patients were recruited using purposive sampling. Inter-rater reliability, intra-rater reliability, and internal consistency were assessed using the Intraclass Correlation Coefficient (ICC) and Cronbach’s alpha. Construct validity was examined through correlations with the Fugl-Meyer Assessment for Upper Extremity (FMA-UE). Results: The Indonesian version of the WMFT (I-WMFT) demonstrated excellent reliability. Inter-rater ICC values ranged from 0.895 to 1.000, while intra-rater ICC values ranged from 0.796 to 0.997. Cronbach’s alpha values ranged from 0.799 to 1.000, indicating strong internal consistency. Construct validity was supported by significant correlations with the FMA-UE (r = 0.899 for functional ability and r = −0.828 for movement time), confirming that the I-WMFT accurately reflects upper extremity motor performance. Conclusion: The I-WMFT is a reliable, valid, and culturally appropriate instrument for assessing upper limb motor function in Indonesian subacute stroke patients. Its availability enhances objective clinical evaluation and supports evidence-based rehabilitation practices in Indonesia.