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Effectiveness of Propioceptive Neuromuscular Facilitation in Improving Walking Quality in Post-Stroke Patients at Haji General Hospital Medan Trisno Susilo; Liza Agustin
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 7 No. 1 (2024): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkf.v7i1.2155

Abstract

Nationally, the prevalence of stroke in Indonesia in 2018 was 10.9 per mile, an increase compared to 2013 which was 7 per mile. Stroke is the second leading cause of death and the third leading cause of disability in the world. Two-thirds of stroke events occur in developing countries. Weakness and decreased muscle strength in stroke sufferers occur on one side of the limb, however, in the trunk muscles, weakness occurs on both sides, resulting in limited trunk rotation and difficulty in maintaining balance and gait). Propioceptive Neuromuscular Facilitation (PNF) is a physiotherapy intervention method that can be used to improve the quality of walking in stroke patients. This method can improve proprioceptor function by stimulating it in muscles and tendons. PNF also improves muscle strength, flexibility, and balance). Description of respondent data was carried out using univariate analysis to determine the frequency of age, weight, height, gender, paralyzed side and Wisconsin values ??before and after the intervention for both groups. Bivariate test to compare the average WGS value after treatment with before treatment in both the PNF group and the conventional group and compare the average difference between the PNF group and the conventional group. The average value of the difference before and after the intervention in the PNF group was 1.75 with a standard deviation of ± 0.463, while in the conventional group the average value of the difference before and after the intervention was 0.63 with a standard deviation of ± 0.518. Statistical tests using the Wilcoxon rink test between the two groups obtained a p-value of 0.024, which is smaller than 0.05, which means there is a significant difference between the PNF intervention group and the Conventional intervention group.
Pengaruh Motor Relearning Programme (MRP) Terhadap Peningkatan Kemampuan Fungsional Pasien Hemiparese Post Stroke di Kilinik Nur Medika Luwuk Nur Safira Lasimpala; Liza Agustin; Ronald Erwansyah
Detector: Jurnal Inovasi Riset Ilmu Kesehatan Vol. 2 No. 4 (2024): November : Jurnal Inovasi Riset Ilmu Kesehatan
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/detector.v2i4.4598

Abstract

Post-stroke hemiparesis is a weakness or inability to move on one side of the body, making it difficult to do daily activities, such as eating or dressing. Weakness on one side of the arm and leg can cause loss of balance in walking, impaired ability to pick up objects, decreased precision of movement, muscle weakness, and lack of coordination. Motor Relearning Program (MRP) focuses on relearning certain movements, tasks and motor skills that lead to the ability to perform a task. The motor relearning approach emphasizes training in motor tasks. This technique provides functional training and identification of key motor tasks, such as sitting, standing or walking. Objective: This study was conducted to determine the effect of increasing functional ability using the Motor Relearning Program (MRP) on Post-Stroke Hemiparesis patients at the Nur Medika Luwuk Clinic. Method: The research design used was an experimental method with a One-Group Pre-test and Post Test design model. The sample determination used the total sampling technique with a sample size of 10 respondents aged 45-65 years. The Barthel Index was measured to determine the functional ability of the respondents. The results of the study were analyzed using the Shapiro-Wilk normality test and the Wilcoxon sign rank test. Results: The results of the Wilcoxon sign rank test obtained an Asymp.Sig. (2-tailed) value of 0.003 <0.05, which means that there is an effect of the Motor Relearning Program (MRP) on improving the functional abilities of hemiparesis patients at the Nur Medika Luwuk Clinic.