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EFFECT OF COMBINED BOBATH AND BALANCE EXERCISE THERAPY ON PHYSICAL MOBILITY IMPROVEMENT IN STROKE PATIENTS: A CASE STUDY Sulistiyawati, Sri; Septianingrum , Yurike; Soleha, Umdatus; Wijayanti, Lono
Literasi Kesehatan Husada: Jurnal Informasi Ilmu Kesehatan Vol 9 No 2 (2025): Volume 9 Issue 2, June 2025, Literasi Kesehatan Husada: Jurnal Informasi Ilmu Kes
Publisher : Library Unit collaborates with the Institute for Research and Community Service, College of Health Sciences Husada Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60050/lkh.v9i2.72

Abstract

Background: Stroke emerged as a serious global health problem, ranking as the leading cause of disability and the second leading cause of death worldwide. The most common impact of stroke was impaired physical mobility, especially with damage to the brain's motor centers or nerve pathways controlling body movements. In stroke patients, this disorder could appear directly after an acute attack and persist into the rehabilitation phase if not treated properly. One intervention to address physical mobility disorders in stroke patients was the application of a combination of Bobath therapy and balance exercises to accelerate motor function recovery, prevent immobilization complications, and increase patient independence. Objectives: This case study aims to analyze the effectiveness of the application of the combination of Bobath therapy and Balance exercise on physical mobility disorders in stroke patients. Methods: This study is a case study of a description of one stroke patient in Mrs. S in the Arjuna Room of Bhakti Dharma Husada Hospital Surabaya by using a descriptive nursing process with an approach to describe in depth the application of the intervention to the patient. Results: The implementation of a nursing intervention in the form of a combination of Bobath therapy and balance exercise who experienced physical mobility impairment due to non-hemorrhagic stroke for six days showed positive results. Conclusion: The increase in muscle strength can be seen from the patient's ability to maintain posture, transition from lying down to sitting to standing, and show better stability during balance exercises.
Effectiveness of Motor Imagery Training on Improving Upper Extremity Functional Ability Post Stroke: A Systematic Review Taufiq, Isa; Sulistiyawati, Sri; Septianingrum, Yurike; Hasina, Siti Nur
Indonesian Journal of Global Health Research Vol 7 No 3 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i3.6234

Abstract

Increasingly acknowledged for its ability to improve motor function and neuroplasticity in stroke therapy is motor imagery (MI) training. Variability in techniques and results, however, calls for a methodical assessment to combine the data. Objective: The goal of this study was to assess whether MI training will help stroke patients achieve better motor performance and other rehabilitation results. Method: After a thorough search across five databases using PubMed, Scopus, Google Scholar, Web of Science, and Cochrane Library in line with PRISMA criteria, we took ten works published between 2023 and 2025 under consideration. Resulting in 578 entries and Ultimately 10 studies were included in the review. methodological quality was assessed using JBI critical assessment techniques. Result:Ten research were examined and MI-based therapies clearly improved upper limb function, neuroplasticity, and attentional control. MI with BCI showed improved cortical activation, brain connection, and muscular strength. In severe cases especially, MI combined with TMS enhanced motor recovery. Furthermore, MI training enhanced with virtual reality or voice direction improved psychological well-being and daily life activities. Conclusion: MI-based treatments—especially in conjunction with cutting-edge technologies—effectively enhance motor and cognitive performance in stroke victims. To maximise clinical use, future studies should standardise procedures, investigate reasonably priced delivery strategies, and evaluate long-term advantages.
Addressing Anxiety Problems in Hospital Patients with Guided Imagery Therapy: A Systematic Review Sulistiyawati, Sri; Muhith, Abdul; Mahyuvi, Tata
Journal of Applied Nursing and Health Vol. 6 No. 2 (2024): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v6i2.258

Abstract

Background: Anxiety problems are often experienced by patients in hospitals due to various factors, such as medical conditions, medical procedures, or unfamiliar environments. One of the non-pharmacological interventions that has been widely studied to manage anxiety is guided imagery therapy. Objective: This systematic review aims to evaluate the effectiveness of guided imagery therapy in addressing anxiety problems in hospital patients. Methods: Literature searches were conducted on databases such as Google Scholar, Science Direct, and Pubmed. Article searches were carried out systematically from 2019-2024 using severalkeywords, namely "hemodialysis", or "guided imagery", or "anxiety", or "Patients in hospitals". Search for articles in English and Indonesia. Studies that met the inclusion criteria, i.e. experimental or quasi-experimental studies that evaluated the effects of guided imagery therapy on the anxiety levels of hospital patients, were further analysed. Data were extracted and compared to identify key findings. Results: : Studies show that guided imagery therapy can significantly lower anxiety levels in hospital patients, both before and after certain procedures. Positive effects were seen more pronounced in patients who underwent the intervention over several sessions compared to a single session. Additionally, patients reported improved relaxation, mood, and an overall more positive experience during the treatment period. Conclusion: : Guided imagery therapy is an effective and easy-to-apply approach to overcome anxiety in hospital patients. This intervention can be an additional option for health workers to improve the quality of health services, especially for patients with high levels of anxiety. Further studies are needed to explore the effects of these therapies in the context of the wider patient culture and population.