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MOTOR IMAGERY TRAINING FOR MOTOR RECOVERY IN LEFT HEMIPARESIS POST-STROKE: A SHORT-TERM CASE STUDY Taufiq, Isa; 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.v9i2.76

Abstract

Background: Stroke remains one of the leading causes of long-term disability worldwide, with hemiparesis being the most common motor deficit. Hemiparesis on the dominant side, such as sinistra hemiparesis, greatly impairs daily function. Motor Imagery Training (MIT) is a cognitive-based therapeutic approach that stimulates motor-related cortical areas through mental rehearsal of movement, offering a non-invasive, low-cost intervention to promote neuroplasticity during stroke rehabilitation. Objectives: This case study aims to evaluate the short-term effects of a 4-day Motor Imagery Training intervention on a post-stroke patient with hemiparesis sinistra, focusing on motor function improvement and cognitive engagement. Methods: Mrs SA, a 66-year-old female with a history of uncontrolled hypertension and prior stroke, presented with left-side weakness, facial asymmetry. The patient underwent MIT sessions for four consecutive days (30 minutes/day), guided by auditory scripts and visual imagery techniques targeting upper limb function. Motor performance was evaluated using the Fugl-Meyer Assessment for Upper Extremity (FMA-UE) and the Medical Research Council (MRC) scale. Results: After four MIT sessions, the patient demonstrated improved motor strength (MRC 4-/5), increased FMA-UE score from 29 to 36, and enhanced focus and engagement. Subjectively, the patient reported increased motivation and perceived movement initiation. These findings suggest early cortical activation and functional gains, even within a limited intervention period. Conclusion: This case supports existing evidence on the effectiveness of MIT in promoting neurofunctional recovery in stroke rehabilitation. Despite its brief duration, MIT contributed meaningfully to motor recovery and psychological readiness. Motor imagery is feasible for early rehabilitation and can be tailored to settings with limited resources.
Role of Optical Coherence Tomography (OCT) in Macular Oedema and Diabetic Retinopathy (DR) Update; Systematic Literature Review Taufiq, Isa; Muhith, Abdul; Zahro, Chilyatiz; Hasina, Siti Nur
Indonesian Journal of Global Health Research Vol 6 No 6 (2024): 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.v6i6.4761

Abstract

Diabetic retinopathy (DR) and diabetic macular oedema (DME) are significant causes of blindness globally, resulting from diabetes-induced retinal damage. Early detection and timely intervention are critical to prevent irreversible vision loss in diabetic patients. Recent advances in imaging technology, particularly Optical Coherence Tomography (OCT), have provided a powerful tool for detailed visualisation of retinal structures, enabling the early identification of microvascular changes associated with DR and DME. This systematic review synthesises insights from 20 studies to explore the effectiveness of OCT in diagnosing, monitoring, and guiding treatment for these conditions. A comprehensive literature search was conducted across databases including Scopus, Scholar, and PubMed, using Boolean operators to combine keywords such as “OCT,” “OCTA,” “diabetic retinopathy,” and “deep learning.” Studies were selected based on criteria that included the use of OCT or OCTA in assessing DR or DME, providing statistical data on diagnostic accuracy and treatment response. The results indicate that OCT, particularly when paired with OCT Angiography (OCTA) and AI-driven analysis, significantly enhances the accuracy of detecting early microvascular changes in diabetic eyes. For instance, Zhang et al. (2021) found that OCTA could identify early retinal vascular alterations in diabetic patients with a sensitivity and specificity exceeding 90%. Additional findings reveal that OCT plays a crucial role in tracking disease progression and evaluating treatment efficacy, with improved visual outcomes observed in patients receiving anti-VEGF therapy monitored via OCTA. In conclusion, OCT has established itself as an invaluable tool in the management of DR and DME, enabling early diagnosis, precise monitoring, and tailored therapeutic interventions. Integrating artificial intelligence further augments OCT’s diagnostic capabilities, enhancing its potential to revolutionise diabetic eye care. However, accessibility and cost barriers remain challenges, emphasising the need for future research to focus on optimising AI models and expanding OCT accessibility in routine clinical settings.
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.