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All Journal Indonesian Journal of Global Health research Indonesian Journal of Global Health Research
Leticia Freitas Babo
Universitas Nahdlatul Ulama Surabaya
Education Health Professions Languange, Linguistic, Communication & Media Nursing Public Health

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The Effectiviness of Aquatic Therapy as A Rehabilitation Innovation for Stroke Patients: Water as A Medium of Recovery-A Systematic Literature Review Leticia Freitas Babo; Yurike Septianingrum; Achmad Hidayatullah; Umdatus Soleha; Lono Wijayanti
Indonesian Journal of Global Health Research Vol 7 No 5 (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.v7i5.6646

Abstract

Stroke often causes long-term disabilities, significantly affecting motor and functional abilities. Rehabilitation interventions such as aquatic therapy, which utilize the properties of water to enhance movement and reduce pain, have gained increasing attention as innovative rehabilitation strategies. This systematic literature review aims to analyze and summarize the effectiveness of aquatic therapy as a rehabilitation innovation for improving functional recovery in stroke patients. A systematic search was conducted in three databases—PubMed, ScienceDirect, and Google Scholar—for articles published between January 2020 and January 2025. The keywords used in English included “aquatic therapy,” “stroke rehabilitation,” and “water-based therapy.” From the initial search, a total of 45 articles were identified. After screening titles and abstracts based on inclusion criteria (language, publication year, and open-access availability), 20 full-text articles were reviewed in detail. Following critical appraisal and relevance assessment to the research objectives, 10 articles were selected for final analysis. These articles were then synthesized to evaluate the effects of aquatic therapy on functional recovery, particularly focusing on gait and balance improvement in post-stroke patients. This review found 45 studies after identification. Most studies showed that aquatic therapy significantly improved balance, gait, muscle strength, and quality of life among stroke survivors. Additionally, resistance offered by water supports muscle strengthening without overstraining. However, variations in session duration, water temperature, and exercise intensity across studies suggest a need for standardized protocols. Aquatic therapy is an effective and innovative rehabilitation approach for stroke patients, particularly in enhancing motor recovery and quality of life. Future research should focus on standardized intervention protocols and long-term outcomes.
The Effect of Tele-Support Based on the Health Belief Model on Improving Self-Management and Self-Help Group in Pulmonary Tuberculosis Patients Leticia Freitas Babo; Eppy Setiyowati; Lono Wijayanti
Indonesian Journal of Global Health Research Vol. 8 No. 5 (2026): 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.v8i5.2314

Abstract

Long-term treatment for pulmonary tuberculosis often leads to non-adherence due to low self-management and limited involvement in self-help group. health belief model (HBM)-based Tele-support intervention has the potential to improve patients' health behaviors by strengthening perceptions and self-efficacy. Objective to analyze the effect of HBM-based tele-support on improving self-management and self-help group among pulmonary TB patients. This quasi-experimental study used a pretest-posttest control group design involving 70 respondents (35 each in the intervention and control group). The independent variable was HBM-based tele-support, while the dependent variables were self-management and self-help group. Data were collected using validated Self-Management and Self-Help Group questionnaires. The Self-Management questionnaire demonstrated good construct validity based on Confirmatory Factor Analysis (factor loadings >0.50) and excellent internal consistency (Cronbach’s alpha = 0.91; subscale reliability = 0.80–0.85). The Self-Help Group questionnaire also showed good construct validity (factor loadings >0.60) with excellent internal consistency (Cronbach’s alpha = 0.88–0.92) and analyzed using the Wilcoxon and Mann-Whitney tests. The intervention group showed significant improvements in self-management (P= 0.003) and self-help group (P= 0.025) post-intervention, whereas the control group showed no significant changes (P> 0.05). Inter-group analysis revealed a significant difference in self-management (P= 0.003), but no significant difference in self-help group (P= 0.063). HBM-based Tele-support is effective in improving self-management in pulmonary TB patients, but has not yet shown optimal results for self-help group. This intervention is recommended for implementation in outpatient services as a medium for education and remote monitoring.
Co-Authors Achmad Hidayatullah Eppy Setiyowati Septianingrum, Yurike Soleha, Umdatus Wijayanti, Lono