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All Journal SURABAYA PHYSICAL MEDICINE AND REHABILITATION JOURNAL
Suryansah, Aurellia Shafitri
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Chemical Engineering, Chemistry & Bioengineering Health Professions Medicine & Pharmacology

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Evaluating Hand Function across Brunnstrom Stages in Ischemic Stroke Patients Suryansah, Aurellia Shafitri; Siddik, Muhammad; Heriyani, Farida; Arsyiana, Fathia; Pambudi, Pagan
Surabaya Physical Medicine and Rehabilitation Journal Vol. 8 No. 1 (2026): SPMRJ, FEBRUARY 2026
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/spmrj.v8i1.71412

Abstract

Background: Ischemic stroke disrupts blood flow to the brain, leading to decreased motor function, particularly in the hands. Based on previous studies, a detailed and objective description of hand function at each phase of the Brunnstrom stage has not been studied. Aim(s): This study assessed hand function in post-stroke patients at Bhayangkara Tk III Banjarmasin Hospital throughout each phase of the Brunnstrom stages. Material and methods: This observational descriptive research employed a cross-sectional design. We utilized primary data through observations using the Sollerman Hand Function Test. The sample comprised 50 post-ischemic stroke patients at the Physical Rehabilitation Clinic of Bhayangkara Tk III Banjarmasin Hospital between August and October 2024, selected via purposive sampling. Result: This study indicated that 46 patients (92%) had poor hand function, while 4 (8%) had good function. The majority were in Brunnstrom phase VI (50%), followed by phase V (22%), phase III (18%), phase IV (6%), and phase II (4%). All subjects in phases II to V exhibited poor hand function. In phase VI, 4 individuals (16%) demonstrated good hand function, while 21 (84%) had poor function. Conclusions: The findings conclude that the majority of ischemic stroke patients exhibit poor hand function, highlighting the need for targeted rehabilitation strategies. Healthcare facilities should educate patients on independent motor exercises, particularly for hand function, and encourage them to follow these exercises consistently to enhance recovery.
Co-Authors Arsyiana, Fathia Farida Heriyani Pagan Pambudi Siddik, Muhammad