The Role of CVA Gymnastics Against Increase Functional Ability of Post Cerebro Vascular Accident Patients

Grido Handoko Sriyono (STIKes Hafshawaty Probolinggo (SHP))
Alwin Widhiyanto (Sekolah Tinggi Ilmu Kesehatan Hafshawaty Pesantren Zainul Hasan Probolinggo)
Mariani Mariani (Sekolah Tinggi Ilmu Kesehatan Hafshawaty Pesantren Zainul Hasan Probolinggo)

Jurnal Aisyah : Jurnal Ilmu Kesehatan
Vol 8, No 2: June 2023

Background Cerebrovascular accident (CVA) has a sudden and severe impact on the blood vessels of the brain. In Indonesia alone, 28.5% of CVA sufferers die and the rest experience paralysis or disability, only 15% can make a full recovery. Cerebrovascular accident (CVA) exercise aims to improve the functional abilities of post-CVA patients. The study aims to determine the difference in the effectiveness of CVA exercise therapy 3 x a week and 4x a week for 12 weeks. Methods The research design used a quasi-experimental approach with a non-random pretest-posttest. The study sample was 44 people who experienced ischemia CVA. data collection using the Barthel Index scale. Results Analysis of data normality with the Shapiro-Wilk test and then paired t-test and Mann-Whitney test. The results of CVA exercise research can improve the functional ability of post-CVA patients with an average increase in CVA exercise 4x and 4x a week is 9.636 (p=0.000) and 10.909 (p=0.000). However, the difference in functional ability improvement between the two groups of participants was not statistically significant (p-value = 0.198). Conclusion CVA exercise can improve the functional abilities of post-CVA patients. Abstrak: Latar belakang Cerebro vascular accident (CVA) memberikan dampak cedera yang berat dan mendadak pada pembuluh-pembuluh darah otak di Indonesia sendiri, 28,5% penderita CVA  meninggal dunia dan sisanya mengalami kelumpuhan atau kecacatan, hanya 15 % saja yang dapat sembuh total. Senam cerebro vascular accident (CVA) bertujuan meningkatkan kemampuan fungsional pasien paska CVA. Penelitian bertujuan untuk mengetahui perbedaan efektifitas terapi senam CVA 3 x seminggu dan 4x seminggu selama 12 minggu. Metode Rancangan penelitian menggunakan quasi eksperimen dengan pendekatan non random pretest-posttest. Sampel penelitian 44 orang yang mengalami CVA iskemia. pengumpulan data menggunakan skala Indeks Barthel. Hasil Analisa normalitas data dengan  uji Shapiro-wilk, selanjutnya uji t berpasangan dan uji mann whitney. Hasil penelitian senam CVA dapat meningkatkan kemampuan fungsional pasien paska CVA dengan rerata peningkatan pada senam CVA 4x dan 4x seminggu adalah 9,636 (p=0,000) dan 10,909 (p=0,000). Akan tetapi, perbedaan peningkatan kemampuan fungsional antara kedua kelompok partisipan tersebut secara statistik tidak signifikan (p value= 0,198). Kesimpulan Senam CVA dapat meningkatkan kemampuan fungsional pasien paska CVA.