SURABAYA PHYSICAL MEDICINE AND REHABILITATION JOURNAL
Vol. 8 No. 2 (2026): SPMRJ, AUGUST 2026

Activities of Daily Living Improvement among Post-Stroke Patients Receiving Cognitive Behavioral Therapy: An Observational Study

Linda Ramadhanty Pramesta (Medical Student, Universitas Nahdlatul Ulama Surabaya, Indonesia)
Rita Vivera Pane (Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Universitas Nahdlatul Ulama Surabaya, Indonesia)
Wiwik Winarningsih (Faculty of Medicine, Universitas Nahdlatul Ulama Surabaya, Indonesia)
Aisyah (Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Universitas Nahdlatul Ulama Surabaya, Indonesia)
Aufar Zimamuz Zaman Al Hajiri (Universitas Nahdlatul Ulama Surabaya)



Article Info

Publish Date
24 Aug 2026

Abstract

Background: The prevalence of stroke is now increasing along with the increase in metabolic diseases. In addition to having an impact on mortality rates, stroke is also a burden due to the increase in morbidity rates. Post-stroke patients usually experience disabilities, which causes a decrease in their independence in carrying out daily activities (ADL). Aim: Aimed to observe the effect of cognitive behavior therapy (CBT) on ADL among post-stroke patients. Material and methods: An observational analytical cross-sectional design study using secondary data from medical records of stroke patients at the Haji Regional Hospital, East Java Province, Surabaya, Indonesia. Subacute post-stroke patients who were given CBT therapy and had MMSE 25-30 examination results were included in the established inclusion criteria. Data collection was carried out from November 2023 to January 2024 using consecutive sampling techniques. ADL was assessed using the Barthel-index which was carried out before and after CBT. The statistical test used was Chi-Square with a significance value of p <0.05. Result: A total of 11 post-stroke patients who were received CBT intervention were involved in this study. The largest age group was 56-65 years (36.4%) and female (63.6%). The highest Barthel index before CBT was in the severe dependence category (54.5%) while the highest after CBT was in moderate dependence (63.6%). There was a significant effect of CBT on ADL of post-stroke patients (p < 0.05). Conclusions: There was a significant effect on ADL after patients received CBT.

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Journal Info

Abbrev

SPMRJ

Publisher

Subject

Chemical Engineering, Chemistry & Bioengineering Health Professions Medicine & Pharmacology

Description

Surabaya Physical Medicine and Rehabilitation Journal focused on both basic science and clinical study, with following topics: Neuromuscular rehabilitation Musculoskeletal rehabilitation Pediatric rehabilitation Cardiorespiratory rehabilitation Sport rehabilitation Geriatric rehabilitation This ...