Effect of Giving A Combination of ROM and Mirror Therapy to Increase The Muscle Strength of the Upper Limb
Abstract
Background:One of the problems in stroke patients is a decrease in muscle strength due to hemiparesis which affects the client's self-acceptance. The study aims is to determine the effectiveness of combination mirror therapy and ROM on upper limb muscle strength and self-acceptance stage in stroke clients with hemiparesis.
Materials and Methods:Quasi experimental research with pre-post control group design was done on 36 respondents with consecutive sampling technique, for 3 months in the stroke room. Upper limb muscle strength was measured using a Medical Research Council scale, while the self-acceptance stage used a self-acceptance stage questionnaire based on the Kubler Ross adaptation stage. Data were analyzed using wilcoxon and Mann-Witney test with p value <0,05.
Results: Wilcoxon test known p value <0.05 for muscle strength and self-acceptance stage both in the treatment group and in the control group. The result of analysis of muscle strength difference between treatment group and control is known p value = 0.000, while for self-acceptance stage known p value <0,05 for denial, anger, bargaining and depression, At acceptance stage known p value 0,05. This analysis shows that there is a significant difference in muscle strength and self-acceptance at the denial, anger, bargaining and depression stages after being given a combination of mirror and ROM therapy with stroke clients given ROM therapy alone.
Conclusion: Combination of mirror therapy with ROM can be used as nursing intervention in the hospital, especially on ischemic stroke clients with hemiparesis to increase muscle strength and self-acceptance of client
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Price, S.A & Wilson L. Patofisiologi konsep klinis proses – proses penyakit. jakarta: EGC; 2012.
Smeltzer. Buku Ajar Keperawatan Medikal Bedah. jakarta: EGC; 2010.
Kasab S Al, Lynn MJ, Turan TN, Derdeyn CP, Fiorella D, Lane BF, et al. Impact of the New American Heart Association/American Stroke Association Definition of Stroke on the Results of the Stenting and Aggressive Medical Management for Preventing Recurrent Stroke in Intracranial Stenosis Trial. J Stroke Cerebrovasc Dis [Internet]. 2017;26(1):108–15. Available from: http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2016.08.038
Sengkey LS. Mirror therapy in stroke rehabilitation. J Biomedik. 2014;6(2):84–90.
Koyama T, Marumoto K, Miyake H, Domen K. Relationship between diffusion tensor fractional anisotropy and long-term motor outcome in patients with hemiparesis after middle cerebral artery infarction. J Stroke Cerebrovasc Dis [Internet]. 2014;23(9):2397–404. Available from: http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2014.05.017
Bienias K, Ścibek J, Cegielska J, Kochanowski J. Evaluation of activities of daily living in patients with slowly progressive neuromuscular diseases. Neurol Neurochir Pol [Internet]. 2017;1–6. Available from: http://linkinghub.elsevier.com/retrieve/pii/S0028384317302037
Rohadirja R, Komariah M, Adiningsih D. Konsep Diri pada Pasien Stroke Ringan di Poliklinik Saraf RSUD Sumedang. Students E-Jurnal. 2012;1(1):1–13.
Schoenleber M, College SN, Gratz KL. Self-Acceptance Group Therapy: A Transdiagnostic, Cognitive-Behavioral Treatment for Shame. Cogn Behav Pract [Internet]. 2017; Available from: http://dx.doi.org/10.1016/j.cbpra.2017.05.002
Hudak C., B.M. G, Morton P., Fontaine D. Critical care nursing: A holistic appoarch. 8th ed. The Mosby Company; 2012.
Vasile C. An Evaluation of Self-acceptance in Adults. Procedia - Soc Behav Sci [Internet]. 2013;78:605–9. Available from: http://linkinghub.elsevier.com/retrieve/pii/S1877042813009294
Duncan, P.W, Lai, S.M., Keighley J. Defining post-stroke recovery: implications for design and interpretation of drug trials. Neuropharmacology. 2000;39(5):835–841.
Michielsen ME, Selles RW, Geest JN Van Der, Eckhardt M, Yavuzer G, Stam HJ, et al. Neurorehabilitation and Neural Repair. 2011;
Lin K, Chen Y, Huang P, Wu C. Effect of mirror therapy combined with somatosensory stimulation on motor recovery and daily function in stroke patients : A pilot study. J Formos Med Assoc [Internet]. 2012;1–7. Available from: http://dx.doi.org/10.1016/j.jfma.2012.08.008
Caires TA, Rodrigues Martinho Fernandes LF, Patrizzi LJ, de Almeida Oliveira R, Pascucci Sande de Souza LA. Immediate effect of mental practice with and without mirror therapy on muscle activation in hemiparetic stroke patients. J Bodyw Mov Ther [Internet]. 2016;(2017). Available from: http://dx.doi.org/10.1016/j.jbmt.2016.12.010
Black, J.M., & Hawk JH. Medical surgical nursing : Clinical managementfor positive outcomes. 7th editio. St. Louis MissouriX: Elsevier Saunders; 2005.
Noorizadeh S, Talebian S, Olyaei G, Montazeri A. Reliability of isokinetic normalized peak torque assessments for knee muscles in post-stroke hemiparesis. 2008;27:715–8.
Kim H, Lee G, Song C. Effect of functional electrical stimulation with mirror therapy on upper extremity motor function in poststroke patients. J Stroke Cerebrovasc Dis [Internet]. 2014;23(4):655–61. Available from: http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2013.06.017
Vries S.D & MT. Motor imagery and stroke rehabilitation. J Rehabil Med. 2007;39:5–13.
Michielsen ME, Smits M, Ribbers GM, Stam HJ, Geest JN Van Der, Bussmann JBJ, et al. The neuronal correlates of mirror therapy : an fMRI study on mirror induced visual illusions in patients with stroke. 2010;393–8.
Kim H, Lee G, Song C, Kim H, Al ET. Effect of Functional Electrical Stimulation with Mirror Therapy on Upper Extremity Motor Function in Poststroke Patients. J Stroke Cerebrovasc Dis. 2013;1–7.
Cacchio A, Blasis E De, Blasis V De, Santilli V, Spacca G. Mirror Therapy in Complex Regional Pain Syndrome Type 1 of the Upper Limb in Stroke Patients. Neurorehabil Neural Repair. 2009;23(8):792–9.
Dohle C, Püllen J, Nakaten A, Küst J, Rietz C, Karbe H. Neurorehabilitation and Neural Repair. 2009;
Guo F, Xu Q, Abo Salem HM, Yao Y, Lou J, Huang X. The neuronal correlates of mirror therapy: A functional magnetic resonance imaging study on mirror-induced visual illusions of ankle movements. Brain Res [Internet]. 2016;1639:186–93. Available from: http://dx.doi.org/10.1016/j.brainres.2016.03.002
Wirawan RP. Rehabilitasi Stroke pada pelayanan kesehatan primer. Maj Kedokt Indon. 2009;59(2):61–71.
Rydwik E, Eliasson S AG. The effect of exercise of the affected foot in stroke patients--a randomized controlled pilot trial. Clinik Rehabil. 2006;8.
Schaechter JD. Motor rehabilitation and brain plasticity after hemiparetic. stroke JPneurobio. 2004;73:61–72.
Nudo RJ. Post infarct cortical plasticity and behavioral recovery. Stroke. 2007;38(2):840–5.
Mohammad Fathurrohman. Pengaruh latihan motor imagery terhadap kekuatan otot ekstremitas pada pasien stroke. 2011;
Kang YJ, Park HK, Kim HJ, Lim T, Ku J, Cho S, et al. Upper extremity rehabilitation of stroke : Facilitation of corticospinal excitability using virtual mirror paradigm. J Neuroeng Rehabil [Internet]. 2012;9(1):1. Available from: Journal of NeuroEngineering and Rehabilitation
Reichardt LF. Neurotrophin-regulated signaling pathways. PhilosTransRSocLondBBiolSci. 2006;361:1545–64.
Jailard A, Martin CD, Garambois K, Lebas J., Hommel M. Vicarious function within the human primary motor cortex ? A longitudinal fMRI stroke. Brain. 2005;128:112–1138.
Cirstea MC, Levin M. Improvement of arm movement patterns and end-point control depends on type of feedback during practice in stroke survivors. NeurorehabNeuralRepair. 2007;21:398–411.
Tomb DA. Psychiatry. Australia: Lippincott Williams & Wilkins; 2007.
Koyama T, Marumoto K, Uchiyama Y. Outcome Assessment of Hemiparesis due to Intracerebral Hemorrhage Using Diffusion Tensor Fractional Anisotropy. J Stroke Cerebrovasc Dis [Internet]. 2015;24(4):881–9. Available from: http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2014.12.011
Gagne A, Brownley KA, Bulik CM. Body Image, Aging, and Identity in Women Over 50: The Gender and Body Image (GABI) Study. J women aging. 2017;29(1):3–14.
Stuart GW. Principles an Practice of Psichiatric Nursing. 10th ed. St Louis, Missouri 63043: Mosby, an imprint of Elsevier Inc; 2013.
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