Efektivitas Latihan Penguatan terhadap Kemampuan Fungsional Anggota Gerak Atas pada Pasien Strok Iskemi Fase Subakut

Cice Tresnasari, Andi Basuki, Irma Ruslina Defi

Abstract


Stroke merupakan suatu penyakit dengan gejala utama kelemahan. Kelemahan anggota gerak atas menyebabkan penurunan kemampuan fungsional anggota gerak atas.  Kekuatan adalah salah satu indikator performa fungsional anggota gerak atas.  Tujuan penelitian ini adalah mengetahui efektivitas latihan penguatan anggota gerak atas dengan pita dan bola elastik terhadap peningkatan kekuatan dan kemampuan fungsional anggota gerak atas pada pasien stroke iskemi fase subakut.  Rancangan penelitian adalah eksperimental, dilaksanakan di Rumah Sakit Hasan Sadikin periode Desember 2013-Juli 2014. Subjek terdiri atas 21 pasien stroke iskemi fase subakut berusia 40-59 tahun. Latihan penguatan dengan pita dan bola elastik dilakukan oleh semua subjek, 3 kali seminggu, selama 6 minggu, 2 set setiap latihan, 8 repetisi setiap set.  Sebelum, setelah 2 minggu, 4 minggu dan 6 minggu latihan dilakukan penilaian kekuatan dan fungsi anggota gerak atas.  Hasil menunjukkan bahwa latihan penguatan meningkatkan kekuatan anggota gerak atas (p<0,001) dan meningkatkan fungsi anggota gerak atas (p<0,001).  Simpulan, latihan penguatan anggota gerak atas dengan pita dan bola elastik efektif meningkatkan kekuatan dan fungsi anggota gerak atas pada pasien stroke iskemi fase subakut.

 

THE EFFECTIVENESS OF STRENGTHENING EXERCISES ON UPPER LIMBS FUNCTIONAL ABILITY OF SUBACUTE PHASE ISCHEMIC STROKE PATIENTS

Stroke is a disease with the primary symptoms of weakness. The weakness of the upper limbs caused a decrease in functional ability. Strength is one indicator of upper limb functional performance. The purpose of this study was to determine the effectiveness of upper limb strengthening exercises to increase strength and functional ability of upper limbs in patients with subacute phase ischemic stroke using elastic band and balls. The study was conducted using experimental method, performed at the Medical Rehabilitation Division, Dr. Hasan Sadikin General Hospital Bandung from December 2013 to July 2014. Subjects consisted of 21 patients with ischemic stroke subacute phase aged 40–59 years. The strengthening exercises with elastic band and elastic ball were done by all subjects, 3 times a week, for 6 weeks. Each exercise consisted of 2 sets with 8 repetition of each set. Assessment of the strength and upper limbs function done before, after 2 weeks, 4 weeks and 6 weeks of strengthening exercises. Results showed that strengthening exercises increases the strength of the upper limbs (p<0.001) and increases the upper limbs function (p<0.001). Conclusions, upper limbs exercise strengthening with elastic band and elastic ball effectively increased the strength and upper limb function in ischemic stroke subacute phase patients.


Keywords


Functional abilities; ischemic stroke subacute; kekuatan anggota gerak atas; kemampuan fungsional; latihan penguatan; strength of the upper limbs; strengthening exercises; strok iskemi subakut

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DOI: https://doi.org/10.29313/gmhc.v5i3.2231

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