Task Related Training Approach dalam Mengeliminasi Kecemasan dan Keseimbangan serta Meningkatkan Kemandirian Beraktifitas pada Pasien Pasca Stroke

Authors

  • Khomarun Politeknik Kesehatan Kemenkes Surakarta, Indonesia
  • Wawan Ridwan Mutaqin Politeknik Kesehatan Kemenkes Surakarta, Indonesia

Keywords:

task related training, anxiety, balance, independence, post stroke

Abstract

Stroke survivors often experience disabilities that hinder their daily activities and make them dependent on others. The problem is that the post-stroke side effects are balance disorders, anxiety, and independence. This research is an experimental study with the one group pretest-posttest design with control. The sample of this research is 50 respondents. Data were analyzed using t test. The results of the analysis showed that there was a significant difference in the level of anxiety and the level of independence before and after the Task Related Training treatment because the significance value was less than 5% (0.000 <0.05). On the other hand, the results of the balance level test did not show any difference between before and after the Task Related Training treatment, because the significance value was more than 5% (0.474>0.005). The conclusion of this study was found the effect of Task Related Training on anxiety, independence of post-stroke patients, but no effect was found on the balance of post-stroke patients.

References

Abduboriyevna, R. K., & Yusufjonovich, N. S. (2018). Stroke burden in Asia: to the epidemiology in Uzbekistan. European Science Review, 7(8), 156–161.

Agianto, A., Kamilah, A., & Agustina, R. (2022). Stroke Traditional Therapy in the Community in Indonesia. KnE Life Sciences, 7(2), 240–253. https://doi.org/10.18502/kls.v7i2.10319

Ayerbe, L., Ayis, S. A., Crichton, S., Wolfe, C. D. A., & Rudd, A. G. (2014). Natural history, predictors and associated outcomes of anxiety up to 10 years after stroke: the South London Stroke Register. Age and Ageing, 43(4), 542–547. https://doi.org/10.1093/ageing/aft208

Ayerbe, L., Ayis, S., Wolfe, C. D. A., & Rudd, A. G. (2013). Natural history, predictors and outcomes of depression after stroke: systematic review and meta-analysis. The British Journal of Psychiatry : The Journal of Mental Science, 202(1), 14–21. https://doi.org/10.1192/bjp.bp.111.107664

Bayona, N. A., Bitensky, J., Salter, K., & Teasell, R. (2005). The Role of Task-Specific Training in Rehabilitation Therapies. Topics in Stroke Rehabilitation, 12(3), 58–65. https://doi.org/10.1310/BQM5-6YGB-MVJ5-WVCR

Burton, C. A. C., Murray, J., Holmes, J., Astin, F., Greenwood, D., & Knapp, P. (2013). Frequency of anxiety after stroke: a systematic review and meta-analysis of observational studies. International Journal of Stroke : Official Journal of the International Stroke Society, 8(7), 545–559. https://doi.org/10.1111/j.1747-4949.2012.00906.x

Cahyati, Y. (2018). Gambaran Kemampuan Fungsional Pasien Stroke di RSUD Dr. Soekardjo Tasikmalaya. Buletin Media Informasi Kesehatan, 14(2), 165–173. https://doi.org/10.37160/bmi.v14i2.216

Carey, J. R., Kimberley, T. J., Lewis, S. M., Auerbach, E. J., Dorsey, L., Rundquist, P., & Ugurbil, K. (2002). Analysis of fMRI and finger tracking training in subjects with chronic stroke. Brain: A Journal of Neurology, 125(Pt 4), 773–788. https://doi.org/10.1093/brain/awf091

Carr, J. H., & Shepherd, R. B. (1982). A Motor Relearning Programme for Stroke. London: Butterworth-Heinemann Ltd.

Carr, J., & Shepherd, R. (2018). Stroke Rehabilitation: Guidelines for Exercise and Training to Optimize Motor Skill. Oxford, England: Butterworth-Heinemann. https://doi.org/10.1016/B978-0-323-55381-0.01001-5

Chen, Y., Li, Z., Peng, J., Shen, L., & Shi, J. (2020). Development of a Care Bundle for Stroke Survivors with Psychological Symptoms: Evidence Summary and Delphi Study. Evidence-Based Complementary and Alternative Medicine, 2020. https://doi.org/10.1155/2020/7836024

Chun, M. H., Chang, M. C., & Lee, S.-J. (2017). The Effects of Forest Therapy on Depression and Anxiety in Patients with Chronic Stroke. The International Journal of Neuroscience, 127(3), 199–203. https://doi.org/10.3109/00207454.2016.1170015

Cook, L. K., & Clements, S. L. (2011). Stroke recognition and management. The American Journal of Nursing, 111(5), 69. https://doi.org/10.1097/01.NAJ.0000398052.15546.b2

Coupland, A. P., Thapar, A., Qureshi, M. I., Jenkins, H., & Davies, A. H. (2017). The definition of stroke. Journal of the Royal Society of Medicine. https://doi.org/10.1177/0141076816680121

Feigin, V. (2007). Stroke: Panduan Bergambar Tentang Pencegahan dan Pemulihan Stroke. Jakarta: Penerbit PT Bhuana Ilmu Populer.

French, B., Leathley, M., Sutton, C., McAdam, J., Thomas, L., Forster, A., … Watkins, C. (2008). A systematic review of repetitive functional task practice with modelling of resource use, costs and effectiveness. Health Technology Assessment (Winchester, England), 12(30), 1–117. https://doi.org/10.3310/hta12300

Go, A. S., Mozaffarian, D., Roger, V. L., Benjamin, E. J., Berry, J. D., Borden, W. B., … Turner, M. B. (2013). Heart disease and stroke statistics-2013 update: A Report from the American Heart Association. Circulation, 127(1). https://doi.org/10.1161/CIR.0b013e31828124ad

Hackett, M. L., & Pickles, K. (2014). Part I: frequency of depression after stroke: an updated systematic review and meta-analysis of observational studies. International Journal of Stroke : Official Journal of the International Stroke Society, 9(8), 1017–1025. https://doi.org/10.1111/ijs.12357

Heinemann, A. W., Linacre, J. M., Wright, B. D., Hamilton, B. B., & Granger, C. (1994). Prediction of rehabilitation outcomes with disability measures. Archives of Physical Medicine and Rehabilitation, 75(2), 133–143.

Hobart, J. C., Lamping, D. L., Freeman, J. A., Langdon, D. W., McLellan, D. L., Greenwood, R. J., & Thompson, A. J. (2001). Evidence-based measurement: which disability scale for neurologic rehabilitation? Neurology, 57(4), 639–644. https://doi.org/10.1212/wnl.57.4.639

Hsueh, I.-P., Lin, J.-H., Jeng, J.-S., & Hsieh, C.-L. (2002). Comparison of the psychometric characteristics of the functional independence measure, 5 item Barthel index, and 10 item Barthel index in patients with stroke. Journal of Neurology, Neurosurgery, and Psychiatry, 73(2), 188–190. https://doi.org/10.1136/jnnp.73.2.188

Infodatin. (2019). Stroke Dont Be The One. Jakarta: Pusat Data dan Informasi Kementerian Kesehatan RI.

Ishige, S., Wakui, S., Miyazawa, Y., & Naito, H. (2020). Reliability and validity of the Activities-specific Balance Confidence scale-Japanese (ABC-J) in community-dwelling stroke survivors. Physical Therapy Research, 23(1), 15–22. https://doi.org/10.1298/ptr.e9982

Jaberinezhad, M., Farhoudi, M., Nejadghaderi, S. A., Alizadeh, M., Sullman, M. J. M., Carson-Chahhoud, K., … Safiri, S. (2022). The burden of stroke and its attributable risk factors in the Middle East and North Africa region, 1990–2019. Scientific Reports, 12(1), 2700–2711. https://doi.org/10.1038/s41598-022-06418-x

Jang, S. H., Kim, Y.-H., Cho, S.-H., Lee, J.-H., Park, J.-W., & Kwon, Y.-H. (2003). Cortical reorganization induced by task-oriented training in chronic hemiplegic stroke patients. Neuroreport, 14(1), 137–141. https://doi.org/10.1097/00001756-200301200-00025

Jensen, M. P., Abresch, R. T., & Carter, G. T. (2005). The reliability and validity of a self-report version of the FIM instrument in persons with neuromuscular disease and chronic pain. Archives of Physical Medicine and Rehabilitation, 86(1), 116–122. https://doi.org/https://doi.org/10.1016/j.apmr.2004.01.040

Jeon, B., Kim, W., & Park, E. (2015). Effect of task-oriented training for people with stroke : a meta-analysis focused on repetitive or circuit training. https://doi.org/10.1179/1074935714Z.0000000035

Johansen-Berg, H., Dawes, H., Guy, C., Smith, S. M., Wade, D. T., & Matthews, P. M. (2002). Correlation between motor improvements and altered fMRI activity after rehabilitative therapy. Brain: A Journal of Neurology, 125(Pt 12), 2731–2742. https://doi.org/10.1093/brain/awf282

Karlina, N., Inayah, S. N., & Uthami, P. G. (2018). Hubungan Tingkat Disabilitas Pasien Stroke dengan Respon Berduka Keluarga di Ruang Rawat Inap RSD Gunung Jati Kota Cirebon. Jurnal Kesehatan Mahardika, 5(1), 49–56. https://doi.org/10.54867/jkm.v5i1.38

Katoh, J., Ohsaka, G., Hara, Y., Ishihara, K., Taniguchi, H., & Narutaki, K. (1996). ADL Assessment for Hemiparetic Stroke Patients Based on the Functional Independence Measure. Journal of Physical Therapy Science, 8(1), 9–12. https://doi.org/10.1589/jpts.8.9

Kim, J. S. (2016). Post-stroke mood and emotional disturbances:Pharmacological therapy based on mechanisms. Journal of Stroke, 18(3), 244–255. https://doi.org/10.5853/jos.2016.01144

Kleim, J. A., Jones, T. A., & Schallert, T. (2003). Motor enrichment and the induction of plasticity before or after brain injury. Neurochemical Research, 28(11), 1757–1769. https://doi.org/10.1023/a:1026025408742

Kwakkel, G., Kollen, B., & Lindeman, E. (2004). Understanding the pattern of functional recovery after stroke: facts and theories. Restorative Neurology and Neuroscience, 22(3–5), 281–299.

Kwakkel, G., & Wagenaar, R. C. (2002). Effect of Duration of Upper- and Lower-Extremity Rehabilitation Sessions and Walking Speed on Recovery of Interlimb Coordination in Hemiplegic Gait. Physical Therapy, 82(5), 432–448. https://doi.org/10.1093/ptj/82.5.432

Liepert, J., Hamzei, F., & Weiller, C. (2004). Lesion-induced and training-induced brain reorganization. Restorative Neurology and Neuroscience, 22(3–5), 269–277.

Lindberg, P., Schmitz, C., Forssberg, H., Engardt, M., & Borg, J. (2004). Effects of passive-active movement training on upper limb motor function and cortical activation in chronic patients with stroke: a pilot study. Journal of Rehabilitation Medicine, 36(3), 117–123.

Luft, A. R., McCombe-Waller, S., Whitall, J., Forrester, L. W., Macko, R., Sorkin, J. D., … Hanley, D. F. (2004). Repetitive bilateral arm training and motor cortex activation in chronic stroke: a randomized controlled trial. JAMA, 292(15), 1853–1861. https://doi.org/10.1001/jama.292.15.1853

Moiz, J. A., Bansal, V., Noohu, M. M., Gaur, S. N., Hussain, M. E., Anwer, S., & Alghadir, A. (2017). Activities-specific balance confidence scale for predicting future falls in Indian older adults. Clinical Interventions in Aging, 12, 645–651. https://doi.org/10.2147/CIA.S133523

National Stroke Foundation. (2005). Clinical Guidelines for Stroke Rehabilitation and Recovery. Melbourne: National Stroke Foundation.

Nelles, G., Jentzen, W., Jueptner, M., Müller, S., & Diener, H. C. (2001). Arm training induced brain plasticity in stroke studied with serial positron emission tomography. Neuroimage, 13(6 Pt 1), 1146–1154. https://doi.org/10.1006/nimg.2001.0757

Nudo, R. J., Larson, D., Plautz, E. J., Friel, K. M., Barbay, S., & Frost, S. B. (2003). A squirrel monkey model of poststroke motor recovery. ILAR Journal, 44(2), 161–174. https://doi.org/10.1093/ilar.44.2.161

Pang, M. Y. C., & Eng, J. J. (2008). Fall-related self-efficacy, not balance and mobility performance, is related to accidental falls in chronic stroke survivors with low bone mineral density. Osteoporosis International, 19(7), 919–927. https://doi.org/10.1007/s00198-007-0519-5

Pollak, N., Rheault, W., & Stoecker, J. L. (1996). Reliability and validity of the FIM for persons aged 80 years and above from a multilevel continuing care retirement community. Archives of Physical Medicine and Rehabilitation, 77(10), 1056–1061. https://doi.org/https://doi.org/10.1016/S0003-9993(96)90068-4

Purnomo, S., & Makiyah, S. N. N. (2019). Reading-Based Therapy in Aphasia: Literature Review. Dinamika Kesehatan Jurnal Kebidanan Dan Keperawatan, 10(1), 349–360. https://doi.org/10.33859/dksm.v10i1.422

Rahayu, S. (2016). Pengaruh Pendampingan dan Pemberian Modul Kangaro Mother Care terhadap Kemandirian Ibu Nifas Merawat BBLR di Rumah. Jurnal Ilmiah Bidan, 1(3), 55–60.

Rensink, M., Schuurmans, M., Lindeman, E., & Hafsteinsdóttir, T. (2009). Task-oriented training in rehabilitation after stroke. Journal of Advanced Nursing, 65(4), 737–754. https://doi.org/10.1111/j.1365-2648.2008.04925.x

Richards, L. G., Stewart, K. C., Woodbury, M. L., Senesac, C., & Cauraugh, J. H. (2008). Movement-Dependent Stroke Recovery: A Systematic Review and Meta-Analysis of TMS and fMRI Evidence. Neuropsychologia, 46(1), 3–11. https://doi.org/10.1016/j.neuropsychologia.2007.08.013

Romadhani, A. A., Adzhariah, S. I., Safitri, W., & Suprapmanto, J. (2022). Peran Orang Tua dalam Membangun Kemandirian Anak. Prosiding Seminar Nasional Pendidikan Dasar Dan Menengah “SENAPADMA,” 1(1), 91–99. Retrieved from https://prosiding.senapadma.nusaputra.ac.id/article/view/42

Santoso, S. (2012). Statistik Parametrik. Jakarta: Elex Media Komputindo.

Schinkel-Ivy, A., Wong, J. S., & Mansfield, A. (2017). Balance Confidence Is Related to Features of Balance and Gait in Individuals with Chronic Stroke. Journal of Stroke and Cerebrovascular Diseases, 26(2), 237–245. https://doi.org/10.1016/j.jstrokecerebrovasdis.2016.07.022

Schmidt, R., & Lee, T. (2005). Motor Control and Learning: A behavioural Emphasis. In Human Kinetics (5th ed.). Champaign, Illinois, Amerika Serikat: Human Kinetics.

Teasell, R. W., Foley, N. C., Salter, K. L., & Jutai, J. W. (2008). A Blueprint for Transforming Stroke Rehabilitation Care in Canada: The Case for Change. Archives of Physical Medicine and Rehabilitation, 89(3), 575–578. https://doi.org/https://doi.org/10.1016/j.apmr.2007.08.164

Trombly, C. A., & Ma, H. (2002). A Synthesis of the Effects of Occupational Therapy for Persons with Stroke, Part I: Restoration of Roles, Tasks, and Activities. American Journal of Occupational Therapy, 56(3), 250–259. https://doi.org/10.5014/ajot.56.3.250

Turana, Y., Tengkawan, J., Chia, Y. C., Nathaniel, M., Wang, J.-G., Sukonthasarn, A., … Network, the H. A. (2021). Hypertension and stroke in Asia: A comprehensive review from HOPE Asia. The Journal of Clinical Hypertension, 23(3), 513–521. https://doi.org/https://doi.org/10.1111/jch.14099

Turkstra, L., Holland, A., & Bays, G. (2003). The neuroscience of recovery and rehabilitation: What have we learned from animal research? Archives of Physical Medicine and Rehabilitation, 84(4), 604–612. https://doi.org/10.1053/apmr.2003.50146

Van der Lee, J. H., Snels, I. A., Beckerman, H., Lankhorst, G. J., Wagenaar, R. C., & Bouter, L. M. (2001). Exercise therapy for arm function in stroke patients: a systematic review of randomized controlled trials. Clinical Rehabilitation, 15(1), 20–31. https://doi.org/10.1191/026921501677557755

Van Duijnhoven, H. J. R., Heeren, A., Peters, M. A. M., Veerbeek, J. M., Kwakkel, G., Geurts, A. C. H., & Weerdesteyn, V. (2016). Effects of Exercise Therapy on Balance Capacity in Chronic Stroke: Systematic Review and Meta-Analysis. Stroke, 47(10), 2603–2610. https://doi.org/10.1161/STROKEAHA.116.013839

van Eeden, M., van Mastrigt, G. A. P. G., Evers, S. M. A. A., van Raak, E. P. M., Driessen, G. A. M., & van Heugten, C. M. (2016). The Economic Impact of Mental Healthcare Consumption Before and After Stroke in a Cohort of Stroke Patients in the Netherlands: a Record Linkage Study. BMC Health Services Research, 16(688), 1–8. https://doi.org/10.1186/s12913-016-1915-3

Venketasubramanian, N., Yoon, B. W., Pandian, J., & Navarro, J. C. (2017). Stroke Epidemiology in South, East, and South-East Asia: A Review. Journal of Stroke, 19(3), 286–294. https://doi.org/10.5853/jos.2017.00234

Vos, T., Lim, S. S., Abbafati, C., Abbas, K. M., Abbasi, M., Abbasifard, M., … Murray, C. J. L. (2020). Global burden of 369 diseases and injuries in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. The Lancet, 396(10258), 1204–1222. https://doi.org/10.1016/S0140-6736(20)30925-9

Ward, N. S. (2007). Future perspectives in functional neuroimaging in stroke recovery. Europa Medicophysica, 43(2), 285–294.

Watson, D. E., & Wilson, S. A. (2003). Task Analysis: An Individual and Population Approach. Bethesda: AOTA Press (The American Occupational Therapy Association). Retrieved from https://books.google.co.id/books?id=hKYjAwAACAAJ

Whitiana, G. D., Vitriana, & Cahyani, A. (2017). Level of Activity Daily Living in Post Stroke Patients. Althea Medical Journal, 4(2), 261–266. https://doi.org/10.15850/amj.v4n2.1068

Winstein, C. J., Rose, D. K., Tan, S. M., Lewthwaite, R., Chui, H. C., & Azen, S. P. (2004). A randomized controlled comparison of upper-extremity rehabilitation strategies in acute stroke: A pilot study of immediate and long-term outcomes. Archives of Physical Medicine and Rehabilitation, 85(4), 620–628. https://doi.org/10.1016/j.apmr.2003.06.027

Winstein, C. J., & Stewart, J. C. (2006). Conditions of Task Practice for Individuals With Neurologic Impairments. In M. Selzer, S. Clarke, L. Cohen, P. Duncan, & F. Gage (Eds.), Textbook of Neural Repair and Rehabilitation. Cambridge, Australia: Cambridge University Press. https://doi.org/10.1017/cbo9780511545078.009

Wolfe, C. D. A., Crichton, S. L., Heuschmann, P. U., McKevitt, C. J., Toschke, A. M., Grieve, A. P., & Rudd, A. G. (2011). Estimates of Outcomes Up to Ten Years after Stroke: Analysis from the Prospective South London Stroke Register. PLoS Medicine, 8(5). https://doi.org/10.1371/journal.pmed.1001033

Xiao, M., Huang, G., Feng, L., Luan, X., Wang, Q., Ren, W., … He, J. (2020). Impact of sleep quality on post-stroke anxiety in stroke patients. Brain and Behavior, 10(12), 1–9. https://doi.org/10.1002/brb3.1716

Xu, D., Chu, X., Wang, K., Wei, L., Xu, Y., Huang, X., … Peng, M. (2021). Potential Factors for Psychological Symptoms at Three Months in Patients with Young Ischemic Stroke. BioMed Research International, 2021(54507), 1–7. https://doi.org/https://doi.org/10.1155%2F2021%2F5545078

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2022-06-30