Application Of Mirror Therapy On Upper Extremity Motor Recovery In Post-Stroke Patients

Main Article Content

Roh Hastuti Prasetyaningsih
Hendri Kurniawan

Abstract

Background: Stroke is a health problem for both developed and developing countries, including Indonesia. Paralysis in stroke is mainly due to damage to the internal capsule. This damage requires neuroplasticity involving a number of parts of the brain to restore. One therapy that is beneficial for neuroplasticity is Mirror Therapy (MT). MT is a rehabilitation tool that aims to restore some of the pathological conditions in which the body representation is affected, including post-stroke motor impairment.

Methods: This research is a quantitative pre-experimental design with the type one group pretest-postest. The research subjects were 15 post-stroke patients in residency of Semarang. Research data were collected in August-September 2020. Sample selection with  purposive sampling technique who conform inclusion criteria. The Fulg-Meyer Upper Extremity Assessment (FMA-UE) as an aoutcame measure that be avowed valid and reliabel. Data analysis using Paired Sample T-Test because of normally distributed.

Results: Statistically the results represent a significant difference in the UE  motor ability of post-stroke patients between baseline and after mirror therapy intervention, with a mean difference (5,14) and p value =  0.000  (ρ < 0,05). Application  of MT effect on upper extremity motor recovery in post-stroke patients.

Conclusions: MT program is an effective intervention for UE motor recovery and motor function improvement in post- stroke patients. MT program can be used as a standardized of hand rehabilitation intervention in hospital, clinics and homes.

Article Details

How to Cite
Application Of Mirror Therapy On Upper Extremity Motor Recovery In Post-Stroke Patients. (2021). Jurnal Keterapian Fisik, 136-144. https://doi.org/10.37341/jkf.v0i0.293
Section
Articles

How to Cite

Application Of Mirror Therapy On Upper Extremity Motor Recovery In Post-Stroke Patients. (2021). Jurnal Keterapian Fisik, 136-144. https://doi.org/10.37341/jkf.v0i0.293

References

Arya, K. N. (2016). Underlying neural mechanisms of mirror therapy: Implications for motor rehabilitation in stroke. Neurol India, 38-44. DOI: 10.4103/0028-3886.173622.

Chan, W. C., & Au-Yeung, S. (2018). Recovery in the severely impaired arm poststroke after mirror therapy – a Randomized Controlled Study. American Journal of Physical Medicine & Reahabilitation, 1: 1–26. DOI:10.1097/PHM.0000000000000919.

Cristina, L., Matei, D., Ignat, B., & Popescu, C. (2015). Mirror therapy enhances upper extremity motor recovery in stroke patients. Acta Neurol Belg, 115(4):597–603. doi: 10.1007/s13760-015-0465-5.

Halim, R., Gessal, J., & Sengkey, L. (2016). Gambaran pemberian terapi pada pasien stroke dengan hemiparesis dekstra atau sinistra di Instalasi Rehabilitasi Medik RSUP Prof. Dr.R.D.Kandou Manado periode Januari-Maret tahun 2016. Jurnal e-Clinik, 4(2).

Hardiyanti, L. (2013). Pengaruh mirror therapy dibandingkan sham therapy terhadap perbaikan fungsi tangan. Tesis. . Jakarta: Fakultas Kedokteran Universitas Indonesia Program Studi Ilmu Kedokteran Fisik dan Rehabilitasi.

Gandhi, D.B., Sterba, A., Khatter, H., & Pandian, J.D. (2020). Mirror therapy in stroke rehabilitation: Current perspectives. Journals Therapeutics and Clinical Risk Management. 16:75-85. DOI https://doi.org/10.2147/TCRM.S206883.

Irdelia, R., Joko, A., & Bebasari, E. (2014). Profil faktor resiko yang dapat dimodifikasi pada kasus stroke berulang di RSUD Arifin Achmad Provinsi Riau. Jurnal Online Mahasiswa Bidang Kedokteran, 1-15.

Jan, S., Ars, A., Darain, H., & Gul, S. (2019). A randomized control trial comparing the effects of motor relearning programme and mirror therapy for improving upper limb motor functions in stroke patients. Journal of Pakistan Medical Association, 6(9): 1242–1245.

Karnati, V., Maddirala, R., & Mohammed, A. (2015). Effectiveness of mirror therapy on handfunction in subacute stroke patients. International Journal Physioterapy, 2(4):646-651. DOI: 10.15621/ijphy/2015/v2i4/67745.

Kim, H., Her, J., Ko, J., Park, D., Woo, J.H., You, Y., Choi, Y. (2012). Reliability, cocurrent validity, and responsiveness of the Fugl-Meyer Assessment (FMA) for hemiplegic petients. Journal Physiotherapy. Sci. 24:893-899.

Kuys, S., Edwards, T., & Morris, N. (2012). Effects and adherence of mirror therapy in people with chronic upper limb hemiparesis: A Preliminary Study. International Scholarly Research Network Rehabilitation. DOI:10.5402/2012/926784.

Lang, C., Waddell, K., Barth, J., Holleran, C., Strube, M., & Bland, M. (2021). Upper limb performance in daily life approaches plateau around three to six weeks post stroke. Neurorehabil Neural Repair, 35(10): 903–914. DOI:10.1177/15459683211041302.

Lee, M., Cho, H., & Song, C. (2012). The mirror therapy program enhances upper-limb motor recovery and motor function in acute stroke patients. American Journal of Physical Medicine & Rehabilitation, 91(8):689-700. DOI: 10.1097/PHM.0b013e31824fa86d.

Machyono, Bintang, A., Tammasse, J., Kaelan, C., Muis, A., & Ganda, I. (2018). Effectiveness of mirror therapy on recovery of arm motor function in patients with acute ischemic stroke. Neurona, 35 (2):93-97.

Maisyaroh, A., Azizah, K., Abdillah, A., & Fibriansari, R. (2021). Efektivitas mirror therapy terhadap peningkatan kekuatan otot pada pasien post stroke: Literatur Review. . Jurnal Keperawatan Medical Bedah, 4(1) : 13-24.

Michielsen, M., Selles, R., Van der Geest, J., Eckhardt, M., Yavuzer, G., & Stam, H. (2011). Michielsen, M.E., Selles, R.W., Van der Geest, J.N., Eckhardt. M., Yavu Motor Recovery and Cortical Reorganization After Mirror Therapy in Chronic Stroke Patients A Phase II Randomized Controlled Trial. Neurorehabilitation and Neural Repair, 25(3):223-233. DOI: 10.1177/1545968310385127.

Morton, P. G., Fontaine, D., Hudak, C., & Gallo, B. (2012). Keperawatan Kritis: Pendekatan asuhan holistik. Volume 2. Edisi 8. Jakarta: Penerbit Buku Kedokteran EGC.

Pratiwi, A. (. (2017). Prosedur mirror therapy pada pasien stroke. Seminar dan Workshop Nasional Keperawatan “Implikasi Perawatan Paliatif pada Bidang Kesehatan” (pp. 3(1):157-163). Palembang: Seminar dan Workshop Nasional Keperawatan “Implikasi Perawatan Paliatif pada Bidang Kesehatan”.

Riskesdas. (2018). Riset Kesehatan dasar tentang penyakit tidak menular. Jakarta: Kemenkes RI.

Sengkey, L. (2014). Mirror therapy in stroke rehabilitation. Jurnal Biomedik, 6(2), 84-90.

Stein, J., & Brandstater, M. (2019). Stroke rehabilitation. In R. F. Walter, J. A.D, M. Bruce, R. Lawrence, B. Willian, & C. John, DeLisa’s physical medicine and rehabilitation: Principles and practice. Philadelphia: Lippincott Williams & Wilkins.

Tosi, G., Romano, D., & Maravita, A. (2017). Mirror box training in hemiplegic stroke patients affects body representation. Human Neuroscience. DOI: 10.3389/fnhum.2017.00617.

Vural, S. P., F.N-Yuzer, G., & Ozcan, D. (2016). The effects of mirror therapy in stroke patients with complex regional pain syndrome type 1: A Randomized Controlled Study. Archives Of Physical Medicine And Rehabilitation, 97(4). DOI: 10.1016/j.apmr.2015.12.008.

Wang, J., Fritzsch, C., Bernarding, J., Holtze, S., Mauritz, K., & Brunetti, M. (2013). Comparison of neural mechanisms in mirror therapy and movement observation therapy. J Rehabil Med, 4(5):410-413. doi: 10.2340/16501977-1127.

Wu, C.-Y., Huang, P.-C., Chen, Y.-T., Lin, K.-C., & Yang, H.-W. (2013). Effects of mirror therapy on motor and sensory recovery in chronic stroke: a randomized controlled trial. Archives of Physical Medicine and Rehabilitation, 94:1023-1030. DOI: 10.1016/j.apmr.2013.02.007 •