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Arif Pristianto Santri Raminda Zulfa Nadia

Abstract

There are many physical problems in post-stroke conditions which is decreased functional ability. This study aimed to determine the effect of early mobilization and body positioning on functional ability in acute stroke patients. The study design used a single blinding, randomized, and controlled trial. The sample consisted of 20 acute ischemic stroke patients selected randomly and equal distribution between the group of early mobilization and body positioning (ages 45-70, MMT 2+ and given exercises ranging from 24-48 after the attack) and the control group (age 45-70, MMT 2+ and given passive exercises 24-48 after the attack) for seven days in hospital care. All patients were evaluated with Glasgow Coma Scale, Mini-Mental State Exam, and Barthel Index. Paired t-tests and independent t-tests have been used to evaluate and differentiate between groups. The study results showed the treatment group (early mobilization and body position training) to a level of functional ability p<0.05 (p=0.000) and the mean -65. The control group (passive exercise) to the level of functional ability p<0.05 (p=0.000) and the mean-28. The difference effect between the group (early mobilization and body position training) with the control group (passive exercise) on the level of functional ability p<0.05 (p=0.000) with a mean difference was 36.9. Early mobilization and body position training are other approaches that can improve functional abilities in patients with acute ischemic stroke

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Pristianto, A., Raminda, S., & Nadia, Z. (2022). The Effect of Early Mobilization and Body Positioning on Functional Ability in Patients with Acute Ischemic Stroke. Journal of Health Sciences, 15(03), 262–269. https://doi.org/10.33086/jhs.v15i03.2845
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References

Amalia, N. P., & Rahman, M. I. (2022). Latihan Endurance Penderita Pasca stroke Iskemik. FISIO MU: Physiotherapy Evidence, 3(1), 23-28. DOI: 10.23917/fisiomu.v3i1.14351 DOI: https://doi.org/10.23917/fisiomu.v3i1.14351

Becheva, M. & Georgiev, D. (2017). Functional Recovery of Patient Whit Ischemic Stroke: Case Report. Iranian Journal of Public Health, 46(11), 1579–1582. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5696699/

Bettlach, C. R., Yu, J., Hasak, J., Bodway, G., & Mackinnon, S. (2016). Side Sleeping Position is Associated with Less Frequent Nighttime Numbness and Tingling. Plast Reconstr Surg Glob Open, 4(9), 123-124. DOI: 10.1097/01.GOX.0000503043.97116.f6 DOI: https://doi.org/10.1097/01.GOX.0000503043.97116.f6

Chatterton, H. J., Pomeroy, V. M. & Gratton, J. (2001). Positioning for Stroke Patients: a Survey of Physiotherapists' Aims and Practices. Disability and Rehabilitation, 23(10), 413-421. DOI: 10.1080/09638280010008825 DOI: https://doi.org/10.1080/09638280010008825

Dreier, J. P., Lemale, C. L., Kola, V., Friedman, A., & Schoknecht, K. (2018). Spreading Depolarization is not an Epiphenomenon but the Principal Mechanism of the Cytotoxic Edema in Various Gray Matter Structures of the Brain during Stroke. Neuropharmacology, 15(134), 189-207. DOI: 10.1016/j.neuropharm.2017.09.027 DOI: https://doi.org/10.1016/j.neuropharm.2017.09.027

Forrest, M.D. (2014). The Sodium-Potassium Pump is an Information Processing Element in Brain Computation. Frontiers in Physiology, 5(472). DOI: 10.3389/fphys.2014.00472 DOI: https://doi.org/10.3389/fphys.2014.00472

Gjelsvik, B. E. B., Hofstad, H., Smedal, T., Eide, G. E., Næss, H., Skouen, J. S., Frisk, B., Daltveit, S. & Strand, L. I. (2014). Balance and Walking after Three Different Models of Stroke Rehabilitation: Early Supported Discharge Units or at Home, and Traditional Treatment (Control). BMJ Open, 4(5). DOI: http://dx.doi.org/10.1136/bmjopen-2013-004358 DOI: https://doi.org/10.1136/bmjopen-2013-004358

Kadir, L. A., Stacey, M., & Barrett-Jolley, R. (2018). Emerging Roles of the Membrane Potential: Action Beyond the Action Potential. Frontiers in Physiology, 9(1661). DOI: 10.3389/fphys.2018.01661 DOI: https://doi.org/10.3389/fphys.2018.01661

Latimer, S., Chaboyer, W., & Gillespie, B. M. (2015). The Repositioning of Hospitalized Patients with Reduced Mobility: a Prospective Study. Nursing Open, 2(2), 85-93. DOI: https://doi.org/10.1002/nop2.20 DOI: https://doi.org/10.1002/nop2.20

Ma, Y., Poole, K., Goyette, J. & Gaus, K. (2017). Introducing membrane Charge and Potential to T Cell Signaling. Front. Immunol, 8(1513). DOI: 10.3389/fimmu.2017.01513 DOI: https://doi.org/10.3389/fimmu.2017.01513

Mlinac, M. E., & Feng, M. C. (2016). Assessment of Activities of Daily Living, Self-Care, and Independence. Arch Clin Neuropsychol, 31(6), 506-516. DOI: 10.1093/arclin/acw049 DOI: https://doi.org/10.1093/arclin/acw049

NICE Guidelines. (2019). Stroke and Transient Ischaemic Attack in Over 16s: Diagnosis and Initial Management. UK: National Institute for Health and Care Excellence.

Pristianto, A., Primadasa, G. F., & Murtafiah, M. (2021). Critical Review: Dampak Kondisi Pandemi COVID-19 Terhadap Kualitas Hidup Stroke Survivor. Indonesian Journal of Physiotherapy Research and Education, 2(2), 15-22. Retrieved from: https://journal.aptifi.org/index.php/ijopre/article/view/42

Pristianto, A., Wijianto, W., & Rahman, F. (2018). Terapi latihan Dasar. Muhammadiyah University Press. Surakarta.

Public Health Office of Central Java. (2013). Profil Kesehatan Provinsi Jawa Tengah Tahun 2013, 253. retrieved from: https://pusdatin.kemkes.go.id/resources/download/profil/PROFIL_KES_PROVINSI_2013/13_Prov_Jateng_2013.pdf

Public Health Office of Surakarta. (2014). Profil Kesehatan Kota Surakarta Tahun 2014. retrieved from: https://pusdatin.kemkes.go.id/resources/download/profil/PROFIL_KAB_KOTA_2014/3372_Jateng_Kota_Surakarta_2014.pdf

Purnamayanti, N. K. D., Usemahu, N. Y. P., Haris, F., & Layun, M. K. (2020). Aplikasi Latihan Rentang Gerak dengan Berbagai Pendekatan pada Pasien Steoke. Jurnal Kesehatan, 13(1), 22-34. DOI: 10.23917/jk.v13i1.11098 DOI: https://doi.org/10.23917/jk.v13i1.11098

Rahayu, U. B., Wibowo, S., & Setyopranoto, I. (2017). Development of Motor Learning Implementation for Ischemic Stroke: Finding Expert Consensus. Journal of Medical Sciences, 49(4),199-215. DOI: https://doi.org/10.19106/JMedSci004904201706 DOI: https://doi.org/10.19106/JMedSci004904201706

Stevens, D., Martins, R. T., Mukherjee, S., & Vakulin, A. (2018). Post-Stoke Sleep-Disordered Breathing-Pathophysiology and Therapy Options. Frontiers in Surgery, 5(9). DOI: 10.3389/fsurg.2018.00009 DOI: https://doi.org/10.3389/fsurg.2018.00009

Stroke Association. (2017). State of the Nation Stroke Statistics. retrieved from: https://www.stroke.org.uk/what-is-stroke/stroke-statistics

Yu, S. H., & Park, S. D. (2013). The Effects of Core Stability Strength Exercise on Muscle Activity and Trunk Impairment Scale in Stroke Patients. Journal of Exercise Rehabilitation, 9(3), 362-367. DOI: 10.12965/jer.130042 DOI: https://doi.org/10.12965/jer.130042

Arif Pristianto, 3Department of Physiotherapy, Universitas Muhammadiyah Surakarta

Santri Raminda, Department of Physiotherapy, Universitas Muhammadiyah Surakarta

Zulfa Nadia, Department of Physiotherapy, Universitas Muhammadiyah Surakarta