Mirror therapy combined with flashcards on the extremity function and stages of self-acceptance of stroke patients

Maria Magdalena Purba; Christine Aden; Mars Khendra Kusfriyadi

doi:10.15562/bmj.v12i2.4225

Mirror therapy combined with flashcards on the extremity function and stages of self-acceptance of stroke patients

Maria Magdalena Purba ,

Christine Aden ,

Mars Khendra Kusfriyadi ,

pdf |
DOI: https://doi.org/10.15562/bmj.v12i2.4225 |
Published: 2023-05-11

Abstract

Link of Video Abstract: https://youtu.be/u6GkzKfCplE

Background: Psychological changes such as body image are important factors that need to be considered to boost the positive sense of self-acceptance in stroke patients with hemiparesis. One measure that can be taken to minimize the incidence of disability, both physically or psychologically, in stroke patients is mirror therapy (mirror therapy combined with flashcards). This study aims to determine whether mirror therapy combined with flashcards can improve the upper limb muscle strength function and the stages of self-acceptance of stroke patients with hemiparesis.

Methods: This study was quantitative, with an experimental research design. The design used was a quasi-experiment with a pre-test-posttest control group design involving 60 respondents with consecutive sampling techniques for 5 months in the Nusa Indah Ward of the Dr. Doris Sylvanus Palangkaraya General Hospital. Upper extremity/arm muscle strength was measured using the muscle strength scale from the Medical Research Council, while self-acceptance stages were measured using a stage questionnaire adapted from Kubler Ross. Data were analyzed using SPSS version 20.0 for Windows.

Results: Our results showed there was a significant increase in the mean value of muscle strength and self-acceptance stages of the treatment group from the control group (p<0.05). The results of the Mancova test showed that gender affects the intervention given (p<0.05).

Conclusion: Our study provided information for nurses in nursing care to stroke patients with hemiparesis on the upper arm and motivation to improve the patient's self-acceptance stages.

References

Purba MM, Utama NR. Disabilitas klien pasca stroke terhadap depresi. Jurnal Kesehatan. 2019;10(3):346-353.
American Heart Association (AHA). Heart disease and Stroke Statistics-2017 Update: A Report From the American Heart Association. 2017. Available at: http://circ.ahajournals.org/content/early/2017/01/25/CIR.0000000000000485. Accessed on 3rd February 2023.
Suwantara JR. Depresi pasca stroke: Epidemiologi, rehabilitasi, dan psikoterapi. J. Kedokt. Trisakti. 2004;23(1):150-156.
Badan Penelitian dan Pengembangan Kementerian Kesehatan RI. Laporan Nasional Riskesdas 2013. 2013. Available at: http://www.litbang.depkes.go.id. Accessed on 3rd January 2023.
Ardi M, Sitorus R, Waluyo A. Analisis hubungan ketidakmampuan fisik dan kognitif dengan keputusasaan pada pasien stroke di Makassar. Depok: Universitas Indonesia. 2011.
Fryer G. Muscle energy approaches. Neck and Arm Pain Syndromes E-Book: Evidence-informed Screening, Diagnosis and Management. 2011;439(1):1-6.
Bienias K, Ścibek J, Cegielska J, Kochanowski J. Evaluation of activities of daily living in patients with slowly progressive neuromuscular diseases. neurologia i neurochirurgia polska. 2018;52(2):222-227.
Mewo VY, Chayati N. Exercises to escalate lower extremity muscle strength in stroke patients: a scoping review. Bali Medical Journal. 2021;10(3):1333–1341.
Caires TA, Fernandes LFRM, Patrizzi LJ, de Almeida Oliveira R, de Souza LAPS. Immediate effect of mental practice with and without mirror therapy on muscle activation in hemiparetic stroke patients. Journal of bodywork and movement therapies. 2017;21(4):1024-1027.
Irawandi D, Sudiana IK, Bakar A. Effectiveness of Mirror Therapy Against Upper Limb Muscle Strength in Ischemic Stroke Patients With Hemiparesis: systematic. In THE PROCEEDING OF. 2018;1(1):37.
Dohle C, Püllen J, Nakaten A, Küst J, Rietz C, Karbe H. Mirror therapy promotes recovery from severe hemiparesis: a randomized controlled trial. Neurorehabilitation and neural repair. 2009;23(3):209-217.
Sengkey LS, Pandeiroth P. Mirror therapy in stroke rehabilitation. Jurnal Biomedik: JBM. 2014;6(2):1-11.
Polikandrioti M. Non-modifiable risk factors for ischemic stroke. HSJ. 2009;1(1): 1-2.
Vasile C. An evaluation of self-acceptance in adults. Procedia-Social and Behavioral Sciences. 2013;78(1):605-609.
Guo F, Xu Q, Salem HMA, 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 research. 2016;1639(1):186-193.
Halim R, Gesal J, Sengkey LS. Gambaran pemberian terapi pada pasien stroke dengan hemiparesis dekstra atau sinistra di Instalasi Rehabilitasi Medik RSUP Prof. Dr. RD Kandou Manado periode Januari-Maret tahun 2016. e-CliniC. 2016;4(2):1-8.
Kim H, Lee G, Song C. Effect of functional electrical stimulation with mirror therapy on upper extremity motor function in poststroke patients. Journal of Stroke and Cerebrovascular Diseases. 2014;23(4):655-661.
Lin KC, Chen YT, Huang PC, Wu CY, Huang WL, Yang HW, et al. Effect of mirror therapy combined with somatosensory stimulation on motor recovery and daily function in stroke patients: A pilot study. Journal of the Formosan Medical Association. 2014;113(7):422-428.
Sugiarto D, Andriati A, Laswati H, Kimura H. Comparison of the increase of both muscle strength and hypertrophy of biceps brachii muscle in strengthening exercise with low-intensity resistance training with and without the application of blood flow restriction and high-intensity resistance training. Bali Medical Journal. 2017;6(2):251–257.
Manuaba IBAP, Santika NGAPL, Prabawa IPY, Bhargah A, Darmayani S, et al. Simulation-based learning compared with conventional methods in procedural skill. Indonesia Journal of Biomedical Science. 2020;14(2):86-90.
Sakti M, Saleh R, Yudha K, Akbar T. Predicting factors for walking ability of postoperative patients with hemiarthroplasty at Wahidin Sudirohusodo Hospital in Makassar. Bali Medical Journal. 2021;10(1):249–255.

[1] Purba MM, Utama NR. Disabilitas klien pasca stroke terhadap depresi. Jurnal Kesehatan. 2019;10(3):346-353.

[2] American Heart Association (AHA). Heart disease and Stroke Statistics-2017 Update: A Report From the American Heart Association. 2017. Available at: http://circ.ahajournals.org/content/early/2017/01/25/CIR.0000000000000485. Accessed on 3rd February 2023.

[3] Suwantara JR. Depresi pasca stroke: Epidemiologi, rehabilitasi, dan psikoterapi. J. Kedokt. Trisakti. 2004;23(1):150-156.

[4] Badan Penelitian dan Pengembangan Kementerian Kesehatan RI. Laporan Nasional Riskesdas 2013. 2013. Available at: http://www.litbang.depkes.go.id. Accessed on 3rd January 2023.

[5] Ardi M, Sitorus R, Waluyo A. Analisis hubungan ketidakmampuan fisik dan kognitif dengan keputusasaan pada pasien stroke di Makassar. Depok: Universitas Indonesia. 2011.

[6] Fryer G. Muscle energy approaches. Neck and Arm Pain Syndromes E-Book: Evidence-informed Screening, Diagnosis and Management. 2011;439(1):1-6.

[7] Bienias K, Ścibek J, Cegielska J, Kochanowski J. Evaluation of activities of daily living in patients with slowly progressive neuromuscular diseases. neurologia i neurochirurgia polska. 2018;52(2):222-227.

[8] Mewo VY, Chayati N. Exercises to escalate lower extremity muscle strength in stroke patients: a scoping review. Bali Medical Journal. 2021;10(3):1333–1341.

[9] Caires TA, Fernandes LFRM, Patrizzi LJ, de Almeida Oliveira R, de Souza LAPS. Immediate effect of mental practice with and without mirror therapy on muscle activation in hemiparetic stroke patients. Journal of bodywork and movement therapies. 2017;21(4):1024-1027.

[10] Irawandi D, Sudiana IK, Bakar A. Effectiveness of Mirror Therapy Against Upper Limb Muscle Strength in Ischemic Stroke Patients With Hemiparesis: systematic. In THE PROCEEDING OF. 2018;1(1):37.

[11] Dohle C, Püllen J, Nakaten A, Küst J, Rietz C, Karbe H. Mirror therapy promotes recovery from severe hemiparesis: a randomized controlled trial. Neurorehabilitation and neural repair. 2009;23(3):209-217.

[12] Sengkey LS, Pandeiroth P. Mirror therapy in stroke rehabilitation. Jurnal Biomedik: JBM. 2014;6(2):1-11.

[13] Polikandrioti M. Non-modifiable risk factors for ischemic stroke. HSJ. 2009;1(1): 1-2.

[14] Vasile C. An evaluation of self-acceptance in adults. Procedia-Social and Behavioral Sciences. 2013;78(1):605-609.

[15] Guo F, Xu Q, Salem HMA, 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 research. 2016;1639(1):186-193.

[16] Halim R, Gesal J, Sengkey LS. Gambaran pemberian terapi pada pasien stroke dengan hemiparesis dekstra atau sinistra di Instalasi Rehabilitasi Medik RSUP Prof. Dr. RD Kandou Manado periode Januari-Maret tahun 2016. e-CliniC. 2016;4(2):1-8.

[17] Kim H, Lee G, Song C. Effect of functional electrical stimulation with mirror therapy on upper extremity motor function in poststroke patients. Journal of Stroke and Cerebrovascular Diseases. 2014;23(4):655-661.

[18] Lin KC, Chen YT, Huang PC, Wu CY, Huang WL, Yang HW, et al. Effect of mirror therapy combined with somatosensory stimulation on motor recovery and daily function in stroke patients: A pilot study. Journal of the Formosan Medical Association. 2014;113(7):422-428.

[19] Sugiarto D, Andriati A, Laswati H, Kimura H. Comparison of the increase of both muscle strength and hypertrophy of biceps brachii muscle in strengthening exercise with low-intensity resistance training with and without the application of blood flow restriction and high-intensity resistance training. Bali Medical Journal. 2017;6(2):251–257.

[20] Manuaba IBAP, Santika NGAPL, Prabawa IPY, Bhargah A, Darmayani S, et al. Simulation-based learning compared with conventional methods in procedural skill. Indonesia Journal of Biomedical Science. 2020;14(2):86-90.

[21] Sakti M, Saleh R, Yudha K, Akbar T. Predicting factors for walking ability of postoperative patients with hemiarthroplasty at Wahidin Sudirohusodo Hospital in Makassar. Bali Medical Journal. 2021;10(1):249–255.

Mirror therapy combined with flashcards on the extremity function and stages of self-acceptance of stroke patients

Abstract

References

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