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


Link of Video Abstract:


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.


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How to Cite

Purba, M. M., Aden, C., & Kusfriyadi, M. K. (2023). Mirror therapy combined with flashcards on the extremity function and stages of self-acceptance of stroke patients. Bali Medical Journal, 12(2), 1601–1607.




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Maria Magdalena Purba
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Christine Aden
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Mars Khendra Kusfriyadi
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