Electronic Theses and Dissertation

Defisit motorik ekstremitas atas merupakan komplikasi umum pasca-stroke yang secara signifikan membatasi kemandirian fungsional pasien. optimasi pemulihan memerlukan pendekatan prinsip pembelajaran motorik. terapi mcimt dan osteokinematik merupakan dua modalitas rehabilitasi yang berperan penting dalam neuroplastisitas dan perbaikan pola gerak fungsional pada penyintas stroke. penelitian ini bertujuan untuk menganalisis efektivitas tindakan kombinasi mcimt-osteokinematik (mcimt-o) dibandingkan intervensi gerakan osteokinematik (ok) terhadap peningkatan kemampuan motorik tangan pada pasien stroke. penelitian ini menggunakan desain randomized controlled trial (rct). sebanyak 64 subjek di rumah sakit dr. zainoel abidin, banda aceh, direkrut dan dialokasikan melalui stratified permuted block randomization ke dalam kelompok kombinasi mcimt-o dan kelompok ok dengan masing-masing 32 responden. intervensi diberikan selama 6 hari berturut-turut, yang terdiri dari sesi mcimt selama 60 menit dan sesi ok selama 30 menit per hari. instrumen fugl-meyer assessment upper extremity (fma-ue) digunakan sebagai parameter pengukuran. melalui uji paired t-test, hasil penelitian menunjukkan bahwa kedua kelompok mengalami peningkatan skor fma-ue yang signifikan setelah intervensi (p < 0,01). namun, berdasarkan uji mann–whitney u, peningkatan fungsi motorik ekstremitas atas pada kelompok kombinasi mcimt-o (mdn= 7; iqr=1) lebih signifikan dibandingkan kelompok ok (mdn= 5; iqr=1; p < 0,01). terapi kombinasi mcimt-o terbukti lebih efektif dalam meningkatkan kemampuan motorik tangan pasien stroke dibandingkan intervensi tunggal. hasil ini mendukung implementasi protokol kombinasi dalam rehabilitasi stroke untuk mempercepat pemulihan ekstremitas atas yang dapat dilakukan oleh perawat secara mandiri. kata kunci :modified constraint-induced movement, osteokinematik, perbaikan fungsi motorik ekstremitas atas , stroke daftar pustaka : 7 buku, 96 artikel, 1 report (2017-2026)

Upper extremity motor deficit is a common post-stroke complication that significantly limits a patient's functional independence. Optimizing recovery requires an approach based on motor learning principles. MCIMT and osteokinematics are two rehabilitation modalities that play a crucial role in neuroplasticity and the improvement of functional movement patterns in stroke survivors. This study aims to analyze the effectiveness of a combined mCIMT-osteokinematic (mCIMT-O) compared to single osteokinematic exercies (SOE) in enhancing hand motor skills among stroke patients. This study utilized a randomized controlled trial (RCT) design. A total of 64 subjects at dr. Zainoel Abidin Hospital, Banda Aceh, were recruited and allocated using stratified permuted block randomization into either the combined mCIMT-O group or the SOE group, with 32 respondents in each. The intervention was administered over six consecutive days, consisting of a 60-minute mCIMT session and a 30-minute OK session per day. The Fugl-Meyer Assessment of the Upper Extremity (FMA-UE) was used as the outcome measure. The results of the paired t-test demonstrated that both groups experienced a statistically significant improvement in FMA-UE scores following the intervention (p < 0.01). However, based on the Mann–Whitney U test, the mCIMT-O group demonstrated a significantly greater improvement in upper extremity motor function (Mdn = 7; IQR = 1) compared with the SOE group (Mdn = 5; IQR = 1; p < 0.01). Combined mCIMT-O therapy is proven to be more effective in improving hand motor skills in stroke patients compared to the single intervention. These results support the implementation of combined protocols in stroke rehabilitation to accelerate upper extremity recovery, which can be independently administered by nurses Keywords : Modified constraint-induced movement, Osteokinematic, improving upper extremity motor function, Stroke Bibliography : 7 books, 96 articles, 1 report (2017-2026)