Perbedaan Efektivitas Visual Cue Training dengan Gait Training Exercise terhadap Kemampuan Fungsional Berjalan pada Insan Pasca Stroke

Authors

  • Jerry Maratis Fakultas Fisioterapi, Universitas Esa Unggul, Jakarta
  • Zunaedi Salam Fakultas Fisioterapi, Universitas Esa Unggul, Jakarta
  • Pramudya Utama Klinik Fisioterapi Sasana Husada, Jakarta

Keywords:

Visual Cue Training, Gait Training Exercise, Functional Walking, Human Poststroke

Abstract

Objective: This study aims to determine the difference in effectiveness of visual cue training with the gait training exercise on the functional ability of walking in post-stroke people. Methods: This study was a research experiment quantitative descriptive with a pretest – posttest control group design. Samples in this research were 20 people who were grouped  into 2 intervention and each group consisted of 10 people. The control group (I) with the gait training exercise intervention and the treatment group (II) with the visual cue training intervention. Walking functional improvement values ​​were measured by the dynamic gait index. Results: Hypothesis I and II testing with paired sample t-test showed p value <0.001. This means that the provision of intervention groups I or II can significantly improve the walking function of post-stroke people. Hypothesis III between the two groups with the independent sample t-test obtained p value <0.001, meaning that there was a significant difference between group I and group II and this research showed visual cue training was better than gait training exercise with the difference in mean difference and standard deviation is 6.80 ± 1.619 in group I and 10.70 ± 1.160 in group II. Conclusion: There was a difference visual cue training with gait training exercise on the improvement of walking functional in post-stroke people.

 

References

Higuchi, T. (2013). Visuomotor control of human adaptive locomotion : understanding the anticipatory nature, 4(May), 1–9. https://doi.org/10.3389/fpsyg.2013.00277

Hollands, K. L., Pelton, T., Wimperis, A., Whitham, D., Jowett, S., Sackley, C., … Vliet, P. Van. (2013). Visual cue training to improve walking and turning after stroke : a study protocol for a multi-centre , single blind randomised pilot trial. Trials, 14(1), 1. https://doi.org/10.1186/1745-6215-14-276

Irfan, M. (2010). Fisioterapi Bagi Insan Stroke. Yogyakarta: Graha Ilmu.

Kementerian Kesehatan, K. (2018). Laporan Nasional RISKESDAS 2018.

Kementerian Kesehatan, K. (2019). Peraturan Menteri Kesehatan Republik Indonesia Nomor 25 Tahun 2016 Tentang Rencana Aksi Nasional Kesehatan Lanjut Usia Tahun 2016-2019.

Maratis, J., Fatria, I., Meidian, A. C., Abdurrasyid, & Syah, L. O. M. G. (2020). Pelatihan Rhythmic Auditory Stimulation (RAS) dan Visual Cue Training (VCT) Memperbaiki Kemampuan Berjalan Pasien Stroke. Fisio Mu, Vol. 1(2), 68–75. https://doi.org/10.23917/fisiomu.v%vi%i.11428

Maratis, J., Suryadhi, N. T., & Irfan, M. (2015). Perbandingan Antara Visual Cue Training Dan Rhythmic Auditory Stimulation Dalam Meningkatkan Keseimbangan Berdiri Dan Fungsional Berjalan Pada Pasien Pascastroke. Jurnal Fisioterapi, 15 No. 2, 84–94.

Nisa, Q., & Maratis, J. (2019). Hubungan Keseimbangan Postural Dengan Kemampuan Berjalan Pada Pasien Stroke Hemiparesis, 19, 83–89.

Rahayu, U. B., & Supriyadi, A. (2019). Fisioterapi Neurologi pada Sistem Saraf Pusat (1st ed.). Surakarta: Muhammadiyah University Press.

Riskesdas. (2018). Riset Kesehatan Dasar 2018. Kementrian Kesehatan Republik Indonesia. https://doi.org/1 Desember 2013

Ryan, S. (2020). Dynamic-Gait-Index. Retrieved from https://www.sralab.org/rehabilitation-measures/dynamic-gait-index

Saalmann, Y. B., & Kastner, S. (2011). Cognitive and Perceptual Functions of the Visual Thalamus. Neuron, 71(2), 209–223. https://doi.org/10.1016/j.neuron.2011.06.027

World Health Organization. (2018). The top 10 causes of death. Retrieved from https://www.who.int/news-room/fact-sheets/detail/the-top-10-causes-of-death

Wright, R. L., Masood, A., MacCormac, E. S., Pratt, D., Sackley, C. M., & Wing, A. M. (2013). Metronome-Cued Stepping in Place after Hemiparetic Stroke: Comparison of a One- and Two-Tone Beat. ISRN Rehabilitation, 2013, 1–5. https://doi.org/10.1155/2013/157410

Published

2020-12-29

Issue

Section

Articles