PENGARUH PEMBERIAN PROPRIOCEPTIVE NEUROMUSCULAR FACILITATION (PNF) TERHADAP PENINGKATAN FUNGSIONAL UPPER LIMB PADA PASIEN PASCA STROKE

Indra Sylva Mahmudi; Heru Purbo Kuntono; Aditya Johan Romadhon

Authors

Indra Sylva Mahmudi Poltekkes Kemenkes Surakarta
Heru Purbo Kuntono Poltekkes Kemenkes Surakarta
Aditya Johan Romadhon Poltekkes Kemenkes Surakarta

Keywords:

Stroke, PNF, Kemampuan fungsional Upper limb

Abstract

Background: Stroke is a major health problem that can cause disability and even death in adults and the elderly. The problems of post-stroke patients is the decreased ability to control the upper limbs which can result in decreased functional abilities. Decreased functional ability of the upper limbs can be treated wtih proprioceptive neuromuscular facilitation. Objective: to determine the effect of PNF on increasing the functional ability of the upper limbs in post-stroke patients. Method: this study used a randomized pre- and post-test design with control. Subjects that suitable with inclusion crtiteria totaled 17 people and were divided into 2 Groups. Group 1 consisted of 9 subject were given PNF. Group 2 as control consisted of 8 subject given routine hospital therapy. Measurement of functional ability using FMA-UE at the beginning and end of treatment. Results: The results of statistical tests before and after treatment Group 1 obtained a value of p = 0.000 (p <0.05). The results of the hypothesis test after treatment in Group 2 yielded p = 0.038 (p <0.05) and the results of the tests between groups p = 0.000 (p <0.05) Conclusion: Giving PNF intervention in Group 1 has a better effect than Group 2.

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References

Adler, S. S., Beckers, D., & Buck, M. (2014). PNF in practice, Hong Kong.

Al-Chalabi, M., Reddy, V., & Gupta, S. (2021). Neuroanatomy, Spinothalamic Tract. In StatPearls. StatPearls Publishing.

Amarenco P, Bogousslavsky J, Caplan L, R, Donnan G, A, Hennerici M, G. (2009). Classification of Stroke Subtypes. Cerebrovasc Dis, 27, 493–501.

Andrusca, A. (2022). Descending tracts of the spinal cord Diakses tanggal 3/7/22. https://teachmeanatomy.info/neuroanatomy/pathways/descending-tracts-motor/

Angeles Fernández-Gil, M., Palacios-Bote, R., Leo-Barahona, M., & Mora-Encinas, J. P. (2010). Anatomy of the brainstem: a gaze into the stem of life. Seminars in ultrasound, CT, and MR, 31(3), 196–219. https://doi.org/10.1053/j.sult.2010.03.006

Banerjee C, Moon YP, Paik MC, Rundek T, Mora-McLaughlin C, Vieira JR, Sacco RL, Elkind MS. (2012). Duration of diabetes and risk of ischemic stroke: the Northern Manhattan Study Stroke. Stroke, 43(5):1212-7.

Basinger H, Hogg JP. (2022). Neuroanatomy, Brainstem. [Updated 2022 May 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing

Berglund, K., Fugl-Meyer, A.R. (1986). Upper extremity function in hemiplegia: A cross validation study of two assessment methods. Scandinavian Journal of Rehabilitation Medicine, 18, 155-157.

Boehme, A. K., Esenwa, C., & Elkind, M. S. (2017). Stroke Risk Factors, Genetics, and Prevention. Circulation research, 120(3), 472–495.

Brooks VB (1986) The Neural Basis of Motor Control. Oxford University Press, New York/Oxford

Chaturvedi P, Singh AK, Tiwari V, et al. (2018). Proprioceptive neuromuscular facilitation (PNF) vs. task specific training in acute stroke: the effects on

neuroplasticity. MOJ Anat & Physiol; 5(2):154‒158. DOI: 10.15406/mojap.2018.05.00181

Chen S, Zeng L, Hu Z. (2014). Progressing haemorrhagic stroke: categories, causes, mechanisms and managements. J Neurol;261(11):2061-78.

Chiang, T., Messing, R. O., & Chou, W. H. (2011). Mouse model of middle cerebral artery occlusion. Journal of visualized experiments : JoVE, (48), 2761. https://doi.org/10.3791/2761

Cruz-Flores S, Rabinstein A, Biller J, Elkind MS, et al,. (2011). Racial-ethnic disparities in stroke care: the American experience: a statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke,42(7):2091-116.

Demel, S. L., & Broderick, J. P. (2015). Basilar Occlusion Syndromes: An Update. The Neurohospitalist, 5(3), 142–150.

Denti, L., Cecchetti, A., Annoni, V., Merli, M. F., Ablondi, F., & Valenti, G. (2003). The role of lipid profile in determining the risk of ischemic stroke in the elderly: a case-control study. Archives of gerontology and geriatrics, 37(1), 51–62.