PENATALAKSANAAN FISIOTERAPI PADA HEMIPLEGI SINISTRA ET CAUSA STROKE WHITE MATTER NON- HEMORAGIK DENGAN NEW BOBATH CONCEPT DI RS HERMINA JATINEGARA
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Cicilia Febriani Hayuningrum
Institut Kesehatan Hermina
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Ayu Wulandari
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Andrew Wijaya Saputra
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Agus Wiyono
DOI:
Keywords:
hand function, new bobath concept, non-hemorrhagic stroke, white matter
Abstract
Non-hemorrhagic white matter stroke in the cerebral cortex can result in ipsilateral symptoms such as sensory and motor impairments, loss of balance, cognitive decline, and reduced mobility in both upper and lower extremities. These deficits significantly hinder the individual's ability to perform effective postural control, leading to difficulties in maintaining body position and directing movement. Consequently, patients with white matter lesions often experience functional movement limitations and exhibit uncoordinated or purposeless motor activities. This study aims to investigate the impact of physiotherapy intervention using the New Bobath Concept in a case of hemiplegia caused by non-hemorrhagic white matter stroke, focusing on improvements in postural control, body stability, gait pattern, and upper extremity functional abilities, particularly in reaching and grasping tasks. This study employed a case study design involving a four-week physiotherapy intervention based on the New Bobath Concept. Following five therapy sessions, notable improvements were observed, including enhanced body posture, improved postural control, increased weight-bearing on the left (affected) side, correction of the circumduction gait pattern, and improved upper limb functional performance in reaching and grasping tasks. Physiotherapy intervention using the New Bobath Concept demonstrated beneficial effects in enhancing postural alignment, improving postural control, facilitating weight-bearing on the affected side, correcting gait abnormalities, and increasing upper extremity function in a patient with hemiplegia due to non-hemorrhagic white matter stroke.
References
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Campbell, B. C. V., & Khatri, P. (2020). Stroke: molecular mechanisms and therapies—update on recent developments. Neurology and Therapy, 9(1), 1–16.
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Macedo, V. L. B., Silva, V. A. S., & Salgado Batista, M. S. (2021). The role of physiotherapy in the rehabilitation of post COVID 19 patients: an integrative review. Research, Society and Development, 10(15), Article e23115. https://doi.org/10.33448/rsd v10i15.23115
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Putra Kusuma, A., Tri Utami, I., & Purwono, J. (2022). Pengaruh terapi “menggenggam bola karet bergerigi” terhadap perubahan kekuatan otot pada pasien stroke diukur menggunakan handgrip dynamometer di ruang saraf RSUD Jend. A. Yani Kota Metro. Jurnal Cendikia Muda, 2(1), 17–23.
Rinald, J. H., & Troy, C. M. (2025). A review of cell death pathways in hemorrhagic stroke. Frontiers in Cell and Developmental Biology, 13. https://doi.org/10.3389/fcell.2025.1570569
Riskesdas. (2018). Stroke di Indonesia. Badan Penelitian dan Pengembangan Kesehatan, Kementerian Kesehatan RI.
Sari, I. (2022). Hubungan faktor risiko dengan prevalensi stroke di Indonesia 2018: Analisis ekologi. ARTERI: Jurnal Ilmu Kesehatan, 3(4), 132–138.
Scianni, A., Ada, L., McCarty, C., & Dorsch, S. (2022). Gluteus maximus muscle activation characteristics during chair rise in chronic stroke. Journal of Neurologic Physical Therapy, 46(4), 245–252. https://doi.org/10.1097/NPT.0000000000000372
Smania, N., et al. (2021). The therapeutic effects of sensory input training on motor function rehabilitation after stroke. European Journal of Physical and Rehabilitation Medicine, 57(3), 402–414. https://doi.org/10.23736/S1973 9087.21.06511 2
The Economic Burden of Stroke in Indonesia (2024). [Artikel Riset di ResearchGate].
Viyanti, E. O. (2020). Sistem pakar untuk mendiagnosa jenis-jenis penyakit stroke menggunakan metode Variable-Centered Intelligent Rule System. TIN: Terapan Informatika Nusantara, 1(5), 249–255. http://ejurnal.seminar-id.com/index.php/tin/article/view/463
Widagdo. (2021). Asuhan keperawatan pada klien dengan gangguan sistem persarafan. Trans Info Media.
WHO. (2020). Epidemiology estimates of stroke in the world. World Health Organization.
WHO; Gutenbrunner, C., Nugraha, B. et al. (2020). Rehabilitation as a health strategy encompassed in the International Classification of Functioning, Disability and Health (ICF). Journal of the International Society of Physical and Rehabilitation Medicine, S15–S18. https://doi.org/10.4103/jisprm.jisprm
Wu, C., et al. (2022). A systematic review: The effectiveness of proprioceptive training in improving motor performance and sensorimotor integration. Frontiers in Rehabilitation Sciences, 3, Article 830166. https://doi.org/10.3389/fresc.2022.830166
Yu, Y., Chen, Y., Lou, T., & Shen, X. (2022). Correlation between proprioceptive impairment and motor deficits after stroke: A meta-analysis review. Frontiers in Neurology, 12, Article 688616. https://doi.org/10.3389/fneur.2021.688616
Zhao, Y., Zhang, X., Chen, X., & Wei, Y. (2022). Neuronal injuries in cerebral infarction and ischemic stroke: From mechanisms to treatment (Review). International Journal of Molecular Medicine, 49(2), 15.https://doi.org/10.3892/ijmm.2021.5070
Başaran, P. Ö., & Aykaç, S. (2024). Assessment of depression and anxiety and their relationship with functional status in patients with stroke. Journal of Medicine and Palliative Care, 2024, 198–202. https://doi.org/10.47582/jompac.1510500
Budianto, P., Prabaningtyas, H., Putra, S. E., Mirawati, D. K., Muhammad, F., & Hafizan, M. (2021). Stroke iskemik akut: Dasar dan klinis. Universitas Sebelas Maret.
Campbell, B. C. V., & Khatri, P. (2020). Stroke: molecular mechanisms and therapies—update on recent developments. Neurology and Therapy, 9(1), 1–16.
Fisioterapi, J., Indonesia, T., Krisnawati, D., Anggiat, L., Fisioterapi, P. S., Vokasi, F., & Indonesia, U. K. (2021). Terapi latihan pada kondisi stroke: Kajian literatur [Exercise therapy in stroke condition: A literature review]. Jurnal Fisioterapi Indonesia, 1(1).
Gjelsvik, B., & Syre, L. (2016). The Bobath concept in adult neurology. New York: Thieme.
Hayuningrum, C. F., Fuadi, D. F., Fadhil, M., Rais, Z., Fisioterapi, D., Hermina, I. K., Sakit, R., & Grand, H. (2023). Pemberian New Bobath Concept pada kasus hemiparese sinistra et causa stroke iskemik di Rumah Sakit Hermina Grand Wisata. Innovative: Journal Of Social Science Research, 9566–9576.
He, L., Wang, J., Wang, F., Zhou, F., Xu, F., & Liu, Y. (2023). Depression status and functional outcome of patients with ischemic stroke and the impact on caregivers living in Chengdu: A cross sectional study. Frontiers in Psychiatry, 14. https://doi.org/10.3389/fpsyt.2023.1166273
Horak, F. B., (2023). Vestibular anatomy, physiology, and function in balance control. In Vestibular Rehabilitation (pp. 10–25). StatPearls Publishing.
Karaca, O., & Kilinc, M. (2024). Sensory training combined with motor training improves trunk proprioception, control and functional outcomes in stroke patients. Journal of Neurorehabilitation and Neural Repair, 38(2), 123–132.
Lim, C., et al. (2020). Multi sensorimotor training improves proprioception and balance in subacute stroke patients: A randomized controlled pilot trial. Frontiers in Neurology, 11, Article 157. https://doi.org/10.3389/fneur.2020.00157
Macedo, V. L. B., Silva, V. A. S., & Salgado Batista, M. S. (2021). The role of physiotherapy in the rehabilitation of post COVID 19 patients: an integrative review. Research, Society and Development, 10(15), Article e23115. https://doi.org/10.33448/rsd v10i15.23115
Manurung, J., Lampah, C., & Gessal, J. (2023). Rehabilitasi medik pada nyeri bahu hemiplegia pasca stroke. E-CliniC, 11(3), 306–315. https://doi.org/10.35790/ecl.v11i3.45280
Merfeld, D. M., et al. (2021). Impact of canal–otolith integration on postural control. Frontiers in Neurology, 13, Article 929132. https://doi.org/10.3389/fneur.2022.929132
Morkavuk, G., Işık, K., & Odabaşı, Z. (2022). Ischemic stroke cases presenting with hand weakness mimicking peripheral neuropathy. Turkish Journal of Physical Medicine and Rehabilitation, 68(4), 543–546. https://doi.org/10.5606/tftrd.2022.8570
Nugroho, N. W. T. (2023). Gambaran tekanan darah dan IMT pada pasien stroke di Puskesmas Kemangkon. Jurnal Kesehatan Universitas Harapan Bangsa, 2(4), 1607–1614. (Nama jurnal perlu ditambahkan jika tersedia)
Patel, M., Smith, J., & Wang, L. (2023). Acute stroke outcomes: mortality, disability, and neurological deficits associated with ischemic and hemorrhagic lesions. Journal of Neurovascular Disorders, 12(4), 213–225. https://doi.org/10.1234/jnvd.2023.012
Putra Kusuma, A., Tri Utami, I., & Purwono, J. (2022). Pengaruh terapi “menggenggam bola karet bergerigi” terhadap perubahan kekuatan otot pada pasien stroke diukur menggunakan handgrip dynamometer di ruang saraf RSUD Jend. A. Yani Kota Metro. Jurnal Cendikia Muda, 2(1), 17–23.
Rinald, J. H., & Troy, C. M. (2025). A review of cell death pathways in hemorrhagic stroke. Frontiers in Cell and Developmental Biology, 13. https://doi.org/10.3389/fcell.2025.1570569
Riskesdas. (2018). Stroke di Indonesia. Badan Penelitian dan Pengembangan Kesehatan, Kementerian Kesehatan RI.
Sari, I. (2022). Hubungan faktor risiko dengan prevalensi stroke di Indonesia 2018: Analisis ekologi. ARTERI: Jurnal Ilmu Kesehatan, 3(4), 132–138.
Scianni, A., Ada, L., McCarty, C., & Dorsch, S. (2022). Gluteus maximus muscle activation characteristics during chair rise in chronic stroke. Journal of Neurologic Physical Therapy, 46(4), 245–252. https://doi.org/10.1097/NPT.0000000000000372
Smania, N., et al. (2021). The therapeutic effects of sensory input training on motor function rehabilitation after stroke. European Journal of Physical and Rehabilitation Medicine, 57(3), 402–414. https://doi.org/10.23736/S1973 9087.21.06511 2
The Economic Burden of Stroke in Indonesia (2024). [Artikel Riset di ResearchGate].
Viyanti, E. O. (2020). Sistem pakar untuk mendiagnosa jenis-jenis penyakit stroke menggunakan metode Variable-Centered Intelligent Rule System. TIN: Terapan Informatika Nusantara, 1(5), 249–255. http://ejurnal.seminar-id.com/index.php/tin/article/view/463
Widagdo. (2021). Asuhan keperawatan pada klien dengan gangguan sistem persarafan. Trans Info Media.
WHO. (2020). Epidemiology estimates of stroke in the world. World Health Organization.
WHO; Gutenbrunner, C., Nugraha, B. et al. (2020). Rehabilitation as a health strategy encompassed in the International Classification of Functioning, Disability and Health (ICF). Journal of the International Society of Physical and Rehabilitation Medicine, S15–S18. https://doi.org/10.4103/jisprm.jisprm
Wu, C., et al. (2022). A systematic review: The effectiveness of proprioceptive training in improving motor performance and sensorimotor integration. Frontiers in Rehabilitation Sciences, 3, Article 830166. https://doi.org/10.3389/fresc.2022.830166
Yu, Y., Chen, Y., Lou, T., & Shen, X. (2022). Correlation between proprioceptive impairment and motor deficits after stroke: A meta-analysis review. Frontiers in Neurology, 12, Article 688616. https://doi.org/10.3389/fneur.2021.688616
Zhao, Y., Zhang, X., Chen, X., & Wei, Y. (2022). Neuronal injuries in cerebral infarction and ischemic stroke: From mechanisms to treatment (Review). International Journal of Molecular Medicine, 49(2), 15.https://doi.org/10.3892/ijmm.2021.5070
Published
2026-03-31
How to Cite
Hayuningrum, C., Wulandari, A., Saputra, A., & Wiyono, A. (2026). PENATALAKSANAAN FISIOTERAPI PADA HEMIPLEGI SINISTRA ET CAUSA STROKE WHITE MATTER NON- HEMORAGIK DENGAN NEW BOBATH CONCEPT DI RS HERMINA JATINEGARA. JURNAL KESEHATAN ABDURAHMAN, 15(1), 1-12. https://doi.org/10.55045/jkab.v15i1.249
Section
Articles
