Hubungan Kekuatan Otot Ekstremitas Bawah dengan Keseimbangan Dinamis Pasien Stroke Non-Hemoragic RS Hermina : Penelitian

Ni Wayan Kusuma Sari; Dwi Ratna Sari; Zeth Boroh

doi:10.31004/jerkin.v4i4.5963

Authors

Ni Wayan Kusuma Sari Universitas Binawan
Dwi Ratna Sari Universitas Binawan
Zeth Boroh Universitas Binawan

DOI:

https://doi.org/10.31004/jerkin.v4i4.5963

Keywords:

Stroke Non Hemoragik, Ekstrimitas Bawah, Keseimbangan Dinamis

Abstract

Penelitian ini bertujuan untuk mengetahui hubungan antara kekuatan otot ekstremitas bawah dengan keseimbangan dinamis pada pasien stroke non-hemoragik usia di bawah 60 tahun di RS Hermina Bekasi tahun 2025. Penelitian ini menggunakan desain penelitian korelasional dengan pendekatan cross sectional. Sampel penelitian berjumlah 30 responden yang dipilih menggunakan teknik random sampling sesuai kriteria inklusi dan eksklusi. Pengukuran kekuatan otot ekstremitas bawah dilakukan menggunakan Manual Muscle Testing (MMT), sedangkan keseimbangan dinamis diukur menggunakan Timed Up and Go Test (TUG). Analisis data dilakukan secara univariat dan bivariat menggunakan uji Chi-Square dengan tingkat signifikansi p < 0,05. Hasil penelitian menunjukkan bahwa sebagian besar responden memiliki kekuatan otot pada kategori cukup (50,0%) dan keseimbangan dinamis dalam kategori buruk (86,7%). Hasil uji Chi-Square menunjukkan nilai p = 0,696 (p > 0,05), yang berarti tidak terdapat hubungan yang signifikan antara kekuatan otot ekstremitas bawah dengan keseimbangan dinamis. Disimpulkan bahwa keseimbangan dinamis pada pasien stroke non-hemoragik tidak hanya dipengaruhi oleh kekuatan otot, tetapi juga oleh faktor lain seperti kontrol postural dan integrasi sensorik.

References

Ada, L., Dorsch, S., & Canning, C. G. (2006). Strengthening interventions increase strength and improve activity after stroke: A systematic review. Australian Journal of Physiotherapy, 52(4), 241–248. https://doi.org/10.1016/S0004-9514(06)70003-4

Akbari, A., Mousavi-Khatir, R., & Rostami, H. R. (2021). The correlation between lower limb muscle strength and dynamic balance in patients with chronic stroke. Journal of Bodywork and Movement Therapies, 26, 47–53. https://doi.org/10.1016/j.jbmt.2020.12.016

Cho, K. H., Lee, W. H., & Song, M. K. (2021). Correlation between lower limb muscle strength and dynamic balance in stroke patients. Journal of Physical Therapy Science, 33(1), 15–19. https://doi.org/10.1589/jpts.33.15

Dorsch, S., Ada, L., & Canning, C. G. (2021). Lower limb strength is significantly associated with walking speed and balance in stroke survivors. Disability and Rehabilitation, 43(24), 3502–3507. https://doi.org/10.1080/09638288.2020.1743773

Feske, S. K. (2021). Ischemic stroke. The American Journal of Medicine, 134(12), 1457–1464. https://doi.org/10.1016/j.amjmed.2021.07.027

Flansbjer, U. B., Downham, D., & Lexell, J. (2012). Knee muscle strength, gait performance, and perceived participation after stroke. Archives of Physical Medicine and Rehabilitation, 93(6), 974–980. https://doi.org/10.1016/j.apmr.2012.01.020

Geng, X., Li, X., Ding, Y., & Li, F. (2022). Skeletal muscle atrophy after stroke: A review of mechanisms and therapeutic strategies. Frontiers in Neurology, 13, 1004652. https://doi.org/10.3389/fneur.2022.1004652

Kisner, C., & Colby, L. A. (2018). Therapeutic exercise: Foundations and techniques (7th ed.). F.A. Davis Company.

Kwak, K. I., & Kim, Y. K. (2016). The correlation between lower extremity muscle strength and dynamic balance in stroke patients. Journal of Physical Therapy Science, 28(11), 3122–3125. https://doi.org/10.1589/jpts.28.3122

Liu, T. W., Ng, G. Y. F., Chung, R. C. K., & Ng, S. S. M. (2019). Decreasing Fear of Falling in Chronic Stroke Survivors Through Cognitive Behavior Therapy and Task-Oriented Training. Stroke, 50(1), 148–154. https://doi.org/10.1161/STROKEAHA.118.022406

Menezes, K. K., Scianni, A. A., Faria-Fortini, I., Avelino, P. R., Faria, C. D., & Teixeira-Salmela, L. F. (2020). Muscle strength, static and dynamic balance in subjects with post-stroke hemiparesis. Fisioterapia em Movimento, 33, 1–9. https://doi.org/10.1590/1980-5918.033.AO01

Moriello, C., & Mayo, N. E. (2020). Timed Up and Go: Reference values for stroke. Physical Therapy, 100(3), 450–459. https://doi.org/10.1093/ptj/pzz176

Ng, S. S., & Hui-Chan, C. W. (2005). The Timed Up & Go test: Its reliability and association with lower-limb impairments and locomotor capacities in people with chronic stroke. Archives of Physical Medicine and Rehabilitation, 86(8), 1641–1647. https://doi.org/10.1016/j.apmr.2005.01.011

Norkin, C. C., & White, D. J. (2016). Measurement of joint motion: A guide to goniometry (5th ed.). F.A. Davis Company.

O'Sullivan, S. B., Schmitz, T. J., & Fulk, G. (2019). Physical rehabilitation (7th ed.). F.A. Davis Company.

Severinsen, K., & Jakobsen, J. K. (2011). Muscle atrophy and strength deficits in stroke patients: A systematic review. Topics in Stroke Rehabilitation, 18(6), 653–661. https://doi.org/10.1310/tsr1806-653

Shumway-Cook, A., & Woollacott, M. H. (2017). Motor control: Translating research into clinical practice (5th ed.). Wolters Kluwer.

Siswati, T., Paramashanti, B. A., Rialihanto, M. P., & Waris, L. (2022). Epidemiological transition in Indonesia and its prevention: A narrative review. Journal of Complementary and Alternative Medical Research, 18(1), 50–60. https://doi.org/10.9734/jocamr/2022/v18i130345

Tyson, S. F., & Hanley, M. (2006). Balance disability after stroke. Physical Therapy, 86(1), 30–38. https://doi.org/10.1093/ptj/86.1.30