Perbandingan Keluaran Fungsional Motorik antara Teknik Neurorestorasi Bobath, Motor Relearning Program dan Mirror Therapy pada Pasien Pasca Stroke

Abstract

Introduction: Stroke is one of neurological disease with high number of impairment and disability whereas post acute phase stroke therapeutical effort primarily depend on neurorestoration technique, such as Bobath technique, Motor Relearning Program (MRP) and Mirror Therapy (MT). Up until now, there are not much research that can prove that one of the technique more superior than others in coping with the impairment and disability. Methods: This was an observational-cohort prospective design study with 30 post stroke patients which fulfilled inclusion criteria from January 11th 2017 to November 11th 2017. On subject we assessed motoric functional outcome according to National Institute of Health Stroke Scale (NIHSS), Barthel Index (Bl), Motor Assessment Scale (MAS) and modified Ashworth Scale (mAS), furthermore the subjects was divided into 3 groups of neurorestoration and neurorehabilitation technique, which was Bobath technique, MRP and MT and we reassessed N!HSS, BJ, MAS and mAS after 1 month of neurorestoration. Results: We used paired student T-test and found there a.re statistically significant differences before and after neurorestoration on NIHSS(p= 0.01), Bl(p=0.005), MAS(p<0.001) and mAS(p=0.001). Through Analysis of Variance (ANOVA) test, we found MAS differences (LlMAS) as statistically significant outcome variable and using Post Hoc Bonferroni test, we found Bobath compared to MT as techniques that give statistically significant MAS differences (p=0. 007). Conclusions:There were differences of motoric functional outcome (NIHSS, Bl, MAS and mAS) before and after neurorestoration which were statistically significant MAS differences was motoric outcome scale that was the most statistically significant seen from comparison between Bobath compared to MT technique.