EFEK LATIHAN BRIDGING DENGAN ABDOMINAL DRAW IN MANEUVER TERHADAP KEMAMPUAN BERBALIK BADAN PADA STROKE KRONIK

Fendri Feibert, Lidwina Sima Sengkey, Theresia Isye Mogi

Abstract


Latar Belakang: Stroke adalah penyakit utama yang menyebabkan disabilitas pada orang dewasa dan penyebab kematian terbanyak kedua di dunia. Disfungsi akibat stroke secara signifikan menurunkan fungsi motorik yang diakibatkan kelemahan otot, berkurangnya kemampuan kontrol motorik, dan kehilangan koordinasi gerakan pada sisi yang terkena. Berbalik badan adalah keterampilan motorik fundamental dari pergerakan dan penting dalam hal mengeksekusi kebanyakan aktifitas kehidupan sehari-hari. Latihan bridging adalah salah satu jenis closed chain dynamic exercises yang berfungsi untuk menguatkan otot-otot ekstensor hip sambil berkoordinasi dengan otot-otot stabilitator trunkus. Abdominal drawing-in maneuver (ADIM) terutama bertujuan untuk memperkuat otot-otot abdomen bagian dalam seperti Transversus abdominis (Tra), Internal obliques (IO), External obliques (EO).Dengan penelitian ini diharapkan dapat menjadi dasar untuk memberikan latihan penguatan dan stabilitas core kepada pasien dengan stroke kronik.Tujuan: Menganalisis efek pemberian latihan bridging dengan abdominal drawing-in maneuver pada permukaan tidak stabil terhadap kemampuan berbalik badan pada stroke kronik.

Metode: Penelitian eksperimental dengan  pretest – posttest group design.

Hasil: Hasil analisis deskriptif data waktu berbalik badan (detik) sebelum dan sesudah latihan bridging dengan abdominal drawing-in maneuver menunjukkan adanya penurunan rerata waktu berbalik badan sesudah latihan. Ada perbedaan bermakna rerata waktu berbalik badan sebelum sesudah minggu I latihan bridging dengan abdominal drawing-in maneuver (p < 0,0001)

Kesimpulan: Latihan bridging dengan abdominal drawing-in maneuver pada permukaan tidak rata dapat meningkatkan kemampuan berbalik atau memutar badan pada penderita stroke kronik

Kata kunci: latihan bridging Abdominal drawing-in maneuver (ADIM), stroke kronik


Full Text:

XML

References


Lee H.J, Kang T.W, Kim B.R. Effects of diaphragm and deep abdominal muscle exercise on walking and balance ability in patients with hemiplegia due to stroke. Journal of Exercise Rehabilitation, 2018. 648-53

Yu S.H, Park S.D. The effects of core stability strength exercise on muscle activity and trunk impairement scale in stroke patients. Journal of exercise rehabilitation, 2013. 362-7

Yoo J.S, Jeong J, Lee W.H. The effect of trunk stabilization exercising using an unstable surface on the abdominal muscle structure and balance of stroke patients. Journal of Physical Therapy, 2014. 857-9

Karatas M, Cetin N, et al. Trunk muscle strength in relation to balance and functional disability in unihemispheric stroke patients, 2004. 81-7

Robinson R.L, Shamay S.M. The timed 180 degree turn test for assessing people with hemiplegia from chronic stroke, 2017. 1-8

Coupland A.P, Thapar A, Qureshi M.I. The definition of stroke. Journal of the royal society of Medicine, 2017. 9-12

Uchino K, Pary J, Grotta J. Acute Stroke Care 2nd ed. Cambridge University Press. New York, 2011. 90-9

Bernstein R.A. Cerebrovascular Disease : Hemorrhagic Stroke. In : Brust J.C.M. Current diagnosis and treatment neurology 2nd ed. The McGraw-Hill Companies Inc. New York, 2012. 128-30

Aminoff M.J, Greenberg D.A, Simon R.P. Clinical Neurology 9th Ed. Mc-Graw Hill Companies, Inc. New York, 2012. 367

Venketasubramanian V, Yoon B.W, Pandian J, et al. Stroke Epidemiology in South, East, and South-East Asia: A Review. Journal of stroke, 2017. 1

Riset Kesehatan Dasar 2018. Badan Penelitian dan Pengembangan Kesehatan Kementrian Kesehatan RI, 2018. 91

Stein J, Murray E.B. Stroke Rehabilitation. In : Frontera W.R et al. De Lisa’s Physical Medicine and Rehabilitation Principles and Practice 5th ed. Lippincot Williams and Wilkins, Philadelphia, 2010. 575

Harvey R.L, Roth E.J, Yu D.T, et al. Stroke Syndromes. In : Braddom R.L, Chan L, Harrast M.A, et al. Physical Medicine and Rehabilitation 4th ed. Elsevier. Philadelphia, 2011. 1161

Briggs R, O’Neill D. Chronic Stroke Disease. British Journal of Hospital Medicine, 2016.

Yang Y, Shi Y.Z, Zhang N. The disability rate of 5 years post stroke and its correlation factors : A National Survey in China. Plos One, 2016.

Schmid A.A, Puymbroeck M.V, Altenburger P.A. Balance is associated with quality of life in chronic stroke. Top Stroke Rehabilitation.

Manaf H, Justine M, Omar M, et al. Turning ability in stroke survivors : a review of literature. International Scholarly Research Network. 2012.

Yoo S.D, Jeong Y.S, Kim D.H, et al. The efficacy of core strengthening on the trunk balance in patients with subacute stroke. Journal of Korean Academy Rehabilitation Medication. 2010. 677-82

Gong W. The effect of bridge exercise accompanied by the abdominal drawing-in maneuver on an unstable support surface on the lumbar stability of normal adults. Journal of Physical Therapy Science. 2015. 47-50

Anderson K, Behm D.G. The impact of instabilitay resistance training on balance and stability. Sports Medicine, 2005. 43-53

Farias C.D, Pinto B.P, Nadeau S. 180O turn while walking characterization and comparisons between subjects with and without stroke. The journal of Physical Therapy Science. 2016. 2694-9

Kobayashi M, Usuda S. Development of a clinical assessment test of 180 degree standing turn strategy and investigation of its reliability and validity. The journal of physical therapy science. 2015. 646-53

Eom MY, Chung SH, Ko TS. Effects of bridging exercise on different support surfaces on the transverse abdominis. J. Phys. Ther. Sci. 2013 (25) : 1343–6

Unstable surface training : when and why ? Download from URL : https://www.issaonline.com/blog/index.cfm/2019/unstable-surface-training-when-and-why

Nasreddine Z.S, Phillips N.A, Bedirian V. The montreal cognitive assessment, MoCA : A brief screening tool for mild cognitive impairment. The American geriatrics society, 2005. 695-9

Robinson R.L, Shamay S.M. The timed 180 degree turn test for assessing people with hemiplegia from chronick stroke. Biomed research international, 2018.

Easton J.D, Saver J.L, Albers G.W, et al. Definition and evaluation of transient ischemic attack : a scientific statement for healthcare professionals. Stroke : A journal o cerebral circulation, 2009. 2276-93

Richards M.B, Shipley R, et al. Cognitive ability in childhood and cognitive decline in midlife L longitudinal birth cohort study. British Medical Journal, 2004. 328

Damasio A.R. Aphasia. New England Journal of Medication, February 1992. 326

Unsworth C.A. Cognitive and perceptual dysfunction. In : Schmitz T.J and O’Sullivan S.B. Physical Rehabilitation. F.A : Davis Company. Philadelphia, 2007. 1149-85.

Kisner C. Colby L.A. Therapeutic exercise foundations and techniques 6th ed. F.A : Davis Company. Philadelphia, 2012. 755

Park S.D, Seong H.Y. The effects of abdominal draw in-maneuver and core exercise on abdominal muscle thickness and Oswestry disability index in subjects with chronic low back pain. Journal of exercise rehabilitation, 2013. 286-91.

Handayani F. Angka Kejadian Serangan Stroke Pada Wanita Lebih Rendah Daripada Laki-Laki. Jurnal Keperawatan Medikal Bedah. 2013;1(1):75-9.

Bushnell DC. Stroke and the Female Brain. Nat Clin Pract Neurol. 2008;4(1):22-33.

Fink J.N, Frampton C.M, Lyden P, et al. Does hemispheric lateralization influence functional and cardiovascular outcomes after stroke. Stroke. 2008; 39:3335–40

Hedna VS, Bodhit AN, Ansari S, Falchook AD, Stead L, Heilman KM, et al. Hemispheric differences in ischemic stroke: is left-hemisphere stroke more common? J Clin Neurol. 2013; 9:97–102.

Portegies ML, Selwaness M, Hofman A, Koudstaal PJ, Vernooij MW, Ikram MA. Left-sided strokes are more often recognized than right-sided strokes: the Rotterdam study.Stroke. 2015; 46:252–4

Karthikbabu S, Chakrapani M, Ganeshan S, Rakshith KC, Nafeez S, Prem V. A review on assessment and treatment of the trunk in stroke: a need or luxury. Neural Regen Res. 2012;7(25):1974-7.

Tanaka S, Hachisuka K, Ogata H. Muscle strength of the trunk flexion-extension in post-stroke hemiplegic patients. Am J Phys Med Rehabil. 1998;77:288–90

Tanaka S, Hachisuka K, Ogata H. Trunk rotatory muscle performance in post-stroke hemiplegic patients. Am J Phys Med Rehabil. 1997;76:366–9.

Fujiwara T, Sonoda S, Okajima Y, Chino N. The relationships between trunk function and the findings of transcranial magnetic stimulation among patients with stroke. J Rehabil Med.2001;33: 249-55.

Ryerson S, Byl NN, Brown DA, Wong RA, Hidler JM. Altered trunk position sense and its relation to balance functions in people post-stroke. J Neurol Phys Ther 2008;32:14-20

Lim C.G. Effects of trunk control robot training on balance and gait abilities in persons with chronic stroke. Phys. Therapy Rehabil. Sci. 2020; 9(2: 105–12

Tsuji T, Liu M, Hase K, Masakado Y, Chino N. Trunk muscles inpersons with hemiparetic stroke evaluated with computed tomography. J Rehabil Med 2003;35:184-8

Hsu SL, Oda H, Shirahaya S, et al. Effects of core strength training on core stability. J Phys Ther Sci. 2018; 30(8): 1014–8

Wowiling PE, Sengkey LS, Lolombulan JH Pengaruh Latihan Core-Strengthening Terhadap Stabilitas Trunkus Dan Keseimbangan Pasien Pasca Stroke. Jurnal Biomedik (JBM). 2016; 8(1): 43-50

Puntumetakul R, Chalermsan R, Hlaing SS, et al. The effect of core stabilization exercise on lumbar joint position sense in patients with subacute non-specific low back pain: a randomized 581 controlled trial. J Phys Ther Sci. 2018;30(11):1390-5

Ryu Y, Ju S, Park G, Jang H. Effects of bridging exercise methods on the muscular activity of the neck, trunk and lower limbs. Journal of Physical Therapy Science2011; 23(6): 867-9

Park SD, Yu SH . The effects of abdominal draw-in maneuver and core exercise on abdominal muscle thickness and Oswestry disability index in subjects with chronic low back pain. Journal of Exercise Rehabilitation 2013; 9: 286– 91

Wechsler LR, Bates D, Stroemer P, Andrews-Zwilling YS, Aizman I. Cell Therapy for Chronic Stroke. 2018; 49: 1066–74

Wist S, Clivaz J, Sattelmayer M. Muscle strengthening for hemiparesis after stroke : A meta-analysis. Ann Phys Rehabil Med 2016; 59:114-24

Kessner SS, Schlemm E, Cheng B, et al. Somatosensory Defcits Afer Ischemic Stroke. Stroke 2019; 50: 1116–23

James PA, Oparil S, Carter BL, et al. 2014 Evidence-based guideline for the management of high blood pressure in adults report from the panel members appointed to the eight joint national committee. JAMA. 2014;311(5):507-20

Lim JS, Lee SY, Lee DH, Park JS. The effect of a bridge exercise using the abdominal drawing-in maneuver on the balance of chronic stroke patients. J. Phys. Ther. Sci. 2012 (24) : 651–3

Lee TG, Park CH, Son HH. The effects of a bridging exercise applying changes in base of support for the shoulders on trunk muscle activation. J Korean Soc Phys Med, 2016; 11(3): 97-104

Kong YS, Cho YH, Park JW. Changes in the activities of the trunk muscles in different kinds of bridging exercises. J. Phys. Ther. Sci. 2013 (25): 1609–12

Madokoro S, Yokogawa M, Miaki H. Effect of the abdominal draw-in maneuver and bracing on abdominal muscle thickness and the associated subjective difficulty in healthy individuals. Healthcare 2020, 8(4), 496

Choi HS, Shim YJ, Shin WS. Comparison on postural control between abdominal draw-in maneuver and abdominal expansion maneuver in persons with stroke. Phys Ther Rehabil Sci 2016, 5 (3), 113-119

Lee HJ, Kim SY: Comparison of the effects of abdominal draw-in and expansion maneuvers on trunk stabilization in patients with low back pain and lumbar spine instability. Phys Ther Korea, 2015, 22: 37–48

Osuka S, Ishida T, Yamanaka M, et al. Abdominal draw-in maneuver changes neuromuscular response to sudden release from trunk loading in patients with non specific chronic low back pain. . J Orthop Sci. 2020;25(5):781-786.

Torres RJB, Piraua ALT, Nascimento VYS, et al. Shoulder muscle activation levels during the push-up plus exercise on stable and unstable surfaces. J Sport Rehabil 2017 Jul;26(4):281-6

Effect of modified bridge exercise on trunk muscle activity in healthy adults a cross sectional study. Braz J Phys Ther. Mar-Apr 2018;22(2):161-7

Jang YJ, Kim SY. Effects of trunk control exercise performed on an unstable surface on dynamic balance in chronic stroke patients. J Korean Soc Phys Med, 2016; 11(1): 1-9


Refbacks

  • There are currently no refbacks.


www.Counters-free.net