PENGARUH TERAPI MUSIK INSTRUMENTAL KOLINTANG PADA PENINGKATAN FUNGSI KOGNITIF PASCASTROKE SUBAKUT DENGAN MILD COGNITIVE IMPAIRMENT
Abstract
Latar Belakang : Stroke merupakan penyebab kecacatan terbanyak pada kelompok usia dewasa dan insidennya semakin lama semakin meningkat. Stroke menempati peringkat kedua penyebab kematian dan peringkat ketiga penyebab disabilitas global. Stroke berdampak signifikan pada disabilitas dan meningkatkan beban kesehatan pada pasien, keluarga maupun sistem pelayanan kesehatan. Gangguan kognitif sering terjadi pascastroke dan merupakan salah satu penentu utama buruknya keberhasilan terapi jangka panjang. Terapi musik berhubungan dengan neuroplastisitas yang penting untuk meningkatkan fungsi kognitif. Mild Cognitive Impairment (MCI) merupakan salah satu faktor yang berpengaruh dalam pemulihan pascastroke subakut serta memerlukan penanganan komprehensif, namun sering kurang mendapat perhatian. Penelitian ini ingin melihat efek terapi musik instrumental kolintang pada peningkatan fungsi kognitif pascastroke subakut dengan mild cognitive impairment.
Tujuan: Menganalisis efek terapi musik instrumental kolintang dapat meningkatkan fungsi kognitif pascastroke subakut dengan mild cognitive impairment.
Metode: Penelitian eksperimental dengan pretest – posttest group design.
Hasil: Hasil analisis data menunjukkan terdapat perbedaan yang sangat bermakna antara nilai rerata sebelum dan sesudah terapi konvensional dengan nilai p < 0,001.
Kesimpulan: Peningkatan fungsi kognitif ditemukan lebih tinggi pascapemberian terapi konvensional dan musik instrumental kolintang daripada pascapemberian terapi konvensional pascastroke subakut dengan mild cognitive impairment.
Kata kunci: Mild cognitive impairment, Terapi musik, Stroke.
References
Perhimpunan Dokter Spesialis Rehabilitasi Medik Indonesia. Panduan Rehabilitasi Stroke. Jakarta: Perhimpunan Dokter Spesialis Rehabilitasi Medik Indonesia; 2014. 1-33 p.
Cuccurullo SJ. Physical Medicine and Rehabilitation Board Review. 4th ed. New York: Demos Medical; 2020. 1-2 p.
Departemen Kesehatan Republik Indonesia. Riset Kesehatan Dasar (Riskesdas). Jakarta: Departemen Kesehatan Republik Indonesia. 2018. 56-58 p.
Data statistik kunjungan pasien di Instalasi Rehabilitasi Medik RSU Prof. Dr. R. D. Kandou Manado tahun 2017-2020.
Jokinen H, Melkas S, Pohjasvaara T, et al. Post-stroke cognitive impairment is common even after successful clinical revovery. European Journal of Neurology. 2015;22:1288-94.
Obaid M, Flach C, Marshall I, et al. Long-Term Outcomes in Stroke Patients with Cognitive Impairment: A Population-Based Study. Geriatrics Journal. 2020; 5,32, doi: 10.3390/geriatrics5020032.
Thingstad P, Askim T, Beyer M. The Norwegian Cognitive impairment after stroke study (Nor-COAST): study protocol of a multicenter, prospective cohort study. BMC Neurology. 2018;18:193.
Teasel R, Hussein N, Saikaley M, et al. Rehabilitation of Cognitive Impairment Post Stroke. In: Stroke rehabilitation Clinician Handbook. 2020. 27-34 p.
Gallego G, Garcia G. Music therapy and Alzheimer’s disease: Cognitive, psychological, and behavioural effects. Neurologia. 2017;32(5):300-8.
Mansens D, Deeg D, Comijs H. The association between singing and/or playing a musical instrument and cognitive functions in older adults. Aging & Mental Health. 2017;22(8):964-971.
Laksmidewi AA, Mahadewi NP, Adnyana IM, et al. Instrumental Balinese Flute Music Therapy Improves Cognitive Function and Serum Dopamine Level in the Elderly Population of West Denpasar Primary Health Care Center. J Med Sci. 2019 Feb 28; 7(4):553-58.
Impellizzeri F, Leonardi S, Latella D, et al. An integrative cognitive rehabilitation using neurologic music therapy in multiple sclerosis: A pilot study. Medicine. 2020;99:4(e18866).
Martina W, Spruit A, Susan H, et al. Effects of music interventions on stress-related outcomes: a systematic review and two metaanalyses. Health Psychology Review. 2020;14:2,294-324.
Poluan B. Kolintang: Kesenian Tradisional Kebudayaan Sulawesi Utara. LPMP Sulawesi Utara. 2020.
Baehr M, Frotscher M. Sistem Sensorimotorik. Dalam: Suwono WJ, editor. Diagnosis Topik Neurologi DUUS. Jakarta: EGC; 2010. 16-46 p.
National Institute for Health and Clinical Excellence. Diagnosis and initial management of acute stroke and transient ischaemic attack (TIA). 2008. 1-37 p.
Fisher GG, Chacon M, Chaffee DS. Theories of Cognitive Aging and Work. United States: Elsevier; 2019. 17-38 p.
Poerwadi T. Gangguan Kognisi Pada Stroke. Sie Neurobehavioral-Bagian Ilmu Penyakit Saraf FK Unair-RS Dr. Soetomo. Surabaya, 2011.
Patel B, Birns J. Post-Stroke Cognitive Impairment. Springer International Publishing Switzerland. 2015;277-306.
Merriman NA, Sexton E, McCabe G, et al. Addressing cognitive impairment following stroke: systematic review and meta-analysis of non-randomised controlled studies of psychological interventions. BMJ Open. 2019.doi:10.1136/bmjopen-2018-024429.
Ismail Z, Rajji TK, Shulman KI. Brief cognitive screening instruments: an update. Int J Geriatr Psychiatry. 2010;25:111-20.
Siboro BA. Pengaruh Jenis Musik Terhadap Short Term Memory Pada Mahasiswa Pekerja. Profisiensi. 2016;4(1):30-36.
Lee J-Y, Lee DW, Cho S-J, et al. Brief Screening for Mild Cognitive Impairment in Elderly Outpatient Clinic: Validation of the Korean Version of the Montreal Cognitive Assessment. Journal of Geriatric Psychiatry and Neurology. 2008;21(2):104-10.
Hamedan NH. Uji Validitas dan Realibilitas Montreal Cognitive Assessment Versi Indonesia (MoCA-Ina) untuk Penapisan Gangguan Kognitif. Jakarta: Universitas Indonesia;2009.
Hasanah M, Gofir A, Setyopranoto I. Neurorehabilitasi motorik pascastroke. Berkala Neurosains. 2019;18(2):51-55.
Barbro B. Johansson. Brain Plasticity and Stroke Rehabilitation: Stroke. 2000;31:223-230.
Beck DL, Bant S, Clarke NA. Hearing loss and cognition: a discussion for audiologists and hearing healthcare professionals. J Otolaryngeal ENT Res. 2020;12(3):72-78.
Sarkamo T, Tervaniemi M, Laitinen S, et al. Music listening enhances cognitive recovery and mood after middle cerebral artery stroke. Brain. 2008 Mar 1;131(3):866-76.
Wilkins, RW. Network science and the effects of music preference on functional brain connectivity: from Beethoven to Eminem. Sci Rep. 2014;4:6130.
Witte M, Spruit A, hooren S, et al. Effects of music interventions on stress-related outcomes: a systematic review and two metaanalyses. Health Psychology review. 2020;14(2):294-324.
Theorell T. Psychological Health Effects of Musical Experiences.SprongerBriefs in Psychology. 2014. 34 p.
Lam K, Jadavji N. Seeking Happiness: Understanding the Mechanisms of Mixing Music and Drugs. JYI. 2018;34(5):31-38.
Kusuma Y, Venketasubramanian N, Kiemas L, et al. Burden of stroke in Indonesia. Int J Stroke. 2009;4(5):379-80.
Tamburinan AG, Ratag BT, Nelwan JE. Hubungan antara Hipertensi, Diabetes Mellitus, dan Hiperkolesterolemia dengan Kejadian Stroke Iskemik. Indonesian Journal of Public Health and Community Medicine. 2020;1(1):27-33.
Buntaa, JN, Ratag BT, Nelwan JE. Faktor-faktor Resiko Kejadian Hipertensi Nelayan di Desa Mala dan Mala Timur Kecamatan Melonguane Kabupaten Kepulauan Talaud. Jurnal KESMAS. 2018;7(4).
Kabi G, Tumewah R, Kembuan M. Gambaran Faktor Risiko Pada Penderita Stroke Iskemik yang dirawat Inap Neurologi RSUP Prof. Dr. R. D Kandou Manado Periode Juli 2012 – Juni 2013. Jurnal e-Clinic. 2015;3(1):457-62.
Yueniwati Y. Deteksi Dini Stroke Iskemia dengan Pemeriksaan Ultrasonografi Vaskular dan Variasi Genetika. Universitas Brawijaya Press. 2015.
Laily SR. Hubungan Karakteristik Penderita dan Hipertensi Dengan Kejadian Stroke Iskemik. Jurnal Berkala Epidemiologi. 2017;5(1):48-59.
Alharbi M, Alharbi A, Alamri M, et al. Ischemic stroke: prevalence of modifiable risk factors in the Saudi population. International Journal of Medicine in Developing Countries. 2019;3(7):601-3.
Kementrian Kesehatan Republik Indonesia. Profil Kesehatan Indonesia Tahun 2018. Jakarta; 2019.
Venketasubramanian N, Yoon BW, Pandian J, et al. Stroke Epidemiology in South, East, and South-East Asia: A Review. J Stroke. 2017;19(3):286-94.
Sedova P, Brown R, Zvolsky M, et al. Incidence of Stroke and Ischemic Stroke subtypes: A Community-Based Study in Brno, Czech Republic. CerebrovascDisc. 2021;50:54-61.
Knecht S, Drager B, Deppe M, et al. Handedness and hemispheric language dominance in healthy humans brain. 2000;123(12):512-8.
Chen CX, Mao RH, Li SX, et al. Effect of visual training on cognitive function in stroke patients. International Journal of Nursing Sciences. 2015: 329-33.
Oberlin LE, Waiwood A, Cumming T, et al. Effects of Physical Activity on Poststroke Cognitive Function. American Heart Association. 2017;48(11):3093-100.
Baltaduoniene D, Kubilius R, Berskeien K, et al. Change of Cognitive Functions After Stroke With Rehabilitation Systems. Translation Neuroscience. 2019:118-24.
Bo W, Lei M, Tao S, et al. Effects of combined intervention of physical exercise and cognitive training on cognitive function in stroke survivors with vascular cognitive impairment: a randomized controlled trial. Clinical Rehabilitation. 2019;33(1):54-63.
Lee CH, Kim YS, Jung JH. Effectiveness of Virtual Reality Based Cognitive Rehabilitation on Cognitive Function, Motivation and Depression in Stroke Patients. Medico-legal Update. 2020;20(1):1880-84.
Nugroho FN. Pengaruh Musik Klasik dan Musik Jawa Terhadap Fungsi Kognitif pada Penderita Stroke Iskemik Akut (Tesis). Yogyakarta: Universitas Gajah Mada, 2010.
Ripolles P, Rojo N, Sanchez J, et al. Music supported therapy promotes motor plasticity in individuals with chronic stroke. Brain Imaging and Behavior. 2015.
Sarkamo T, Numminen A, Laitinen S, et al. Cognitive, Emotional, and Social Benefits of Regular Musical Activities in Early Dementia. 2017;13:1209-1.
