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"Tujuan: Mengetahui manfaat pemberian mirror therapy dibandingkan sham therapy terhadap pemulihan fungsi tangan. Desain penelitian: Studi intervensi. Metode: Studi randomisasi tersamar tunggal pada pasien strok serangan pertama. Subjek dibagi menjadi 2, yaitu kelompok mirror dan sham, yang diberikan mirror therapy atau sham therapy sebagai tambahan terapi okupasi standar. Parameter Hasil: Fugl Meyer Assessment dan Functional Independence Measure (FIM). Hasil: Delapan belas pasien (rerata usia 53,9 tahun), dengan lama awitan kurang dari 6 bulan ikut serta dalam penelitian ini. Didapatkan peningkatan signifikan pada rerata skor Fugl Meyer pada kedua kelompok setelah 3 minggu dan 6 minggu perlakuan (p<0,001), sedangkan skor FIM meningkat hanya pada 3 minggu pertama. Peningkatan skor Fugl Meyer lebih tinggi pada kelompok mirror (rerata=20,5) dibanding kelompok sham (rerata 13,75), walaupun secara statistik tidak signifikan. Kesimpulan: Mirror therapy dapat meningkatkan pemulihan motorik pada pasien strok fase pemulihan. Dibutuhkan penelitian lebih lanjut dengan sampel lebih besar untuk mendapatkan hasil yang bermakna.

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Objective: To evaluate the effect of mirror therapy on motor recovery of stroke patients.

Study design: Intervention study.

Methods: A randomized, controlled, assessor blinded trial in outpatient with first stroke, that were divided into two groups: mirror and sham. They completed a protocol of six week mirror therapy or sham therapy for 30 minutes 3 times a week, in addition to standard occupational therapy program.

Outcome parameters: Fugl Meyer Assessment for upper extremity and Functional Independence Measure (FIM).

Results: Eighteen patients (mean age 53,9 yo), all within 6 months post stroke were enrolled. Fugl Meyer score increased in both group after three weeks and six weeks intervention (p<0,001), FIM score increased only in the first three weeks. The Fugl Meyer mean score improved more in the mirror group than in the sham group (by mean 20,5 vs. 13,75), but statistically not significant.

Conclusions: Mirror therapy could enhances hand motor recovery in subacute stroke patient. Due to limited sample, further study is needed."

"TUJUAN: Tujuan penelitian ini adalah mengetahui korelasi antara pola jalan dengan pemulihan motorik berdasarkan stadium Brunnstrom pada penderita pasca strokeMETODE: Subjek penelitian adalah penderita stroke fase subakut dan fase kronis ( onset > 2 minggu) yang non hemiparesis, hemiparesis kanan dan hemiparesis kiri. Dilakukan pemeriksaan fisik dan penilaian pemulihan motorik berdasarkan stadium Brunnstrom. Diberikan penjelasan mengenai prosedur pelaksanaan penelitian. Subjek berjalan pada lintasan sepanjang 10 meter sehingga didapatkan kecepatan berjalannya. Selanjutnya subjek berjalan pada alat gait analyser selama 2 menit, dengan memasukkan kecepatan tiap subjek di alat gait analyser. Didapatkan nilai step length sisi sehat, step length sisi sakit, stride length dan cadence tiap-tiap subjek.HASIL: Terdapat 30 subjek dalam penelitian ini. Rerata nilai step length sisi sehat 29,69 + 12,65 cm, step length sisi sakit 32,36 + 10,75 cm, stride length 61,85 + 16,89 cm, cadence 71 + 21,66 langkah/menit. Frekuensi subjek dengan pemulihan motorik Brunnstrom 2 terdapat 2 orang (6,7%), Brunnstrom 3 terdapat 6 orang (20%), Brunnstrom 4 terdapat 5 orang (16,7%) pada Brunnstrom 5 terdapat 8 orang( 26,7%) dan Brunnstrom 6 terdapat 9 orang (30%).SIMPULAN: Terdapat korelasi lemah sampai sedang antara step length sisi sehat, step length sisi sakit, stride length, cadence dengan pemulihan motorik berdasarkan stadium Brunnstrom.

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OBJECTIVE: The purpose of this research is to find out correlation between gait pattern with motor recovery based on Brunnstrom stages for stroke patient.METHODS: The subject of these research are stroke patient in subacute and chronic phase ( onset > 2 weeks) non hemipharetic, right and left hemipharetic. Physical examination and scoring motor recovery based on Brunnstron stage. The patient were given the explanation of the procedure for the research. The subject walks on 10 metres track to get walking speed. Next, subject walks on the gait analyzer for 2 minutes, with walking speed installed to gait analyzer. The outcome measurements consist of step length on unaffected and affected side, stride length and cadence for every subjects.RESULTS: There are 30 subject in this research. Average step length score on unaffected 29,69 + 12,65 cm, step length on affected side 32,36 + 10,75 cm, stride length 61,85 + 16,89 cm, cadence 71 + 21,66 step/minutes. Frequent subject with motor recovery Brunnstrom 2 are 2 subjects ( 6,7%), Brunnstrom 3 are 6 subjects (20%), Brunnstrom 4 are 5 subjects ( 16,7 %), Brunnstrom 5 are 8 subject (26,7%) and Brunnstrom 6 are 9 subject (30%).CONCLUSIONS: There is a mild until moderate correlation between step length on unaffected and affected, stride length, cadence and motor recovery based on Brunnstrom stages."