Dual Taks Training Therapy to Reduce Physical Mobility Disorders in Mrs.T with Stroke at Chuzan Hospital Okinawa Japan
Abstract
Stroke causes weakness in the limbs. Weakness experienced by stroke patients can be in the form of hemiplegia, plegia, or paraplegia. Dual task training is a non-pharmacological management of physical mobilisation disorders. Objective: This case study aims to determine the effectiveness of dual task training in patients with impaired physical mobility due to stroke. Method: The type of research in this case study is descriptive. The subject of this case study was Mrs T aged 60 years, a stroke patient with nursing problems of physical mobility disorders in room 2B. Elderly with impaired physical mobility due to stroke will be given dual task training therapy, namely walking using a pyramid A stick in order to maintain balance and increase mobility. To determine the effectiveness of the therapy provided, the author conducted an assessment with the parameters of the breg balance scale (BBS). Results: The results of the initial score before therapy showed a BBS score of 18 points which means that you have to use a wheelchair (wheelchair bound), then after the dual task training therapy action carried out by Mrs T for 3x30 minutes / day carried out for 3 consecutive days, the final result was 32 points which had the interpretation of walking with assistance. Conclusions: The results of the case study show that dual task training therapy is effective for reducing the patient's physical mobility disorder.
References
Avelino, P. R., Nascimento, L. R., Menezes, K. K. P., Scianni, A. A., Ada, L., & Teixeira-Salmela, L. F. (2018). Effect of the provision of a cane on walking and social participation in individuals with stroke: protocol for a randomized trial. Brazilian Journal of Physical Therapy, 22(2), 168–173. https://doi.org/10.1016/j.bjpt.2017.11.002
Fauziyah, A. M., Susanti, I. H., & ... (2021). Gambaran Activities of Daily Living pada Pasien Stroke di Rojinhome Yoichi Yonabaru Okinawa Jepang. … Nasional Penelitian Dan 147–155. https://prosiding.uhb.ac.id/index.php/SNPPKM/article/view/778%0Ahttps://prosiding.uhb.ac.id/index.php/SNPPKM/article/download/778/210
Haiga, Y., Prima Putri Salman, I., & Wahyuni, S. (2022). Perbedaan Diagnosis Stroke Iskemik dan Stroke Hemoragik dengan Hasil Transcranial Doppler di RSUP Dr. M. Djamil Padang. Scientific Journal, 1(5), 391–400. https://doi.org/10.56260/sciena.v1i5.72
Hata, J., & Ninomiya, T. (2023). Epidemiology of Stroke in a General Japanese Population: The Hisayama Study. Journal of Atherosclerosis and Thrombosis, 30(7), 710–719. https://doi.org/10.5551/jat.RV22004
Ishigami, A., Toyoda, K., Nakai, M., Yoshimura, S., Wada, S., Sasahara, Y., Sonoda, K., Miwa, K., Koge, J., Shiozawa, M., Iwanaga, Y., Miyamoto, Y., Nakahara, J., Suzuki, N., Kobayashi, S., Minematsu, K., & Koga, M. (2024). Improvement of Functional Outcomes in Patients with Stroke who Received Alteplase for Over 15 Years: Japan Stroke Data Bank. Journal of Atherosclerosis and Thrombosis, 31(1), 90–99. https://doi.org/10.5551/jat.64200
Joa, K. L. (2024). Outcome Measurement in Balance Problems: Berg Balance Scale. Annals of Rehabilitation Medicine, 48(2), 103–104. https://doi.org/10.5535/arm.240029
Kanda, R. L., & Tanggo, W. D. (2022). Asuhan Keperawatan Pada Pasien Dengan Non Hemoragic Stroke (NHS) Di Instalasi Gawat Darurat Rumah Sakit Bhayangkara Makassar.
Khofifah, S. N., & Widada, W. (2023). Asuhan Keperawatan dengan Masalah Gangguan Mobilitas Fisik pada Klien Stroke Hemoragi. Health & Medical Sciences, 1(3), 1–7. https://doi.org/10.47134/phms.v1i3.44
Mauliddiyah, D., Ulfah, M., & Siwi, A. S. (2022). Asuhan Keperawatan dengan Masalah Gangguan Mobilitas Fisik pada Pasien Stroke Non Hemoragik (SNH). Journal of Management Nursing, 2(1), 168–172. https://doi.org/10.53801/jmn.v2i1.74
Nopia, D., & Huzaifah, Z. (2020). Hubungan Antara Klasifikasi Stroke Dengan Gangguan Fungsi Kognitif Pada Pasien Stroke. Journal of Nursing Invention, 1(1), 16–22.
Novera, G. (2021). Asuhan Keperawatan Teknik Latihan Penguatan Sendi Pada Pasien Stroke Non Hemoragik (SNH) Dengan Gangguan Mobilitas Fisik Di Ruang Stroke RSUD Dr. M. Yunus Bengkulu. Industry and Higher Education, 3(1), 1689–1699. http://journal.unilak.ac.id/index.php/JIEB/article/view/3845%0Ahttp://dspace.uc.ac.id/handle/123456789/1288
Pratama, A. D. (2021). Pengaruh Pemberian Dual Task Training Terhadap Penurunan Risiko Jatuh Pada Kasus Stroke Iskemik. Jurnal Sosial Humaniora Terapan, 3(2), 32–40. http://journal.vokasi.ui.ac.id/index.php/jsht/article/view/130
Purnamasari, N., Bachtiar, F., & Puspitha, A. (2019). The Effectiveness of Motoric-Cognitive Dual-Task Training in Reducing Risk of Falls on Elderly. Media Kesehatan Masyarakat Indonesia, 15(3), 284–291. https://doi.org/10.30597/mkmi.v15i3.7019
Rahayu, N., Tunik, & Elok, Y. (2023). Analisis Kualitatif Kepatuhan Keluarga Sebagai Caregiver Dalam Tatalaksana Penderita Stroke Dengan Imobilisasi, Serta Kepatuhan Pasien Terhadap Caregiver Di Rumah. Jurnal Penelitian Keperawatan, 9(1), 1–138. https://doi.org/https://doi.org/10.32660/jpk.v9i1
Sun, X., Xu, K., Shi, Y., Li, H., Li, R., Yang, S., Jin, H., Feng, C., Li, B., Xing, C., Qu, Y., Wang, Q., Chen, Y., & Yang, T. (2021). Discussion on the Rehabilitation of Stroke Hemiplegia Based on Interdisciplinary Combination of Medicine and Engineering. Evidence-Based Complementary and Alternative Medicine, 2021, 1–11. https://doi.org/10.1155/2021/6631835
Syabariyah, S., Juniarty, N., & Amalia, L. (2020). The Description of Implementation of Assisted Mobilization in Stroke Patients in Several Pontianak Hospitals in Predicting the Incidence of Pressure Ulcer. Atlantis Press B.V., 27(ICoSHEET 2019), 425–428. https://doi.org/10.2991/ahsr.k.200723.108
Syarif, M. F. I., Sariana, E., & Kurniawati, N. (2022). Pengaruh Latihan Dual-Task Training Terhadap Penurunan Risiko Jatuh Pada Pasien Stroke Di Klinik Bekasi Stroke and Parkinson Center. Jurnal Fisioterapi Dan Kesehatan Indonesia, 2(2), 130–140. https://doi.org/10.59946/jfki.2022.123
Wada, S., Yoshimura, S., Miwa, K., Iwanaga, Y., Koga, M., & Toyoda, K. (2023). Current status and future aspects in the Japan Stroke Data Bank. Frontiers in Neurology, 14(4). https://doi.org/10.3389/fneur.2023.1090136
Widniah, A. Z. (2022). Efek Pendidikan Kesehatan Berbasis Health Belief Models dalam Pengenalan Tanda Gejala Awal Stroke (FAST): Literature Review. Journal of Nursing Intervention, 3(2), 76–81. https://doi.org/10.33859/jni.v3i2
