Efek Penambahan Core Stability Pada Metode Proprioceptive Neuromuscular Facilitation Terhadap Perbaikan Kemampuan Ambulasi Pasien Hemiparese Post Stroke

Abstract

Background: The degree of disability experienced by stroke patients depends on the severity of the hemiparesis experienced by the patient. Approximately 30-60% of patients who experience hemiparese changes in the ability to ambulate. Methods: The aim of this study was to determine the effect of adding Core Stability to Proprioceptive Neuromuscular Facilitation on improving ambulation ability post stroke hemiparese patients, with research design was a randomized pre test-post test control group design, in which there were 2 sample groups, namely the treatment group that was given Core Stability and Proprioceptive Neuromuscular Facilitation, and the control group that was given Proprioceptive Neuromuscular Facilitation. The research samples obtained were 20 people, then randomization of the samples was carried out into 2 groups, as many as 10 samples in the treatment group and 10 samples in the control group. Data collection was obtained through Sit To Stand measurements during the pre test and post test. Results: Based on the analysis of the paired sample t test in the treatment group 1, the value of p = 0.001 (p <0.05) was obtained, which means that the Core Stability and Proprioceptive Neuromuscular Facilitation interventions can produce a significant effect; in the treatment group 2, the value of p = 0.003 was obtained, which means that the Proprioceptive Neuromuscular Facilitation intervention could produce a significant effect. Independent sample t test results obtained p = 0.402 (p> 0.05) with a mean difference of 4.00 (treatment) > 3.40 (control) which means that there is no significant difference, but the addition of Core Stability in Proprioceptive Neuromuscular Facilitation can result in greater improvements in ambulation ability than just being given Proprioceptive Neuromuscular Facilitation. Conclusion: The addition of core stability to Proprioceptive Neuromuscular Facilitation can result in greater improvements in ambulation ability than Proprioceptive Neuromuscular Facilitation in hemiparese post stroke patients.

Keywords: core stability; proprioceptive neuromuscular facilitation; ambulation ability; hemiparese