Skip to main content Skip to main navigation menu Skip to site footer

Hubungan fungsi motorik dan derajat kekuatan otot dengan kejadian fatigue pasca stroke

Abstract

Background: Fatigue is an experience in the form of fatigue that is often experienced by post-stroke patients. Pharmacological therapy used in the treatment of post-stroke fatigue has not been effective in treating fatigue. Several studies also mention the presence of impaired motor function and a decrease in the degree of strength in post-stroke patients, which causes patients to avoid physical activity, causing fatigue. The purpose of this study was to determine the relationship between motor function and the degree of muscle strength with post-stroke fatigue.

Method: This analytic observational study with the Pearson correlation test was conducted using a questionnaire, examined and collected data from the register of outpatients at the Neurology Polyclinic of Dharma Yadnya General Hospital, Denpasar, from March to May 2022. Fatigue was assessed using a Fatigue Severity Scale questionnaire, and motor function was assessed using the Fatigue Severity Scale questionnaire. Pulg Meyer questionnaire. The significance level of the relationship was assessed by chi-square, and the strength of the relationship was assessed by the Pearson correlation test.

Result: There were 82 sample subjects. 46 subjects (60%) experienced fatigue, and 36 (40%) subjects did not experience fatigue. With the Pearson correlation test, it was found that there was a significant relationship between motor function and the degree of muscle strength with post-stroke fatigue with a value of (r) 0.712 and (r) 0.527.Conclusion: There is a significant relationship between motor function and the degree of muscle strength with post-stroke fatigue.

 

Latar Belakang: Fatigue merupakan suatu pengalaman subjektif berupa perasaan kelelahan yang sering dialami oleh pada pasien pasca stroke. Terapi farmakologi yang digunakan dalam penanganan fatigue pasca stroke selama ini masih belum efektif dalam penanganan fatigue. Beberapa studi juga menyebutkan dengan adanya gangguan fungsi motorik dan penurunan derajat kekuatan otot pada pasien pasca stroke menyebabkan pasien cenderung menghindari aktivitas fisik sehingga menimbulkan terjadinya fatigue. Tujuan penelitian ini adalah untuk mengetahui hubungan dari fungsi motorik dan derajat kekuatan otot dengan fatigue pasca stroke.

Metode: Studi observasional analitik dengan uji korelasi pearson ini dilakukan dengan menggunakan kuisioner, melakukan pemeriksaan dan mengumpulkan data dari register pasien yang dirawat jalan di Poli Saraf Rumah Sakit Umum Dharma Yadnya, Denpasar dari Maret hingga Mei 2022. Fatigue dinilai menggunakan kuisioner Fatigue Severity Scale dan fungsi motorik dinilai menggunakan kuisioner Pulg Meyer.Tingkat kemaknaan hubungan dinilai dengan chi-square dan kekuatan hubungan dinilai dengan uji korelasi Pearson.

Hasil: terdapat 82 subjek sampel, didapatkan subjek yang mengalami fatigue sebesar 46 subjek (60%) dan 36 subjek (40%) tidak mengalami fatigue. Dengan uji korelasi pearson didapatkan adanya hubungan bermakna antara fungsi motorik dan derajat kekuatan otot dengan fatigue pasca stroke dengan nilai (r) 0,712 dan (r) 0,527.

Kesimpulan: Terdapat hubungan bermakna antara fungsi motorik dan derajat kekuatan otot dengan fatigue pasca stroke.

References

  1. Acciarresi M, Bogousslavsky J, Paciaroni M. Post-stroke fatigue: epidemiology, clinical characteristics and treatment. Eur Neurol. 2014;72(5-6):255-261. doi:10.1159/000363763.
  2. Staub F. The behavioural and cognitive neurology of stroke. Cambridge University Press: Cambridge. 2007. p571-85.
  3. Tseng B, Marzilli C. Diagnosis and management of post-stroke fatigue: what do we know, what do we still need to know? Res Med Eng Sci. 2018;4(5). p1–5.
  4. Douven E, Köhler S, Schievink SHJ, et al. Temporal Associations between Fatigue, Depression, and Apathy after Stroke: Results of the Cognition and Affect after Stroke, a Prospective Evaluation of Risks Study. Cerebrovasc Dis. 2017;44(5-6):330-337. doi:10.1159/000481577.
  5. Webster K, Cella D, Yost K. The Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System: properties, applications, and interpretation. Health Qual Life Outcomes. 2003;1:79. Published 2003 Dec 16. doi:10.1186/1477-7525-1-79.
  6. Tseng BY, Kluding P. The relationship between fatigue, aerobic fitness, and motor control in people with chronic stroke: a pilot study. J Geriatr Phys Ther. 2009;32(3):97-102. doi:10.1519/00139143-200932030-00003.
  7. Utami MP, Muhartomo H, dan Widisastuti MI. Beda luaran fungsi sensorimotor pasien dengan dan tanpa fatigue pascastroke iskemik. MKNPDSSI. 2019;36(2). p113-119.
  8. Hinkle JL, Becker KJ, Kim JS, et al. Poststroke Fatigue: Emerging Evidence and Approaches to Management: A Scientific Statement for Healthcare Professionals From the American Heart Association. Stroke. 2017;48(7):e159-e170. doi:10.1161/STR.0000000000000132.
  9. Ankolekar S, Rewell S, Howells DW, Bath PM. The influence of stroke risk factors and comorbidities on assessment of stroke therapies in humans and animals. Int J Stroke. 2012;7(5):386-397. doi:10.1111/j.1747-4949.2012.00802.x.
  10. Tang WK, Liang HJ, Chen YK, et al. Poststroke fatigue is associated with caudate infarcts. J Neurol Sci. 2013;324(1-2):131-135. doi:10.1016/j.jns.2012.10.022.
  11. Kuppuswamy A, Clark EV, Turner IF, Rothwell JC, Ward NS. Post-stroke fatigue: a deficit in corticomotor excitability?. Brain. 2015;138(Pt 1):136-148. doi:10.1093/brain/awu306.
  12. Lerdal A, Bakken LN, Kouwenhoven SE, et al. Poststroke fatigue--a review. J Pain Symptom Manage. 2009;38(6):928-949. doi:10.1016/j.jpainsymman.2009.04.028.
  13. Aali G, Drummond A, das Nair R, Shokraneh F. Post-stroke fatigue: a scoping review. F1000Res. 2020;9:242. Published 2020 Apr 7. doi:10.12688/f1000research.22880.2.
  14. Su Y, Yuki M, Otsuki M. Non-Pharmacological Interventions for Post-Stroke Fatigue: Systematic Review and Network Meta-Analysis. J Clin Med. 2020;9(3):621. Published 2020 Feb 25. doi:10.3390/jcm9030621.
  15. De Doncker W, Dantzer R, Ormstad H, Kuppuswamy A. Mechanisms of poststroke fatigue. J Neurol Neurosurg Psychiatry. 2018;89(3):287-293. doi:10.1136/jnnp-2017-316007.
  16. Radman N, Staub F, Aboulafia-Brakha T, Berney A, Bogousslavsky J, Annoni JM. Poststroke fatigue following minor infarcts: a prospective study. Neurology. 2012;79(14):1422-1427. doi:10.1212/WNL.0b013e31826d5f3a.
  17. Goh HT, Stewart JC. Poststroke Fatigue Is Related to Motor and Cognitive Performance: A Secondary Analysis. J Neurol Phys Ther. 2019;43(4):233-239. doi:10.1097/NPT.0000000000000290.
  18. Prabawa IMY, Silakarma D, and Widnyana M. Telerehabilitation as a physical therapy solution for the post-stroke patient in COVID-19 pandemic situations: a review. Intisari Sains Medis. 2021;12(1). p1–5. https://doi.org/10.15562/ism.v12i1.873.

How to Cite

Pramana, P. Y., Sintarani, C. I. D. S., Wijayanti, I. A. S. W., & Sudewi, A. A. R. S. (2022). Hubungan fungsi motorik dan derajat kekuatan otot dengan kejadian fatigue pasca stroke. Intisari Sains Medis, 13(2), 560–564. https://doi.org/10.15562/ism.v13i2.1436

HTML
0

Total
0

Share

Search Panel

Putu Yogi Pramana
Google Scholar
Pubmed
ISM Journal


Cokorda Istri Dyah Sintarani
Google Scholar
Pubmed
ISM Journal


Ida Ayu Sri Wijayanti
Google Scholar
Pubmed
ISM Journal


Anak Agung Raka Sudewi
Google Scholar
Pubmed
ISM Journal