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Perbandingan Latihan Otot Menggunakan Manual dan Robotik terhadap Kekuatan Otot Pasien Stroke Iskemik : Systematic Review
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ABSTRACT
Stroke causes decreased motor function, requiring rehabilitation to restore muscle strength. Both manual and robotic interventions are used to improve muscle strength. Both robotic and manual methods offer efficiency and consistency of therapy. However, it is necessary to evaluate which method is superior in certain aspects. This study aims to disseminate the effectiveness of robotic muscle training compared to manual training in improving muscle strength, mobility, and quality of life in ischemic stroke patients. This systematic review uses articles published between 2016 and 2024 from the databases ScienceDirect, PubMed, Cochrance Library, Proquest, and Google Scholar. Articles were assessed using instruments from the Joana Briggs Institute. The use of a hand rehabilitation robot with force feedback demonstrated significant improvements in finger grip function in hemiplegic stroke patients, superior to manual therapies such as Tui Na massage using oils or herbal ointments. Muscle training using the robotic device proved more efficient and consistent, with significant improvements in FMA-Hand, ARAT, grip strength, and ROM (p < 0.05). Tui Na massage was also effective in reducing spasticity and improving motor function, although less efficient than robotic therapy. The choice of therapy method should consider the patient's condition and rehabilitation goals. Both manual and robotic muscle training are effective in increasing extremity muscle strength in ischemic stroke patients. Robotic training is more time-efficient, while manual training is more flexible and adaptable to the needs of the patient.
Keywords: Muscle Strength, Muscle Training, Manual, Robotic, Ischemic Stroke.
ABSTRAK
Stroke menyebabkan penurunan fungsi motorik yang membutuhkan rehabilitasi untuk pemulihan kekuatan otot. Intervensi manual dan robotik digunakan untuk meningkatkan kekuatan otot. Penggunaan metode robotik dan manual menawarkan efisiensi dan konsistensi terapi. Namun, perlu dievaluasi metode mana yang lebih unggul dalam beberapa aspek tertentu. Penelitian ini bertujuan untuk mengevaluasi efektivitas penggunaan latihan otot dengan bantuan robotik dibandingkan dengan latihan manual dalam meningkatkan kekuatan otot, mobilitas, dan kualitas hidup pasien stroke iskemik. Systematic Review ini menggunakan artikel yang dipublikasi dari tahun 2016-2024 bersumber dari database Science Direct, Pubmed, Cochrance Library, Proquest dan Google Scholar. Penilaian artikel dilakukan dengan instrumen dari Joana Briggs Institute. Penggunaan robot rehabilitasi tangan dengan umpan balik gaya menunjukkan peningkatan signifikan pada fungsi genggaman jari pasien stroke hemiplegia, lebih baik dibandingkan terapi manual seperti pijat Tui Na yang menggunakan minyak atatu salep herbal. Latihan otot menggunakan alat bantu robot terbukti lebih efisien dan konsisten, dengan peningkatan signifikan pada FMA-Hand, ARAT, grip strength, dan ROM (p < 0,05). Pijat Tui Na juga efektif mengurangi spastisitas dan meningkatkan fungsi motorik, meskipun kurang efisien dibandingkan robotik. Pemilihan metode terapi harus mempertimbangkan kondisi pasien dan tujuan rehabilitasi.Latihan otot manual dan robotik keduanya efektif meningkatkan kekuatan otot ekstremitas pada pasien stroke iskemik. Latihan robotik lebih efisien dalam waktu, sementara manual lebih fleksibel sesuai kebutuhan
Kata Kunci: Kekuatan Otot, Latihan Otot, Manual, Robotik, Stroke Iskemik.
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Abdurakhmanov, R. I., Et Al. (2022). Effectiveness Of Robotic-Assisted Therapy In Improving Motor Recovery Of The Upper Limb In Post-Stroke Patients: A Randomized Controlled Trial. Journal Of Stroke And Cerebrovascular Diseases, 31(5), 105549. Https://Doi.Org/10.1016/J.Jstrokecerebrovasdis.2022.105549
Basnet, B., Et Al. (2021). Robotic Gait Training For Post-Stroke Rehabilitation: A Randomized Controlled Trial Comparing Lokomat And Conventional Therapy. Neurorehabilitation And Neural Repair, 35(7), 587–597. Https://Doi.Org/10.1177/15459683211025938
Chen, Y.-F., Et Al. (2022). Study Protocol Of A Randomized Controlled Trial For The Synergizing Effects Of Rtms And Tui Na On Upper Limb Motor Function And Cortical Activity In Ischemic Stroke. Journal Of Clinical Neuroscience, 90, 78-89. Https://Doi.Org/10.3389/Fneur.2022.993227
Chen, W., Et Al. (2023). Efficacy Of Reflexology Massage On Spasticity And Motor Function In Post-Stroke Patients: A Randomized Controlled Trial. Journal Of Bodywork And Movement Therapies, 27, 136–143. Https://Doi.Org/10.1016/J.Jbmt.2023.03.004
Chen, Y., Wang, C., Zhang, L., Li, Y., & Xu, Y. (2022). Effectiveness Of Robotic-Assisted Range Of Motion Exercise Versus Manual Therapy For Improving Muscle Strength In Stroke Patients: A Systematic Review. Journal Of Rehabilitation Research And Development, 59(4), 583-597. Https://Doi.Org/10.1682/Jrrd.2022.12.0004
Choi, J. H., Et Al. (2023). Impact Of Robotic Ankle Rehabilitation On Balance And Motor Function In Chronic Stroke Patients: A Randomized Controlled Trial. Clinical Rehabilitation, 37(8), 865–875. Https://Doi.Org/10.1177/02692155221112364
Feigin, V. L., Nguyen, G., Cercy, K., Parmar, P., & Norrving, B. (2022). Global And Regional Burden Of Stroke And Its Risk Factors In 204 Countries And Territories, 1990 And 2020: A Systematic Analysis For The Global Burden Of Disease Study 2020. The Lancet Neurology, 21(11), 1057-1074. Https://Doi.Org/10.1016/S1474-4422(22)00389-2 Doi: 10.3389/Fneur.2022.993227
Gupta, A., Et Al. (2022). Comparative Effects Of Swedish Massage And Acupressure On Spasticity In Post-Stroke Patients: A Randomized Controlled Trial. International Journal Of Stroke, 17(6), 567–576. Https://Doi.Org/10.1177/17474930221085733
Hsieh, Y.-W., Et Al. (2018). Comparison Of Proximal Versus Distal Upper-Limb Robotic Rehabilitation On Motor Performance After Stroke: A Cluster Controlled Trial. Neurorehabilitation And Neural Repair, 40, 567-574. Https://Doi.Org/10.1016/J.Mex.2024.102830
Hsu, H.-Y., Et Al. (2024). Effects Of An Assist-As-Needed Equipped Tenodesis-Induced-Grip Exoskeleton Robot (Tiger) On Upper Limb Function In Patients With Chronic Stroke. Neurorehabilitation And Neural Repair, 16, 315-324. Https://Doi.Org/10.1186/S12984-023-01298-2
Huang, H., Zhang, X., & Liu, Y. (2021). Manual Physical Therapy Versus Robotic Rehabilitation For Upper Limb Recovery In Stroke Patients: A Randomized Controlled Trial. Journal Of Rehabilitation Research And Development, 58(2), 123-132. Https://Doi.Org/10.1682/Jrrd.2021.4567
Kamalashiran, C., Et Al. (2024). Traditional Thai Massage Steps Development In Acute Ischemic Stroke Patients. Journal Of Stroke And Cerebrovascular Diseases, 33, 111-119. Doi: 10.3389/Fneur.2022.99322
Kumar, S., Et Al. (2020). The Effectiveness Of A Robotic Tilt Table On The Muscle Strength And Quality Of Life In Individuals Following Stroke: A Randomized Control Trial. Stroke Rehabilitation Journal, 133, 200-212. Https://Doi.Org/10.12968/Ijtr.2019.0014
Kim, H., Et Al. (2022). Upper Limb Robotic Rehabilitation Versus Conventional Therapy: A Randomized Controlled Trial. Disability And Rehabilitation, 44(9), 1725–1732. Https://Doi.Org/10.1080/09638288.2021.1983436
Li, Y., Et Al. (2024). Effect Of Task-Oriented Training Assisted By Force Feedback Hand Rehabilitation Robot On Finger Grasping Function In Stroke Patients With Hemiplegia: A Randomised Controlled Trial. Journal Of Rehabilitation Research And Development, 44, 123-134. Https://Doi.Org/10.1186/S12984-024-01372-3
Lee, J., Et Al. (2023). Efficacy Of Aromatherapy Massage For Improving Motor Recovery In Post-Stroke Patients: A Randomized Controlled Trial. Complementary Therapies In Clinical Practice, 52, 101693. Https://Doi.Org/10.1016/J.Ctcp.2023.101693
Park, J. H., Et Al. (2021). Effects Of Deep Tissue Massage On Upper Limb Function And Spasticity In Stroke Survivors: A Randomized Controlled Trial. Archives Of Physical Medicine And Rehabilitation, 102(9), 1672–1679. Https://Doi.Org/10.1016/J.Apmr.2021.03.015
Sankaran, R., Et Al. (2019). A Prospective Study On The Effects Of Ayurvedic Massage In Post-Stroke Patients. Journal Of Alternative And Complementary Medicine, 52, 204-210. Https://Doi.Org/10.1016/J.Jaim.2018.02.137
Santoso, S. E., Wardhana, D., & Hidayat, A. (2023). Stroke And Rehabilitation: Current Approaches And Future Directions In The Management Of Stroke. Journal Of Stroke And Cerebrovascular Diseases, 32(5), 106303. Https://Doi.Org/10.1016/J.Jstrokecerebrovasdis.2023.106303
Santoso, H., Wijaya, I., & Pranata, I. (2023). Stroke Rehabilitation: Effectiveness Of Robotic And Manual Therapies For Enhancing Motor Recovery. Journal Of Neurological Disorders, 56(7), 231-241. Https://Doi.Org/10.1002/Jnd.3062
Tan, Y., Lee, K., & Ng, T. (2020). Stroke Rehabilitation: Comparing Robotic And Manual Rehabilitation Approaches. Clinical Rehabilitation, 34(8), 1125-1132. Https://Doi.Org/10.1177/0269215520916723
Wei, Y., Et Al. (2020). Effectiveness And Safety Of Chinese Massage Therapy (Tui Na) On Post-Stroke Spasticity: A Prospective Multicenter Randomized Controlled Trial. Stroke And Rehabilitation Journal, 150, 345-356. Doi: 10 S., Et Al. (2021). A Comparison Of Robot-Assisted And Manual Therapy On Motor Recovery After Ischemic Stroke: A Randomized Controlled Trial. Frontiers In Neurology, 12, 678423. Https://Doi.Org/10.3389/Fneur.2021.678423.1177/0269215516663009
Yang, S., Et Al. (2021). A Comparison Of Robot-Assisted And Manual Therapy On Motor Recovery After Ischemic Stroke: A Randomized Controlled Trial. Frontiers In Neurology, 12, 678423. Https://Doi.Org/10.3389/Fneur.2021.678423
Yuan, S., Xu, Z., & Zhang, M. (2020). Comparing The Effectiveness Of Robot-Assisted Therapy And Manual Physical Therapy In Improving Muscle Strength In Stroke Patients. Neurorehabilitation And Neural Repair, 34(6), 509-515. Https://Doi.Org/10.1177/1545968320913734
Zhang, L., Chen, J., & Wei, D. (2021). The Role Of Robotic Rehabilitation In Stroke Recovery: A Review Of Current Methods And Outcomes. Journal Of Neuroengineering And Rehabilitation, 18(1), 77. Https://Doi.Org/10.1186/S12984-021-00927-9
Zhou, Y., Et Al. (2023). Effect Of Manual Lymphatic Drainage On Reducing Spasticity In Stroke Patients: A Randomized Controlled Trial. Journal Of Physical Therapy Science, 35(2), 198–204. Https://Doi.Org/10.1589/Jpts.2023.198
DOI: https://doi.org/10.33024/mahesa.v6i5.22210
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