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Jurnal Fisioterapi Terapan Indonesia

Abstract

Stroke is a clinically defined syndrome of acute, focal nerve discharge caused by vascular injury (infarction, hemorrhage) of the central nervous system. Punches can cause damage to the brain and affect a person's ability to walk, balance and coordinate movements. Impaired gait is common in stroke cases, often resulting in poor recovery of mobility and inability to carry out daily activities without assistance. One of the interventions that can be used is a soft exosuit. This method can help overcome walking problems in stroke patients where soft exosuits are used to increase walking speed and walking endurance. The purpose of this study was to determine the effectiveness of giving a soft exosuit to stroke patients to improve gait speed and gait endurance This research is a literature review study in narrative form, in which 6 articles were found that were reviewed after searching and searching four databases. The results of the review found that 40 patients with a 6MWT score of 0.5 m/s aged >55 years were given intervention in the form of exo gait training with a frequency of 5 times/week. After 8 weeks of intervention, evaluation data analysis found an increase in walking speed in stroke patients. Based on the results of this review, it can be interpreted that the soft exosuit provides a physiological effect that is in accordance with the stroke conditions of patients with walking disorders so that it can be used as an additional intervention option to improve speed and gait endurance.

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Bahasa Abstract

Stroke adalah sindrom yang didefinisikan secara klinis akut, neurologis fokal defisit disebabkan cedera vaskular (infark, perdarahan) dari sistem saraf pusat. Stroke dapat menyebabkan kerusakan pada otak dan memengaruhi kemampuan seseorang untuk berjalan, keseimbangan, dan mengoordinasikan gerakan. Gangguan berjalan umum terjadi pada kasus stroke, seringkali mengakibatkan pemulihan mobilitas yang buruk dan ketidakmampuan untuk melakukan activity daily living tanpa bantuan. Salah satu intervensi yang dapat digunakan adalah soft exosuit. Metode tersebut dapat membantu menangani masalah berjalan pada pasien stroke dimana soft exosuit digunakan untuk meningkatkan kecepatan berjalan dan daya tahan dalam berjalan. Tujuan penelitian ini yaitu untuk mengetahui efektifitas pemberian soft exosuit pada pasien stroke untuk meningkatkan kecepatan dan daya tahan dalam berjalan. Penelitian ini merupakan studi literature review dalam bentuk naratif, dimana ditemukan 6 artikel yang diulas setelah dilakukan penelusuran dan seleksi pada empat database. Hasil ulasan menemukan bahwa 40 pasien dengan skor 6MWT 0,5 m/s berusia >55 tahun diberikan intervensi berupa ekso gait training dengan frekuensi 5 kali/minggu. Setelah dilakukan intervensi selama 8 minggu, analisis data evaluasi menemukan peningkatan pada kecepatan dalam berjalan pada pasien stroke. Berdasarkan hasil ulasan tersebut, dapat disimpulkan bahwa soft exosuit memberikan efek fisiologis yang sesuai dengan kondisi pasien stroke dengan gangguan berjalan sehingga dapat dijadikan opsi intervensi tambahan untuk meningkatkan kecepatan dan daya tahan berjalan.

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