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8/18/2019 Jurnal Reading Stase Saraf (Neurologi)
1/24
BASOFI SUKIMAN BOBH1AP11029
PEMBIMBING :
dr. Hasymi Hanafiah, Sp.S
JOURNALREADING
BAGIAN SARAF RS. DR. M. YUNUS BENGKULU
FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN
UNIVERSITAS BENGKULU
2016
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“Effect of Aeroic E!ercise "#a$%in&'
(rainin& on F)nctiona$Stat)s and Hea$th*re$ated +)a$ity ofife in -hronic Stro%e S)riors/
A Randomized Controlled Trial
Carron D. Gordon P!D" Rain#ord $il%& DM" A##ette M'Ca()Binn& P!D!tt*:++&tro%e.a!a,o-rnal&.or+ / -e&t on Noem/er 22 201
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Latar belakang......
3edi%it an ta!- tentan *enar-! dari ola!raaaero/i' 4/er,alan %a%i5 *ada *enderita 3tro%e %roni&.
6ati!an 7la!raa aero/i% 4/er,alan %a%i5 *ada*enderita &tro%e tela! ter/-%ti menin%at%an %e%-atane%&tremita& /a(a! menin%at%an %a*a&ita& ola!raadan %emam*-an #-n&ional 48atz)la-rer et all 2005.
Me&%i*-n !a&il *enelitian 4aero/i%5 ter/-%timenin%at%an %-alita& !id-* ter%ait %e&e!atan nam-n*enar-! lati!an aero/i% ma&i! &edi%it diteliti.
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()0)an
T-,-an *enelitian ini adala!-nt-% menent-%an e#e%
dari aero/i% 4/er,alan %a%i5&elama 12 min- ter!ada*&tat-& #-n&ional dan%-alita& %e&e!atan *ada*enderita &tro%e.
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Metode4de&in &-/,e't&5
3inle)/lind RCT
Penelitian ini &-da!memili%i %elaa%an
eti%.
In#ormed 'on&ent
3-/,e% *enelitian:*a&ien an mela%-%an*eno/atan di R-ma!
3a%it *aro%i 8in&tonand 3t. Andre(.
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Kriteria inklusi
; 0 t!n.; ? &am*ai 2> /-lan &etela! &tro%e.
; Mam*- /er,alan tan*a alat /ant-.
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Kriteria eksklusi
; Dalam %eadaan re!a/ilita&iata- *roram ola!raaterat-r.
; Memili%i *ena%it lain da*at mem*enar-!i
lati!an ola!raa &e*erti-n&ta/le anina 4AT35 dande#i&it %oniti#.
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1rosed)r
3-/,e% an memen-!i %riteria in%l-&idi&arin ole! tenaa %e&e!atan %em-dian&e'ara a'a% di/ai men,adi %elom*o% an
dila%-%an interensi dan %elom*o%%ontro$. Penilaian -lan dila%-%an ?min- dan /-lan %em-dian 4&etela!*elati!an5.
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Kelompok Intervensi
3-/,e% dalam %elom*o% interen&i dia(a&i ole!in&tr-%t-r terlati! -nt-% /er,alan 'e*at &elama 1menit )@ %ali *er min- )@ &elama 12 min-.
3elan,-tna ditam/a! menit *er min- !ina0 menit dir-ma! ata- %om-nita& mere%a.
Taret HR adala! ?0 &am*ai dari -&ia*redi%&i HR ma%&im-m 4220)-m-r5.
8/18/2019 Jurnal Reading Stase Saraf (Neurologi)
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Kelompok kontrol
8elom*o% %ontrol
menerima *i,atanrinan di r-ma! -nt-%e%&tremita& an
lema! &elama 2 menit)@ + min- )@ 12min-.
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8/18/2019 Jurnal Reading Stase Saraf (Neurologi)
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Pencapaian 1encapaian primer -nt-%
menilai %-alita& !id-* ter%ait%e&e!atan 4%om*enen%e&e!aan #i&i% dan mental ta/el 25 melal-i &%orin%-e&ioner Medi'al 7-t'ome&&-re 4? item 3!ort orm
Healt! 3-re5.
1encapaian se%)nder ait- lati!an %eta!anan 4Te&t? menit /er,alan %a%i5den-t ,ant-n 4HR5 &aati&tirat dan %e%-atane%&tremita& /a(a!.Den-t ,ant-n &aat i&tira!at
dire%am men-na%an *olar A1HR Monitor 4Model F 1902?90 / Polar Ele'tro 7 inland5.
8e%-atan e%&tremita& /a(a!ditent-%an denan Inde%&
%e%-atan Motori%
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Analisis data8ed-a %elom*o% di/andin%an dari &em-a aria/el men-na%an 2 dan -,i 3t-dent t.
Per/edaan antara %elom*o% interen&i %ontrol dianali&i& men-na%an 2)(a mied
AN7A.
Nilai /erma%na an diteta*%an adala! 00.
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Hasil 1. Dari 12 &-/,e% *enelitian an di*ili! &e'araa'a%" oran dari %elom*o% interen&i orandari %elom*o% %ontrol dinata%an dro* o-t%arena:%ematian 4>5 &tro%e /er-lan 415 interen&i
%omor/idita& 4>5 Proram terlal- &-lit 415 tida%&e*erti %elom*o% t-a& 415 %e%era&an dalamma&ara%at 415.
2. Tida% ada e#e% &am*in an ter,adi &elama
ata- &e&-da! *enelitian.
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. 8om*onen %e&e!atan #i&i%" terda*at *er/edaan an /erma%na antara %elom*o% interen&i dan%ontrol 4*J 002>5.
>. 8om*onen %e&e!atan mental" tida% ada *er/edaan an /erma%na antara %elom*o% interen&i
%elom*o% %ontrol 4*J 05.
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. ?)menit /er,alan %a%i" terda*at *er/edaan an
/erma%na *ada %elom*o% interen&i *ada ? min-dan /-lan.
?. Den-t ,ant-n i&tira!at 4HR Re&t5" menin%at
*ada %ed-a %elom*o% dari a(al &am*ai ? min-ta*i dari ? min- &am*ai /-lan ter,adi *en-r-n&e'ara &ini#i%an *ada %elom*o% interen&i nam-nmenin%at *ada %elom*o% %ontrol.
. Inde%& %e%-atan motori%" tida% ada *er/edaan an /erma%na antara %elom*o% interen&i %ontrol.
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8/18/2019 Jurnal Reading Stase Saraf (Neurologi)
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Diskusi......
1. 6ati!an ola!raa aero/i% 4,alan 'e*at5 da*at menin%at%an%e&e!atan #i&i% dan %-alita& !id-* di/andin%an denan*roram *i,at.
2. 3-/,e% *ada *enelitian menalami *enin%at%an daa ta!ant-/-! &el#)e##i'a' 4%eman,-ran5 dalam /er,alan &e/aaia%i/at lati!an 12 min-.
. 6ati!an ola!raa aero/i% 4,alan 'e*at5 men-n,-%%an*enin%atan %-alita& !id-* *ada *enandan &tro%e %roni%.
>. Ber&e*eda tida% men!a&il%an *er/edaan dalam 8om*onen8e&e!atan i&i% 43)? mea&-re5 di/andin%an denan%e%-atan dan lati!an aero/i% dalam *enelitian.
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. Ha&il *enelitian ini did-%-n ole! *enelitian Ma'%o Ret all 200 men-na%an *roto%ol lati!an treadmill
an menata%an /a!(a &-/,e% *enelitian menalami
*enin%atan %emam*-an -t% /er,alan ,a-! dan le/i!'e*at
?. 6ati!an aero/i' *ada %elom*o% interen&i memili%i
/ana% %e-n-lan diantarana tida% memerl-%an*erlatan %!-&-& dila%-%an %eti%a (a%t- &antai%el-ara*-n /i&a menam/il ali! *ena(a&an dlmlati!an &e!ina e#e%tiita& /iaa.
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Kekurangan
penelitian
S)ye% pene$itian san&atteratas ait- mere%a an *a&'a&tro%e ? &am*ai 2> /-lan &e/el-m*enelitian dan /i&a /er,alan &e'ara
mandiri.
1ere%r)tan s)0e% pene$itian$amat dan oersamp$in&
tida% tercapai &e!ina &-/,e%
an dire%r-t !ana &edi%it danmen-rani %e%-atan dalam
*enelitan -nt-% menilai %ema%naan 2%elom*o%.
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Kesimpulan
6ati!an ola!raa aero/i% 4,alan 'e*at5 da*atmenin%at%an %e&e!atan #i&i% dan %eta!anan
*ada *a&ien denan &tro%e %roni%.
6ati!an ola!raa aero/i% 4,alan 'e*at5
mer-*a%an lati!an /er/a&i& ma&ara%at an /ert-,-an mendoron a%tiita& #i&i% &e'araterat-r dan da*at menin%at%an %e&e!atan.
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Sumber.....
Stroke. 2013;44:1179-1181; originally published online ar!h7" 2013;
doi:10.1161/STROKAHA.111.0006!"Stroke is published by the #$eri!an %eart
#sso!iation" 7272 &reen'ille #'enue" (allas" )*7+231
#op$ri%&t ' "01( Ameri)an Heart Asso)iation* In). All ri%&tsreserved
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Terima 8a&i!