Effect of Combination Mirror Therapy and Cylindrical Grip on Self-Care of Post-Stroke Ischemic Patients

Bernadetta Germia Aridamayanti, Nursalam Nursalam, Iqlima Dwi Kurnia

= http://dx.doi.org/10.20473/jn.v15i2.18906
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Introduction: Stroke is the leading cause of disability at a productive age. Hemiparesis upper limb is an example of a disability that is found post-stroke, which limits self-care such as eating, bathing, toileting and dressing. The purpose of this study was to determine the effect of a combination of mirror therapy and cylindrical grip on improving self-care of post-stroke patients.

Methods: The design of this study was quasi-experimental (pre-post test with control group design). The population was post-stroke patients who experience upper limb hemiparesis in the Medical Rehabilitation Poly. A sample of 66 respondents (33/33) was chosen using purposive sampling. The independent variable was a combination of mirror therapy and cylindrical grip, and the dependent variable was self-care. Data were collected using a self-care questionnaire with strong validity and reliability. Analysis was undertaken using Kolmogorov Smirnov and Wilcoxon Sign Rank Test. Interventions were given three times a week for a month.

Results: In the intervention and control groups there were significant differences between self-care before and after the intervention with a value of 0.000 (p <0.05).

Conclusion: The increase in the intervention group can be seen from the sub-variables in self-care toileting, which involves cleaning the genitalia area after defecation/urination. This intervention stimulates the finger sensory and motor nerves so that they can perform self-care to the maximum. A combination of mirror therapy and cylindrical grip has been shown to improve self-care.


mirror therapy; cylindrical grip; self-care; hemiparesis; stroke rehabilitation

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Andreas, R., & Tendean, A. (2019). Pengaruh Power Grip Terhadap Kemampuan Aktivitas Harian Pada Pasien Stroke di RSUP. Prof. Dr. R.D. Kandou Manado. Jurnal Skolastik Keperawatan, 1, 30–39.

Arya, K. N., Pandian, S., Kumar, D., & Puri, V. (2015). Task-Based Mirror Therapy Augmenting Motor Recovery in Poststroke Hemiparesis: A Randomized Controlled Trial. Journal of Stroke and Cerebrovascular Diseases, 24(8), 1738–1748. https://doi.org/10.1016/j.jstrokecerebrovasdis.2015.03.026

Cai, A., Pingel, I., Lorz, D., Beier, J. P., Horch, R. E., & Arkudas, A. (2018). Force distribution of a cylindrical grip differs between dominant and nondominant hand in healthy subjects. Archives of Orthopaedic and Trauma Surgery, 138(9), 1323–1331. https://doi.org/10.1007/s00402-018-2997-7

Chan, W. C., & Au-Yeung, S. S. Y. (2018). Recovery in the Severely Impaired Arm Post-stroke after Mirror Therapy – a Randomized Controlled Study. American Journal of Physical Medicine & Rehabilitation, 1, 1. https://doi.org/10.1097/PHM.0000000000000919

Choi, H.-S., Shin, W.-S., & Bang, D.-H. (2019). Mirror Therapy Using Gesture Recognition for Upper Limb Function, Neck Discomfort, and Quality of Life After Chronic Stroke: A Single-Blind Randomized Controlled Trial. Medical Science Monitor, 25, 3271–3278. https://doi.org/10.12659/msm.914095

Colombo, R., Raglio, A., Panigazzi, M., Mazzone, A., Bazzini, G., Imarisio, C., Molteni, D., Caltagirone, C., & Imbriani, M. (2019). The SonicHand Protocol for Rehabilitation of Hand Motor Function: A Validation and Feasibility Study. IEEE Transactions on Neural Systems and Rehabilitation Engineering, 27(4), 664–672. https://doi.org/10.1109/TNSRE.2019.2905076

de Rooij, N. K., Claessen, M. H. G., van der Ham, I. J. M., Post, M. W. M., & Visser-Meily, J. M. A. (2019). The Wayfinding Questionnaire: A clinically useful self-report instrument to identify navigation complaints in stroke patients. Neuropsychological Rehabilitation, 29(7), 1042–1061. https://doi.org/10.1080/09602011.2017.1347098

Dewie, N. S., & Has, E. M. M. (2017). Self-Care Needs in Patients with Physical Immobilization. Jurnal Ners, 12(2), 286. https://doi.org/10.20473/jn.v12i2.6518

Frank, C. (2016). Learning a Motor Action “From Within”: Insights Into Perceptual-Cognitive Changes With Mental and Physical Practice. In Sport and Exercise Psychology Research: From Theory to Practice. Elsevier Inc. https://doi.org/10.1016/B978-0-12-803634-1.00005-4

Gialanella, B., Bertolinelli, M., & Santoro, R. (2008). Rehabilitative outcome in supratentorial and infratentorial stroke: The role of motor deficits. Aging Clinical and Experimental Research, 20(4), 310–315. https://doi.org/10.1007/BF03324861

Gurbuz, N., Afsar, S. I., Ayaş, S., Nur, S., & Cosar, S. (2016). Effect of mirror therapy on upper extremity motor function in stroke patients : a randomized controlled trial. The Journal of Physical Therapy Science, 1–6. https://doi.org/10.1589/jpts.28.2501

Koyama, T., Koumo, M., Uchiyama, Y., & Domen, K. (2018). Utility of Fractional Anisotropy in Cerebral Peduncle for Stroke Outcome Prediction: Comparison of Hemorrhagic and Ischemic Strokes. Journal of Stroke and Cerebrovascular Diseases, 27(4), 878–885. https://doi.org/10.1016/j.jstrokecerebrovasdis.2017.10.022

Louie, D. R., Lim, S. B., & Eng, J. J. (2019). The Efficacy of Lower Extremity Mirror Therapy for Improving Balance, Gait, and Motor Function Poststroke: A Systematic Review and Meta-Analysis. Journal of Stroke and Cerebrovascular Diseases, 28(1), 107–120. https://doi.org/10.1016/j.jstrokecerebrovasdis.2018.09.017

Machado, T. C., Carregosa, A. A., Santos, M. S., Manoel, N., & Melo, A. (2019). Topics in Stroke Rehabilitation Efficacy of motor imagery additional to motor- based therapy in the recovery of motor function of the upper limb in post-stroke individuals : a systematic review. Topics in Stroke Rehabilitation, 0(0), 1–6. https://doi.org/10.1080/10749357.2019.1627716

Muhlisin, A., & Irdawati. (2010). Teori self care dari Orem dan pendekatan dalam praktek keperawatn. Berita Ilmu Keperawatan, 2(2), 97–100.

Nursalam. (2017). Metodologi Penelitian Ilmu Keperawatan: Pendekatan Praktis. Metodologi Penelitian Ilmu Keperawatan: Pendekatan Praktis.

Park, J.-Y., Chang, M., Kim, K.-M., & Kim, H.-J. (2015). The effect of mirror therapy on upper-extremity function and activities of daily living in stroke patients. Journal of Physical Therapy Science, 27(6), 1681–1683. https://doi.org/10.1589/jpts.27.1681

Suhardingsih, S. (2012). Peningkatan Self Care Agency Pasien Dengan Stroke Iiskemik Setelah Penerapan Self Care Regulation Model. Jurnal Ners, 7(1).

Vergara, M., Sancho-Bru, J. L., Gracia-Ibáñez, V., & Pérez-González, A. (2014). An introductory study of common grasps used by adults during performance of activities of daily living. Journal of Hand Therapy, 27(3), 225–234. https://doi.org/10.1016/j.jht.2014.04.002

Yang, Y., Zhao, Q., Zhang, Y., Wu, Q., Jiang, X., & Cheng, G. (2018). Effect of Mirror Therapy on Recovery of Stroke Survivors: A Systematic Review and Network Meta-analysis. Neuroscience, 390, 318–336. https://doi.org/10.1016/j.neuroscience.2018.06.044


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