PENGARUH INTERVENSI REPETITIVE TRANSCRANIAL MAGNETIC STIMULATION TERHADAP FUNGSI SENSORIMOTOR PADA PASIEN STROKE ISKEMIK SUBAKUT

  • Jumraini Tamasse Departemen Neurologi Fakultas Kedokteran Universitas Hasanuddin Makassar, Indonesia
  • A. Zuljumadi Adma Program Pendidikan Dokter Spesialis Departemen Neurologi, Fakultas Kedokteran, Universitas Hasanuddin, Makassar, Indonesia
  • Muhammad Akbar Departemen Neurologi Fakultas Kedokteran Universitas Hasanuddin Makassar, Indonesia
  • Irfan Idris Jurusan Fisiologi Fakultas Kedokteran Universitas Hasanuddin Makassar, Indonesia
  • Andi Kurnia Bintang Departemen Neurologi Fakultas Kedokteran Universitas Hasanuddin Makassar, Indonesia
  • Yudy Goysal Departemen Neurologi Fakultas Kedokteran Universitas Hasanuddin Makassar, Indonesia
Keywords: Repetitive Transcranial Magnetic Stimulation (rTMS), Fungsi Sensorimotor, Fugl-Mayer Assessment (FMA), Stroke Iskemik Subakut.

Abstract

Stroke adalah gangguan akut perfusi serebral dan penyebab kecacatan pada populasi di seluruh dunia. Stroke iskemik subakut adalah fase stroke berdasarkan waktu pemulihan. Untuk mengatasi permasalahan fungsi sensorimotor akibat stroke diperlukan neurorestorasi. Strategi baru dalam bidang neurorestorasi berupa neuroinvasive brain stimulation (NIBS), salah satu modalitasnya adalah repetitive transcranial magnetic stimulation (rTMS). Penelitian sebelumnya menunjukkan bahwa rTMS telah menunjukan berbagai manfaat terhadap perbaikan fungsi sensorimotor pasca stroke, namun, masih terdapat hasil yang bervariasi. Penelitian ini merupakan jenis penelitian eksperimental dengan desain pre-test post-test control group. Data demografi serta tanda dan gejala pasien diperoleh dari anamnesis dan pemeriksaan fisik. Protokol rTMS menggunakan stimulus eksitasi frekuensi 10 Hz, 740 pulse selama 7 menit 10 detik dan stimulus inhibisi frekuensi 1 Hz, 1200 pulse selama 19 menit 59 detik sedangkan penilaian terhadap fungsi sensorimotor menggunakan skor fugl-mayer assesment upper extremity dan lower extremity (FMA-UE dan FMA-LE) sebelum dan setelah perlakuan. Uji Wilcoxon dan uji Mann Whitney dilakukan untuk analisis statistik. Signifikansi statistik didefinisikan sebagai nilai p <0,05. Terdapat pengaruh intervensi repetitive Transcranial Magnetic Stimulation terhadap fungsi motorik dimana fungsi motorik pada UE perlakuan (16,33±8,61) dan UE kontrol (2,80±1,42), nilai p 0,000*.

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Published
2024-04-07
How to Cite
Tamasse, J., A. Zuljumadi Adma, Muhammad Akbar, Irfan Idris, Andi Kurnia Bintang, & Yudy Goysal. (2024). PENGARUH INTERVENSI REPETITIVE TRANSCRANIAL MAGNETIC STIMULATION TERHADAP FUNGSI SENSORIMOTOR PADA PASIEN STROKE ISKEMIK SUBAKUT. Medika Alkhairaat : Jurnal Penelitian Kedokteran Dan Kesehatan, 6(1), 298-305. https://doi.org/10.31970/ma.v6i1.163
Section
Articles