Penerapan Mirror Therapy untuk Mengatasi Gangguan Mobilitas Fisik pada Lansia dengan Kasus Stroke Non-Hemoragik

Application of Mirror Therapy to Overcome Physical Mobility Disorders in the Elderly with Non-Hemorrhagic Stroke Cases

https://doi.org/10.33860/lnj.v5i2.4144

Authors

  • Dian Kurniasari Yuwono a:1:{s:5:"en_US";s:23:"Poltekkes Kemenkes Palu";}
  • Windy
  • Dg.Mangemba
  • Nurarifah Nurarifah
  • Sukmawati Sukmawati
  • Nitro Galenso
  • Sri Musriniawati Hasan Poltekkes Kemenkes Palu
  • Selvi Alfrida Mangundap Poltekkes Kemenkes Palu
  • Nurlailah Umar Poltekkes Kemenkes Palu

Keywords:

Stroke haemorrhagic, Mirror therapy, Elderly

Abstract

Background: According to the Indonesian Health Survey, 35.4% of people between the ages of 65 and 74 had a stroke. A non-pharmacological technique called "mirror therapy" uses the cerebral cortex's mirror neuron system to assist stroke victims recover. Purpose: This study aims to investigate the use of mirror therapy in older adults who have had non-hemorrhagic stroke. Method: A case study design of a single elderly patient in the Simpong Health Center area who suffered a non-hemorrhagic stroke in February 2025. Physical examinations, interviews, and observation were used to gather data, which were then processed and presented using a nursing care method. Results: The patient experienced headaches, dizziness when walking 8 meters, trouble sleeping, and frequent awakenings. He also had trouble using his left limbs. blood pressure 173/97 mmHg, rotational movement ability 90 degrees, and upper left extremity’s muscle strength is 3. Ineffective cerebral perfusion, decreased physical mobility, and irregular sleep patterns are among the nursing diagnosis. Vital sign monitoring, medication instruction, mobilization help using mirror therapy twice daily for 30 minutes for five days, and sleep support were among the therapies offered. Upper left extremity’s muscle strength increased by 4 with 180-degree rotating movements on the sixth day of examination. In conclusion, older adults who have had a non-hemorrhagic stroke may benefit from using mirror therapy to strengthen their muscles. Further research is needed to explore the effectiveness of this method on a wider scale

Downloads

Download data is not yet available.

References

Abdillah, A., Widianto, E. P., & Kirana, G. (2022). Efektivitas Terapi Cermin Terhadap Peningkatan Fungsi Motorik pada Pasien Post Stroke: Literature Review. Jurnal Keperawatan, 14(3), 913–922. Retrieved from https://journal2.stikeskendal.ac.id/index.php/keperawatan/article/view/565

Aryanti, D., Priyanto, S., & Priyo. (2021). Penerapan Mirror Therapy Untuk Kekuatan Otot Lansia Dengan Stroke Non Hemoragik Di Keluarga. Univesitas Muhammadiyah Magelang, 1(2), 4–11. https://journal.unimma.ac.id/index.php/bnur/article/view/5414

Auria, R. W. P., Punjastuti, B., & Siti Maryati. (2023). Penerapan Mirror Therapy Untuk Meningkatkan Kekuatan Otot Ekstremitas Bagian Atas Pada Pasien Stroke Non Hemoragik. Journal Of Nursinng & Health, 8(4), 393–399. https://jurnal.politeknikyakpermas.ac.id/index.php/jnh/article/view/311

Badan Kebijakan Pembangunan Kesehatan. (2024). Laporan Tematik Survei Kesehatan Indonesia (SKI) Tahun 2023. Jakarta: Kementerian Kesehatan Republik Indonesia. https://www.badankebijakan.kemkes.go.id/laporan-tematik-ski/

Dinas Kesehatan Kabupaten Banggai. (2022). Profil Kesehatan Kabupaten Banggai Tahun 2022. Luwuk.

Fadlilah, L. (2024). Efek Mirror Therapy pada Fungsi Motorik Ekstremitas Atas pada Pasien Pasca Stroke. Jurnal Ilmiah Kesehatan, 3(1), 71–79. https://doi.org/doi.org/10.47709/healthcaring.v3i1.3623

Feigin, V. L., Brainin, M., Norrving, B., Martins, S., Sacco, R. L., Hacke, W., … Lindsay, P. (2022). World Stroke Organization (WSO): Global Stroke Fact Sheet 2022. International Journal of Stroke, 17(1), 18–29. https://doi.org/10.1177/17474930211065917

Gandhi, D. B., Albert, S., Himani, K., & Pandian, J. D. (2020). Mirror Therapy in Stroke Rehabilitation : Current Perspectives. National Library Of Medicine, 7(16), 75–85. https://doi.org/10.2147/TCRM.S206883. eCollection 2020.

Indriwati, S. (2023). Pengaruh Kombinasi Mirror Therapy dan ROM (Range Of Maotion) Menggengam Bola Karet Terhadap Peningkatan Kekuatan Otot Pada Pasien Stroke Non Hemoragik. In in Karya Tulis Ilmiah. https://repository.unissula.ac.id/33360/2/30902200294_fullpdf.pdf

Irawan, A. G., Khaier, N., R, K. K., & Hazrina, F. A. (2024). Efektifitas Terapi Cermin Terhadap Peningkatan Fungsi Motorik Ekstremitas Atas Pada Pasien Stroke - Systematic Review Effectiveness of Mirror Therapy in Improving Upper Extremity Motor Function in Stroke Patients - Systematic Review. Jurnal Riset Media Keperawatan, 7(1), 13–26. https://doi.org/https://doi.org/10.51851/jrmk.v7i1.469

Laus, R., Wida, A. S. W. D., & Adesta, R. O. (2020). Pengaruh Terapi Cermin terhadap Kekuatan Otot Pasien dengan Gangguan Mobilitas Fisik Akibat Stroke di Ruang Perawatan Interna RSUD dr.T.C.Hillers Maumere. Jurnal Keperawatan Dan Kesehatan Masyarakat, 7(2), 34–42. Retrieved from https://jkkmfikesunipa.nusanipa.ac.id/index.php/hlj-Unipa/article/view/71

Maisyaroh, A., Azizah, K. N., Abdillah, A., & Fibriansari, R. D. (2021). Efektivitas Mirror Therapy Terhadap Peningkatan Kekuatan Otot Pada Pasien Post Stroke: Literatur Review. 4(1), 13–24. https://journal.ppnijateng.org/index.php/jikmb/article/view/713

Persatuan Perawat Nasional Indonesia(PPNI). (2018). Standar Luaran Keperawatan Indonesia: Definisi dan Kriteria Hasil (1st ed.). Dewan Pengurus Pusat Persatuan Perawat Nasional Indonesia.

Persatuan Perawat Nasional Indonesia (PPNI). (2017). Standar Diagnosis Keperawatan Indonesia: Definisi dan Tindakan Diagnostik (1st ed.). Jakarta: Dewan Pengurus Pusat Persatuan Perawat Nasional Indonesia.

Persatuan Perawat Nasional Indonesia (PPNI). (2018). Standar Intervensi Keperawatan Indonesia: Definisi dan Tindakan Keperawatan (1st ed.). Jakarta: Dewan Pengurus Pusat Persatuan Perawat Nasional Indonesia.

Pramana, P. Y., Istri, C., Sintarani, D., Ayu, I., Wijayanti, S., Agung, A., & Sudewi, R. (2022). Hubungan fungsi motorik dan derajat kekuatan otot dengan kejadian fatigue pasca stroke. Intatisari Sains Medis, 13(2), 560–564. https://doi.org/https://doi.org/10.15562/ism.v13i2.1436

Putri, R. S., Sholihin, & Satrianto, A. (2024). Penerapan Mirror Therapy Pada Asuhan Keperawatan Gerontik Klien Stroke Non Hemoragik Dengan Masalah Keperawatan Gangguan Mobilitas Fisik Di Wilayah Kerja Puskesmas Klatak Banyuwangi 2024. Community Health Nursing Journal, 67–74. Retrieved from https://cmhn.pubmedia.id/index.php/cmhn/index%0APENERAPAN

Robinson, D. P., Pansori, H. M., & Hermiati, D. (2023). Pengaruh Mirror Therapy Terhadap Uji Kekuatan Otot Pasien Stroke Non Hemoragik Di RSUD Curup Tahun 2022. Jurnal Multidisiplin Ilmu, 2(1), 287–295. https://doi.org/https://doi.org/10.31004/koloni.v2i1.447

Roboth, T., Marpaung, L., & Elfrida, S. (2020). Modifikasi Constraint Induced Movement Therapy Dibanding Terapi Cermin Terhadap Peningkatan Kemampuan Fungsional Ekstremitas Atas Pasien Stroke Subakut. Jurnal Medik Dan Rehabilitasi (JMR), 2(1), 1–10. https://doi.org/http://ejournal.unsrat.ac.id

Springer, M. V., Skolarus, L. E., & Patel, M. (2023). Food Insecurity and Perceived Financial Stress are Associated with Cost-related Medication Non-adherence in Stroke. Journal of Health Care for the Poor and Underserved, 34(2), 625–639. https://doi.org/10.1353/hpu.2023.0054

Suwaryo, P. A., Widyaswara, Levia, L., & Waladani, B. (2021). Penerapan Terapi Cermin Untuk Meningkatkaan Kekuatan Otot Pada Pasien Stroke Non Hemoragik. Journal of Borneo Holistic Health, 4(2), 127–135. https://doi.org/https://doi.org/10.35334/borticalth.v4i2.2263

World Health Organization. (2024). Ageing and Health. Retrieved from https://www.who.int/news-room/fact-sheets/detail/ageing-and-health

Zahrotul Jannah, Yurike Septianingrum, Raden Khairiyatul Afiyah, & Imamatul Faizah. (2023). The Effectiveness of Mirror Therapy in Stroke Patients: A Systematic Review. Journal Of Nursing Practice, 6(2), 137–144. https://doi.org/10.30994/jnp.v6i2.307

Published

2025-04-30

How to Cite

Yuwono, D. K., Sandagang, W. S., Dg.Mangemba, Nurarifah, N., Sukmawati, S., Galenso, N., … Umar, N. (2025). Penerapan Mirror Therapy untuk Mengatasi Gangguan Mobilitas Fisik pada Lansia dengan Kasus Stroke Non-Hemoragik : Application of Mirror Therapy to Overcome Physical Mobility Disorders in the Elderly with Non-Hemorrhagic Stroke Cases. Lentora Nursing Journal, 5(2), 81–87. https://doi.org/10.33860/lnj.v5i2.4144

Issue

Section

Case Study