Efektivitas ViEPiN (Video Edukasi Pintar) : Inovasi Smart Balance Exercise Berbasis Video Untuk Meningkatkan Mobilitas dan Activity Daily Living Pasien Stroke

Authors

  • Angga Arfina Institut Kesehatan Payung Negeri pekanbaru
  • Rina Henriyanti STIKES payung Negeri Pekanbaru

Keywords:

Activity Daily Living,, Video Edukasi,, ViEPin Balance Exercise, Mobilitas, Stroke

Abstract

Stroke berdampak pada kemampuan mobilitas dan kemampuan melakukan aktivitas sehari-hari. ViEPin Balance Exercise hadir sebagai solusi inovatif berbasis media audiovisual yang memberikan panduan latihan keseimbangan terpadu. Penelitian ini bertujuan mengkaji efektivitas ViEPin : Video Edukasi Pintar Balance Exercise dalam meningkatkan mobilitas dan kemampuan aktivitas sehari-hari (ADL) penderita stroke. Metode yang digunakan adalah quasi experiment dengan desain pretest-posttest nonequivalent control group pada 60 pasien stroke di Puskesmas Garuda Pekanbaru dibagi menjadi 2 kelompok (intervensi dan kontrol). Instrumen penelitian yang digunakan adalah Timed Up an Go Test (TUG) untuk mobilitas fungsional, Rivermed Mobility Index (RMI) untuk kemampuan mobilitas dan Barthel Index (BI) untuk kemampuan ADL. Hasil univariat menunjukkan distribusi karakteristik responden seimbang pada usia, jenis kelamin, pendidikan, pekerjaan dan lama menderita stroke antara kelompok kontrol dan intervensi. Rata-rata nilai TUG kelompok intervensi menurun dari 21.80 detik menjadi 18.63 detik yang menandakan peningkatan mobilitas fungsional. Nilai RMI meningkat dari 10.93 menjadi 11.93 dan nilai BI meningkat dari 72.00 menjadi 81.50, artinya terjadi peningkatan kemampuan mobilitas dan ADL. Pada kelompok kontrol rata-rata TUG adalah 223.50 detik, RMI 10.37 dan BI 77.33 menunjukkan peningkatan yang lebih rendah dibanding kelompok intervensi. Analisis bivariat menunjukkan perbedaan signifikan sebelum dan sesudah intervensi pada kelompok intervensi pada mobilitas fungsional, kemampuan mobilitas dan kemampuan ADL (p=0.000). perbandingan antar kelompok setelah intervensi menunjukkan niali TUG kelompok intervensi lebih baik dibanding kontrol (p=0.020), dan nilai RMI (p=0.013) dan BI (p=0.018). ViEPin balance Exercise efektif meningkatkan mobilitas fungsional, kemampuan mobilitas dan kemampuan ADL pasien stroke secara signifikan dan dapat dijadikan sebagai strategi rehabilitasi yang aman, mudah diakses dan diterapkan mandiri di rumah.

References

Aritonang, M., Munthe, D. sartika, Siregar, S. A., Silitonga, L. L., & Saragih, R. J. (2024). Tingkat kepatuhan pasien pasca stroke dalam mengikuti terapi di unit fisioterapi. 6(1), 63–68.

Bai, X., Li, Z., Cai, Z., Yao, M., Chen, L., & Wang, Y. (2024). Gender differences in risk factors for ischemic stroke: a longitudinal cohort study in East China. BMC Neurology, 24(1), 1–10. https://doi.org/10.1186/s12883-024-03678-0

Bellomo, R. G., Paolucci, T., Saggino, A., Bramanti, A., Cimino, V., Tommasi, M., & Saggini, R. (2020). The WeReha Project for an Innovative Home-Based Exercise Training in Chronic Stroke Patients : A Clinical Study. https://doi.org/10.1177/1179573520979866

Bharti, A., Balaji, G. K., & Agrahara, S. (2022). Effect of Early Bedside Arm and Leg Cycle Ergometry on Sitting and Standing ability in Hospitalized acute Stroke Patients : A Randomized Controlled Trial. https://doi.org/10.4103/0028-3886.359229

Boissoneault, C., Grimes, T., Rose, D., Waters, M. F., Khanna, A., Datta, S., & Daly, J. J. (2020). Innovative long-dose neurorehabilitation for balance and mobility in chronic stroke: A preliminary case series. Brain Sciences, 10(8), 1–19. https://doi.org/10.3390/brainsci10080555

Burns, S. P., Terblanche, M., Perea, J., Lillard, H., Delapena, C., Grinage, N., Mackinen, A., & Cox, E. E. (2021). mHealth Intervention Applications for Adults Living With the Effects of Stroke : A Scoping Review. https://doi.org/10.1016/j.arrct.2020.100095

Caetano, L. C. G., Pacheco, B. D., Samora, G. A. R., Teixeira-salmela, L. F., & Scianni, A. A. (2020). Self-Efficacy to Engage in Physical Exercise and Walking Ability Best Predicted Exercise Adherence after Stroke. 2020. https://doi.org/10.1155/2020/2957623

Che, B., Shen, S., Zhu, Z., Wang, A., Xu, T., Peng, Y., Li, Q., Ju, Z., Geng, D., Chen, J., He, J., Zhang, Y., & Zhong, C. (2020). Education level and long-term mortality, recurrent stroke, and cardiovascular events in patients with ischemic stroke. Journal of the American Heart Association, 9(16). https://doi.org/10.1161/JAHA.120.016671

Dupre, M. E., & Lopes, R. D. (2016). Marital history and survival after stroke. Journal of the American Heart Association, 5(12). https://doi.org/10.1161/JAHA.116.004647

Haruyama, K., Kawakami, M., & Otsuka, T. (2017). Effect of Core Stability Training on Trunk Function , Standing Balance , and Mobility in Stroke Patients : A Randomized Controlled Trial. https://doi.org/10.1177/1545968316675431

Hwong WY, Bots ML, Selvarajah S, Sivasampu S, Reidpath DD, Law WC, Musa KI, V. I. (2019). Sex differences in stroke metrics among Southeast Asian countries: Results from the Global Burden of Disease Study 2015. Results from the Global Burden of Disease Study 2015. Int J Stroke, 14(8), 826–834. https://doi.org/10.1177/1747493019832995

Imoisili, O. E., Chung, A., Tong, X., Hayes, D. K., & Loustalot, F. (2024). Prevalence of Stroke — Behavioral Risk Factor Surveillance System, United States, 2011–2022. MMWR. Morbidity and Mortality Weekly Report, 73(20), 449–455. https://doi.org/10.15585/mmwr.mm7320a1

Irfan, reza Z., Nuraini, T., & Gayatri, T. (2021). The link between self-efficacy and mobility performance in stroke patients. Enfermería Clínica. https://doi.org/https://doi.org/10.1016/j.enfcli.2020.09.020

Jang, H. J., Lee, J. W., & Kim, D. Y. (2025). The effect of virtual reality-based treadmill gait training on functional mobility and balance in chronic stroke patients : a randomized controlled trial. July. https://doi.org/10.3389/fneur.2025.1603233

Kemenkes RI. (2024). Cegah stroke dengan aktivitas fisik. https://kemkes.go.id/id/rilis-kesehatan/cegah-stroke-dengan-aktivitas-fisik

Kim, H., Han, A., Lee, H., Choi, J., Lee, H., & Cho, M. (2024). Impact of Mobile Health Literacy , Stroke-Related Health Knowledge , Health Beliefs , and Self-Efficacy on the Self-Care Behavior of Patients with Stroke.

Kim, Y. W., & Yoon, S. Y. (2024). The Safety and Efficacy of Balance Training on Stroke Patients With Reduced Balance Ability: A Meta-Analysis of Randomized Controlled Trials. Brain & Neurorehabilitation, 17(3). https://doi.org/10.12786/bn.2024.17.e15

Kong, H., Bang, D., & Shin, W. (2015). Effects of Balance Training on Different Support Surface on Balance and Gait in Patients with Chronic Stroke. Journal of the Korean Society of Physical Medicine, 10(3), 57–65. https://doi.org/10.13066/kspm.2015.10.3.57

Lee, K. E., Choi, M., & Jeoung, B. (2022). Effectiveness of Rehabilitation Exercise in Improving Physical Function of Stroke Patients: A Systematic Review. International Journal of Environmental Research and Public Health, 19(19). https://doi.org/10.3390/ijerph191912739

Liu, Q., Wang, X., Wang, Y., Wang, C., Zhao, X., Liu, L., Li, Z., Meng, X., Guo, L., & Wang, Y. (2018). Association between marriage and outcomes in patients with acute ischemic stroke. Journal of Neurology, 265(4), 942–948. https://doi.org/10.1007/s00415-018-8793-z

Liu, Y., Jiang, M., Pan, X., & Geng, J. (2025). Effects of exercise on mobility, balance and gait in patients with the chronic stroke: a systematic review and meta-analysis. Scientific Reports, 15(1), 1–12. https://doi.org/10.1038/s41598-025-09458-1

Muniyar, K. D., & Darade, S. B. (2018). EFFECT OF SWISS BALL TRAINING AND CONVENTIONAL PHYSIO- THERAPY TO IMPROVE BALANCE AND MOBILITY IN POST-STROKE PATIENTS. 6(4), 2813–2822. https://doi.org/10.16965/ijpr.2018.156

Nduwimana, I., Sinzakaraye, A., Havyarimana, E., Bleyenheuft, Y., & Thonnard, J. (2023). Effect of mixed and collective physical activity in chronic stroke rehabilitation : A randomized cross-over trial in low-income settings Tag edEn n e. 66. https://doi.org/10.1016/j.rehab.2022.101704

Saebo. (2017). Stroke Exercises for Your Body. 26–28. https://www.saebo.com/pages/stroke-exercises-for-your-body?srsltid=AfmBOop8WIjQuAXMwTlCejh5xvEXKA_3Ind0UUi63pYLnzWPGCpd6Kvp

Szeto, S. G., Wan, H., Alavinia, M., Dukelow, S., & Macneill, H. (2023). Effect of mobile application types on stroke rehabilitation : a systematic review. Journal of NeuroEngineering and Rehabilitation, 9, 1–18. https://doi.org/10.1186/s12984-023-01124-9

Tariq, S., Waris, A., Iqbal, J., Khan, N. B., Gilani, S. O., Mushtaq, S., Awais, Q., & Mushtaq, K. (2025). Evaluation of balance and orthotic gait training techniques for rehabilitation in hemiplegic stroke patients. Scientific Reports, 15(1), 1–11. https://doi.org/10.1038/s41598-025-98227-1

World Health Organization. (2025). Stroke, cerebrovaskular accident. https://www.emro.who.int/health-topics/stroke-cerebrovascular-accident/index.html

Yamanie, N., Chalik Sjaaf, A., Felistia, Y., Harry Susanto, N., Diana, A., Lamuri, A., & Miftahussurur, M. (2023). High socioeconomic status is associated with stroke severity among stroke patients in the National Brain Centre Hospital, Jakarta, Indonesia. Preventive Medicine Reports, 32(6). https://doi.org/10.1016/j.pmedr.2023.102170

Yao, M., Chen, J., Jing, J., Sheng, H., Tan, X., & Jin, J. (2017). Defining the rehabilitation adherence curve and adherence phases of stroke patients: An observational study. Patient Preference and Adherence, 11, 1435–1441. https://doi.org/10.2147/PPA.S139854

Yu, Y., Lei, D., He, Q., & Chen, W. (2021). A cohort study on the relationship between education level and high‐risk population of stroke. Ibrain, 7, 181–191. https://doi.org/10.1002/j.2769-2795.2021.tb00082.x

Zhang, L., Yang, J., Yang, Q., An, W., Wang, D., & Cui, B. (2024). Effectiveness of kneeling training in improving mobility and balance post-stroke.

Downloads

Published

2026-01-30