Pengaruh Tindakan Mirror Therapy Terhadap Kekuatan Otot pada Pasien Stroke di Unit Rehabilitasi RSPAD Gatot Soebroto

Authors

  • Siti Nur Fadillah STIKes RSPAD Gatot Soebroto
  • Wilda Fauzia STIKes RSPAD Gatot Soebroto
  • Imam Subiyanto STIKes RSPAD Gatot Soebroto

DOI:

https://doi.org/10.31004/joecy.v6i1.7677

Keywords:

stroke, mirror therapy, muscle strength, rehabilitation

Abstract

Stroke is a neurological condition that often causes motor function disorders in the form of decreased muscle strength, especially in the extremities, which impacts the patient's ability to perform daily activities. Rehabilitation efforts are needed to maximize the recovery of motor function, one of which is through non-pharmacological treatment interventions such as mirror therapy. This therapy works by providing visual stimulation through mirrors to activate the motor areas of the brain and support neuroplasticity mechanisms. To determine the effect of mirror therapy on muscle strength in stroke patients in the Rehabilitation Unit of RSPAD Gatot Soebroto. This study used a quantitative pre-experimental design with a one-group pretest-posttest approach. Data collection was conducted from early December to the end of December 2025. The study sample consisted of stroke patients treated at the Stroke Unit of Gatot Soebroto Army Hospital and met the inclusion criteria using a purposive sampling technique. Muscle strength was measured before and after mirror therapy intervention using Manual Muscle Testing (MMT). Showed an increase in muscle strength after mirror therapy. The statistical test results showed a p-value <0.05, so it can be concluded that there was a significant difference between muscle strength before and after mirror therapy intervention.

References

Adhi, B. P., & Soenyoto, T. (2017). Journal of Physical Education and Sports Pengaruh Metode Latihan dan Kekuatan Otot Tungkai terhadap Power Otot Tungkai Abstrak. 6(1), 7–13.

Anwairi, U. (2021). Manajemen Asuhan Keperawatan Psikososial Dengan Masalah Kecemasan Pada Penderita Hipertensi di Subulussalam. Open Science Framework. http://dx.doi.org/10.31219/osf.io/gpq74

Aprianda, R. (2019). INFODATIN STROKE. https://www.scribd.com/document/504317770/Infodatin-Stroke-Dont-Be-the-One

Arfianti, L., Rochman, F., Hidayati, H. B., & Subadi, I. (2022). The addition of mirror therapy improved upper limb motor recovery and level of independence after stroke: a randomized controlled trial. Brazilian Journal of Occupational Therapy, 30, 1–12. https://doi.org/10.1590/2526-8910.ctoAO245932182

Avula, A., Nalleballe, K., Narula, N., Sapozhnikov, S., Dandu, V., Toom, S., Glaser, A., & Elsayegh, D. (2020). COVID-19 presenting as stroke. Brain, Behavior, and Immunity, 87, 115–119. https://doi.org/10.1016/j.bbi.2020.04.077

Ayu Ria Widiani, G., & Mahardika Yasa, I. M. (2023). Korelasi Tingkat Pengetahuan Terhadap Kemampuan Deteksi Dini Gejala Stroke Dengan Sikap Keluarga Terhadap Penanganan Pre Hospital. Bina Generasi : Jurnal Kesehatan, 14(2), 25–30. https://doi.org/10.35907/bgjk.v14i2.255

Benny S. Pasaribu, Aty Herawati, Kabul Wahyu Utomo, & Rizqon Halal Syah Aji. (2022). Metodologi Penelitian Untuk Ekonomi dan Bisnis. In UUP Academic Manajemen Perusahaan YKPN. https://repository.uinjkt.ac.id/dspace/bitstream/123456789/65013/1/Metodologi Penelitian.pdf

Choi, A., Lim, J., & Kim, B. (2024). Effects of muscle strength exercise on muscle mass and muscle strength in patients with stroke : a systematic review and meta-analysis. 20(5), 146–157.

Fauzi, A., Nisa, B., Napitupulu, D., Abdillah, F., Utama, A. A. G. S., Zonyfar, C., Nuraini, R., Purnia, D. S., Setyawati, I., Evi, T., Permana, S. D. H., & Sumartiningsih, M. S. (2022). Metodologi Penelitian. In Rake Sarasin (Issue May). CV. Pena Persada. https://www.researchgate.net/publication/380362452_METODOLOGI_PENELITIAN

Feigin, V. L., Brainin, M., Norrving, B., Martins, S., Sacco, R. L., Hacke, W., Fisher, M., Pandian, J., & 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

Handayani, D., & Dominica, D. (2019). Gambaran Drug Related Problems (DRP’s) pada Penatalaksanaan Pasien Stroke Hemoragik dan Stroke Non Hemoragik di RSUD Dr M Yunus Bengkulu. Jurnal Farmasi Dan Ilmu Kefarmasian Indonesia, 5(1), 36. https://doi.org/10.20473/jfiki.v5i12018.36-44

Hermawan, S. M., & Wihardja, H. (2020). Hubungan Karakteristik Individu dan Riwayat Stroke dengan Kekuatan Otot Pada Pasien Stroke. Dunia Keperawatan: Jurnal Keperawatan Dan Kesehatan, 8(3), 406. https://doi.org/10.20527/dk.v8i3.7818

Honaga, K. (2021). Neurorehabilitation for Stroke Patients with Hemiparesis - Functional Recovery and Motor Learning -. Juntendo Medical Journal, 67(1), 24–31. https://doi.org/10.14789/jmj.2021.67.JMJ20-R22

Irisawa, H., & Mizushima, T. (2022). Assessment of changes in muscle mass , strength , and quality and activities of daily living in elderly stroke patients. 161–167. https://doi.org/10.1097/MRR.0000000000000523

Ismail, S., Pramanasari, S., & Ismail, R. (2024). Penggunaan teknologi dalam pengukuran kekuatan otot pasien kritis: A scoping review. Holistik Jurnal Kesehatan, 18(1), 54–64. https://doi.org/10.33024/hjk.v18i1.218

Istianah, I., Arsana, I. G., Hapipah, H., & Arifin, Z. (2021). Efektifitas Mirror Therapy terhadap Kekuatan Otot dan Status Fungsional Pasien Stroke Non Hemoragik. The Indonesian Journal of Health Science, 12(2), 158–168. https://doi.org/10.32528/ijhs.v12i2.4872

Jaafar, N., Daud, A. Z. C., Roslan, N. F. A., & Mansor, W. (2021). Review Article Mirror Therapy Rehabilitation in Stroke : A Scoping Review of Upper Limb Recovery and Brain Activities. 2021.

Kemenkes. (2024). Cegah Stroke dengan Aktivitas Fisik. https://kemkes.go.id/eng/cegah-stroke-dengan-aktivitas-fisik

Kim, Y. W. (2022). Update on Stroke Rehabilitation in Motor Impairment. Brain & NeuroRehabilitation, 15(2), e12. https://doi.org/10.12786/bn.2022.15.e12

Kodete, C. S., Thuraka, B., Pasupuleti, V., & Malisetty, S. (2024). Hormonal Influences on Skeletal Muscle Function in Women across Life Stages : A Systematic Review. 271–286.

Li, X., He, Y., Wang, D., & Rezaei, M. J. (2024). Stroke rehabilitation: from diagnosis to therapy. Frontiers in Neurology, 15, 1402729. https://doi.org/10.3389/fneur.2024.1402729

Nur’aini, L. N., Sukraeny, N., & Armiyati, Y. (2024). Penerapan Mirror Therapy terhadap Kekuatan Otot pada Pasien Stroke Non Hemoragik. Menara Journal of Health Science, 3(2), 256–266. http://jurnal.iakmikudus.org/index.php/mjhs

Nuzzo, J. L. (2022). Narrative Review of Sex Differences in Muscle Strength , Endurance , Activation , Size , Fiber Type , and Strength Training Participation Rates , Preferences , Motivations , Injuries , and Neuromuscular Adaptations. 124.

Puspitasari, P. N. (2020). Hubungan Hipertensi Terhadap Kejadian Stroke. Jurnal Ilmiah Kesehatan Sandi Husada, 12(2), 922–926. https://doi.org/10.35816/jiskh.v12i2.435

Rahayu, T. G. (2023). Analisis Faktor Risiko Terjadinya Stroke Serta Tipe Stroke. Faletehan Health Journal, 10(01), 48–53. https://doi.org/10.33746/fhj.v10i01.410

Rantepadang, A. (2022). Penanganan Pasien Stroke: Music Movement Therapy Meningkatkan Kekuatan Otot, Menurunkan Tingkat Ansietas, dan Tingkat Depresi pada Pasien Stroke (H. Efriyadi (ed.)). CV. Bintang Semesta Media.

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. 2(1), 287–295.

Rusdian, S., Tinggi, S., Ekonomi, I., Yasa, Y., Aksara, M., Akademia, G., & Akademia, A. G. (2023). Metodologi Penelitian ( Kuantitatif & Kualitatif) (Issue September).

Safriyanti samarang, & Syamsuddin, F. (2025). Pengaruh Mirror Therapy Terhadap Peningkatan Kekuatan Otot Pada Pasien Post Stroke Di Ruangan Neuro Rsud Prof. Dr. H. Aloei Saboe Kota Gorontalo. Jurnal Keperawatan Muhammadiyah, 10(1), 2025.

Sari, F. M., Hasanah, U., & Dewi, N. R. (2023). Application of Mirror Therapy To Upper Extremity Muscle Strength in Non-Hemorrhagic Stroke Patients in the Nervous Room of General Hopital Rsud Jend. Ahmad Yani Metro. Jurnal Cendikia Muda, 3(3), 337–346. https://www.jurnal.akperdharmawacana.ac.id/index.php/JWC/article/view/477/311

Sarwono, A. E., & Handayani, A. (2021). Metode Kuantitatif. In Metode Kuantitatif (Issue 1940310019).

Setianingsih, Darwati, L. E., & Prasetya, H. A. (2019). Studi Deskriptif Penanganan Pre-Hospital Stroke. Jurnal Perawat Indonesia, 3(1), 55–64. https://www.google.com/search?client=firefox-b-d&q=jurnal+Studi+Deskriptif+Penanganan+Pre-Hospital+Stroke+Life+Support+Pada+Keluarga++

Sherina, N., Ramdan, D., & Hidayat, N. (2022). Assistancy of Medical Surgical Nursing for Patients with Nervous System Disorders (Hemorrhagic Stroke) in Flamboyant Room, General Hospital of Banjar. Kolaborasi Jurnal Pengabdian Masyarakat, 2(2), 175–197. https://journal.inspira.or.id/index.php/kolaborasi/article/view/55

Survey kesehatan indonesia (Ski). (2023). Survei Kesehatan Indonesia 2023. Kemenkes, 235.

Wahyu, R., Auria, P., Punjastuti, B., & Maryati, S. (2022). Penerapan Mirror Therapy Untuk Meningkatkan Kekuatan Otot Ekstremitas Bagian Atas Pada Pasien Stroke Non Hemoragic. 2, 393–399.

Waruwu, M., Pu`at, S. N., Utami, P. R., Yanti, E., & Rusydiana, M. (2025). Metode Penelitian Kuantitatif: Konsep, Jenis, Tahapan dan Kelebihan. Jurnal Ilmiah Profesi Pendidikan, 10(1), 917–932. https://doi.org/10.29303/jipp.v10i1.3057

WHO. (2025). Stroke, Cerebrovascular accident. https://www.emro.who.int/health-topics/stroke-cerebrovascular-accident/index.html

Widiyono, Herawati2, V. D., & Nurani, W. (2023). Terapi Cermin dapat Meningkatkan Kekuatan Otot pada Penderita Stroke Non Hemoragik. 8(1), 339–353.

Zhang, J. J. Q., Fong, K. N. K., Welage, N., & Liu, K. P. Y. (2018). Review Article The Activation of the Mirror Neuron System during Action Observation and Action Execution with Mirror Visual Feedback in Stroke : A Systematic Review. 2018. https://doi.org/10.1155/2018/2321045

Ziu, Endrit, M. Z. K. S. (2023). Subarachnoid Hemorrhage.pdf. https://www.statpearls.com/point-of-care/29607

Zuliawati, Z., Rosaulina, M., & Tane, R. (2023). Pengaruh Mirror Therapy Terhadap Kekuatan Otot Pada Pasien Stroke Non Hemoragik Di Rumah Sakit Umum Sembiring he Effect of Mirror Therapy on Muscle Strength in Non Hemorrhagic Stroke Patients in Sembiring General Hospital. 5(2). https://doi.org/10.35451/jkf.v5i2.1402.

Downloads

Published

04-02-2026

How to Cite

Fadillah, S. N., Fauzia, W., & Subiyanto, I. . (2026). Pengaruh Tindakan Mirror Therapy Terhadap Kekuatan Otot pada Pasien Stroke di Unit Rehabilitasi RSPAD Gatot Soebroto. Journal of Innovative and Creativity (Joecy), 6(1), 7919–7929. https://doi.org/10.31004/joecy.v6i1.7677

Issue

Section

Articles