Abstract

Ismunandar Wahyu Kindang*, Rr. Sri Endang Pujiastitu and Arwani

ABSTRACT

Background: The function of the brain is as the control center of every member of human movement, so the damage to the brain causes loss of brain function. Disturbances that occur in sensory and motor functions in stroke patients cause imbalance and difficulty walking due to disturbances in muscle strength, balance and coordination of movements. Motor neuron disorders with symptoms such as limb movement disorders, loss of voluntary movement control (conscious movement), limited muscle tone, and limited reflexes that can result in weakness and contractures for a long time which can result in paralysis of the upper extremities and lower extremities. Objective: Analyzing the effect of the combination of Acceptance and Commitment Therapy (ACT) intervention and Range of Motion on the improvement of motor function in non-hemorrhagic post stroke patients. Method: This study used a Quasy Experiment research method and used a pretest - posttest design with a control group design. 60 respondents were divided into 2 groups, the intervention group (n = 30) was given a combination of ACT and ROM while the control group (n = 30). Data analysis using Friedman. Result: shows that there is a significant difference in upper limb muscle strength with p value = 0,001 and lower limb muscle strength p value = 0,001 while the range of motion of the upper limb p value = 0,001 and the range of motion of the lower limb p value = 0,001. Conclusion: The combination of Acceptance and Commitment Therapy (ACT) and Range of Motion affects the improvement of motoric function in non-hemorrhagic post stroke patients.