EFFECTIVENESS OF ELECTRICAL STIMULATION AND EXERCISE THERAPY TO INCREASE FUNCTIONAL ACTIVITY IN POST-STROKE PATIENTS HEMIPARASE DEXTRA (HEMORRHAGIC): A CASE REPORT

Abstract

Introduction: A Stroke is defined as the sudden death of cells in localized areas due to inadequate blood flow, caused by blood vessel constriction (ischemic) or rupture (hemorrhagic). The purpose of this study is to determine the effectiveness of giving electrical stimulation at a faradic current frequency of 100 Hz and exercise therapy to increase functional activity in the case of post-stroke hemiparesis Dextra (hemorrhagic) patients. Case Presentation: The patient in the study was a 72-year-old man with a history of hypertension and typed 2 diabetes, complaining of weakness in his right hand and leg. Management and Outcome: Given therapy in the form of electrical stimulation with a faradic current frequency of 100 Hz and exercise therapy as much as three times. Functional activity was measured using the Barthel Index, muscle strength was measured using Manual Muscle Testing (MMT), and spasticity was measured using the Ashworth Scale. Discussion: After being given therapy, it obtained results in increased muscle strength measured by Manual Muscle Testing (MMT) on the regio wrist from T1: 1 to T3: 2. The Spastic decrease measured by the Ashworth Scale on the regio wrist field of motion flexion-extension finger T1: 4 to T3: 3, functional activity of the patient did not experience the increase measured using the index Barthel total score T1: 40 to T3: 40 with the interpretation of severe dependence, requires further intervention to get an increase in Bethel index score. Conclusion: Giving therapy in the form of Electrical Stimulation faradic current frequency of 100 Hz and Exercise Therapy during 3x meetings is ineffective for increasing functional activity. However, it effectively increases muscle strength in the regio wrist Dextra.