Neurorestoration: Programme management for post-ischemic stroke patients

ABSTRACT

There are a few systematical studies on the programme management for post-ischemic stroke using a specific template as the template for intervention description and replication (TIDieR) to improve outcomes of an intervention. The present study aimed to measure the impact of neurorestoration as a programme management using motor learning apply with a validated TIDieR that was specifically designed for post-ischemic stroke patients. A pre-post-test randomized control trial was conducted on 64 post-acute ischemic stroke patients who had the inclusion criteria in a week. Control groups (n = 32) received the routine mobilization with a conventional method based on hospital procedures, while treatment groups (n = 32) underwent structured motor learning with a modified TIDieR. Motor learning improvement was considered as a functional ability that was measured by applying the Barthel Index. Statistical analysis was performed using the Independent Samples t-test. The improved functional abilities (mean ± SD) were 27.41 ± 20.10 and 41.66 ± 21.66 in control and treatment groups respectively (P = 0.008). The improvement of functional ability in treatment groups was approximately 1.5 times higher than the control groups. Programme management using motor learning through the TIDieR improved functional abilities of post-ischemic stroke patients compared to the conventional method.

KEYWORDS:

• Post-ischemic stroke
• muscle weakness
• physical therapy
• motor learning
• neurorestoration
• neural plasticity
• functional ability
• TIDieR

Acknowledgements

The authors are grateful to Directors of Dr. Moewardi Hospital, Surakarta General Hospital, Dr. Oen Hospital in Surakarta, Indonesia for their permission.

Disclosure statement

No potential conflict of interest was reported by the authors.

Contributors: All authors listed in the manuscript significantly contributed to the project.

Ethics approval: It was approved by the Medical and Health Research Ethics Committee (MHREC) at Faculty of Medicine, Gadjah Mada University – Dr. Sardjito General Hospital as being exemption from the need for informed consent.

Additional information

Notes on contributors

Umi Budi Rahayu

Umi Budi Rahayu is a Senior Lecturer at Department of Physiotherapy, Universitas Muhammadiyah Surakarta Indonesia. She received her Ph.D. from Universitas Gadjah Mada.

Samekto Wibowo

Samekto Wibowo is a professor at Universitas Gadjah Mada as well as serving at Dr Sardjito General Hospital Yogyakarta.

Ismail Setyopranoto

Ismail Setyopranoto is a professor at Universitas Gadjah Mada as well as serving at Dr Sardjito General Hospital Yogyakarta.