JIGSAW PUZZLE IMPROVE FINE MOTOR ABILITIES OF UPPER EXTREMITIES IN POST-STROKE ISCHEMIC CLIENTS
ABSTRACT: Ischemic stroke is a
disease caused by focal cerebral ischemia, where is a decline in blood flow
that needed for neuronal metabolism, leading to neurologic deficit include
motor deficit such as fine motor skills impairment. Therapy of fine motor
skills disorders is to improve motor function, prevent contractures and
complications. These study aimed to identify the effect of playing Jigsaw
Puzzle on muscle strength, extensive motion, and upper extremity fine motor
skills in patients with ischemic stroke at Dr. Moewardi Hospital, Surakarta.
Methods: Experimental Quasi pre-posttest one group control. The number of
samples were 34 respondents selected using purposive sampling technique. The
samples were divided into intervention and control groups. The intervention
group was 17 respondents who were given standard treatment hospital and played
Jigsaw Puzzle 2 times a day for six days. Control group is one respondent given
by hospital standard therapy without given additional Jigsaw Puzzle game.
Evaluation of these research is done on the first and seventh day for those
groups. Result: The results showed that muscle strength, the range of joint
motion and fine motor skills of upper extremities increased (p = 0.001)
significantly after being given the Jigsaw Puzzle games. These means playing
Jigsaw Puzzle increase muscle strength, the range of joint motion and upper
extremity fine motor skill of ischemic stroke patients. Discussion and
conclusion: Jigsaw puzzle game administration as additional rehabilitation
therapy in upper extremity fine motor to minimize the occurrence of
contractures and motor disorders in patients with ischemic stroke. Jigsaw
puzzle game therapy capable of creating repetitive motion as a key of
neurological rehabilitation in Ischemic Stroke. This study recommends using
jigsaw puzzle game as one of intervention in the nursing care of Ischemic
Stroke patients.
KEYWORDS: Ischemic stroke,
upper extremity fine motor, Jigsaw Puzzle
Author: Kusnanto, Eska Dwi
Prajayanti, Harmayetty
Journal Code: jpkesmasgg170027
