Health Education : Mirror Therapy for Increasing Foot Muscle Strength
Keywords:
Health Education, Mirror Therapy, Muscle Strength, StrokeAbstract
Stroke is one of the leading causes of disability, impacting motor function, particularly extremity muscle strength. This condition leads to limitations in daily activities and a decline in patients' quality of life. One non-pharmacological intervention that can be used to improve motor function is mirror therapy. This community service aims to improve the knowledge and skills of stroke patients and their families thru health education on mirror therapy as an effort to increase muscle strength. The community service activities were carried out on stroke patients in the community using educational methods such as counselling, demonstrations, and direct practice of mirror therapy. Evaluation was conducted by measuring knowledge before and after education, as well as assessing muscle strength using the muscle strength scale. The results of the activities showed an increase in knowledge of patients and their families regarding mirror therapy after receiving education. Mirror therapy health education has been proven effective as a simple, easy-to-implement intervention that can be done independently at home. This activity is expected to be a sustainable alternative for rehabilitative intervention in an effort to improve the independence and quality of life of stroke patients in the community.
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References
Feigin VL, Brainin M, Norrving B, Martins SO, Pandian J, Lindsay P, et al. World Stroke Organization: Global Stroke Fact Sheet 2025. International Journal of Stroke [Internet]. 2025 Feb 3;20(2):132–44. Available from: https://journals.sagepub.com/doi/10.1177/17474930241308142
Hou S, Zhang Y, Xia Y, Liu Y, Deng X, Wang W, et al. Global, regional, and national epidemiology of ischemic stroke from 1990 to 2021. Eur J Neurol. 2024 Dec 1;
Carmo JF do, Morelato RL, Pinto HP, Oliveira ERA de. Disability after stroke: a systematic review. Fisioterapia em Movimento. 2015 Jun;28(2):407–18.
Pratiwi A. Faktor yang Mempengaruhi QOL Pasien Stroke. Jurnal Kesmas Asclepius [Internet]. 2024 Aug 22;6(2):234–40. Available from: https://journal.ipm2kpe.or.id/index.php/JKA/article/view/11492
Pengabdian J, Masyarakat K, Ilmu B, Optimal K, Pratiwi A, Dewi AM. DETEKSI DINI DAN TINDAKAN AWAL PENANGANAN STROKE Article Info ABSTRAK. Jurnal Pengabdian Kepada Masyarakat Bidang Ilmu Keperawatan Optimal |. 2025;2(1):17–23.
Whitiana GD, Vitriana, Cahyani A. Level of Activity Daily Living in Post Stroke Patients. Althea Medical Journal. 2017 Jun;4(2).
Arlies Zenitha Victoria, Sri Puguh Kristiyawati, Anna Jumatul Lely. Stroke Severity Scale to Palliative Screening, Activity Daily Living (ADL) Impairment, and Quality of Life. PROFESSIONAL HEALTH JOURNAL [Internet]. 2024 Jul 3;6(1):153–61. Available from: https://www.ojsstikesbanyuwangi.com/index.php/PHJ/article/view/787
Byblow WD, Stinear CM, Smith MC, Bjerre L, Flaskager BK, McCambridge AB. Mirror symmetric bimanual movement priming can increase corticomotor excitability and enhance motor learning. PLoS One. 2012 Mar 22;7(3).
Implikasi K", Paliatif P, Kesehatan B, Program AP, Ilmu S, Ners K, et al. Seminar dan Workshop Nasional PROSEDUR MIRROR THERAPY PADA PASIEN STROKE.
Waghavkar SN, Ganvir SS. Effectiveness of Mirror Therapy to Improve Hand Functions in Acute and Subacute Stroke Patients. Int J Neurorehabil. 2015;02(04).
Fernández-Solana J, Álvarez-Pardo S, Moreno-Villanueva A, Santamaría-Peláez M, González-Bernal JJ, Vélez-Santamaría R, et al. Efficacy of a Rehabilitation Program Using Mirror Therapy and Cognitive Therapeutic Exercise on Upper Limb Functionality in Patients with Acute Stroke. Healthcare (Switzerland). 2024 Mar 1;12(5).
Gandhi DBC, Sterba A, Khatter H, Pandian JD. Mirror therapy in stroke rehabilitation: Current perspectives. Vol. 16, Therapeutics and Clinical Risk Management. Dove Medical Press Ltd.; 2020. p. 75–85.
Ymeraj M, Kotica F, Bozzolan G, Rocco G, Virgolesi M, Alvaro R, et al. Health literacy in stroke disease: A systematic review. Journal of Vascular Nursing. 2025 Mar 1;43(1):33–45.
Israfil. AHMAR METASTASIS HEALTH JOURNAL The Role of Family in Stroke Patients in The Community: A Narrative Review. Available from: http://journal.ahmareduc.or.id/index.php/AMHJ
Aslani Z, Alimohammadi N, Taleghani F, Khorasani P. Nurses’ empowerment in self-care Nurses’ Empowerment in Self-Care Education to Stroke Patients: An Action Research Study. Vol. 4, IJCBNM October. 2016.
Lee KE, Choi M, Jeoung B. Effectiveness of Rehabilitation Exercise in Improving Physical Function of Stroke Patients: A Systematic Review. Vol. 19, International Journal of Environmental Research and Public Health. MDPI; 2022.
Nadatien I, Salamah U, Hidaayah N. The Effect Of Giving A Combination Of Mirror Therapy And Rom (Range Of Motion) Based On Self Care Theory On Muscle Strength In Stroke Patients. Journal of Applied Nursing and Health [Internet]. 2024;6(1). Available from: https://doi.org/10.55018/janh.v6i1.230
Dyah Herawati V, Nurani W, Keperawatan P, Keperawatan Medikal Bedah D, Sahid Surakarta U, Manajemen Keperawatan D, et al. Terapi Cermin dapat Meningkatkan Kekuatan Otot pada Penderita Stroke Non Hemoragik Mirror Therapy can Improve Muscle Strength in Non-Hemorrhagic Stroke Patients. Jurnal Keperawatan Malang [Internet]. 2023;8(1):339–53. Available from: https://jurnal.stikespantiwaluya.ac.id/index.php/JPW
Genius J, Roß S, Uhr S, Braun S, Rothgangel A, Braun P R O T O C O L S. SPIEGELTHERAPIE Praxisleitfaden Neurologie Pflaum Verlag MIRROR THERAPY Practical Protocol for Stroke Rehabilitation. 2013; Available from: www.physiotherapeuten.de/epub
Dyah Herawati V, Nurani W, Keperawatan P, Keperawatan Medikal Bedah D, Sahid Surakarta U, Manajemen Keperawatan D, et al. Terapi Cermin dapat Meningkatkan Kekuatan Otot pada Penderita Stroke Non Hemoragik Mirror Therapy can Improve Muscle Strength in Non-Hemorrhagic Stroke Patients. Jurnal Keperawatan Malang [Internet]. 2023;8(1):339–53. Available from: https://jurnal.stikespantiwaluya.ac.id/index.php/JPW
Samarehfekri A, Dehghan M, Arab M, Ebadzadeh MR. Effect of Foot Reflexology on Pain, Fatigue, and Quality of Sleep after Kidney Transplantation Surgery: A Parallel Randomized Controlled Trial. Evidence-based Complementary and Alternative Medicine. 2020;2020.
Lee KE, Choi M, Jeoung B. Effectiveness of Rehabilitation Exercise in Improving Physical Function of Stroke Patients: A Systematic Review. Vol. 19, International Journal of Environmental Research and Public Health. MDPI; 2022.
