CRITICAL APPRAISAL

EFEKTIVITAS ANTARA RANGE OF MOTION HOOK GRIP DAN

LATERAL PREHENSION GRIP TERHADAP PENINGKATAN LUAS
GERAK SENDI JARI TANGAN PADA PASIEN STROKE NON
HEMORAGIK DI RSUD TUGUREJO SEMARANG

OLEH:

KARTIKA INDRIYANI

P1337420619097

PRODI SARJANA TERAPAN DAN PROFESI NERS

JURUSAN KEPERAWATAN
POLTEKKES KEMENKES SEMARANG
2019
A. ARTIKEL JURNAL
Terlampir
Judul jurnal : Efektivitas Antara Range Of Motion Hook Grip Dan Lateral
Prehension Grip Terhadap Peningkatan Luas Gerak Sendi
Jari Tangan Pada Pasien Stroke Non Hemoragik Di Rsud
Tugurejo Semarang
Publikasi : Jurnal Ilmu Keperawatan dan Kebidanan (JIKK),Vol...No...
B. FORM CRITICAL APPRAISAL
A. Are the results of the trial valid?
(screening question)
1. Did the trial address Yes ( √ ) Can’t tell ( ) No ( )
a clearly focused a. Populasi penelitian ini adalah semua pasien dengan stroke non
issue? hemoragik yang dirawat inap di RSUD Tugurejo. Penelitian ini
An issue can be dilakukan di ruang rawat inap alamanda RSUD Tugurejo
focused in term of Semarang. Pengambilan data dilaksanakan dalam waktu 1 bulan,
a. The population yaitu pada bulan 25 Maret – 25 April 2015.
studied “The study population was all patients with non-hemorrhagic
b. The stroke who were hospitalized at Tugurejo District Hospital. This
intervention research was conducted in the Alamanda Inpatient Room at
given Tugurejo District Hospital Semarang. Data retrieval is carried out
c. The comparator within 1 month, namely on March 25 - April 25 2015”
given
b. Uji ini merupakan uji eksperimen untuk membandingkan manakah
yang lebih efektif, kelompok perlakuan yang di maksudkan disini
adalah kelompok yang diberikan latihan ROM hook grip selama 5
hari. Sedangkan kelompok pembandingnya adalah kelompok yang
diberikan latihan lateral prehension grip selama 5 hari.
“This test is an experimental test to compare which is more
effective, the treatment group referred to here is the group that
was given ROM hook grip training for 5 days. While the
comparison group is a group that is given lateral prehension grip
training for 5 days.”
 c. Pada bagian kelompok control, dijelaskan mengenai perlakuan
yang diberikan pada kelompok control atau kelompok
pembanding. Seperti yang sudah dijelaskan pada opsi b yang
dimaksud kelompok control yaitu kelompok yang diberikan latihan
lateral prehension grip selama 5 hari.
“In the control group section, it is explained about the treatment
given to the control group or comparison group. As explained in
option b, what is meant by the control group is the group given
lateral prehension grip training for 5 days”
2. Was the assignment Yes (√ ) Can’t tell ( ) No ( )
of patients to Kelompok dipilih secara acak manakah yang akan dilakukan latihan
treatments hook grip dan lateral prehension grip
randomized? “The groups were randomly selected which hook grip exercises and
lateral prehension grip exercises would take place”
3. Were all of the Yes (√) Can’t tell ( ) No ( )
patients who Intervensi dilakukan 2 kali sehari selama 5 hari. Pengukuran
entered the trial dilakukan sebelum latihan, sesudah latihan hari ke-3, dan sesudah
properly accounted latihan hari ke-5. Hasil uji Mann-whitney sesudah latihan hari ke-
for at its 5 didapatkan nilai p = 0,007 artinya ada perbedaan yang bermakna
conclusion? antara sesudah hook grip hari ke-5 dan sesudah lateral prehension
a. Was follow up grip hari ke-5. Selisih mean sebelum dilakukan hook grip dan
complete? sesudah dilakukan hook grip pada hari ke-5 sebesar 11,10 ,
b. Were patients sedangkan selisih mean sebelum dilakukan lateral prehension grip
analysed in the dan sesudah dilakukan lateral prehension grip hari ke-5 sebesar
groups to which 6,40, sehingga dapat disimpulkan bahwa hook grip lebih
they were berpengaruh dalam meningkatkan luas gerak sendi (LGS) jari
randomised? tangan pada pasien stroke non hemoragik di RSUD Tugurejo
Semarang.
“The intervention was carried out 2 times a day for 5 days.
Measurements were taken before training, after training day 3,
and after training day 5. Mann-whitney test results after the 5th
day of training obtained p value = 0.007 means that there is a
 significant difference between after the hook grip on the 5th day
and after the lateral prehension grip on the 5th day. The mean
difference before the hook grip and after the hook grip on the 5th
day was 11.10, while the mean difference before the lateral
prehension grip was carried out and after the lateral prehension
grip was done on the 5th day by 6.40, so it can be concluded that
the hook grip more influential in increasing the area of joint
motion (LGS) of the fingers in non-hemorrhagic stroke patients at
Tugurejo District Hospital Semarang”
a. Follow up dilakukan secara lengkap, dan dijelaskan pada bagan 1.
b. Subyek dianalisis sesuai dengan pengelompokan awal yang
dilakukan secara acak. Analisa yang dilakukan dengan
menggunakan analisa univariat dan analisa bivariate.
“Subjects were analyzed according to the initial grouping which
was carried out randomly. Analysis carried out using univariate
analysis and bivariate analysis”

Detailed Question
4. Were patients, Yes ( ) Can’t tell ( ) No ( √ )
health workers and Pada penelitian ini, latihan tidak dilakukan secara “blind”. Hal
study personel tersebut dijelaskan pada metode studi populasi. Latihan yang
“blind” to dilakukan secara blind tidak layak, karena tidak akan mencapai
treatment? perbedaan yang diharapkan untuk menilai makakah yang lebih
c. Were the efektif diantara kedua latihan tersebut.
patients “In this study, the exercise was not done blindly. This is explained
d. Were the health by the population study method. Blind training is not feasible,
workers because it will not achieve the difference expected to assess the
e. Were the study more effective meaning between the two exercises”
personel.
5. Were the groups Yes ( √) Can’t tell () No ( )
similar at the start Pasien yang masuk dalam kriteria untuk dijadikan penelitian hanya pasien
of the trial? yang dirawat diruang rawat inap RSUD Tugurejo Semarang dengan
 In term of other diagnose Stroke Non Hemoragik dan mengalami kelemahan pada anggota
factors that might gerak atas. Untuk faktor-faktor lain seperti jenis kelamin, usia, tingkat

effect the outcome pendidikan dan lain-lain tidak dijelaskan.

such as age, sex, “Patients included in the criteria to be used as research were only

social class. patients treated in the inpatient room at Tugurejo Regional Hospital
Semarang with a diagnosis of Non-Hemorrhagic Stroke and
experiencing weakness in the upper limbs. For other factors such as
gender, age, level of education and others are not explained”
6. Aside from the Yes (√ ) Can’t tell ( ) No ( )
experimental Selain perlakuan yang dieksperimenkan, subyek diperlakukan sama
intervention, were seperti sama sama mendapatkan terapi obat.
the groups treated “In addition to the experimental treatments, subjects were treated
equally? the same as getting drug treatment”
B. What are the results?
7. How large was the Hasil rerata LGS jari tangan pada kelompok perlakuan (hook
treatment effect? grip) sebelum dilakukan hook grip adalah 180, sesudah dilakukan
What outcomes are hook grip pada hari ke-3 adalah 240 dan sesudah hook grip pada hari
measured? ke-5 adalah 300. Perbedaan rerata berdasarkan nilai median pada
penelitian ini sebelum dilakukan hook grip dan sesudah dilakukan
hook grip hari ke-3 sebesar 60, sesudah dilakukan hook grip hari ke-
3 dan sesudah dilakukan hook grip hari ke-5 sebesar 60, sebelum
dilakukan hook grip dan sesudah dilakukan hook grip hari ke-5
sebesar 120.
Hasil rerata LGS jari tangan pada kelompok pembanding
(lateral prehension grip) sebelum dilakukan lateral prehension grip
adalah 19,40, sesudah dilakukan lateral prehension grip hari ke-3
adalah 22,80, dan sesudah dilakukan lateral prehension grip hari ke-
5 adalah 25,80. Perbedaan rerata berdasarkan nilai mean sebelum
dilakukan lateral prehension grip dan sesudah lateral prehension grip
hari ke-3 sebesar 3,40, sesudah lateral prehension grip dan sesudah
lateral prehension grip hari ke-5 sebesar 30, sebelum lateral
prehension grip dan sesudah lateral prehension grip hari ke-5 sebesar
 6,40.
Sehingga dapat disimpulkan bahwa latihan hook grip lebih
berpengaruh daripada latihan lateral prehension grip dalam
meningkatkan luas gerak sendi (LGS) jari tangan pada pasien stroke
non hemoragik di RSUD Tugurejo Semarang.
“The average result of LGS fingers in the treatment group
(hook grip) before the hook grip was 180, after the hook grip on day
3 was 240 and after the hook grip on day 5 was 300. The difference
in average based on median values in this study before the hook grip
is carried out and after the hook grip the 3rd day is 60, after the
hook grip is done on the 3rd day and after the hook grip is done on
the 5th day is 60, before the hook grip is carried out and after the
hook grip the 5th day is 120.
The average result of LGS fingers in the comparison group
(lateral prehension grip) before the lateral prehension grip was
19.40, after the lateral prehension grip was on the 3rd day was
22.80, and after the lateral prehension grip was on the 5th day was
25, 80 The mean difference based on the mean value before doing
lateral prehension grip and after the lateral prehension grip on the
3rd day was 3.40, after the lateral prehension grip and after the
lateral prehension grip on the 5th day was 30, before the lateral
prehension grip and after the lateral prehension grip day the fifth is
6.40.
So it can be concluded that hook grip exercises are more
influential than lateral prehension grip exercises in increasing finger
joint area (LGS) of fingers in non-hemorrhagic stroke patients at
Tugurejo District Hospital Semarang”
8. How precise was Efeknya cukup tepat, namun untuk pemulihan mobilisasi pasien
the estimate of the stroke sendiri memang membutuhkan waktu yang lama tidak cukup
treatment effect? hanya dengan waktu 5 hari.
What are its “The effect is quite right, but to recover the mobilization of stroke
confidence limits? patients itself does require a long time is not enough with just 5
 days”
C.Will the results help locally?
9. Can the results be Yes ( √ ) Can’t tell ( ) No ( )
applied to the local
Hasil dari penelitian ini dapat diterapkan pada populasi lokal, karena
population?
pasien lokal dapat memenuhi kriteria pada penelitian ini, baik
Do you think that
kriteria inklusi maupun eksklusi.
the patients covered
by the trial are
similar enough to
your population?
10. Were all clinically Yes ( ) No (√ )
important outcomes Dalam artikel ini tidak tidak dijelaskan mengenai hal lain yang dapat
considered? mempengaruhi hasil, misalkan seperti sudah berapa stroke tersebut
If not, does this diderita dan lain-lain.
affect the decision? “In this article, it is not explained about other things that can affect
the results, for example how many strokes have been suffered and so
on”
11. Are the benefits Yes (√) No ( )
worth the harms Manfaat yang didapatkan dari penelitian ini sepadan dengan latihan
and costs? yang setiap saat dilakukan, karena untuk mengembalikan kearah
This is unlikely to kemandirian pasien.
be addressed by the “The benefits obtained from this study are commensurate with the
trial. But what do training that is carried out all the time, due to return to the patient's
you think? independence”