Abstract
Background. Stroke is a disease caused by the death of tissues in the brain. Clinical problems arise such as motor, sensory, cognitive, language, and emotional disorders. Motor disorders experienced by stroke patients are a decrease in functional ability. Virtual reality training is one of the physiotherapy exercises in handling stroke cases and is estimated to be able to modulate neuroplasticity so as to improve the functional capabilities of the extremities of stroke patients. Materials and Methods. This study is a literature review study with narrative methods. Purpose. Know how effective virtual reality exercises against improving the functional ability of the upper extremities in case of stroke. Result. The provision of virtual reality exercises is proven to improve the functional capabilities of the upper extremities in stroke patients. Virtual reality exercises for stroke provide audio and visual stimulation that triggers neuro-rehabilitation resulting in cortical re-mapping. And also provide motivation that triggers stroke patients to do exercises with a lot of reps so that neuroplasticity occurs. with various parameters such as Fugl-Meyer Upper Extremity Scale (FMA-UE), Wolf Motor Function Test (WMFT), and Box and Block Test (BBT). Conclusion. The administration of physiotherapy exercises using virtual reality can be an interventional solution to rehabilitate and improve the function of the upper extremities if paying attention to several things, such as virtual reality methods, dosages, and the availability of therapeutic tools.
 
 Keywords: Stroke, Virtual Reality training, Functional Abilities
Highlights
a disease caused by the death of tissues
Clinical problems arise such as motor
Motor disorders experienced by stroke patients are a decrease in functional ability
Summary
Menurut penelitian oleh Muhammad RN, et al, terhadap 12 orang yang dibagi ke dalam dua kelompok, yaitu kelompok eksperimental yang berjumlah 6 orang dan kelompok kontrol yang berjumlah 6 orang. Pada kelompok eksperimental menunjukan bahwa terjadi peningkatan rata-rata nilai Wolf Motor Function Test (WMFT) dari 37,50 ± 1,871 menjadi 42,83 ± 2,229 sebesar 14,21%. Sedangkan pada kelompok kontrol terjadi peningkatan rata-rata nilai Wolf Motor Function Test (WMFT) sebesar 8,47% dari 39,33 ± 3.141 menjadi 42,67 ± 3,141. Hal ini juga sesuai dengan hasil penelitian Pawel K, et al yang dilakukan kepada 136 partisipan; 68 orang pada grup intervensi dan 68 orang pada grup kontrol. Pada grup intervensi menunjukan bahwa terjadi peningkatan rata-rata nilai FMA-UE dari 37.99 ± 17.76 menjadi 47,71 ± 15,74. Hasil tersebut didukung penelitian oleh Jeffrey MR, et al yang dilakukan kepada 21 partisipan; orang pada grup intervensi dan orang pada grup kontrol itu juga melaporkan adanya perubahan pada fungsi tangan yang dinilai dengan BBT dapat dilihat pada Tabel 1. Pemeriksaan dilakukan pada pre-test, post-test dan satu bulan setelah terapi (Rogers et al, 2019)
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