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Abstract
Background: Stroke is damage that occurs in the brain suddenly, progressively, and quickly which can be caused by blood vessel disorders. This disorder can cause symptoms such as paralysis or weakness in the face and limbs, speech problems, vision problems, even decreased consciousness. The prevalence of stroke with upper limbs disorders is 40-57%. Stroke sufferers with these disorders have difficulty carrying out daily activity. Graded Motor Imagery is a complex exercise that combine three training techniques to activate the brain by stimulating it through visual, tactile, and propioceptive means so that the brain will give commands to the motor to carry out a measured movement. Purpose: To determine the effect of graded motor imagery on improving upper extremity function in stroke patients. Method: Pre-experimental research design – one group pretest-posttest. The sample size was 11 people taken using the purposive sampling method with inclusion and exclusion criteria carried out 3 times a week for 6 weeks. Result: The average upper extremity function before the intervention was 46,09 and after the intervention was 55,00 with a value of p = 0,00 (p<0,05). The average lower extremity function before the intervention was 29,09 and after the intervention was 29,82 with a value of p = 0,02 (p<0,05). Meanwhile, the average of severity stroke before the intervention was 8,09 and after the intervention was 5,73 with a value of p = 0,00 (p<0,05). Conclusion: Graded Motor Imagery was significant in improving upper extremity function in stroke patients. This particular exercise may serve as a supplementary therapeutic modality for post stroke patient, specifically targeting upper limb dysfunction, within both hospital settings and physiotherapy facilities.