Melola Discovery

← Melola Discovery

Journal

Transformation of Stroke Rehabilitation through Occupational Game Consoles: A Quasi-Experimental Study at RSUD Dr. Adhyatma, MPH, Semarang

Public Health Perspective Journal · Vol. 9 No. 1 (2025) · pp. 43–52

DOI
10.15294/phpj.v9i1.19981
ISSN
2540-7945, 2528-5998
Published
2025-04-24
Publisher
Universitas Negeri Semarang
Language
eng

Abstract

Stroke is a leading cause of long-term disability worldwide, often resulting in impaired motor function and reduced independence in daily activities. Innovative and engaging rehabilitation strategies are urgently needed to improve patient outcomes and adherence. This study aimed to evaluate the effectiveness of an occupational game console in improving functional abilities among stroke patients. A quasi-experimental study was conducted at RSUD Dr. Adhyatma, MPH, Semarang, between March and June 2024, involving 30 stroke patients aged 30–70 years. All participants completed in a 4-week rehabilitation program without a control group. They received structured therapy using an occupational game console designed to enhance motor coordination, muscle strength, and independence. Functional improvements were measured using the Barthel Index (BI), Manual Muscle Test (MMT), and Nine Hole Peg Test (NHPT). Data were analyzed using paired sample t-tests with a significance level set at p lt; 0.05. The participants included 18 males (60%) and 12 females (40%). Most were in the 51 60 years age group (40.0%), followed by 41–50 years (26.7%), and smaller proportions in 30–40 years (16.7%) and 61–70 years (16.7%). In term of stroke duration, 56.7% had experienced a stroke for 5–8 months, 23.3% for 0–4 months, and 20.0% for 9–12 months. The results showed significant improvements in functional outcomes, with BI scores increasing from 45 (moderate dependence) to 65 (mild dependence), MMT scores improving from 3/5 to 4/5, and NHPT times decreasing from 120 to 90 seconds (p lt; 0.01). Additionally, 85% of patients reported higher motivation and engagement due to the console’s interactive and gamified features. Occupational game consoles demonstrate promising potential as innovative and accessible tools to support stroke rehabilitation by enhancing motor function, independence, and patient engagement. Future studies should include randomized controlled trials with larger samples and longer durations to assess long-term effectiveness and broader clinical applications.

Keywords

Collaboration network of the authors

40 authors · 151 co-authorship links · showing the 40 most connected

Hover or tap a name to highlight its co-authors. Double-click to open the author's page.

  • State University of Semarang
  • Affiliation unknown
  • Different organisations
  • Same organisation
  • Affiliation unknown
  • Thicker line = more joint articles · bigger circle = more articles
Show as table
Co-authorOrganisationJoint articles
Ari YuniastutiState University of Semarang7
Dina Nur Anggraini NingrumAffiliation unknown6
Fitri IndrawatiAffiliation unknown5
Widya Hary CahyatiAffiliation unknown5
RR. Sri Ratna RahayuAffiliation unknown4
Aufiena Nur Ayu MerzistyaAffiliation unknown4
Lukman FauziAffiliation unknown4
Yuni WijayantiAffiliation unknown3
Arulita Ika FibrianaAffiliation unknown3
Oktia Woro Kasmini HandayaniState University of Semarang3
Luqman AlwiAffiliation unknown2
Diah Rahmah PermatasariAffiliation unknown2
Nintorio Vieira FernandesAffiliation unknown2
Anisa Yulia NafsiAffiliation unknown2
Irwan BudionoAffiliation unknown2
Tandiyo RahayuAffiliation unknown2
Hima Sakina FirdhausyAffiliation unknown2
Amelia Fitra KhasanahAffiliation unknown2
Muhamad Zakki SaefurrohimAffiliation unknown2
Salsabila Kinaya PraninditaAffiliation unknown2
Zuyyinatun MuflikhahAffiliation unknown2
Muhammad AzinarAffiliation unknown2
Palgunadi PalgunadiAffiliation unknown1
Annisa Aulia SavitriAffiliation unknown1
Ikhsan RamadhanAffiliation unknown1
Jacklyn Mahardeka Putri ShermanAffiliation unknown1
Nasywa Vebhe PranandariAffiliation unknown1
Widya Kusuma WardhaniAffiliation unknown1
Jemima Pradipta ApituleyAffiliation unknown1
Nurul Dwi AstutiAffiliation unknown1
Yuli YanaAffiliation unknown1
Dini Eka AnggraeniAffiliation unknown1
Alfina Dewi NugrahanyAffiliation unknown1
Devi TriandariAffiliation unknown1
Evi WidowatiAffiliation unknown1
Al Asyhar Aahyu AzadyAffiliation unknown1
Nur Lissa UtamiAffiliation unknown1

Affiliations come from OpenAlex; journal OAI-PMH metadata carries none. Authors without an OpenAlex ID are matched by name, which can merge or split people.

Metadata source: OAI-PMH (metadata jurnal) https://journal.unnes.ac.id/journals/phpj/oai, first harvested 6 Nov 2026, last seen 6 Nov 2026.
Original metadata (oai_dc) 
<oai_dc:dc xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/  http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
	<dc:title xml:lang="en">Transformation of Stroke Rehabilitation through Occupational Game Consoles: A Quasi-Experimental Study at RSUD Dr. Adhyatma, MPH, Semarang</dc:title>
	<dc:creator xml:lang="en">Daniswari, Aruna</dc:creator>
	<dc:creator xml:lang="en">Azam, Mahalul </dc:creator>
	<dc:creator xml:lang="en">Rahayu, Sri Ratna </dc:creator>
	<dc:subject xml:lang="en">occupational game console</dc:subject>
	<dc:subject xml:lang="en">stroke rehabilitation</dc:subject>
	<dc:subject xml:lang="en">functional recovery</dc:subject>
	<dc:subject xml:lang="en">motor coordination</dc:subject>
	<dc:subject xml:lang="en">technology-based therapy</dc:subject>
	<dc:description xml:lang="en">Stroke is a leading cause of long-term disability worldwide, often resulting in impaired motor function and reduced independence in daily activities. Innovative and engaging rehabilitation strategies are urgently needed to improve patient outcomes and adherence. This study aimed to evaluate the effectiveness of an occupational game console in improving functional abilities among stroke patients. A quasi-experimental study was conducted at RSUD Dr. Adhyatma, MPH, Semarang, between March and June 2024, involving 30 stroke patients aged 30–70 years. All participants completed in a 4-week rehabilitation program without a control group. They received structured therapy using an occupational game console designed to enhance motor coordination, muscle strength, and independence. Functional improvements were measured using the Barthel Index (BI), Manual Muscle Test (MMT), and Nine Hole Peg Test (NHPT). Data were analyzed using paired sample t-tests with a significance level set at p lt; 0.05. The participants included 18 males (60%) and 12 females (40%). Most were in the 51 60 years age group (40.0%), followed by 41–50 years (26.7%), and smaller proportions in 30–40 years (16.7%) and 61–70 years (16.7%). In term of stroke duration, 56.7% had experienced a stroke for 5–8 months, 23.3% for 0–4 months, and 20.0% for 9–12 months. The results showed significant improvements in functional outcomes, with BI scores increasing from 45 (moderate dependence) to 65 (mild dependence), MMT scores improving from 3/5 to 4/5, and NHPT times decreasing from 120 to 90 seconds (p lt; 0.01). Additionally, 85% of patients reported higher motivation and engagement due to the console’s interactive and gamified features. Occupational game consoles demonstrate promising potential as innovative and accessible tools to support stroke rehabilitation by enhancing motor function, independence, and patient engagement. Future studies should include randomized controlled trials with larger samples and longer durations to assess long-term effectiveness and broader clinical applications.</dc:description>
	<dc:publisher xml:lang="en">Universitas Negeri Semarang</dc:publisher>
	<dc:date>2025-04-24</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:type xml:lang="en">Peer-reviewed Article</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://journal.unnes.ac.id/journals/phpj/article/view/19981</dc:identifier>
	<dc:identifier>10.15294/phpj.v9i1.19981</dc:identifier>
	<dc:source xml:lang="en">Public Health Perspective Journal; Vol. 9 No. 1 (2025); 43-52</dc:source>
	<dc:source>2540-7945</dc:source>
	<dc:source>2528-5998</dc:source>
	<dc:source>10.15294/phpj.v9i1</dc:source>
	<dc:language>eng</dc:language>
	<dc:relation>https://journal.unnes.ac.id/journals/phpj/article/view/19981/6098</dc:relation>
	<dc:rights xml:lang="en">Copyright (c) 2025 Public Health Perspective Journal</dc:rights>
</oai_dc:dc>