Measurement of Motor Evoked Potential in Acute Ischemic Stroke: Based on Latency, Amplitude, Central Motoric Conduction TIME and Resting Motor Threshold

BACKGROUND: After stroke, there are dynamic changes of motor evoked potential (MEP), including latency, amplitude, central motoric conduction time (CMCT) and resting motor threshold (RMT) in cerebral. However, latency, CMCT, amplitude and RMT have not been clearly shown in acute ischemic stroke patients with motoric function impairment based on Modified Motoric Research Council Scale (MRCs).METHODS: Patients with motoric function impairment after acute ischemic stroke were recruited, scored based on MRCs and grouped. Latency, amplitude, CMCT and RMT (% intensity) was measured using transcranial magnetic stimulation (TMS). Latency, amplitude, CMCT and RMT of subjects based on affected hemisphere (AH) and unaffected hemisphere (UH); stroke onset; and motoric severity; were analyzed and compared statistically.RESULTS: Thirty-seven subjects with complete assessments were selected. Results of MEP size measurement between AH and UH showed that latency, amplitude, CMCT and RMT of AH and UH were significantly different (p<0.05). In accordance to AH and UH results, latency, amplitude, CMCT and RMT of mild, moderate and severe groups based on motoric severity, showed that latency and CMCT were prolonged, RMT was increased, while amplitude was decreased along with severity increment. The amplitude and RMT among the groups were significantly different with p=0.034 and p=0.029, respectively.CONCLUSION: MEP size measurement including latency, amplitude, CMCT and RMT have significant different in AH and UH. In addition, amplitude and RMT were significantly different in MRCs groups, therefore the MEP size measurement could be suggested as prognostic tool

Pengaruh Pelatihan Balut Bidai terhadap Pengetahuan Penatalaksanaan Fraktur pada Anggota PMR di SMK Kota Makassar

Balut bidai training aims to minimize the impact that can occur so that every lay person can help if they find victims who have an accident.The research aimed to analyze to what extent the effect of the splint wrap training using the watching video method on the fracture management knowledge of the Youth Red Cross members. This was the qualitative research with the one group pretest posttest design method with the samples of 70 students of YRC members. The samples were selected using the non-probability sampling technique with the purposive sampling approach. The date were analyzed using T-Test. The research result indicates that there is no significant difference concerning the knowledge level between the simulation group and video group (? = 0.063), whereas on the skill level, there is the significant difference between the simulation group and video group (? = 0.000). Thus, it can be concluded that the training using the video method can improve the fracture management knowledge fester than the training using the simulation method, so that it is expected that the training using the video method can be utilized for almost all topics, and every cognitive, affective, psychomotoric and interpersonal domain