Stimulator Listrik Portabel untuk Rehabilitasi Pasca Stroke yang Terintegrasi dengan Pemantauan EMG Sistem Berbasis IoT
Abstract
Penelitian ini mengembangkan stimulator listrik portabel berbasis IoT untuk rehabilitasi pasca stroke dengan pemantauan elektromiografi (EMG). Data EMG dan parameter stimulasi dikirim ke platform ThingSpeak untuk pemantauan jarak jauh. Pengujian menunjukkan bahwa perangkat mampu menghasilkan stimulasi listrik dengan frekuensi 9–42 Hz, sesuai standar IEC 60601-1 (<50 Hz), serta memantau aktivitas otot secara akurat. Hasil pemantauan EMG menunjukkan bahwa saat otot relaksasi, nilai EMG berada pada 0–20 mV, meningkat menjadi 0–90 mV saat diberikan stimulasi, dan 0–60 mV saat otot digerakkan. Pada platform ThingSpeak, nilai magnitude berkisar 12–24 saat relaksasi, meningkat menjadi 140 saat distimulasi, dan mencapai 250 saat otot digerakkan. Perangkat ini berpotensi mendukung rehabilitasi pasien pasca stroke dengan pemantauan jarak jauh yang efektif.
Kata Kunci: Stimulator listrik, IoT, EMG, Rehabilitasi Pasca Stroke, ThingSpeak
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Bao, S., Khan, A., Song, R., & Kai-yu Tong, R. (2020). Rewiring the Lesioned Brain: Electrical Stimulation for Post-Stroke Motor Restoration. Journal of Stroke, 22(1), 47–63. https://doi.org/10.5853/jos.2019.03027
Barelli, R. G., Avelino, V. F., & Castro, M. C. F. (2022). STIMGRASP: A Home-Based Functional Electrical Stimulator for Grasp Restoration in Daily Activities. Sensors, 23(1), 10. https://doi.org/10.3390/s23010010
Basri, I. Y., Arsyfadhillah, A., Irfan, D., & Thamrin, T. (2018). Rancang Bangun Media Pembelajaran Mini Trainer IC 555. INVOTEK: Jurnal Inovasi Vokasional dan Teknologi, 18(2), 65–76. https://doi.org/10.24036/invotek.v18i2.332
Diéguez-Pérez, I., & Leirós-Rodríguez, R. (2020). Effectiveness of Different Application Parameters of Neuromuscular Electrical Stimulation for the Treatment of Dysphagia after a Stroke: A Systematic Review. Journal of Clinical Medicine, 9(8), 2618. https://doi.org/10.3390/jcm9082618
Ethne L. Nussbaum et al. (2017). Neuromuscular Electrical Stimulation for Treatment of Muscle Impairment: Critical Review and Recommendations for Clinical Practice | Physiotherapy Canada. https://utpjournals.press/doi/10.3138/ptc.2015-88
Fang, Y., Li, J., Liu, S., Wang, Y., Li, J., Yang, D., & Wang, Q. (2023). Optimization of electrical stimulation for the treatment of lower limb dysfunction after stroke: A systematic review and Bayesian network meta-analysis of randomized controlled trials. PLOS ONE, 18(5), e0285523. https://doi.org/10.1371/journal.pone.0285523
Fluke Biomedical. (2014, Maret). An introduction to electrical safety testing in accordance with IEC 62353. https://www.ebme.co.uk/articles/electrical-safety-testing-in-accordance-with-iec-62353/an-introduction-to-electrical-safety-testing-in-accordance-with-iec-62353
Gracia-Ibáñez, V., Mohseni, M., Kedgley, A. E., Jarque-Bou, N. J., Granell, P., Vergara, M., & Sancho-Bru, J. L. (2024). Electromyography Parameters to Discriminate Hand Osteoarthritis and Infer Their Functional Impact. Sensors, 24(20), 6706. https://doi.org/10.3390/s24206706
Hodkin, E. F., Lei, Y., Humby, J., Glover, I. S., Choudhury, S., Kumar, H., Perez, M. A., Rodgers, H., & Jackson, A. (2018). Automated FES for Upper Limb Rehabilitation Following Stroke and Spinal Cord Injury. IEEE Transactions on Neural Systems and Rehabilitation Engineering, 26(5), 1067–1074. https://doi.org/10.1109/TNSRE.2018.2816238
Khan, M. A., Fares, H., Ghayvat, H., Brunner, I. C., Puthusserypady, S., Razavi, B., Lansberg, M., Poon, A., & Meador, K. J. (2023). A systematic review on functional electrical stimulation based rehabilitation systems for upper limb post-stroke recovery. Frontiers in Neurology, 14, 1272992. https://doi.org/10.3389/fneur.2023.1272992
Lee, Y., & Kim, K. (2022). The influence of gait training combined with portable functional electrical stimulation on motor function, balance and gait ability in stroke patients. Journal of Back and Musculoskeletal Rehabilitation, 35(6), 1171–1178. https://doi.org/10.3233/BMR-210154
Muslihun, M., Ulin Nuha Aba, M., & Ringaama Kromen3, Y. (2023). RANCANG BANGUN ELEKTROSTIMULATOR BERBASIS ARDUINO MEGA 2560. MEDIKA TRADA, 4(2), 11–15. https://doi.org/10.59485/jtemp.v4i2.35
Utari, E. L., Buyung, I., & Putra, I. M. G. G. (2017). SIMULASI ALAT ELEKTROSTIMULATOR AKUPUNTUR BERBASIS MIKROKONTROLER ATMEGA16. Teknoin, 23(1). https://doi.org/10.20885/teknoin.vol23.iss1.art4
Wahyu Nasrullah. (2019). Efektivitas Latihan Stimulasi Motorik dan Koping Adaptif Terhadap Kapasitas Fungsional Pada Pasien Pasca Stroke. Tanjungpura Journal of Nursing Practice and Education, 1(2). https://doi.org/10.26418/tjnpe.v1i2.35107
Wang, H.-P., Guo, A.-W., Zhou, Y.-X., Xia, Y., Huang, J., Xu, C.-Y., Huang, Z.-H., Lü, X.-Y., & Wang, Z.-G. (2017). A wireless wearable surface functional electrical stimulator. International Journal of Electronics, 104(9), 1514–1526. https://doi.org/10.1080/00207217.2017.1312708
Widyasari, V., Rahman, F. F., & Ningrum, V. (2023). The Incidence and Prevalence of Stroke by Cause in Indonesia Based on Global Burden of Disease Study 2019. Dalam H. Nurdiyanto, I. Miladiyah, & N. A. Jamil (Ed.), Proceedings of the 3rd International Conference on Cardiovascular Diseases (ICCvD 2021) (hlm. 435–446). Atlantis Press International BV. https://doi.org/10.2991/978-94-6463-048-0_50
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