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Effect of Creative Movement and Occupational Therapy as a Community-Based Rehabilitation Program for Post Stroke Elderly at Puskesmas Gresik

*Khalifatus Zuhriyah Alfianti orcid  -  Nursing program study, Health Science Faculty, Univeristas Gresik, Indonesia
Istiroha Istiroha  -  Nursing program study, Health Science Faculty, Univeristas Gresik, Indonesia
Ahmad Hasan Basri  -  Nursing program study, Health Science Faculty, Univeristas Gresik, Indonesia
Crysant Ayu Sufi Khomilia  -  Nursing program study, Health Science Faculty, Univeristas Gresik, Indonesia
Ilkha Malia  -  Nursing program study, Health Science Faculty, Univeristas Gresik, Indonesia
Received: 30 Sep 2025; Revised: 10 Nov 2025; Accepted: 11 Nov 2025; Available online: 12 Nov 2025; Published: 12 Nov 2025.

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Abstract

ABSTRAK

Background: Stroke remains a leading cause of disability among older adults, often resulting in impaired motor abilities and a diminished quality of life. This study aimed to evaluate the impact of combining Creative Movement Therapy (CMT) and Occupational Therapy (OT) on motor function and quality of life among post-stroke elderly individuals in Gresik District, Indonesia.

Methods: A quasi-experimental study with a pretest–posttest control group design was conducted from August to September 2025 at Puskesmas Alun-Alun Gresik. The control group (n = 35) received conventional rehabilitation, while the intervention group (n = 35) participated in combined CMT and OT sessions for four weeks, lasting 45–60 minutes each. Motor function was assessed using the Fugl-Meyer Assessment (FMA), and quality of life was measured using the Stroke-Specific Quality of Life (SS-QOL) scale.

Results: Participants in the intervention group achieved significantly higher mean ranks for both FMA (46.00) and SS-QOL (43.61) compared to the control group (25.00 and 27.39, respectively; p < 0.05).

Conclusion: The integration of Creative Movement Therapy and Occupational Therapy provides an effective, community-based rehabilitation strategy that holistically enhances motor function and overall quality of life among post-stroke elderly individuals

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Keywords: Post-stroke elderly, creative movement therapy, occupational therapy, motor function, quality of life, community-based rehabilitation

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