ORIGINAL ARTICLE

Intra Arterial Heparin Flushing Increases Manual Muscle Test – Medical Research Councils (MMT-MRC) Score in Chronic Ischemic Stroke Patient

Terawan Agus Putranto , Irawan Yusuf, Bachtiar Murtala, Andi Wijaya

Terawan Agus Putranto
Hasanuddin University. Jl. Perintis Kemerdekaan. Km.10. Makassar. Sulawesi Selatan.. Email: terawan@rspadgs.net

Irawan Yusuf
Faculty of Medicine, Hasanuddin University, Makassar-Indonesia

Bachtiar Murtala
Faculty of Medicine, Hasanuddin University, Makassar-Indonesia

Andi Wijaya
Faculty of Medicine, Hasanuddin University, Makassar-Indonesia
Online First: May 11, 2016 | Cite this Article
Putranto, T., Yusuf, I., Murtala, B., Wijaya, A. 2016. Intra Arterial Heparin Flushing Increases Manual Muscle Test – Medical Research Councils (MMT-MRC) Score in Chronic Ischemic Stroke Patient. Bali Medical Journal 5(2): 216-220. DOI:10.15562/bmj.v5i2.200


Background: Muscle strength impairment in stroke patient affect the patient daily life, especially when it occurs on the extremities muscles. Manual Muscle Testing (MMT) is an examination method to measure muscle strength using standardized scoring. Objectives: To find possible improvement of Manual Muscle Test (MMT) Score after administration of Intra Arterial Heparin Flushing in chronic ischemic stroke patient. Methods: This is an experimental study using pretest-posttest group design, with randomized controlled clinical trial, conducted among patients in Cerebrovascular Center Unit in Army Central Hospital Gatot Soebroto starting from February 2014. With 75 patients included in this study. The examination of muscle strength was done by trained physicians. The MMT score were taken before and after the IAHF procedure is conducted. Results: This study found higher score of MMT-MRC scoring system on chronic stroke patient with IAHF procedure (mean MMT-MRC Score = 6,05 point. With p<0,05). Indicating that IAHF procedure is associated with better muscle strength improvement shown with higher MMT-MRC score on stroke patient, which will have better prognostic outcome in their recovery. Conclusions: Intra Arterial Heparin Flushing have significant effect on chronic stroke patient with decreased muscle strength, which shows a significant increase of MMT-MRC score.

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