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IJSTR >> Volume 8 - Issue 10, October 2019 Edition

International Journal of Scientific & Technology Research  
International Journal of Scientific & Technology Research

Website: http://www.ijstr.org

ISSN 2277-8616

Identification Customer Need for Redesign Feet and Hands Strength Training Equipment for the Post-Ischemic Stroke Patients

[Full Text]



Ade Sri Mariawati, Fatin S.D, Ani Umyati, Moh Fawaid, Muhammad Nurtanto



Ischemic Stroke Post, Ulrich, Customer need



Based on Indonesia health data, an increasing number of stroke patients ranging from 8.3 per 1,000 people in 2007 to 1 per 1000 people in 2013. Stroke is a sudden attack that occurs in the brain that involve blood vessel in the brain blocked until the rupture and cause diverse paralysis symptoms such as impaired speech and swallowing disorders. Based on type stroke, 85% stroke is ischemic stroke and 15% are hemorrhagic. Ischemic stroke is a stroke caused by blockage of blood vessels and leads to paralysis on one side of the body. Post-ischemic stroke patients in particular need of exercise when post-cure. Post-exercise recovery process that has an important role in everyday life include strength training the legs and arms. Now there are tools and hand leg exercises for patients with post-ischemic stroke in the form of a static bike, but this tool still has shortcomings, ranging from the type of pedal is used, and the absence of static load for bicycle users. The aim of this study was to design a strength training tool for the patient's feet and hands after ischemic stroke. Based on previous observations followed the design of the product development cycle using the static design method of product development Karl T. Ulrich. The method consists of five phases namely, Phase 0 planning, phase 1 concept development, phase 2 level system design, phase 3 detailed design, phase 4 testing and repair, phase 5 product launch. In this study only used two steps. Result from identification Safe when used (for users), Adjustable load as needed , Comfortable during use (for users), Easy to take care, Sturdy, Light, Work manually, Easily to use (for users), Easy to be overhauled, Attractive design, Durable, Pedal appropriate size with the hands and feet, Affordable prices, Easily stored



[1] Y. V. Kalkonde et al., ‘Stroke Is the Leading Cause of Death in Rural Gadchiroli, India: A Prospective Community-Based Study’, Stroke, vol. 46, no. 7, pp. 1764–1768, Jul. 2015.
[2] M. Fisher, C. Iadecola, and R. Sacco, ‘Introduction to the Stroke Compendium’, Circ. Res., vol. 120, no. 3, pp. 437–438, Feb. 2017.
[3] E. S. Donkor, ‘Stroke in the 21st Century: A Snapshot of the Burden, Epidemiology, and Quality of Life’, Stroke Res. Treat., vol. 2018, Nov. 2018.
[4] G. J. Hankey, ‘The global and regional burden of stroke’, Lancet Glob. Health, vol. 1, no. 5, pp. e239–e240, Nov. 2013.
[5] M. Katan and A. Luft, ‘Global Burden of Stroke’, Semin. Neurol., vol. 38, no. 2, pp. 208–211, 2018.
[6] C. Rao et al., ‘Mortality in Central Java: results from the indonesian mortality registration system strengthening project’, BMC Res. Notes, vol. 3, p. 325, Dec. 2010.
[7] C. Carr, L. Kahn, M. Mathkour, E. Biro, C. J. Bui, and A. S. Dumont, ‘The shifting burden of neurosurgical disease: Vietnam and the middle-income nations’, Neurosurg. Focus, vol. 45, no. 4, p. E12, Oct. 2018.
[8] R. R. Saphira Nurani and S. Martini, ‘Risk Factors for Cognitive Impairment after Ischemic Stroke’, KnE Life Sci., vol. 4, no. 9, p. 87, Dec. 2018.
[9] A. Wahab, I. Choiriyyah, and S. A. Wilopo, ‘Determining the Cause of Death: Mortality Surveillance Using Verbal Autopsy in Indonesia’, Am. J. Trop. Med. Hyg., vol. 97, no. 5, pp. 1461–1468, Nov. 2017.
[10] P. M. W. Bath and K. R. Lees, ‘Acute stroke’, West. J. Med., vol. 173, no. 3, pp. 209–212, Sep. 2000.
[11] ‘Big Effects from Tiny Vessels: Imaging the Impact of Microvascular Clots and Hemorrhages on the Brain’. [Online]. Available: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3862170/. [Accessed: 16-Sep-2019].
[12] ‘Resources for Stroke Patients’, European Stroke Organisation. .
[13] ‘Discrimination of ischemic and hemorrhagic strokes using a multiplexed, mass spectrometry-based assay for serum apolipoproteins coupled to multi-marker ROC algorithm’. [Online]. Available: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3910141/. [Accessed: 16-Sep-2019].
[14] E. V. Kuklina, X. Tong, M. G. George, and P. Bansil, ‘Epidemiology and prevention of stroke: a worldwide perspective’, Expert Rev. Neurother., vol. 12, no. 2, pp. 199–208, Feb. 2012.
[15] A. K. Boehme, C. Esenwa, and M. S. V. Elkind, ‘Stroke Risk Factors, Genetics, and Prevention’, Circ. Res., vol. 120, no. 3, pp. 472–495, Feb. 2017.
[16] ‘Physical Activity and Exercise After Stroke | Stroke’. [Online]. Available: https://www.ahajournals.org/doi/10.1161/STROKEAHA.114.004311. [Accessed: 16-Sep-2019].
[17] J. J. Eng, ‘Strength Training in Individuals with Stroke’, Physiother. Can. Physiother. Can., vol. 56, no. 4, pp. 189–201, Aug. 2004.
[18] B. H. Dobkin, ‘Training and exercise to drive poststroke recovery’, Nat. Clin. Pract. Neurol., vol. 4, no. 2, pp. 76–85, Feb. 2008.
[19] ‘Elderly Stroke Rehabilitation: Overcoming the Complications and Its Associated Challenges’. [Online]. Available: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6040254/. [Accessed: 16-Sep-2019].
[20] S. Culley, Design Methods for Performance and Sustainability. John Wiley & Sons, 2001.
[21] S. D. Eppinger, ‘Design for Manufacturing’, p. 114.