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Stroke dapat mengakibatkan kelemahan pada otot, pergerakanpun menjadi terganggu sehingga menyebabkan kesusahan dalam melakukan aktivitas. Penyakit Stroke di Indonesia merupakan terbanyak dan menduduki urutan pertama di Asia. Berdasarkan hasil observasi di rumah sakit Otak Muhammad Hatta bukittinggi populasi post stroke (40 orang) dan yang aktif hanya 20 orang. Tujuan penelitian ini adalah untuk mengetahui perbedaan peningkatan
keseimbangan pada pasien paska struk sebelum dan sesudah pemberian Square Steaping Exercise (SSE) di rumah sakit Otak Bukittinggi.Desain penelitian ini adalah quasy_experiment dengan rancangan yang digunakan adalah one group pre dan post test design Populasi adalah pasien post stroke di RSOMH Bukittinggi. Pengambilan sampel menggunakan teknik purposive sampling didapatkan sampel 10 orang. Pengumpulan data dilakukan dengan pemberian square stepping exercise dan analisis data meliputi analisis
univariat dan bivariate.Hasil penelitian menunjukkan bahwa rata-rata keseimbangan dinamis post stroke berdasarkan tes TUGT sebelum intervensi adalah 32,577 detik dengan standar deviasi 1,97. Skor TUGT terendah sebelum intervensi adalah 30,33 detik dan tertinggi 36,45 detik. Rata-rata keseimbangan dinamis post stroke berdasarkan tes TUGT setelah intervensi
adalah 30,692 detik dengan standar deviasi 1,96. Skor TUGT terendah sebelum intervensi adalah 28,34 detik dan tertinggi 34,26 detik. Adanya hubungan yang signifikan antara pemberian square stepping exercise terhadap peningkatan keseimbangan dinamis pada pasien post stroke dengan nilai p = 0,000.Dari hasil penelitian dapat disimpulkan bahwa adanya pengaruh signifikan antara pemberian square stepping exercise terhadap peningkatan
keseimbangan dinamis pada pasien post stroke.

Stroke can cause weakness in the muscles, movement becomes disrupted, causing difficulty in carrying out activities. Stroke disease in Indonesia is the most and ranks first in Asia. Based on the results of observations at the brain hospital of Muhammad Hatta, Bukittinggi, the post-stroke population (40 people) and only 20 active people. The purpose of this study was to determine the difference in improving balance in post-receipt patients before and after giving Square Steaping Exercise (SSE) at the Bukittinggi Brain Hospital.The
design of this study was quasy_experiment with the design used was one group pre and post test design. The population was post-stroke patients at RSOMH Bukittinggi. Sampling using purposive sampling technique obtained a sample of 10 people. Data was collected by giving a square stepping exercise and data analysis included univariate and bivariate analysis.The results showed that the average post-stroke dynamic balance based on the TUGT test before the intervention was 32.577 seconds with a standard deviation of 1.97. The lowest TUGT score before the intervention was 30.33 seconds and the highest was 36.45 seconds. The average post-stroke dynamic balance based on the TUGT test after the intervention was 30.692 seconds with a standard deviation of 1.96. The lowest TUGT score before the intervention was 28.34 seconds and the highest was 34.26 seconds. There was a significant relationship between giving square stepping exercise to increasing dynamic balance in poststroke patients with p = 0.000.From the results of the study, it can be concluded that there is a significant effect between giving square stepping exercise to increasing dynamic balance in post-stroke patients.