scholarly journals The effectivity of pharyngeal strengthening exercise, hyolaryngeal complex range of motion exercise, and swallowing practice in swallowing function of ischemic stroke patients with neurogenic dysphagia

2019 ◽  
Vol 15 (6) ◽  
pp. 769-774 ◽  
Author(s):  
Widjajalaksmi Kusumaningsih ◽  
Nur Indah Lestari ◽  
Salim Harris ◽  
Susyana Tamin ◽  
Retno Asti Werdhani
Keyword(s):  
Ischemic Stroke ◽  
Range Of Motion ◽  
Neurogenic Dysphagia ◽  
Stroke Patients ◽  
Swallowing Function ◽  
Strengthening Exercise ◽  
Motion Exercise

The treatment effi cacy of disturbed swallowing function in patients with ischemic stroke and neurogenic dysphagia

2021 ◽  
Vol 26 (3) ◽  
pp. 51-57
Author(s):  
V. I. Ershov ◽  
A. A. Borzdyko ◽  
V. V. Silkin
Keyword(s):  
Ischemic Stroke ◽  
Combination Therapy ◽  
Comparison Group ◽  
Dynamic Assessment ◽  
Control Group ◽  
Training Method ◽  
Severity Scale ◽  
Neurogenic Dysphagia ◽  
Swallowing Function ◽  
Penetration Aspiration Scale

The aim. To evaluate the effi cacy of swallowing recovery of patients with ischemic stroke carried out with the use of training rehabilitation method using special nutrient mixtures as part of combination therapy. Material and methods. The study included 65 patients (35 men and 30 women, aged 45 to 80 years) with dysphagia in the acute period of ischemic stroke. Thirty patients (control group) were treated with special binding compounds as part of a combination therapy. Thirty fi ve patients (comparison group) did not use the mixture. The dynamics of the recovery function of swallowing using the Penetration–Aspiration Scale (PAS) and the Fiberoptic Endoscopic Dysphagia Severity Scale (FEDSS), as well as the transition from tube to independent feeding were studied. Results. The training method of rehabilitation using special nutritional mixtures is eff ective assessed with PAS and FEDSS in patients with ischemic stroke and neurogenic dysphagia (p < 0.05). The most pronounced eff ect was achieved in the group of patients with pseudobulbar syndrome. In patients with bulbar syndrome no statistically signifi cant diff erences were observed in the dynamic assessment of the severity of dysphagia on the PAS and FEDSS scales. The application of the training method leads to a signifi cantly better transition from tube to independent feeding. Conclusion. The training method of rehabilitation using special nutritional mixtures is eff ective in patients with ischemic stroke and neurogenic dysphagia and leads to a signifi cantly better transition from tube to independent feeding.

scholarly journals THE ASSOCIATION BETWEEN LOCATION OF BRAIN LESION AND FINDINGS OF FLEXIBLE ENDOSCOPIC EVALUATION OF SWALLOWING (FEES) IN STROKE PATIENTS: WHICH EXERCISE IS BENEFICIAL?

2019 ◽  
Author(s):  
Widjajalaksmi Kusumaningsih ◽  
Nur Indah Lestari ◽  
Herdiman Purba
Keyword(s):  
Brain Stem ◽  
Right Hemisphere ◽  
Brain Lesion ◽  
Retrospective Chart Review ◽  
Brain Regions ◽  
Cortical Lesion ◽  
Neurogenic Dysphagia ◽  
Stroke Patients ◽  
Subcortical Lesion ◽  
Strengthening Exercise

Abstract Background: Dysphagia is a frequent occurrence following stroke. Various brain regions have been shown to control deglutition. However, it is still controversial as to which of the two hemispheres plays more important role in deglutition, and which injured hemisphere is more likely to cause the specific patterns of dysphagia seen in stroke patients. An accurate estimate of the incidence of dysphagia will be critical to assess benefits of dysphagia interventions. Objective: To investigate whether patterns of dysphagia are associated with the location of brain lesion in stroke patients and to examine whether pharyngeal strengthening exercise and hyolaryngeal exercise are proper for patients, based on the findings of FEES and location of brain lesion. Methods: The subjects were stroke outpatients who visited our clinic from January 2016 to April 2018. To localize brain lesion, Computed Tomography (CT) or Magnetic Resonance Imaging (MRI) have been employed. The locations of brain lesions were classified into cortical, subcortical, and brain stem. FEES was conducted to assess the patterns of deglutition disorders. These data were collected via retrospective chart review. Results: Of the 11 subjects, mean age (SD) was 62.73 (8.67) years and seven (63.64%) subjects were male. All subjects got ischemic stroke, eight (72.73%) had right hemispheric lesion and three (27.27%) had left hemispheric lesion. By brain lesion, there were nine subcortical, five cortical, and four brain stem lesions. All FEES findings, especially standing secretion, penetration, residue, and reduced hypopharynx sensitivity were higher in subcortical lesion, followed by brain stem and cortical lesion successively. Conclusion: Right hemisphere was involved more than left hemisphere in dysphagia patients. Standing secretion, penetration, residue, and reduced hypopharynx sensitivity occurs more often in subcortical lesion. Further studies on big samples in a perspective structure are needed. Based on this result, there is a place for pharyngeal strengthening exercise and hyolaryngeal complex range of motion and strengthening exercise to be implemented to the patients with neurogenic dysphagia after stroke.

scholarly journals Effciency of a rehabilitation training method by means of special infant formulas in patients with ischemic stroke and neurogenic dysphagia as part of combined therapy

2019 ◽  
Vol 11 (2) ◽  
pp. 65-70
Author(s):  
V. I. Ershov ◽  
A. A. Belkin ◽  
A. V. Karpets ◽  
S. V. Zdvizhkova ◽  
A. P. Gonchar-Zaikin ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Clinical Effect ◽  
Combined Therapy ◽  
Gradual Transition ◽  
Infant Formulas ◽  
Training Method ◽  
Neurogenic Dysphagia ◽  
Swallowing Function ◽  
Solid Foods ◽  
Receptor Apparatus

Objective: to evaluate the efficiency of a training method using special infant formulas as part of combined rehabilitation for patients with ischemic stroke and neurogenic dysphagia.Patients and methods. The investigation enrolled 55 patients (30 men and 25 women) aged 45–80 years with dysphagia during the acute period of ischemic stroke. Thirty patients used special astringent formulas as part of combined therapy and 25 patients did not. The investigators studied the time of course of changes in the restoration of swallowing function, by using the Penetration-Aspiration Scale (PAS) and the Fiberoptic Endoscopic Dysphagia Severity Scale (FEDSS), as well as the transition from probe feeding to independent one.Results and discussion. The best restoration of swallowing function was shown to be achieved through training using formulas with different astringency. Stronger astringent formulas, like solid foods, stimulate better the pharyngeal receptor apparatus; the most active restoration of a dynamic swallowing stereotype occurs. The gradual transition to a milder astringent formula allows restoration of the skill to swallow thinner liquid foods. It takes 10 days to achieve a significant clinical effect in most patients, mainly in those with pseudobulbar disorders. Training may be prolonged to 2 weeks or more in severe cases, in bulbar dysfunctions.Conclusion. The training rehabilitation method using special infant formulas in combination with electrical stimulation in patients with ischemic stroke and neurogenic dysphagia allows achieving the significantly better indicators of restoration of swallowing function in accordance with the PAS scale. The application of the method contributes to the significantly better transition from probe feeding to independent one.

scholarly journals PENGARUH RANGE OF MOTION TERHADAP KEKUATAN OTOT PADA PASIEN STROKE ISKEMIK DI RUMAH SAKIT UMUM HKBP BALIGE

2020 ◽  
Vol 3 (1) ◽  
pp. 278-282
Author(s):  
Rika Elvriede Hutahaean ◽  
Muhammad Taufik Daniel Hasibuan
Keyword(s):  
Ischemic Stroke ◽  
Muscle Strength ◽  
Range Of Motion ◽  
Recovery Period ◽  
Population Data ◽  
Wilcoxon Test ◽  
Stroke Patients ◽  
Blood Clots ◽  
Before And After ◽  
Motion Range

Ischemic stroke is a disruption of blood supply to the brain which results in stoppage of blood flow and blood clots that cause atherosclerosis. Ischemic stroke patients can be given training or therapy to help maintain or increase muscle strength with range of motion. Range of motion is usually given during the recovery period or when the patient's condition has improved with a frequency of twice a day in 10-15 minutes. This study aims to determine the effect of range of motion on muscle strength in Balige HKBP General Hospital. This type of research uses one group pretest-posttest and the sample used in this study amounted to 30 people, and the total sampling used in sampling techniques in the population. Data collection was carried out by questionnaire, observation and interview as well as data testing which was carried out using the Wilcoxon test. From the test results obtained a significant effect of 0,000. That is, there are differences in muscle strength before and after given the range of Motion. This proves that Range of Motion affects the increase in respondent's limb muscle strength. The hospital is expected to make an SPO in the handling of rehabilitation of ischemic stroke patients to maintain and increase muscle strength.     Abstrak Penyakit stroke iskemik merupakan terganggunya pasokan darah ke otak yang mengakibatkan berhentinya aliran darah dan terjadi pembekuan darah sehingga menyebabkan aterosklerosis. Pasien stroke iskemik dapat diberikan latihan atau terapi untuk membantu mempertahankan atau meningkatkan kekuatan otot yaitu dengan range of motion. Range of motion biasanya diberikan pada masa pemulihan atau pada saat kondisi pasien sudah membaik dengan frekuensi dua kali sehari dalam waktu 10-15 menit. Penelitian ini bertujuan untuk mengetahui adanya pengaruh range of motion terhadap kekuatan otot di RSU HKBP Balige. Jenis penelitian ini menggunakan one group  pretest-postest dan sampel yang dipakai dalam penelitian ini berjumlah 30 orang, serta total sampling dipakai dalam teknik pengambilan sampel pada populasi. Pengumpulan data dilakukan dengan kusioner, observasi dan wawancara serta uji data yag dilakukan dengan uji Wilcoxon. Dari hasil uji didapatkan pengaruh yang signifikan sebesar 0.000.  Artinya, terdapat perbedaan kekuatan otot sebelum dan sesudah diberikan range of Motion. Hal ini membuktikan bahwa Range of Motion berpengaruh pada peningkatan kekuatan otot ekstremitas responden. Rumah Sakit diharapkan membuat suatu SPO dalam penanganan rehabilitasi pasien stroke iskemik untuk mempertahankan dan meningkatkan kekuatan otot.

scholarly journals Pengaruh Latihan Range Of Motion (ROM) Menggenggam Bola Terhadap Kekuatan Otot Ekstremitas Atas Pasien Stroke Iskemik

2019 ◽  
Vol 14 (2) ◽  
pp. 79-86
Author(s):  
Hendri Budi ◽  
Netti Netti ◽  
Yossi Suryarinilsih
Keyword(s):  
Ischemic Stroke ◽  
Muscle Strength ◽  
Range Of Motion ◽  
Design Research ◽  
Nursing Intervention ◽  
Wilcoxon Test ◽  
Manual Muscle Testing ◽  
P Value ◽  
Stroke Patients ◽  
Muscle Testing

Stroke causes motor hemiparise disorders or weakness. Nursing intervention to overcome this is by doing range of motion (ROM) exercises grasping the ball. The purpose of the study was to identify the effect of ROM-grasping ball exercises on the strength of limb muscles for ischemic stroke patients. Quasi-experimental research type, one group pre-post test design. Research in the Neuro Ward Dr. M. Djamil Padang Hospital. The time of the research is October to December 2017. The intervention is ROM gripping ball exercises, namely rubber balls for 3 days followed by tennis balls for 2 days. Hold the ball firmly for 5 seconds then relax 10 seconds, practice repeated 10 times, frequency 3 times a day. The study population were all stroke patients in the Neuro Ward Dr. M. Djamil Padang Hospital. A sample of 10 people was obtained by purposive sampling that met the inclusion criteria. Data collection by measurement of muscle strength using Manual Muscle Testing (MMT). Data were computerized, analyzed by descriptive statistics and Wilcoxon test. The results of the study showed differences in upper limb muscle strength before and after the ROM exercise held the ball on the patient's shoulder (p value = 0.004), on the elbow of the patient (p value = 0.000), on the patient's hand (p value = 0.000), and on the patient's finger (p value = 0.000). It is recommended to nurses to implement the practice of grasping the ball to increase muscle strength of ischemic stroke patients and make it as a procedure for nursing intervention to patients to muscle strength.      

scholarly journals Rom And Cimt Treatment Effects To Stroke Patients’s Upper Extremity Functional Ability

2020 ◽  
Vol 8 (3) ◽  
pp. 223
Author(s):  
Lingling Marinda Palupi
Keyword(s):  
Range Of Motion ◽  
Upper Extremity ◽  
Functional Ability ◽  
T Test ◽  
Control Group ◽  
P Value ◽  
Stroke Patients ◽  
Constraint Induced Movement Therapy ◽  
Motion Exercise ◽  
Paired T Test

<em>Stroke is a brain functionality disorder caused by disruption of blood supply into the brain. Stroke is one of the leading causes of weakness or hemiparesis on ekstremities. A stroke patient who encounter hemiparesis may suffer joints contracture which then can become permanently disabled if it is not trained. In hospitals, Range of Motion Exercise is often performed, but the results are less optimal. This research aims to discover the combination effects of Range of Motion Exercise (ROM) and Constraint Induced Movement Therapy (CIMT) to the changes of upper extremity functional ability</em> <em>by using a measuring tool Chedoke Arm and Hand Activity Inventory form (CAHAI) </em><em>to stroke patients with hemiparesis at Interna 1 of dr. R. Soedarsono Regional Public Hospital, Pasuruan. This research uses Quasi Experimental with non-Equivalent Control Group design. The respondents were chosen by using Consecutive Sampling technique with a total of 34 respondents divided into two groups. 17 respondents as the treatment group were given combination therapy of ROM and CIMT and 17 respondents as control group were given ROM therapy only..The Statistical test was done by using Paired T-test and Independent T-test. According to the result of Paired T-test, there are differences found in the result of upper  extremity functional ability after the combination intervention of ROM and CIMT had been given in the treatment group with P Value 0.000 (p &lt; 0.05). Then, the independent t-test stated that the intervention of ROM and CIMT hold an influence to upper extremity functional ability with P Value = 0.047 (p &lt; 0.05). This research concludes that the combination of Range of Motion Exercise (ROM) and Constraint Induced Movement Therapy (CIMT) can increase the upper extremity functional ability so that it can be used as an alternative of exercise therapy to increase the upper extremity functional ability of stroke patients.</em>

scholarly journals Peningkatan Kekuatan Otot Pasien Stroke Non Hemoragik dengan Hemiparese melalui Latihan Range of Motion (ROM) Pasif

2019 ◽  
Vol 1 (2) ◽  
pp. 354-363
Author(s):  
Elsi Rahmadani ◽  
Handi Rustandi
Keyword(s):  
Muscle Strength ◽  
Range Of Motion ◽  
Research Method ◽  
Hemorrhagic Stroke ◽  
Intervention Group ◽  
Control Group ◽  
Stroke Patients ◽  
Average Value ◽  
Post Test ◽  
Motion Exercise

This study aims to analyze the strength of muscle strength in patients with non-hemorrhagic stroke with hemiparese through Passive Range of Motion (ROM) exercises at Bengkulu Curup Hospital 2019. This research method uses the Quasi Experiment design of the pre and post test designs. The results of this study indicate the average value of pre-test and post-test muscle strength. increased in the intervention group and no increase in the control group. significant value (p = 0.008) in the intervention group and (p = 0.5) in the control group. Conclusion, there is the effect of Range of Motion exercise on the muscle strength of non-hemorrhagic stroke patients at ICU Curup General Hospital in 2019.   Keywords: Muscle Strength, Range Of Motion (ROM) Exercise

PENGARUH LATIHAN RANGE OF MOTION (ROM) AKTIF ASSITIF TERHADAP RENTANG GERAK SENDI PADA LANSIA YANG MENGALAMI IMMOBILISASI FISIK

2019 ◽  
Vol 13 (2) ◽  
Author(s):  
Andri Setyorini ◽  
Niken Setyaningrum
Keyword(s):  
Range Of Motion ◽  
Human Life ◽  
The Elderly ◽  
General Purpose ◽  
Test Statistic ◽  
Physical Mobility ◽  
Motion Exercise ◽  
The One ◽  
The Individual ◽  
Active Training

Background: Elderly is the final stage of the human life cycle, that is part of the inevitable life process and will be experienced by every individual. At this stage the individual undergoes many changes both physically and mentally, especially setbacks in various functions and abilities he once had. Preliminary study in Social House Tresna Wreda Yogyakarta Budhi Luhur Units there are 16 elderly who experience physical immobilization. In the social house has done various activities for the elderly are still active, but the elderly who experienced muscle weakness is not able to follow the exercise, so it needs to do ROM (Range Of Motion) exercise.   Objective: The general purpose of this research is to know the effect of Range Of Motion (ROM) Active Assitif training to increase the range of motion of joints in elderly who experience physical immobility at Social House of Tresna Werdha Yogyakarta unit Budhi Luhur.   Methode: This study was included in the type of pre-experiment, using the One Group Pretest Posttest design in which the range of motion of the joints before (pretest) and posttest (ROM) was performed  ROM. Subjects in this study were all elderly with impaired physical mobility in Social House Tresna Wreda Yogyakarta Unit Budhi Luhur a number of 14 elderly people. Data analysis in this research use paired sample t-test statistic  Result: The result of this research shows that there is influence of ROM (Range of Motion) Active training to increase of range of motion of joints in elderly who experience physical immobility at Social House Tresna Wredha Yogyakarta Unit Budhi Luhur.  Conclusion: There is influence of ROM (Range of Motion) Active training to increase of range of motion of joints in elderly who experience physical immobility at Social House Tresna Wredha Yogyakarta Unit Budhi Luhur.

Sign in / Sign up

Export Citation Format

Share Document