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

scholarly journals Pengaruh Akupresur Stroke 14 Titik Terhadap Rentang Gerak Ekstermitas Atas dan Bawah pada Pasien Stroke Non Hemoragik

2020 ◽  
Vol 2 (1) ◽  
pp. 51-63
Author(s):  
Reza Indra Wiguna Reza ◽  
Lalu Hersika Asmawariza
Keyword(s):  
Range Of Motion ◽  
Hemorrhagic Stroke ◽  
Intervention Group ◽  
Lower Extremities ◽  
The Body ◽  
Control Group ◽  
Stroke Patients ◽  
Post Test ◽  
Upper And Lower Extremities ◽  
Stroke Center

Decreased limb function is one of the complications that often occurs in non-hemorrhagic stroke patients who experience hemiparesis as a result of limited joint motion in the upper and lower extremities. Acupressure is useful in improving extremity function by increasing the movement of qi (vital energy) flow in the body, but acupressure has never been done by nurses in hospital care rooms as a therapy to prevent and overcome motor function complications in non-hemorrhagic stroke patients. This study aims to identify the effect of acupressure at 14 points on the range of motion of the upper and lower extremities in non-hemorrhagic stroke patients. This study used an experimental design with a pre-post test approach design with a control group of 38 respondents (n control and n intervention = 19). The intervention group was given 14-point stroke acupressure for 15 minutes once a day for 7 days. The results showed that there were differences between the control and control ranges between the intervention group and the control group (p = 0.000). Acupressure at 14 points is an effective intervention to increase the range of motion of the upper and lower extremities in non-hemorrhagic stroke patients who have hemiparesis. The recommendation in this study is that nurses in the stroke center can apply 14-point acupressure as one of the SOPs in the treatment of non-hemorrhagic stroke patients to improve the range of motion in the extremities.

The effectiveness of discharge planning and range of motion (ROM) training in increasing muscle strength of nonhemorrhagic stroke patients

2018 ◽  
Vol 2 (3) ◽  
pp. 57
Author(s):  
Mohamat Iskandar
Keyword(s):  
Muscle Strength ◽  
Range Of Motion ◽  
Rating Scale ◽  
Discharge Planning ◽  
Intervention Group ◽  
Sampling Technique ◽  
Control Group ◽  
Planning Program ◽  
Stroke Patients ◽  
Central Java

Background: Non-hemorrhagic stroke patients experience hemiparesis, an improper handling results in joint contractures. Discharge planning combined with a range of motion (ROM) training given to patients and their families are expected to improve muscle strength in patients after returning from the hospital. Aims: This study is to identify the effectiveness of discharge planning in increasing muscle strength. Methods: This is a quasi-experimental study with a pre-posttest design. A total of 34 respondents were selected by cluster random sampling technique, from RAA Soewondo Pati General Hospital of Pati, Central Java, Indonesia. The respondents were divided equally into two groups; an intervention group (N = 17) was given a discharge planning program together with stroke information and range of motion (ROM) training while the control group (N = 17) received a standard discharge planning available in the hospital. Further, Muscle Rating Scale (MRS) was employed to assess the muscle strength on the 2nd, 7th, and 14th day after discharge planning presented to the nonhemorrhagic stroke patients. Results: This present study clearly acknowledges the standard discharge planning program available in the hospital improve the muscle strength of the upper and lower extremity in the nonhemorrhagic stroke patients just 2nd day after the care (pretest), and the significant improvement was observed until the day 14. Moreover, combining the care with ROM training at the intervention group faster the recovery and the muscle strength improved significantly at the 7th day and continue increase at the day 14. Looking to the muscle strength since the 2nd day to the day 14, respectively the muscle strength of upper and lower limb at the control group improved at the point of 0.588 and 0.882, while at the group received the ROM training reached the value of 1.472 and 1.412. Conclusions: The ROM training combined to the current discharge planning program will faster the muscle strength recovery of the nonhemorrhagic stroke patients. This research provide insight how family plays important role to the success in monitoring the rehabilitation and recovery progress. 

scholarly journals Effectiveness of Range of Motion (ROM) Fingers and Spherical grip to Extremity Strength in Non Hemorrhagic Stroke Patients

2020 ◽  
Vol 9 (2) ◽  
pp. 1650-1656
Author(s):  
Shindi Hapsari ◽  
Sonhaji Sonhaji ◽  
Nindya Nurulia
Keyword(s):  
Range Of Motion ◽  
Hemorrhagic Stroke ◽  
Intervention Group ◽  
Sampling Technique ◽  
T Test ◽  
Control Group ◽  
P Value ◽  
Average Difference ◽  
Time Data ◽  
Stroke Patients

This research is an experimental study with the design of the control group. The sampling technique is purposive sampling. The study's population was 32.  The intervention group (n=16) respondents were given ROM therapy exercises of fingers and spherical grip, control group (n=16) respondents by giving ROM therapy exercise fingers. Exercise is done 2 times a day and done in 3 days for 15-20 minutes each time.  Data analysis using Shapiro-Wilk, dependent paired t-test, and independent t-test. Statistical analysis results obtained by the intervention group (Range Of Motion therapy exercises (ROM) of the fingers of the hand and spherical grip exerted a more effective influence compared to the administration of therapy on the control group (ROM) of the fingers of the hand) get an average difference in extremity muscle strength with a p-value of 0.000

Development of Supportive-Educative Range of Motion Exercise for Post-stroke Patients: A Pilot Study

2021 ◽  
pp. 108482232110357
Author(s):  
Elly Lilianty Sjattar ◽  
Irna Megawati ◽  
Andi Masyitha Irwan ◽  
Sintawati Majid
Keyword(s):  
Pilot Study ◽  
Muscle Strength ◽  
Range Of Motion ◽  
Intervention Group ◽  
Control Group ◽  
Willingness To Participate ◽  
Stroke Patients ◽  
Test Analysis ◽  
Post Stroke ◽  
A Value

The purpose of this pilot study was to assess of home care intervention on post-stroke related outcome of range of motion and muscle strength. Sample in 40 participants were divided into the intervention group and control group and included in this study according to the following criteria: post-stroke period of <12 months with hemiparesis, age of ≥18 years, and willingness to participate in the study. The intervention was carried out by nurses by providing education for 2 consecutive days and mentoring for 5 consecutive days, while the control group was given standard care and measured using a grip track, handheld dynamometer, and goniometer examination on June to September 2019. For the intervention group, paired t-test analysis confirmed a significant increase in the mean upper extremity muscle strength before (35.770 ± 46.063) and after (51.073 ± 50.866) the 7 day intervention ( p = .002), whereas the control group showed a value 36.570 ± 33.684 and then 31.400 ± 31.760 p = .256 and lower extremity strength before (3.627 ± 1.585) and after (4.365 ± 1.698) the 7-days intervention ( p = .000), whereas the control group showed a value 3.657 ± 1.671 and then 4.043 ± 1.849 p = .013. Almost all the items assessed from Range of Motion (ROM) in the upper and lower extremities showed a significant increase ( p < .05). Supportive-educative ROM exercise significantly contributed to an increase in the average muscle strength and ROM in post-stroke patients.

PENGARUH RANGE OF MOTION AKTIF-ASSISITIF: LATIHAN FUNGSIONAL TANGAN TERHADAP PENINGKATAN KEKUATAN OTOT PASIEN STROKE NON HEMORAGIC DI RSUP HAJI ADAM MALIK MEDAN

2020 ◽  
Vol 5 (1) ◽  
pp. 80-89
Author(s):  
Imelda Derang
Keyword(s):  
Muscle Strength ◽  
Range Of Motion ◽  
Hemorrhagic Stroke ◽  
Fair Value ◽  
Control Group ◽  
P Value ◽  
Stroke Patients ◽  
Control Group Design ◽  
Significant Difference ◽  
Quasi Experimental

Introduction. Stroke is a central nervous system disorder that most often causes paralysis of the limbs, due to attacks on neuromuscular nerves that cause muscle weakness, so it takes practice that is ROM Active-Assistive hand-functional exercises. This study aims to determine the effect of Range Of Motion Active-Assistive Functional Exercise Hand on Increasing Muscle Strength In Non Hemorrhagic Stroke Patients at Haji Adam Malik General Hospital Medan.Method. research design was Quasi experimental with Pretest-posttest control group design approach. The number of samples was 30 respondents according to the inclusion criteria.Result. Wilcoxon statistical test results obtained the highest results on the pretest with the category of Fair (value 3) and postest with Good category (value 4) obtained p value = 0.001 where the value of p value α (≤0.05) so it can be concluded there is an effect Range Of Motion Active -Assistive Functional Hand Exercise on Increasing Muscle Strength in Non Hemorrhagic Stroke Patients and for the control group the results obtained p = 0.175, which means no increase in muscle strength before and after the study. Mann Whitney Test with p value of 0.001 where p value α (≤0,05)Duscussion. can be concluded that there is a significant difference between treatment group and control group. Subsequent studies are suggested to perform the same type of research on the range of motion of non hemorrhagic stroke patients.

scholarly journals The Effect of Active Range of Motion (ROM) Training on Muscle Strength of Non-Hemorrhagic Stroke Patients in BIDDOKKES Polda Metro Jaya

2021 ◽  
Vol 1 (1) ◽  
pp. 74-77
Author(s):  
Millya Helen ◽  
Mila Evilianti ◽  
Ratna Juita
Keyword(s):  
Muscle Strength ◽  
Range Of Motion ◽  
Random Sampling ◽  
Hemorrhagic Stroke ◽  
Simple Random Sampling ◽  
P Value ◽  
Test Design ◽  
Stroke Patients ◽  
Active Range Of Motion ◽  
Post Test

Stroke adalah gangguan peredaran darah di otak yang menjadi penyebab gangguan pada anggota tubuh yang lain. Stroke non hemoragik menyebabkan keterlambatan dalam melakukan pergerakan karena terjadi kelemahan otot. Di Indonesia, angka kematian karena stroke menempati posisi pertama di Asia Tenggara. WHO menyatakan 328.524 orang Indonesia meninggal karena stroke. Kejadian stroke yang masih tinggi membuat peneliti ingin mengetahui pengaruh pemberian Range Of Motion (ROM) aktif terhadap kekuatan otot pada pasien stroke non hemoragik di Biddokkes Polda Metro Jaya. Penelitian ini bertujuan untuk mengetahui Pengaruh Latihan Range Of Motion (ROM) Aktif terhadap Kekuatan Otot Pasien Stroke Non Hemoragik di Biddokkes Polda Metro Jaya Tahun 2021Desain penelitian Adalah analitik kuantitatif dengan pra-eksperiment (one grups pra-post test) design. Sampel pada penelitian ini berjumlah 17 responden dan penentuan sampel menggunakan simple random sampling. Variabel independent Range Of Motion (ROM) aktif dan variabel dependent kekuatan otot pada penderita stroke non hemoragik. Penelitian ini menggunakan uji statistik Wilcoxon. Hasil penelitian menunjukkan adanya pengaruh pemberian ROM pada pasien stroke non hemoragik. Hasil uji Wilcoxon sebelum dan sesudah pemberian intervensi ROM pada ekstremitas atas didapatkan hasil p value = 0.001. Hasil Uji Wilcoxon sebelum dan sesudah pemberian intervensi ROM pada ekstremitas bawah didapatkan hasil p value = 0.002. Kesimpulan dari penelitian ini yaitu ada pengaruh pemberian ROM aktif terhadap skala kekuatan otot ekstremitas atas dan ekstremitas bawah pada pasien stroke non hemoragik di Biddokkes Polda Metro Jaya. Diharapkan keluarga pasien dapat melatih ROM secara mandiri pada anggota kelurga yang mengalami stroke.

scholarly journals Pengaruh Senam Stroke Terhadap Kualitas Tidur Pada Penderita Hipertensi

2021 ◽  
Vol 14 (1) ◽  
pp. 24
Author(s):  
Dewi Suryandari ◽  
Irna Kartina
Keyword(s):  
Research Method ◽  
Intervention Group ◽  
Control Group ◽  
P Value ◽  
Quality Of Sleep ◽  
Stroke Patients ◽  
Physical Exercises ◽  
Post Test ◽  
The Brain

Abstrak. Stroke adalah cedera vaskuler pada otak atau adanya suatu cedera yang berat serta mendadak. Pencegahan adanya komplikasi lanjutan dari hipertensi yang mengarah pada stroke perlu dilakukan. Kesembuhan dan pencegahan pada pasien stroke dapat dilakukan melalui obat-obatan selama rumah sakit dan ditunjang dengan rehabilitasi atau latihan fisik. Salah satu latihan fisik adalah dengan melakukan senam. Senam stroke merupakan salah satu bentuk latihan fisioterapi yang disusun sedemikian rupa untuk dapat memberikan rangsangan kepada beberapa reseptor yang akan dibawa ke otak untuk diproses dan menghasilkan output berupa gerakan yang terkoordinasi. Metode penelitian ini adalah kuantitatif dengan Pre and   Post   Test  Nonequivalent   Control   Group dengan sampel sebanyak 30 responden. Kualitas tidur telah diukur dengan PSQI. Hasil mean skor kualitas tidur pada kelompok intervensi sebesar 5.00 dan pada kelompok kontrol 8.71 dengan standar deviasi sebesar 1.309 pada kelompok intervensi dan 2.199 pada kelompok kontrol. Kesimpulan dari penelitian ini adalah senam stroke memiliki pengaruh yang signifikan  p value < 0.00. terhadap kualitas tidur pada pasien dengan hipertensi.  Kata kunci: senam stoke, hipertensi, kualitas tidur   The Effect of Stroke gymnastics toward Quality of Sleep in Patients with Hypertension  Abstract. Stroke is a vascular injury that can happen in the brain suddenly or immediately after ther accumulation of tension or obstruction, it is also incleded as severe injury. One condition can lead stroke attack is hypertension, regarding this complication, prevention of further  complication needs to be prepared. Healing and prevention in stroke patients can be done through drugs during the hospital and supported by rehabilitation or physical exercise. One of physical exercises  is to do gymnastics. Stroke gyme is a kind of  physiotherapy exercises that arranged in such a way as to be able to provide stimulation to several receptors that will be brought to the brain to be processed and produce output in the form of coordinated movements. This research method was quantitative with Pre and Post-Test Nonequivalent Control Group with sample 30 respondents, quality of sleep was measured by PSQI,  Results showed that mean of PSQI score in the intervention group was 5.00 and in the control group 8.71 with a standard deviation of 1.309 in the intervention group and 2,199 in the control group. Conclusion of this study is  Stroke gymnastics significantly(p value <0.00) effected the quality of sleep in patients with hypertension .  Keywords: stroke exercise, hypertension, sleep quality

scholarly journals Penggunaan Media Ular Tangga untuk Keterampilan Dasar Bermain Bola Basket

2019 ◽  
Vol 5 (1) ◽  
pp. 39-44
Author(s):  
Akhmad Sobarna ◽  
Aditya Prasetyo ◽  
Dicky Gunawan
Keyword(s):  
Research Method ◽  
Research Process ◽  
Female Students ◽  
Vocational School ◽  
Control Group ◽  
Average Increase ◽  
Control Group Design ◽  
Group Design ◽  
Average Value ◽  
Post Test

The purpose of this study was to find out how much influence the use of snake ladder media in improving students' dribbling skills in basketball games at the IT Tourism Vocational School Nurul Imam. With a sample of XI class of 30 people consisting of 18 female students and 12 students, the research method used experiments with the design of The Randomize Pretest-Posttest Control Group Design. Treatment given is in the form of snake ladder playing media in the learning process. The research process lasted for 5 weeks with the results of the analyst showing the average value obtained by students at the IT Tourism Vocational School Nurul Imam when the pre-test was conducted at 22.33 and the post-test was 26.56. there is an increase even though it is not too large with an average increase of 4.2.

scholarly journals Physical Therapy and Rehabilitation Ideas for Inspiratory Muscle Training in Patients With Subacute Stroke

2021 ◽  
Vol 19 (4) ◽  
pp. 455-464
Author(s):  
Irma Ruslina Defi ◽  
◽  
Novitri Novitri ◽  
Ilin Nurina ◽  
◽  
...  
Keyword(s):  
Muscle Strength ◽  
Lung Function ◽  
Walking Speed ◽  
Intervention Group ◽  
Quadriceps Strength ◽  
Control Group ◽  
Muscle Training ◽  
Stroke Patients ◽  
Paretic Side ◽  
Subacute Stroke

Objectives: This study aimed to elucidate the outcome of an Inspiratory Muscle Training (IMT) rehabilitation intervention on the lung function, functional mobilization, balance, and peripheral muscle strength of the paretic side in patients with subacute stroke. Methods: This double-blind, randomized controlled trial study was conducted on patients with stable subacute stroke. For 8 weeks, the intervention group (n=16) received 40% intensity IMT while the control group (n=16) received 10% intensity IMT. We assessed the patients’ lung function (spirometer) before and after the intervention, as well as their pulmonary muscle strength (micro-respiratory pressure meter [RPM]), quadriceps strength (handheld dynamometer), grip strength (Jamar), walking speed (10-m walk test), balance (Berg Balance Scale [BBS]), and functional mobilization (sit-to-stand test). Results: There were significant differences between the intervention group and the control group after IMT for forced vital capacity (FVC)% (P<0.01; d=3.20), forced expiratory volume in the first second (FEV1)/FVC (P<0.001; d=2.55), FEV1% (P<0.001; d=5.10), walking speed (P<0.05; d=1.62), hand grip (P<0.001; d=2.45), quadriceps strength (P<0.001; d=4.18), functional mobilization (P<0.01; d=2.41), and maximal inspiratory mouth pressure (P<0.001; d=1.62), but no significant changes were seen in balance (P=0.304; d=0.57). Discussion: IMT improved lung function, functional mobilization, handgrip strength, and quadriceps strength on the paretic side of subacute stroke patients and is expected to improve functional status and allow the patient to participate in social activities. IMT exercise can be included in the rehabilitation program for subacute stroke patients.

scholarly journals Pengaruh latihan range of motion (ROM) ankle terhadap pencegahan terjadinya neuropati dan angiopati pada klien diabetes melitus

2019 ◽  
Vol 13 (3) ◽  
pp. 263-269
Author(s):  
Djunizar Djamaludin ◽  
Setiawati Setiawati ◽  
Rika Yulendasari
Keyword(s):  
Range Of Motion ◽  
Intervention Group ◽  
Exercise Program ◽  
Home Exercise ◽  
Control Group ◽  
P Value ◽  
Purposive Sampling ◽  
Foot Injury ◽  
Post Test ◽  
And Control

The effect of range motion (ROM) ankle exercise on prevention of neuropathy and angiopathy in patient with diabetes mellitusBackground: Based on data from Basic Health Research (2013) conducted by the Indonesian Ministry of Health in a way to obtain the proportion of DM at the age of 15 years and over, confirmed / checked whether or not they suffer from DM or not.It was found that Lampung Province was ranked as the 8th largest DM person from 33 provinces throughout Indonesia, with DM patients with 38,923 lives and 5,560 people. One complication that needs attention is diabetes foot injury and it can cause amputation. The most common cause of diabetes foot injury is peripheral neuropathy which includes damage to sensory, autonomic and motor nerves.Purpose: The purpose of this study was to determine the effect of Range of Motion (ROM) ankle exercise on prevention of neuropathy and angiopathy on diabetes patients.Methods: A quasi experimental pre and post- test with control group study design was employed. The purposive sampling with 26 participants (13 respondents intervention group and 13 respondents control group) were recruited. The interventions groups performed ROM ankle exercise in their own respective training programs for 4 weeks, whereas no training was done in the control group. Both groups intervention and control, before and after the exercise program were measured with monofilament test for neuropathy and Venous Doppler for angiopathy. The data analysis was using t-test.Results: In the intervention group there were a significant improvements after ROM ankle exercise on prevention of neuropathy with p Value 0.000 and for angiopathy with p Value 0.000. There were significant different between intervention group and control group for neuropathy (p: .004) and angiopathy (p: .031).Conclusion: To prevent neuropathy and angiopathy on diabetes patients a home exercise program with Range of Motion (ROM) ankle could be implementedKeywords: Range of Motion; Neuropathy; Angiopathy; Diabetes MellitusPendahuluan: Berdasarkan Riskesdas tahun 2013 oleh Kemenkes RI dengan melakukan wawan cara untuk mendapatkan proporsi DM pada usia 15 tahun keatas yaitu proporsi penduduk yang terdiagnosis menderita DM dan penduduk yang belum pernah didiagnosis menderita DM. Provinsi Lampung menduduki peringkat ke – 8 penyandang DM terbesar dari 33 Provinsi diseluruh Indonesia, 38.923 jiwa dan 5.560 jiwa . Salah satu komplikasi yang harus mendapat perhatian yaitu luka kaki diabetes karena dapat mengakibarkan amputasi. Penyebab terbanyak dari luka kaki diabetes yaitu neuropati perifer yang meliputi kerusakan syaraf sensorik, otonom dan motorik.Tujuan: Diketahui pengaruh Range Of Motion (ROM) Ankle terhadap pencegahan terjadinya Neuropati dan Angiopati pada pasien Diabetes Melitus.Metode: Penelitian ini mengunakan desain quasi eksperimen pre post test dengan kelompok control dan intervensi..Sampel diambil dengan menggunakan tehnik Purposive Sampling dengan jumlah sampel yaitu 26 responden. Instrument penelitian ini  menggunakan 10 gr semmens weinstein monofilament untuk  mendeteksi  Neuropati dan  Venous Doppler  Ultrasound untuk  mendeteksi angiopati. Hasil: Menunjukkan adanya pengaruh latihan Range of Motion (ROM) Ankle terhadap pencegahan neuropati dengan p Value 0.000 dan angiopati dengan p Value 0.000. Terdapat perbedaan bermakna antara kelompok intervensi dan control untuk neuropati (p: .004) dan  angiopati  (p: .031).Simpulan: Untuk mencegah terjadinya neuropati dan angiopati pada penderita DM untuk dapat melakukan latihan Range of Motion (ROM) Ankle  dirumah

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