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.

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 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 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 AKUPRESUR TERHADAP PENINGKATAN KEKUATAN OTOT DAN ACTIVITIES OF DAILY LIVING (ADL) PADA PASIEN STROKE NON HEMORAGIK DI UNIT STROKE RSUD A. WAHAB SJAHRANIE SAMARINDA

2019 ◽  
Vol 1 (1) ◽  
pp. 32-42
Author(s):  
Theresia Tutik Ismiati
Keyword(s):  
Muscle Strength ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Intervention Group ◽  
Complementary Therapy ◽  
World Health ◽  
Control Group ◽  
Stroke Patients ◽  
Range Of Movement ◽  
Permanent Disability

Stroke is a disease caused by the interruption of blood supply to the brain. WHO (World Health Organization) stated 15 million people world wide suffer a stroke each year. As many as 5 million people are death sand 5 million people have permanent disability. Stroke Foundation of Indonesia (Yastroki) noted that Indonesia ranks  first in Asia with the majority of stroke patients and become leading causes of death in Indonesia. Stroke affects extremity dysfunction such decreased muscle strength which will contribute to the decline ability of Activities of daily living (ADL). There are several the rapies that have been done to over come muscle weakness and limitations of the ADL such as range of movement exercises, positioning, and acupressure is one form of therapy that can be done to restore extremity function. This study aims to determine the effect of acupressure intervention on limb muscle strength and Activities Of Daily Living (ADL) In Stroke Patients. Quantitative Study of quasi-experiment pre-post test design involved 113 respondents into two groups: the intervention group with 88 respondents and the control group with 25 respondents.The result showed male respondents (51.3%), aged 45-59 years (58.4%), and the first attack (85%). After the intervention of 7 day sine ach ofthe respondents, found significant differences increase muscle strength and ADL before the after intervention:  right limbmuscle strength(p =0.000); left limbstrength (p =0.000); and ADL (p =0.000). Respondent characteristics that influence muscle strength and ADL were age and frequency of stroke (P <0.05), where as no influence of gender (p> 0.05). The conclusions of this study that acupressureis an effective therapy on increase muscle strength and ADL of stroke patients. This research recommended acupressure as a complementary therapy to improve muscle strength andADLof stroke patients.

scholarly journals Range Of Motion (ROM) Spherical Grip dapat Meningkatkan Kekuatan Otot Ekstremitas Atas Pasien Stroke

2018 ◽  
Vol 6 (1) ◽  
pp. 38-48
Author(s):  
Gina Dwi Anggraini ◽  
Septiyanti Septiyanti ◽  
Dahrizal Dahrizal
Keyword(s):  
Range Of Motion ◽  
Intervention Group ◽  
Clinical Manifestations ◽  
The Body ◽  
Control Group ◽  
P Value ◽  
Stroke Patients ◽  
Muscle Testing ◽  
The Difference ◽  
The Brain

Stroke is lost brain function caused by stop his blood supply to the brain. As a result of the disruption of oxygen to the brain needs can occur the clinical manifestations included the weakness of some or all of the body limbs, one of over ekstremities so that the patient could not doing the activity because of the limbs weakness and they needs exercise for preveting disability. Objective is Know the effect of Range Of Motion (ROM) Spherical Grip on muscle strenght of upper extremity on stroke patients. The research used quasi-experimental with pretest and posttest with control group. The population in this study is all stroke patients in the neurological specialist RSUD dr. M. Yunus of Bengkulu City. The Sampling technique used is Cluster Sampling. The number of sample is 32. Instruments used for manual muscle testing. Test for normality using the Kolmogorov-Smirnov and analysis techniques using Wilcoxon Signed Ranks Test  and Mann-Whitney with 95% confidence level (  = 0,05). Muscle strenght of the finger mean in the control group 2,44 increase to 2,63 with the difference 0,1875. In the intervention group mean 2,44 increase to 3,13 with the difference 0,6875. Muscle strenght of the wrist mean in the control group 2,38 increase to 2,56 with the difference 0,1875. In the intervention group mean 2,25 increase to 3,00 with the difference 0,75. The result obtained p-value 0,011 finger hand and p-value 0,027 wrist. Exercise Range Of Motion (ROM) Spherical Grip is effective in increase muscle strenght of over extremities on stroke patients.

scholarly journals Effectiveness of Yijinjing on Cognitive Functions in Post-stroke Patients With Mild Cognitive Impairment: Study Protocol for a Randomized Controlled Trial

2021 ◽  
Author(s):  
Xin Xue ◽  
Xue-Xing Jin ◽  
Kai-Liang Luo ◽  
Xin-Hao Liu ◽  
Li Zhang ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Cognitive Functions ◽  
Exercise Intervention ◽  
Controlled Trial ◽  
Intervention Group ◽  
Control Group ◽  
Stroke Patients ◽  
Post Stroke ◽  
Randomized Controlled

Abstract Background: Statistics show that every year, 5.4 million people in the world suffer a stroke. Post-stroke cognitive impairment (PSCI) is one of the most common complications after stroke with a rate of 75%, which leads to decreased functions for independent living and reduced quality of life (QOL). Exercise training has been reported to be useful to improve the cognitive functions of post-stroke patients. Yijinjing, a traditional Chinese Qigong exercise characterized by an integration of mind and body in moderate exercise intensity, can improve cognitive functions of PSCI patients. This study aims to explore the feasibility and effectiveness of the Yijinjing exercise in this regard.Methods: A single-blind, randomized controlled trial will be employed with evaluations at three and six months. 72 PSCI patients will be recruited and randomly assigned to the Yijinjing exercise intervention group or the control group (1:1). Participants in the control group will receive routine rehabilitation therapies, including occupational therapy, physical therapy, acupuncture therapy, and health education 5 times a week for 3 months. The intervention group will receive a 12-week routine rehabilitation therapy combined with the Yijinjing exercise intervention for 40 minutes each session and 3 sessions a week. The primary outcome of cognition will be measured by the Montreal Cognitive Assessment scale (MoCA). Secondary outcomes include executive function, memory function, visuospatial function, sleep quality, gait and motor function, activity of daily living (ADL), and quality of life (QOL).Discussion: Current evidence has reported the effectiveness of traditional Chinese exercise in improving the post-stroke population’s motor functions. This research is a randomized controlled trial that evaluates traditional Chinese exercise’s effectiveness for PSCI patients. It is expected to expand the traditional Chinese exercise scope and provide a new treatment approach for stroke populations with cognitive impairments.Trail registration: Chinese Clinical Trial Registry, ChiCTR1900026532. Registered on 13 October 2019.

scholarly journals Effectiveness of Yijinjing on cognitive functions in post-stroke patients with mild cognitive impairment: study protocol for a randomized controlled trial

Trials ◽  
2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Xin Xue ◽  
Xue-Ming Jin ◽  
Kai-Liang Luo ◽  
Xin-Hao Liu ◽  
Li Zhang ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Cognitive Functions ◽  
Exercise Intervention ◽  
Controlled Trial ◽  
Intervention Group ◽  
Control Group ◽  
Stroke Patients ◽  
Post Stroke ◽  
Randomized Controlled

Abstract Background Statistics show that every year, 5.4 million people in the world suffer a stroke. Post-stroke cognitive impairment (PSCI) is one of the most common complications after stroke with a rate of 75%, which leads to decreased functions for independent living and reduced quality of life (QOL). Exercise training has been reported to be useful to improve the cognitive functions of post-stroke patients. Yijinjing, a traditional Chinese Qigong exercise characterized by an integration of mind and body in moderate exercise intensity, can improve cognitive functions of PSCI patients. This study aims to explore the feasibility and effectiveness of the Yijinjing exercise in this regard. Methods A single-blind, superiority, randomized controlled trial will be employed with evaluations at 3 and 6 months. Seventy-two PSCI patients will be recruited and randomly assigned to the Yijinjing exercise intervention group or the control group (1:1). Participants in the control group will receive routine rehabilitation therapies, including occupational therapy, physical therapy, acupuncture therapy, and health education 5 times a week for 3 months. The intervention group will receive a 12-week routine rehabilitation therapy combined with the Yijinjing exercise intervention for 40 min each session and 3 sessions a week. The primary outcome of cognition will be measured by the Montreal Cognitive Assessment scale (MoCA). Secondary outcomes include executive function, memory function, visuospatial function, sleep quality, gait and motor function, activity of daily living (ADL), and quality of life (QOL). Discussion Current evidence has reported the effectiveness of traditional Chinese exercise in improving the post-stroke population’s motor functions. This research is a randomized controlled trial that evaluates traditional Chinese exercise’s effectiveness for PSCI patients. It is expected to expand the traditional Chinese exercise scope and provide a new treatment approach for stroke populations with cognitive impairments. Trial registration Chinese Clinical Trial Registry ChiCTR1900026532. Registered on 13 October 2019.

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

scholarly journals Efektivitas Konseling dengan Pendekatan Motivational Interviewing Terhadap Penurunan Depresi pada Pasien Post Stroke Depression

2018 ◽  
Vol 1 (2) ◽  
pp. 55
Author(s):  
Baiq Nurainun Apriani ◽  
Irwan Hadi ◽  
Anwar Wardi Warongan ◽  
Nana Supriyatna
Keyword(s):  
Motivational Interviewing ◽  
Quantitative Methods ◽  
Intervention Group ◽  
Bivariate Analysis ◽  
Control Group ◽  
Control Group Design ◽  
Post Stroke ◽  
Qualitative And Quantitative Methods ◽  
A Value ◽  
Post Stroke Depression

Background : Stroke is a serious global health problem, strokes can be threatening and result in morbidity and mortality and increase the length of days of treatment that cause maintenance costs to increase, stroke prevalence increases every year, followed by increased post-stroke depression. Motivational interviewing (MI) is a patient-focused counseling technique designed to help individuals explore and overcome ambivalence in behavior.Purpose : This study aims to determine the effectiveness of counseling with a motivational interviewing approach to reducing depression in post-stroke depression patients in NTB Province Hospital.Method : Quasi Experiment Pre-test design Post-test control group design with a sample of 32 respondents selected by purposive sampling technique.Results: The results of bivariate analysis with paired t test there were significant differences in post-stroke depression in the control group and the intervention group with a value of 0.028, in the intervention group the average depression was 2.25 with a value of 0.000 < α (0.05).Conclusion: Counseling with a motivational interviewing approach is effective in decreasing depression in post stroke depression patients at NTB Hospital. Suggestions for the next researchers can research with different places with more samples and qualitative and quantitative methods (mixed methods) so that research results are more optimal.

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.

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