scholarly journals Pengaruh Range of Motion (ROM) terhadap Kekuatan Otot pada Pasien Stroke

2019 ◽  
Vol 4 (2) ◽  
pp. 112
Author(s):  
Susanti Susanti ◽  
Susanti Susanti ◽  
Difran Nobel BIstara

Background: The weakness muscle is the biggest impact on patients with stroke, to the practice Range Of Motion with the aim is to maintain or preserve muscle strength, to maintain mobility joints and simulate circulation. With an increase in the incidence of stroke and disability, if the practice Range Of Motion is not implemented it will be a significant decrease in muscle strength, cause muscle kontraktur and a decubitus. Objective: The study aims to find his Range of Motion of muscle strength in patients with stroke in the Puskesmas Bulak Banteng Surabaya. Methods: This study uses Pra-eksperimental One Grup Pra-Post Test Design. Population in this study is a stroke patient who live in the Puskesmas Bulak Banteng Surabaya and sampels 32 of responden. The sample by using techniques simple random sampling. Variables independent in this study is Range Of Motion and the variables dependent is muscle strength. The instrument used in the collection of data is an observation to the strength of muscle and Range of Motion. Result: Wilcoxon test results show the significance level p value = 0.00 with α = 0.05 (p <α) on the right hand while in the left hand shows a significant level p value = 0.00 with α = 0.02 (p<α ).Conclusion:  H0 is rejected that there is influence between ROM exercises gripping the ball against the muscle tone in the right hand and left hand that suffered a stroke.Keywords: Range Of Motion, muscle strength.

2019 ◽  
Vol 14 (2) ◽  
pp. 79-86
Author(s):  
Hendri Budi ◽  
Netti Netti ◽  
Yossi Suryarinilsih

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.      


2020 ◽  
Vol 3 (2) ◽  
pp. 41
Author(s):  
Endah Sri Rahayu ◽  
Nuraini Nuraini

Stroke is one of the serious health problems in modern life today. According to the World Health Organization (WHO) explained that stroke is the leading cause of death globally. An estimated 17.7 million people die of strokes in 2015 representing 31% of all global deaths. This study aims to determine the effect of Passive Range of Motion (ROM) Exercise on Increasing Muscle Strength in Non-Hemorrhagic Stroke Patients in the Inpatient Room at Rsud Kota Tangerang. Quasi-experimental research design with a sample of 14 people. Univariate and bivariate data analysis using the Wilcoxon test. Samples are measured using Observation Sheets before and after Range Of Motion (ROM) Exercises. This Range Of Motion exercise is carried out for 1 week in 7 days, done 2 times in the morning and afternoon for 15 minutes. Based on the Paired Test, it was found that there was an effect of Passive Range Of Motion (ROM) Exercise on increasing muscle strength in non-hemorrhagic stroke patients with p-value = 0,01 <α 0,05. This proves that passive ROM has an effect on increasing the muscle strength of the respondent. Hospitals should set standard operating procedures for special handling using Passive ROM so that the results obtained can be maximal and uniform for all the problems of the word muscle strength.Keywords: Non-hemorrhagic; stroke; Passive ROM; Muscle Strength


2021 ◽  
Vol 5 (1) ◽  
pp. 24-33
Author(s):  
Tiara Putri Ryandini ◽  
◽  
Dyah Pitaloka ◽  
Novia Dwi Astuti ◽  
◽  
...  

At the time toddler, this is the right time for parents to teach children to perform toileting. Children who have not been able to perform toileting properly because of the ability of a child who is not robust like, not yet accustomed to sitting or squatting on the toilet, have not been able to remove his trousers, and some children do who do not know how toileting, requires a method or way that is easily understood by children in teaching toileting, one of which is by video modeling. This study uses Analytical Experimental Design with one-group pretest-posttest design conducted on 34 respondents. The sampling technique uses probability sampling with a simple random sampling method. The instruments used were toileting ability questionnaire and video modeling. The results showed that the ability of child toileting before being given video modeling most of the respondents had sufficient ability, and after being given video modeling almost all respondents had good abilities. This is evidenced by the Wilcoxon test obtained p-value = 0,000 (α <0.05) where 0,000 <0.05 then there is an influence of video modeling on the ability of toileting toddler children in the Bunda Padasan Permata study group. From the results of this study, it can be concluded that video modeling can be used as an alternative to toileting learning media in toddler-age children.


2016 ◽  
Vol 15 (1) ◽  
Author(s):  
Bo Bo Ko ◽  
Kais Raid ◽  
Tin Myo Han

Introduction: Dental equipments are ergonomically designed for the right handed people. Hence left handed students have to adapt to use their right hands with their body position while treating the patients. Methods: It was a cross sectional comparative study. Ten left handed students and ten right handed students were invited for this study. The participants were randomly divided into 4 groups. They were assigned to do class I cavity preparation with the buccal extension and amalgam filling on the artificial tooth 36 on the dental mannequin. Group (1) the right handed students who worked from the right side of the mannequin with the right hand (n=10), group (2) the left handed students who worked from the right side of the mannequin with the right hand (n=10), group (3) the left handed students who worked from the right side of the mannequin with the left hand (n=10) and group (4) the left handed students who worked from the left side of the mannequin with the left hand (n=10). The quality of the cavity and amalgam filling were scored by the expert who had been blinded. Data were statistically analyzed by ANOVA test. The perceived clinical learning experience of left handed students was also evaluated by self administered questionnaires by using likert scales. Results: Mean score of clinical performance on the dental mannequins showed highest in group (4), P value =0.004. Conclusions: Left handed students should be allowed to work up to their hand preference and position


2021 ◽  
Vol 1 (1) ◽  
pp. 74-77
Author(s):  
Millya Helen ◽  
Mila Evilianti ◽  
Ratna Juita

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.


2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 1197.2-1197
Author(s):  
I. Grigoreva ◽  
T. Raskina ◽  
J. Averkieva ◽  
M. Letaeva ◽  
O. Malyshenko ◽  
...  

Objectives:To study the relationship of indicators of muscle mass, muscle strength and muscle function with bone mineral density (BMD) in men with coronary heart disease (CHD).Methods:79 men aged over 50 years with verified CHD were examined (mean age 63 (57; 66) years).The BMD (g/cm2) and T-criterion (standard deviation) of the femoral neck and lumbar spine (L1-L4) were evaluated using dual-energy x-ray absorptiometry (DXA) on the lunar Prodigy Primo bone densitometer (USA).To assess muscle mass, the total area (cm2) of the lumbar muscles of the axial section at the level of the 3rd lumbar vertebra (L3) was determined using multispiral computed tomography on a 64-slice computer tomograph “Somatom Sensation 64” (Siemens AG Medical Solution, Germany). The ratio of the obtained index of the area of skeletal muscle to the square of the patient’s growth index determined the “musculoskeletal index L3” (SMI). The media considered the threshold value to be 52.4 cm2/m2. Evaluation of muscle strength was performed using a mechanical wrist dynamometer DC-25. Muscle function was examined using a short physical performance battery (SPPB).Results:The data obtained from the results of correlation analysis show that there is a reliable direct correlation between BMD and hand dynamometry indicators (r=0.250; p=0.026 for the right hand and r=0.247; p=0.028 for the left hand), the T-criterion of the femoral neck and hand dynamometry indicators (r=0.245; p=0.030 for the right hand and r=0.242; p=0.032 for the left hand). A similar relationship was established between the BMD of the lumbar vertebra and the parameters of dynamometry (r=0.237; p=0.036 for the right hand and r=0.228; p=0.043 for the left hand) and T-criterion for the lumbar region and dynamometry parameters (r=0.232; p=0.039 for the right hand and r=0.220; p=0.051 for the left hand). There is no significant relationship between densitometry scores and the result of SPPB tests.There was a significant direct relationship between the total SPPB score and the area of skeletal muscle at the L3 level (r=0.249, p=0.026), the total SPPB score and the musculoskeletal index (r=0.233, p=0.039). A similar relationship was established between the result of the chair lift test and the total area of skeletal muscle at the L3 level (r=0.262, p=0.019) and the musculoskeletal index (r=0.220, p=0.050).A significant negative relationship between walking speed and the musculoskeletal index was found (r= -0.260, p=0.021). The relationship between muscle mass and strength could not be traced.Conclusion:A decrease in muscle strength correlates with the severity of bone loss, while a decrease in muscle function correlates with a decrease in muscle mass. The results obtained confirm the probability of common mechanisms in the development of sarcopenia and osteoporosis in patients with CHD.Disclosure of Interests:None declared


1946 ◽  
Vol 11 (1) ◽  
pp. 2-2

In the article “Infant Speech Sounds and Intelligence” by Orvis C. Irwin and Han Piao Chen, in the December 1945 issue of the Journal, the paragraph which begins at the bottom of the left hand column on page 295 should have been placed immediately below the first paragraph at the top of the right hand column on page 296. To the authors we express our sincere apologies.


2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Velarie Ansu ◽  
Stephanie Dickinson ◽  
Alyce Fly

Abstract Objectives To determine which digit and hand have the highest and lowest skin carotenoid scores, to compare inter-and-intra-hand variability of digits, and to determine if results are consistent with another subject. Methods Two subjects’ first(F1), second(F2), third(F3) and fifth(F5) digits on both hands were measured for skin carotenoids with a Veggie Meter, for 3 times on each of 18 days over a 37-day period. Data were subjected to ANOVA in a factorial treatment design to determine main effects for hand (2 levels), digits (4), and days (18) along with interactions. Differences between digits were determined by Tukey's post hoc test. Results There were significant hand x digit, hand x day, digit x day, and hand x digit x day interactions and significant simple main effects for hand, digit, and day (all P < 0.001). Mean square errors were 143.67 and 195.62 for subject A and B, respectively, which were smaller than mean squares for all main effects and interactions. The mean scores ± SD for F1, F2, F3, and F5 digits for the right vs left hands for subject A were F1:357.13 ± 45.97 vs 363.74 ± 46.94, F2:403.17 ± 44.77 vs. 353.20 ± 44.13, F3:406.76 ± 43.10 vs. 357.11 ± 45.13, and F5:374.95 ± 53.00 vs. 377.90 ± 47.38. For subject B, the mean scores ± SD for digits for the right vs left hands were F1:294.72 ± 61.63 vs 280.71 ± 52.48, F2:285.85 ± 66.92 vs 252.67 ± 67.56, F3:268.56 ± 57.03 vs 283.22 ± 45.87, and F5:288.18 ± 34.46 vs 307.54 ± 40.04. The digits on the right hand of both subjects had higher carotenoid scores than those on the left hands, even though subjects had different dominant hands. Subject A had higher skin carotenoid scores on the F3 and F2 digits for the right hand and F5 on the left hand. Subject B had higher skin carotenoid scores on F5 (right) and F1 (left) digits. Conclusions The variability due to hand, digit, and day were all greater than that of the 3 replicates within the digit-day for both volunteers. This indicates that data were not completely random across the readings when remeasuring the same finger. Different fingers displayed higher carotenoid scores for each volunteer. There is a need to conduct a larger study with more subjects and a range of skin tones to determine whether the reliability of measurements among digits of both hands is similar across the population. Funding Sources Indiana University.


Südosteuropa ◽  
2019 ◽  
Vol 67 (2) ◽  
pp. 175-195
Author(s):  
Petru Negură

Abstract The Centre for the Homeless in Chișinău embodies on a small scale the recent evolution of state policies towards the homeless in Moldova (a post-Soviet state). This institution applies the binary approach of the state, namely the ‘left hand’ and the ‘right hand’, towards marginalised people. On the one hand, the institution provides accommodation, food, and primary social, legal assistance and medical care. On the other hand, the Shelter personnel impose a series of disciplinary constraints over the users. The Shelter also operates a differentiation of the users according to two categories: the ‘recoverable’ and those deemed ‘irrecoverable’ (persons with severe disabilities, people with addictions). The personnel representing the ‘left hand’ (or ‘soft-line’) regularly negotiate with the employees representing the ‘right hand’ (‘hard-line’) of the institution to promote a milder and a more humanistic approach towards the users. This article relies on multi-method research including descriptive statistical analysis with biographical records of 810 subjects, a thematic analysis of in-depth interviews with homeless people (N = 65), people at risk of homelessness (N = 5), professionals (N = 20) and one ethnography of the Shelter.


Cell Reports ◽  
2016 ◽  
Vol 17 (11) ◽  
pp. 2809-2810
Author(s):  
Jody C. Culham
Keyword(s):  

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