scholarly journals Effects of Passive Range Of Motion (ROM) Exercise On Increases Muscle Strength in Non-Hemorrhagic Stroke Patients in the Inpatient Room at RSUD Kota Tangerang

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

2020 ◽  
Vol 5 (1) ◽  
pp. 80-89
Author(s):  
Imelda Derang

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.


2019 ◽  
Vol 4 (1) ◽  
pp. 26
Author(s):  
Fitri Apriyanti ◽  
Lara Andriani

According to the World Health Organization (WHO) in 2014, as many as 41.8% of maternal deaths in developing countries were associated with anemia in pregnancy and most were caused by iron deficiency and acute bleeding, not even the two interacting frequently. Red guava juice can increase hemoglobin levels that can treat anemia. The purpose of this study was to determine the effect of giving red guava juice (psidium guajava, linn) to hemoglobin levels.This type of research is quasi-experimental (quasi-experimental) with a non-equivalent pretest-posttest design carried out in the village of Kuok working area PUSKESMAS Kuok on July 26 -1 August 2018. The population in this study were all pregnant women who suffer from anemia with hemoglobin levels of 8-11 gr%. The research sample amounted to 15 respondents using total sampling techniques. Hemoglobin level examination use haemometer digital. The data analysis use T-test.The results of this study obtained mean hemoglobin levels before administration of red guava juice (Psidium Guajava, Linn) was 8.80, mean hemoglobin level after administration of red guava juice (Psidium Guajava, Linn) is 12.60. Hb levels before and after administration of red guava juice were 3.8. The statistical test results obtained p-value 0,000 (<0.05). Conclusion This study has the effect of giving red guava juice (Psidium Guajava, Linn) to the hemoglobin level of pregnant women.


2020 ◽  
Vol 3 (1) ◽  
pp. 278-282
Author(s):  
Rika Elvriede Hutahaean ◽  
Muhammad Taufik Daniel Hasibuan

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.


2018 ◽  
Vol 3 (2) ◽  
pp. 64
Author(s):  
Anggriani Anggriani ◽  
Zulkarnain Zulkarnain ◽  
Sulaiman Sulaiman ◽  
Roni Gunawan

Stroke is one of the serious health problems in modern life today. The prevalence of stroke increases with age. The World Health Organization (WHO) stipulates that stroke is a clinical syndrome with symptoms of global brain dysfunction that can cause death or abnormalities to persist for more than 24 hours, without other causes except vascular disorders which can cause a person's reduced mobility due to muscle strength downhill. This study aims to determine the effect of ROM (range of motion) on limb muscle strength in non-Hemaoragic stroke patients at H. Adam Malik General Hospital, Medan. Quasi-experimental research design with a sample of 90 people. Univariate and bivariate data analysis using the Wilcoxon test. The significance of hand muscle strength before and after administration of ROM is 0,000. This means that there are differences in hand muscle strength before and after administration of ROM. The significance of leg muscle strength before and after administration of ROM is 0,000. This means that there are differences in leg muscle strength before and after administration of ROM. This proves that ROM influences the strength of the respondent's hand and leg muscles. Hospitals should set standard operating procedures for special handling of ROM so that the results obtained can be maximal and uniform for all muscle strength problemsKeywords: ROM, limb muscle strength, hands, feet


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.      


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.


2021 ◽  
Vol 21 (1) ◽  
pp. 215
Author(s):  
Indah Dewi Sari ◽  
Utary Dwi Listiarini

Half of the women in Indonesia experience menstrual pain / dysmenorrhoea, 54.89%, experience various disorders including abdominal pain, cramps and back pain. The purpose of this study was to determine the effectiveness of acupressure, ginger drink and the difference in giving acupressure and ginger drink to reducing the intensity of menstrual pain / dysmenorrhea in young women at SMK Swasta PAB 5 Klambir Lima 2020. The design of this study used a quasi-experimental pre and post test with a sample of 30 students who were divided into two groups. Each group was given acupressure and ginger drink in the morning and evening during menstruation from day one to day two. Respondents were assessed for pain before and after the intervention was given. The results of the Shapiro-Wilk normality test contained Sig data (p <0.05). The Wilcoxon test has a p-value of 0.002 (p <0.05), which means that acupressure is effective in reducing the intensity of menstrual pain / dysmenorrhea, there is a p-value of 0.001 (p <0.05) which means that ginger is effective against reducing pain intensity. menstruation / dysmenorrhea, there is a p-value of 0.034 (p <0.05), which means that there is a difference in the effectiveness of acupressure and ginger drink in reducing the intensity of menstrual pain / dysmenorrhea. There is an effectiveness of giving acupressure, ginger drink, and there is a difference in giving acupressure and ginger drink on the intensity of menstrual pain / dysmenorrhea on young women. It is hoped that the school will provide ginger drinks and acupressure measures to young women who experience menstrual pain / dysmenorrhea so that they can participate in learning activities at school.


2015 ◽  
Vol 5 (2) ◽  
pp. 88
Author(s):  
Eka Rhestifujiayani ◽  
Emil Huriani ◽  
Muharriza Muharriza

Background: Hemiparesis is a common problem that can caused disability. ROM Exercise is an exercise that to performed evaluate and to improv the function of the musculoskeletal system and is one of therapies in stroke patients that aim to increase cerebral blood flow, minimize disability caused by stroke, so can refine sensory motoric function.Purpose: The objective of this study was to examine the effect ROM exercises of the extremity muscle strength in patients with stroke Methods: This study was a quasi experimental with non equivalent control group design. The sampling technique was purposive sampling. The number of sample was 20 respondents. The statistical test used are Wilcoxon test and Mann-Whitney test. Result: Wilcoxon test in control group showed p-value in upper extremities was p=0,157 and in lower extremities was p=0,083, it mean that there was no increase in muscle strength in the control group and in experiment group showed p-value in upper extremities was p=0,004 and in lower extremities was p=0,005, it mean that there is increase in muscle strength in the experiment group. The result of Mann-Whitney test showed p-value in upper extremities was p=0,002 and in lower extremities was p=0,006, it means that there were differences in the increase in muscle strength between control group and experiment group. Conclusion: ROM exercises affect the increase in muscle strength in stroke patients with hemiparesis. The ROM exercises can be used as a nursing intervention in the provision of nursing care.


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.


2022 ◽  
Vol 6 (2) ◽  
pp. 94
Author(s):  
Sabirin Berampu ◽  
Elsaria Br Sembiring

Stroke is a disease that is most commonly found today, stroke has a high mortality and disability rate. Stroke can cause physical disability in productive age and old age. This study aims to determine the effect of Proprioceptive Neuromuscular Facilitation (PNF) on the strength of the prehension Cylindrical grip function in non-hemorrhagic stroke patients. This research is a quantitative study with a quasi-experimental design, one group pretest and posttest, the samples were taken by purposive sampling, namely non-hemorrhagic stroke patients who visited the physiotherapy poly at Grandmed Lubuk Pakam Hospital. The results showed a p-value of 0.001 which means that there is an effect of PNF on the strength of the prehension Cylindrical grip function in non-hemorrhagic stroke patients.


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