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

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.

2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Setiyawan Setiyawan ◽  
Lina Pratiwi ◽  
Noerma Shovie Rizqiea

Non-hemorrhagic stroke is a disease which is related to a functional disorder of the brain due to the blood vessel blockage by a blood clot, or by the narrowing of an artery or some arteries that lead to the brain which causes weakness of muscular strength. One of the non-pharmacological therapies, which are beneficial to non-hemorrhagic stroke patients, is hydrotherapy. Hydrotherapy is a therapy which utilizes water to cure or relieve various complaints. One of which is the complaint of how to strengthen muscular strength. The objective of this research is to investigate the effect of warm footbath hydrotherapy to increase the muscular strength of non-hemorrhagic stroke patients. This research used the quasi-experimental research method ith pre-test and post-test nonequivalent control group design. Non-probability sampling with purposive sampling was used to determine its samples. The samples consisted of 40 respondents, into two groups: intervention and control group. The data of the research were analyzed by using the Wilcoxon’s Test and Mann Whitney’s Test. The result of the research shows that the footbath hydrotherapy had an effect on the muscular strength of the non-hemorrhagic stroke patients as indicated by the p-value = 0.000, and there was a difference between the control group and the intervention group where the p-value was 0. 008. The footbath hydrotherapy affected the muscular strength of non-hemorrhagic stroke patients. Thus, nurses as health practitioners are expected to administer warm footbath hydrotherapy to increase the muscular strength of non-hemorrhagic stroke patients.


2020 ◽  
Vol 9 (2) ◽  
pp. 1650-1656
Author(s):  
Shindi Hapsari ◽  
Sonhaji Sonhaji ◽  
Nindya Nurulia

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


2020 ◽  
Vol 2 (1) ◽  
pp. 51-63
Author(s):  
Reza Indra Wiguna Reza ◽  
Lalu Hersika Asmawariza

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.


2021 ◽  
Vol 14 (1) ◽  
pp. 24
Author(s):  
Dewi Suryandari ◽  
Irna Kartina

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


2018 ◽  
Vol 2 (3) ◽  
pp. 57
Author(s):  
Mohamat Iskandar

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. 


2019 ◽  
Vol 13 (2) ◽  
pp. 72-86
Author(s):  
Depi Lukitasari

Background. During hospitalization large number of invasive procedure recived by patient and preceived as threatening and anxiety experience. One of the invasive procedures that commonly done is the venous blood extraction. The children in preschool age preceived venous blood extraction as something that endanger the integrity of the body and lead to anxiety experience. To reduce the anxiety during the venous blood extraction, a nurse could perform a clay theraphy. The aim of this research is to ascertain the effect of clay therapy toward scoreof anxiety in preschool age children that undergoing venous blood extraction in RSUD Al-Ihsan.Methode. The study was quasi-experiment with nonequivalent control group posttest only. A total of 34 children who recieve venous blood extraction was assigned into 2 group, 17 children in control and 17 children in intevention. The children anxiety level measured using anxiety observation sheet before the procedure complete. Data were analyzed used independent t test for bivariate and logistik regresion for multivariate. Result Findings. The results  show a significat difference in anxiety score between control group and intervention group with p-value 0,001 < α 0.05 which means there is impact of clay therapy to level anxiety in preschool age children undergoing invasive procedure in RSUD Al-Ihsan. Conclusion. This research indicate that clay therapy may be used to reduce anxiety in children that undergoing venous blood extraction.


2019 ◽  
Vol 10 (2) ◽  
pp. 276
Author(s):  
Yusari Asih ◽  
I Gusti Ayu Mirah WS

<p><span>Baby Massage and Spa was a traditional effort that uses a holistic approach through comprehensive care using a combination of massage and water therapy methods that are carried out in an integrated manner to balance the body, mind, and feelings. Age 3-6 months is the right time for babies to do massage and spa. The purpose of this study was to determine the effect of baby massage and spa on the growth of infants aged 3-5 months in Pringsewu District in 2018. This study uses a quasi-experimental approach with research design pre and post-test with control group design. The purposive sampling technique was taken with a sample of 30 infants as the intervention group and 30 infants as the control group. Data were processed using computerization and analyzed using the T-Test. The results showed that there were significant differences between body weight, body length and baby head circumference in the pre and post-treatment. There was no significant difference in the average increase in infant weight between babies who were carried out by baby massage and spa with babies who were not carried out by baby massage and spa with p-value 0.116. There is a significant difference in the baby's body length and head circumference performed by baby massage and spa with those not carried out by baby massage and spa with p-value 0.000. Baby Massage and Spa has a significant effect on increasing the growth of babies aged 3-5 months.</span></p><p><span> </span></p>


2019 ◽  
Vol 4 (2) ◽  
pp. 108
Author(s):  
A. Haris ◽  
Abdul Haris

Safety has become a global issue in various sectors, including the health services sector. The hospital is one of the health service organizations that is guided to continuously improve quality by building safer and safer health services so as to get customer loyalty. Hospital staff is a major component of quality management in one of the indicators in evaluating hospital accreditation. This research uses a quasi-experimental research design pre and posttest with control group. Quasi experiment research is a study that tests an intervention in a group of research subjects and then measures the results of the intervention. Samples in this study are all nurses who are in the room of the General Hospital, Surgery and ICU Bima Hospital, which are 50 people. The results showed the results of different tests using paired t-test p value = 0.000 which can be concluded that there are differences between the intervention group and the control group, seen from the value of the difference in the intervention group is greater than the difference in the control group can be interpreted as education using more booklets affect the increase in nurse knowledge. The conclusion in this study was that there were significant differences in nurses' knowledge after being given education using pre and post intervention booklets between the intervention and control groups (p = 0.000).


2019 ◽  
Vol 2 (2) ◽  
pp. 189-200
Author(s):  
Yestiani Norita Joni ◽  
Busjra M Nur ◽  
Fitrian Rayasari

The purpose of this study is to know the effectiveness of intradialysis exercise using barbells and Range of Motion (ROM) on the adequacy of hemodialysis in patients with chronic kidney disease in the hemodialysis room of RSIJ Sukapura in 2018. The design of this study uses a design with non-probability pre and post test two groups without control design . The result of the difference in the effectiveness of the adequacy values between the two intervention groups after the intervention was given was the barbell intervention obtained 1,33 with a standard deviation of 0.485, an error standard of 0.114. Whereas in the ROM intervention group 1.67 the standard deviation was 0.485, the standard error was 0.114 and the p-value was 0.047 (> 0.05). Conclusion, there was no significant difference in the value of hemodialysis adequacy between the barbellROM intervention groups after the intervention.   Keywords: Hemodialysis Adequacy, Barbell, Exercise Effectiveness, Intradialysis, Range Of Motion (ROM)


2018 ◽  
Vol 5 (2) ◽  
pp. 82
Author(s):  
Sri Wahyuni ◽  
Anies Anies ◽  
Ariawan Soejoenoes ◽  
Suhartono Taat Putra

Background: Unstable emotions that are common during the perinatal period affect hormonal regulation and affect immunity. Research of psychoeducation dhikr be important was done to reduce perceived stress so that cortisol levels can be controlled hence IgG increases.Purposes: to prove additional psychoeducation of dhikr in routine midwifery care more influential on decreasing cortisol and increasing IgG among primiparous women.Methods: This study was an experimental study. A number of 24 participants as intervention group and a number of 23 participants as control group. Cortisol and IgG levels measured using ELIZA kits in the third trimester of pregnancy, the three days and tenth days after birth. Statistical test using General Linear Model and independent t test to compare Δ score.Results: The result showed mean difference between groups on the end of interventions, cortisol 18.95, CI 95% (-13.42 – 51.33) and p value is 0.245. The difference of the IgG between groups 482.72, CI 95% (55,51 - 909,93) and p value is 0.028.Conclusions: Additional psychoeducation of dhikr in routine midwifery care has more decrease Cortisol and increase IgG levels in primiparous women. Keywords: Cortisol, Psychoeducation Dzikr, IgG, Primiparous


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