scholarly journals PENGARUH ROM (Range of Motion) TERHADAP KEKUATAN OTOT EKSTREMITAS PADA PASIEN STROKE NON HEMORAGIC

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

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 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.


Sports ◽  
2019 ◽  
Vol 7 (1) ◽  
pp. 23 ◽  
Author(s):  
Nobuko Hongu ◽  
Mieko Shimada ◽  
Rieko Miyake ◽  
Yusuke Nakajima ◽  
Ichirou Nakajima ◽  
...  

Stair climbing provides a feasible opportunity for increasing physical activity (PA) in daily living. The purpose of this study was to examine the daily walking and stair-climbing steps among healthy older adults (age: 74.0 ± 4.9 years; Body Mass Index (BMI): 22.3 ± 2.5 kg/m2). Participants (34 females and 15 males) attended a weekly 6-month community-based PA program. During the entire program period, daily walking and stair-climbing steps were recorded using a pedometer (Omron, HJA-403C, Kyoto, Japan). Before and after the 6-month program, height, body weight and leg muscle strength were assessed. After the 6-month program, the mean walking and stair-climbing steps in both women and men increased significantly (p ≤ 0.01). Daily stair-climbing steps increased about 36 steps in women and 47 steps in men. At the end of 6 months, only male participants had significant correlation between the number of stair steps and leg muscle strength (r = 0.428, p = 0.037). This study reported that healthy older adults attending the community-based PA program had regular stair-climbing steps during daily living. Promoting stair climbing as an exercise routine was feasible to increase their walking and stair-climbing steps.


2021 ◽  
Vol 2 (1) ◽  
pp. 10-15
Author(s):  
I Putu Astrawan ◽  
I Putu Prisa Jaya

Background: Footwork training is important in coaching basic movements in badminton. This research aims to learn about the influence of footwork training on improving leg muscles strength. Methods: The study used a randomized pretest-posttest control group design. The participants consisted of 42 male badminton players of Universitas Pendidikan Ganesha, Bali, Indonesia, who split into two groups of footwork training (ten repetitions two sets (group 1) and five repetitions with four sets (group 2)). The coach gave the footwork exercise three times per week for 6 weeks to each group and measured the leg muscle strength using the dynamometer test. Results: The result of the within-group paired T-test before and after the training shows group 1 and group 2 (p<0.05). For group 1, the mean of leg muscle strength was 114.19±33.13 kg before the training and 183.19±33.56 kg after the training, with an increase of 60% (69 kg). On the other hand, for group 2, the mean score of leg muscle strength before the training was 113.05±31.30 kg and after the training was 141.10±34.91, with an increase of 25% (28 kg). The leg muscle strength difference between the groups before and after the training was tested using the independent T-test with a significant α=0.05. Comparing the differences of leg muscle strength for both the groups before the training was p= 0.90, and after the training was p=0.00. Conclusion: The conclusion is training badminton footwork ten repetition two sets better than five repetitions four sets to improve leg muscle strength.


2021 ◽  
Vol 1 ◽  
pp. 1407-1413
Author(s):  
Dwi Haryati ◽  
Nuniek Nizmah Fajriyah ◽  
Firman Faradisi

AbstractStroke is an acute neurocological disease caused by blood vessel disorders in the brain that occur suddenly and can cause symptoms according to areas in the brain that occur suddenly and can cause symptoms of paralysis, difficulty speaking, numbness of one side of the body and other disorders. ROM (Range of Motion) exercise is the maximum number of movements performed by the joints under normal conditions where a person moves each joint according to normal movements either actively or passively.The purpose of this scientific paper is to determine the effect of giving Range Of Motion (ROM) on increasing muscle strength in stroke patients.There is a difference in the mean (mean) before giving Range Of Motion therapy is 2.65 and after giving Range Of Motion is 3.62, there is an effect of giving Range Of Motion (ROM) therapy. Most of the respondents were male with a partial presentation (70%) and (30%) female, the age of the respondent in this study was >56 years old. Prior to ROM therapy, the degree of muscle strength was categorized as 0 to degree 2 and after ROM therapy, the degree of muscle strength was categorized as grade 2 to degree 4. The conclusion was that there was an increase in muscle strength before and after Range Of Motion (ROM) therapy. ROM therapy is effective for increasing muscle strength in stroke patients.Keywords: Muscle Strength, Range Of Motion (ROM), Stroke AbstrakStroke merupakan suatu penyait neurokologis akut yang disebabkan oleh gangguan pembulu darah otak yang terjadi secara mendadak dan dapat menimbulkan gejala yang sesuai dengan daerah di otak yang terserang terjadi secara tiba-tiba dan dapat menimbulkan gejala kelumpuhan, kesulitan bicara,mati rasa sebelah badan dan gangguan lainnya. Latihan ROM (Range of Motion) adalah jumlah maksimum gerakan yang yang dilakukan oleh sendi dalam keadaan normal dimana seseorang menggerakan masing-masing persendiannya sesuai gerakan normal baik secara aktif ataupun pasif. Tujuan karya tulis ilmiah ini adalah untuk mengetahui pengaruh pemberian Range Of Motion (ROM) Terhadap peningkatan kekuatan otot pada pasien stroke.Terdapat perbedaan rata-rata (mean) sebelum pemberian terapi Range Of Motion adalah 2,65 dan sesudah pemberian Range Of Motion adalah 3,62, terdapat pengaruh pemberian terapi Range Of Motion (ROM). Responden terbanyak berjenis kelamin laki-laki dengan presentasi sebagian (70%) dan (30%) perempuan, umur respoden pada penelitian ini berusia >56 tahun. Sebelum dilakukan terapi ROM derajat kekuatan otot termasuk katagori 0 hingga derajat 2 dan sesudah dilakukan terapi ROM derajat kekuatan otot termasuk kategori derajat 2 hingga derajat 4. Simpulan terdapat peningkatan kekuatan otot sebelum dan sesudah dilakukan terapi Range Of Motion (ROM). Terapi ROM efektif untuk meningkatkan kekuatan otot pada pasien stroke. Kata kunci : Kekuatan Otot, Range Of Motion (ROM), Stroke


2002 ◽  
Vol 17 (4) ◽  
pp. 259-264 ◽  
Author(s):  
Kentaro SASAKI ◽  
Masuo SENDA ◽  
Takasi ISHIKURA ◽  
Haruyuki OTA ◽  
Takeshi MORI ◽  
...  

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.


Author(s):  
Diar Mia Ardani ◽  
Bakti Surarso ◽  
Nyilo Purnami ◽  
Rizka Fathoni Perdana

Abstract Introduction Nasopharyngeal carcinoma (NPC) is the most common malignancy in the field of otorhinolaryngology, and chronic pain is identical with this malignancy. Pain therapy according to World Health Organization (WHO) recommendations is WHO 3-step analgesic ladder. Pain is subjective and related to the function of beta-endorphin hormone. Objective Analyzing the relationship between the degree of pain and plasma endorphin levels in stage III–IV NPC patients before and after the administration of WHO 3-step analgesic ladder. Materials and Methods The study design used pretest and posttest without control design. Participants were given WHO 3-step analgesic ladder therapy for 3 days. The participants then rated the pain scale using the visual analog scale (VAS) and plasma beta-endorphin levels in venous blood. The statistical test used the dependent t-test, Wilcoxon test, and Spearman test with p < 0.05, confidence interval: 95%. Results There were 14 stage-III NPC patients with moderate pain (78.57%) and 31 stage-IV NPC participants had moderate pain (83.87%; p = 0.071). The VAS value in the moderate pain group before and after therapy was 82.22 and 66.67%, respectively (p < 0.001). The values of plasma beta-endorphin levels before and after therapy were 74.89 ± 69.12 and 72.49 ± 75.53 pg/mL, respectively (p = 0.647). Plasma beta-endorphin levels were −19.20 ± 37.72 pg/mL (mild pain), −4.76 ± 35.30 pg/mL (moderate pain), and −21.67 ± 6.27 pg/mL (severe pain; p = 0.717). Conclusion Pain levels in advanced NPC patients have decreased after the therapy, but plasma beta-endorphin levels have no significant difference.


Author(s):  
I Made Dwi Ariyuda ◽  
I Wayan Weta ◽  
I Made Muliarta ◽  
Ketut Tirtayasa ◽  
I Made Jawi ◽  
...  

The performance of soccer branch at SMK SMSR Ubud has not shown maximum result. To increase the performance of soccer branch, it was done by plyometric diagonal cone hop training and front cone hop. This research aim to know that plyometric diagonal cone hop training and front cone hop is to increase leg muscle strength and kick velocity, and plyometric diagonal cone hop training is more effective than front cone hop to increase leg muscle strength and kick velocity. The research method is experimental method The Randomized Pre and Post Test Group Design. The samples of research are 30 soccer players at SMK SMSR Ubud and divided into 2 (two) groups. The first group was handled with Plyometric diagonal cone hop training, and the second group was handled with Plyometric front cone hop training. The frequencies of training are 3 times in a week for 6 weeks. Leg muscle strength measured by leg dynamometer and kick velocity measured by meter indicator and video recording. The result of the intergroup t-paired test of this research for the first group before and after training that leg muscle mean is 97,80 ± 19,91 and 140,1 ± 10,01 kgs and kick velocity is 13,21 ± 2,16 and after training 21,86 ± 4,88 m/s with (p< 0,01). While the result for the second group before and after training that leg muscle mean is 98,00 ± 14,56 and after training 126 ± 12,7 kgs and kick velocity is 11,18 ± 1,59 and after training 16,18 ± 2,48 m/s with (p<0,01). Results of increased leg muscle strength and kick velocity between both of groups before and after training tested by independent t-test with p=0,002 & p<0,01 that is means there are significant differentiation. The conclusion is both of this training can be used to increase leg muscle strength and kick velocity. But, Plyometric diagonal cone hop is more effective than front cone hop to increase leg muscle strength and kick velocity.


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