scholarly journals Range of Motion Exercise to Improve Muscle Strength among Stroke Patients: A Literature Review

2021 ◽  
Vol 4 (3) ◽  
pp. 332-343
Author(s):  
Yanti Srinayanti ◽  
Wina Widianti ◽  
Dian Andriani ◽  
Fidya Anisa Firdaus ◽  
Henri Setiawan
Keyword(s):  
Muscle Strength ◽  
Literature Review ◽  
Range Of Motion ◽  
Muscle Weakness ◽  
Health Workers ◽  
Selection Process ◽  
Inclusion Criteria ◽  
Stroke Patients ◽  
National Journal ◽  
Online Library

Stroke was a disturbance in part or all brain function caused by abnormal blood flow to the brain, disrupting bodily functions such as muscle weakness. One of the efforts that could be done to overcome muscle weakness in stroke patients was the Range Of Motion (ROM) exercise which could be done independently or assisted by health workers. The purpose of this literature review was to identify the effect of range of motion (ROM) exercise in increasing muscle strength in stroke patients. This study used a descriptive method with a literature review approach. The search strategy used six international journal databases: PubMed, JSTOR, Wiley Online Library, Sage Journal, ScienceDirect, and Taylor & Francis Online. In addition, a search was conducted on one national journal database, namely Google Scholar. The selection was conducted by assessing articles that met the inclusion criteria, such as publication range from 2005-2021, in English, Indonesian, and other languages that can be translated and opened full access text. After the selection process, nine articles that met the inclusion criteria were obtained, with 197 respondents assigned randomly and grouped into 58 control groups, 55 intervention groups, 84 combined groups. The results showed that the ROM exercise method positively affected increasing muscle strength in stroke patients. Based on these results, it could be concluded that this nurse's independent intervention needed to be carried out in stroke patients to increase muscle strength

scholarly journals Literature Review: Pengaruh Latihan Rom (Range Of Motion) Terhadap Peningkatan Kekuatan Otot Pada Pasien Stroke

2021 ◽  
Vol 1 ◽  
pp. 1097-1102
Author(s):  
Indah Nofitasari ◽  
Benny Arief Sulistyanto
Keyword(s):  
Muscle Strength ◽  
Literature Review ◽  
Range Of Motion ◽  
Motor Function ◽  
Health Workers ◽  
T Test ◽  
P Value ◽  
Stroke Patients ◽  
Keywords Stroke

AbstractMuscle weakenss is the biggest impact on stroke patients, so that Range Of Motion (ROM) exercises are needed to maintain muscle strength and join mobility. The incidence of stroke and disability tends to increase if Range Of Motion (ROM) exercises are not carried out. This is due to a decrease in muscle strength. The purpose of this study was to describe the effect of Range Of Motion therapy on improving motor function in stroke patients. The method was literature review used the keywords “stroke”, “Range Of Motion(ROM)”, “Muscle strength”. The study was conducted by searching for serval articles from a predetermined database, namely the last 10 years. The three articles showed the strength of the muscle scale, after being given the Range Of Motion (ROM) intervention. The t-test of statistic test shows p valued <0,01 wich means there was a effect. It can be concluded there is the effect of Range Of Motion (ROM)training on muscle strength in stroke patients. Therefore, it is expected for the health workers, especially nurses to be able to apply ROM intervention more intensively in stroke patients as an additional therapy.Keywords: Stroke, Range Of Motion (ROM), Muscle strength AbstrakKelemahan otot merupakan dampak terbesar pada pasien stroke, untuk itu diperlukan latiham Range Of Motion (ROM) bertujuan untuk mempertahankan atau memelihara kekuatan otot, mobilitas persendian. Peningkatan angka kejadian stroke dan kecacatan tersebut apabila latiham Range Of Motion (ROM) tidak dilaksanakan maka akan terjadi penurunan kekuatan otot.Tujuan dari Karya Tulis Ilmiah ini adalah untuk mengetahui bagaimana gambaran pengaruh terapi ROM terhadap peningkatan fungsi motorik pada pasien stroke. Metode yang dilakukan adalah Literature Review dengan menggunakan kata kunci “Stroke”, “Range Of Motion (ROM)”, “kekuatan otot”. Penelitian dilakukan dengan cara mencari beberapa artikel dari database yang telah ditentukan yaitu 10 tahun terakhir. Pada ketiga artikel menunjukkan kekuatan skala otot, setelah diberikan intervensi Range Of Motion (ROM). Uji statistik t-test menunjukkan p value < 001 menyatakan ada pengaruh. Kesimpulan Karya Tulis Ilmiah ini terdapat pengaruh latihan Range Of Motion (ROM) terhadap kekuatan otot pada pasien stroke, sehingga sangat di harapkan agar tenaga kesehatan khususnya perawat dapat lebih intensif memberikan intervensi ROM pada pasien stroke sebagai terapi tambahan untuk pasien stroke.Kata kunci:Stroke, Range Of Motion (ROM), kekuatan otot

Abstract 2395: Respiratory Muscle Weakness in Acute Stroke Patients

Stroke ◽  
2012 ◽  
Vol 43 (suppl_1) ◽  
Author(s):  
Ross Pollock ◽  
Ged Rafferty ◽  
John Moxham ◽  
Lalit Kalra
Keyword(s):  
Systematic Review ◽  
Muscle Strength ◽  
Acute Stroke ◽  
Muscle Weakness ◽  
Respiratory Muscle ◽  
Mean Difference ◽  
Respiratory Muscle Strength ◽  
Inclusion Criteria ◽  
Stroke Patients ◽  
Respiratory Muscle Weakness

Background: Increased frequency of chest infections in acute stroke patients may be the result of respiratory muscle weakness contributing to a weak cough and poor airway clearance. We undertook a systematic review of studies comparing respiratory muscle strength in acute stroke patients with age-matched controls. Method: A systematic review of literature was performed using the electronic databases Medline, EMBASE, ISI web of knowledge and the Scopus. The key words searched were stroke or cerebrovascular accident in combination with cough, inspiratory, expiratory or respiratory and strength or weakness. Studies were included if they compared stroke patients with age matched controls and measured maximum inspiratory or expiratory mouth pressure (PImax and PEmax) for inspiratory and expiratory muscle strength respectively. Results: The initial search identified 136 articles, 14 of which remained after screening for pre-defined inclusion criteria and removal of duplicates. Eleven were excluded after reviewing abstracts (5 did not assess muscle strength, 5 did not include healthy control group, 1 absolute values could not be obtained). A further study was identified from the reference lists of screened articles. The 4 studies that met inclusion criteria included 121 subjects. Mean PImax ranged from 75-99 cmH 2 O in controls and 37-74 cmH 2 O in stroke patients. (mean difference 41 cmH 2 O, 95% CI 54 to 29 cm H 2 O; P<0.0001). Mean PEmax ranged from 52-89 cm H 2 O in stroke patients and was also reduced compared with age matched controls (mean difference 55 cmH 2 O, 95% CI 61 to 48 cmH 2 O; P<0.0001). ( Fig 1 ). Conclusion: Individual studies and pooled data suggest that respiratory muscle strength is impaired in acute stroke patients. However, these studies are limited by small samples and design heterogeneity. Larger studies are needed to assess the relationship of respiratory muscle weakness with chest infections and clinical outcomes in the acute phase.

Penerapan Terapi Range Of Motion (Rom) Terhadap Peningkatan Kekuatan Otot Pada Pasien Dengan Stroke

2021 ◽  
Vol 1 ◽  
pp. 692-698
Author(s):  
M. Zulfi Pratama ◽  
Firman Faradisi ◽  
Nuniek Nizmah Fajriyah
Keyword(s):  
Blood Flow ◽  
Muscle Strength ◽  
Range Of Motion ◽  
Muscle Weakness ◽  
Stroke Patients ◽  
Physical Mobility ◽  
Patient Families ◽  
Scientific Essay ◽  
The Brain

Abstract A stroke is an injury to the brain caused by a blockage obstruction of blood flow to the brain. Weakness in the limbs is often found in patients with strokes. Range Of Motion therapy may help to increase the muscle strength that is experencing weakness, avoiding complications from inactivity, such us contractions. This study aims to describe the effect of ROM Therapy in stroke patients with impaired physical mobility. The design of the scientific essay was a case study of two stroke clients who had msucle weakness. A research instrument is an obsevation sheet on the scale of the muscle strength. This case study was conducted for six days of ROM therapy with a frequency of twice a day.The case study result showed that two respondents experienced an increase in muscle strength after ROM therapy. This study concludes that ROM therapy may increase muscle strength among stroke patients. Stroke patient families are expected to assist and support the patient during Range Of Motion exercises.Keywords: Muscle weakness strength, Range Of Motion, Stroke. Abstrak Stroke merupakan keadaan cidera pada otak yang disebabkan sumbatan atau obstruksi aliran darah menuju otak. Kelemahan pada anggota gerak sering dijumpai pada pasien dengan stroke. Pemberian terapi Range Of Motionbermanfaat untuk meningkatkan kekuatan otot yang mengalami kelemahan, menghindari komplikasi akibat kurang gerak, seperti kontraktur. Penelitian ini bertujuan untuk menggambarkan penerapan terapi ROM pada pasien stroke dengan gangguan mobilitas fisik. Desain karya tulis ilmiah berupa studi kasus pada 2 klien stroke yang mengalami masalah kelemahan otot. Instrumen penelitian berupa lembar observasi mengenai skala kekuatan otot. Studi kasus ini dilakukan selama 6 hari dengan frekuensi 2 kali sehari dengan intervensi penerapan terapi Range Of Motion (ROM). Hasil studi kasus menunjukan masalah gangguan mobilitas fisik yang dialami kedua responden mengalami peningkatan kekuatan setelah dilakukan terapi ROM. Kesimpulan terapi Range Of Motion(ROM) dapat untuk mningkatkan kekuatan otot pada pasien stroke. Saran bagi keluarga diharapkan keluarga untuk selalu melakukan pendampingan saat dilakukaSaran bagi keluarga diharapkan keluarga untuk selalu melakukan pendampingan saat dilakukan implementasi agar dapat menjadi supporting sistem bagi pasien dan dapat mengerti sehingga dapat membantu klien dalam melakukan latihan rentang gerak otot.Kata kunci: Kelemahan kekuatan otot, Range Of Motion, Stroke.

scholarly journals Dysphagia Screening Protocol for Acute Stroke Patient: A Literature Review

2021 ◽  
Author(s):  
Enny Mulyatsih ◽  
Moses Glorino Pandin
Keyword(s):  
Literature Review ◽  
Acute Stroke ◽  
Key Words ◽  
Stroke Patient ◽  
Health Workers ◽  
High Reliability ◽  
Inclusion Criteria ◽  
Stroke Patients ◽  
Volume Viscosity ◽  
Tract Infections

Background: Nearly two-thirds of acute stroke patients have dysphagia. Dysphagia is difficulty to swallow food or liquids. Early detection of dysphagia is crucial in stroke patients as a result of increased morbidity and mortality due to malnutrition and respiratory tract infections. Aim: Our purpose was to conduct a literature review of dysphagia screening for stroke patient. Methods: We used the bolean operator to search articles of &ldquo;or&rdquo; and &ldquo;and&rdquo; with the key words were "Dysphagia" or &ldquo;Screening&rdquo;, AND "Stroke" or Acute Stroke&rdquo; AND "Nursing". Data based used were Scopus, Proquest and Science Direct with inclusion criteria using full text in English which published from 2019 to 2021. We obtained 240 articles and then we screened by reading the main focus of articles with paying attention to the topics and the suitability of article content.Result: Twenty five publications relating to dysphagia screening met the inclusion criteria. There are five methods of dysphagia screening performed by nurses or other health workers: 1) a simple Questionnaire Test (4QT) method; 2) Water Swallow Test (WST) method; 3) Bed Side Screening Tool for Dysphagia (BSTD) method; 4) Volume Viscosity Swallow Test (V-VST) method; 5) EAT-10 method.Conclusion: screening is the first step in the identification of swallowing impairment or dysphagia of stroke patient. Dysphagia is an independent predictor of poor patient outcome and prolonged recovery time. Nurse has an important role to conduct a screening and must ensure that the selected tools has high reliability and concurrent validity. Key Words: Dysphagia, Nursing, Screening, Stroke

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 Warm Compress on Lowering Body Temperature Among Hyperthermia Patients: A Literature Review

2021 ◽  
Vol 4 (3) ◽  
pp. 344-355
Author(s):  
Lilis Lismayanti ◽  
Andika Abdul Malik ◽  
Nida Siti Padilah ◽  
Fidya Anisa Firdaus ◽  
Henri Setiawan
Keyword(s):  
Body Temperature ◽  
Literature Review ◽  
Nursing Process ◽  
Inclusion Criteria ◽  
Temperature Changes ◽  
Human Body Temperature ◽  
Critical Appraisal Skills ◽  
Online Library ◽  
Positive Effect ◽  
Common Manifestation

Hyperthermia increased the core human body temperature above normal 36.7-37.5 °C, usually caused by infection, resulting in fever, and was the most common manifestation. One of the efforts that could be done to overcome the symptoms of hyperthermia was the application of warm compresses to the frontal, axillary, and dorsalis pedis. The study aimed to describe body temperature changes in hyperthermic patients after warm compress was applied. This study used a descriptive design with a literature review approach. Twelve articles were included in this review by six journal databases: PubMed, JSTOR, Wiley Online Library, Sage Journal, Taylor and Francis Online, and Google Scholar. The selection was carried out by assessing articles that met the inclusion criteria, including the publication range for 2008-2021, English and Indonesian languages ??, and open access to full-text pdf. The critical assessment was carried out by using the Critical Appraisal Skills Programmed instrument. The review results showed that the warm compress method had a positive effect in lowering body temperature in the nursing process in patients with hyperthermia. Based on the literature from the reviewed articles, it could be concluded that a warm compress intervention needed to be given to hyperthermic patients to lower the patient's body temperature whether they were undergoing treatment or not

scholarly journals A Literature Review of in IS Adoption Model Factors

2019 ◽  
pp. 92-98
Author(s):  
Nur Ani ◽  
Vina Ayumi ◽  
Handrie Noprisson
Keyword(s):  
Literature Review ◽  
Selection Process ◽  
Virtual Community ◽  
Social Capital Theory ◽  
Social Software ◽  
Social Commerce ◽  
Inclusion Criteria ◽  
Community Group ◽  
Online Chat ◽  
Adoption Model

The propose of this research is to review the IS adoption model that can be applied to Enterprise 2.0 such as including social networks, virtual community (group discussion), cyber meetings, online chat, enterprise social software, social commerce, Customer Relationship Management (CRM) and project management. The systematic literature review (SLR) method used in this research is proposed by Kitchenham in 2004. This research reviewed 257 research papers and then selection process used the inclusion criteria based on the title and abstract, and it selected 47 paper. In the selection process used inclusion criteria for full text and it produced 19 paper. Then in the final stage or the 3rd stage, the selection used exclusion criteria and produce 15 papers. As conclusions, IS adoption model adopt some theories such as TOE framework, TAM, UTAUT, TOS, diffusion innovation theory and social capital theory. Some factors that affect the adoption of this model are technology, organization, environment, competency, personal and others.

scholarly journals DYSPHAGIA TOWARDS NUTRIENT INTAKE AND MALNUTRITION CASE IN STROKE PATIENTS: LITERATURE REVIEW

2020 ◽  
Vol 9 (2) ◽  
pp. 118-126
Author(s):  
Hafika Yunisari Pradina ◽  
Ria Ambarwati
Keyword(s):  
Literature Review ◽  
Stroke Patient ◽  
Nutrient Intake ◽  
Health Workers ◽  
Clinical Manifestations ◽  
Patient Treatment ◽  
Stroke Patients ◽  
Patient Will ◽  
Nutritional Needs ◽  
Enteral Formula

Dysphagia is one of the most important clinical manifestations of stroke and can pose a greater risk of malnutrition for patients during and after hospitalization. The purpose of this research is to review the literature about dysphagia on nutrient intake and malnutrition case in stroke patients. Type of the research is literature review which consist of journals cited the incidence of stroke patients suffered Dysphagia from 2015–2020 year of national and international publication. The result of dysphagia people can only consumed 10–33% of nutrient intake during 2 weeks and 3 months at home. This condition is insufficient for the energy and nutritional needs of the patient and can effect malnutrition case due to dysphagia which is 6-78%. The enteral formula can be obtained to reach energy and nutrients by focusing to the stroke patient treatment. Dysphagia experienced by stroke patient will affect nutrient intake and the malnutrition case. The suggestion of this paper is pointed to the health workers and the family of dysphagia people to concern energy and nutrients needs of the patient regularly.

Literature Review : Pengaruh Latihan Rom (Range Of Motion) Terhadap Peningkatan Kekuatan Otot Pada Pasien Stroke

2021 ◽  
Vol 1 ◽  
pp. 1407-1413
Author(s):  
Dwi Haryati ◽  
Nuniek Nizmah Fajriyah ◽  
Firman Faradisi
Keyword(s):  
Muscle Strength ◽  
Literature Review ◽  
Blood Vessel ◽  
Range Of Motion ◽  
Scientific Paper ◽  
The Body ◽  
Before And After ◽  
Motion Exercise ◽  
The Mean ◽  
The Brain

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

Varus–valgus motion and functional ability in patients with knee osteoarthritis

2007 ◽  
Vol 67 (4) ◽  
pp. 471-477 ◽  
Author(s):  
M van der Esch ◽  
M Steultjens ◽  
J Harlaar ◽  
N Wolterbeek ◽  
D Knol ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Range Of Motion ◽  
Muscle Weakness ◽  
Functional Ability ◽  
Three Dimensional ◽  
Walking Test ◽  
Knee Oa ◽  
Womac Questionnaire ◽  
The Impact ◽  
The Relationship

Objective:To assess the relationship between knee varus–valgus motion and functional ability, and the impact of knee varus–valgus motion on the relationship between muscle strength and functional ability in patients with osteoarthritis (OA) of the knee.Methods:Sixty-three patients with knee OA were tested. Varus–valgus motion was assessed by optoelectronic recording and three-dimensional motion analysis. Functional ability was assessed by observation, using a 100 m walking test, a Get Up and Go test, and WOMAC questionnaire. Muscle strength was measured by a computer-driven isokinetic dynamometer. Regression analyses were performed to assess the relationships between varus–valgus motion and functional ability, and to assess the impact of varus–valgus motion on the relationship between muscle strength and functional ability.Results:In patients with high varus–valgus range of motion, muscle weakness was associated with a stronger reduction in functional ability (ie, longer walking time and Get Up and Go time) than in patients with low varus–valgus range of motion. A pronounced varus position and a difference between the left and right knees in varus–valgus position were related with reduced functional ability.Conclusions:In patients with knee OA with high varus–valgus range of motion, muscle weakness has a stronger impact on functional ability than in patients with low varus–valgus range of motion. Patients with knee OA with more pronounced varus knees during walking show a stronger reduction in functional ability than patients with less pronounced varus knees or with valgus knees.

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