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 Effectiveness of Range of Motion (ROM) Fingers and Spherical grip to Extremity Strength in Non Hemorrhagic Stroke Patients

2020 ◽  
Vol 9 (2) ◽  
pp. 1650-1656
Author(s):  
Shindi Hapsari ◽  
Sonhaji Sonhaji ◽  
Nindya Nurulia
Keyword(s):  
Range Of Motion ◽  
Hemorrhagic Stroke ◽  
Intervention Group ◽  
Sampling Technique ◽  
T Test ◽  
Control Group ◽  
P Value ◽  
Average Difference ◽  
Time Data ◽  
Stroke Patients

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

Development of Supportive-Educative Range of Motion Exercise for Post-stroke Patients: A Pilot Study

2021 ◽  
pp. 108482232110357
Author(s):  
Elly Lilianty Sjattar ◽  
Irna Megawati ◽  
Andi Masyitha Irwan ◽  
Sintawati Majid
Keyword(s):  
Pilot Study ◽  
Muscle Strength ◽  
Range Of Motion ◽  
Intervention Group ◽  
Control Group ◽  
Willingness To Participate ◽  
Stroke Patients ◽  
Test Analysis ◽  
Post Stroke ◽  
A Value

The purpose of this pilot study was to assess of home care intervention on post-stroke related outcome of range of motion and muscle strength. Sample in 40 participants were divided into the intervention group and control group and included in this study according to the following criteria: post-stroke period of <12 months with hemiparesis, age of ≥18 years, and willingness to participate in the study. The intervention was carried out by nurses by providing education for 2 consecutive days and mentoring for 5 consecutive days, while the control group was given standard care and measured using a grip track, handheld dynamometer, and goniometer examination on June to September 2019. For the intervention group, paired t-test analysis confirmed a significant increase in the mean upper extremity muscle strength before (35.770 ± 46.063) and after (51.073 ± 50.866) the 7 day intervention ( p = .002), whereas the control group showed a value 36.570 ± 33.684 and then 31.400 ± 31.760 p = .256 and lower extremity strength before (3.627 ± 1.585) and after (4.365 ± 1.698) the 7-days intervention ( p = .000), whereas the control group showed a value 3.657 ± 1.671 and then 4.043 ± 1.849 p = .013. Almost all the items assessed from Range of Motion (ROM) in the upper and lower extremities showed a significant increase ( p < .05). Supportive-educative ROM exercise significantly contributed to an increase in the average muscle strength and ROM in post-stroke patients.

scholarly journals Peningkatan Kekuatan Otot Pasien Stroke Non Hemoragik dengan Hemiparese melalui Latihan Range of Motion (ROM) Pasif

2019 ◽  
Vol 1 (2) ◽  
pp. 354-363
Author(s):  
Elsi Rahmadani ◽  
Handi Rustandi
Keyword(s):  
Muscle Strength ◽  
Range Of Motion ◽  
Research Method ◽  
Hemorrhagic Stroke ◽  
Intervention Group ◽  
Control Group ◽  
Stroke Patients ◽  
Average Value ◽  
Post Test ◽  
Motion Exercise

This study aims to analyze the strength of muscle strength in patients with non-hemorrhagic stroke with hemiparese through Passive Range of Motion (ROM) exercises at Bengkulu Curup Hospital 2019. This research method uses the Quasi Experiment design of the pre and post test designs. The results of this study indicate the average value of pre-test and post-test muscle strength. increased in the intervention group and no increase in the control group. significant value (p = 0.008) in the intervention group and (p = 0.5) in the control group. Conclusion, there is the effect of Range of Motion exercise on the muscle strength of non-hemorrhagic stroke patients at ICU Curup General Hospital in 2019.   Keywords: Muscle Strength, Range Of Motion (ROM) Exercise

scholarly journals Physical Therapy and Rehabilitation Ideas for Inspiratory Muscle Training in Patients With Subacute Stroke

2021 ◽  
Vol 19 (4) ◽  
pp. 455-464
Author(s):  
Irma Ruslina Defi ◽  
◽  
Novitri Novitri ◽  
Ilin Nurina ◽  
◽  
...  
Keyword(s):  
Muscle Strength ◽  
Lung Function ◽  
Walking Speed ◽  
Intervention Group ◽  
Quadriceps Strength ◽  
Control Group ◽  
Muscle Training ◽  
Stroke Patients ◽  
Paretic Side ◽  
Subacute Stroke

Objectives: This study aimed to elucidate the outcome of an Inspiratory Muscle Training (IMT) rehabilitation intervention on the lung function, functional mobilization, balance, and peripheral muscle strength of the paretic side in patients with subacute stroke. Methods: This double-blind, randomized controlled trial study was conducted on patients with stable subacute stroke. For 8 weeks, the intervention group (n=16) received 40% intensity IMT while the control group (n=16) received 10% intensity IMT. We assessed the patients’ lung function (spirometer) before and after the intervention, as well as their pulmonary muscle strength (micro-respiratory pressure meter [RPM]), quadriceps strength (handheld dynamometer), grip strength (Jamar), walking speed (10-m walk test), balance (Berg Balance Scale [BBS]), and functional mobilization (sit-to-stand test). Results: There were significant differences between the intervention group and the control group after IMT for forced vital capacity (FVC)% (P<0.01; d=3.20), forced expiratory volume in the first second (FEV1)/FVC (P<0.001; d=2.55), FEV1% (P<0.001; d=5.10), walking speed (P<0.05; d=1.62), hand grip (P<0.001; d=2.45), quadriceps strength (P<0.001; d=4.18), functional mobilization (P<0.01; d=2.41), and maximal inspiratory mouth pressure (P<0.001; d=1.62), but no significant changes were seen in balance (P=0.304; d=0.57). Discussion: IMT improved lung function, functional mobilization, handgrip strength, and quadriceps strength on the paretic side of subacute stroke patients and is expected to improve functional status and allow the patient to participate in social activities. IMT exercise can be included in the rehabilitation program for subacute stroke patients.

scholarly journals PENGARUH AKUPRESUR TERHADAP PENINGKATAN KEKUATAN OTOT DAN ACTIVITIES OF DAILY LIVING (ADL) PADA PASIEN STROKE NON HEMORAGIK DI UNIT STROKE RSUD A. WAHAB SJAHRANIE SAMARINDA

2019 ◽  
Vol 1 (1) ◽  
pp. 32-42
Author(s):  
Theresia Tutik Ismiati
Keyword(s):  
Muscle Strength ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Intervention Group ◽  
Complementary Therapy ◽  
World Health ◽  
Control Group ◽  
Stroke Patients ◽  
Range Of Movement ◽  
Permanent Disability

Stroke is a disease caused by the interruption of blood supply to the brain. WHO (World Health Organization) stated 15 million people world wide suffer a stroke each year. As many as 5 million people are death sand 5 million people have permanent disability. Stroke Foundation of Indonesia (Yastroki) noted that Indonesia ranks  first in Asia with the majority of stroke patients and become leading causes of death in Indonesia. Stroke affects extremity dysfunction such decreased muscle strength which will contribute to the decline ability of Activities of daily living (ADL). There are several the rapies that have been done to over come muscle weakness and limitations of the ADL such as range of movement exercises, positioning, and acupressure is one form of therapy that can be done to restore extremity function. This study aims to determine the effect of acupressure intervention on limb muscle strength and Activities Of Daily Living (ADL) In Stroke Patients. Quantitative Study of quasi-experiment pre-post test design involved 113 respondents into two groups: the intervention group with 88 respondents and the control group with 25 respondents.The result showed male respondents (51.3%), aged 45-59 years (58.4%), and the first attack (85%). After the intervention of 7 day sine ach ofthe respondents, found significant differences increase muscle strength and ADL before the after intervention:  right limbmuscle strength(p =0.000); left limbstrength (p =0.000); and ADL (p =0.000). Respondent characteristics that influence muscle strength and ADL were age and frequency of stroke (P <0.05), where as no influence of gender (p> 0.05). The conclusions of this study that acupressureis an effective therapy on increase muscle strength and ADL of stroke patients. This research recommended acupressure as a complementary therapy to improve muscle strength andADLof stroke patients.

scholarly journals Penggunaan Ekstrak Buah Adas Dalam Mengurangi Dismenore Pada Remaja Putri

2019 ◽  
Vol 4 (2) ◽  
pp. 5
Author(s):  
Hermayanti Hermayanti ◽  
Gita Kostania ◽  
Siti Yulaikah
Keyword(s):  
Rating Scale ◽  
Transition Period ◽  
Intervention Group ◽  
Sampling Technique ◽  
World Health ◽  
Rank Test ◽  
Control Group ◽  
Fruit Extract ◽  
Teenage Girls ◽  
Face Scale

Background: According to the World Health Organization (WHO), adolescence is a transition period in which growth and development occur greatly improved both physically and psychologically. Dysmenorrhea is a complaint of teenage girl who often appear during menstruation. Dysmenore can be done pharmacologically and non pharmacologically. Exclusively by non pharmacological, one of them using herbal medicine by fennel fruit extract. This research tries to study the effectiveness of consuming fennel extract in reducing dysmenorrhea among teenage girls. Methods: The research method using quasy experimental design with the research design of two pretest-posttest design groups. The population is all teenage girls in SMPN 4 Mojosongo who take 116 female students. The sampling technique was purposive random sampling, using Slovin formula which obtained a sample of 54 respondents divided into two groups, each contains 27 respondents. Instrument test using Face Scale Rating Scale (FRS). Data analysis techniques that used are the Wilcoxon Signed Rank Test and the Mann-Whitney Test. Results: There was a significant decrease in dysmenorrhea both in the intervention group that was given fennel fruit extract (mean = 2.15; p = 0.001 <0.05) and in the control group (average = 0.37; p = 0.025 <0.05). The decrease that occurred in the control group was significantly greater in the control group (p = 0.001 <0.05). Conclusion: fennel fruit extract is effective in reducing dysmenorrhea in young women at SMPN 4 Mojosongo, Boyolali Regency.

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
Keyword(s):  
Range Of Motion ◽  
Intervention Group ◽  
Clinical Manifestations ◽  
The Body ◽  
Control Group ◽  
P Value ◽  
Stroke Patients ◽  
Muscle Testing ◽  
The Difference ◽  
The Brain

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.

scholarly journals PENGARUH TERAPI PSIKOEDUKASI TERHADAP BEBAN CAREGIVER DALAM MERAWAT PENDERITA STROKE

2018 ◽  
Vol 3 (2) ◽  
pp. 278
Author(s):  
Mira Agusthia
Keyword(s):  
Intervention Group ◽  
Sampling Technique ◽  
Control Group ◽  
P Value ◽  
Stroke Patients ◽  
Control Group Design ◽  
Zarit Burden Interview ◽  
Quasi Experimental ◽  
The Right ◽  
Loss Control

<p><em>Stroke patients in Indonesia are increasing every year and have a high degree of dependence on caregiver. The more severe the load perceived by the caregiver the more severe the emotional level felt by the caregiver, therefore caregiver requires upbringing in reducing the burden he feels that is by providing psychoeducation therapy. Psychoeducation is one of the therapies that provide information and education to the caregiver, thus psychoeducation is the right therapy in lowering caregiver load. The purpose of this study was to determine the effect of psychoeducation therapy on caregiver load in treating stroke patients. This research was conducted at National Stroke Hospital of Bukittinggi from July 31st to September 1st 2017. The research type was quasi-experimental with pretest and posttest with control group design using Zarit Burden Interview questionnaire. The sample of 34 Caregiver using Purpossive Sampling technique. The results showed that there was a decrease of Caregiver load in the intervention group as much as (12,71), deviation standard (4,566) with p value 0,000 and the weight loss control group (0,41) standard deviation (0,795), with p value 0,050. Conclusion of the study of the influence of psychoeducation therapy on caregiver load in treating stroke patients.</em></p><p><em><br /></em></p><p><em><br /></em>Penderita stroke di Indonesia semakin meningkat setiap tahunnya dan memilikitingkatketergantungan yang tinggiterhadapcaregiver. Semakin berat beban yang dirasakan oleh caregiver semakin berat pula tingkat emosional yang dirasakan oleh caregiver, oleh karena itu caregiver membutuhkan asuhan dalam menurunkan beban yang dirasakannya yaitu dengan memberikan terapi psikoedukasi. Psikoedukasi merupakan salah satu terapi yang memberikan informasi dan edukasi kepada caregiver, dengan demikian psikoedukasi adalah terapi yang tepat dalam menurunkan beban caregiver. Tujuan penelitian ini adalah untuk mengetahui pengaruh terapi psikoedukasi terhadap beban caregiver dalam merawat penderita stroke.Penelitian ini dilakukan Di Rumah Sakit Stroke Nasional Bukittinggi mulai dari tanggal 31Juli s/d 1 September 2017. Jenis penelitian adalah quasi-eksperimental dengan rancangan pretest and posttest with control group menggunakan kuisioner Zarit Burden Interview. Sampel berjumlah 34 Caregiver menggunakan teknik Purpossive Sampling. Hasil penelitian menunjukkan bahwa adanya penurunan beban Caregiver pada kelompok intervensi sebanyak (12,71), standar deviasi (4,566) dengan p value 0,000 dan kelompok kontrol penurunan beban sebanyak ( (0,41) standar deviasi (0,795), dengan p value 0,050. Simpulan penelitian adanya pengaruh terapi psikoedukasi terhadap beban caregiver dalam merawat penderita stroke.</p>

scholarly journals Pengaruh Akupresur Stroke 14 Titik Terhadap Rentang Gerak Ekstermitas Atas dan Bawah pada Pasien Stroke Non Hemoragik

2020 ◽  
Vol 2 (1) ◽  
pp. 51-63
Author(s):  
Reza Indra Wiguna Reza ◽  
Lalu Hersika Asmawariza
Keyword(s):  
Range Of Motion ◽  
Hemorrhagic Stroke ◽  
Intervention Group ◽  
Lower Extremities ◽  
The Body ◽  
Control Group ◽  
Stroke Patients ◽  
Post Test ◽  
Upper And Lower Extremities ◽  
Stroke Center

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.

Abstract 13: The Effect of Circadian Light on Depressive Mood in Post Stroke Patient During Admission for Rehabilitation

Stroke ◽  
2017 ◽  
Vol 48 (suppl_1) ◽  
Author(s):  
Anders West ◽  
Sofie Simonsen ◽  
Alexander Zielinsky ◽  
Niklas Cyril ◽  
Marie Schønsted ◽  
...  
Keyword(s):  
Blue Light ◽  
Rating Scale ◽  
Intervention Group ◽  
Hospital Setting ◽  
Depressive Mood ◽  
Controlled Study ◽  
Control Group ◽  
Light Spectrum ◽  
Stroke Patients ◽  
Post Stroke

Introduction: Stroke is a major cause of acquired cerebral disability among adults, frequently accompanied by depression. New ways of intervention to prevent post stroke depression is therefore needed. The blue light spectrum is the strongest zeitgeber (time-giver) and is known to stabilize the circadian rhythm. Patients admitted for rehabilitation are often lacking the blue light in daytime due to the long indoor admission; furthermore, they are often exposed to blue light in the evenings, as blue light is contained in standard lightning. Hypothesis: Circadian light will reduce depressive mood in stroke patients admitted for rehabilitation. Methods: The study is a prospective parallel longitudinal randomized controlled study (quasi randomization). Stroke patients in need of rehabilitation were included at the acute stroke unit and randomized to either the intervention unit (IU)(circadian lighting) or the control unit (CU)(standard lighting). The circadian light was installed in the entire IU (Cromaviso, Denmark). Examination was done in the acute unit and at discharge after at least 2 weeks in the IU/CU. Change in depressive mood was measured by the Hamilton Rating Scale for Depression (HAM-D 6 ) and The Major Depression Inventory scale (MDI). Results: Patients were included over a year (N=90), 6 did not reach randomization, 45 were randomized to the IU, and 39 to the CU. A sample of 59 and 62 patients were able to answer the HAM-D 6 (N=30IU;N=29CU) and MDI (N=30IU;N=29CU) score, respectively. Both scores were significantly lower in the intervention group at discharged compared with the control group (ANCOVA, antidepressants medicine was included as a confounder, HAM-D 6 , P=0.018, Estimate=-2.25;SEM=0.92, MDI, P=0.009, Estimate=-4.72;SEM=1.74). Conclusion: Our findings show for the first time circadian light as a beneficial intervention on depressive mood on long-term hospitalized patients in a real hospital setting. The circadian lightning should be considered as an integrated segment in the environment of rehabilitation units.

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