scholarly journals Effectivity of Exoskeleton Robot-Assisted Therapy on Improving Muscle Strength in Post-Stroke Patient

2021 ◽  
Vol 8 (3) ◽  
pp. 292-296
Author(s):  
Aulia Salwa Alfaina ◽  
Rahmi Isma Asmara Putri ◽  
Hari Peni Julianti ◽  
Trianggoro Budisulistyo ◽  
Rifky Ismail
Keyword(s):  
Muscle Strength ◽  
Conventional Therapy ◽  
T Test ◽  
Wilcoxon Test ◽  
Stroke Patients ◽  
Robot Assisted ◽  
Muscle Testing ◽  
Exoskeleton Robot ◽  
Flexion Extension ◽  
Post Test

Background: Upper limb weakness is the most disability caused by stroke. The availability of physiotherapists is still limited in Indonesia. The exoskeleton robot is a developing technology that involve in stroke rehabilitation therapy. Objective: To evaluate the effectiveness of exoskeleton robot-assisted therapy on improving muscle strength of patients after stroke. Methods: An experimental study with two groups pre-test and post-test design carried out using consecutive sampling among outpatient stroke patients in Diponegoro National Hospital (RSND) and William Booth Hospital (RSWB), Semarang. Patients in the robotic group (RG) (n=8) received 16 training sessions. Each session consists of 30 passive and ten active-weighted elbow flexion-extension with the exoskeleton robot. Meanwhile, the control group (CG) (n=8) received equivalent training of conventional therapy. The primary outcome of muscle strength was measured by Manual Muscle Testing (MMT) and handheld dynamometer. Pre and post-test MMT score data in each group were analyzed by Wilcoxon test, while handheld dynamometer score data were analyzed by paired t-test. Data between the two groups were analyzed by Mann-Whitney test and unpaired t-test. Results: Significant improvements were shown for the MMT score (RG: p=0.014, CG: p=0.034). There were significant handheld dynamometer score improvements on muscle strength for elbow flexor and extensor in RG (p = 0.008 and p = 0.005 respectively) and in CG (p=0.036 and p=0.008 respectively). No significant differences for MMT and handheld dynamometer score between the two groups. Conclusion: The exoskeleton robot-assisted therapy was as effective as conventional therapy for improving muscle strength in stroke patients.

scholarly journals Pengaruh Latihan Range Of Motion (ROM) Menggenggam Bola Terhadap Kekuatan Otot Ekstremitas Atas Pasien Stroke Iskemik

2019 ◽  
Vol 14 (2) ◽  
pp. 79-86
Author(s):  
Hendri Budi ◽  
Netti Netti ◽  
Yossi Suryarinilsih
Keyword(s):  
Ischemic Stroke ◽  
Muscle Strength ◽  
Range Of Motion ◽  
Design Research ◽  
Nursing Intervention ◽  
Wilcoxon Test ◽  
Manual Muscle Testing ◽  
P Value ◽  
Stroke Patients ◽  
Muscle Testing

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.      

scholarly journals PENGARUH TERAPI RELAKSASI OTOT PROGRESIF TERHADAP KEKUATAN OTOT DAN KUALITAS TIDUR LANJUT USIA

2020 ◽  
Vol 8 (2) ◽  
pp. 306
Author(s):  
Abdul Muhith ◽  
Teguh Herlambang ◽  
Atika Fatmawati ◽  
Dyah Siwi Hety ◽  
I Wayan Surya Merta
Keyword(s):  
Muscle Strength ◽  
Sleep Quality ◽  
Muscle Relaxation ◽  
The Elderly ◽  
T Test ◽  
Progressive Muscle Relaxation ◽  
Control Group ◽  
Relaxation Therapy ◽  
Muscle Testing ◽  
Paired T Test

Physiological changes in the elderly can cause a change in the neural system that is a disorder towards sleep quality while changes in the musculoskeletal system are the occurrence of muscle strength decline. Progressive Muscle Relaxation Therapy is a therapy which can improve sleep quality and muscle strength. The purpose of this research is to analyze the effect of progressive muscle relaxation therapy towards muscle strength and sleep quality of the elderly at House Technical Implementation. The research type used is quasi-experiment design with pretest and posttest nonequivalent control group design. The population in this research were all elderly as many as 40 elderly people. The sampling technique used was Total Sampling which was then divided into intervention group which consists of 20 respondents and control group which consists of 20 respondents. The measurement tool used was PSQI (Pittsburgh Sleep Quality Index) questionnaire for sleep quality and the MMT (Manual Muscle Testing) observation sheet for muscle strength. The data were analyzed using Paired T-test and Independent T-test. Based on Paired T-test, it was obtained that p value = 0.000 (p

scholarly journals PENGARUH PENYULUHAN MELALUI MEDIA VIDEO TERHADAP PENGETAHUAN DAN SIKAP GENETALIA HYGIENE REMAJA PUTERI SMP DWIJENDRA DENPASAR

2021 ◽  
Vol 9 (1) ◽  
pp. 90-97
Author(s):  
Ni Nyoman Ayu Suci Marlina ◽  
Ni Wayan Suarniti ◽  
I Gusti Ayu Surati
Keyword(s):  
High School ◽  
Junior High School ◽  
Junior High ◽  
T Test ◽  
Female Adolescent ◽  
Wilcoxon Test ◽  
Personal Hygiene ◽  
Knowledge And Attitudes ◽  
Post Test ◽  
Paired T Test

Genetalia hygiene is one of the efforts in personal hygiene that has an important role in the status of one's health behavior, to avoid interference with the reproductive organs.Genetalia hygiene is very important for woman because they tend to have urinary tract infection than man because they have shorter urination track. The purpose of this study was to determine the effect of counseling through media video on knowledge and attitudes about female adolescent hygiene genetalia at Dwijendra Junior High School Denpasar. This study uses a comparative analytic method with a one-group pre-test-post-test research design. The sample of this study was 80 and VIII grade students of Dwijendra Junior High School Denpasar with a total of 80 people. The sampling technique in this study is probability sampling. The instrument used was a questionnaire of 15 questions for knowledge, 10 questions about attitudes that have been valid and reliable. Data analysis techniques used paired T-Test. The results of the study for the average knowledge pre-test were 70.92 and the post-test knowledge after receiving counseling was 90.58 while the pre-test for attitude was 35.25 da post-test after the counseling was 43.64. Paired T-Test and Wilcoxon test results obtained p value = 0,000 0.05 These results indicate there is a significant influence on counseling through media video on knowledge and attitudes about female adolescent hygiene genetalia. The school is expected to increase health promotion.

scholarly journals Effects of TRX Suspension Training on Proprioception and Muscle Strength in Female Athletes with Functional Ankle Instability

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Ali Khorjahani ◽  
Masoud Mirmoezzi ◽  
Mina Bagheri ◽  
Mohammad Kalantariyan
Keyword(s):  
Muscle Strength ◽  
Female Athletes ◽  
Ankle Instability ◽  
Training Group ◽  
Test Phase ◽  
Control Group ◽  
Functional Ankle Instability ◽  
Muscle Testing ◽  
Significant Difference ◽  
Post Test

Background: Functional ankle instability (FAI) is a common consequence of ankle sprain injury, especially in high-impact sports. Objectives: To investigate the effect of six weeks of suspension training with total resistance exercises (TRX) on proprioception and muscle strength in female athletes with FAI. Methods: Thirty female athletes with FAI (age: 21.9 ± 2.2 years, height: 169.3 ± 4.2 cm, and weight: 59.8 ± 6.1 kg) were randomly assigned to two equally numbered groups: TRX training and controls based on inclusion and exclusion criteria. In the pre-test, the anthropometric variables and also proprioception accuracy and muscle strength of subjects were evaluated by joint angle reset test (JART) and manual muscle testing (MMT) in both dorsiflexion and plantarflexion motions. The training group completed three sessions per week with progressive load for six weeks, and each training session lasted 15 - 20 minutes, whilst control subjects continued with their normal activity without special sport activities. After six weeks of training, all tests performed in the pre-test phase were also performed in the post-test phase. The t-test was used for statistic analysis (α ≤ 0.05). Results: The findings showed that TRX training significantly improved the proprioception accuracy (P ≤ 0.001) and muscle strength (P ≤ 0.001) in the training group rather than the control group. No statistically significant difference was found in any of the tests between pre-test and post-test for the control group (P > 0.05). Conclusions: Six weeks of TRX suspension training had a positive effect on strength and proprioception accuracy in female athletes with FAI.

scholarly journals Pengaruh Intervensi Kognitif Spiritual Terhadap Penerimaan Diri Pada Klien Stroke Iskemik

1970 ◽  
Vol 5 (1) ◽  
pp. 19
Author(s):  
Novita Setyowati ◽  
Uswatun Hasanah
Keyword(s):  
Muscle Strength ◽  
Group Treatment ◽  
Healing Process ◽  
Evaluation Research ◽  
Intervention Group ◽  
T Test ◽  
Control Group ◽  
Test Study ◽  
Study Results ◽  
Post Test

Hemiparese is a common problem that can caused disability. Exercise is still considered effective to prevent disability. This study is aimed to increased the muscle strength on hemiparese patient's muscle strength caused by ischemic stroke in RSUD Gambiran Kota Kediri. This study used Quasi Experiment pre and post test research designs. Number of samples were 9 respondents who were divided into intervention group and control group. Evaluation research was done on the first day and eigth day for the two groups. Data were analyzed Paired T test and Independent T Test. Study results showed an increased in muscle strength (p =0.000) in both the intervention groups and there are significant differences between the two groups (p = 0009), which means there is a difference between the control group treatment group. The implication of this research are to use exercise as one of the independent nursing interventions in caring stroke patients with hemiparase and to improve the quality of nursing care, makes healing process faster, prevent complications dan also enrich nursing science.;Keywords: stroke; hemiparese; Spiritual intervention on cognitive; Self acceptance.

scholarly journals Manipulasi Organ Golgi Tendon Untuk Mengurangi Tingkat Spastisitas Otot-Otot Penggerak Lengan Pasca Stroke Infark

2016 ◽  
Vol 1 (1) ◽  
Author(s):  
Muhammad Mudatsir Syatibi ◽  
Suhardi Suhardi
Keyword(s):  
Wilcoxon Test ◽  
Test Design ◽  
Research Subject ◽  
Golgi Tendon Organ ◽  
Cerebral Function ◽  
Stroke Patients ◽  
Exclusion Criteria ◽  
Muscle Spasticity ◽  
Post Test ◽  
Tendon Organ

Abstract: Manipulation, GTO, Spasticity. Stroke is a syndrome which is attacked rapidly and happening more than 24 hours and causing cerebral function problem. Stroke make someone get daily activity problem because of the spasticity. One of treatment to decrease the spasticity is Golgi Tendon Organ (GTO) manipulation which can reduce muscle’s tones that higher than normal. The aim of the study: is to knowing the effect of GTO manipulation in decreasing arm muscle spasticity for non haemorhagic stroke. Method: is two groups pre and post test design. Location and time research: is in Physical Therapy Unit of Dr. Moewardi Hospital Surakarta. Research Subject: are all of stroke patients in Dr. Moewardi Hospital who turned into inclusion and exclusion criteria, n=15 subject in I group and n= 14 subjects in II group. Analyze: Hipotesis test with non parametric test are Wilcoxon test dan Mann Whitnet test. Conclusion: (1) GTO manipulation can decrease arm muscle spasticity for right non haemorhagic stroke (p=0,000), (2) GTO manipulation can decrease arm muscle spasticity for left non haemorhagic stroke (p=0,001), and (3) no different effect of GTO manipulation to decrease arm muscle spasticity for non haemorhagic stroke between right and left side (p=0,353).

scholarly journals Comparison of Muscle Strength in Stroke Patients between The Given and Not Given Range of Motion Exercise

2015 ◽  
Vol 5 (2) ◽  
pp. 88
Author(s):  
Eka Rhestifujiayani ◽  
Emil Huriani ◽  
Muharriza Muharriza
Keyword(s):  
Muscle Strength ◽  
Lower Extremities ◽  
Nursing Intervention ◽  
Upper Extremities ◽  
Wilcoxon Test ◽  
Control Group ◽  
P Value ◽  
Stroke Patients ◽  
Whitney Test ◽  
Mann Whitney Test

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.

scholarly journals Impacts of a lower limb exoskeleton robot on the muscle strength of tibialis anterior muscle in stroke patients

2020 ◽  
Vol 185 ◽  
pp. 03036
Author(s):  
Jiyu Zhang ◽  
Tian Wang ◽  
Qingyu Zhao ◽  
Shichao Liu
Keyword(s):  
Muscle Strength ◽  
Lower Limb ◽  
Tibialis Anterior ◽  
Tibialis Anterior Muscle ◽  
Attractive Potential ◽  
Control Group ◽  
Stroke Patients ◽  
Lower Limb Exoskeleton ◽  
Exoskeleton Robot ◽  
Robot Group

This work aims to explore the impact of a proposed lower limb exoskeleton robot on the muscle strength of the tibialis anterior muscle in stroke patients. Firstly, 24 patients with stroke hemiplegia were divided into the robot group and the control group according to a random number table. Both groups received conventional rehabilitation treatments. Moreover, the robot group took the walking training with UG0210, a lower limb exoskeleton walking rehabilitation device developed by the Hangzhou RoboCT Technology Development Co., Ltd., once per day, 30 minutes per time, a total of 20 times of treatment. The control group took the conventional rehabilitation walking training, once per day, 30 mins per time, a total of 20 times of treatment. At the beginning of the trial, the manual muscle strength test (MMT) was used to assess the pre-trial muscle strength within the trial cycle. The efficacy of the two groups was compared. Results The muscle strength of the tibialis anterior muscle was higher than that without treatments in both groups (P<0.05). The curative effect of the robot group was better than that of the control group (P<0.05). Conclusions With the help of the designed lower limb exoskeleton robot, both tibialis anterior muscle strength and lower limb motor function of stroke patients were improved compared to the control group. The comparison shows the attractive potential and value of the robot assisted rehabilitation.

scholarly journals The Effect of 8-Week Nordic Hamstring Exercise on Hamstring Quadriceps Ratio and Hamstring Muscle Strength

2018 ◽  
Vol 8 (3) ◽  
pp. 162
Author(s):  
Zait Burak Aktuğ ◽  
Ali Kerim Yılmaz ◽  
Serkan İbiş ◽  
Hasan Aka ◽  
Cengiz Akarçeşme ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Exercise Group ◽  
Wilcoxon Test ◽  
Soccer Players ◽  
Control Group ◽  
Hamstring Muscle ◽  
Post Test ◽  
Angular Velocities ◽  
Soccer Training ◽  
Knee Muscle

The aim of the study is to investigate the effect of 8-week Nordic Hamstring (NH) exercise on hamstring/quadricepsratio (H/Q) and hamstring muscle strength. 22 amateur soccer players participated in the study. Soccer players weredivided into two groups: the control group (CG) (n = 11) who only practiced soccer training and the NordicHamstring exercise group (NHEG) (n = 11) who performed NH in addition to soccer training. The isokinetic kneemuscle strength of the soccer player was measured twice at the beginning of the study and after the 8 week NHexercise. An isokinetic dynamometer was used to determine isokinetic knee strengths of soccer players. Thedifference between pre-test and post-test results of isokinetic knee muscle strength of soccer players was determinedby Wilcoxon test. According to the results obtained, it was found that the H/Q ratio (at 180ºs-1 and 240ºs-1 angularvelocities) and hamstring muscle strength (60ºs-1, 180ºs-1 and 240ºs-1 angular velocities) increased statisticallysignificantly (p<0.05). As a result, it can be stated that NH exercise is a very important factor in achieving thedesired level of H/Q ratio, which is an important factor in increasing sportive performance and thus decreasing therisk of injury as well as increasing hamstring muscle strength.

scholarly journals Efficacy of Skin, Connective Tissue, Aponeurosis Galea, Loose Areolar Tissue, and Pericranium Acupuncture Techniques in Stroke Patients in Improving Muscle Strength of Motion Limbs

2020 ◽  
Vol 8 (A) ◽  
pp. 302-305
Author(s):  
Indri Seta Septadina ◽  
Erial Bahar
Keyword(s):  
Cerebral Cortex ◽  
Muscle Strength ◽  
Connective Tissue ◽  
Recovery Phase ◽  
Scalp Acupuncture ◽  
Areolar Tissue ◽  
Joint Motion ◽  
Stroke Patients ◽  
Muscle Testing ◽  
Before And After

BACKGROUND: Nowadays, more than 650,000 stroke survivors needed further therapy and treatment related to mild or severe relief caused by stroke. Defects that cause stroke lesions require more serious and longer handling and will be very burdensome for patients and health insurance. Acupuncture method in the head skin, connective tissue, aponeurosis galea, loose areolar tissue, and pericranium (SCALP) was known to be related to the function of the cerebral cortex known as Zhu’s scalp acupuncture. Stimulation on this point was believed can open blood vessels, and provides better blood flow so it could improve repair in stroke patient. AIM: This research aimed to prove the effectivity of needle sticking on SCALP to strengthen limb muscle in stroke patients. MATERIALS AND METHODS: This research used a quasi-experimental design, pre-test-post-test without control group. The subjects of this study were stroke patients who were in the recovery phase (after the critical period had passed) and who had an stroke attack <1 year. Sampling method of this study was consecutive sampling, namely, recovery post-stroke patients who were hospitalized or outpatient of all over hospitals in Palembang, Indonesia. In this study, needle pricking was performed in the cerebral motor cortex which is located in the anterior central sulcus. Stimulation is done 10 times for 2 weeks. Assessment of muscle strength in the upper and lower limbs was performed using manual muscle testing measurement before and after therapy. Analysis of muscle strength before and after cerebral cortex stimulation through needle pricking on the SCALP of the head was analyzed by t-test dependent using SPSS 18. Data were displayed in tabular form, with a significance of p < 0.05. RESULTS: Subjects of this study were eight people consisting of four men (50%) and four female patients (50%) who had passed the critical stroke and were in the recovery phase within a period of recovery <1 year after stroke attack. The number of subjects who experienced improvement in joint motion of each joint was much greater than the frequency of the number of subjects who had no improvement. About 90% of the study subjects felt improvement in joint motion of each joint. The improvement in muscle strength score almost doubled after being treated with SCALP acupuncture better than before treatment. CONCLUSION: SCALP acupuncture technique was effective in improving muscle strength of motion limbs on stroke patients.

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