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

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

2021 ◽  
Vol 1 ◽  
pp. 996-1004
Author(s):  
Octaviana Wafa ◽  
Firman Faradisi ◽  
Nuniek Nizmah Fajriyah

Abstract Grip Finger relaxation is one of the non-pharmacological intervention to reduce pain in post appendectomy patients. The purpose of this study was to describe the application of grip finger relaxation techniques on reducing pain in post appendectomy patients. The design of this scientific paper is a literature review with three articles taken from the Google Scholar page. the keywords used are "Finger grip relaxation" and "Post appendectomy surgery". The article selection category is fulltex, published in 2011-2020. Analysis of the characteristics of the respondents showed from the three articles, the number of respondents was 61, most of them (59.6%) were male, 64.7% aged 20-55 years. The mean pain scores before and after the intervention was 5.5 and 2.2. The grip finger relaxation technique proved can reduce pain intensity in post appendectomy patients. In line with this, nurses can teach their post appendectomy patients to use finger grip relaxation techniques to reduce pain.Keywords: Appendectomy; grip finger relaxation; pain Abstrak Relaksasi genggam jari merupakan salah satu tindakan non farmakalogi untuk menurunkan nyeri pada pasien post operasi appendiktomi. Penelitian ini bertujuan untuk menggambarkan penerapan teknik relaksasi genggam jari terhadap penurunan nyeri pasien post operasi appendiktomi berdasarkan literature review. Desain karya tulis ilmiah ini adalah literature review dengan jumlah artikel tiga yang diambil dari laman google scholar. kata kunci yang digunakan adalah “Relaksasi genggam jari” dan “Post operasi appendiktomi”. Kategori pemilihan artikelnya adalah fulltex, terbit tahun 2011-2020. Analisis karakteristik responden menunjukan, dari tiga artikel menunjukkan jumlah responden responden sebesar 61, sebagian besar (59,6%) laki-laki, 64,7% umur 20-55 tahun. Nilai rata-rata nyeri responden sebelum intervensi 5,5 sesudah intervensi 2,2. Kesimpulannya adalah teknik relaksasi genggam jari dapat menurunkan intensitas nyeri pada pasien post operasi appendiktomi. Saran bagi tenaga keperawatan teknik relaksasi genggam jari dapat digunakan sebagai intervensi keperawatan terhadap penurunan nyeri pasien post operasi appendiktomi.Kata kunci: Appendiktomi; relaksasi genggam jari; nyeri


Vestnik ◽  
2021 ◽  
pp. 190-195
Author(s):  
М.С. Кулбаева ◽  
А.Н. Курал ◽  
Л.Б. Умбетьярова ◽  
Н.Т. Аблайханова ◽  
Г.К. Атанбаева ◽  
...  

Человека давно интересует вопрос о том, как умственная нагрузка влияет на организм. Известно, что при длительной умственной работе преобразуется сила процессов возбуждения и торможения, изменяется соотношение между ними. С возникновением утомления в головном мозгу нарушаются взаимосвязи между корой больших полушарий и подкорковыми образованиями. При этом наблюдается снижение регулирующего влияния больших полушарий на все функции организма и уменьшение активизирующих воздействий подкорковых отделов мозга. Кроме того, длительное сидячие положение, состояние низкой двигательной активности ведут к значительному уменьшению центростремительных импульсов с рецепторов мышц, сухожилий, суставов. В исследовании приняли участие 17 относительно здоровые, имеющие стабильное физиологическое состояние девушек-студенток в возрасте от 21 до 25 лет. Для исследования были взяты 16 биологически активных точек на стандартных меридианах, связаных с определенным органом. Для оценки физиологического состояния органов до и после умственной нагрузки были исследованы показатели ЭП БАТ на коже. Выявлено снижение показателей каждого органа после умственной нагрузки по сравнению с показателями до ее выполнения со статистической достоверностью во всех исследуемых органах (р<0,05). Особенно низкие значения показателей ЭП БАТ после умственной нагрузки были выявлены в биоактивных точках меридиана печени F.3 Тай-Чун, меридиана толстой кишки GI.5 Ян-Си и GI.4 Хэ-Гу, меридиана сердца С.7 Шэнь-Мэнь, меридиана тонкой кишки IG.1 Шао-Цзе и IG.2 Цянь-Гу, меридиана почек R.1 Юн-Цюань и Р.2 Жань-Гу. Humans has long been interested in the question of how mental activity affects the body It is known that with prolonged mental work, the strength of the processes of excitation and inhibition is transformed, the ratio between them changes. With the onset of fatigue in the brain, the relationship between the cerebral cortex and subcortical formations is disrupted. At the same time, there is a decrease in the regulatory influence of the large hemispheres on all body functions and a decrease in the activating effects of the subcortical parts of the brain. In addition, prolonged sitting, a state of low motor activity leads to a significant decrease in centripetal impulses from the receptors of muscles, tendons, and joints. The study involved 17 relatively healthy, stable physiological condition of female students aged 21 to 25 years. For the study, 16 biologically active points were taken from standard meridians associated with a specific organ. To assess the physiological state of the organs before and after the load of mental labor, the indicators of EC BAP on the skin. A decrease in the indicators of each organ after mental labor was revealed in comparison with the indicators before mental labor with statistical reliability in all the studied organs (p˂0.05). Especially low values of the EC BAP values after a load of mental labor were found in the bioactive points of the liver meridian F. 3 Tai-Chun, the colon meridian GI.5 Yang-Si and GI. 4 He-Gu, the heart meridian C. 7 Shen-Men, the small intestine meridian IG.1 Shao-tse and IG.2 Qian-Gu, the meridian of the kidneys R. 1 Yun-Chuan and R. 2 Zhan-Gu.


2021 ◽  
Vol 23 (Supplement_6) ◽  
pp. vi198-vi198
Author(s):  
Ruchi Raval ◽  
Aadi Pandya ◽  
Jaspreet Behl ◽  
Sumul Raval

Abstract PURPOSE As more information is gathered about brain metastases, it still remains that the current prognosis of brain metastases is very poor. Due to this, it is imperative that physicians are aware of the most important components regarding brain metastases. This literature review will encompass the most current literature in order to highlight the most crucial information. METHODS All mentioned studies and literature reviews cited in the paper were obtained through various sites, and were published between 1996 and 2017. The main components that were required from the papers reviewed included where in the body the brain metastases originated from, where in the brain they tended to spread to, what the signs and symptoms typical of patients with brain metastases are, and what the options are in terms of treatment. RESULTS Using the results from a variety of studies performed within the past three decades, it is apparent that brain metastases most commonly originate from, in order of increasing frequency, lung cancer, breast cancer, melanoma, and colorectal cancer. In addition, it is reaffirmed that the magnetic resonance imaging (MRI) is the best diagnostic tool to be used when dealing with brain metastases. The most frequent signs and symptoms of a brain metastases include cognitive changes, headaches, weakness, and seizures. Finally, supportive treatment includes use of corticosteroids, antiepileptic drugs (AEDs), and anticoagulation therapy. Definitive treatment for brain metastases varies based on size, location, and prevalence in the brain, but the most effective options include chemotherapy, radiation therapy, and surgery. CONCLUSIONS The study’s results confirm the need for more research to be done regarding brain metastases, and better options to increase the survival of patients.


2018 ◽  
Vol 1 (2) ◽  
Author(s):  
Weiwei Lin

Objective (1)Through the blood physiological and biochemical tests during the altitude training, to analyze the body function of swimmers in this stage.(2) Through the individual lactate threshold tests before and after the altitude training,to analyze the effects of altitude training. Methods Eight swimmers took a 26-day altitude training session.The individual lactate threshold test was carried out by the Swedish Monak839E power cycle progressive loading method before and after the training;During the altitude training period, 5ml of the subjects' elbow vein was extracted and tested on an empty stomach and in a quiet state every Monday morning. Results (1)When swimmers reached the plateau, the hemoglobin value was indistinguishable from the plain(male 156.2±7.01,female 135.7±8.75g/L),From the hemoglobin value (male 154.03 + 5.67, female 134.23 + 9.66g/L), there was a decrease in both male and female in the second week.But hypoxia stimulated red blood cell production, and the body itself was gradually adapting to the training load.Thus, the hemoglobin value of the third week (male 157.17 + 3.7, female 141.93 + 10.06g/L) was significantly improved, and higher than the level of the first week.During the altitude training period, the mean value of male’s blood testosterone was 474.33 + 97.06ng/dl, and the female’s blood testosterone was 33.67 + 17.25ng/dl.Male’s blood testosterone was lower than the mean of the national team, because the study participants were youngers who were not fully developed and had shorter training years.There were different trends in blood testosterone value between male and female. Male’s blood testosterone values during the Monday morning of these three weeks were 479.67±76.25、492.33±83.61、451±153.41ng/dl respectively.female’s blood testosterone values during the Monday morning of these three weeks were 29.33±21.83、32±23.26、39.67±9.29ng/dl respectively.These further indicated that this altitude training plan was more suitable for male with shorter training years, and the body had certain fatigue accumulation, but the decrease range was within a reasonable range.However, the increase of blood testosterone per week in female indicated that the training stimulation depth was not enough, and the potential of athletes should be further explored.According to the changes of creatine kinase, the sensitivity of male to the change of altitude training intensity was also shown, and the highest value of creatine kinase was 731U/L in the first week.(2) From the value of the individual lactate threshold before and after altitude training, no matter male or female,the change was not obvious, but was generally improved, this may be the altitude training adopted the pattern of three and a half weeks, training time was short.Secondly, as a professional athlete, the "plastic space" gradually decreased with the extension of the training years.Most of the peak blood lactate occurred in 1-3 minutes of recovery period.and the average value increased from 8.96 + 1.86mmol/L before altitude training to 9.99 + 1.47mmol/L.Among them, the peak value of male’s blood lactate was increased from 8 + 2.22mmol/L before the altitude training to 10.91 + 1.43mmol/L, and there was a significant difference in the peak of blood lactate before and after the altitude training.However, the peak value of female’s blood lactate was decreased from 9.92 + 0.79mmol/L before the altitude training to 9.07 + 0.88mmol/L. This was mainly due to the fact that a member of the swimmers had caused the result, and this swimmer’s enduring lactate level was lower than the one before the plateau. Conclusions The altitude training generally improved athletes’ training ability, but based on factors such as training age, gender, should be targeted according to the individual situation of each athlete training plan, so as to achieve more from less.


2001 ◽  
Author(s):  
Liang Zhu ◽  
Maithreyi Bommadevara

Abstract In this study a theoretical model was developed to evaluate the temperature difference between the body core and the arterial blood supplied to the brain. Several factors including the local blood perfusion rate, blood vessel bifurcation in the neck, and blood vessel pairs on both sides of the neck were considered in the model. The theoretical approach was used to estimate the potential for cooling of blood in the carotid artery on its way to the brain by heat exchange with its countercurrent jugular vein and by the radial heat conduction loss to the cool neck surface. It shows that blood temperature along the common and internal carotid arteries typically decreases up to 0.86°C during hyperthermia. Selectively cooling the neck surface during hypothermia increases the heat loss from the carotid arteries and results in approximately 1.2°C in the carotid arterial temperature. This research could provide indirect evidence of the existence of selective brain cooling (SBC) in humans during hyperthermia. The simulated results can also be used to evaluate the feasibility of lowering brain temperature effectively by selectively cooling the head and neck surface during hypothermia treatment for brain injury or multiple sclerosis.


2021 ◽  
Vol 1 ◽  
pp. 1350-1354
Author(s):  
Cahya Milla Rismawanti ◽  
Wiwiek Natalya ◽  
I Isytiaroh

AbstractStroke is a brain functional disorder characterized by nerve paralysis due to obstruction of blood flow to the brain. The frequent impact if a post-stroke client is not carried out with rehabilitation immediately will result in mobility disorder that can impede daily physical activity. One pratice in the rehabilitation process is to prevent disability in a client with post-stroke physical mobility disorder that is, by performing a Range Of Motion rope. The case study is intended to illustrate application of roma exercises to boost muscle strength. The method of writing the case study USES a descriptive design and case studies reported in narration. The instrumrnts used are observation sheets and structured observation sheets covering the assessment of muscle strength. The resulth of the case study have been after the six-meeting application of roma that the roma can increase muscle strength in subject. I the average muscle strength 3.31 to 3.50 and subject II average muscle strength 3.68 to 3,93. The conclusion of the case study increased muscle strength after the practice of roma. Suggestions for the family in order to train ROM for family members who had suffered stroke. Keywords: Stroke, muscle strength, ROM AbstrakStroke adalah penyakit nerulogis terbanyak yang dapat mengakibatkan disfungsi motorik dan sensorik.Dampak yang sering muncul jika klien pasca stroke tidak dilakukan rehabiltasi dengan segera maka akan mengalami gangguan mobilitas yang dapat menghambat aktivitas fisik sehari-hari. Saalah satu bentuk latihan dalam proses rehabilitasi untuk mencegah terjadinya kecacatan pada klien dengan gangguan mobilitas fisik pasca stroke yaitu dengan melakukan latihan Range Of Motion ROM. Studi kasus ini bertujuan untuk menggambarkan penerapan latihan ROM untuk meningkatkan kekuatan otot. Metode penulisan studi kasus ini menggunakan rancangan deskriptif dan hasil studi kasus dilaporkan dalam bentuk narasi. Instrumen yang digunakan yaitu lembar pengkajian dan lembar observasi terstruktur meliputi penilaian kekuatan otot. Hasil studi kasus setelah dilakukan penerapan ROM selama 6 pertemuan bahwa ROM dapat meningkatkan kekuatan otot pada Subyek I nilai rata-rata kekuatan otot 3,31 menjadi 3,50 dan Subyek II nilai rata-rata kekuatan otot 3,68 menjadi 3,93. Simpulan studi kasus ini terjadi peningkatan kekuatan otot setelah dilakukan latihan ROM. Saran bagi keluarga agar dapat melatih ROM pada anggota keluarga yang mengalmi stroke. Kata kunci: Stroke, kekuatan otot, ROM


2021 ◽  
Vol 1 ◽  
pp. 737-743
Author(s):  
Marita Purwaningsih ◽  
Nuniek Nizmah Fajriyah ◽  
Firman Faradisi

AbstractGastritis is inflammation of the gastric mucosa which can last for six months or more and can cause recurrence. Gastritis is characterized by signs and symptoms, namely pain in the gut or epigacentrum, vomiting, nausea and vomiting. Pain is a personal experience that is described by the individual himself with several factors such as psychological that can control the pain. Pain can be treated with pharmacological and non-pharmacological techniques. An example of a non-pharmacological technique is the progressive muscle relaxation technique. Progressive muscle relaxation is a technique for reducing pain by moving the body so that it relaxes tight muscles. The purpose of this scientific paper is to describe the effect of progressive muscle relaxation techniques to reduce pain in gastritis patients. The method used in this scientific paper is Literature review by searching for journals with the title the effect of progressive muscle relaxation techniques to reduce pain in gastritis patients. The results obtained after progressive muscle relaxation measures are reduced or lost pain in gastritis patients. The conclusion of this scientific paper is that progressive muscle relaxation techniques can reduce pain in gastritis patients. Suggestions for nurses are expected to be able to apply complementary therapy to gastritis patients who experience pain with progressive muscle relaxation techniques.Keywords:Gastritis, Pain, Progressive Muscle Relaxation Techniques AbstrakGastritis adalah mukosa lambung mengalami peradangan yang dapat berangsung lama selama enam bulan atau lebih dan dapat menimbulkan kekambuhan. Gastritis ditandai dengan tanda dan gejalanya yaitu nyeri pada ulu hati atau epigasentrum, begah, mual dan muntah. Nyeri merupakan pengalaman pribadi yang digambarkan oleh individu itu sendiri dengan beberapa faktor seperti psikologis yang dapat mengontrol nyeri tersebut. Nyeri dapat ditangani dengan teknik farmakologi dan non farmakologi. Contoh teknik non farmakologi adalah teknik relaksasi otot progresif. Relaksasi otot progresif adalah teknik untuk menurunkan nyeri dengan melakukan gerakan gerakan tubuh sehingga meriekskan otot otot yang kaku. Tujuan karya tulis ilmiah ini adalah untuk mengetahui gambaran pengaruh teknik relaksasi otot progresif untuk menurunkan nyeri pada pasien gastritis. Metode yang digunakan dalam karya tulis ilmiah ini adalah literature riview dengan mencari jurnal dengan judul pengaruh teknik relaksasi otot progresif untuk menurunkan nyeri pada pasien gastritis. Hasil yang didapatkan setelah dilakukan tindakan relaksasi otot progresif adalah berkurang atau hilang rasa nyeri pada pasien gastritis. Kesimpulan karya tulis ilmiah ini adalah teknik relaksasi otot progresif dapat menurunkan nyeri pada pada pasien gastritis. Saran bagi perawat diharapkan dapat menerapkan terapi komplementer terhadap pasien gastritis yang mengalami nyeri dengan teknik relaksasi otot progresif. Kata kunci:Gastritis, Nyeri, Relaksasi otot progrsif


2019 ◽  
Vol 25 ◽  
pp. 107602961985942 ◽  
Author(s):  
Beata Sarecka-Hujar ◽  
Izabela Szołtysek-Bołdys ◽  
Ilona Kopyta ◽  
Barbara Dolińska ◽  
Andrzej Sobczak

Epilepsy is a disease arising from morphological and metabolic changes in the brain. Approximately 60% of patients with seizures can be controlled with 1 antiepileptic drug (AED), while in others, polytherapy is required. The AED treatment affects a number of biochemical processes in the body, including increasing the risk of cardiovascular diseases (CVDs). It is indicated that the duration of AED therapy with some AEDs significantly accelerates the process of atherosclerosis. Most of AEDs increase levels of homocysteine (HCys) as well as may affect concentrations of new, nonclassical risk factors for atherosclerosis, that is, asymmetric dimethylarginine (ADMA) and homoarginine (hArg). Because of the role of these parameters in the pathogenesis of CVD, knowledge of HCys, ADMA, and hArg concentrations in patients with epilepsia treated with AED, both pediatric and adult, appears to be of significant importance.


Author(s):  
Marklana Da Frota Diniz ◽  
Thiago Brasileiro De Vasconcelos ◽  
Juliana Lerche Vieira Rocha Pires ◽  
Marineide Meireles Nogueira ◽  
Giselle Notini Arcanjo

Introduction: The Pilates Method is a program of physical and mental training that works the body as a whole, aiming to gain muscle strength, mainly at the central region formed by the abdominal muscles, spine and pelvic floor, and to promote stretching and flexibility. Objective: To investigate the effects of this technique in the pelvic floor muscle activity, noting the type of fiber was more work during the practice of this activities in soil (Mat Pilates). Method: It was a character study of interventional, observational, descriptive, conducted during the months from March to May 2011, in which six women aged between 35 and 65 years, who underwent Mat Pilates classes twice a week, was rated the strength of pelvic floor, by Perina®perineometer pressure before and after the eight classes. Results: It was observed that all the volunteers had gained in strength in both types of muscle fibers, and 84% (p < 0.05) had greater gain in type 2 fibers. Conclusion: The Mat Pilates to increase the influence of the pelvic floor muscle strength it and can be used to prevent dysfunctions dysfunction of these muscles.


2012 ◽  
Vol 38 (3) ◽  
pp. 288-296 ◽  
Author(s):  
S. H. Song ◽  
H. Lee ◽  
H. Youssef ◽  
S. M. Oh ◽  
J. H. Park ◽  
...  

The aim of this study is to evaluate the results of gradual ulnar correction and lengthening using the modified Ilizarov technique for the treatment of forearm deformities in patients with multiple cartilaginous exostoses. We retrospectively reviewed 23 forearms in 16 patients. Three different types of operative procedures were performed: (1) corrective osteotomy and gradual lengthening of the ulna, (2) corrective osteotomy of the radius, and (3) excision of exostoses. We evaluated the radiographs; range of motion of the wrist, forearm, and elbow; and functional status using a questionnaire before and after operation. During the clinical interview, post-operative functional status was significantly improved than pre-operative functional status, 12 patients stated that they had no difficulty in performing daily activities, 11 patients stated that they had no pain, and 11 patients stated that the post-operative appearance of the operated forearm was satisfactory. At time of final follow-up, the mean range of motion of the wrist in ulnar/radial deviation, forearm pronation/supination was significantly improved. Also, the radiographic parameters including radial articular angle, carpal slip, radial bowing, and ulnar variance were significantly improved at time of final follow-up. In conclusion, we achieved successful clinical and radiological outcomes in our patients with forearm deformities after treatment with the modified Ilizarov method. However, there could be a recurrence of ulnar shortening and deformity during growth periods in skeletally immature patients.


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