scholarly journals Penerapan Latihan Rom Aktif Terhadap Kekuatan Otot Ekstremitas Bawah Pada Lansia Pasca Stroke

2021 ◽  
Vol 1 ◽  
pp. 1936-1943
Author(s):  
Rista Febriyani ◽  
Dwi Fijianto
Keyword(s):  
Muscle Strength ◽  
Lower Extremity ◽  
Range Of Motion ◽  
Nursing Care ◽  
Health Workers ◽  
The Elderly ◽  
Brain Disorder ◽  
Post Stroke ◽  
Lower Extremity Muscle

AbstractStroke is a brain disorder that occurs due to damage to part of the brain caused by blocked blood vessels so that the flow of oxygen is not met properly. Stroke can cause death, paralysis, impaired speech, and decreased consciousness. The purpose of this case study was to increase lower extremity muscle strength by using ROM exercises. The method used was a case study by providing nursing care to two elderly post-stroke using Active Rom exercises. The results of this case study before doing active ROM on client I experienced a decrease in muscle strength with a percentage of 25 degrees 2 and client II experienced a decrease in muscle strength with a percentage of 25 degrees 2. After doing active ROM there was an increase in muscle strength in client I with a percentage of 75 degrees 4 and on client II with a percentage of 50 degrees 3. This case study can be said that the application of active range of motion (ROM) exercises can increase lower extremity muscle strength in the elderly after stroke. This case study is a consideration for nurses and other health workers to apply active ROM exercises in post-stroke patients.Key words : Gerontic Nursing Care, Elderly Post-Stroke, Active ROM. AbstrakStroke adalah gangguan pada otak yang terjadi karena adanya gangguan kerusakan pada sebagian otak disebabkan karena pembuluh darah yang tersumbat sehingga aliran oksigen tidak terpenuhi dengan baik. Penyakit stroke dapat menyebabkan kematian, kelumpuhan, gangguan berbicara, dan menurunkan kesadaran. Tujuan dari studi kasus ini adalah untuk meningkatkan kekuatan otot ekstremitas bawah dengan menggunakan latihan ROM. Metode yang digunakan adalah studi kasus dengan memberikan asuhan keperawatan pada dua lansia pasca stroke dengan menggunakan latihan Rom Aktif. Hasil studi kasus ini sebelum dilakukan ROM aktif pada klien I mengalami penurunan kekuatan otot dengan presentase 25 derajat 2 dan klien II mengalami penurunan kekuatan otot dengan presentase 25 derajat 2. Setelah dilakukan ROM aktif terjadi peningkatan kekuatan otot pada klien I dengan presentase 75 derajat 4 dan pada klien II dengan presentase 50 derajat 3. Kesimpulan studi kasus ini dapat disimpulkan bahwa penerapan latihan range of motion (ROM) aktif dapat meningkatkan kekuatan otot ekstremitas bawah  pada lansia pasca stroke. Studi kasus ini sebagai pertimbangan bagi perawat dan tenaga kesehatan lain untuk menerapkan latihan ROM aktif pada pasien pasca strokeKata kunci: Asuhan Keperawatan Gerontik, Lansia Pasca Stroke, ROM aktif.

Penerapan Latihan Range Of Motion (ROM) aktif pada pasien pasca stroke di Desa Sampangan Pekalongan

2021 ◽  
Vol 1 ◽  
pp. 1350-1354
Author(s):  
Cahya Milla Rismawanti ◽  
Wiwiek Natalya ◽  
I Isytiaroh
Keyword(s):  
Muscle Strength ◽  
Range Of Motion ◽  
Nerve Paralysis ◽  
Rehabilitation Process ◽  
Keywords Stroke ◽  
Post Stroke ◽  
Physical Mobility ◽  
The Family ◽  
The Brain

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

scholarly journals Investigating the role of muscle strength and range of motion lower extremity in the elderly: A systematic review study

2017 ◽  
Vol 2 (1) ◽  
pp. 76-89
Author(s):  
A.A Norasteh ◽  
H Zarei ◽  
P Pour Mahmoodian ◽  
◽  
◽  
...  
Keyword(s):  
Systematic Review ◽  
Muscle Strength ◽  
Lower Extremity ◽  
Range Of Motion ◽  
The Elderly ◽  
Review Study

Penerapan Terapi Rom Terhadap Perubahan Rentang Gerak Pada Klien Lansia Pasca Stroke

2021 ◽  
Vol 1 ◽  
pp. 755-759
Author(s):  
Viranika Setyaningsih ◽  
Herni Rejeki
Keyword(s):  
Range Of Motion ◽  
Muscle Weakness ◽  
Nursing Care ◽  
The Elderly ◽  
Post Stroke ◽  
Physical Mobility ◽  
Family Nursing ◽  
Age Limit ◽  
The Right

AbstractElderly is one who has more than or equal to the age limit of 55 years, and at this age, physical mobility disorders often occur. It is the one's limitation in performing movements independently. One of the symptoms is getting paralysis or muscle weakness in the limbs. This study aims to observe and invesgate changes in range of motion with weakness in the extremities. The method applied on two families of elderly client after stoke was applying ROM therapy. The results shows on the first family, after applying ROM practices 6 times, there is a changes in range of motion. The client could fully practice ROM. The right leg is lighter when walking and the right arm can shake is hands family. Meanwhile, the result obtained from the later family, after practicing ROM 7 times, there is a change in range of motion. The left leg is lighter when walking and the fingers get better, not clenched. Thus, it could be concluded that this therapy can improve the changes in range of motion on the elderly clients after stroke. Furthermore, is expected to the nurses to teach this therapy on their clients. Keywords: Family Nursing Care, Elderly, Post Stroke, ROM AbstrakLanjut usia merupakan usia yang dimiliki seseorang lebih dari atau sama dengan batasan usia 55 tahun. Gangguan mobilitas fisik adalah suatu keterbatasan seseorang dalam melakukan gerakan secara mandiri. Salah satu gejalanya adalah kelumpuhan atau kelemahan otot pada anggota gerak. Tujuan studi kasus ini adalah untuk perubahan rentang gerak yang mengalami kelemahan pada ekstremitas. Metode yang digunakan pada dua keluarga klien lansia pasca stroke dengan memberikan terapi ROM. Hasil studi kasus ini 2 keluarga terjadi perubahan rentang gerak, pada keluarga I setelah dilakukan latihan ROM selama 6x terjadi perubahan rentang gerak dimana klien dapat melakukan ROM secara penuh. Kaki kanan terasa lebih ringan ketika berjalan dan berjabat tangan dengan kuat. Hasil keluarga II setelah dilakukan latihan ROM selama 7x terjadi perubahan rentang gerak. Kaki kiri terasa lebih ringan ketika berjalan dan jari tangan sudah membaik tidak mengepal. Kesimpulannya adalah terapi ROM dapat meningkatkan perubahan rentang gerak pada klien lansia pasca stroke. Saran bagi perawat diharapkan mengajarkan terapi ROM pada klien pasca stroke.Kata kunci: Asuhan Keperawatan Keluarga, Lansia, Pasca Stroke, ROM

scholarly journals Effects of Cognitive Sensory Motor Training on Lower Extremity Muscle Strength and Balance in Post Stroke Patients: A Randomized Controlled Study

2021 ◽  
Vol 11 (3) ◽  
pp. 640-649
Author(s):  
Kyung-Hun Kim ◽  
Sang-Hun Jang
Keyword(s):  
Muscle Strength ◽  
Lower Extremity ◽  
Controlled Study ◽  
Control Group ◽  
Motor Training ◽  
Stroke Patients ◽  
Post Stroke ◽  
Lower Extremity Muscle ◽  
Sensory Motor ◽  
Balance Ability

Background: Sensory motor impairment, the most common neuromuscular condition in stroke patients, often contributes to muscle weakness and imbalance. Objective: The purpose of this research was to investigate the effects of cognitive sensory-motor training (CSMT) on the muscle strength and balance ability in post-stroke patients. Methods: Thirty-five participants after stroke were randomly assigned to the CSMT (n = 17) or control group (n = 18). All participants received 30 min of training each time, five times per week, for six weeks. Lower extremity muscle strength of tibialis anterior (LEMTA) was evaluated using a digital muscular dynamometer. The Medical Research Council (MRC) scale was used to evaluate muscle strengths of the hip joint, knee joint, and ankle joint. For balance ability test, the center of pressure (COP) movement distance and limited of stability (LOS) were measured using BioRescue. Results: LEMTA, MRC scale, balance ability were significantly more improved in the CSMT group than in the control group (p < 0.05). Conclusions: Our findings indicate that CSMT is beneficial and effective for improving muscle strength of the lower extremity and balance ability of post-stroke patients.

scholarly journals Lower Extremity Rehabilitation in Patients with Post-Stroke Sequelae through Virtual Reality Associated with Mirror Therapy

2021 ◽  
Vol 18 (5) ◽  
pp. 2654
Author(s):  
Roxana Steliana Miclaus ◽  
Nadinne Roman ◽  
Ramona Henter ◽  
Silviu Caloian
Keyword(s):  
Virtual Reality ◽  
Muscle Strength ◽  
Lower Extremity ◽  
Range Of Motion ◽  
Control Group ◽  
Mirror Therapy ◽  
Cohen’S D ◽  
Cohen's D ◽  
Experimental Group ◽  
Post Therapy

More innovative technologies are used worldwide in patient’s rehabilitation after stroke, as it represents a significant cause of disability. The majority of the studies use a single type of therapy in therapeutic protocols. We aimed to identify if the association of virtual reality (VR) therapy and mirror therapy (MT) exercises have better outcomes in lower extremity rehabilitation in post-stroke patients compared to standard physiotherapy. Fifty-nine inpatients from 76 initially identified were included in the research. One experimental group (n = 31) received VR therapy and MT, while the control group (n = 28) received standard physiotherapy. Each group performed seventy minutes of therapy per day for ten days. Statistical analysis was performed with nonparametric tests. Wilcoxon Signed-Rank test showed that both groups registered significant differences between pre-and post-therapy clinical status for the range of motion and muscle strength (p < 0.001 and Cohen’s d between 0.324 and 0.645). Motor Fugl Meyer Lower Extremity Assessment also suggested significant differences pre-and post-therapy for both groups (p < 0.05 and Cohen’s d 0.254 for the control group and 0.685 for the experimental group). Mann-Whitney results suggested that VR and MT as a therapeutic intervention have better outcomes than standard physiotherapy in range of motion (p < 0.05, Cohen’s d 0.693), muscle strength (p < 0.05, Cohen’s d 0.924), lower extremity functionality (p < 0.05, Cohen’s d 0.984) and postural balance (p < 0.05, Cohen’s d 0.936). Our research suggests that VR therapy associated with MT may successfully substitute classic physiotherapy in lower extremity rehabilitation after stroke.

Sign in / Sign up

Export Citation Format

Share Document