Stroke is one of the serious health problems in modern life today. The prevalence of stroke increases with age. The World Health Organization (WHO) stipulates that stroke is a clinical syndrome with symptoms of global brain dysfunction that can cause death or abnormalities to persist for more than 24 hours, without other causes except vascular disorders which can cause a person's reduced mobility due to muscle strength downhill. This study aims to determine the effect of ROM (range of motion) on limb muscle strength in non-Hemaoragic stroke patients at H. Adam Malik General Hospital, Medan. Quasi-experimental research design with a sample of 90 people. Univariate and bivariate data analysis using the Wilcoxon test. The significance of hand muscle strength before and after administration of ROM is 0,000. This means that there are differences in hand muscle strength before and after administration of ROM. The significance of leg muscle strength before and after administration of ROM is 0,000. This means that there are differences in leg muscle strength before and after administration of ROM. This proves that ROM influences the strength of the respondent's hand and leg muscles. Hospitals should set standard operating procedures for special handling of ROM so that the results obtained can be maximal and uniform for all muscle strength problemsKeywords: ROM, limb muscle strength, hands, feet

Elderly integrated service pos is an integrated service post for elderly people (elderly) in a certain area that has been agreed by society. Cadres integrated service post have an important role in mobilizing elderly to come to integrated service post. In  Village of Suka Raya the number of elderly as many as 338 people from the total population 4291 people. Activity Posyandu elderly in Villege of Suka Raya less desirable by elderly who really need basic health services, so many elderly in the Village of Suka Raya experiencing health disturbances. This community service uses methods of counseling, training, application and assistance in the use of infrared addressed at cadres integrated service post in Village of Suka Raya. The aim of this Community Service is that integrated service post cadres understand and are able to provide maximum service to the elderly who come to integrated service post. The results of this Community Service show that there is an increase in elderly visits to integrated service post by 30%. It is expected that integrated service post cadres and elderly families can participate actively in helping to increase the elderly visit to the integrated service post of elderly.

BACKGROUND: Exercise tolerance is one of the main impacts of COPD. COPD patients often experience dyspnea and fatigue after doing daily activities using their limb parts, even in simple thing such as lifting or grooming. Nowadays, many pulmonologists concerned in pulmonary rehabilitation to modify some limb training with breathing manoeuvre to get positive impact in stable COPD patient. AIM: The purpose of this study is to examine the impact of this modified upper limb training in lung function, functional capacity, dyspnea scale, and quality of life in patients with stable COPD. METHOD: This was a quasi-experimental study held in 2017 on 22 stable COPD patients (based on GOLD 2018 criteria). Patients were given modified upper limb training with breathing manoeuvre that leads and monitored by a physiotherapist and physician in 10-20 minutes twice a week for 8 weeks. Before and after completed all sessions of training, we measured pulmonary functions test include FEV1 and FVC, functional capacity by 6 MWT, dyspnea scale by mMRC, and quality of life by CAT assessment. Statistical analysis was performed by Wilcoxon and paired t-test. RESULTS: There was an improvement of lung function, both FEV1 (40.7 ± 13.8 to 47.3 ± 14.2; p-value 0.001) and FVC (50.7 ± 14.1 to 54.1 ± 14.7; p-value: 0.207) after training. There was a significant change of functional capacity in 6 MWT mean (277.3 ± 80.8 to 319.1 ± 78.3; p-value: 0.001). There was an improved quality of life after training, measured by decreasing in CAT score (23.9 ± 5.5 to 18.3 ± 5.2; p-value: 0.000). There was no significant change in the mMRC scale (p-value: 0.429) CONCLUSION: There was an improvement of lung function, functional capacity, and quality of life in stable COPD after upper limb training with breathing manoeuvre in stable COPD patients.

Stroke merupakan masalah kesehatan yang paling  utama bagi Indonesia pada saat ini. Stroke semakin menjadi masalah serius yang dihadapi hampir diseluruh dunia. Hal tersebut dikarenakan serangan stroke dapat menyerang secara mendadak dan dapat mengakibatkan kematian, kecacatan fisik dan mental. Stroke merupakan penyakit defisit neurologis akut yang disebabkan oleh gangguan pembuluh darah otak, terjadi secara mendadak dan menimbulkan gejala atau tanda yang sesuai dengan daerah otak yang terganggu. Gangguan stroke banyak terjadi pada lanjut usia. Kasus ini terjadi di Desa Hamparan Sumatera Utara. Metode yang digunakan dalam pengabdian masyarakat ini menggunakan metode penyuluhan, dan penanganan lansia langsung dengan meberikan tindakan berupa pemeriksaan tekanan darah, massage, dan pemeberian sinar infared  yang ditujukan kepada lanjut usia dan kelompok posyandu . Tujuan Pengabdian Masyarakat ini adalah memberikan peningakatan kesehatan keapada lanjut usia di Desa Hamparan Perak, terhindar dari terkena serangan stroke dan mengerti atas bahaya stroke. Hasil dari Pengabdian Kepada Masyarakat ini terjadi peningkatan kesadaran lanjut usia dan keluarga lanjut usia dalam memeriksakan kesehatannya setiap bulannya ke posyandu,  Kesimpulan dari pengabdian ini adalah Pemberian sinar infra red untuk lansia yang mengalami gejala stroke dan stroke serta gangguan fisik lainnya sangat efektif karena manfaatnya langsung dapat dirasakan oleh lansia

Jumlah lanjut usia (lansia) semakin meningkat seiring keberhasilan pembangunan  di Indonesia. Lansia  memerlukan pemeliharaan kesehatan yang terjangkau untuk mengatasi masalah kesehatannya. Posyandu lansia merupakan alternatif sarana untuk memenuhi kebutuhan kesehatan tersebut. Pemanfaatan posyandu lansia di Desa Sukaraya Kecamatan Pancur Batu Kabupaten Deli Serdang masih sangat rendah. Tujuan dari Pengabdian Kepada Masyarakat ini adalah memberikan penyuluhan dan bimbingan pentingnya posyandu lansia terutama kepada lansia, keluarga lansia, kader posyandu serta pemangku kepentingan yang ada di Desa Sukaraya Kecamatan Pancurbatu. Sarana dan prasarana  yang telah disediakan oleh pemerintah daerah dan desa dapat dimanfaatkan dengan baik oleh masyarakat Desa Sukaraya Hasil dari Pengabdian Kepada Masyarakat ini menunjukkan bahwa sebanyak 50% responden memanfaatkan posyandu lansia. Diharapokan kader posyandu, keluarga lansia, serta pemangku kepentingan dapat turut berpartisipasi aktif dalam membantu pemanfaatan posyandu lansia.