PENGARUH ROM (Range of Motion) TERHADAP KEKUATAN OTOT EKSTREMITAS PADA PASIEN STROKE NON HEMORAGIC

Abstract

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

ROM Therapy on Muscle Strength in Post Stroke Patients: Scoping Review

“…To determine the effect of passive ROM exercises on increasing muscle strength in stroke patients with hemiparesis. (Anggriani et al, 2018)…”

“…ROM is an exercise to maintain or enhance the ability to move the joints naturally to increase muscle mass and muscle tone and stimulate because the more motor units involved, the increase in muscle strength will also increase the ability to mobilize post-stroke patients (Bakara & Warsito, 2016). The results of the study (Anggriani et al, 2018) found that ROM therapy increases the hand and leg muscle strength of respondents with an average hand muscle strength before 2.5 to 3.52. Based on this background, this scoping review aimed to identify the use of ROM therapy to improve muscle strength in post-stroke patients.…”

Latihan ROM Pasif Unilateral dan Bilateral terhadap Peningkatan Kekuatan Otot Akibat Stroke Iskemik

“…ROM merupakan latihan yang digunakan untuk memperbaiki pergerakan sendi secara normal untuk meningkatkan tonus otot. Melakukan latihan ROM secara dini dapat meningkatkan kekuatan otot sehingga dapat menstimulasi motor unit semakin banyak yang terlibat, maka akan terjadi peningkatan kekuatan otot (Anggriani et al, 2018).…”

“…Pemberian latihan pasif ROM dapat meningkatkan kekuatan otot pada pasien stroke non hemoragik sebesar 83% pada nilai kekuatan otot 4 menurut hasil dari penelitian (Hutahaean et al, 2020). Begitu juga hasil penelitian Anggriani et al, (2018) yang menyatakan bahwa dengan pemberian latihan pasif ROM dapat meningkatkan kekuatan otot sebesar 52,2% dengan nilai 3. Beberapa penelitian menyatakan terapi fisik dapat meningkatkan kekuatan otot salah satunya adalah latihan ROM.…”

Range of Motion Exercise to Improve Muscle Strength among Stroke Patients: A Literature Review

“…Patients with hemiparesis stroke would experience permanent disability if they were not treated immediately. This was because sensory and motor nerves that were not used and stimulated would die, and muscles would lose their function if they were not used (10).…”