Effect of Range of Motion on Muscle Strength in Stroke Patients At Mokopido Tolitoli Hospital

Pengaruh Range of Motion Terhadap Kekuatan Otot Pasien Stroke Di RSUD Mokopido Tolitoli

https://doi.org/10.33860/shj.v3i2.4107

Authors

  • Novica Ariyanti Putri Jurusan Keperawatan, Poltekkes Kemenkes Palu, Sulawesi Tengah, Indonesia
  • Rizkaningsih Jurusan Keperawatan, Poltekkes Kemenkes Palu, Sulawsi Tengah, Indonesia

Keywords:

Stroke, Range of Motion (ROM), Muscle Strength, Rehabilitation, Manual Muscle Testing (MMT)

Abstract

Stroke is one of the leading causes of disability, resulting in muscle weakness and limited mobility. Range of Motion (ROM) exercises are a physiotherapy intervention that can improve muscle strength in stroke patients. This study aims to analyze the effect of ROM exercises on muscle strength improvement in stroke patients at Mokopido Tolitoli Regional Hospital.

This study used a pre-experimental design with a one-group pretest-posttest approach without a control group. The study sample consisted of 10 stroke patients with muscle weakness. Muscle strength was measured using Manual Muscle Testing (MMT) before and after ROM exercises, which were conducted for two weeks with a frequency of five sessions per week. Data were analyzed using the paired t-test to determine differences in muscle strength before and after the intervention.

The results showed a significant increase in MMT scores after ROM exercises (p < 0.05). Before the intervention, most patients had muscle weakness with an average MMT score of 2.1 ± 0.7, while after ROM exercises, the average score increased to 3.8 ± 0.6. The paired t-test result showed a value of t = -6.89; p = 0.001, indicating that ROM exercises had a significant effect on improving muscle strength in stroke patients.

ROM exercises are effective in increasing muscle strength in stroke patients. Implementing ROM exercises in stroke rehabilitation programs can help prevent muscle atrophy, improve mobility, and accelerate motor function recovery. Further research with a larger sample and a more robust study design is needed to confirm these findings.

References

Nurrani DE, Lestari ND. Case Report: Implementasi Terapi Genggam Bola Karet Dalam Asuhan Keperawatan Pada Pasien Lansia Dengan Stroke. J Med Nusant. 2023;1(2):296–305. https://doi.org/10.59680/medika.v1i2.234

Shahid J, Kashif A, Shahid MK. A Comprehensive Review of Physical Therapy Interventions for Stroke Rehabilitation: Impairment-Based Approaches and Functional Goals. Brain Sci. 2023;13(5). https://doi.org/10.3390/brainsci13050717

Veerbeek JM, Van Wegen E, Van Peppen R, Van Der Wees PJ, Hendriks E, Rietberg M, et al. What is the evidence for physical therapy poststroke? A systematic review and meta-analysis. PLoS One. 2014;9(2). https://doi.org/10.1371/journal.pone.0087987

WSO. Global Stroke Fact Sheet 2022. Int J Stroke. 2022;17(1):18–29. https://doi.org/10.1177/17474930211065917

Riskesdas. Laporan Riskesdas 2018 Nasional.pdf. Lembaga Penerbit Balitbangkes. 2018. p. hal 156. https://repository.badankebijakan.kemkes.go.id/id/eprint/3514/1/Laporan%20Riskesdas%202018%20Nasional.pdf

Dinkes Sulawesi Tengah. Profil Kesehatan Provinsi Sulawesi Tengah. Profil Kesehat Provinsi Sulawesi Teng. 2021;1–377. https://dinkes.sultengprov.go.id/wp-content/uploads/2022/05/PROFIL-DINAS-KESEHATAN-2021.pdf

Dinas Kesehatan Kabupaten Tolitoli. KABUPATEN TOLITOLI TAHUN 2022. 2022;(105).

Kusuma AS, Sara O. Implementation of Early Passive Range of Motion (ROM) Exercise Procedures in Non-Hemorrhagic Stroke (NHS) Patients. Syntax Lit. 2020;5(10):1015–21. https://jurnal.syntaxliterate.co.id/index.php/syntax-literate/article/view/1706/1614

Mardiyanti C, Aini L., Amien Z. Pengaruh Penerapan ROM Pada Ekstremitas Terhadap Kekuatan Otot Pada Pasien Stroke Non Hemoragik. J Kendedes Malang. 2021;3(2):1–23. https://jurnal.stikeskendedes.ac.id/index.php/JKF/article/view/189

Septianingrum Y, Subairi M. The Range of Motion (ROM) in Increasing Muscle Strength in Stroke Patients : Literature Review. J Appl Nurs Heal. 2024;6(1):65–70. https://doi.org/10.55018/janh.v6i1.176

Fauziyah NN, Sulistyanto BA, Wahyuningtyas B. Studi Kasus: Penerapan Intervensi ROM Untuk Meningkatkan Kekuatan Otot Ekstremitas Pasien Stroke Non Hemoragik. Pros Semin Kesehat Masy. 2023;1(Oktober):31–4. https://doi.org/10.26714/pskm.v1iOktober.236

Dwi Prabowo A, Nisak R. Penerapan Range Of Motion (ROM) Pada Penderita Stroke: Studi Kasus Application of Range Of Motion (ROM) in Stroke Patients: A Case Study. CAKRA Med Media Publ Penelit. 2020;7(1):23–8. https://www.jurnal.akperngawi.ac.id/index.php/cakra/article/download/54/48

Langhorne P, Bernhardt J, Kwakkel G. Stroke rehabilitation. Lancet. 2011;377(9778):1693–702. https://doi.org/10.1016/S0140-6736(11)60325-5

Arya KN, Pandian S, Agarwal GG, Chaudhary N, Joshi AK. Effect of NEuroplasticity-Principles-based SEnsory-Rehabilitation (NEPSER) on sensori-motor recovery in stroke: study protocol for a randomized controlled trial. Neurol Res Pract. 2021;3(1):1–9. https://neurolrespract.biomedcentral.com/counter/pdf/10.1186/s42466-021-00108-1.pdf

Pollock A, Baer G, Pomeroy V, Langhorne P. Physiotherapy treatment approaches for the recovery of postural control and lower limb function following stroke. Cochrane Database Syst Rev. 2007;(1). https://doi.org/10.1002/14651858.CD001920.pub2

Moore RT, Piitz MA, Singh N, Dukelow SP, Cluff T. The independence of impairments in proprioception and visuomotor adaptation after stroke. J Neuroeng Rehabil. 2024;21(1):1–20. https://jneuroengrehab.biomedcentral.com/counter/pdf/10.1186/s12984-024-01360-7.pdf

Bernhardt J, Hayward KS, Kwakkel G, Ward NS, Wolf SL, Borschmann K, et al. Agreed definitions and a shared vision for new standards in stroke recovery research: The Stroke Recovery and Rehabilitation Roundtable taskforce. Int J Stroke. 2017;12(5):444–50. https://doi.org/10.1177/1747493017711816

Hosseini ZS, Peyrovi H, Gohari M. The Effect of Early Passive Range of Motion Exercise on Motor Function of People with Stroke: a Randomized Controlled Trial. J Caring Sci. 2019;8(1):39–44. https://doi.org/10.15171/jcs.2019.006

Williams PE, Catanese T, Lucey EG, Goldspink G. The importance of stretch and contractile activity in the prevention of connective tissue accumulation in muscle. J Anat. 1988;158:109–14. https://pmc.ncbi.nlm.nih.gov/articles/PMC1261981/#supplementary-material1

Ada L, Dean CM, Morris ME, Simpson JM, Katrak P. Randomized trial of treadmill walking with body weight support to establish walking in subacute stroke: The MOBILISE trial. Stroke. 2010;41(6):1237–42. https://doi.org/10.1161/STROKEAHA.109.569483

Published

2025-04-30

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Section

Articles