THE EFFECT OF RANGE OF MOTION (ROM) EXERCISES ON INCREASING MUSCLE STRENGTH IN NON-HEMORRHAGIC STROKE PATIENTS AT WONOSOBO ISLAMIC HOSPITAL
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Abstract
Range of Motion (ROM) exercises are commonly used as a nursing intervention to prevent complications and enhance motor recovery in stroke patients. This study employed a case study design using an evidence-based practice approach involving two patients diagnosed with non-hemorrhagic stroke who experienced impaired physical mobility at Wonosobo Islamic Hospital. Active and passive ROM exercises were administered twice daily for three consecutive days. Muscle strength was assessed before and after the intervention using Manual Muscle Testing (MMT). The findings revealed an improvement in muscle strength in both patients following the ROM intervention. In the first patient, hand muscle strength increased from grade 1 to grade 2, while leg muscle strength improved from grade 4 to grade 5. In the second patient, both hand and leg muscle strength increased from grade 1 to grade 3. The results indicate that active and passive ROM exercises are effective in improving muscle strength in patients with non-hemorrhagic stroke. ROM exercises can be implemented as an independent nursing intervention to support motor function recovery and enhance patient mobility in clinical practice.
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References
Bernhardt, J., Godecke, E., Johnson, L., & Langhorne, P. (2017). Early rehabilitation after stroke. Current Opinion in Neurology, 30(1), 48–54. https://doi.org/10.1097/WCO.0000000000000412
Hinkle, J. L., & Cheever, K. H. (2023). Brunner & Suddarth’s textbook of medical-surgical nursing (15th ed.). Wolters Kluwer.
Kementerian Kesehatan Republik Indonesia. (2023). Profil kesehatan Indonesia tahun 2022. Kemenkes RI.
Langhorne, P., Bernhardt, J., & Kwakkel, G. (2018). Stroke rehabilitation. The Lancet, 391(10128), 1693–1702. https://doi.org/10.1016/S0140-6736(18)30842-9
Lewis, S. L., Bucher, L., Heitkemper, M. M., & Harding, M. M. (2024). Medical-surgical nursing: Assessment and management of clinical problems (12th ed.). Elsevier.
Notoatmodjo, S. (2018). Metodologi penelitian kesehatan. Rineka Cipta.
PPNI. (2023). Standar diagnosis keperawatan Indonesia (SDKI), standar luaran keperawatan Indonesia (SLKI), dan standar intervensi keperawatan Indonesia (SIKI). DPP PPNI.
Putri, R. A., Nugroho, H. A., & Prasetyo, A. (2023). Pengaruh latihan range of motion terhadap kekuatan otot pada pasien stroke non hemoragik. Jurnal Keperawatan Klinik Indonesia, 7(2), 85–92.
Rahmawati, D., Setyawan, A., & Lestari, P. (2024). Latihan ROM aktif dan pasif terhadap peningkatan fungsi motorik pasien stroke. Jurnal Keperawatan dan Rehabilitasi, 5(1), 21–29.
Sari, M., & Handayani, F. (2024). Efektivitas latihan ROM terhadap kekuatan otot ekstremitas pada pasien stroke iskemik. Jurnal Ilmu Keperawatan Medikal Bedah, 6(1), 45–53.
Setyoadi, S., & Kushariyadi. (2020). Terapi modalitas keperawatan pada klien gangguan sistem neurologi. Salemba Medika.
Smeltzer, S. C., Bare, B. G., Hinkle, J. L., & Cheever, K. H. (2023). Textbook of medical-surgical nursing. Wolters Kluwer.
Wulandari, N., Susanto, T., & Kurniawan, D. (2025). Implementasi ROM dalam asuhan keperawatan pasien stroke non hemoragik. Jurnal Keperawatan Profesional, 8(1), 1–9.
World Health Organization. (2023). Global stroke fact sheet. WHO.