Range of motion and rubber ball grasping therapy for improving upper limb function in patient with ischaemic stroke
DOI: https://doi.org/10.33024/minh.v8i3.939
Ischemic Stroke Non-Hemorrhagic Stroke Range of Motion Rubber Ball Grasping Upper Extremity Muscle Strength
Abstract
Background: Ischemic stroke can impair hand and arm movements, significantly impacting a patient's ability to perform daily activities and consequently reducing their quality of life. A combined approach of range of motion (ROM) exercises and rubber ball gripping therapy offers a potential avenue for rehabilitation. This combined therapy aims to strengthen muscles, maintain joint flexibility, and retrain movement patterns. Regularly applying this therapy is anticipated to accelerate patient recovery and promote independent function.
Purpose: To investigate the effectiveness of a combined range of motion exercise and rubber ball gripping in enhancing arm muscle strength in patients following an ischemic stroke.
Method: A comparative study was conducted involving two groups: an intervention group receiving the combined therapy and a control group that did not. Upper extremity muscle strength was assessed in both groups before and after the intervention period using a handgrip dynamometer and clinical scales (MRC scale and MSTS score).
Results: The study demonstrated a significant increase in upper extremity muscle strength in the intervention group compared to the control group (p<0.05) as measured by the handgrip dynamometer. These findings indicate that combining ROM therapy and rubber ball gripping is an effective strategy for improving muscle strength in patients after an ischemic stroke.
Conclusion: The combination therapy of ROM exercises and rubber ball gripping can be considered an effective rehabilitation method for improving upper extremity muscle strength in patients with ischemic stroke. This study provides valuable evidence for medical professionals in developing more effective rehabilitation strategies for stroke patients.
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References
Asmawita, H., Ahyana, A., & Kamal, A. (2022). Kombinasi latihan ROM dan bola karet pada pasien stroke iskemik dengan hemiparesis: Suatu studi kasus. Jurnal Ilmiah Mahasiswa Fakultas Keperawatan, 1(3).
Baz-Valle, E., Balsalobre-Fernández, C., Alix-Fages, C., & Santos-Concejero, J. (2022). A systematic review of the effects of different resistance training volumes on muscle hypertrophy. Journal of Human Kinetics, 81, 199.
Christaputri, S. T. W., & Anam, A. (2023). Perbandingan Implementasi Terapi Genggam Bola Karet Bergerigi dan Tidak Bergerigi Pada Pasien Stroke Nonhemoragik Terhadap Peningkatan Kekuatan Motorik Ekstremitas Atas. Ners Muda, 4(3), 351-357.
Dankel, S. J., Counts, B. R., Barnett, B. E., Buckner, S. L., Abe, T., & Loenneke, J. P. (2017). Muscle adaptations following 21 consecutive days of strength test familiarization compared with traditional training. Muscle & nerve, 56(2), 307-314.
Distefano, G., & Goodpaster, B. H. (2018). Effects of exercise and aging on skeletal muscle. Cold Spring Harbor perspectives in medicine, 8(3), a029785.
Faridah, U. F., Sukarmin, S., & Kuati, S. (2018). Pengaruh rom exercise bola karet terhadap kekuatan otot genggam pasien stroke di RSUD RAA Soewondo Pati. Indonesia Jurnal Perawat, 3(1), 36-43.
García-Hermoso, A., Ramírez-Vélez, R., & Saavedra, J. M. (2019). Exercise, health outcomes, and pædiatric obesity: A systematic review of meta-analyses. Journal of science and medicine in sport, 22(1), 76-84.
Garrison, S. J. (Ed.). (2003). Handbook of physical medicine and rehabilitation: the basics. Lippincott Williams & Wilkins.
Hardika, B. D., Yuwono, M., & Zulkarnain, H. M. (2020). Faktor Risiko yang Mempengaruhi Terjadinya Stroke Non Hemoragik pada Pasien di RS RK Charitas dan RS Myria Palembang. Jurnal Akademika Baiturrahim Jambi, 9(2), 268-274.
Hentu, A. S., Rochmawati, E., & Firmawati, E. (2018). Efektivitas latihan ROM dan bola karet terhadap peningkatan kekuatan menggenggam dan fungsi menggenggam pada pasien stroke di RSUD Sleman. Media Ilmu Kesehatan, 7(2), 149-155.
Hikmareza, Y. A., Widiyanto, P., & Kamal, S. (2024, November). Rubber ball grasping therapy to improve muscle strength in patient with ischaemic stroke. In International Conference of Advancements in Nursing Care (Vol. 1, No. 1).
Indrawati, L., Fitryasari, R., & Ahsan, A. (2021). Effectiveness of Nursing Discharge Planning Interventions for Stroke Patient: A Systematic Review. STRADA Jurnal Ilmiah Kesehatan, 10(1), 1066-1072.
Kuriakose, D., & Xiao, Z. (2020). Pathophysiology and treatment of stroke: present status and future perspectives. International journal of molecular sciences, 21(20), 7609.
Larsson, P., Bidonde, J., Olsen, U., Gay, C. L., Lerdal, A., Ursin, M., & Edvardsen, E. (2023). Association of post-stroke fatigue with physical activity and physical fitness: A systematic review and meta-analysis. International Journal of Stroke, 18(9), 1063-1070.
Lee, S. Y., Tung, H. H., Liu, C. Y., & Chen, L. K. (2018). Physical activity and sarcopenia in the geriatric population: a systematic review. Journal of the American Medical Directors Association, 19(5), 378-383.
Mayer, F., Scharhag-Rosenberger, F., Carlsohn, A., Cassel, M., Müller, S., & Scharhag, J. (2011). The intensity and effects of strength training in the elderly. Deutsches Ärzteblatt International, 108(21), 359.
Ministry of Health of the Republic of Indonesia. (2011). Guidelines for Health Research Ethics. Jakarta: Indonesian Ministry of Health.
Ministry of Health of the Republic of Indonesia. (2019). The 2018 Indonesian Basic Health Research. Retrieved from: https://repository.badankebijakan.kemkes.go.id/id/eprint/3514/1/Laporan%20Riskesdas%202018%20Nasional.pdf
Moritani T. (1993). Neuromuscular adaptations during the acquisition of muscle strength, power and motor tasks. Journal of biomechanics, 26 Suppl 1, 95–107.
Sari, D. M., & Kustriyani, M. (2023). Penerapan Genggam Bola Untuk Mengatasi Gangguan Mobilitas Fisik pada Pasien Stroke Non Hemoragik. Prosiding Akademi Keperawatan Widya Husada Semarang, 5(1), 163-170.
Septianingrum, Y., & Subairi, M. (2024). The Range of Motion (ROM) in Increasing Muscle Strength in Stroke Patients: Literature Review. Journal of Applied Nursing and Health, 6(1), 65-70.
World Stroke Organization. (2021). Impact of Stroke. Retrieved from: https://www.world-stroke.org/world-stroke-day-campaign/about-stroke/impact-of-stroke.
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