Increase Muscle Strength Research Articles

A review of the effects of nutritional supplements on muscle strength and endurance in athletes

Athletes widely use nutritional supplements to increase muscle strength and endurance. This review aims to summarize the effects of commonly used dietary supplements on muscle strength and endurance in athletes. A literature search identified several dietary supplements studied for their impact on muscle performance, including protein supplements, creatine, beta-alanine, branched-chain amino acids (BCAAs), caffeine, nitrates, and vitamins and minerals. The review discussed the mechanisms by which this supplement affects muscle strength and endurance. The review methodology includes a systematic literature search, study selection, and data analysis. The review summarizes the effects of each type of supplement on muscle strength and endurance based on the available literature. The discussion includes an overview of the effectiveness and safety of using nutritional supplements to increase muscle strength and endurance in athletes, as well as limitations of studies reviewed and directions for future research. In conclusion, this review highlights the importance of choosing the right and safe nutritional supplements to improve muscle performance in athletes.

Age-defying fitness: How can combining resistance and aerobic exercise help elderly adults increase muscle strength?

The population of elderly individuals in the village of Tinggede, Indonesia, continues to increase. It is crucial for the ageing population to maintain good fitness throughout the ageing process. Ageing in the elderly encompasses a range of issues, from declining motor function to muscle strength loss. Therefore, it is important for the elderly to preserve muscle strength through physical exercise to ensure independent functioning. This research aimed to investigate the effects of a combination of resistance and aerobic exercises on muscle strength in healthy elderly individuals. The study involved a sample of 30 male elderly individuals aged 60 years and older. The treatment group was given a combination of resistance exercise and aerobic exercise, while the control group was given aerobic exercise. Resistance exercise is given three times per week with a progressive increase in sets and reps. While aerobic exercise is given seven times per week for 40 minutes per session. Participants were examined for muscle strength before and after the intervention using a digital hand grip dynamometer (DHD). The analysis performed included paired t-test and independent t-test with p <0.05. The results demonstrated a significant increase in hand grip strength among the participants who underwent the exercise programme compared to the control group. These findings suggest that a progressive increase in sets and repetitions for each exercise activity can effectively enhance muscle strength in the elderly. However, it is pivotal to note that this study was limited to a single village. Nonetheless, the exercise combination proposed in this study provides valuable insights for sports medicine research and can be utilised as a reference for designing exercise programmes targeting healthy elderly individuals.

New methodological aspects in rehabilitation after proximal humerus fracture

Proximal humerus fracture ranks third in the elderly after femoral neck fractures and distal radius fractures, and seventh in adults, and the risk of occurrence is related to advancing age. In this study we aimed to analyze the efficacy of a 24-weeks physical therapy programme based on a particular methodology consisting of the reprogramming of the specific proprioceptive neuromuscular facil-itation techniques added to the classical physical therapy and by introducing modern interactive therapies and technologies: Capacitive Resistive Electric Transference, Instrument Assisted Soft Tissue Mobilization, kinesiological tapes and PRAMA system, compared with classical physical therapy. Our study included 26 patients, aged between 18 and 55 years, with proximal humerus fracture, who complete the 24-weeks rehabilitation programme. We assessed pain, shoulder range of motion, muscle strength and the ability to perform activities of daily living. The statistical analysis was performed using IBM SPSS and Excel 2021. The results showed statistically significant im-provement in all shoulder motion, increased muscle strength, decreased pain, and a better ability to perform daily activities. The physical therapy programme based on the proposed particular methodology has proven to be more effective than classical physical therapy, both regarding the improvement of the movement parameters compared to the physiological values, as well as the symmetry of both shoulders.

New methodological aspects in rehabilitation after proximal humerus fracture

Proximal humerus fracture ranks third in the elderly after femoral neck fractures and distal radius fractures, and seventh in adults, and the risk of occurrence is related to advancing age. In this study we aimed to analyze the efficacy of a 24-weeks physical therapy programme based on a particular methodology consisting of the reprogramming of the specific proprioceptive neuromuscular facil-itation techniques added to the classical physical therapy and by introducing modern interactive therapies and technologies: Capacitive Resistive Electric Transference, Instrument Assisted Soft Tissue Mobilization, kinesiological tapes and PRAMA system, compared with classical physical therapy. Our study included 26 patients, aged between 18 and 55 years, with proximal humerus fracture, who complete the 24-weeks rehabilitation programme. We assessed pain, shoulder range of motion, muscle strength and the ability to perform activities of daily living. The statistical analysis was performed using IBM SPSS and Excel 2021. The results showed statistically significant im-provement in all shoulder motion, increased muscle strength, decreased pain, and a better ability to perform daily activities. The physical therapy programme based on the proposed particular methodology has proven to be more effective than classical physical therapy, both regarding the improvement of the movement parameters compared to the physiological values, as well as the symmetry of both shoulders. Keywords: proximal humerus fracture; rehabilitation; range of motion; muscle strength; pain; activities of daily living

Rehabilitation and clinical evolution aspects in a case of Osteoid Osteoma

Introduction. Osteoid osteoma represents about 3% of all primary bone tumors and 11% of all benign bone tumors. Data from the literature suggest that a neuromuscular rehabilita-tion program after osteoid osteoma surgery is very beneficial and improves the general quality of life. Material and methods. A 30-year-old male patient with intermittent right shoulder pain radiating to the right hand, and recurrent myalgias in the past year presented to our neuro-logical department. The neurological examination highlighted limitation of the abduction of the right upper limb. The paraclinical investigations included plain radiography of the right upper limb and electroneurography, which were normal, and native cervical MRI which revealed discrete C5 disc overflow, without visible signs of compression. The patient presented limited initial response to NSAIDs, so his treatment was changed to corticoster-oid therapy. Further, the patient was guided to undergo a rheumatological examination where a musculoskeletal ultrasound was performed, showing no any specific modifica-tion. Additionally, we indicated a native right shoulder MRI, which revealed a signal mod-ification of the proximal humeral diaphysis. We further indicated an MRI scan with con-trast of the upper right limb, which revealed a nidus at the top one-third of the humerus. Additionally, a CT scan with contrast of the same region displayed images that were high-ly suggestive of osteoma. The patient was referred to the orthopedics department, where a complete resection of the tumor was performed, and the pathology report confirmed the fi-nal diagnosis of osteoid osteoma. Conclusions. Recovery after osteoid osteoma surgery is more beneficial if the neuromuscu-lar rehabilitation program, that has an important role in increasing muscle strength, is combined with orthopedic devices and pain medication.

PENATALAKSANAAN FISIOTERAPI PADA KASUS OSTEOARTHRITIS GENUSINISTRA DENGAN MODALITASTRANSCUTANEUS ELECTRICAL NERVE STIMULATION, ULTRASOUND, DAN TERAPI LATIHAN DI RSUD KOTA BANDUNG

Background: Osteoarthritis is a chronic joint disease characterized by abnormalities in cartilage (cartilage), where abnormalities in the cartilage cause the bones to rub against each other resulting in stiffness, pain, limited movement, and disruption of daily activities.
 Objective: To determine the implementation of Physiotherapy in reducing pain, increasing muscle strength, increasing the scope of joint motion, and increasing functional abilities in cases of Osteoarthritihis Genu Sinistra by using tens modalities, ultrasound and exercise therapy. 
 Results: After 6 times of therapy, the results of pain assessment in the left knee from silent pain T1 = 7 to T6 = 4 motion pain T1 = 8 to T6 = 4 tenderness T1 = 4 to T6 = 2. Increased muscle strength of knee extensors T1 = 3 to T6 = 4 and knee flexors T1 = 3 to T6 = 4. As well as an increase in the scope of motion of the passive left knee joint, namely T1 = S 00-00-1200 to T6 = S 00-00-1300 and the scope of motion of the active left knee joint, namely T1 = S 00-00-1000 to T6 = S 00-00-1200.
 Conclusion: Ultrasound can help reduce pain, Tens can relax the muscles, and Exercise therapy can increase muscle strength, increase the joint motion, and can improve functional abilities.
 Keywords: Physiotherapy, Osteoarthritis Genu, Tens, Ultrasound, Exercise therapy.

Ultrasound findings in painful spastic hip. Muscle thickness in children with cerebral palsy

BackgroundIn cerebral palsy (CP), spasticity is the dominant symptom and hip pain is one of the most common secondary conditions. Aetiology is not clear. Musculoskeletal ultrasound (MSUS) is a low-cost, non-invasive imaging technique that allows assessment of structural status, dynamic imaging, and quick contralateral comparison.ObjectiveA retrospective case-matched-control study. To investigate associated factors with painful spastic hip and to compare ultrasound findings (focusing on muscle thickness) in children with CP vs. typically developing (TD) peers.SettingPaediatric Rehabilitation Hospital in Mexico City, from August to November 2018.Participants21 children (13 male, 7 + 4.26 years) with CP, in Gross Motor Function Classification System (GMFCS) levels IV to V, with spastic hip diagnosis (cases) and 21 children age- and sex-matched (7 + 4.28 years) TD peers (controls).Characteristically dataSociodemographic data, CP topography, degree of spasticity, mobility arch, contractures, Visual Analog Scale (VAS), GMFCS, measurements of the volumes of eight major muscles of the hip joint and MSUS findings of both hips.ResultsAll children with CP group reported chronic hip pain. Associated factors for hip pain (high VAS hip pain score) were degree of hip displacement (percentage of migration), Ashworth Level, GMFCS level V. No synovitis, bursitis or tendinopathy was found. Significant differences (p < 0.05) were found in muscle volumes in all hip muscles (right and left) except in the right and left adductor longus.ConclusionThough possibly the most important issue with diminished muscle growth in CP children is the influence on their long-term function, it is likely that training routines that build muscle size may also increase muscle strength and improve function in this population. To improve the choice of treatments in this group and maintain muscle mass, longitudinal investigations of the natural history of muscular deficits in CP as well as the impact of intervention are needed.

Efektivitas Rom Pasif Terhadap Tonus Otot Pasien Post Opersi Fraktur Ektermitas : Evidence Based Case Report (Ebcr)

Fractures or broken bones are incidents of trauma to the bones with various causes. This condition results in damage to the bone and surrounding tissue, complications can occur in the limb bones if there is a lack of mobilization. Actions that can be taken to prevent more severe complications are by doing ROM motion exercises to check the strength of muscle tone. to determine the effectiveness of passive ROM on muscle tone in post extremity fracture patients. This type of research is a case study research. The focus in this study was the application of passive ROM training on muscle tone in extremity fracture patients. Results: there is a change in muscle tone in patients with post-extremity fracture after passive ROM. there are changes in muscle tone in patients with post-fracture extremities after passive ROM. Passive ROM can provide benefits to increase muscle strength in post-fracture patients in the extremities.

Latihan Berjalan Meningkatkan Kekuatan Otot dan Keseimbangan pada Lansia dengan Risiko Jatuh: A Scoping Review

Introduction: Falling is one of the most important symptoms and the main etiology of morbidity and mortality for the elderly aged 65 years. In the elderly who are at risk of falling, stretching (flexibility) and balance exercises are recommended in the physical activity program. This literature review aims to identify whether walking exercises are effective in reducing the risk of falling in the elderly and to find out whether walking exercises can train muscles and balance in the elderly.Method: The method used is scoping review. Literature searches were obtained from several databases of Cinahl Plus, Pubmed, and Springer by applying the keywords "elderly, walking exercise, physical mobility improvement" which were developed using the PICO method. Six articles were obtained for analysis according to PRISMA guidelines in the process by setting inclusion criteria.Results: The results of the scoping review showed that all 6 articles had elderly respondents (n= 242) consisting of healthy elderly (n=186) and elderly with a history of illness (n=52). Walking exercises applied to the elderly have proven effective in increasing muscle strength and balance in both healthy elderly and elderly with a history of illness.Conclusion: Walking exercise is effective as a non-pharmacological intervention in the elderly with a risk of falling. Interventions applied in several experiments have been shown to be able to train muscle strength and balance in the elderly

Physiotherapy Management in Postoperative Anterior Cruciate Ligament

Stabilization of the tibia when moving forward and rotational movements of the knee joint will be assisted by one of the ligaments in the knee joint, namely the Anterior Cruciate Ligament (ACL). This study aims to present physiotherapy management strategies to help reduce pain, prevent stiffness, increase muscle strength, decrease muscle spasms, increase the joint scope of motion, and overcome edema. The method used in this study is a case report. Primary data are obtained through auto anamnesis and physical examination. Holistic diagnosis assessment is carried out quantitatively from the study's beginning, process, and end. The result is that a 33-year-old male patient with a postoperative diagnosis of ACL underwent surgery on November 14, 2022, and has done therapy 7 times; the patient has experienced significant changes. It can be concluded that postoperative ACL rehabilitation can reduce edema and pain, increase muscle strength, and increase ROM. Finding interventions that can be applied to learning and modification of interventions is also recommended to assist in post-ACL reconstruction recovery to return to daily activities. The diagnosis and treatment of physiotherapy in patients are by the latest theories and research. In the evaluation, clinical improvement of patients and increased knowledge were obtained

Scapula Mobilization For Improving Functional Ability In Frozen Shoulder Conditions: Case Study

Background: Frozen Shoulder is characterized by progressive pain resulting in stiffness and limited active and passive motion in the shoulder joint. The primary or idiopathic cause of frozen shoulder is not known with certainty, while secondary causes are usually due to trauma, thyroid disease, and rheumatoid arthritis.Objective: This study aims to determine the effect of scapula mobilization to improve functional ability in frozen shoulder conditions.Method: This study used the case study method which was conducted on frozen shoulder patients at Condong Catur Hospital Yogyakarta in November 2022. Shoulder Pain and Disability Index (SPADI) to measure functional ability. SPADI is a quality of life questionnaire consisting of 13 items to evaluate 5 items for pain and 8 items for disability.Results: After 3 times of physiotherapy, the results showed reduced pain, increased muscle strength, increased ROM, and increased functional ability.Conclusion: Scapula mobilization is effective in reducing pain, increasing muscle strength, and increasing ROM so that there is also an increase in functional ability.

Penerapan Perawatan Kaki Dan Kuku Terhadap Peningkatan Sirkulasi Perifer Pada Penderita Critical Limb Ischemia (CLI)

Background . Critical limb ischemia (CLI) is the most severe stages disease vessels blood chronic , oriented CLI management on effort to anticipate doing amputation by pushing a severe infection happens on wound and healing the wound easier. One wrong possible intervention done to increase peripheral circulation and prevent the occurance of amputation consequence on severe infection is circulation maintenance. Purpose Describe feet application and nail care _ enhancement of peripheral circulation to fill a need safety of patients with Critical Limb Ischemia (CLI) . Method : This is a descriptive study uses a study case approach with a Nursing process approach . Subject of the study was one participant . Results the client felt painful on the feet , it started by feeling numb and cold on her left toes, then purple spots and several days later the spots were changed to be black and widespread to her calf . cold acral, nursing diagnosis enforced impaired peripheral tissue perfusion. Nursing Intervention: feet and nail care, Evaluation: decreased pain scale, increased muscle strength, changed in acral temperature and no changed in capillary refill. Conclusion : Giving circulation maintenance on client Mrs. S with CLI (Critical Limb Ischemia) for 5 days management was effective because on the fifth day client said painful on her left lower extremity decreased so that she could move , and client said she felt comfortable and relax after washing and cleaning her feet using warm water , soap , body lotion and cuting her toenails.&#x0D; Keywords : CLI, foot care , peripheral circulation, pain

The Implementation of Range of Motion Exercises in Overcoming Impaired Physical Mobility in Rheumatoid Arthritis

Rheumatoid arthritis (RA) is a disease characterized by an autoimmune chronic inflammatory disorder or autoimmune response that causes weakening of the joints and lining of the synovial organs, especially in the hands, feet, and knees. This study aims to determine the implementation of nursing care with active and passive motion exercises for impaired physical mobility in patients with rheumatoid arthritis in the work area at Taba Health Center, Lubuklinggau City, in 2022. The method used is descriptive in the form of a case study with two clients experiencing rheumatoid disease as subjects. arthritis with impaired physical mobility problems that experience joint stiffness. The results showed that after being given active and passive motion training therapy, muscle strength increased. Implementation of nursing care with active and passive motion exercises can increase muscle strength in clients with rheumatoid arthritis. Because this motion exercise does not require costs and each movement can be done independently at home.

Comparing the effects of two resistance training models with Linear and Non- Linear Periodization on muscle strength, fatigue, and quality of life among women with multiple sclerosis

Background: Multiple sclerosis disease (MS) is progressing, especially in women. The present study aimed to determine the effect of eight weeks of resistance training with two types of linear and nonlinear periodized on muscle strength, fatigue, and quality of life in women with MS. Materials and Methods: A total of 19 patients with MS were selected and randomly assigned to three groups: nonlinear periodized (NLP) (n=6), linear periodized (LP) (n=5), and control (n=8). Both exercise groups performed resistance exercises three sessions a week for 30-45 minutes per session, with an intensity of 30%-70% of a maximum repetition for eight weeks. The linear group (LP) used a linear loading pattern per week. In contrast, the nonlinear group (NLP) experienced different intensities of training from the fourth week onwards. Two days before and after the training protocol, muscle strength was measured indirectly. Moreover, fatigue was evaluated with a 5-item Modified Fatigue Impact Scale (MFIS-5) and quality of life with a 36-Item Short Form Health Survey (SF-36). The results were analyzed in SPSS software (version 21) using the analysis of the covariance model and Fisher's least significant difference (LSD) post hoc test. Results: Based on the results, LP and NLP training led to a marked increase in muscular strength )P&lt;0.001) and a significant decrease in fatigue )P=0.020) in MS patients. Nonetheless, no significant difference was observed in the quality of life between research groups )P=0/092). There were no significant differences between LP and NLP in factors, except leg press )P&lt;0/001). Conclusion: As evidenced by the obtained results, both LP and NLP training models increased muscle strength and reduced fatigue. Nevertheless, linear resistance training led to greater improvement in the aforementioned factors.

Effect of Neuromuscular Electrical Stimulation in Patients With Critical Illness: An Updated Systematic Review and Meta-Analysis of Randomized Controlled Trials.

Neuromuscular electrical stimulation (NMES) is used in the rehabilitation of patients with critical illness. However, it is unclear whether NMES prevents ICU-acquired weakness (ICU-AW). For this purpose, we conducted an updated systematic review and meta-analysis. We searched the MEDLINE, Cochrane Central Register of Controlled Trials, and Igaku Chuo Zasshi databases from April 2019 to November 2022 to identify new randomized controlled trials to the previous meta-analysis. We systematically searched the literature for all randomized controlled trials on the effect of NMES in patients with critical illness. Two authors independently selected the studies and extracted data. They calculated the pooled effect estimates associated with the occurrence of ICU-AW and adverse events as primary outcomes and muscle mass change, muscle strength, length of ICU stay, mortality, and quality of life as secondary outcomes. The certainty of evidence was assessed using the Grading of Recommendations Assessment, Development, and Evaluation approach. Overall, eight studies were added to the previous 10 studies. Evidence suggests that the use of NMES reduces the occurrence of ICU-AW (six trials; risk ratio [RR], 0.48; 95% CI, 0.32-0.72); however, NMES may have little to no effect on pricking sensation in patients (eight trials; RR, 6.87; 95% CI, 0.84-56.50). NMES is likely to reduce the change in muscle mass (four trials; mean difference, -10.01; 95% CI, -15.54 to -4.48) and may increase muscle strength (six trials; standardized mean difference, 0.43; 95% CI, 0.19-0.68). Further, NMES may result in little to no difference in the length of ICU stay, and the evidence is uncertain about the effect on mortality and quality of life. This updated meta-analysis revealed that the use of NMES may result in a lower occurrence of ICU-AW in patients with critical illness, but its use may have little to no effect on pricking sensation in patients.

The effect of neuromuscular electrical stimulation applied at different muscle lengths on muscle architecture and sarcomere morphology in rats.

Neuromuscular electrical stimulation (NMES) is often used to increase muscle strength and functionality. Muscle architecture is important for the skeletal muscle functionality. The aim of this study was to investigate the effects of NMES applied at different muscle lengths on skeletal muscle architecture. Twenty-four rats were randomly assigned to four groups (two NMES groups and two control groups). NMES was applied on the extensor digitorum longus muscle at long muscle length, which is the longest and stretched position of the muscle at 170° plantar flexion, and at medium muscle length, which is the length of the muscle at 90° plantar flexion. A control group was created for each NMES group. NMES was applied for 8 weeks, 10 min/day, 3 days/week. After 8 weeks, muscle samples were removed at the NMES intervention lengths and examined macroscopically, and microscopically using a transmission electron microscope and streo-microscope. Muscle damage, and architectural properties of the muscle including pennation angle, fibre length, muscle length, muscle mass, physiological cross-sectional area, fibre length/muscle length, sarcomere length, sarcomere number were then evaluated. There was an increase in fibre length and sarcomere number, and a decrease in pennation angle at both lengths. In the long muscle length group, muscle length was increased, but widespread muscle damage was observed. These results suggest that the intervention of NMES at long muscle length can increase the muscle length but also causes muscle damage. In addition, the greater longitudinal increase in muscle length may be a result of the continuous degeneration-regeneration cycle.

Discovery and pharmacological characterization of novel positive allosteric modulators acting on skeletal muscle-type nicotinic acetylcholine receptors

Skeletal muscle-type nicotinic acetylcholine receptors (m-nAChRs) are ligand-gated ion channels that open after activation by ACh and whose signals cause muscle contraction. Defects in neurotransmission are reported in disorders such as myasthenia gravis (MG) and congenital myasthenia syndromes (CMS). Although treatments for these disorders exist, therapies which significantly increase muscle strength have yet to be reported. Positive allosteric modulators (PAMs), which promote ACh signaling through AChRs, are expected to be promising therapeutic agents. In this study, we identified an m-nAChR PAM called AS3513678 by high-throughput screening using human myotube cells and modified it to obtain novel compounds (AS3566987 and AS3580239) that showed even stronger PAM activity. AS3580239 caused a leftward shift in the ACh concentration-response curve and was 14.0-fold potent at 10 μM compared with vehicle. Next, we examined the effect of AS3580239 on electrically-induced isometric contraction of the extensor digitorum longus (EDL) muscle in wild-type (WT) and MG model rats. AS3580239 enhanced EDL muscle contraction in both WT and MG model rats at 30 μM. These data suggest that AS3580239 improved neurotransmission and enhanced muscle strength. Thus, m-nAChR PAMs may be a useful treatment for neuromuscular diseases.

Case Report: Implementasi Terapi Genggam Bola Karet Dalam Asuhan Keperawatan Pada Pasien Lansia Dengan Stroke

Background: Stroke is a disorder caused by dysfunction of the blood supply to the brain which is divided into hemorrhagic subdivisions which are conceptualized as rupture of the cerebral blood vessels, and ischemia which appears in the blood circulation. Stroke can cause muscle weakness or coordination of body movements. Rubber ball grip exercise stimulates an increase in neuromuscular and muscular chemical activity. This will stimulate the limb muscle nerve fibers, especially the parasympathetic nerves to produce acetylcholine, resulting in contractions that can increase muscle strength. Objective: To apply a rubber ball hand-held exercise intervention to the muscle strength of the elderly with stroke. Methods: The method used in writing is a case report with the intervention of holding rubber ball exercises in the elderly with strokes who experience muscle weakness, carried out for 3 days. Results: The results of this case study show that after holding the rubber ball exercise intervention for 3 days, muscle strength can increase from a scale of 2 to 3. Conclusion: Rubber ball grip exercise is effective for increasing muscle strength in elderly patients with stroke

Mobilization Intervention for Post-operative Appendectomy Recovery Process in Appendicitis Patients

Objective: This case study aims to describe the effect of early mobilization on the post-appendectomy recovery process in appendicitis patients. Method: The research design used was a case study with a nursing care approach covering assessments, formulating diagnoses, interventions, implementation, and evaluation, which were carried out for 4 days from Mar 30 to Apr 3, 2023, in the Orchid Room of the Banjar City BLUD. The enforcement of nursing diagnoses refers to the IDHS, SIKI, and SLKI, and nursing evaluations are documented using the SOAPIER method. This case study uses a descriptive method with one respondent involved, with data collection techniques including observation, interviews, documentation, and physical examination.Result: Nursing diagnosis of decreased physical mobility (D.0054) associated with postoperative physical weakness. 4 days of mobilization interventions were carried out with a duration of 30 minutes per day. After intervention, nursing problems related to patient mobility disabilities were resolved by increasing muscle strength, which was initially muscle strength in the upper extremities, namely 4 and 3 in the lower extremities, to 5 in the muscle strength of the upper extremities and 4 in the lower extremities, as well as an increase in the patient's independent activity patterns.Conclusion: The provision of mobilization interventions is useful in improving the recovery process after appendectomy, and the benefits of therapy will be maximized if it is carried out regularly and gradually.

APPLICATION OF PROGRESSIVE MOBILIZATION TO FUNCTIONAL STATUS AND MUSCLE STRENGTH IN POST SECTIO PATIENTS WITH ECLAPMSIA IN THE ICU ROOM OF RADEN MATTAHER HOSPITAL

Patients with Sectio Caesarea in some cases have worsened so they have to be rushed to the ICU to get intensive care. This case study aims to obtain an overview of the application of progressive mobilization to improve functional status and muscle strength in post-sectio patients with eclampsia in the ICU. This case study uses a descriptive design. The application of progressive mobilization performed on patients has been successfully implemented up to level 3. The results of this case study found that progressive mobilization can increase muscle strength from 0 to 56 and functional status from 0 to 65, and can reduce the risk of ICU-AW, speed up the length of release ventilator. Progressive mobilization is effective in increasing muscle strength, and functional status, and can improve the improvement of hemodynamic status and oxygenation status, and prevent the occurrence of ICU-AW. Progressive mobilization can be implemented immediately to shorten the length of stay in the ICU.