Muscle Strength In Stroke Patients Research Articles

The Impact of Bilateral Range of Motion Exercises on Upper Limb Muscle Strength in Stroke Patients

Stroke is a condition that arises due to a disruption in blood circulation in the brain, which results in the death of brain tissue, causing a person to suffer paralysis and even death. Exercise activities are part of a rehabilitation program that enhances patient movement. Exercise therapy, such as range of motion (ROM) exercises, is the movement of a joint through its entire range in all appropriate directions. This research method is quantitative, with a one-group pre-test and post-test design. A sample of 24 respondents was taken using the purposive sampling technique at RSUP Dr. Sitanala Tangerang. Data collection used two instruments, namely a bilateral ROM checklist and a guide to muscle strength values. Data analysis used the paired t-test in univariate analysis and bivariate analysis. The results of statistical tests using the t-dependent test (paired sample t-test) showed that of the 24 respondents, the mean pre-test value was ± 3.38 and the mean post-test was ± 4.50. The statistical test results show a p-value of 0.000 (α<0.05). Therefore, we can conclude that ROM has an influence on increasing muscle strength in stroke patients.

The Effect of Bridging Exercise on Muscle Strength and Body Balance in Stroke Patients at National Brain Center Hospital Prof. DR. Mahar Mardjono East Jakarta

Aims: The study aimed to determine the effect of bridging exercise on muscle strength and body balance in stroke patients at national brain center hospital Prof. DR. Mahar Mardjono East Jakarta. Methods: This study used experimental design aimed to test the application of bridging exercise to body balance and muscle strength in stroke patients. This study was conducted in one group with pre and post-test design. This study was conducted at National Brain Center hospital Prof. DR. Mahar Mardjono East Jakarta. The bridging exercise was conducted at 2-weeks, with light tp moderate intensity, three times a week, with 30 to 45 minutes every session. Results: The result of the statistical test with the Paired Samples t-Test P value resulted in 0.001. These result mean that bridging exercise has a significant effect on muscle strength in stroke patients with a mean difference of -0.63 (CI: -0.91-0.34) and a significantly improved the balance of patients with a mean difference of 17 (CI 12.1-21.9) and a high magnitude of effect (1.69). Conclusion: These result mean that bridging exercise has a significant effect on muscle strength in stroke patients.

Mirror Therapy in Increasing Muscle Strength in Stroke Patients

A stroke is a pretty serious health disorder when not treated immediately. A common problem is hemiparesis, where the patient will have difficulty performing daily activities, such as walking, working, eating, drinking, and so on. Mirror Therapy is one of the rehabilitation therapies with the help of mirrors that can be done in patients with hemiparesis. This therapy can be claimed to increase muscle strength in hemiparesis. The purpose of this writing is to analyze the application of mirror therapy to increased muscle strength in stroke patients. The method used is systematic review with search engines elsivier, PubMed, and Proquest. The keywords used are mirror therapy, stroke, and muscle strength. The SLR process step uses PRISMA and produces 8 articles for analysis. The results of the study have been obtained that, the effect of the application of mirror therapy to increase muscle strength, results is a significant difference in motor skills before and after the therapy, this application is effective when performed for 15–30 minutes every 3 times in a week, for 1-2 months or 12-20x exercise in 1-2 months. Mirror therapy can be applied to all stroke patients whether ischemic or hemorrhagic without visual impairment. Therefore, it is expected that mirror therapy can be performed in hospitals or home care as a patient rehabilitation program.

Penerapan pijat kaki Terhadap Peningkatan Kekuatan Otot Pada Pasien Stroke

Background Stroke is a central nervous system function disorder in the form of blockage of brain blood vessels or rupture of blood vessels in the brain, symptoms that appear in hemiparesis disease, namely a decrease in muscle strength, one of the independent nursing interventions in dealing with decreased muscle strength by giving foot massage. Research Methods: This study uses a descriptive method with a case study approach. Sample: 1 stroke patient who experienced a decrease in muscle strength. Results: the study found that stroke patients experienced complaints of weakness on the right side of the body, muscle strength on the right 1. Nursing diagnoses were: physical mobility barriers, ineffective cerebral tissue perfusion, and damage to skin integrity. Mobilization support nursing interventions, Improved cerebral perfusion, skin integrity care. Nursing implementation was carried out for 6 days. Evaluation after applying foot massage nursing problems that arise in patients can be resolved. Conclusion: the application of foot massage can increase muscle strength there is a change in the value of muscle strength in stroke patients from a value of 1 to a value of 4 on day 6. Suggestion: it is hoped that it can provide independent nursing interventions as a companion to pharmacological therapy to overcome nursing problems that exist in non hemorrhagic stroke patients.

THE EFFECT OF PASSIVE RANGE OF MOTION (ROM) ON IMPROVEMENT OF MUSCLE STRENGTH IN PATIENTS STROKE AT THE GRANDMED HOSPITAL LUBUK PAKAM IN 2023

Stroke is a disease that can cause disability in the body. As many as 30% of stroke sufferers become permanently disabled. Stroke occurs when blood vessels in the brain fail to provide oxygen to brain cells. If brain cells do not have enough oxygen, then brain cells become damaged. The pre-experimental research design uses a one group pre-post test research design where the experimental group first assesses their muscle strength, then is given treatment and measured again. The sample was determined using Accidental Sampling, namely by chance with a sample size of 21 patients. Before being given Passive ROM, muscle strength was paralyzed in 3 respondents (14.3%), weakness in 8 respondents (38.1%), and moderate weakness in 10 respondents (47.6%). After being given passive ROM, there was an increase in muscle strength in value 1 for 3 people (14.3%), value 2 for 8 people (38.1%), and value 3 for 10 people (47.6%). Based on data analysis, a significant value of 0.00 (? 0.05) was obtained, which means that there was an influence before and after being given passive ROM on the muscle strength of stroke patients at Grandmed Lubuk Pakam Hospital in 2023.

Penerapan Rom Exercise Bola Karet Untuk Meningkatkan Kekuatan Otot Genggam Pasien Stroke Di RSUD Dr. Moewardi Surakarta

Background; Stroke is a blood circulation disorder in the brain which results in the death of brain tissue. Stroke patients who experience hemiparesis can result in functional impairment, impaired mobility, impaired daily activities and irreversible disability. Purpose: This study aims to determine the results of implementing rubber ball ROM exercise on muscle strength in non-hemorrhagic stroke patients. Methods: The application was carried out using a descriptive method with a case study design in non-hemorrhagic stroke patients who are at risk of experiencing muscle weakness. The application of the rubber ball rom exercise was carried out for 4 consecutive days by holding the rubber ball for 5 seconds and repeated 7 times. Results: There was an increase in muscle strength of 1 degree in both respondents after the rubber ball ROM exercise. Conclusion: The results of the application to the two respondents between before and after being given the rubber ball ROM exercise showed an increase in muscle strength. So that rubber ball ROM exercise can be used as a non-pharmacological technique to increase muscle strength in stroke patients.

Penerapan Terapi Genggam Bola Karet Terhadap Kekuatan Otot Pada Pasien Stroke Dibangsal Anyelir Rumah Sakit Umum Daerah (RSUD) dr. Soediran Mangun Sumarso Wonogiri

Background : The number of elderly in RSUD dr. Soediran Mangun Soemarso in April there were 48 people, while in the Anyelir ward itself there were 37 people. Over time, complaints that appear in elderly people who have had a stroke are sudden facial weakness, sudden feeling of confusion, difficulty speaking, nausea, sudden vomiting and numbness or tingling. Objective : To find out the results of implementing rubber ball handheld therapy on muscle strength in stroke patients. Method : This type of research uses a descriptive method with a case study approach. Findings: The muscle scale before hand-held rubber ball therapy in stroke patients was 3, and the muscle scale after hand-held therapy in stroke patients was 4. Implication There are differences in development before and after being given hand-held rubber-ball therapy in the elderly who have had a stroke, namely experienced an increase in motor muscle strength in elderly patients.

The Effect of active range of motion (ROM ) on increasing muscle strength in stroke patients at UPTD PUSKESMAS pneureumeue district KAWAY XVI WEST ACEH DISTRICT YEAR 2022

A stroke is called a Cerebro-vascular Accident (CVA) which is a permanent nerve disorder due to disruption of blood circulation to the brain, which occurs for about 24 hours or more. This study aims to determine the effect of active range of motion (ROM) on increasing muscle strength in stroke patients at UPTD Peureumeue health Center Aceh Barat this type of research is qualitative with a quasi-experimental design approach. This study uses pre test and post test designtechniques in stroke patients at Pereumeue Health Center, Aceh Barat, aged 30 minority respondents aged 35-44 years 9 respondents (30,0)and the majority 45-54 years 13 respondents (43,3) 55-64 years 8 respondens (27.7) 30 respondents, the majority were male, 20 respondents (66.7) and the minority were female, as many as 10 respondents (33.3). that N or the number of data in this study were 30 respondents, then the significant value (2-tailed) was 0.000 because the sig (2-tailed) value was 0,00<0.05, it means that there is an effect of range of motion on increasing muscle strength in Stroke patient. Based on this research, it is recommended for health workers to provide health education to the public, especially about stroke and how to prevent it. For further researchers, it is expected to recognize the active range ofmotion (ROM) for increasing muscle strength in stroke patients.

Range Of Mottion (Rom) Terhadap Kekuatan Otot Pada Pasien Stroke : Literature Review

Background: Stroke is a disturbance of the function of the nervous system that occurs suddenly due to problems with blood circulation in the brain. The purposed of this literature study is to synthesize evidence or literature about the Effect of Range Of Motion (ROM) on Muscle Strength in Stroke Patients. Method: This literature study applied the PICOT framework with the Google Scholar database, research gate, and PUBMED. Results: Show a correlation between Range of Motion (ROM) and Muscle Strength in Stroke Patients. In addition, ROM also increases the range of motion of joints in stroke patients. Conclusion: From this literature review, it can be concluded that 66.6% of research shows a correlation between ROM and muscle strength in stroke patients. In addition, about 33.3% of research shows that ROM therapy can increase the range of motion of joints in stroke sufferers.

Range of Motion Exercise with a Jagged Rubber Ball can Improve Upper Extremity Muscle Strength in Stroke Patients

The provision of ROM exercises with jagged rubber balls can increase the strength of the hand muscles of stroke patients. This study aimed to determine the effect of ROM exercises with serrated rubber balls on increasing the strength of the upper extremity muscles in stroke patients. Design of pre-test and post-test with one group. Selection of a nonprobability sample with a purposive sampling type, the sample is 11 people in the Tabanan General Hospital in the inpatient ward in the stroke corner and outpatient ward. The average hand muscle strength in ROM exercises with a jagged rubber ball was distinguished by the male and female sex, namely before 12.5 and 12.7 after treatment, the average hand muscle strength was 15.2 and 15.6. Based on the mean value, patients with stroke experienced an increase in the normal category as measured using a hand dynamometer before and after giving therapy exercises by holding a jagged rubber ball. The test results of the analysis of the paired sample test above obtained a sig value of 0.000. In conclusion, there is a significant effect of ROM training by holding a serrated rubber ball on increasing upper limb muscle strength in stroke patients at Tabanan Hospital in 2022. It is hoped that it can be used as a nursing intervention to improve function in stroke and revive brain control over muscles. Keywords: strokes; muscle strength; serrated rubber ballLatihan Range of Motion Dengan Bola Karet Bergerigi Dapat Meningkatkan Kekuatan Otot Ekstremitas Atas Pada Pasien StrokeABSTRAK Pemberian latihan ROM dengan bola karet bergerigi dapat meningkatkan kekuatan otot tangan pasien stroke.Tujuan penelitian untuk mengetahui pengaruh latihan ROM dengan bola karet bergerigi terhadap peningkatan kekuatan otot ekremitas atas pada pasien stroke.Desain pre-test post-test with one group. Pemilihan sampel nonprobability dengan jenis purposive sampling, sampel adalah 11 orang di RSUD Tabanan pada ruang rawat inap di ruang stroke corner dan rawat jalan. Rata-rata kekuatan otot tangan dalam latihan ROM dengan bola karet bergerigi dibedakan dengan jenis kelamin laki laki dan perempuan yaitu untuk sebelum 12,5 dan 12,7 sesudah perlakuan rata-rata kekuatan otot tangan yaitu 15,2 dan 15,6. Berdasarkan nilai rata rata, pasien dengan stroke mengalami peningkatan kategori normal diukur menggunakan alat ukur hand dynamometer sebelum dan sesudah pemberian latihan terapi menggemgam bola karet bergerigi. Hasil uji analisis uji paired sampel test diatas, didapatkan nilai sig yaitu 0,000. Simpulan terdapat pengaruh yang signifikan dari latihan ROM dengan menggenggam bola karet bergerigi terhadap peningkatan kekuatan otot ekremitas atas pada pasien Stroke di RSUD Tabanan tahun 2022.Diharapkan dapat dijadikan salah satu intervensi keperawatan untuk meningkatkan fungsional pada stroke dan membangkitkan kembali kendali otak terhadap otot. Keywords: stroke; kekuatan otot; bola karet bergerigi

Physiotherapy on the Biodex Balance System Device is More Effective Than Wobble Board Exercises for Regaining Balance, but not the Lower Limb Muscle Strength, in Stroke Patients

Background. Balance control and restoration of movements are among the most important rehabilitation goals for stroke survivors. There are many techniques used to restore lost function, but there is little research demonstrating the effectiveness of specific equipment in improving balance. The aim. To compare balance and lower limb muscle strength in stroke patients when applying different methods of physiotherapy. Methods. The study included 40 stroke patients with hemiparesis and impaired balance. The subjects were divided into two groups: the first group (n=20) underwent physiotherapy on the Biodex balance system device (with visual feedback), the second group (n=20) – wobble board exercises. Both groups underwent 45-minute physiotherapy sessions 5 times a week (in total, 20 procedures). The subjects were tested at baseline and after physiotherapy. Balance was evaluated by applying the Best Evaluation Systems Test (BEST), and lower limb muscle strength – by using the Oxford muscle strength scale. Results. Physiotherapy on the Biodex balance system device as well as wobble board exercises improved balance and muscle strength in stroke patients. Furthermore, the balance results of the first group (Biodex) was significantly greater than those of the second group (wobble board). No difference in muscle strength parameters was found between the groups. Conclusion. Physiotherapy using the Biodex balance system device (with visual feedback) was superior to wobble board exercises for improving the balance abilities, but not the lower limb muscle strength, in stroke patients. Keywords: stroke, physiotherapy, Biodex, balance, muscle strength, lower limb.

Progress of Muscle Chain Theory in Shoulder Pain Rehabilitation: Potential Ideas for Pulmonary Rehabilitation.

Pulmonary dysfunction is very common in stroke patients. A study has shown that acute stroke patients often cause a series of pulmonary dysfunction due to primary damage to the respiratory center, which is an important reason for hindering disease treatment and recovery. American Thoracic Society (ATS) and the European Respiratory Society (ERS) pointed out that pulmonary rehabilitation (PR) can be applied to the rehabilitation of stroke patients to improve their lung function. PR can improve the respiratory muscle strength of stroke patients, which is beneficial to improving the respiratory function of patients. At the same time, it can also significantly increase the maximum oxygen intake of patients, effectively improve the cardiopulmonary function of stroke patients, and reduce respiratory complications such as aspiration pneumonia. However, the common dysfunction of joints and muscles such as shoulder pain after stroke will affect the process of pulmonary rehabilitation. This is mainly because the changes in the position of the shoulder girdle, the decrease in the range of motion of the cervical and thoracic spine, and the changes in the cervical spondylolisthesis position caused by the elevation of the upper limbs will directly affect the breathing movement during the pulmonary rehabilitation process. The instability of the spine will weaken the deep abdominal muscles and reduce the function of the diaphragm; moreover, changes in the alignment and stability of the cervical and thoracic spine will also lead to wrong breathing methods. Therefore, it is of practical clinical significance to evaluate the functional rehabilitation of shoulder joint muscles and evaluate the efficacy of stroke patients to improve their respiratory function. This article through an extensive review of domestic and foreign literature in recent years, combined with clinical practice experience, summarizes the practical application of chain structure theory in the fields of rehabilitation training, postural adjustment, pain relief, etc., and further studies the functional exercise method based on muscle chain theory. The research on the muscle chain of shoulder pain rehabilitation as a model illustrates the positive effect of reconstructing neuroarticular muscle function on the respiratory system, hoping to provide new ideas for the treatment of respiratory diseases in stroke patients.

The Effectiveness of Range of Motion (ROM) on Increasing Muscle Strength in Stroke Patients: Literature Review

Stroke is one of the health problems that cause movement disorders in sufferers due to decreased loss or decreased muscle function. Range of motion exercise is thought to improve movement function in stroke patients. Aim: The purpose of this study was to determine the effectiveness of a range of motion (ROM) on muscle strength in stroke patients. Thus, the authors discussed the literature review on the effectiveness of a range of motion (ROM) on muscle strength in stroke patients. Method: A systematic search was conducted in the following three databases: PUBMED, PLOS ONE, EBSCO, and GOOGLE SCHOLAR using the keywords “Stroke” AND “Range Of Motion” AND “Muscle Strength.”. Result: There are 417 articles in the Pubmed, Plos One, Ebsco, and Google Scholar databases, but only eight articles meet all criteria, including search and review. The results of statistical tests in eight literature show that most of the effects of a range of motion exercises on increasing muscle strength in stroke patients are carried out 1-2 times a day, and the duration of each extremity is 15-20 minutes per session, performed two times a day for six days. Discussion: Performing ROM exercises for stroke patients must be adjusted to the recommendations for both the type and time of implementation. It aims to maintain or increase muscle mass and muscle tone of patients with stroke who have decreased muscle strength. Conclusion: Range of motion exercise affects increasing muscle strength in patients with stroke.

EFFECTIVENESS OF REFLEXOLOGY ON HEMIPARESIS MUSCLE STRENGTH FOR STROKE PATIENTS IN PUSKESMAS GULUK – GULUK, SUMENEP REGENCY

There are several treatments for hemiparesis stroke patients, namely medical treatment (conventional) and complementary alternative medicine. So far, in rural areas treating hemiparase stroke patients prefer complementary alternative treatments in the form of reflexology, namely massaging the hands, feet and other body parts by focusing on the nerves of the body. The purpose of this study was to determine the effectiveness of reflexology on hemiparesis muscle strength in stroke patients in the working area of the Puskesmas Guluk-guluk, Sumenep Regency. In this study using analytical methods. The variables in this study consisted of pre-test variables, namely muscle strength before being given reflexology and post-test variables, namely hemiparesis muscle strength after reflexology. The technique of collecting data is purposive sampling in getting 5 respondents. With research data using muscle strength observation sheets with data processing editing, scoring, coding, tabulating, and statistical tests using SPSS. The results of the output test statistics in the Mann-Whitney test found that the asymmp.sig (2-tailed) value in the upper and lower extremities of 0.007 is smaller than the probability value of 005. Based on the results of the p-value, there are differences in the results of muscle strength before reflexology and after reflexology. Because there is a significant difference, reflexology is effective in increasing the hemiparesis muscle strength of stroke patients. Therefore, good family support is needed for stroke patients in the rehabilitation phase who experience hemiparesis so that reflexology is carried out regularly.Keywords: Reflexology, Muscle strength, Hemiparesis

Exercises to escalate lower extremity muscle strength in stroke patients: a scoping review

Introduction: Stroke sufferers with weakness and paralysis of the lower extremities are at risk of experiencing balance disorders. It causes the risk of falling for stroke sufferers. The effects of falls can result in physical injuries such as bruises, abrasions, lacerations, and even fractures, head injuries, and bleeding. The effects of falling cause physical injury and increase the longer treatment time, so that it adds to the burden on the patient and family to pay for patient care. This literature review aims to identify the types of interventions that can increase the strength of the muscle' lower extremity to prevent falls in stroke sufferers.Method: This study used JBI Scoping Review Method (Joanna Briggs Institute) from 2 database sources: Pubmed and Ebscohost. Publication 2015-2021. Keywords to search are stroke, fall risk, intervention, body balance, muscle strength.Results: There were 1,446 articles found, and six articles were worthy of review. The interventions used are training motor imagery (MI) using structured, progressive circuit class therapy (SPCCT), taping techniques from gluteal taping and hip abductor taping using elastic bands, rehabilitation programs wearing regent suits (RS) based on electromyography (EMG), low-intensity mobility training, perturbation-based balance training (PBT) and a combined assessment of the weight-bearing ratio and the four square step test. The combination of MI with structured, SPCCT provides a greater therapeutic effect on gait and leg muscle strength in stroke patients. Gluteal taping and hip abductor taping techniques using elastic bands improve functional performance in individuals with chronic stroke. A rehabilitation program that wears an RS and EMG were more effective than usual treatment in increasing the EMG pattern during movement and activities of daily living. A PBT can help prevent falls in everyday life after stroke, and the weight-bearing ratio and four square step tests can predict falls in stroke patients more precisely than the berg balance scale.Conclusion: In conclusion, the exercises, techniques and programs performed can increase lower extremity muscle strength, improve walking balance and reduce the risk of falls in stroke patients. These interventions require different times and tools according to the training carried out.

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

Stroke was a disturbance in part or all brain function caused by abnormal blood flow to the brain, disrupting bodily functions such as muscle weakness. One of the efforts that could be done to overcome muscle weakness in stroke patients was the Range Of Motion (ROM) exercise which could be done independently or assisted by health workers. The purpose of this literature review was to identify the effect of range of motion (ROM) exercise in increasing muscle strength in stroke patients. This study used a descriptive method with a literature review approach. The search strategy used six international journal databases: PubMed, JSTOR, Wiley Online Library, Sage Journal, ScienceDirect, and Taylor & Francis Online. In addition, a search was conducted on one national journal database, namely Google Scholar. The selection was conducted by assessing articles that met the inclusion criteria, such as publication range from 2005-2021, in English, Indonesian, and other languages that can be translated and opened full access text. After the selection process, nine articles that met the inclusion criteria were obtained, with 197 respondents assigned randomly and grouped into 58 control groups, 55 intervention groups, 84 combined groups. The results showed that the ROM exercise method positively affected increasing muscle strength in stroke patients. Based on these results, it could be concluded that this nurse's independent intervention needed to be carried out in stroke patients to increase muscle strength

Effectivity of Exoskeleton Robot-Assisted Therapy on Improving Muscle Strength in Post-Stroke Patient

Background: Upper limb weakness is the most disability caused by stroke. The availability of physiotherapists is still limited in Indonesia. The exoskeleton robot is a developing technology that involve in stroke rehabilitation therapy.
 Objective: To evaluate the effectiveness of exoskeleton robot-assisted therapy on improving muscle strength of patients after stroke.
 Methods: An experimental study with two groups pre-test and post-test design carried out using consecutive sampling among outpatient stroke patients in Diponegoro National Hospital (RSND) and William Booth Hospital (RSWB), Semarang. Patients in the robotic group (RG) (n=8) received 16 training sessions. Each session consists of 30 passive and ten active-weighted elbow flexion-extension with the exoskeleton robot. Meanwhile, the control group (CG) (n=8) received equivalent training of conventional therapy. The primary outcome of muscle strength was measured by Manual Muscle Testing (MMT) and handheld dynamometer. Pre and post-test MMT score data in each group were analyzed by Wilcoxon test, while handheld dynamometer score data were analyzed by paired t-test. Data between the two groups were analyzed by Mann-Whitney test and unpaired t-test.
 Results: Significant improvements were shown for the MMT score (RG: p=0.014, CG: p=0.034). There were significant handheld dynamometer score improvements on muscle strength for elbow flexor and extensor in RG (p = 0.008 and p = 0.005 respectively) and in CG (p=0.036 and p=0.008 respectively). No significant differences for MMT and handheld dynamometer score between the two groups.
 Conclusion: The exoskeleton robot-assisted therapy was as effective as conventional therapy for improving muscle strength in stroke patients.

Application Of Active Range Of Motion In Nursing Services And Care In Elderly With Stroke

Stroke is a big problem for the elderly in low-income countries (developing countries) than in high-income countries (developed countries). The Range of Motion Active stroke intervention is one of the non-pharmacological therapy efforts, exercises that are carried out to maintain or improve the level of perfection and the ability to move joints normally and completely to increase muscle mass and muscle tone. This study aims to identify the effect of providing Active Range of Motion exercise therapy in nursing services and care for the elderly with stroke problems. This type of research is a case study design research, which is a form of research (inquiry) or case studies and interventions about a problem that has a specificity (particularity). The results showed that the provision of Active Range of Motion was scored with the Pretest and Posttest scores. There is a change in the value of muscle strength in elderly stroke after being given Active Range of Motion exercise from the value of the muscle strength scale 2 to 3, 3 to 4, and 4 to 5. with data on the characteristics of stroke patients, namely age, gender and activities such as rarely exercising and not exercising repeatedly, this shows that the more frequent Active Range of Motion exercises can affect the assessment of muscle strength in stroke patients.

THE EFFECTIVENESS OF THE ACUPUNCTURE REDUCING POINT ON THE IMPROVEMENT OF MUSCULAR STRENGTH OF STROKE PATIENTS

Background: Stroke is a disease caused by disruption of blood flow to areas of the brain that are blocked in the cerebral or cervical arteries which result in decreased or even loss of function controlled by brain tissue. One of the effects caused by stroke is hemiparesis. Rehabilitation therapy plays an important role in a comprehensive restoration of bodily functions due to stroke, this program aims to restore function to reduce disability, one of the treatments is to use acupuncture meridian points. Purpose: The purpose of this study was to determine the effectiveness of acupuncture meridian points in increasing muscle strength in stroke patients. Methods: The research design used in this study was a randomized controlled trial (RCT) design. The number of samples of all stroke patients at the Holistic nursing therapy clinic in Probolinggo and the Healer School Jember Clinic that met the inclusion criteria from October 2020 to March 2021 were 270 respondents. Data collection techniques used observation sheets to assess muscle strength before and after the intervention of acupuncture meridian points in stroke patients. Data analysis used was the Wilcoxon test with a statistical significance value accepted if p <0.05. Results: The results of the data analysis of the intervention group showed a significant value of hand muscle strength (p 0.003; α 0.05) and leg (p 0.005, α 0.05) where (p <0.05) it can be concluded that there is a significant difference in strength. A muscle in the intervention group before and after being given acupuncture. The findings of this study suggest that there is a significant effect of acupuncture on lower and upper muscle strength. Conclusion: In general, the use of acupuncture meridian points can increase muscle strength in stroke patients, so the use of acupuncture meridian points can provide benefits for restoring muscle strength in stroke patients.

Hubungan Karakteristik Individu dan Riwayat Stroke dengan Kekuatan Otot Pada Pasien Stroke

Stroke merupakan penyebab ketiga tertinggi kematian di dunia. Kecacatan dan kelumpuhan jangka panjang menjadi beban bagi penderita stroke yang hidup. Kecacatan diakibatkan oleh kelemahan otot dan syaraf ekstremitas atas dan bawah. Penelitian ini bertujuan untuk mengidentifikasi hubungan karakteristik individu dan riwayat stroke pertama dengan kekuatan otot pasien stroke di unit rawat jalan dan inap, rumah sakit pemerintah di Kalimantan Barat. Penelitian ini menggunakan pendekatan analisis deksriptif cross-sectional dengan kuesioner dan Manual Muscle Testing (MMT). Total sampel pada penelitian ini sebanyak 99 responden. Penelitian ini dilakukan pada bulan April hingga Juni tahun 2018. Hasil uji statistik menunjukkan terdapat hubungan yang signifikan antara umur ( p =0,026), jenis kelamin ( p =0,029), dan riwayat stroke ( p =0,036) dengan kekuatan otot. Kekuatan otot dapat ditingkatkan dengan latihan penguatan yang dilakukan secara konsisten dan berulang. Latihan ini juga harus disesuaikan dengan usia, jenis kelamin, dan keadaan atropi otot yang dialami pasien sebelumnya untuk mencegah kecacatan jangka panjang.