Fira Azhara, Afiatika Ahsani

Penerapan Terapi Range Of Motion (ROM) Pada Pasien Stroke Iskemik Di Wilayah Kerja UPT Puskesmas Medan Sunggal

Introduction

Penerapan terapi range of motion (rom) pada pasien stroke iskemik di wilayah kerja upt puskesmas medan sunggal. Pelajari penerapan Terapi Range Of Motion (ROM) pada pasien stroke iskemik di Puskesmas Medan Sunggal. Terapi ini efektif meningkatkan kekuatan otot dan mobilitas fisik.

Abstract

Background: Ischemic stroke is an acquired brain injury caused by blockage of blood vessels or inadequate blood supply resulting in infarction or hemorrhage in the brain parenchyma. Stroke is ranked as the second leading cause of death in the world and is the largest contributor to disability, resulting in a significant economic burden. The problem that often arises in ischemic stroke patients is the presence of a problem in the limbs so that the individual's ability to move cannot be free and limited which is commonly referred to as the problem of physical mobility disorders. Ischemic stroke is part of cardiovascular disease which is classified as a catastrophic disease because it has a wide economic and social impact. Ischemic stroke can cause permanent disability which can certainly affect the productivity of the sufferer. Purpose: Knowing the results of the application of Range Of Motion (ROM) exercises on the patient's muscle strength. Methods: Using case studies and subjects by collecting data from interviews and observations on Ischemic Stroke patients with nursing problems of Physical Mobility Disorders. Results: after carrying out Range Of Motion (ROM) therapy nursing actions on a routine schedule twice a day morning and evening for 6 days with 15-20 minutes, it was found that there was an increase in muscle to 4 5 4 5. Conclusion: there is an increase in muscle strength in Ischemic Stroke patients after Range Of Motion (ROM) therapy.

Review

This case study presents a timely and relevant investigation into the application of Range of Motion (ROM) therapy for ischemic stroke patients, a population frequently afflicted by significant physical mobility impairments. The background effectively establishes the high global burden of stroke, its contribution to disability, and the subsequent economic and social impact, underscoring the critical need for effective rehabilitative interventions. By focusing on patients within the UPT Puskesmas Medan Sunggal, the study offers insights directly applicable to local community health settings, providing a practical perspective on managing a common and debilitating condition. The clear purpose of assessing the effect of ROM exercises on muscle strength is well-aligned with the clinical challenges posed by stroke-related motor deficits. The methodology, employing a case study design with data collected through interviews and observations, is appropriate for an initial exploration of a specific intervention in a real-world setting. The detailed description of the ROM therapy protocol – twice daily for 6 days, 15-20 minutes – provides a clear, replicable framework for practitioners. The reported results, indicating an increase in muscle strength to "4 5 4 5" after the intervention, suggest a positive clinical outcome. While this specific notation needs further clarification regarding the scale used and the baseline measurement, it points towards an improvement in the patient's physical capacity, which aligns with the expected benefits of ROM therapy in preventing complications like contractures and promoting functional recovery. Despite the promising findings, the study's primary limitation lies in its case study design, which inherently restricts the generalizability of the results to a broader patient population. The absence of a control group also makes it challenging to definitively attribute the observed improvements solely to the ROM intervention, as other confounding factors or spontaneous recovery cannot be ruled out. Future research would benefit from a more robust methodological approach, such as a quasi-experimental design with a larger sample size and a control group, alongside the use of standardized, validated functional outcome measures to objectively quantify improvements in mobility and muscle strength. Nevertheless, this preliminary work provides valuable evidence for the practical application of ROM therapy in stroke rehabilitation within a community health center, laying the groundwork for further, more comprehensive investigations into its efficacy and optimal implementation.

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