Efektivitas Latihan Range of Motion (ROM) Pasif dalam Meningkatkan Kekuatan Otot Ekstremitas Kanan Atas dan Bawah pada Pasien Stroke Non Hemoragik di RSUD Gunung Jati Kota Cirebon
DOI:
https://doi.org/10.59680/anestesi.v4i1.2751Keywords:
Muscle Strength, Non-Hemorrhagic Stroke, Nursing Care, Passive Range Motion, Physical MobilityAbstract
Non-hemorrhagic stroke is a neurological disorder caused by blockage of cerebral blood vessels, resulting in reduced oxygen supply to brain tissue and leading to various complications, including impaired physical mobility due to muscle weakness. This condition can limit patients' ability to perform daily activities and decrease their quality of life. One of the nursing interventions that can be applied to address this problem is Passive Range of Motion (ROM) exercise. This study aimed to determine the effectiveness of passive ROM exercises in improving the muscle strength of the right upper and lower extremities in a patient with non-hemorrhagic stroke at Gunung Jati Regional General Hospital, Cirebon City. The study employed a case study design using the nursing care process approach involving one patient diagnosed with non-hemorrhagic stroke and impaired physical mobility. Data were collected through interviews, observations, physical examinations, and documentation reviews. The intervention consisted of passive ROM exercises administered twice daily for three consecutive days. The evaluation results demonstrated an improvement in muscle strength of the right upper and lower extremities from grade 2 to grade 3, indicated by the patient's ability to move the affected limbs and resist gravity. Therefore, passive ROM exercises were found to be effective in improving muscle strength and supporting the recovery of physical mobility in patients with non-hemorrhagic stroke.
References
Adika Mianoki, Ismail Setyopranoto, M. W. (2019). Faktor Risiko Transformasi Hemoragik pada Pasien Stroke Infark. Jurnal Berkala Neurosains, 18(2), 76–83. https://doi.org/10.22146/bns.v18i2.54994
Alvina Damayanti, Cicirosnita J. Idu, & Samrotul Fuadah. (2024). Asuhan Keperawatan Pada Pasien Dengan Stroke Non Hemoragik Dengan Pemberian Terapi ROM Pasif Terhadap Gangguan Mobilitas Fisik. Gudang Jurnal Ilmu Kesehatan, 2(2), 124–128.
Anita Shinta Kusuma & Oktavia Sara. (2020). Penerapan Prosedur Latihan Range Of Motion (ROM) Pasif Sedini Mungkin pada Pasien Stroke Non Hemoragik (SNH). Syntax Literate: Jurnal Ilmiah Indonesia, 5(10)
Antoni, T., Oktavia, S., & Antoro, B. (2025). Pengaruh latihan Range of Motion (ROM) untuk meningkatkan kekuatan otot pada pasien stroke non hemoragik di Ruang Rawat Inap Berlian RS Permata Hati Lampung Timur. Malahayati Nursing Journal, 7(1), 187–196
Astriani, N. M. D. Y., Marthasari, N. K. P., & Dewi, P. I. S. (2022). Pengaruh Range Of Motion (Rom) Pasif Terhadap Perubahan Saturasi Oksigen Pada Pasien Stroke Non Hemoragik. Jurnal Online Keperawatan Indonesia, 5(2), 64–70.
Bella, C., Inayati, A., & Immawati. (2021). Penerapan Range of Motion (ROM) pasif untuk mengatasi masalah keperawatan hambatan mobilitas fisik pada pasien stroke non hemoragik di Kota Metro. Jurnal Cendikia Muda, 1(2), 216–222
Desi Merdiyanti, Sapti Ayubbana, & Senja Atika Sari HS. (2021). Penerapan Range Of Motion (ROM) Pasif Untuk Meningkatkan Kekuatan Otot Pasien Stroke Non Hemoragik. Jurnal Cendikia Muda, 1(1).
Hariyono, Hidayatul, A., & Bahrudin. (2019). Keperawatan Gadar. Jombang: Icme Press.
Hidayati, A. N., Alfian, M. I. A. A., & Rosyid, A. N. (2018). Gawat Darurat Medis Dan Bedah. Surabaya: Airlangga University Press.
Janwaryani, K. D., Astriani, N. M. D. Y., & Widiartana, G. B. (2025). Efektifitas pemberian terapi Range of Motion (ROM) pada pasien stroke dengan masalah keperawatan gangguan mobilitas fisik di Ruang Antareja Panti Sosial Werda Jaya Marapati. Journal of Telenursing (JOTING), 7(2), 486–494.
Mulat, T. C., Asmi, A. S., Suprapto, & Muridah. (2023). Penerapan Range of Motion pada pasien stroke dengan gangguan mobilitas fisik. Jurnal Edukasi Ilmiah Kesehatan, 1(2), 43-48.
Nanda Masraini Daulay & Arinil Hidayah. (2021). Pengaruh Latihan Range Of Motion (ROM) Pasif Terhadap Kekuatan Otot dan Rentang Gerak Sendi Ekstremitas Pada Pasien Pasca Stroke. Jurnal Kesehatan Ilmiah Indonesia, 6(1), 22–26.
Nurcahya, I., Kusyairi, A., & Sunanto. (2023). Pengaruh pemberian terapi aktivitas Range of Motion (ROM) pasif terhadap peningkatan kekuatan otot pada pasien stroke non hemoragik. Health Research Journal, 1(2), 220–227.
Othandinar, K., Alfarabri, M., & Maharani, V. (2019). Risk Factors of Ischemic and Hemoragic Stroke Patients. Jurnal Kedokteran UKI, 31(3), 115–120. https://doi.org/10.33541/mkvol34iss2pp60
Puspitasari, P. N. (2020). Hubungan Hipertensi Terhadap Kejadian Stroke. Jurnal Ilmiah Kesehatan Sandi Husada, 12, 922–926. https://doi.org/10.35816/jiskh.v10i2.435
Setiawan, P. A. (2021). Diagnosis Dan Tatalaksana Stroke Hemoragik. Jurnal Medika Utama, 02(01), 402–406.
Sholichin. (2021). Keperawatan Gawat Darurat. Samarinda: Universitas Mulawarman. Umam, D. N. (2018). Neuroimaging Pada Subarachnoid Hemoragik. Jurnal Neuroanestesi Indonesia, 1, 1–32.
Triana, S., Maryam., & Samudra, A. (2023). Penerapan latihan Range Of Motion pasif untuk meningkatkan kekuatan otot pada pasien stroke non hemoragik di RSUD Kraton Kabupaten Pekalongan. Jurnal Keperawatan dan Kesehatan, 12(2), 121-130
Wahyuni, Utami, I. T., & Fitri, N. L. (2024). Penerapan Range of Motion (ROM) pasif terhadap rentang gerak sendi ekstremitas atas pasien stroke non hemoragik. Jurnal Wawasan Kesehatan, 4(3).
Wells at al. (2017). Intensive care Management of stroke patients. Curr Treat OptionsCardiovasc. 19(6), 41. https://doi.org/10.1161/01.str.7.6.573
WHO. (2020). World Health Statistics 2020. World Hearlth 1-177.
WSO. (2021). World Stroke Organization Annual Report 2021. AIMS Allergy And immunology. 6(1). https://doi.org/10.3934/allergy.2022001
Wulandari, D. A., Sampe, E., & Hunaifi, I. (2021). Perdarahan Subarakhnoid PSA). Jurnal Kedokteran, 10(1), 338–346
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