Range of Motion Spherical Grip Affected the Upper Extremity Muscle Strength in Post Stroke Patients

Lutfi Wahyuni, Siti Kotijah, Catur Prasastia lukita Dewi
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Abstract

Stroke is a medical emergency. Post-stroke patients generally experience muscle weakness in the limbs, postural disturbances and muscle atrophy. The purpose of this study was to prove the effect of ROM Spherical Grip exercise on post-stroke patients. The type of the study was pre-experimental with one group pre-test-post-test design. The independent variable was Range Of Motion (ROM) Spherical Grip. The dependent variable was the degree of upper extremity muscle strength in post-stroke infarct patients who had hemiparesi. The sampling technique used a consecutive sampling technique. The sample was 33 respondents. The data were taken by measuring the muscle strength before and after being given the intervention. The instrument used an observation sheet for assessing muscle strength and manual muscle testing (MMT) physical examinations in post-stroke patients. The results of this study showed that most of the muscle strength before giving the Spherical Grip ROM exercise was Poor (there was movement but could not fight gravity) as many as 14 respondents (42.4%). After the intervention of the Spherical Grip ROM exercise, the muscle strength was mostly Fair (can move against gravity) as many as 19 respondents (57.6%). There is an increase in upper extremity muscle strength before and after being given ROM Spherical Grip exercise in post-stroke patients who experience hemiparesis. This showed that the Spherical Grip could improve the tone of those who experience weakness and if done continuously could increase muscle strength in post-stroke patients. It is hoped that with this research Spherical grip exercises can be used as one of the treatments for stroke patients who experience decreased upper extremity muscle strength and collaborate with physiotherapy also assisted by taking drugs according to doctor's advice.
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球形握力对脑卒中后患者上肢肌力的影响
中风是一种医疗紧急情况。中风后患者通常会出现四肢肌肉无力、姿势紊乱和肌肉萎缩。本研究的目的是为了证明ROM球形握力运动对脑卒中后患者的影响。本研究采用一组预实验-后测试设计。自变量为运动范围(ROM)球形握把。因变量是卒中后卒中卒中患者偏瘫患者的上肢肌肉力量程度。抽样技术采用连续抽样技术。样本是33名受访者。数据是通过测量肌肉力量前后给予干预。仪器采用观察表评估脑卒中后患者的肌力和手工肌肉测试(MMT)体格检查。本次研究结果显示,在进行球形握力ROM练习之前,大部分肌肉力量较差(有运动,但无法抵抗重力)的应答者达14人(42.4%)。经球形握力ROM运动干预后,肌肉力量多为一般(能抗重力运动),多达19人(57.6%)。在经历偏瘫的中风后患者进行ROM球形握力运动前后,上肢肌肉力量有所增加。这表明球形握力可以改善那些虚弱的人的张力,如果持续使用,可以增加中风后患者的肌肉力量。希望通过本研究,球形握力练习可以作为上肢肌肉力量下降的中风患者的治疗方法之一,配合物理治疗,并根据医生的建议服用药物。
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发文量
39
审稿时长
8 weeks
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