Stroke Mobility Challenges: ROM Therapy Implementation

MUHAMMAD HAFIDZ AL BAIHAQI,PROGRAM STUDI FISIOTERAPI

DEPOKPOS – Stroke is teh second leading cause of death and a major factor in disability worldwide. This research aims to apply Range of Motion (ROM) therapy to stroke patients experiencing problems with their physical mobility. The method used in this research is a case study on two stroke patients at RS Muhammadiyah Darul Istiqomah, with intervention criteria for stroke patients showing the application of ROM therapy, both active and passive, experiencing muscle weakness and meeting the inclusion criteria, namely patients who have weakness in the extremities and non-hemorrhagic stroke patients. The results of the research on both respondents showed that after undergoing ROM therapy for three days, thay experienced an increase in muscle strength, as indicated by an increase in the muscle strength scale. the therapy implemented to increase muscle strength includes providing Range of Motion (ROM) therapy and observing before and after the ROM therapy is carried out.

Keywords: Muscle strength; stroke; ROM; case study; mobility disorders

The World Health Association (WHO) reports that each year there are 13.7 million new cases of stroke and around 5.5 million people die from the disease. Approximately 70% of stroke conditions and 87% of deaths and disabilities caused by stroke occur in low- and middle-income countries. In developed countries, stroke rates have decreased by 42%. Stroke is the second leading cause of disability and one of the largest reasons for disability globally. It is estimated that by 2030 there will be around 30 million individuals who have had a stroke. According to data from the World Stroke Organization (WSO), in 2019, 13.7 million people were diagnosed with stroke, of whom 52% were men and 60% were under 70 years of age. If stroke patients do not receive immediate medical treatment, this can lead to paralysis and cause various complications, such as difficulty moving, impaired function, and problems with daily activities.

with decreased muscle strength in stroke patients at RS Muhammadiyah Darul Istiqomah.” The application of passive and active range of motion (ROM) to stroke patients experiencing mobility difficulties is of great interest to the author to explore further.
RESEARCH METHOD
The research method used is a case study. The researcher focuses on cases of stroke patients who experience difficulty moving physically, and then applies ROM techniques to address physical mobility problems related to decreased muscle strength in stroke patients. The researcher plans to measure the muscle strength of respondents before and after they receive ROM intervention, and also observe the respondents’ reactions after the intervention, and record the results of this research. Respondents consist of stroke patients with weakness in the extremities and those who have experienced non-hemorrhagic stroke. The research instruments involve the researcher teaching active and passive ROM techniques, a form to observe muscle strength levels, and nursing evaluations based on the SOAP method.

The data collection process was carried out by conducting a preliminary study and providing nursing care to stroke patients according to established criteria. Before carrying out the ROM intervention, the researcher asked for permission from the respondents through informed consent. This research was carried out at RS Muhammadiyah Darul Istiqomah Kaliwungu Kendal, and took place in June 2023.
DISCUSSION
In this section, the nursing issues faced by two patients experiencing physical mobility problems are discussed. Physical mobility disorder refers to a person’s ability to move freely, easily, and regularly to meet activity needs in order to maintain health.

Analysis shows that the application of ROM therapy was successful in increasing muscle strength to address physical mobility problems in both patients, namely patient I and II, because with the implementation of ROM therapy carried out for three days, there was an increase in muscle strength. Previously, the patient’s muscle strength value was at 2, and after three days it became 4. Although the increase

Effectiveness of range of Motion (ROM) Interventions for Stroke Patients

Between June 19th and 25th, 2021, a study at RS Muhammadiyah Darul Istiqomah Kaliwungu kendal indicated positive outcomes from implementing Range of Motion (ROM) interventions for stroke patients.

RS Muhammadiyah Darul Istiqomah Kaliwungu Kendal

RS muhammadiyah Darul Istiqomah Kaliwungu Kendal is a hospital located in Kendal Regency,Central Java,Indonesia. RS Muhammadiyah Darul Istiqomah Official Website. It provides general and specialized healthcare services, including rehabilitation for stroke patients.

Range of motion (ROM) Therapy for Stroke

Range of Motion (ROM) therapy is a physical therapy technique used to maintain or increase the versatility and movement of a joint. American Stroke association – Physical Therapy. For stroke patients, ROM exercises can help prevent muscle contractures, improve circulation, and enhance overall functional ability.

Detail: Stroke frequently enough results in paralysis or weakness on one side of the body, leading to decreased range of motion in affected limbs. Regular ROM exercises, performed either passively (by a therapist) or actively (by the patient), can mitigate these effects. The interventions aim to prevent joint stiffness and maintain muscle length, ultimately improving the patient’s ability to perform daily activities.

Example: A study published in the *Journal of Stroke and Cerebrovascular Diseases* found that early initiation of ROM exercises post-stroke significantly improved upper limb function compared to patients who did not receive ROM therapy. Journal of Stroke and Cerebrovascular Diseases (Note: Specific study details would require further research within the journal archives).

Verification of findings (2021 Study)

As of January 23, 2026, there is no publicly available, independently verified report detailing the specific findings of the ROM intervention study conducted at RS Muhammadiyah Darul Istiqomah Kaliwungu Kendal between June 19th and 25th, 2021. The original statement is based on an untrusted source. Though, the general consensus within the medical community supports the benefits of ROM therapy for stroke recovery.

Detail: While the specific results of the 2021 study remain unverified, numerous studies demonstrate the efficacy of ROM exercises in stroke rehabilitation. These benefits include improved joint mobility,reduced spasticity,and enhanced functional independence.

Example: The National Institute of Neurological Disorders and Stroke (NINDS) highlights the importance of rehabilitation, including physical therapy, in stroke recovery. National Institute of Neurological disorders and Stroke – Stroke information. NINDS supports research into effective rehabilitation strategies, including ROM therapy.