Keefeektifan Range of Motion (Rom) Terhadap Kekuatan Otot Ekstremitas Pada Pasien Stroke

Pergerakan dapat terganggu oleh adanya gangguan pada Perubahan produksi neurotransmiter yang perjalanannya dari saraf ke otot, atau pada aktifitas dari aktifitas otot. Postur juga diatur oleh sistem saraf. Postur ditentukan dari koordinasi propiosepsi dan keseimbangan. Tujuan penelitian untuk mengetahui keefektifan Range Of Motion (ROM) terhadap kekuatan otot pada pasien pasca stroke, dengan metode penelitian pre eksperimental one design pretest-postest non random. Hasil perhitungan uji Wilcoxon nilai uji statistik Z sebesar –3,000 dengan p sebesar 0,003. Nilai p < 0,05 sehingga diputuskan terdapat perbedaan (peningkatan) derajat kekuatan otot pasien sebelum dan sesudah terapi ROM termasuk signifikan (p = 0,003 < 0,05). Terapi ROM dinyatakan efektif dalam meningkatkan kekuatan otot ekstremitas penderita stroke pada signifikan 95 %. Kesimpulan : terdapat perbedaan yang signifikan derajat kekuatan otot sebelum dan sesudah terapi ROM

Perbedaan Latihan Range of Motion ROM) Pasif Dan Aktif Selama 1 – 2 Minggu Terhadap Peningkatan Rentang Geak Sendi Pada Penderita Stroke Di Kecamatan Tanggul Jember

Defisit kemampuan jangka panjang yang paling umum terjadi karena Stroke adalah hemiparesis.Delapan puluh persen 80% penderita Stroke mengalami hemiparesis dan 39% penderita mengalami hemiparesis setelah menderita Stroke selama 1tahun. Penelitian ini menggunakan metode Pre Experiment dengan rancangan One Group Pretest-Posttest. Dalam penelitian ini dilakukan dua latihan yaitu latihan ROM pasif (P1) dan latihan ROM aktif (P2) terhadap kelompok sampel yang berbeda. Analisa data menggunakan uji ANOVA. Hasil penelitian terdapat perbedaan rentang gerak sendi fleksi dan ekstensi pada ROM pasif dan ROM aktif di wilayah kerja Puskesmas Tanggul Kabupaten Jember, dengan p value (0,001). ROM pasif lebih memberikan pengaruh dibandingkan ROM Akti

Pengaruh Latihan Range of Motion (Rom) Terhadap Kekuatan Otot Pada Pasien Stroke Di Irina F Neurologi Blu Rsup Prof. Dr. R. D. Kandou Manado

: Stroke is a neurological emergency disease caused by sudden disruption of cerebral blood flow which resulted in the death of brain\u27s nerve cells that causing motoric and sensory dysfunction so that ended in disability or death. Range of Motion Exercise is an exercise performed to evaluate and improve the function of the musculoskeletal system and is also one of therapy in stroke patients that aims to increase cerebral blood flow, minimize disability caused by stroke, so as to refine sensory motoric function. Objectives: The objectives of this study is to identify the effects of Range of Motion Exercise to the muscle strength of stroke patients in Neurology Department of General Hospital Prof. R. D. Kandou Manado. Method: This study is a quasi experiment with methods Nonequivalent Control Group Design. The sampling technique that used is purposive sampling. Primary data gain from patient observation sheets and secondary data from the medical records of patients treated at Neurology Department of General Hospital Prof. R. D. Kandou Manado. Sample: this study involving 15 respondents in the research period June 14, 2013 – June 28, 2013 and performed in inpatient room F Neuro BLU RSUP Prof. Dr. R.D. Kandou Manado. Results: the analysis by using a Paired Sample T test statistic-Test wit significance level (α) 0.05, shows scores and muscle strength before and after done the exersice range of motion have elevated the score average of 3.87. Conclusion: the influence of practice range of motion of muscle strength in patients with stroke value of P = 0.003

Perbedaan Nilai Range of Motion (Rom) Sendi Ekstremitas Atas Sebelum Dan Sesudah Pelatihan Senam Lansia Menpora Pada Kelompok Lansia Kemuning Banyumanik, Semarang

Background: Higher life expectancy led to increasing number of elderly and health problems, including difficulty in ADL\u27s and IADL\u27s activities. Getting older, flexibility decreases, while MENPORA elderly gymnastics is a form of exercise that is easy for the elderly to improve their range of motion (ROM). Objective: Proving MENPORA elderly gymnastics training can increase value of upper limb joints\u27 ROM in Kemuning elderly group, Banyumanik, Semarang. Methods: The study is one group pretest-posttest quasi-experimental design. Samples are elderly people in Kemuning, Banyumanik, Semarang, who met inclusion criteria and no exclusion criteria (n=11); upper limb joints\u27 ROM were measured with universal goniometer. Data distribution tested with Saphiro- Wilk. Normal distribution tested with paired T-test, while abnormal distribution tested with Wilcoxon test. Results : The upper limb joints\u27 ROM difference on the elderly after MENPORA elderly gymnastics are : articulatio humeri: abduction : right: (-24.545±11.058°) ,p=0.00, left: -24.909±11.058°, p=0.00; adduction:right:(-10.909±11.794°), p=0.012, left:(-17.727±13.850°),p=0.002; flexion: right:(-18 636±16.747°), p= 0.012, left: : (-17.727±13.850°,p= 0.002,p=0.012; hyprextension: right: (Z = -1.962°) ,p = 0.040, left: (-9.091±4.908°),p=0.010 ; articulatio cubiti: flexion: right: (10.455±10.829°), p= 0.009, left: (Z=-2,825), p=0.005 ; hyperextension: right: (Z=-2.236 °),p = 0.025, left: Z=(-2,00),p=0.046; articulatio radiocarpea :flexion right:(13.636±7.447°), p= 0.00, left; (Z=-2.829),p=0.005; hyperextension right: (Z = -2.754 ° ) , p = 0.006, left: (-9.091±4.908),p=0,00 . Conclusion: MENPORA elderly gymnastics training can increase the value of the upper limb joints\u27 ROM in Kemuning elderly group, Banyumanik, Semarang

The Effect of Range of Motion Practice on Vascularity of Feet in Patients with Diabetes Mellitus in Kudus, Central Java

Background: Diabetes is associated with both microvascular and macrovascular impairment affecting several organs, including muscle, skin, heart, brain, and kidneys. It is increasingly important for physical therapists to be aware of diabetes-related vascular complications. Range of motion (ROM) is the normal amount a person\u27s joints can be moved in certain directions, or the range in which one can move a body part around a joint. ROM practice aims to recover the normal distance and direction through which a joint can move. This study aimed to examine the effect of ROM practice on vascularity of feet in patients with diabetes mellitus (DM) in Kudus, Central Java. Subjects and Method: This was a quasi experiment (non randomized) before and after with control group design conducted at Puskesmas (community health center) Jepang Mejobo, Kudus, Central Java. A sample of 38 patients with DM was selected for this study, which was divided in 2 groups: 19 patients with ROM practice and 19 patients without ROM practice. The dependent variable was vascularity of feet. The independent variable was ROM practice. The data of patient with DM were obtained from the medical record. The data of vascularity of feet was measured by ankle brachial index (ABI). The other data were collected by questionnaire. The data were analyzed by Mann-Whitney test. Results: Improvement in vascularity before and after the intervention in the experimental (ROM practice) group and was higher than in the control group, and it was statistically significant. Conclusion: ROM practice is effective to improve vascularity of feet in patient with diabetes mellitus. Keywords: diabetes mellitus, range of motion, vascularity, fee

The Dorsiflexion Range of Motion Screen: A Validation Study

# Background Limited ankle dorsiflexion (DF) is associated with ankle sprains and other lower extremity injuries. Current ankle measurements can be laborious to perform in an athletic environment. # Purpose The purpose of this study was to determine the reliability and discriminant validity of a novel closed-chain ankle DF ROM test, the standing ankle dorsiflexion screen (SADS). # Study Design Reliability and validity study # Methods Thirty-seven healthy subjects participated in the study. Two raters measured closed-chain ankle DF range of motion (ROM) using a modified lunge position with an electronic inclinometer. Four raters measured ankle DF using the SADS. Reliability was calculated using intraclass correlation coefficients (ICC) and kappa coefficients for the raters using an electronic inclinometer and the SADS scale, respectively. An independent t-test compared the SADS categories of “behind” and “beyond” to the modified lunge test ROM (*p*<0.05). # Results Excellent ICC values (0.95 $$95$$) and high kappa values were observed (0.61-0.81), with high percent agreement (86-94%). There was a significant difference in ankle DF ROM between the nominally scored “behind” and “beyond” categories, regardless of rater or trial analyzed (behind: 41.3° ± 4.7°; beyond: 51.8°± SD 6.1°, *p* <0.001). # Conclusions The SADS was observed to have excellent interrater reliability and high discriminant validity. Furthermore, there was a distinct closed chain ankle DF ROM difference between the “behind” and “beyond” SADS nominal scores. # Clinical Relevance The SADS can be used as a quick and efficient closed chain ankle DF ROM screen. # Level of Evidence 2

What are we measuring? A critique of range of motion methods currently in use for Dupuytren's disease and recommendations for practice

Background: Range of motion is the most frequently reported measure used in practice to evaluate outcomes. A goniometer is the most reliable tool to assess range of motion yet, the lack of consistency in reporting prevents comparison between studies. The aim of this study is to identify how range of motion is currently assessed and reported in Dupuytren’s disease literature. Following analysis recommendations for practice will be made to enable consistency in future studies for comparability. This paper highlights the variation in range of motion reporting in Dupuytren’s disease. Methods: A Participants, Intervention, Comparison, Outcomes and Study design format was used for the search strategy and search terms. Surgery, needle fasciotomy or collagenase injection for primary or recurrent Dupuytren’s disease in adults were included if outcomes were monitored using range of motion to record change. A literature search was performed in May 2013 using subject heading and free-text terms to also capture electronic publications ahead of print. In total 638 publications were identified and following screening 90 articles met the inclusion criteria. Data was extracted and entered onto a spreadsheet for analysis. A thematic analysis was carried out to establish any duplication, resulting in the final range of motion measures identified. Results: Range of motion measurement lacked clarity, with goniometry reportedly used in only 43 of the 90 studies, 16 stated the use of a range of motion protocol. A total of 24 different descriptors were identified describing range of motion in the 90 studies. While some studies reported active range of motion, others reported passive or were unclear. Eight of the 24 categories were identified through thematic analysis as possibly describing the same measure, ‘lack of joint extension’ and accounted for the most frequently used. Conclusions: Published studies lacked clarity in reporting range of motion, preventing data comparison and meta-analysis. Percentage change lacks context and without access to raw data, does not allow direct comparison of baseline characteristics. A clear description of what is being measured within each study was required. It is recommended that range of motion measuring and reporting for Dupuytren’s disease requires consistency to address issues that fall into 3 main categories:- Definition of terms Protocol statement Outcome reportin

Descriptive Strength and Range of Motion in Youth Baseball Players

# Background There are limited studies reporting descriptive strength and range of motion in youth baseball players 12 years of age or younger. # Purpose To establish normative data for external (ER) and internal (IR) rotation range of motion (ROM), total arc range of motion (TROM), and isometric rotator cuff strength in youth baseball players, and to compare between the dominant throwing arm (D) to the non-dominant arm (ND). # Study Design Cross-sectional # Methods Patient population included 50 (5 to 12-year-old) uninjured, healthy athletes. ROM measurements were performed preseason using a goniometer for IR and ER in the supine position with the shoulder in 90 degrees of abduction (abd) with scapular stabilization. Isometric strength measurements for IR and ER were collected in both neutral and 90 degrees (deg) of abduction with the use of a hand-held dynamometer and recorded in pounds (lbs) utilizing a “make” test. Descriptive statistics were obtained for all measures. # Results All data were analyzed as a single group (average age: 9.02). No significant difference in average total arc of PROM (ER+IR=Total Arc) on the D side compared to the ND side (136.7 ± 12.7 deg vs. 134.3 ± 12.3 deg). There were statistically significant differences between ER ROM (102.2 ± 7.7 deg vs. 96.8 ± 7.4 deg) and IR ROM (34.4 ± 9.0 deg vs. 37.5 ± 9.5 deg) between D versus ND arms (p= .000, .006 respectively). Mean ER strength in neutral (13.6 ± 3.4 and 12.8 ± 3.6 lbs) and 90 deg abduction (12.3 ± 3.4 and 12.5 ± 4.3 lbs) did were not significantly different between D and ND arms, respectively. Mean IR strength in neutral (18.0 ± 6.0 and 15.7 ± 4.7 lbs) and 90 deg abd (16.4 ± 5.6 and 15.0 ± 5.7 lbs) was significantly greater in the D arm vs ND arm, respectively (p=.000, .001). # Conclusion These data can provide descriptive information for clinicians who treat very young baseball players. These data show sport specific adaptations occur at very young ages (5-12) and are similar to prior reports on adolescent, high school and professional baseball players regarding upper extremity ROM and rotator cuff strength. # Level of Evidence

Evaluation of range of motion restriction within the hip joint

In Total Hip Arthroplasty, determining the impingement free range of motion requirement is a complex task. This is because in the native hip, motion is restricted by both impingement as well as soft tissue restraint. The aim of this study is to determine a range of motion benchmark which can identify motions which are at risk from impingement and those which are constrained due to soft tissue. Two experimental methodologies were used to determine motions which were limited by impingement and those motions which were limited by both impingement and soft tissue restraint. By comparing these two experimental results, motions which were limited by impingement were able to be separated from those motions which were limited by soft tissue restraint. The results show motions in extension as well as flexion combined with adduction are limited by soft tissue restraint. Motions in flexion, flexion combined with abduction and adduction are at risk from osseous impingement. Consequently, these motions represent where the maximum likely damage will occur in femoroacetabular impingement or at most risk of prosthetic impingement in Total Hip Arthroplasty

Changes in circle area after gravity compensation training in chronic stroke patients

After a stroke, many people experience difficulties to selectively activate muscles. As a result many patients move the affected arm in stereotypical patterns. Shoulder abduction is often accompanied by elbow flexion, reducing the ability to extend the elbow. This involuntary coupling reduces the patient's active range of motion. Gravity compensation reduces the activation level of shoulder abductors which limits the amount of coupled elbow flexion. As a result, stroke patients can instantaneously increase their active range of motion [1]. The objective of the present study is to examine whether training in a gravity compensated environment can also lead to an increased range of motion in an unsupported environment. Parts of this work have been presented at EMBC2009, Minneapolis, USA