TOURMALINE MAGNETIC SOCKS DAN ROM AKTIF UNTUK MENINGKATAN KEKUATAN OTOT PASIEN STROKE NON HEMORAGIK
Abstrak
Stroke non hemoragik terjadi akibat penyumbatan pada pembuluh darah otak. Penelitian ini bertujuan untuk menganalisis pengaruh intervensi kombinasi Tourmaline Magnetic Socks dan ROM aktif terhadap peningkatan kekuatan otot pada pasien stroke non hemoragik. Populasi dalam penelitian ini adalah seluruh pasien yang menderita stroke non hemoragik. Metode penelitian ini menggunakan rancangan quasi experiment pre-post test nonrandomized control group design, dengan jumlah responden 60 orang dengan teknik Simple Random Sampling. Penelitian ini dilakuan selama 2 minggu dengan frekuensi 3x kali dalam seminggu dengan waktu pemberian 20 menit. Data yang telah diperoleh kemudian dianalisis menggunakan analisis univariat (distribusi frekuensi) dan analisis bivariat (uji Wilcoxon & uji Mann-Whitney Test). Baik pada kelompok kontrol maupun kelompok intervensi sebagian besar responden mengalami stroke berulang 1 kali yaitu 53 responden. Diketahui berdasarkan uji pengaruh kombinasi Tourmaline Magnetic Socks dan ROM aktif pada delta kekuatan otot pada dua kelompok didapatkan nilai P = 0.010. Kekuatan otot pada kelompok intervensi mengalami peningkatan setelah diberikan perlakuan Tourmaline Magnetic Socks dan ROM aktif dengan nilai ρ = 0,000, sedangkan kekuatan otot pada kelompok kontrol mengalami peningkatan dengan nilai ρ = 0,003. Kombinasi Tourmaline Magnetic Socks dan ROM aktif mempengaruhi peningkatan kekuatan otot pada pasien stroke non hemoragik. Disarankan agar pasien stroke non-hemoragik mempertimbangkan untuk memasukkan Tourmaline Magnetic Socks dan ROM aktif ke dalam rutinitas rehabilitasi mereka. Kombinasi ini berpotensi meningkatkan kekuatan otot dan berkontribusi pada proses pemulihan. Berkonsultasi dengan ahli kesehatan atau ahli terapi fisik dapat memberikan panduan pribadi tentang cara terbaik memasukkan intervensi ini ke dalam rencana rehabilitasi individu.
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Referensi
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27. Faridah AA, Noor Istiqomah I, Kurnianto S, Khovifah N. The Effectiveness of Range of Motion (ROM) on Increasing Muscle Strength in Stroke Patients: Literature Review. Nurs Heal Sci J. 2022;2(2):137-142. doi:10.53713/nhs.v2i2.118
28. Barter PJ, Rye KA. High density lipoproteins and coronary heart disease. Atherosclerosis. 1996;121(1):1-12. doi:10.1016/0021-9150(95)05675-0
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30. Asztalos BF, Horvath K V, Schaefer EJ. HDL Particles, Cell-Cholesterol Efflux, and CHD Risk: The Preβ-1 Paradox HHS Public Access. Arter Thromb Vasc Biol. 2018;38(9):2007-2015. doi:10.1161/ATVBAHA.118.311117.HDL
31. Harahap EM. The Effect of Active Range of Motion (ROM) on Muscle Strength in Non-Hemorric Stroke Patients in The Physioteraphy Room of Imelda Pekerja Indonesia General Hospital, Medan City North Sumatera. J Aisyah J Ilmu Kesehat. 2021;6(4):859-864. doi:10.30604/jika.v6i4.1136
32. Hosseini ZS, Peyrovi H, Gohari M. The Effect of Early Passive Range of Motion Exercise on Motor Function of People with Stroke: a Randomized Controlled Trial. J Caring Sci. 2019;8(1):39-44. doi:10.15171/jcs.2019.006
33. Susanti S, Susanti S, BIstara DN. Pengaruh Range of Motion (ROM) terhadap Kekuatan Otot pada Pasien Stroke. J Kesehat Vokasional. 2019;4(2):112. doi:10.22146/jkesvo.44497
34. Anggriani A, Aini N, Sulaiman S. Efektivitas Latihan Range of Motion Pada Pasien Stroke Di Rumah Sakit Siti Hajar. J Healthc Technol Med. 2020;6(2):678. doi:10.33143/jhtm.v6i2.974
35. Reddy SN. Exercise & range of motion exercise. Heal Med. 2015;5(2):149-155.
36. Anggriani A, Zulkarnain Z, Sulaiman S, Gunawan R. Pengaruh Rom (Range Of Motion) Terhadap Kekuatan Otot Ekstremitas Pada Pasien Stroke Non Hemoragic. J Ris Hesti Medan Akper Kesdam I/BB Medan. 2018;3(2):64. doi:10.34008/jurhesti.v3i2.46
37. Purba SD, Sidiq B, Purba IK, et al. Efektivitas ROM (Range of Motion) terhadap Kekuatan Otot pada Pasien Stroke di Rumah Sakit Royal Prima Tahun 2021. JUMANTIK (Jurnal Ilm Penelit Kesehatan). 2022;7(1):79. doi:10.30829/jumantik.v7i1.10952
38. Rosamond W, Flegal K, Friday G, et al. Heart Disease and Stroke Statistics—2007 Update. Vol 115.; 2007. doi:10.1161/circulationaha.106.179918
39. Rahayu KIN. Pengaruh Pemberian Latihan Range Of Motion (Rom) Terhadap Kemampuan Motorik Pada Pasien Post Stroke Di Rsud Gambiran. J Keperawatan. 2015;6(2):102-107.
2. Bentzon JF, Otsuka F, Virmani R, Falk E. Mechanisms of plaque formation and rupture. Circ Res. 2014;114(12):1852-1866. doi:10.1161/CIRCRESAHA.114.302721
3. Frank D, Zlotnik A, Boyko M, Gruenbaum BF. The Development of Novel Drug Treatments for Stroke Patients: A Review. Int J Mol Sci. 2022;23(10):1-25. doi:10.3390/ijms23105796
4. Sacco RL, Kasner SE, Broderick JP, et al. An updated definition of stroke for the 21st century: A statement for healthcare professionals from the American heart association/American stroke association. Stroke. 2013;44(7):2064-2089. doi:10.1161/STR.0b013e318296aeca
5. Chen Y, Garcia GE, Huang W, Constantini S. The involvement of secondary neuronal damage in the development of neuropsychiatric disorders following brain insults. Front Neurol. 2014;5 MAR(March):1-16. doi:10.3389/fneur.2014.00022
6. Gordon LA, Morrison EY, McGrowder DA, et al. Effect of exercise therapy on lipid profile and oxidative stress indicators in patients with type 2 diabetes. BMC Complement Altern Med. 2008;8(May):1-10. doi:10.1186/1472-6882-8-21
7. A. Boehme, C. Esenwa ME. Stroke: Risk Factors and Prevention. J Pak Med Assoc. 2018;60(3):412. doi:10.1161/CIRCRESAHA.116.308398.Stroke
8. Yang Q, Tong X, Schieb L, et al. Morbidity and Mortality Weekly Report Vital Signs: Recent Trends in Stroke Death Rates-United States, 2000-2015. Morb Mortal Wkly Rep. 2017;66(35):933-939. https://www.cdc.
9. Virmani T, Agarwal A, Klawiter EC. Clinical Reasoning: A young adult presents with focal weakness and hemorrhagic brain lesions. Neurology. 2011;76(22):106-109. doi:10.1212/WNL.0b013e31821d748a
10. Cahyati Y, Wahyuni S. Analysis Factors Associated with Functional Ability among Stroke Patients. Int J Nurs Heal Serv ( IJNHS ). 2020;3(1):184-191. doi:10.35654/ijnhs.v3i1.292
11. Rosenthal RL. Effectiveness of Altering Serum Cholesterol Levels Without Drugs. Baylor Univ Med Cent Proc. 2000;13(4):351-355. doi:10.1080/08998280.2000.11927704
12. Gallanagh S, Quinn TJ, Alexander J, Walters MR. Physical Activity in the Prevention and Treatment of Stroke. ISRN Neurol. 2011;2011:1-10. doi:10.5402/2011/953818
13. Prior PL, Suskin N. Exercise for stroke prevention. Stroke Vasc Neurol. 2018;3(2):59-68. doi:10.1136/svn-2018-000155
14. Lukluknaningsih Z. Pengaruh Infra Red dengan Massage Fisioterapi terhadap Tingkat Stres Mahasiswa yang Sedang Mengerjakan Tugas Akhir. J Ilm Kesehat. 2020;15(3):173.
15. Faridah U, Sukarmin S, Sri K. Pengaruh Rom Exercise Bola Karet Terhadap Kekuatan Otot Genggam Pasien Stroke Di Rsud Raa Soewondo Pati. Indones J Perawat. 2018;3(1):36-43. https://ejr.stikesmuhkudus.ac.id/index.php/ijp/article/view/633
16. Agusrianto A, Rantesigi N. Application of Passive Range of Motion (ROM) Exercises to Increase the Strength of the Limb Muscles in Patients with Stroke Cases. J Ilm Kesehat. 2020;2(2):61-66. doi:10.36590/jika.v2i2.48
17. Naue SH, Doda V, Wungouw H. Hubungan kadar kolesterol total dengan tekanan darah pada guru di SMP 1 & 2 Eben Haezar dan SMA Eben Haezar Manado. J e-Biomedik. 2016;4(2). doi:10.35790/ebm.4.2.2016.14629
18. Dinata CA, Syafrita Y, Sastri S. Gambaran Faktor Risiko dan Tipe Stroke pada Pasien Rawat Inap di Bagian Penyakit Dalam RSUD Kabupaten Solok Selatan Periode 1 Januari 2010 - 31 Juni 2012. J Kesehat Andalas. 2013;2(2):57-61. http://jurnal.fk.unand.ac.id
19. Su I, Freeman. Hormone changes associated with the menopausal transition. Minerva Ginecol. 2009;61(6):483-489.
20. Miller VM, Duckles SP. VASCULAR ACTIONS OF ESTROGENS: FUNCTIONAL IMPLICATIONS. Vol 60.; 2018. doi:10.1124/pr.107.08002.VASCULAR
21. Tostes RC, Nigro D, Fortes ZB, Carvalho MHC. Effects of estrogen on the vascular system. Brazilian J Med Biol Res. 2003;36(9):1143-1158. doi:10.1590/S0100-879X2003000900002
22. Chlebowski RT, Anderson GL, Aragaki AK, et al. Association of Menopausal Hormone Therapy with Breast Cancer Incidence and Mortality during Long-term Follow-up of the Women’s Health Initiative Randomized Clinical Trials. JAMA - J Am Med Assoc. 2020;324(4):369-380. doi:10.1001/jama.2020.9482
23. Bragin DE, Statom GL, Hagberg S, Nemoto EM, Bragin. Increases in microvascular perfusion and tissue oxygenation via pulsed electromagnetic fields in the healthy rat brain. J Neurosurg. 2015;122(5):1239–1247. doi:10.3171/2014.8.JNS132083.Increases
24. Park YJ, Lee HK, Cho JH. Analysis of muscular elasticity according to infrared and ultrasound therapy by sonoelastography. J Phys Ther Sci. 2018;30(8):1024-1029. doi:10.1589/jpts.30.1024
25. Irawan C, Mardiyono, Suharto, Santjaka A. Combination of hypnosis therapy and range of motion exercise on upper-extremity muscle strength in patients with non-hemorraghic stroke. Belitung Nurs J. 2018;4(1):104-111. doi:10.33546/bnj.347
26. Helen M, Evilianti M, Juita R. The Effect of Active Range of Motion (ROM) Training on Muscle Strength of Non-Hemorrhagic Stroke Patients in BIDDOKKES Polda Metro Jaya. Nurs Heal Sci J. 2021;1(1):74-77. doi:10.53713/nhs.v1i1.22
27. Faridah AA, Noor Istiqomah I, Kurnianto S, Khovifah N. The Effectiveness of Range of Motion (ROM) on Increasing Muscle Strength in Stroke Patients: Literature Review. Nurs Heal Sci J. 2022;2(2):137-142. doi:10.53713/nhs.v2i2.118
28. Barter PJ, Rye KA. High density lipoproteins and coronary heart disease. Atherosclerosis. 1996;121(1):1-12. doi:10.1016/0021-9150(95)05675-0
29. Ariyanti R, Besral B. Dyslipidemia Associated with Hypertension Increases the Risks for Coronary Heart Disease: A Case-Control Study in Harapan Kita Hospital, National Cardiovascular Center, Jakarta. J Lipids. 2019;2019:1-6. doi:10.1155/2019/2517013
30. Asztalos BF, Horvath K V, Schaefer EJ. HDL Particles, Cell-Cholesterol Efflux, and CHD Risk: The Preβ-1 Paradox HHS Public Access. Arter Thromb Vasc Biol. 2018;38(9):2007-2015. doi:10.1161/ATVBAHA.118.311117.HDL
31. Harahap EM. The Effect of Active Range of Motion (ROM) on Muscle Strength in Non-Hemorric Stroke Patients in The Physioteraphy Room of Imelda Pekerja Indonesia General Hospital, Medan City North Sumatera. J Aisyah J Ilmu Kesehat. 2021;6(4):859-864. doi:10.30604/jika.v6i4.1136
32. Hosseini ZS, Peyrovi H, Gohari M. The Effect of Early Passive Range of Motion Exercise on Motor Function of People with Stroke: a Randomized Controlled Trial. J Caring Sci. 2019;8(1):39-44. doi:10.15171/jcs.2019.006
33. Susanti S, Susanti S, BIstara DN. Pengaruh Range of Motion (ROM) terhadap Kekuatan Otot pada Pasien Stroke. J Kesehat Vokasional. 2019;4(2):112. doi:10.22146/jkesvo.44497
34. Anggriani A, Aini N, Sulaiman S. Efektivitas Latihan Range of Motion Pada Pasien Stroke Di Rumah Sakit Siti Hajar. J Healthc Technol Med. 2020;6(2):678. doi:10.33143/jhtm.v6i2.974
35. Reddy SN. Exercise & range of motion exercise. Heal Med. 2015;5(2):149-155.
36. Anggriani A, Zulkarnain Z, Sulaiman S, Gunawan R. Pengaruh Rom (Range Of Motion) Terhadap Kekuatan Otot Ekstremitas Pada Pasien Stroke Non Hemoragic. J Ris Hesti Medan Akper Kesdam I/BB Medan. 2018;3(2):64. doi:10.34008/jurhesti.v3i2.46
37. Purba SD, Sidiq B, Purba IK, et al. Efektivitas ROM (Range of Motion) terhadap Kekuatan Otot pada Pasien Stroke di Rumah Sakit Royal Prima Tahun 2021. JUMANTIK (Jurnal Ilm Penelit Kesehatan). 2022;7(1):79. doi:10.30829/jumantik.v7i1.10952
38. Rosamond W, Flegal K, Friday G, et al. Heart Disease and Stroke Statistics—2007 Update. Vol 115.; 2007. doi:10.1161/circulationaha.106.179918
39. Rahayu KIN. Pengaruh Pemberian Latihan Range Of Motion (Rom) Terhadap Kemampuan Motorik Pada Pasien Post Stroke Di Rsud Gambiran. J Keperawatan. 2015;6(2):102-107.
Penulis
Komul, M., Suharsono, S., & Pujiastuti, R. S. E. (2023). TOURMALINE MAGNETIC SOCKS DAN ROM AKTIF UNTUK MENINGKATAN KEKUATAN OTOT PASIEN STROKE NON HEMORAGIK. JURNAL RISET KESEHATAN POLTEKKES DEPKES BANDUNG, Online ISSN 2579-8103, 16(1), 21–34. https://doi.org/10.34011/juriskesbdg.v16i1.2431
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