Case Study: Application of Passive Range of Motion (ROM) to Increase Muscle Strength in Elderly People with Stroke

Abstract

Stroke is the second leading cause of death and the third leading cause of physical disability in the world. In Indonesia alone, 2.1 million stroke cases occurred in 2018, and 12.2% of all these cases occurred in DKI Jakarta. Stroke is a type of Cerebro Vascular Accident (CVA) which causes the supply and flow of blood to parts of the brain to be disrupted and causes the death of cells in parts of the brain. One therapy that can be given to stroke sufferers to increase muscle strength is passive range of motion (ROM) exercises. Passive ROM is body movement exercises that patients do with assistance in every movement or are not yet able to move themselves. This study aims to identify the level of muscle strength in elderly people with non-hemorrhagic stroke after Passive ROM intervention. This research method is a case study on 3 respondents with the application of Passive ROM intervention for 20 minutes. This intervention was carried out twice a day, every morning and evening for 6 consecutive days at each respondent's home in the Slipi. This research instrument uses muscle strength assessment with the Manual Muscle Test (MMT) which is observed every day. The results of the passive ROM therapy case study research showed that the three respondents experienced an increase in muscle strength by one level on the muscle strength scale, so it can be concluded that passive ROM therapy has an effect on increasing muscle strength in elderly people with non-hemorrhagic stroke.