Effectiveness of Passive Rom on Muscle Strength of Patients With Hemiplegia at Ginowan Memorial Hospital, Japan
DOI:
https://doi.org/10.37287/picnhs.v6i2.1018Keywords:
hemiplegia, manual muscle testing (MMT), muscle strength, passive range of motion (ROM), strokeAbstract
Hemiplegia is a condition of paralysis on one side of the body, generally caused by stroke, and significantly impacts motor skills and quality of life. One rehabilitation intervention used to improve muscle strength and mobility in hemiplegic patients is passive Range of Motion (ROM) exercises. This study aims to identify the effectiveness of passive ROM on muscle strength in hemiplegic patients at Ginowan Memorial Hospital, Japan. The method used is a descriptive case study of two hemiplegic patients selected by accidental sampling. The passive ROM intervention was carried out for three days, twice daily for 15-20 minutes. Muscle strength evaluation was carried out using a standardized Manual Muscle Testing (MMT) scale that has been proven valid and reliable in measuring muscle strength, both before and after the intervention. The results of the study showed an increase in MMT scores from 0 to 2 in the upper and lower extremities with paralysis, indicating that the intervention in the form of passive Range of Motion (ROM) exercises was effective in increasing muscle strength in hemiplegia patients. These findings contribute to rehabilitation nursing practice and can be used as a basis for the routine implementation of passive ROM interventions in hemiplegia care.
References
Smith, J., Brown, A., & Lee, K. (2018). Hemiplegia and its impact on motor function: A clinical review. Journal of Neurological Sciences, 385, 45-52. https://doi.org/10.1016/j.jns.2017.12.012
Agusrianto, A., & Rantesigi, N. (2020). Application of Passive Range of Motion (ROM) Exercises to Increase the Strength of the Limb Muscles in Patients with Stroke Cases. Journal of Health Sciences (IF), 2(2), 61–66. https://doi.org/10.36590/jika.v2i2.48
Agustin, T., Susanti, I. H., & Sumarni, T. (2022). Implementation of the Use of Range of Motion (ROM) on Muscle Strength in Non-Hemorrhagic Stroke Clients.
Anggraeni Dwi, 1Siti Maryati, 2Siswanto. (2022). APPLICATION OF RANGE OF MOTION (ROM) EXERCISES IN STROKE PATIENTS. https://jurnal.stikesbethesda.ac.id/index.php/p/article/view/370
Ardilla, R., Febriana, D., Study of Professional Education for Nurses, P., Nursing, F., Syiah Kuala, U., Gerontic Nursing Science, B., & Article, R. (2024). Range of Motion (ROM) Therapy in Elderly Patients Post Stroke and Hip Fracture. Journal of Community Health Services, 4(2), 55–65. http://jurnal.uinsu.ac.id/index.php/shihatuna/index
Ayundari Setiawan, P., Author, C., Study of Medical Education, P., Medicine, F., & Lampung, U. (2021). DIAGNOSIS AND MANAGEMENT OF HEMORRHAGIC STROKE. http://jurnalmedikahutama.com
Benjamin, E. J., Virani, S. S., Callaway, C. W., Chamberlain, A. M., Chang, A. R., Cheng, S., Chiuve, S. E., Cushman, M., Delling, F. N., Deo, R., De Ferranti, S. D., Ferguson, J. F., Fornage, M., Gillespie, C., Isasi, C. R., Jiménez, M. C., Jordan, L. C., Judd, S. E., Lackland, D., … Muntner, P. (2018). Heart disease and stroke statistics - 2018 update: A report from the American Heart Association. Circulation, 137(12), E67–E492. https://doi.org/10.1161/CIR.0000000000000558
Febrianti Sonia Gandi1, I. A. T. U. (2024). Physiotherapy Management of Hemorrhagic Stroke Patients at Roujin Home, Japan. Jurnal ILKES (Journal of Health Sciences), 15(1), 51–60.
Fitrah Akadji, N., Pakaya, N., Mursyidah, A., & Riset, A. (2025). The Effect of Bridging Exercise on Changes in Muscle Strength in Stroke Patients at Toto Kabila Regional Hospital. Jurnal Kolaboratif Sains, 8(7), 4693–4705. https://doi.org/10.56338/jks.v8i7.8281
Ismail, S., Pramanasari, S., & Ismail, R. (2024). The Use of Technology in Measuring Muscle Strength in Critically Ill Patients: A Scoping Review. Holistic Health Journal, 18(1), 54–64. https://doi.org/10.33024/hjk.v18i1.218
Jamaludin, D. J., Kusumaningsih, D. K., & Prasetyo, H. P. (2022). The Effectiveness of Passive ROM on Muscle Tone in Post-Extremity Fracture Surgery Patients in Bekri District, Central Lampung. JOURNAL OF CREATIVITY AND COMMUNITY SERVICE (PKM), 5(10), 3627–3639. https://doi.org/10.33024/jkpm.v5i10.7329
Kothandapani, K., Sethuraman, S., Kalaichandran, K., & Subbiah, S. (2025). Efficacy of Inhibition Techniques for Children with Infantile Hemiplegia: Pediatric Rehabilitation. International Journal of Environmental Sciences, 11(15), 2025. https://doi.org/10.64252/zyw9xv37
McGlinchey, M. P., James, J., McKevitt, C., Douiri, A., & Sackley, C. (2020). The effect of rehabilitation interventions on physical function and immobility-related complications in severe stroke: A systematic review. In BMJ Open (Vol. 10, Number 2). BMJ Publishing Group. https://doi.org/10.1136/bmjopen-2019-033642
M. Khalid Fredy Saputra, H.E.F.M.H.N.E.R.M.S.V.S.A.M.A.Y.S.A. (2023). NURSING METHODOLOGY (N.S.S. Pd., M.B.: Dr. Neila Sulung, Ed.; 1st ed.). CV. GETPRESS INDONESIA.
Muhammad Aldo Aditama 1, U.M. (2024). Management of Physical Mobility Impairments in Hemiparesis Patients with Non-Hemorrhagic Stroke (Vol. 2, Number 1). http://jurnal.unw.ac.id/index.php/JKBS
Mumpuni, M., Nuraeni, A., Maidawilis, M., & Nurulhuda, U. (2022). The Effectiveness of Family Accompaniment For ROM Exercise Upon Elderly Post Stroke Patients With Hemiplegia. Journal of Social Science, 3(5), 929–943. https://doi.org/10.46799/jss.v3i5.365
Murata, C., Kataoka, H., Aoki, H., Nakashima, S., Nakagawa, K., Goto, K., Yamashita, J., Okita, S., Takahashi, A., Honda, Y., Sakamoto, J., & Okita, M. (2023). The Relationship between Physical Activity and Limited Range of Motion in the Older Bedridden Patients. Canadian Geriatrics Journal, 26(1), 1–8. https://doi.org/10.5770/cgj.26.627
Nuryanti, A. (n.d.). Trial of A Medical-Surgical Nursing Assessment Instrument Based on the Gordon Functional Health Pattern.
Pinzone Rizaldy Taslim. (2016). Awas Stroke (1st ed.). Betha Grafika Yogyakarta.
Reza Nur Arsyi*1, A. F. N. 2, M. L. G. A. A. K. E. F. M. P. R. W. N. A. A. (2024). Occupational Therapy in Stroke: A Case Study Using the Bobath Frame of Reference and Task-Oriented Approach. Indonesian Journal of Applied Physiotherapy, 3(1), 1–9. https://doi.org/10.7454/jfti.v3i1.1098
Sarila Ningrum, M., Diploma Three Physiotherapy Study, Faculty of Health and Medical Engineering, P., & Widya Husada Semarang, U. (2024). CASE STUDY: PHYSIOTHERAPY MANAGEMENT OF SINISTIC HEMIPLEGIA E.C. NON-HEMORRHAGIC STROKE WITH EXERCISE THERAPY. INDONESIAN JOURNAL OF HEALTH RESEARCH INNOVATION (IJHRI), 1(3), 127–132. https://journal.ymci.my.id/index.php/ijhri/index
Shinta Kusuma and Oktavia Sara, Ngesti Waluyo Nursing Academy, Central Java, A. (2020). IMPLEMENTATION OF PASSIVE RANGE OF MOTION (ROM) EXERCISES AS EARLY AS POSSIBLE IN NON-HEMORAGIC STROKE (NHH) PATIENTS. 5(10). https://doi.org/10.36418/syntax-literate.v5i10.1706
Siti Hanifah, Z., Siti Ulfah Rifa'atul Fitri, & Urip Rahayu. (2024). Application of Passive ROM Exercises to Extremity Muscle Strength Levels in Hemorrhagic Stroke Patients: A Case Study. Jurnal Medika Nusantara, 2(3), 77–90. https://doi.org/10.59680/medika.v2i3.1224
Trangono Yudo Utomo. (2024). Stroke Textbook (Ardyan Arya Hayuwaskita & Nadhifa Khairushifa, Ed.; 1st ed.). eureka literary media.
Tri, D., Fitri, S., Lubis, Z. I., & Dewi Fransiska, T. (2025). ADMINISTRATION OF NEW BOBATH CONCEPT TO ELDERLY WITH HEMIPARESE SINISTRA ET CAUSA POST ISCHEMIC STROKE: CASE REPORT. 2.
Varma, A., Khan, N. R., Varma, A., Sharma, N. S., Vagha, J. D., Naqvi, W. M., & Besekar, S. (2023). Pediatric Patients With Hemiplegia: A Systematic Review of a Randomized Controlled Trial. Cureus. https://doi.org/10.7759/cureus.34074
Yamlean, M., Ropyanto, C. B., & Handayani, F. (2021). ROM Therapy on Muscle Strength in Post Stroke Patients: Scoping Review. Indonesian Journal of Global Health Research, 3(1), 43–50. https://doi.org/10.37287/ijghr.v3i1.314
Yulia Yunara, B. G. A. N. I. Ach. M. G. V. F. D. U. S. S. R. (2025). NURSING THEORY IN PRACTICE: A Holistic Approach to Elderly Patients with Stroke (Manuscript Editor, Cover Designer, Layout Designer: Achmad Wahdi; Dewa Publishing Team; Dewa Publishing Team, Ed.; 1st ed.). CV. Dewa Publishing.
Yuliana, T., Mahmudah, atul, Palimbo, A., Rahmat Santoso, B., Undergraduate Nursing Study, P., Health Sari Mulia University Jl Pramuka No, F., Luar, P., Timur, B., Selatan, K., Undergraduate Midwifery Study, P., Health Sari Mulia University, F., Pramuka No, J., & Professional Nurse Education Study, P. (2025). Relationship Between Family Knowledge Level And The Incidence Of Repeated Attacks In Stroke Patients. Journal of Professional Nurse Research, 7(2), 525–534. http://jurnal.globalhealthsciencegroup.com/index.php/JPPP.
