Efektivitas ROM Aktif dan CIMT dalam Meningkatkan Fungsi Otot Ekstremitas Atas pada Pasien SNH di RSUD A.M. Parikesit

Non-hemorrhagic stroke (SNH) is a neurological condition that often causes impaired motor function, especially in the upper extremities. This dysfunction has an impact on the limitations of the patient's daily activities, such as eating, dressing, and taking care of themselves. To restore motor skills, appropriate and effective rehabilitative interventions are needed. One approach that has proven effective is a combination of active range of motion (ROM) training and Constraint Induced Movement Therapy (CIMT). This study aims to evaluate the effectiveness of a combination of active ROM therapy and CIMT on improving the ability to move the upper extremities muscles in SNH patients. This study uses a case study design conducted in the Intermediate Ward of A.M. Parikesit Tenggarong Hospital. The study subjects were an SNH patient who received an active ROM and CIMT intervention twice a day for 30 minutes each for five consecutive days. Evaluation of muscle ability was carried out using Manual Muscle Testing (MMT) and hand grip dynamometer as an accurate objective measuring tool. The measurement results showed an increase in the MMT score from 3 to 4 and an increase in hand grip strength from 2 kg to 3 kg. These findings suggest that the combination of active ROM therapy and CIMT contributes significantly to improved strength and mobility of the upper extremity muscles. This therapy can be an integral part of rehabilitative nursing interventions for non-hemorrhagic stroke patients in healthcare facilities, thereby improving the quality of life and the patient's independence in carrying out daily activities. It is recommended that this therapy be applied regularly and supported by periodic monitoring for optimal results.