Date Log
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Nursing Intervention with The Optimalisation of Progressive Muscle Relaxation (PMR) and Range of Motion (ROM) on Blood Pressure and The Functional Ability of Stroke Patient: Case Study
Corresponding Author(s) : Nurvita Risdiana
Proceedings Universitas Muhammadiyah Yogyakarta Undergraduate Conference,
Vol. 2 No. 2 (2022): Strengthening Youth Potential for Sustainable Innovation
Abstract
Introduction – Stroke is the second leading cause of death and the third leading cause of disability in the world and almost 13,7 million will have a stroke each year. Almost 2,1 million Indonesian people experiences stroke. Stroke will influence in functional ability such as hemiparesis or motoric dysfunction. Another pharmacology treatment, non-pharmacology also needed in this situation. The Progressive Muscle Relaxation (PMR) and Range of Motion (ROM) were both of non-pharmacology treatment which can improve the functional ability of stroke patient.
Purpose – The purpose of this study is to optimalisation of PMR and ROM on blood pressure and the functional ability of stroke patients.
Methodology/Approach – The method used is a case study in one patient with the history of hypertension. The instruments used in this report are a sphygmomanometer to measure blood pressure and a muscle strength scale to measure muscle strength in stroke patients. On the muscle strength scale, a value of 0 indicates complete paralysis and a value of 5 indicates normal muscle strength & normal full range of motion against resistance and full gravity.
Findings – There were improvement for functional ability of motoric dysfunction in stroke patients. These finding confirm that the combination between PMR and ROM improved the motoric dysfunction in stroke patients.
Originality – This study is an original study in patients with stroke
Keywords
Download Citation
Endnote/Zotero/Mendeley (RIS)BibTeX
- Akhriansyah, M. (2019). Pengaruh Progressive Muscle Relaxation (PMR) terhadap Penurunan Tekanan Darah pada Lansia Hipertensi di Panti Sosial Tresna Wherda Palembang Provinsi Sumatera Selatan Tahun 2018. Jurnal Ilmiah Universitas Batanghari Jambi, 19(1), 11. https://doi.org/10.33087/jiubj.v19i1.544
- Anggriani, A., Zulkarnain, Z., Sulaiman, S., & Gunawan, R. (2018). Pengaruh ROM (Range of Motion) Terhadap Kekuatan Otot Ekstremitas pada Pasien Stroke Non Hemoragic. Jurnal Riset Hesti Medan Akper Kesdam I/BB Medan, 3(2), 64. https://doi.org/10.34008/jurhesti.v3i2.46
- Arisjulyanto, D. (2018). The Effect of Progressive Muscle Relaxation Techniques to Decrease Blood Pressure for Patients with Hypertension in Mataram. Primary Health Care Open Access, 08(04), 10–13. https://doi.org/10.4172/2167-1079.1000309
- Arum, Y. T. G. (2019). Hipertensi pada Penduduk Usia Produktif (15-64 Tahun). Higeia Journal of Public Health Research and Development, 1(3), 84–94.
- Astuti, N. F., Rekawati, E., & Wati, D. N. K. (2019). Decreased Blood Pressure Among Community Dwelling Older Adults Following Progressive Muscle Relaxation and Music Therapy (RESIK). BMC Nursing, 18(Suppl 1), 1–5. https://doi.org/10.1186/s12912-019-0357-8
- Boehme, A. K., Esenwa, C., & Elkind, M. S. V. (2017). Stroke Risk Factors, Genetics, and Prevention. Circulation Research, 120(3), 472–495. https://doi.org/10.1161/CIRCRESAHA.116.308398
- Budi, H., & Bahar, I. (2017). Faktor Resiko Stroke Hemorragic Pada Pasien Usia Produktif. Jurnal Sehat Mandiri, 12(2), 29–36.
- Cahyati, Y., Rosdiana, I., & Kartilah, T. (2018). The Influence of Structured ROM Exercise and Progressive Muscle Relaxation (PMR) Exercise on The Functional Ability of Stroke Patients. The Malaysian Journal of Nursing, 10(02), 113–119. https://doi.org/10.31674/mjn.2018.v10i02.014
- Feigin, V. L., Norrving, B., & Mensah, G. A. (2017). Global Burden of Stroke. Circulation Research, 120(3), 439–448. https://doi.org/10.1161/CIRCRESAHA.116.308413
- Hathidara, M. Y., Saini, V., & Malik, A. M. (2019). Stroke in The Young: a Global Update. Current Neurology and Neuroscience Reports, 19(11). https://doi.org/10.1007/s11910-019-1004-1
- Herawati, I., & Azizah, S. N. (2016). Effect of Progressive Muscle Relaxation Exercise To Decrease Blood Pressure for Patients with Primary Hypertension. International Conference on Health and Well-Being (ICHWB), 405–412.
- Kemenkes, R. (2019). Infodatin Pusat Data Informasi Kementerian Kesehatan RI. In Riset Kesehatan Dasar.
- Kuriakose, D., & Xiao, Z. (2020). Pathophysiology and Treatment of Stroke: Present Status and Future Perspective. International Journal of Molecular Sciences, 21(20), 1–24.
- Lee, H. J., Jang, S. I., & Park, E. C. (2017). Effect of Adherence to Antihypertensive Medication on Stroke Incidence in Patients with Hypertension: A Population-Based Retrospective Cohort Study. BMJ Open, 7(6), 1–8. https://doi.org/10.1136/bmjopen-2016-014486
- Lopes, S., Mesquita-Bastos, J., Alves, A. J., & Ribeiro, F. (2018). Exercise as A Tool for Hypertension and Resistant Hypertension Management: Current Insights. Integrated Blood Pressure Control, 11, 65–71. https://doi.org/10.2147/IBPC.S136028
- Mekonen, H. H., Birhanu, M. M., Mossie, T. B., & Gebreslassie, H. T. (2020). Factors Associated with Stroke Among Adult Patients with Hypertension in Ayder Comprehensive Specialized Hospital, Tigray, Ethiopia, 2018: A Case-Control Study. PLoS ONE, 15(2), 1–10. https://doi.org/10.1371/journal.pone.0228650
- Murphy, S. J., & Werring, D. J. (2020). Stroke: Causes and Clinical Features. Medicine (United Kingdom), 48(9), 561–566. https://doi.org/10.1016/j.mpmed.2020.06.002
- Pamungkas, R. A., Kirana, W., & Florensa, F. (2016). Relaxation Progressive Muscle Program on Exercise Behavior and Clinical Outcomes among Hypertension Patients. International Journal of Public Health Science (IJPHS), 5(4), 400. https://doi.org/10.11591/.v5i4.4842
- Phipps, M. S., & Cronin, C. A. (2020). Management of Acute Ischemic Stroke. The BMJ, 368. https://doi.org/10.1136/bmj.l6983
- Prabowo, A., & Nisak, R. (2020). Penerapan Range Of Motion (ROM) Pada Penderita Stroke: Studi Kasus. CAKRA MEDIKA Media Publikasi Penelitian, 7(1), 23–28.
- Rahmawati, P., Musviro, & Diviantony, F. (2018). Efektifitas Progressive Muscle Relaxation (PMR) Terhadap Penurunan Tekanan Darah Pada Penderita Hipertensi. Paper Knowledge . Toward a Media History of Documents, September.
- Rosdiana, I., & Cahyati, Y. (2019). Effect of Progressive Muscle Relaxation (PMR) on Blood Pressure Among Patients With Hypertension. International Journal of Advancement in Life Sciences Research, 2(1), 28–35. https://doi.org/10.31632/ijalsr.2019v02i01.005
- Roy-O’Reilly, M., & McCullough, L. D. (2018). Age and Sex are Critical Factors in Ischemic Stroke Pathology. Endocrinology, 159(8), 3120–3131. https://doi.org/10.1210/en.2018-00465
- Sabar, S., & Lestari, A. (2020). Efektifitas Latihan Progressive Muscle Relaxation Terhadap Penurunan Tekanan Darah Pada Pasien Hipertensi Di Makassar. Jurnal Ilmiah Kesehatan Pencerah, 09(1), 1–9.
- Sahin, G., & Basak, T. (2020). The Effects of Intraoperative Progressive Muscle Relaxation and Virtual Reality Application on Anxiety, Vital Signs, and Satisfaction: A Randomized Controlled Trial. Journal of Perianesthesia Nursing, 35(3), 269–276. https://doi.org/10.1016/j.jopan.2019.11.002
- Singh, S., Shankar, R., & Singh, G. (2017). Prevalence and Associated Risk Factors of Hypertension: A Cross-Sectional Study in Urban Varanasi. International Journal of Hypertension, 4, 2178–2200. https://doi.org/10.1155/2017/5491838
- HO. (2021). More Than 700 Million People with Untreated Hypertension. https://www.who.int/news/item/25-08-2021-more-than-700-million-people-with-untreated-hypertension
- Wist, S., Clivaz, J., & Sattelmayer, M. (2016). Muscle Strengthening for Hemiparesis After Stroke: A Meta-Analysis. Annals of Physical and Rehabilitation Medicine, 59(2), 114–124. https://doi.org/10.1016/j.rehab.2016.02.001
- WSO. (2022). WSO Global Stroke Fact Sheet 2022. https://www.world-stroke.org/news-and-blog/news/wso-global-stroke-fact-sheet-2022
References
Akhriansyah, M. (2019). Pengaruh Progressive Muscle Relaxation (PMR) terhadap Penurunan Tekanan Darah pada Lansia Hipertensi di Panti Sosial Tresna Wherda Palembang Provinsi Sumatera Selatan Tahun 2018. Jurnal Ilmiah Universitas Batanghari Jambi, 19(1), 11. https://doi.org/10.33087/jiubj.v19i1.544
Anggriani, A., Zulkarnain, Z., Sulaiman, S., & Gunawan, R. (2018). Pengaruh ROM (Range of Motion) Terhadap Kekuatan Otot Ekstremitas pada Pasien Stroke Non Hemoragic. Jurnal Riset Hesti Medan Akper Kesdam I/BB Medan, 3(2), 64. https://doi.org/10.34008/jurhesti.v3i2.46
Arisjulyanto, D. (2018). The Effect of Progressive Muscle Relaxation Techniques to Decrease Blood Pressure for Patients with Hypertension in Mataram. Primary Health Care Open Access, 08(04), 10–13. https://doi.org/10.4172/2167-1079.1000309
Arum, Y. T. G. (2019). Hipertensi pada Penduduk Usia Produktif (15-64 Tahun). Higeia Journal of Public Health Research and Development, 1(3), 84–94.
Astuti, N. F., Rekawati, E., & Wati, D. N. K. (2019). Decreased Blood Pressure Among Community Dwelling Older Adults Following Progressive Muscle Relaxation and Music Therapy (RESIK). BMC Nursing, 18(Suppl 1), 1–5. https://doi.org/10.1186/s12912-019-0357-8
Boehme, A. K., Esenwa, C., & Elkind, M. S. V. (2017). Stroke Risk Factors, Genetics, and Prevention. Circulation Research, 120(3), 472–495. https://doi.org/10.1161/CIRCRESAHA.116.308398
Budi, H., & Bahar, I. (2017). Faktor Resiko Stroke Hemorragic Pada Pasien Usia Produktif. Jurnal Sehat Mandiri, 12(2), 29–36.
Cahyati, Y., Rosdiana, I., & Kartilah, T. (2018). The Influence of Structured ROM Exercise and Progressive Muscle Relaxation (PMR) Exercise on The Functional Ability of Stroke Patients. The Malaysian Journal of Nursing, 10(02), 113–119. https://doi.org/10.31674/mjn.2018.v10i02.014
Feigin, V. L., Norrving, B., & Mensah, G. A. (2017). Global Burden of Stroke. Circulation Research, 120(3), 439–448. https://doi.org/10.1161/CIRCRESAHA.116.308413
Hathidara, M. Y., Saini, V., & Malik, A. M. (2019). Stroke in The Young: a Global Update. Current Neurology and Neuroscience Reports, 19(11). https://doi.org/10.1007/s11910-019-1004-1
Herawati, I., & Azizah, S. N. (2016). Effect of Progressive Muscle Relaxation Exercise To Decrease Blood Pressure for Patients with Primary Hypertension. International Conference on Health and Well-Being (ICHWB), 405–412.
Kemenkes, R. (2019). Infodatin Pusat Data Informasi Kementerian Kesehatan RI. In Riset Kesehatan Dasar.
Kuriakose, D., & Xiao, Z. (2020). Pathophysiology and Treatment of Stroke: Present Status and Future Perspective. International Journal of Molecular Sciences, 21(20), 1–24.
Lee, H. J., Jang, S. I., & Park, E. C. (2017). Effect of Adherence to Antihypertensive Medication on Stroke Incidence in Patients with Hypertension: A Population-Based Retrospective Cohort Study. BMJ Open, 7(6), 1–8. https://doi.org/10.1136/bmjopen-2016-014486
Lopes, S., Mesquita-Bastos, J., Alves, A. J., & Ribeiro, F. (2018). Exercise as A Tool for Hypertension and Resistant Hypertension Management: Current Insights. Integrated Blood Pressure Control, 11, 65–71. https://doi.org/10.2147/IBPC.S136028
Mekonen, H. H., Birhanu, M. M., Mossie, T. B., & Gebreslassie, H. T. (2020). Factors Associated with Stroke Among Adult Patients with Hypertension in Ayder Comprehensive Specialized Hospital, Tigray, Ethiopia, 2018: A Case-Control Study. PLoS ONE, 15(2), 1–10. https://doi.org/10.1371/journal.pone.0228650
Murphy, S. J., & Werring, D. J. (2020). Stroke: Causes and Clinical Features. Medicine (United Kingdom), 48(9), 561–566. https://doi.org/10.1016/j.mpmed.2020.06.002
Pamungkas, R. A., Kirana, W., & Florensa, F. (2016). Relaxation Progressive Muscle Program on Exercise Behavior and Clinical Outcomes among Hypertension Patients. International Journal of Public Health Science (IJPHS), 5(4), 400. https://doi.org/10.11591/.v5i4.4842
Phipps, M. S., & Cronin, C. A. (2020). Management of Acute Ischemic Stroke. The BMJ, 368. https://doi.org/10.1136/bmj.l6983
Prabowo, A., & Nisak, R. (2020). Penerapan Range Of Motion (ROM) Pada Penderita Stroke: Studi Kasus. CAKRA MEDIKA Media Publikasi Penelitian, 7(1), 23–28.
Rahmawati, P., Musviro, & Diviantony, F. (2018). Efektifitas Progressive Muscle Relaxation (PMR) Terhadap Penurunan Tekanan Darah Pada Penderita Hipertensi. Paper Knowledge . Toward a Media History of Documents, September.
Rosdiana, I., & Cahyati, Y. (2019). Effect of Progressive Muscle Relaxation (PMR) on Blood Pressure Among Patients With Hypertension. International Journal of Advancement in Life Sciences Research, 2(1), 28–35. https://doi.org/10.31632/ijalsr.2019v02i01.005
Roy-O’Reilly, M., & McCullough, L. D. (2018). Age and Sex are Critical Factors in Ischemic Stroke Pathology. Endocrinology, 159(8), 3120–3131. https://doi.org/10.1210/en.2018-00465
Sabar, S., & Lestari, A. (2020). Efektifitas Latihan Progressive Muscle Relaxation Terhadap Penurunan Tekanan Darah Pada Pasien Hipertensi Di Makassar. Jurnal Ilmiah Kesehatan Pencerah, 09(1), 1–9.
Sahin, G., & Basak, T. (2020). The Effects of Intraoperative Progressive Muscle Relaxation and Virtual Reality Application on Anxiety, Vital Signs, and Satisfaction: A Randomized Controlled Trial. Journal of Perianesthesia Nursing, 35(3), 269–276. https://doi.org/10.1016/j.jopan.2019.11.002
Singh, S., Shankar, R., & Singh, G. (2017). Prevalence and Associated Risk Factors of Hypertension: A Cross-Sectional Study in Urban Varanasi. International Journal of Hypertension, 4, 2178–2200. https://doi.org/10.1155/2017/5491838
HO. (2021). More Than 700 Million People with Untreated Hypertension. https://www.who.int/news/item/25-08-2021-more-than-700-million-people-with-untreated-hypertension
Wist, S., Clivaz, J., & Sattelmayer, M. (2016). Muscle Strengthening for Hemiparesis After Stroke: A Meta-Analysis. Annals of Physical and Rehabilitation Medicine, 59(2), 114–124. https://doi.org/10.1016/j.rehab.2016.02.001
WSO. (2022). WSO Global Stroke Fact Sheet 2022. https://www.world-stroke.org/news-and-blog/news/wso-global-stroke-fact-sheet-2022