CASE STUDY: APPLICATION OF ACTIVE RANGE OF MOTION (ROM) EXERCISES TO IMPROVE MUSCLE STRENGTH IN RHEUMATOID ARTHRITIS PATIENT
Abstract
Introduction: Rheumatoid arthritis is a disease that attacks the joints which can cause a decrease in muscle strength. To avoid a decrease in muscle strength, non-pharmacological treatment can be done by doing Range of Motion (ROM) exercises. Purpose: This case study aims to determine the increase in muscle strength in patients with rheumatoid arthritis after active ROM exercises. Methods: The method used is a case study using descriptive research. The subject of the study is one patient with rheumatoid arthritis. The focus of this study is on the application of evidence-based nursing in the form of active ROM exercises for 3 times in 3 consecutive days with a movement frequency of 10 times to patient with rheumatoid arthritis. Muscle strength assessment is carried out using Manual Muscle Testing (MMT) to see the results of the pre-test and post-test of the patient's muscle strength. Discussion: The results obtained after the patient underwent active ROM exercises were increased muscle strength. Active ROM exercises was able to increase muscle strength from 4/4/3/3 to 5/5/4/4. This shows that ROM exercises can be used as a therapy to increase muscle strength in patients with rheumatoid arthritis. Conclusion: Providing active ROM exercises can increase muscle strength in patients with rheumatoid arthritis.
References
Adawiyah, S. R., Nurwahyuni, E., & Aditama, D. (2023). Efektivitas Terapi ROM (Range Of Motion) Terhadap Peningkatan Kekuatan Otot Pada Pasien Lansia. Jurnal Ilmiah Multidisiplin Keilmuan Mandira Cendikia, 1(2), 7–10. https://journal.mandiracendikia.com/index.php/mdi/article/view/414
Anggriani, Zulkarnain, Sulaimani, & 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), 64–72. https://doi.org/https://doi.org/10.34008/jurhesti.v3i2.46
Arisandi. (2023). Buku Keperawatan Gerontik. PT Nasya Expanding Management.
Astuti, N. N. W. P., Kurniawati, D., & Mustaqimah. (2023). Studi Kejadian Efek Samping Pengobatan Rheumatoid Arthitis Pasien Rawat Jalan Di Rumah Sakit Ulin. Jurnal Farmasi Syifa, 1(2), 91–97. https://doi.org/https://doi.org/10.63004/jfs.v1i2.229
Azkia, Z., Setiyani, R., & Kusumawardani, L. H. (2021). Balance Strategy Exercise Versus Lower Limb-Rom Exercise for Reducing the Risk of Falls Among Older People. Nurse Media Journal of Nursing, 11(1), 114–123. https://doi.org/https://doi.org/10.14710/nmjn.v11i1.33229
Deane, K. D., & Holers, V. M. (2021). Rheumatoid Arthritis Pathogenesis, Prediction, and Prevention: An Emerging Paradigm Shift. Arthritis and Rheumatology, 73(2), 181–193. https://doi.org/10.1002/art.41417
Kavuncu, V., & Evcik, D. (2004). Physiotherapy in Rheumatoid Arthritis. Medscape General Medicine, 6(2).
Kemenkes RI. (2018). Hasil Riset Kesehatan Dasar Tahun 2018. https://repository.badankebijakan.kemkes.go.id/id/eprint/3514/1/Laporan Riskesdas 2018 Nasional.pdf
Nindawi, N., Susilawati, E. F., & Iszakiyah, N. (2021). Efektifitas Latihan Range Of Motion (ROM) Aktif terhadap Tonus Otot Ekstrimitas bawah dan Rentang Gerak Sendi pada Lansia. Wiraraja Medika : Jurnal Kesehatan, 11(1), 1–9. https://doi.org/https://doi.org/10.24929/fik.v11i1.1246
Nurbaya, S., Mutmainna, A., Isa, W. M. La, & Sumi, S. S. (2020). Pelatihan Range of Motion (ROM) pada Pasien Reumatoid Atritis di Desa Taraweang Kabupaten Pangkajene dan Kepulauan. Indonesian Journal of Community Dedication, 2(2), 54–58. https://jurnal.stikesnh.ac.id/index.php/community/article/view/343
Nurhayati, Atmojo, N. F. D., Ramli, R., Adhi, I. G. A. M., Ilmi, N., Putra, A. A., Udayani, N. W., & Sulistiyani, E. (2024). Range of Motion (ROM) Aktif Berpengaruh terhadap Peningkatan Kekuatan Otot pada Lansia dengan Rheumatoid Arthritis di Panti Sosial Lanjut Usia Mandalika NTB. Jurnal Ilmiah Ilmu Kesehatan, 10(1), 232–238.
Pertiwi, K. A., Hidayat, C. T., & Dewi, S. R. (2022). Hubungan Nyeri Rheumatoid Arthritis dengan Aktivitas Fisik pada Lansia di Puskesmas Rogotrunan Lumajang. Repository Unmuh Jember.
Pratiwi, J., & Hidayat, F. . (2020). Literature Review: Pengaruh Terapi Range of Motion (ROM) terhadap Kemandirian Lansia dalam Melakukan ADL di Panti Werdha. Borneo (BSR), 2(1), 34–40. https://journals.umkt.ac.id/index.php/bsr/article/view/1425
Setyawati, V. Y., & Retnasari, D. (2024). Penerapan Range of Motion pada Pasien Stroke Non Hemoragik dengan Gangguan Mobilitas Fisik. Jurnal Manajemen Asuhan Keperawatan, 8(1), 18–24. https://doi.org/https://doi.org/10.33655/mak.v8i1.179
Sianipar, N., Resmi, P., & Jemaulana, T. (2021). Pemenuhan Kebutuhan Aktivitas pada Lansia dengan Rheumatoid Rrthritis (RA) di UPT Pelayanan Lanjut Usia Binjai. Malahayati Health Student Journal, 1(3), 270–283.
Uda, H. D. H., Muflih, & Amigo, T. A. E. (2016). Latihan Range of Motion Berpengaruh Terhadap Mobilitas Fisik pada Lansia di Balai Pelayanan Sosial Tresna Werdha Unit Abiyoso Yogyakarta. Jurnal Ners Dan Kebidanan Indonesia, 4(3), 169–177. https://doi.org/http://dx.doi.org/10.21927/jnki.2016.4(3).169-177
Yamada, T., Steinz, M. M., Kenne, E., & Lanner, J. T. (2017). Muscle Weakness in Rheumatoid Arthritis: The Role of Ca2+ and Free Radical Signaling. EBioMedicine, 23, 12–19. https://doi.org/10.1016/j.ebiom.2017.07.023
Kampus keperawatan unsoed 
