Debi Dinha Octora
Universitas Mulawarman

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The Effect of Shaker Exercise Therapy on Dysphagia in Stroke Patients Admitted to the Intensive Care Unit (ICU) at Grandmed Hospital Lubuk Pakam Juni Mariati Simarmata; Debi Dinha Octora; Maita Sarah; Martina Evlyn Romauli Hutahaean
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 8 No. 2 (2026): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/27tc1v43

Abstract

Stroke patients frequently experience dysphagia due to impairment of the glossopharyngeal, vagus, and hypoglossal nerves, which consequently reduces swallowing function. Shaker exercise has been shown to improve swallowing disorders through isometric and isokinetic training that enhances the strength of the suprahyoid muscles in the neck via upward (elevation) and forward (protrusion) movements. This study aimed to analyze the effect of Shaker exercise therapy on dysphagia in stroke patients admitted to the Intensive Care Unit (ICU) at Grandmed Hospital Lubuk Pakam. This study employed a quantitative approach with a pre-experimental design using a one-group pre-test and post-test method. A total of 11 stroke patients were recruited using a total sampling technique. Dysphagia levels were measured before and after the administration of the Shaker exercise intervention. Data analysis was conducted using the Shapiro–Wilk normality test and the Paired T-test with a significance level of 0.05. The results indicated that prior to the intervention, the majority of respondents were in the low score category (20–80), accounting for 7 individuals (63.6%), while 4 respondents (36.4%) were in the high score category (81–100). Following the intervention, all respondents (100%) were classified in the high score category (81–100), with no participants remaining in the low category. The Paired T-test revealed a p-value of 0.000 (<0.05), indicating a statistically significant difference in dysphagia conditions before and after the intervention. In conclusion, Shaker exercise is significantly effective in reducing dysphagia among stroke patients. This improvement is attributed to the strengthening of the suprahyoid muscles, which enhances the opening of the esophageal sphincter and facilitates the passage of food into the lower digestive tract.
POJOK PENGABDIAN:UPAYA PENINGKATAN PENGETAHUAN DAN KESADARAN HIDUP SEHAT MELALUI PEMERIKSAAN DAN EDUKASI KESEHATAN DI PEMUKIMAN TPA BUKIT PINANG, SAMARINDA Fitri Ayu Wahyuni Fitri; Erfan Abdissalam; M.Wahyu Ariawan; Muh. Deni Kurniawan; Nur Zakiyah Darajat; Septiayu Dwi Hartienah; Bilqis Nurganiyu; Debi Dinha Octora; Nia Novranda Pertiwi; Dathin Aulia Delarosa; Dalifa Ramadhani
SUBSERVE: Community Service and Empowerment Journal Vol. 4 No. 2 (2026): Juli 2026
Publisher : Prime Identity Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Masalah kesehatan masyarakat masih menjadi tantangan utama di Indonesia, khususnya terkait penyakit tidak menular seperti hipertensi, diabetes melitus, hiperkolesterolemia, dan hiperurisemia. Rendahnya kesadaran masyarakat terhadap pemeriksaan kesehatan rutin menyebabkan banyak kasus penyakit terdeteksi pada stadium lanjut. Program pengabdian kepada masyarakat “Pojok Pengabdian” dilaksanakan sebagai upaya promotif dan preventif untuk meningkatkan pengetahuan serta kesadaran kesehatan masyarakat di kawasan TPA Bukit Pinang, Samarinda. Program ini dilaksanakan pada 23 November 2025 dengan tema “SEHATI: Sinergi Edukasi Hidup Sehat dengan Asupan Tepat Ibu dan Anak”. Metode yang digunakan meliputi pemeriksaan kesehatan dasar secara gratis berupa pengukuran tekanan darah, pemeriksaan gula darah, asam urat, dan berat badan, serta edukasi kesehatan secara langsung berdasarkan hasil pemeriksaan peserta. Evaluasi dilakukan menggunakan metode pre-test dan post-test terhadap 31 peserta. Hasil menunjukkan bahwa mayoritas peserta berjenis kelamin perempuan (74,2%) dengan rata-rata usia 42,6 tahun. Nilai rata-rata pre-test sebesar 8,00 meningkat menjadi 9,29 pada post-test. Temuan tersebut menunjukkan peningkatan pengetahuan masyarakat setelah diberikan edukasi kesehatan. Program pengabdian ini efektif dalam meningkatkan pemahaman masyarakat mengenai pentingnya deteksi dini penyakit dan penerapan pola hidup sehat.