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All Journal Jurnal Kreativitas PKM Jurnal Peduli Masyarakat Community Development Journal: Jurnal Pengabdian Masyarakat Indonesian Journal of Global Health research Journal of Applied Nursing and Health Nurse and Holistic Care Literasi Kesehatan Husada: Jurnal Informasi Ilmu Kesehatan Jurnal Akselerasi Merdeka Belajar dalam Pengabdian Orientasi Masyarakat (Jurnal AMPOEN) Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery) Journal of Indonesian Public Health Service
Wijayanti, Lono
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Journal : Literasi Kesehatan Husada: Jurnal Informasi Ilmu Kesehatan

 1 
EFFECT OF COMBINED BOBATH AND BALANCE EXERCISE THERAPY ON PHYSICAL MOBILITY IMPROVEMENT IN STROKE PATIENTS: A CASE STUDY Sulistiyawati, Sri; Septianingrum , Yurike; Soleha, Umdatus; Wijayanti, Lono
Literasi Kesehatan Husada: Jurnal Informasi Ilmu Kesehatan Vol 9 No 2 (2025): Volume 9 Issue 2, June 2025, Literasi Kesehatan Husada: Jurnal Informasi Ilmu Kes
Publisher : Library Unit collaborates with the Institute for Research and Community Service, College of Health Sciences Husada Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60050/lkh.v9i2.72

Abstract

Background: Stroke emerged as a serious global health problem, ranking as the leading cause of disability and the second leading cause of death worldwide. The most common impact of stroke was impaired physical mobility, especially with damage to the brain's motor centers or nerve pathways controlling body movements. In stroke patients, this disorder could appear directly after an acute attack and persist into the rehabilitation phase if not treated properly. One intervention to address physical mobility disorders in stroke patients was the application of a combination of Bobath therapy and balance exercises to accelerate motor function recovery, prevent immobilization complications, and increase patient independence. Objectives: This case study aims to analyze the effectiveness of the application of the combination of Bobath therapy and Balance exercise on physical mobility disorders in stroke patients. Methods: This study is a case study of a description of one stroke patient in Mrs. S in the Arjuna Room of Bhakti Dharma Husada Hospital Surabaya by using a descriptive nursing process with an approach to describe in depth the application of the intervention to the patient. Results: The implementation of a nursing intervention in the form of a combination of Bobath therapy and balance exercise who experienced physical mobility impairment due to non-hemorrhagic stroke for six days showed positive results. Conclusion: The increase in muscle strength can be seen from the patient's ability to maintain posture, transition from lying down to sitting to standing, and show better stability during balance exercises.
EVALUATION OF DISCHARGE READINESS IN A PATIENT WITH SECONDARY STROKE: A CASE STUDY Kadir, Afrizal Nur; Septianingrum, Yurike; Wijayanti, Lono
Literasi Kesehatan Husada: Jurnal Informasi Ilmu Kesehatan Vol 9 No 2 (2025): Volume 9 Issue 2, June 2025, Literasi Kesehatan Husada: Jurnal Informasi Ilmu Kes
Publisher : Library Unit collaborates with the Institute for Research and Community Service, College of Health Sciences Husada Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60050/lkh.v9i2.73

Abstract

Background: Early readmission in stroke survivors remains a critical issue, particularly in patients with mild initial symptoms but who experience early recurrence within a short period. Evaluating both patient and caregiver readiness for discharge is essential to improve home care outcomes and prevent avoidable hospitalizations. Objectives: This case study aims to assess discharge readiness in a post-stroke patient and their caregiver using the PATH-s instrument and examine its implications for readmission prevention. Methods: A descriptive single-case study was conducted involving a 66-year-old male with a secondary ischemic stroke within 30 days of the initial attack. Data were collected via clinical records and interviews. Discharge readiness was evaluated using the Preparedness Assessment for the Transition Home after Stroke (PATH-s) instrument, consisting of 25 items. The assessment was guided through a structured interview due to the patient's limited ability to self-complete the questionnaire. Results: The PATH-s assessment yielded a total score of 69 out of 100, indicating a moderate level of discharge readiness. The average score per item was 2.67 out of 4, suggesting a need for additional support in specific areas. The domains identified for improvement included financial capacity, home and transportation accessibility, long-term prognosis, and patient insight about stroke. Conclusion: Evaluating discharge readiness in the patient and family caregiver helped increase awareness of home care limitations and guided appropriate nursing interventions. These findings highlight the value of structured assessments like PATH-s in supporting clinical decision-making and individualized discharge planning.
PENERAPAN RANGE OF MOTION (ROM) KOMBINASI HEAD OF BED PADA PASIEN STROKE ISKEMIK DENGAN MASALAH KEPERAWATAN GANGGUAN MOBILITAS FISIK DI RUMAH SAKIT SURABAYA Ernawati, Yayuk; Septianingrum, Yurike; Wijayanti, Lono; Soleha, Umdatus
Literasi Kesehatan Husada: Jurnal Informasi Ilmu Kesehatan Vol 9 No 2 (2025): Volume 9 Issue 2, June 2025, Literasi Kesehatan Husada: Jurnal Informasi Ilmu Kes
Publisher : Library Unit collaborates with the Institute for Research and Community Service, College of Health Sciences Husada Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60050/lkh.v9i2.74

Abstract

Background: Stroke patients often experience hemiplegia or hemiparesis. Proper treatment can help the healing and recovery process. Objectives: This study aims to provide an overview of the implementation of the combination of Range of Motion (ROM) and Head of Bed (HOB) Elevation in ischemic stroke patients with impaired physical mobility in patient Mrs. L in Room Y, Surabaya Hospital. Methods: This type of research is descriptive, using a case study approach. Nursing care was provided from June 4 - June 6, 2025. The results of the assessment on Mrs. L had a stroke with hemiparesis. The nursing problems obtained were decreased intracranial adaptive capacity, impaired physical mobility, and risk of falling. The interventions given were head up 30 ⁰, Range of Motion, and education of patients falling. Results: The application of a combination of Range of Motion and Head of bed elevation with impaired physical mobility significantly helps the healing and recovery process in stroke infarction patients. Conclusion: Evaluation of nursing problems shows that the nursing diagnosis of decreased intracranial adaptive capacity and impaired physical mobility is partially resolved with increased muscle strength from 1 to 2 and increased range of motion, and the patient does not fall.
MOTOR IMAGERY TRAINING FOR MOTOR RECOVERY IN LEFT HEMIPARESIS POST-STROKE: A SHORT-TERM CASE STUDY Taufiq, Isa; Septianingrum, Yurike; Soleha, Umdatus; Wijayanti, Lono
Literasi Kesehatan Husada: Jurnal Informasi Ilmu Kesehatan Vol 9 No 2 (2025): Volume 9 Issue 2, June 2025, Literasi Kesehatan Husada: Jurnal Informasi Ilmu Kes
Publisher : Library Unit collaborates with the Institute for Research and Community Service, College of Health Sciences Husada Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60050/lkh.v9i2.76

Abstract

Background: Stroke remains one of the leading causes of long-term disability worldwide, with hemiparesis being the most common motor deficit. Hemiparesis on the dominant side, such as sinistra hemiparesis, greatly impairs daily function. Motor Imagery Training (MIT) is a cognitive-based therapeutic approach that stimulates motor-related cortical areas through mental rehearsal of movement, offering a non-invasive, low-cost intervention to promote neuroplasticity during stroke rehabilitation. Objectives: This case study aims to evaluate the short-term effects of a 4-day Motor Imagery Training intervention on a post-stroke patient with hemiparesis sinistra, focusing on motor function improvement and cognitive engagement. Methods: Mrs SA, a 66-year-old female with a history of uncontrolled hypertension and prior stroke, presented with left-side weakness, facial asymmetry. The patient underwent MIT sessions for four consecutive days (30 minutes/day), guided by auditory scripts and visual imagery techniques targeting upper limb function. Motor performance was evaluated using the Fugl-Meyer Assessment for Upper Extremity (FMA-UE) and the Medical Research Council (MRC) scale. Results: After four MIT sessions, the patient demonstrated improved motor strength (MRC 4-/5), increased FMA-UE score from 29 to 36, and enhanced focus and engagement. Subjectively, the patient reported increased motivation and perceived movement initiation. These findings suggest early cortical activation and functional gains, even within a limited intervention period. Conclusion: This case supports existing evidence on the effectiveness of MIT in promoting neurofunctional recovery in stroke rehabilitation. Despite its brief duration, MIT contributed meaningfully to motor recovery and psychological readiness. Motor imagery is feasible for early rehabilitation and can be tailored to settings with limited resources.
CASE STUDY OF THE DUAL EFFECTIVENESS OF ROM AND RUBBER BALL HANDHELD ON THE RECOVERY OF MOBILITY OF ISCHEMIC STROKE PATIENTS Herawati, Netti; Septianingrum , Yurike; Wijayanti, Lono
Literasi Kesehatan Husada: Jurnal Informasi Ilmu Kesehatan Vol 9 No 3 (2025): Volume 9 Issue 3, October 2025, Literasi Kesehatan Husada: Jurnal Informasi Ilmu
Publisher : Library Unit collaborates with the Institute for Research and Community Service, College of Health Sciences Husada Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60050/lkh.v9i3.77

Abstract

Background: Stroke is a serious global health issue, ranking as the leading cause of disability and the second leading cause of death worldwide. One of the most common impacts of stroke is impaired physical mobility, particularly when damage occurs to the brain's motor centers or neural pathways that control body movement. In stroke patients, this impairment can manifest immediately after the acute phase and persist into the rehabilitation phase if not properly addressed. One effective intervention to overcome physical mobility problems in stroke patients is the application of a combination of Range of Motion (ROM) exercises and rubber ball gripping therapy. This approach not only accelerates motor function recovery but also prevents complications due to immobility and enhances patient independence. Objectives: This study aimed to analyze the application of combined ROM and rubber ball gripping therapy in managing physical mobility impairment in stroke patients, particularly in improving movement function and supporting a comprehensive rehabilitation process. Methods: This research used a descriptive case study design with a nursing care process approach to provide an in-depth overview of the intervention implementation in the patient. Results: The implementation of nursing interventions in the form of combined ROM exercises and rubber ball gripping therapy on Mr. E, who experienced physical mobility impairment due to a non-hemorrhagic stroke over six days, showed positive outcomes. Conclusion: The combined implementation of Range of Motion (ROM) exercises and rubber ball gripping therapy proved effective in improving muscle strength and motor function in ischemic stroke patients with impaired physical mobility. This intervention not only facilitated the recovery of movement but also supported patient independence and provided a feasible approach for continued rehabilitation at home.
Co-Authors Abidatun Mu’awanah, Nurul Achmad Hidayatullah, Achmad Afiyah, R. Khairiyatul Agus Wahyudi Aprilian, Arvino Babo, Leticia Freitas Chaiyun Nafiah, Ilmi damawiyah, siti Eka Pratama, Ahmad Yudha Ernawati, Yayuk Faridah Umamah Firdaus Firdaus Hatmanti, Nety Mawarda Imamatul, Faizah Kadir, Afrizal Nur Kamariyah, Nurul Machruf, Awalludin Netti Herawati Noventi, Iis Nurhayati Puspita, Uci Nurmalya Kardina, Rizki Purwanti, Nunik Sari, Ratna Yunita Septianingrum , Yurike Septianingrum, Yurike Siti Nurjanah Soleha, Umdatus Sulistiyawati, Sri Sulistyorini Sulistyorini, Sulistyorini Taufiq, Isa Wardani, Erika Martining Wulan Anggraini, Mitha Yhusnain, Juliatik Ragil Yuniati, Dyah