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Effectiveness of the Application of Range of Motion (ROM) with the Cylindrical Grip Method on Increasing Upper Extremity Muscle Strength in Non-Hemorrhagic Stroke Patients: A Systematic Review Khairatun Hisan, Wildani; Abdul Muhith
Journal of Applied Nursing and Health Vol. 6 No. 2 (2024): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v6i2.265

Abstract

Background: The Ministry of Health revealed that in 2023, stroke cases will increase, and funding for stroke will be very large, causing other diseases. Therefore, patients must carry out the cylindrical grip method independently without large costs. ] This study aims to assess the effectiveness of applying Range of Motion (ROM) exercises using the Cylindrical Grip method to enhance upper extremity muscle strength in non-hemorrhagic stroke patients. Methods: A literature review was carried out using PRISMA flow diagrams. The journal databases used are Google Scholar and Scopus. Inclusion criteria include articles that focus on the effect of the cylindrical grip method on non-hemorrhagic stroke patients, journals for the last 5 years, full pdf access, the exclusion criteria are research articles of the review type. Results: The search results obtained 10 journals by searching two databases: Google Scholar and Scopus Conclusion: The cylindrical grip method significantly increases muscle strength in non- hemorrhagic stroke patients and can be used as a gradual mobilization method that can be carried out at home independently by the patient.
Intermittent Fasting as An Alternative Diet Strategy for T2DM Patients: A Systematic Review Nur Kadir, Afrizal; Freitas Babo, Leticia; Khairatun Hisan, Wildani; Setiyowati, Eppy; Nadatien, Ima
Jurnal Ilmiah STIKES Yarsi Mataram Vol. 16 No. 1 (2026): Jurnal Ilmiah STIKES Yarsi Mataram
Publisher : Sekolah Tinggi Ilmu Kesehatan YARSI Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57267/jisym.v16i1.562

Abstract

Type 2 diabetes mellitus is a chronic metabolic disorder that requires lifestyle-based interventions, particularly dietary modification. Intermittent fasting has emerged as a promising approach; however, evidence of its effectiveness remains inconclusive. This research aims to determine how intermittent fasting, implemented as a non-pharmacological dietary strategy, influences metabolic regulation, body composition, and dietary behavior in adults with type 2 diabetes mellitus. This study was designed as a systematic literature review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, focusing on randomized controlled trials (RCTs) published between 2020 and 2025. Comprehensive literature searches were conducted across three primary databases, including PubMed, ScienceDirect, and ClinicalKey. Methodological quality was assessed using the Revised Cochrane Risk-of-Bias Tool (RoB 2), and data were extracted systematically and synthesized narratively. The search identified 382 articles, of which nine RCTs met the inclusion criteria. The results show that 6 out of 9 studies reported statistically significant reductions in HbA1c (p < 0.05), with reductions ranging from -0.91% to -1.9%. Significant weight loss was observed across most studies, ranging from 2.98 kg to 9.7 kg (p < 0.01). Furthermore, lipid profiles showed significant improvements, particularly in triglycerides (p < 0.05) and total cholesterol (p ≤ 0.023) in selected trials. However, none of the reviewed studies examined eating behavior traits, highlighting a research gap. Future studies should explore behavioral and adherence aspects to assess the long-term feasibility of intermittent fasting in diabetes care.