Hemodialysis is the most successful and most frequent therapy used as form therapy replacement kidney therapy hemodialysis own One of the impacts felt by patients is that is cramps muscle . Muscle cramps is one of the symptom the most common physical problems experienced patient dialysis . This is contraction muscle sudden that is not deliberate and marked with painful great thing happened repeatedly in patients hemodialysis . The purpose of study This analyze influence implementation implementation stretching exercise intradialytic in repair symptom cramps muscles in patients undergoing hemodialysis at Al Ihsan Regional Hospital Bandung . Data collection uses questionnaire , observation and interviews . Research sample as many as 15 patients shared into 2 groups . Research conducted at Al Ihsan Regional Hospital Bandung, room intermittent hemodialysis May -August 2025. results testing use one-way ANOVA test sig. value < 0.05 so that can concluded that there is influence significant before and after given stretching exercise intervention on cramps . Multivariate test on week first and second p value 1,000 or > 0.05 then No There is influence , on week to three 0.106>0.05 no There is influence and on the week to four p values 0.015<0.05 exist influence . Implementation Intradialytic exercise range of motion (ROM) intervention according to SOP shows success in a way practical . All participants who received intervention report feeling more comfortable , calm , relaxed , and not too focus to action will therapy hemodialysis