Klabat Journal of Nursing
Vol. 7 No. 2 (2025): Nursing Insights: Bridging Science and Care

APPLICATION OF SHAKER EXERCISE TECHNIQUE IN OVERCOMING SWALLOWING PROBLEMS IN ISCHEMIC STROKE PATIENTS: A SINGLE CASE STUDY

Saputra, Dwi Candra Ari (Unknown)
Pamungkas, Indra Gilang (Unknown)
Dewi, Aliana (Unknown)



Article Info

Publish Date
20 Oct 2025

Abstract

Stroke is a clinical sign characterized by focal or global neurological deficits that may worsen and persist for 24 hours or more, potentially resulting in death. One of the symptoms experienced by stroke patients is difficulty swallowing (dysphagia). Patients with positive dysphagia are at significantly increased risk of aspiration and pneumonia. One of the independent nursing interventions for managing swallowing disorders is swallowing training using the Shaker Exercise technique. This case study aims to determine whether the Shaker Exercise technique can help improve swallowing ability in ischemic stroke patients. This study used a single case study of a patient suffering from Ischemic Stroke. This involves performing 1 intervention called the Shaker Exercise Technique. The intervention was carried out twice a day for 15–20 minutes over 5 days. The intervention was evaluated using the Royal Adelaide Prognostic Index for Dysphagic Stroke. The implementation of the Shaker Exercise showed that the patient was able to swallow after 5 days of intervention. The Royal Adelaide Prognostic Index for Dysphagic Stroke score before the intervention was 71, and after the intervention, it increased to 92, allowing the patient to swallow normally and enabling the removal of the Nasogastric Tube. Swallowing exercises using the Shaker technique can improve swallowing function in patients with positive dysphagia and are therefore recommended as a structured intervention for stroke patients experiencing swallowing disorders.

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Journal Info

Abbrev

kjn

Publisher

Subject

Education Health Professions Medicine & Pharmacology Nursing Public Health

Description

Klabat Journal of Nursing (KJN) is the official peer-reviewed research journal of Faculty of Nursing, Universitas Klabat (UNKLAB). This journal aims to promote advancement in nursing and health care through the dissemination of the latest research findings. KJN covers a wide range of nursing topics ...