Journal of Medical Surgical Concerns
Vol. 6 No. 4 (2026): August Edition 2026

Mobility after combined range-of-motion and neck exercises in patients with stroke

Siti Anggraini (Universitas Muhammadiyah Kudus)
Sukarmin Sukarmin (Universitas Muhammadiyah Kudus)
Fitriana Kartikasari (Universitas Muhammadiyah Kudus)



Article Info

Publish Date
23 Aug 2026

Abstract

Background: Stroke frequently results in impaired physical mobility and dependence in activities of daily living. Range-of-motion (ROM) and neck exercises may support recovery by maintaining joint mobility, muscle activity, postural control, and functional performance. Purpose: To compare mobility changes between stroke patients receiving combined ROM and neck exercises and those receiving standard hospital therapy. Method: This quasi-experimental study used a pretest–posttest design with a control group and involved 52 patients with non-hemorrhagic stroke, comprising 26 participants in the intervention group and 26 in the control group. Allocation was sequential rather than randomized. The intervention group received a 30-minute combined ROM and neck-exercise program, whereas the control group received standard hospital therapy. Mobility was measured using the Barthel Index. Within-group changes were analyzed using the Wilcoxon signed-rank test, and post-test mobility was compared between groups using the Mann–Whitney U test. Results: The mean Barthel Index score increased from 7.8 to 12.6 in the intervention group and from 7.9 to 8.4 in the control group. Mobility improved significantly within the intervention group (p < 0.001) but not within the control group (p = 0.066). Post-test mobility differed significantly between groups (p < 0.001). Conclusion: Combined ROSM and neck exercises were associated with greater short-term mobility improvement than standard hospital therapy in this non-randomized sample.

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Journal Info

Abbrev

msc

Publisher

Subject

Nursing

Description

Jurnal penelitian dibidang keperawatan medikal bedah pada klien dewasa yang mengalami dan atau cenderung mengalami perubahan fisiologi dengan atau tanpa gangguan struktur tanpa trauma atau penyakit-penyakit yang sering/umum terjadi. Pembahasan berfokus pada konsep dan prinsip keperawatan dengan ...