THE EFFECT OF COMBINATION OF SHOULDER EXERCISE AND ISOMETRIC HANDGRIP EXERCISE ON UPPER EXTREMITY MUSCLE STRENGTH IN POST-STROKE PATIENTS IN THE WORKING AREA OF PUSKEMAS SAWAH LEBAR IN BENGKULU CITY

Abstract

Indonesia ranks first with the most stroke sufferers in Asia. It is predicted that it will continue to increase to show the number of 23.3 million deaths in 2030. The data show that in 2021 In general, the prevalence of signs and symptoms of stroke in Indonesia is 12.1 per 1000. This means that more than 12 Indonesian individuals are recorded as suffering from stroke per year. 1000 residents throughout Indonesia. Most stroke patients experience muscle weakness in the lower extremities. This condition will result in disruption of fulfilling the needs of daily activities of stroke patients associated with impaired physical mobility. This study aims to determine the effect of a combination of shoulder exercise and isometric handgrip exercise on upper extremity muscle strength in post-stroke patients. Methods: This type of research is a quasi-experimental design with a pretest and posttest design with a control group. The sample of this study were 40 post-stroke patients who had muscle strength 3. The sampling technique was purposive sampling, one of the non-probability sampling techniques. Collecting data using data collection sheets. Data analysis used the Man Whitney test. The study was conducted in February - April 2023. A combination of shoulder exercise and isometric handgrip exercise was obtained on upper extremity muscle strength in post-stroke patients (p=0.037 < 0.05). It is hoped that health workers and researchers can develop research with other techniques that can used in post-stroke patients with the aim of enriching research results on types of exercises to increase upper extremity muscle strength