Combined Range of Motion Exercises and Warm Water Compress Therapy on Muscle Strength in Non-Hemorrhagic Stroke Patients : A Case Study

Authors

  • Muhammad Fadhil Department of Nursing, Poltekkes Kemenkes Kendari
  • Reni Devianti Usman Department of Nursing, Poltekkes Kemenkes Kendari
  • Nurjannah Department of Nursing, Poltekkes Kemenkes Kendari
  • Sahmad Department of Nursing, Poltekkes Kemenkes Kendari
  • Iqra Department of Nursing, Poltekkes Kemenkes Kendari
  • Johan Tirta Department of Nursing, Poltekkes Kemenkes Kendari https://orcid.org/0009-0006-1906-7004

Keywords:

Non-Hemorrhagic Stroke, Range Of Motion (ROM), Warm Water Compress, Muscle Strength

Abstract

Background: Non-hemorrhagic stroke causes muscle weakness and limitations in daily activities, which may progress to permanent disability if not managed optimally. A combination of Range of Motion (ROM) exercises and warm water compress therapy is a nursing intervention with potential to improve muscle strength in stroke patients. Objective: To describe the application of combined ROM exercises and warm water compress therapy on muscle strength in patients with non-hemorrhagic stroke. Method: A descriptive case study was conducted on one patient with non-hemorrhagic stroke at RSUD Kota Kendari. The intervention consisted of warm water compress therapy at 40–45°C for 5–10 minutes followed by ROM exercises for 20–30 minutes, administered twice daily for six days. Results: After six days of intervention, muscle strength in the left upper extremity improved from scale 2 to scale 3 on the fifth and sixth days. The left lower extremity remained at scale 3, although with improved movement control. Conclusion: The combination of ROM exercises and warm water compress therapy has the potential to improve upper extremity muscle strength in patients with non-hemorrhagic stroke. Suggestion: Further research with more samples is needed

Downloads

Download data is not yet available.

References

1. WSO. WSO Global Stroke Fact Sheet 2022. World Stroke Organization. 2022.

2. WHO. Stroke. World Health Organization. 2022.

3. SKI. Cegah Stroke dengan Aktivitas Fisik kemenkes, Generasi Sehat Masa Depan Hebat 2024.

4. Kendari RK. Angka Kasus Stroke Non Hemoragik RSUD Kota Kenda 3 Tahun Terakhir. Arsip RSUD Kota Kendari 2025.

5. Perwira FCR. Efektifitas Range Of Motion (ROM) Aktif Terhadap Peningkatan Kekuatan Otot Pada Lansia Stroke Di Desa Pakis Kabupaten Malang: Universitas Muhammadiyah Malang; 2024.

6. Ho JP, Powers WJ. Contemporary Management of Acute Ischemic Stroke. Annu Rev Med. 2025;76(1):417-29.

7. Putri AA, Binoriang DP. Latihan Range of Motion (ROM) dan Kompres Hangat Terhadap Peningkatan Kekuatan Otot pada Lansia Stroke: Laporan Kasus. Jurnal Pustaka Keperawatan (Pusat Akses kajian Keperawatan). 2025;4(1):45-9.

8. Museva A, Khotimah H, HAFIFAH V. Penerapan Range of Mation (ROM) terhadap Peningkatan Kekuatan Otot dengan Kasus Stroke Non Hemoragik pada Ny. A Di UPT PSTW Jember. TRILOGI: JURNAL ILMU TEKNOLOGI, KESEHATAN, DAN HUMANIORA Учредители: Universitas Nurul Jadid. 2024;5(3).

9. Febriana NNY, Akbar RR. The Effect of Bilateral Range of Motion (ROM) on Increasing Upper Arm Muscle Strength in Stroke Patients. Celebes Nursing Journal. 2024;1(1):26-30.

10. Agusrianto A, Rantesigi N. Application of Passive Range of Motion (ROM) Exercises to Increase the Strength of the Limb Muscles in Patients with Stroke Cases. Jurnal Ilmiah Kesehatan (JIKA). 2020;2(2):61-6.

11. Abdullahi A, Wong TW, Ng SS. Effects of passive movement on motor function and disability in patients with stroke: a systematic review and meta-analysis. Journal of Functional Morphology and Kinesiology. 2025;10(2):117.

12. Nakamura M, Yahata K, Sato S, Kiyono R, Yoshida R, Fukaya T, et al. Training and detraining effects following a static stretching program on medial gastrocnemius passive properties. Frontiers in physiology. 2021;12:656579.

13. Srinayanti Y, Widianti W, Andriani D, Firdaus FA, Setiawan H. Range of motion exercise to improve muscle strength among stroke patients: a literature review. International Journal of Nursing and Health Services (IJNHS). 2021;4(3):332-43.

14. Wang HC, Chou W, You YL, Wang YL, Hsu M, Yang CC, et al. Effects of Thermal Stimulation and Transcutaneous Electrical Nerve Stimulation on Sensory and Motor Function of Upper Extremity in Acute Stroke Survivors: A Randomized Controlled Pilot Study. Cureus. 2024;16(6):e63375.

15. Celi-Lalama D, Soria-Vizcaino A, Flores-Santy LF, Araya-Quintanilla F, Esparza WD, Cuyul-Vásquez I, Gutiérrez-Espinoza H. The Effectiveness of Thermal Stimulation Plus Conventional Therapy for Functional Recovery After Stroke: A Systematic Review and Meta-Analysis. J Clin Med. 2024;13(22).

16. Kleyweg RP, Van Der Meché FGA, Schmitz PIM. Interobserver agreement in the assessment of muscle strength and functional abilities in Guillain-Barré syndrome. Muscle & Nerve. 1991;14(11):1103-9.

17. Putri ME, Rahardiantini I, Saputry E. Pemberian Asuhan Keperawatan Secara Holistik pada Pasien dengan Gangguan Sistem Neurologi: Stroke. Jurnal Keperawatan. 2022;12(1):8-16.

18. de Oliveira AB, Muhith A. Effectiveness Range of Motion Therapy and Warm Water Compresses on Increasing Muscle Strength in Non-Hemorrhagic Stroke Patients: Scoping Review. Journal of Applied Nursing and Health. 2024;6(2):436-48.

Downloads

Published

2026-08-02

How to Cite

Fadhil, M., Usman, R. D., Nurjannah, N., Sahmad, S., Iqra, I., & Tirta, J. (2026). Combined Range of Motion Exercises and Warm Water Compress Therapy on Muscle Strength in Non-Hemorrhagic Stroke Patients : A Case Study . Permata Public Health Journal, 1(2), 50–56. Retrieved from https://jurnalpermata.com/index.php/PPHJ/article/view/8

Issue

Vol. 1 No. 2 (2026): Mei-Agustus

Section

Articles

License

Copyright (c) 2026 Muhammad Fadhil, Reni Devianti Usman, Nurjannah, Sahmad, Iqra, Johan Tirta (Author)

Creative Commons License

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution-ShareAlike 4.0 International License that allows others to share the work with an acknowledgment of the works authorship and initial publication in this journal and able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journals published version of the work (e.g., post it to an institutional repository or publish it in a book).