Penerapan Terapi Isometric Handgrip Exercise terhadap Gangguan Mobilitas Fisik Pasien Stroke

https://doi.org/10.35912/nersakademika.v3i2.5704
Published: Jun 8, 2025

Abstract:

Purpose: This study aims to analyze the effectiveness of Isometric Handgrip Exercise therapy in improving physical mobility among stroke patients who experience muscle weakness and motor impairment. The research was motivated by the increasing incidence of non-hemorrhagic stroke cases recorded at Siti Fatimah Az-Zahra Regional Hospital in South Sumatra Province.

Method: This research employed a descriptive method. Data were collected through structured interviews, direct observations, and physical examinations. Muscle strength was measured using a handgrip dynamometer before and after the application of Isometric Handgrip Exercise therapy to evaluate changes in mobility and strength.

Result: The findings indicated a significant improvement in the patients’ physical mobility after the implementation of Isometric Handgrip Exercise therapy. Both observed patients showed increased muscle strength and better control of extremity movement, suggesting the therapy’s positive impact on functional recovery.

Conclusions: Isometric Handgrip Exercise therapy is effective in addressing impaired physical mobility in stroke patients. The intervention enhances muscle performance and contributes to restoring motor function in affected limbs.

Limitation: The study involved only two participants and used a descriptive design, which limits the generalizability of the findings. Future research with larger samples and experimental methods is required to validate the results.

Contribution: This study contributes to the development of rehabilitation nursing practices by providing evidence that simple, low-cost, and non-invasive exercises such as Isometric Handgrip therapy can effectively support stroke recovery and improve patients’ quality of life.

Keywords:
1. Isometric Handrip Exercise
2. Physical Mobility
3. Stroke
Authors:
1 . Meisy Ananda Saputri
2 . Renny Triwijayanti
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How to Cite
Saputri, M. A., & Triwijayanti, R. (2025). Penerapan Terapi Isometric Handgrip Exercise terhadap Gangguan Mobilitas Fisik Pasien Stroke. Ners Akademika, 3(2), 55–62. https://doi.org/10.35912/nersakademika.v3i2.5704
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Vol. 3 No. 2 (2025): Juni
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References

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    Azzahra, S. D., & Fitriyani, F. (2023). Stroke Non Hemoragik: Laporan Kasus. Jurnal Medika Malahayati, 7(1), 573-580. doi:https://doi.org/10.33024/jmm.v7i1.9538

    Darmawan, I., Utami, I. T., & Pakarti, A. T. (2024). Penerapan Range Of Motion (ROM) exercise bola karet terhadap kekuatan otot pasien stroke non hemoragik. Jurnal Cendikia Muda, 4(2), 246-254.

    Farah, B. Q., Germano-Soares, A. H., Rodrigues, S. L. C., Santos, C. X., Barbosa, S. S., Vianna, L. C., . . . Ritti-Dias, R. M. (2017). Acute and chronic effects of isometric handgrip exercise on cardiovascular variables in hypertensive patients: a systematic review. Sports, 5(3), 55. doi:https://doi.org/10.3390/sports5030055

    Fawwaz, F., & Suandika, M. (2023). Asuhan Keperawatan Stroke Non-Hemoragik pada Ny. R dengan Diagnosa Keperawatan Utama Hambatan Mobilitas Fisik di Ruang Edelweis Atas RSUD Kardinah Kota Tegal. Jurnal Sehat Mandiri, 18(1), 33-41. doi:https://doi.org/10.33761/jsm.v18i1.919

    Feigin, V. L., Owolabi, M. O., Abd-Allah, F., Akinyemi, R. O., Bhattacharjee, N. V., Brainin, M., . . . Davis, A. (2023). Pragmatic solutions to reduce the global burden of stroke: a World Stroke Organization–Lancet Neurology Commission. The Lancet Neurology, 22(12), 1160-1206. doi:https://doi.org/10.1016/S1474-4422(23)00277-6

    Geneva, R., & Usman, S. (2023). Gambaran karakteristik individu dengan kejadian stroke pada pasien poliknik penyakit saraf. Jurnal Kedokteran STM (Sains Dan Teknologi Medik), 6(2), 159-167. doi:https://doi.org/10.30743/stm.v6i2.466

    Ghiya, S. (2017). Alternate nostril breathing: a systematic review of clinical trials. Int J Res Med Sci, 5(8), 3273-3286. doi:http://dx.doi.org/10.18203/2320-6012.ijrms20173523

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    Kartija, D. R., Komalasari, D. R., & Nasuka, M. (2023). MANAGEMENT FISIOTERAPI PADA KASUS HEMIPARESE SINISTRA ec STROKE NON HEMORAGIC: A CASE REPORT. Journal of Innovation Research and Knowledge, 3(1), 4677-4686. doi:https://doi.org/10.53625/jirk.v3i1.5818

    Latunusa, P. M., Timuneno, T., & Fanggidae, R. E. (2023). The effect of multiple role conflict and work stress on the performance of women nurses during the covid-19 with coping stress as intervening variables (Study at SoE Regional General Hospital). Journal of Multidisciplinary Academic and Practice Studies, 1(1), 29-43. doi:https://doi.org/10.35912/jomaps.v1i1.1462

    Malita, M., Dekawaty, A., & Suzanna, S. (2024). Pengaruh Terapi Bermain Dengan Media Scrapbook Terhadap Kecemasan Anak Usia Prasekolah Yang Mengalami Hospitalisasi. Ners Akademika, 3(1), 7-13. doi:https://doi.org/10.35912/nersakademika.v3i1.3906

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    Ngaliman, N., Catrayasa, I. W., & Lie, L. (2024). The influence of leadership, remuneration, competency on employee turnover intention with organizational culture as an intervening variable at Bank Ekonomi Rakyat Sejahtera Batam. Journal of Multidisciplinary Academic and Practice Studies, 1(3), 219-231. doi:https://doi.org/10.35912/jomaps.v1i3.2376

    Nugroho, F. A. (2024). Intervensi Keperawatan Kombinasi ROM Aktif dan Squishy pada Pasien Post Stroke dengan Hambatan Mobilitas Fisik. Jurnal Penelitian Inovatif, 4(1), 21-28. doi:https://doi.org/10.54082/jupin.260

    Nurjaman, M. S. (2023). Gambaran Kekuatan Otot Stroke Hemoragik Dan Non Hemoragik Di Ruang Ruby Bawah Rsud Dr. Slamet Garut. STIKes Karsa Husada Garut.

    Nurrani, D. E., & Lestari, N. D. (2023). Case report: Implementasi terapi genggam bola karet dalam asuhan keperawatan pada pasien lansia dengan stroke. Jurnal Medika Nusantara, 1(2), 296-305. doi:https://doi.org/10.59680/medika.v1i2.234

    Rahmadani, E., & Rustandi, H. (2019). Peningkatan kekuatan otot pasien stroke non hemoragik dengan hemiparese melalui latihan range of motion (ROM) pasif. Journal of Telenursing (JOTING), 1(2), 354-363. doi:https://doi.org/10.31539/joting.v1i2.985

    Rahmawati, I., Triana, N., Juksen, L., & Zulfikar, Z. (2022). Peningkatan Kekuatan Motorik Pada Pasien Stroke Non Hemoragik Dengan Menggenggam Bola Karet: Systematic Review. Jurnal Kesehatan Medika Udayana, 8(01), 22-34. doi:https://doi.org/10.47859/jmu.v8i01.205

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    Ridho, F. M., Pamungkas, A. R., & Faisal, A. (2023). The Effect of Snail Mucus (Achatina fulica) on Wound Healing after Tooth Extraction: A Literature Review. Jurnal Ilmu Medis Indonesia, 3(1), 17-30. doi:10.35912/jimi.v3i1.2320

    Rispawati, B. H., & Riskawaty, H. M. (2025). Pengaruh Terapi Isometric Handgrip Exercise Terhadap Perubahan Tekanan Darah Pada Klien Hipertensi di Wilayah Kerja Puskesmas Babakan. Journal Sport Science, Health and Tourism of Mandalika (Jontak), 6(1), 43-54. doi:https://doi.org/10.36312/jontak.v6i1.4065

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    Rosmiarti, R., & Lestari, S. (2024). Penerapan Pijat Oksitosin untuk Meningkatkan Produksi Asi Ibu Menyusui pada Masa Nifas. Ners Akademika, 3(1), 1-6. doi:https://doi.org/10.35912/nersakademika.v3i1.3901

    Setyawati, V. Y., & Retnaningsih, D. (2024). Penerapan Range Of Motion pada pasien stroke dengan gangguan mobilitas fisik. Jurnal Manajemen Asuhan Keperawatan, 8(1), 18-24. doi:https://doi.org/10.33655/mak.v8i1.179

    Supriani, A. H., & Indrawati, I. (2022). Pengaruh kombinasi terapi latihan range of motion, genggam bola karet dan kompres hangat terhadap kekuatan motorik ekstremitas atas dan kadar kortisol pada klien pasca stroke. Journals of Ners Community, 13(5), 580-605. doi:https://doi.org/10.55129/jnerscommunity.v13i5.2078

    Suranata, F. M., Waluyo, A., Jumaiyah, W., & Natashia, D. (2019). Slow deep breathing dan alternate nostril breathing terhadap penurunan tekanan darah pada pasien hipertensi. Jurnal keperawatan silampari, 2(2), 160-175. doi:https://doi.org/10.31539/jks.v2i2.702

    Viani, I. R., Hasmar, W., & Sari, I. P. (2021). Penatalaksanaan fisioterapi pada kasus post stroke hemiparese sinistra dengan modalitas stimulasi taktil dan pelvic tilting untuk meningkatkan keseimbangan. Jurnal Kajian Ilmiah Kesehatan Dan Teknologi, 3(2), 17-24. doi:https://doi.org/10.52674/jkikt.v3i2.49

    Virgita, N. P., Subekti, M., Sumerta, I. K., Dewi, I. A. K. A., Prananta, I. G. N. A. C., & Santika, I. G. P. N. A. (2022). Pelatihan Mencengkeram Handgrip Dengan Beban Tekanan 20 Kg Terhadap Peningkatan Kekuatan Otot Tangan. Bajra: Jurnal Keolahragaan, 1(2), 61-69. doi:https://doi.org/10.5281/zenodo.7124865

    Wahyu, G. G. (2009). Stroke: Hanya Menyerang Orang Tua? : Bentang-B First.

    Yuliana, Y. (2022). Vaksinasi COVID-19 ditinjau dari Perspektif Ekonomi Kesehatan. Jurnal Ilmu Medis Indonesia, 2(1), 45-54. doi:10.35912/jimi.v2i1.1276

    Yulianti, F. A., & Febriani, N. (2023). Peran edukator perawat dalam pelaksanaan discharge planning: Pradina Pustaka.

  1. Ahmadi, A., Hidayat, M., & Muzaki, M. A. (2023). Pelaksanaan Discharge Planning Keluarga Penderita Tuberculosis Paru. Indonesian Journal of Professional Nursing, 4(1), 21-28. doi:https://doi.org/10.30587/ijpn.v4i1.5625
  2. Azzahra, S. D., & Fitriyani, F. (2023). Stroke Non Hemoragik: Laporan Kasus. Jurnal Medika Malahayati, 7(1), 573-580. doi:https://doi.org/10.33024/jmm.v7i1.9538
  3. Darmawan, I., Utami, I. T., & Pakarti, A. T. (2024). Penerapan Range Of Motion (ROM) exercise bola karet terhadap kekuatan otot pasien stroke non hemoragik. Jurnal Cendikia Muda, 4(2), 246-254.
  4. Farah, B. Q., Germano-Soares, A. H., Rodrigues, S. L. C., Santos, C. X., Barbosa, S. S., Vianna, L. C., . . . Ritti-Dias, R. M. (2017). Acute and chronic effects of isometric handgrip exercise on cardiovascular variables in hypertensive patients: a systematic review. Sports, 5(3), 55. doi:https://doi.org/10.3390/sports5030055
  5. Fawwaz, F., & Suandika, M. (2023). Asuhan Keperawatan Stroke Non-Hemoragik pada Ny. R dengan Diagnosa Keperawatan Utama Hambatan Mobilitas Fisik di Ruang Edelweis Atas RSUD Kardinah Kota Tegal. Jurnal Sehat Mandiri, 18(1), 33-41. doi:https://doi.org/10.33761/jsm.v18i1.919
  6. Feigin, V. L., Owolabi, M. O., Abd-Allah, F., Akinyemi, R. O., Bhattacharjee, N. V., Brainin, M., . . . Davis, A. (2023). Pragmatic solutions to reduce the global burden of stroke: a World Stroke Organization–Lancet Neurology Commission. The Lancet Neurology, 22(12), 1160-1206. doi:https://doi.org/10.1016/S1474-4422(23)00277-6
  7. Geneva, R., & Usman, S. (2023). Gambaran karakteristik individu dengan kejadian stroke pada pasien poliknik penyakit saraf. Jurnal Kedokteran STM (Sains Dan Teknologi Medik), 6(2), 159-167. doi:https://doi.org/10.30743/stm.v6i2.466
  8. Ghiya, S. (2017). Alternate nostril breathing: a systematic review of clinical trials. Int J Res Med Sci, 5(8), 3273-3286. doi:http://dx.doi.org/10.18203/2320-6012.ijrms20173523
  9. Halim, R., Gesal, J., & Sengkey, L. S. (2016). Gambaran pemberian terapi pada pasien stroke dengan hemiparesis dekstra atau sinistra di Instalasi Rehabilitasi Medik RSUP Prof. Dr. RD Kandou Manado periode Januari-Maret tahun 2016. e-CliniC, 4(2). doi:https://doi.org/10.35790/ecl.v4i2.13734
  10. Hardika, B. D., Yuwono, M., & Zulkarnain, H. (2020). Faktor Risiko yang Mempengaruhi Terjadinya Stroke Non Hemoragik pada Pasien di RS RK Charitas dan RS Myria Palembang. Jurnal Akademika Baiturrahim Jambi, 9(2), 268-274. doi:https://doi.org/10.36565/jab.v9i2.234
  11. Inawijaya, D., Haq, R. K., & Sari, I. M. (2023). Penerapan Teknik Alternate Nostril Breathing Exercise Terhadap Tekanan Darah Dan Frekuensi Nafas Pada Pasien CHF Di RSUD Dr Moewardi Surakarta. Excellent Health Journal, 1(2), 95-104. doi:https://doi.org/10.70437/excellent.v1i2.21
  12. Ixora, I., Wulandari, D., & Niningasih, R. (2023). The The Effect of Music Therapy and Audiovisual Murottal Al-Quran Therapy on Increasing MuscleStrength and Reducing Anxiety in Stroke Patients Undergoing Passive ROM Exercises In the Stroke Unit Room, Dr. Soedomo Trenggalek. Jurnal Keperawatan Terapan, 9(1), 38-43. doi:https://doi.org/10.31290/jkt.v9i1.3796
  13. Juliani, E. L., Damayanti, D., & Pujiarto, P. (2023). Asuhan Keperawatan pada Pasien Kanker Paru yang Menjalani Kemoterapi dengan Masalah Keperawatan Nyeri Kronis : Myalgia menggunakan Progressive Muscle Relaxation. Ners Akademika, 1(2), 49-58. doi:https://doi.org/10.35912/nersakademika.v1i2.1967
  14. Kardiyudiani, N. K., Afrida, M., Rahayu, N. W., Indriyani, S., & Quiambao, B. D. (2024). Pengaruh Profil Pasien Kanker yang Mendapat Kemoterapi dengan Chemotherapy Induced Nausea and Vomiting (CINV). Ners Akademika, 3(1), 15-22. doi:https://doi.org/10.35912/nersakademika.v3i1.3905
  15. Kartija, D. R., Komalasari, D. R., & Nasuka, M. (2023). MANAGEMENT FISIOTERAPI PADA KASUS HEMIPARESE SINISTRA ec STROKE NON HEMORAGIC: A CASE REPORT. Journal of Innovation Research and Knowledge, 3(1), 4677-4686. doi:https://doi.org/10.53625/jirk.v3i1.5818
  16. Latunusa, P. M., Timuneno, T., & Fanggidae, R. E. (2023). The effect of multiple role conflict and work stress on the performance of women nurses during the covid-19 with coping stress as intervening variables (Study at SoE Regional General Hospital). Journal of Multidisciplinary Academic and Practice Studies, 1(1), 29-43. doi:https://doi.org/10.35912/jomaps.v1i1.1462
  17. Malita, M., Dekawaty, A., & Suzanna, S. (2024). Pengaruh Terapi Bermain Dengan Media Scrapbook Terhadap Kecemasan Anak Usia Prasekolah Yang Mengalami Hospitalisasi. Ners Akademika, 3(1), 7-13. doi:https://doi.org/10.35912/nersakademika.v3i1.3906
  18. Musi, M. A., & Nurjannah, S. (2021). Neurosains: Menjiwai Sistem Saraf dan Otak: Prenada Media.
  19. Ngaliman, N., Catrayasa, I. W., & Lie, L. (2024). The influence of leadership, remuneration, competency on employee turnover intention with organizational culture as an intervening variable at Bank Ekonomi Rakyat Sejahtera Batam. Journal of Multidisciplinary Academic and Practice Studies, 1(3), 219-231. doi:https://doi.org/10.35912/jomaps.v1i3.2376
  20. Nugroho, F. A. (2024). Intervensi Keperawatan Kombinasi ROM Aktif dan Squishy pada Pasien Post Stroke dengan Hambatan Mobilitas Fisik. Jurnal Penelitian Inovatif, 4(1), 21-28. doi:https://doi.org/10.54082/jupin.260
  21. Nurjaman, M. S. (2023). Gambaran Kekuatan Otot Stroke Hemoragik Dan Non Hemoragik Di Ruang Ruby Bawah Rsud Dr. Slamet Garut. STIKes Karsa Husada Garut.
  22. Nurrani, D. E., & Lestari, N. D. (2023). Case report: Implementasi terapi genggam bola karet dalam asuhan keperawatan pada pasien lansia dengan stroke. Jurnal Medika Nusantara, 1(2), 296-305. doi:https://doi.org/10.59680/medika.v1i2.234
  23. Rahmadani, E., & Rustandi, H. (2019). Peningkatan kekuatan otot pasien stroke non hemoragik dengan hemiparese melalui latihan range of motion (ROM) pasif. Journal of Telenursing (JOTING), 1(2), 354-363. doi:https://doi.org/10.31539/joting.v1i2.985
  24. Rahmawati, I., Triana, N., Juksen, L., & Zulfikar, Z. (2022). Peningkatan Kekuatan Motorik Pada Pasien Stroke Non Hemoragik Dengan Menggenggam Bola Karet: Systematic Review. Jurnal Kesehatan Medika Udayana, 8(01), 22-34. doi:https://doi.org/10.47859/jmu.v8i01.205
  25. Rahu, K. Y. d., Neolaka, M. N. B. C., & Djaha, A. S. A. (2023). Personnel management information system in order to create up-to-date and integrated personel data and information in the personnel and human resources agency in malaka regency. Journal of Multidisciplinary Academic and Practice Studies, 1(1), 55-70. doi:https://doi.org/10.35912/jomaps.v1i1.1449
  26. Ridho, F. M., Pamungkas, A. R., & Faisal, A. (2023). The Effect of Snail Mucus (Achatina fulica) on Wound Healing after Tooth Extraction: A Literature Review. Jurnal Ilmu Medis Indonesia, 3(1), 17-30. doi:10.35912/jimi.v3i1.2320
  27. Rispawati, B. H., & Riskawaty, H. M. (2025). Pengaruh Terapi Isometric Handgrip Exercise Terhadap Perubahan Tekanan Darah Pada Klien Hipertensi di Wilayah Kerja Puskesmas Babakan. Journal Sport Science, Health and Tourism of Mandalika (Jontak), 6(1), 43-54. doi:https://doi.org/10.36312/jontak.v6i1.4065
  28. Rosdarni, R. (2022). Skrining Fitokimia Ekstrak Duri Landak Laut Api (Heterocentrotus Mamillatus) sebagai Antimikroba. Jurnal Ilmu Medis Indonesia, 2(1), 55-60. doi:10.35912/jimi.v2i1.1402
  29. Rosmiarti, R., & Lestari, S. (2024). Penerapan Pijat Oksitosin untuk Meningkatkan Produksi Asi Ibu Menyusui pada Masa Nifas. Ners Akademika, 3(1), 1-6. doi:https://doi.org/10.35912/nersakademika.v3i1.3901
  30. Setyawati, V. Y., & Retnaningsih, D. (2024). Penerapan Range Of Motion pada pasien stroke dengan gangguan mobilitas fisik. Jurnal Manajemen Asuhan Keperawatan, 8(1), 18-24. doi:https://doi.org/10.33655/mak.v8i1.179
  31. Supriani, A. H., & Indrawati, I. (2022). Pengaruh kombinasi terapi latihan range of motion, genggam bola karet dan kompres hangat terhadap kekuatan motorik ekstremitas atas dan kadar kortisol pada klien pasca stroke. Journals of Ners Community, 13(5), 580-605. doi:https://doi.org/10.55129/jnerscommunity.v13i5.2078
  32. Suranata, F. M., Waluyo, A., Jumaiyah, W., & Natashia, D. (2019). Slow deep breathing dan alternate nostril breathing terhadap penurunan tekanan darah pada pasien hipertensi. Jurnal keperawatan silampari, 2(2), 160-175. doi:https://doi.org/10.31539/jks.v2i2.702
  33. Viani, I. R., Hasmar, W., & Sari, I. P. (2021). Penatalaksanaan fisioterapi pada kasus post stroke hemiparese sinistra dengan modalitas stimulasi taktil dan pelvic tilting untuk meningkatkan keseimbangan. Jurnal Kajian Ilmiah Kesehatan Dan Teknologi, 3(2), 17-24. doi:https://doi.org/10.52674/jkikt.v3i2.49
  34. Virgita, N. P., Subekti, M., Sumerta, I. K., Dewi, I. A. K. A., Prananta, I. G. N. A. C., & Santika, I. G. P. N. A. (2022). Pelatihan Mencengkeram Handgrip Dengan Beban Tekanan 20 Kg Terhadap Peningkatan Kekuatan Otot Tangan. Bajra: Jurnal Keolahragaan, 1(2), 61-69. doi:https://doi.org/10.5281/zenodo.7124865
  35. Wahyu, G. G. (2009). Stroke: Hanya Menyerang Orang Tua? : Bentang-B First.
  36. Yuliana, Y. (2022). Vaksinasi COVID-19 ditinjau dari Perspektif Ekonomi Kesehatan. Jurnal Ilmu Medis Indonesia, 2(1), 45-54. doi:10.35912/jimi.v2i1.1276
  37. Yulianti, F. A., & Febriani, N. (2023). Peran edukator perawat dalam pelaksanaan discharge planning: Pradina Pustaka.