The Effect of Combined ROM Therapy and Tactile Stimulation on Muscle Strenght in Ischemic Stroke Patients: A Systematic Review

Abstract

Paralysis is one of the most common disorders after an ischemic stroke that causes inability to move the body. Stroke patients need rehabilitation to minimize physical disabilities so that they can carry out normal activities. Passive ROM therapy combined with tactile stimulation which can help restore the muscle strength in post-stroke patients. Purpose this study uses a systematic review approach aimed at gaining a better understanding of interventions for ROM, tactile stimulation and muscle strength stroke patients. Method Systematic review is done by looking for literature related to the theme taken. The databases used are JCS, PMC, Science Direct, and PubMed. The search was limited to articles published in 2010 to 2019. The study criteria over 30 years age at stroke onset, quantitative comparisons between before and after intervention ROM therapy and tactile stimulation, full text article, published in peer-reviewed journal and written in English. All articles were assessed for eligibility using the Critical Ability Assessment Program (CASP) evaluation method. Eight articles were selected. Post-stroke muscle strength varies. Post-stroke muscle strength has increased after ROM therapy or tactile stimulation. Based on previous journals none of the two types of therapy were combined directly, but the results of it research found there was an effect of increasing muscle strength after being given the therapy. Conclusion this review helps inform some of the interventions that can be carried out in   the rehabilitation process so as to increase muscle strength in ischemic stroke patients.