CASE STUDY OF THE DUAL EFFECTIVENESS OF ROM AND RUBBER BALL HANDHELD ON THE RECOVERY OF MOBILITY OF ISCHEMIC STROKE PATIENTS

Background: Stroke is a serious global health issue, ranking as the leading cause of disability and the second leading cause of death worldwide. One of the most common impacts of stroke is impaired physical mobility, particularly when damage occurs to the brain's motor centers or neural pathways that control body movement. In stroke patients, this impairment can manifest immediately after the acute phase and persist into the rehabilitation phase if not properly addressed. One effective intervention to overcome physical mobility problems in stroke patients is the application of a combination of Range of Motion (ROM) exercises and rubber ball gripping therapy. This approach not only accelerates motor function recovery but also prevents complications due to immobility and enhances patient independence. Objectives: This study aimed to analyze the application of combined ROM and rubber ball gripping therapy in managing physical mobility impairment in stroke patients, particularly in improving movement function and supporting a comprehensive rehabilitation process. Methods: This research used a descriptive case study design with a nursing care process approach to provide an in-depth overview of the intervention implementation in the patient. Results: The implementation of nursing interventions in the form of combined ROM exercises and rubber ball gripping therapy on Mr. E, who experienced physical mobility impairment due to a non-hemorrhagic stroke over six days, showed positive outcomes. Conclusion: The combined implementation of Range of Motion (ROM) exercises and rubber ball gripping therapy proved effective in improving muscle strength and motor function in ischemic stroke patients with impaired physical mobility. This intervention not only facilitated the recovery of movement but also supported patient independence and provided a feasible approach for continued rehabilitation at home.