The Effects of Hand Muscle Stretching Program on Reducing Hand Spasticity among Stroke Patients at Home in Trang Province
Keywords:
Hand stretching program, Spasticity, Stroke patient at homeAbstract
This quasi-experimental research of one group pretest-posttest aimed to compare hand spasticity before and after using a hand stretching program that based on Rood's Theory, the prolonged stretch technique. Sample was 27 stroke patients who were in rehabilitation phase at home in central Trang province which the stroke patients had participated in the hand stretching program for 9 weeks. The program was validated by a panel of experts (3 persons). Data were collected using a test of knowledge about hand stretching, and a measurement test of the spasticity (MAS). The reliability of the knowledge test was verified using the KR-20, yielding a value of 0.75. The reliability of the measurement test of hand spasticity was verified using Cronbach's alpha coefficient, yielding a value of 0.82. Data were analyzed by frequency, percentage, paired t-test, and Wilcoxon sign rank test.
The research found that 1) after participating the hand stretching program, the caregivers had a mean score of knowledge about stretching the hand muscles significantly higher than before participating the program and 2) after participating the hand stretching program, the stroke patients had a mean score of hand spasticity higher than before participating the program, with a statistical significance at the level of 0.05.
According to the findings, it is suggested that health personnel should implement this innovation, the hand stretching program using PVC pipe, to reduce hand spasticity of stroke patients in the rehabilitation phase at home. The result of the treatment program was satisfied in terms of faster recovery of hand spasticity condition, and it could also help patients to be able to take care of themselves at home after recovery.
References
Ahmed, B.A. (2018). The Evidence for Prolonged Muscle Stretching in Ankle Joint Management in Upper Motor Neuron Lesions: Considerations for Rehabilitation - A Systematic Review. Top Stroke Rehabilitation, 26(2): 153-161. Retrieved June 3, 2020 from doi: 10.1080/10749357. 2018.1550958.
Bordoloi, K. & Deka, S.R. (2018). Scientific Reconciliation of the Concepts and Principles of Rood Approach. International Journal of Health Sciences and Research, 8(9), 225-234. Retrieved June 3, 2020 from https://www.ijhsr.org/IJHSR_Vol.8_Issue.9_Sep2018/31.pdf
Bohannon, R.W. & Smith, M.B. (1987). Interrater Reliability of a Modified Ashworth Scale of Musclespasticity. Physical Therapy Journal. 1987; 67: 206-7.
Boonsin, S. & Panidchakul, K. (2016). Factors Related to Need of Caregivers in Stroke Patients. Journal of Boromarajonani College of Nursing, Bangkok. 32(2), 68-80.
Creer, T., L. (2000). Self-Management of Chronic Illness. In Boekaerts, M, PR. Printrich and Zeidner (editor). Handbook of self-regulation. California: Academic, 601-629.
Division of Non Communication Disease. (2017). Statistic of Non Communicable Disease. Retrieved May 20, from http://www. thaincd.com.
Gibson, C.H. (1991). A Concept Analysis of Empowerment. Journal of Advanced Nursing, 16(3). 354-361.
Geidl, W., Knocke, K., Schupp, W. & Pfeifer, K. (2018). Measuring Stroke Patients Exercise Preferences Using a Discrete Choice Experiment. Neurology international, 10(1): 13-17. Retrieved June 3, 2020 from doi: 10.4081/ni.2018.6996
Hirunkhro, B. (2018). Development of Service System by Participation of the Community and Multidisciplinary Team through the Home-based Rehabilitation Nursing Program for Patients with Stroke. Journal of Humanities and Social Sciences Nakhron Phanom University, (Special Volume: The Scholars Conference of the 25th Anniversary), 36-45.
Kasemmala, S., Deenan, A. & Khumyu, A. (2017). Factors Influencing Functional Health Status of Stroke Persons Receiving Continuity of Care at Tumbon Health Promoting Hospitals (THPHs). Journal of Boromarajonani College of Nursing, Bangkok, 33(1), 115-129.
Kittiwarawut, J. (2018). Reducing Spasticity in Adults with Stroke. Burapha Journal of Medicine, 5(2), 131-141.
Kuptniratsaikul, V. (2018). Rehabilitation in the Elderly with Stroke. in Kuptniratsaikul, V. (ed.), Geriatric Rehabilitation in Common Health Problems. (pp. 283-330). Bangkok: P.A.Living Limited.
Moonthee, W., Monkong, S. & Sirapo-ngam, Y. (2016). Impact of Transitional Care Programmed and Family Caregivers on Stroke Patients' Routine Activity Performance, Complications, and Satisfaction. Thai Journal of Nursing Council, 31(1), 95-110.
Nantaraksa, C. & Putthikhamin, N. (2013). The Level of Hope in Patients with Cerebrovascular Disease in Each Rehabilitation Phase and Pattern of Hope. North-Eastern Thai Journal of Neuroscience, 8(2), 35-55.
National Stroke Association. (2018). What Stroke. Retrieved March 14, 2018 from https://www.stroke.org/en/ about-stroke
Noknoo, S., Thongbun, J. & Boksawat, M. (2017). Development of the Physical Therapy Education Program for Stroke Patients Caregiver. Region 11 Medical Journal, 31(4), 667-676.
Ploypetch, T. (2018). Chemoneurolysis for Spasticity Treatment. in Pajaree, K. (ed.), Update Neurologic Rehabilitation, 2018. (pp. 97-136). Bangkok: October Print.
Phomkhao, S., Jitramontree, N. & Wirojratana, V. (2019). The Effect of Motivation Program on Stroke Rehabilitation Motivation in Older Patients with Stroke. Journal of Thailand Nursing and Midwifery Council, 34(3), 30-42.
Piriyaprasarth, P. (2016). Stroke Assessment Tools. Journal of Thai Rehabilitation Medicine, 38(3): 128-139.
Rojpaisarnkit, K. (2016). Relationship between Physical Activity, Mental Health, Social Health and Spiritual Health Status among the Three Aged Group Elderly. The Journal Prapokklao Hospital Clinical Medical Education Center, 33(4), 300-309.
Salazar, A.P. & Pinto, C., & Ruschel Mossi, J.V., Figueiro, B, Lukrafkx, J.L, & Pagnussat, A.S. (2019). Effectiveness of Static Stretching Positioning on Post-Stroke Upper-Limb Spasticity and Mobility: Systematic Review with Meta-Analysis. Annals of Physical and Rehabilitation Kittiwarawut, J. (2018). Reducing Spasticity in Adults with Stroke. Burapha Journal of Medicine, 5(2), 131-141.
Kuptniratsaikul, V. (2018). Rehabilitation in the Elderly with Stroke. in Kuptniratsaikul, V. (ed.), Geriatric Rehabilitation in Common Health Problems. (pp. 283-330). Bangkok: P.A.Living Limited.
Moonthee, W., Monkong, S. & Sirapo-ngam, Y. (2016). Impact of Transitional Care Programmed and Family Caregivers on Stroke Patients' Routine Activity Performance, Complications, and Satisfaction. Thai Journal of Nursing Council, 31(1), 95-110.
Nantaraksa, C. & Putthikhamin, N. (2013). The Level of Hope in Patients with Cerebrovascular Disease in Each Rehabilitation Phase and Pattern of Hope. North-Eastern Thai Journal of Neuroscience, 8(2), 35-55.
National Stroke Association. (2018). What Stroke. Retrieved March 14, 2018 from https://www.stroke.org/en/ about-stroke
Noknoo, S., Thongbun, J. & Boksawat, M. (2017). Development of the Physical Therapy Education Program for Stroke Patients Caregiver. Region 11 Medical Journal, 31(4), 667-676.
Ploypetch, T. (2018). Chemoneurolysis for Spasticity Treatment. in Pajaree, K. (ed.), Update Neurologic Rehabilitation, 2018. (pp. 97-136). Bangkok: October Print.
Phomkhao, S., Jitramontree, N. & Wirojratana, V. (2019). The Effect of Motivation Program on Stroke Rehabilitation Motivation in Older Patients with Stroke. Journal of Thailand Nursing and Midwifery Council, 34(3), 30-42.
Piriyaprasarth, P. (2016). Stroke Assessment Tools. Journal of Thai Rehabilitation Medicine, 38(3): 128-139.
Rojpaisarnkit, K. (2016). Relationship between Physical Activity, Mental Health, Social Health and Spiritual Health Status among the Three Aged Group Elderly. The Journal Prapokklao Hospital Clinical Medical Education Center, 33(4), 300-309.
Salazar, A.P. & Pinto, C., & Ruschel Mossi, J.V., Figueiro, B, Lukrafkx, J.L, & Pagnussat, A.S. (2019). Effectiveness of Static Stretching Positioning on Post-Stroke Upper-Limb Spasticity and Mobility: Systematic Review with Meta-Analysis. Annals of Physical and Rehabilitation Kittiwarawut, J. (2018). Reducing Spasticity in Adults with Stroke. Burapha Journal of Medicine, 5(2), 131-141.
Kuptniratsaikul, V. (2018). Rehabilitation in the Elderly with Stroke. in Kuptniratsaikul, V. (ed.), Geriatric Rehabilitation in Common Health Problems. (pp. 283-330). Bangkok: P.A.Living Limited.
Moonthee, W., Monkong, S. & Sirapo-ngam, Y. (2016). Impact of Transitional Care Programmed and Family Caregivers on Stroke Patients' Routine Activity Performance, Complications, and Satisfaction. Thai Journal of Nursing Council, 31(1), 95-110.
Nantaraksa, C. & Putthikhamin, N. (2013). The Level of Hope in Patients with Cerebrovascular Disease in Each Rehabilitation Phase and Pattern of Hope. North-Eastern Thai Journal of Neuroscience, 8(2), 35-55.
National Stroke Association. (2018). What Stroke. Retrieved March 14, 2018 from https://www.stroke.org/en/ about-stroke
Noknoo, S., Thongbun, J. & Boksawat, M. (2017). Development of the Physical Therapy Education Program for Stroke Patients Caregiver. Region 11 Medical Journal, 31(4), 667-676.
Ploypetch, T. (2018). Chemoneurolysis for Spasticity Treatment. in Pajaree, K. (ed.), Update Neurologic Rehabilitation, 2018. (pp. 97-136). Bangkok: October Print.
Phomkhao, S., Jitramontree, N. & Wirojratana, V. (2019). The Effect of Motivation Program on Stroke Rehabilitation Motivation in Older Patients with Stroke. Journal of Thailand Nursing and Midwifery Council, 34(3), 30-42.
Piriyaprasarth, P. (2016). Stroke Assessment Tools. Journal of Thai Rehabilitation Medicine, 38(3): 128-139.
Rojpaisarnkit, K. (2016). Relationship between Physical Activity, Mental Health, Social Health and Spiritual Health Status among the Three Aged Group Elderly. The Journal Prapokklao Hospital Clinical Medical Education Center, 33(4), 300-309.
Salazar, A.P. & Pinto, C., & Ruschel Mossi, J.V., Figueiro, B, Lukrafkx, J.L, & Pagnussat, A.S. (2019). Effectiveness of Static Stretching Positioning on Post-Stroke Upper-Limb Spasticity and Mobility: Systematic Review with Meta-Analysis. Annals of Physical and Rehabilitation Medicine, 62(2019) 274-282. Retrieved June 3, 2020 from https://doi.org/10.1016/j.rehab. 2018.11.004.
Senasana, S., Komjakraphan, P. & Isaramalai, S. (2017). Development of Home-Based Skill Training Program for Caregivers of Stroke Patients, Journal of Preventive Medicine Association of Thailand, 7(2), 212-222.
Sornarkas, A., Deoisres, W. & Wacharasin, C. (2015). Factors Influencing Family Caregivers’ Rehabilitation Behavior for Stroke Patients. Journal of Health Science Research, 9(2), 86-93.
Thueakthong, W., Kumthornthip, W. & Khongsri, N. (2015). A Comparison of Immediate Effect of Neurophysiologic Versus Orthopedic Stretching in Reducing Post-stroke Upper Limb Spasticity (ENOS-PULS): a Preliminary Study. Journal of Thai Rehabilitation Medicine, 25(1), 22-29.
Thongthawee, B., Matchin, Y. & Kaewsriwong, S. (2018). Family Members' Experience in Providing Care for Persons with Stroke: A Phenomenological Study. Songklanagarind Journal of Nursing, 38(3), 179-191.
Trang Province Public Health Office. (2017). Data Warehouse of Non Communicable Disease. Retrieved May 20, 2017 from http://www.tro.moph.go.th/index2.php.
Tsai, P., Yip, P., Tai, J. & Lou, M. (2015). Needs of Family Caregivers of Stroke Patients: a Longitudinal Study of Caregivers' Perspective. Patient Preference and Adherence. 9, 449-457.
Usayapunt, N., Santamit, S. & Tepsimanon, N. (2016). Developing the Rehabilitation Process of Stroke Patients in Suratthani. Region 11 Medical Journal, 30(1), 85-93.
World Stroke Organization. (2017). Campaign Advocacy Brochures 2017. Retrieved January 9, 2018, from http: //www.worldstrokecampaign.org/images/wsd-2017/brochures-2017/WSD_brochure _FINAL sponsor pdf
