PENGARUH LATIHAN PASIF EKSTERMITAS BAWAH TERHADAP BROMAGE SCORE PASCA ANESTESI SUBARACHNOID BLOK (SAB)
DOI:
https://doi.org/10.62619/jatb.v4i2.266Keywords:
Passive Exercise , Bromage Score, Spinal Anesthesia, Subarachnoid Block, Motor RecoveryAbstract
Background: Spinal anesthesia (Subarachnoid Block/SAB) often causes temporary motor impairment in the lower extremities. One of the indicators of motor recovery is the Bromage Score. Passive lower extremity exercises are believed to accelerate recovery; however, there is limited experimental research directly confirming their effectiveness. Objective: To determine the effect of passive lower extremity exercises on the acceleration of Bromage Score recovery in post-SAB anesthesia patients in the recovery room at PMI Hospital, Bogor. Methods: This study employed a quasi-experimental design with a two-group posttest with control group design. The sample consisted of 30 patients who underwent SAB anesthesia, divided into two groups: 15 received passive lower extremity exercise as an intervention, while 15 served as the control group without intervention. Bromage Score was measured periodically until a score of 0 was achieved. Data were analyzed using SPSS. Results: The average score in the intervention group significantly improved from 2.4667 to 0.63994 with a p-value of 0.000, whereas the control group showed a minor increase to only 0.9333. Bivariate analysis showed a significance value of 0.88 (p < 0.05), indicating that passive lower extremity exercises were effective in accelerating motor recovery. Conclusion: Passive lower extremity exercises significantly accelerate the achievement of Bromage Score in post-SAB patients and may be considered as a standard intervention in the recovery room.
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